Is America on Too Many Psychiatric Drugs?

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The Journal. 20 min 4 speakers 6 chapters transcribed
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What psychiatric drugs are commonly prescribed in America?

Unknown 0:06
I started taking this little happy pill about, I think, a little over four months ago.
Shalini Ramachandran 0:10
On social media, especially TikTok, there's a growing community of young people talking about their antidepressants.
Unknown 0:18
This video is for all of the Lexapro baddies out there. Like my little Prozac girlies, my Wellbutrin girlies, my Zoloft homies.
Betsy McKay 0:28
I started diving down and pretty quickly came across hashtags like Lexa pro-girly and Lexa ho. Oh, TikTok. Yeah, it was just huge. I'm Betsy McKay. I'm a senior writer covering health and medicine for The Wall Street Journal.
Jessica Mendoza 0:49
And I'm Shalini Ramachandran.

How is social media influencing perceptions of antidepressants?

Jessica Mendoza 0:52
I'm an investigative reporter at The Wall Street Journal.
Shalini Ramachandran 0:55
For over a year now, Betsy and Shalini have been on an investigative journey into some of the most commonly prescribed medications out there, psychiatric drugs.
Betsy McKay 1:04
I mean, we've talked to hundreds of people at this point. We've talked to patients. We've talked to doctors. We've talked to researchers.
Shalini Ramachandran 1:14
As they dug into psychiatric drugs, they found that corner of the internet where thousands of people are sharing their positive experiences. On TikTok alone, the hashtag antidepressants has more than 1.3 billion views.
Unknown 1:27
I feel like one thing that Lexpro has like indirectly done for me is allow me to see a different perspective of like life isn't just all pain. There were a lot of times before I was on medication that I just was not okay, felt hopeless, depressed. So Zoloft is doing what it's supposed to be doing. When I tell you my brain is quiet, it is quiet. Are you also having this experience with this drug?
Shalini Ramachandran 1:59
But over the course of their reporting, Betsy and Shalini found that there's also a dark side to these drugs, especially for some people who've been on them for a long time.
Betsy McKay 2:09
In general, if you were just to look at the most glamorous videos, the most positive ones, you really wouldn't come away thinking... these drugs can have serious side effects but there is a whole part of the mental health universe that is talking only about very serious side effects you want to know what absolutely nobody told me not even my psychiatrist how bad it is to wean off an antidepressant i feel crazy
Shalini Ramachandran 2:43
As they kept looking into psychiatric medications, not just antidepressants, but also anti-anxiety drugs and others, one big question popped up.
Betsy McKay 2:53
Is America over-medicated? These drugs are so popular and they've been on the market so long now that grandparents, parents, and children in the same family now take them.
Jessica Mendoza 3:06
And now there are people who've been on them for decades and are experiencing the repercussions.
Shalini Ramachandran 3:14
Welcome to The Journal, our show about money, business, and power. I'm Jessica Mendoza. It's Wednesday, December 3rd. Coming up on the show, the overprescription of psychiatric drugs in America.
Shalini Ramachandran 3:47
Betsy and Shalini's investigation didn't actually start with antidepressants. It began with another kind of psych medication entirely, when Shalini heard something that caught her attention.
Jessica Mendoza 3:57
There was actually an executive who I spoke to who was telling me, well, you know, the worst years of my life was when I was on benzodiazepine withdrawal. And I said, what's that? I had never heard of this thing. And he said, well, I was just routinely prescribed Ativan because I had insomnia.

What are the potential downsides of long-term psychiatric drug use?

Jessica Mendoza 4:20
And that started the worst years of my life.
Shalini Ramachandran 4:24
Ativan is the brand name for lorazepam, a popular anxiety medication. It's one of several in a class of drugs called benzodiazepines, and it's commonly prescribed to help people with sleep issues.
Jessica Mendoza 4:36
We all know somebody who's taken it, and I didn't realize that there are these potentially really debilitating effects.
Shalini Ramachandran 4:43
The executive told Shalini that after being on benzos for his insomnia, he actually started feeling extremely anxious. And when he tried to get off the drugs, he experienced intense withdrawal symptoms.
Jessica Mendoza 4:55
He even went to one of these very swanky rehab facilities, and they weren't able to help him. And he said he could barely function. He was calling his wife, saying that he couldn't survive.
Shalini Ramachandran 5:05
The executive spent more than $100,000 on treatment for benzo withdrawal.

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