I just finished reading an article about how a task force of experts convened by the federal government is recommending that doctors routinely screen all American teens for depression; that means research-tested screening tests even for kids without symptoms. This would boldly exceed current guidelines put out by the pediatrics academy advising that pediatricians ask teen patients questions about depression, and even more so suggestions that only high-risk teens be screened.

Fucking A, people. They’re teenagers. Of course a majority of them are “depressed”. What do you think the kid’s screening above is going to show? That he’s ecstatic about life, homework and riding in the back of his mom’s minivan to school?
Unfortunately, what I really find disturbing about this report has nothing to do with overly cautious or misguided mental health care. It’s more so a very calculated form of care that has me concerned. The number of psychiatrists that specialize in child and teen treatment make up a fairly low percentage of the entire field. So while it’s being suggested that we up the number screenings and testing for clinical depression, how are we supposed to treat these kids? Interestingly, in a separate but related report recently released, the pediatrics academy and the American Academy of Child and Adolescent Psychiatry are pushing for primary care doctors (pediatricians and family physicians) to provide more mental health services to patients, along with compensation for such mental health services by insurers.
Except, wait… most primary care doctors don’t even have a background in psychotherapy. However, there’s nothing stopping them from prescribing depression medication. Already, family doctors are the ones filling more and more of these prescriptions, and in many cases, this is the only treatment such patients are receiving. It doesn’t take a lot of research to find that antidepressant prescriptions are already on an alarming rise, specifically up some 16 million between 2002-2005. Take a pill and it’s fixed, right?
So suddenly, you have an increasing amount of patients with ‘disorders’, due to what are seemingly looser standard diagnostic guides. There’s the push to take these newer, all-encompassing diagnostics, and test even more potential customers patients, such as all these clinically depressed teens. Meanwhile, pharmaceutical companies are pumping out increasingly more expensive drugs that, the more you look, the more you’ll find are rarely to have proven any more effective than previous medications. Oh, and never mind that they were also meant to treat something completely different than what they’re now being prescribed for (often because they were found ineffective or even dangerous for their originally intended purpose). And since there’s not enough specialized doctors (psychiatrists) to treat this ever-growing number of disorders, why not encourage untrained general practitioners to stock them up next time they’re in for a physical?
If that doesn’t bother you, then maybe this must-read story will, about how a flawed schizophrenia drug was turned into a $16 billion profit and treatment for “misbehaving kids”.
Notable related articles:
http://www.rollingstone.com/politics/story/25569107/bitter_pill
http://www.sciam.com/article.cfm?id=the-medicated-americans
http://www.medicalnewstoday.com/articles/116066.php
http://www.msnbc.msn.com/id/29945008/