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Anatomy of an Epidemic: Magic Bullets, Psychiatric Drugs, and the Astonishing Rise of Mental Illness in America
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About the Author
Robert Whitaker is the author of Mad in America, The Mapmaker's Wife, and On the Laps of Gods, all of which won recognition as "notable books" of the year. His newspaper and magazine articles on the mentally ill and the pharmaceutical industry have garnered several national awards, including a George Polk Award for medical writing and a National Association of Science Writers Award for best magazine article. A series he cowrote for the Boston Globe on the abuse of mental patients in research settings was named a finalist for the Pulitzer Prize in 1998.
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Product details
MP3 CD
Publisher: Brilliance Audio; Unabridged edition (April 29, 2014)
Language: English
ISBN-10: 1491513217
ISBN-13: 978-1491513217
Product Dimensions:
5.5 x 5.5 x 0.2 inches
Shipping Weight: 2.4 ounces (View shipping rates and policies)
Average Customer Review:
4.7 out of 5 stars
469 customer reviews
Amazon Best Sellers Rank:
#385,190 in Books (See Top 100 in Books)
Very science based. There's a bunch of reviews on here that say this book is invalid, but when you dig into their reasons, they are cherry picking data and using disproven research. For instance, a lot of critics of this book say, "Oh, of course antipsychotics help people," and they cite a few studies. But when you look at those studies, it's where people have been dropped cold turkey off meds they had taken long term. Well, cold turkey withdrawal of psych meds is a hard and nasty process. So of course leaving people on drugs works better than dropping them suddenly into cold turkey withdrawal. But gradual withdrawal does work, and many people have gotten their lives back by learning how to use psych drugs appropriately as a tool instead of as the entire solution.Whitaker is not anti-medication, many of his supporters still use medications. Whitaker is not anti-psychiatry. He is anti-bullshit. Many psychiatrists support him, and are referenced in this book. But only the ones who have actually taken the time to learn the academic research in their own field. Don't believe the critics who cite 2-3 studies and think they have discredited this book without looking into details. This book cites like 400 studies, works with all the best patient advocates in the industry, and is the best science has to offer to explain both problems and solutions.If you want to know the real deal, this is the book to read. Most critiques of this book are very shallow, and have already been readily and easily disproven.
Many of the harshest reviews of this book seem to be coming from those who currently depend on psychiatric medications, and find the author's conclusions heartless, given their own distress. As a person diagnosed with MDD (major depressive disorder) 22 years ago, and medicated with a substantial cocktail of psych drugs for 20 years after that diagnosis, I want to add my perspective to this discussion. My life is better without the medications. I can't say that will be true for everyone, but it is true for me.I read Robert Whitaker's book almost two years ago, and his conclusions alarmed me. I also had to honestly wonder, do I really feel better on all these medications than I would without them? I had been told by well-respected psychiatrists at two major research universities that the only way to prevent recurring depressive episodes was to be on medication for life. I had believed them, and taken the medications. I felt reasonably okay a lot of the time, though somewhat dulled and flattened by the meds. But I still had debilitating depressive episodes, sometimes lasting for months, in spite of the medications. As I looked around at my many, many friends and family members on psychiatric medications, it seemed to me that most of them were still pretty substantially depressed a lot of the time.For years I had found the notion of "chemical imbalance" reassuring. The solution to my mental distress–medication–was no different than if I had diabetes and needed insulin, apparently! Taking psych meds with this perspective makes you feel that you are doing your best to take care of yourself, which is reassuring when you're still feeling awful. You're doing what you can do. "Better living through chemistry!" I used to wryly joke, as I'd down my cocktail of three or more medications every night. I regularly saw my psychiatrist, who would tweak the meds here and there to give me better relief.How sad that the "chemical imbalance" theory just doesn't hold up to actual research! I understand how doctors came to use that analogy to reassure patients who were alarmed at the prospect of being on mind-altering drugs for long periods of time. But there are no chemicals being balanced here. The drug effects are powerful, but they are not restoring what is missing and replicating a healthy brain. That truth, well researched in this book, needs to be told.After reading "Anatomy of an Epidemic" two years ago, I was convinced that I at least needed to try life without medications. My husband is a physician, and he found the research in the book compelling as well. I did a very slow, careful taper off of my psych drugs, over a period of months (this part is absolutely crucial). The side effects of withdrawing were physically painful at times, but I got through them. I've been off psychiatric medication for over a year and a half, and I feel really good.Do I still get depressed? Yes, sometimes I do. But certainly not more depressed than I did on the medications. I really appreciate having the full range of my emotional reactions restored to me. It's dreary having the ecstatic side of life chopped off, along with the abject misery. Drugs do that. And psychiatric medications have frightening long-term consequences, some of which are only coming to light now that people have been on them for decades. If medications are truly needed, in most cases they should be temporary, not long-term.Life is hard, stress is real, and problems need to be dealt with. There is no magic bullet. I have found daily aerobic exercise to be a far more reliable way of mitigating depression than my former medications, and research in this book shows this to be true for a majority of people as well. Mindfulness meditation has also helped, and kind people who listen to me.I don't blame my doctors for my years of overmedication. They were doing the best they knew how for me, given the way that training is passed down doctor-to-doctor through medical education. The "medical model" of psychiatry saved that branch of medicine from dying out, given our insurance-based healthcare system, and Robert Whitaker does a great job of exposing the collusion between the pharmaceutical companies and the American Psychiatric Association, with its frightening consequences. I found the section of the book describing the way research evidence was "rewritten" for medical school textbooks truly alarming.There's a lot at stake here for the psychiatric profession; it's not surprising that so many psychiatrists turn from this research with alarm and denial. I admire Robert Whitaker for bringing this problem to light, and for doggedly pursuing it both in the US and internationally. I recommend his website "Mad in America" for recent news and discussion.
I read this book shortly after its release, and it probably saved my life.I was getting progressively worse on the prescribed "medications", and for a while had suspected that it was the "medications" that were making me worse, and that their so called "side effects" (which for me were their primary effects) had actually been the cause of a significant part of my struggle. My "mental illness" started after being prescribed an SSRI for a totally normal, human response to a very difficult set of life circumstances.Of course, my doctors wouldn't hear about this and said I had an illness that would require medication for life and what amounted to a future of overwhelming disability that maybe, just maybe, they could manage if only I'd take sufficient and ever-increasing doses of "medication".The research in this book gave me the courage to get off the medications (very slowly and carefully after further research on how to do this successfully) despite my doctors' objections.As a result I am now medication (and doctor) free, and functioning again and have been for over five years. I still struggle at times in response to what life throws up...who doesn't?....but there's no way I am "mentally ill" in any sense of the term.The book is well-written and supported by very thorough research. It should be compulsory reading for ALL doctors in training, and all law makers - way too many people are locked up and drugged with appallingly dangerous and destructive "medications" in the name of the psychiatric/pharmaceutical industry.
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