This is a topic that gets scant attention leaving the consuming public largely in the dark. Even though I work in the field, I’ve not hear this information except from my own reading. Fortunately, SSRIs are not as susceptible to problems crossing from brands to generics or between generics. But buproprion in other forms may not be as good as Wellbutrin. Image via Wikipedia Medical News “Antidepressant and antipsychotic drugs have become blockbusters for the firms that developed them, making them hot markets for generic competition.
Finally, researchers have gotten beyond finding the “one cause” or “sure-fire cure” for the various forms of mental illness. It has always been futile to find a particular biological cause. Clinicians practicing in the field have been aware of the complexity of development. It makes much more sense to look in several directions at once, for resilience, risk factors and biologically based vulnerabilities to particular symptom clusters. Mental illness is caused by a complicated combination of developmental and environmental stressors and biological strengths and weaknesses.
Image via WikipediaMental illness is less understood than most people think. Common sense would have it that good parenting makes all the difference. It’s just not that simple. The NY Times has a great series on “Troubled Children” that is well worth the read. The articles include some good background on the nature of mental illness and it’s development. Today six million American children have been diagnosed with a serious mental disorders, a number that has tripled since the early 1990’s.
Tripped over a blog I hadn’t seen before. While the author is apparently anonymous, he makes a good point here. Clients can best ensure they are receiving quality care by being informed of ALL of the options. Seldom have I seen doctors give a second thought to the cost of the medicine their prescribe and the hardship the client may face. A study supports my viewpoint. It’s not that they are without compassion, it’s that they simply were not trained that way.
An informed consumer is critical to ensure quality care. The mental health professional needs feedback from the client to ensure care is effective. That is as much true for counselors as it is for psychiatrists. Insurance companies and now Medical Assistance have been increasingly using medication “formularies” to control the cost of their medication budget. Formularies limit the choice of medication for which the insurance company will pay. Often that is because there are a choice between brand name and generic medications or a choice among a number of equivalent brand names.
[A recent study] has found medication combined with behavior therapy works best for children with Attention Deficit Disorder (ADHD). When behavior therapy is combined with a new patch administering the active ingredient in Ritalin and Concerta, “the study showed that the amount of medication required to achieve the same results as use of medication alone can be reduced by two-thirds.” This is tremendous news for children and parents dealing with ADHD.