Sometimes in my busy life I hear a piece of news that inspires a post and whatever the cost, I have to get it down in cyberspace.
Tom Cruise was recently interviewed and in that interview, he critisized Brooke Shields for the use and endorsement of anti-depressants. Since I am a guy, I have no workable concept of post pardom depression (hope the spelling is right at least!) but since I have a working knowledge of emotional related issues I wanted to provide my two cents.
I like Mr Cruise's assessment to a point. I think as a nation it has almost become fashionable to be taking some kind of anti depressant, painkillers or sleep aids and I have even notice it as a tactic to promote a person or a show. While I don't like the thought of staying in the closet, I think if a person is going to come forward to admit a diagnosis and medication, I think it should be in a forum and a time that would best serve the others to do it a forum that would promote recovery then promote themselves. As for me it has been a private issue but not too long ago I used as a means to define myself as a whole person. Trouble with that is people seem less understanding about emotional issues because it is a condition that not easily defined by sight plus there is the constant sensationalism by the media that contributes to the stigma. All this tends to create a fear of the unknown where a person with emotional issues are concerned.
Things have improved substancially but I think the one stumbling block is the language we assign to infirmity. Take the word Schizoprenia, this was first coined back in the 1920's or 1930's and if you take it literal translation from latin is "Split Mind" When the this was first discovered, doctors had believe that the patient's mind had "split" into different personalities. We now know that this is the furthest from the truth. Schizoprenia is a set of related disorders that affect and impact a person's ability to percieve reality correctly. There is a part of the brain near it's stem called the "Thalamus" that is responsible for perception and they are finding that this part's functioning has been altered but yet the named coined earlier has been maintained. If you are going to loosen the stigma start with how you describe infirmity. I think in order for us to understand any condition, put it into plain english. Pharmacutical Companies could take a lesson in simplicity as well.
I think we place too much trust in a practicing physicians. I know with my earlier experiences, it was easier to see the doctor at an appointed time and get medications without really understanding the condition you are being treated for. Today's doctors are well educated but in the end they are still human beings and still honing their skills well after medical school and residency. It's odd how we never question our method of treatment until a mistake has been made in it's execution. Lawyers will listen rather intently to any claim of medical malpractice because it is now a issue of monetary gain but does the patient ever question there own responsibility? Not all cases follow the same method of operation but I've been noticing an increasing number of them in the last few years. I believe in personal responsibility, while we can't factor in all the varibles with education, we can signifigantly reduce the possiblity of medical malpractice. Education of our infirmities, treatment options and a good communication with your physician will work wonders for recovery. It's easier for us to take a pill and give no consideration to the other aspects of our care. Mr. Cruise has the right idea to caution against the extended use of medications such as anti-depressants but to imply the total elimination of them is questionable in my mind.
I am finding that lifestyle changes are imparative to maintain one's health. When someone is depressed, there is so many factors to consider besides medication. Do they exercise regularly, maintain good dietary habits, Avoid illicit drug use and alcohol, Avoid cigarette smoking, Avoid a sedentary lifestyle or Educated themselves to other methods to lessen or eliminate symptoms without excessive medication? It seems there is more of a push to medicate people then to teach themselves to make better choices for their lives? I like Mr. Cruise's emphasis on personal responsibility.
I'm glad that Brooke Shields is in a position to advocate but why can't we have the best of both worlds, the medications to relieve symptoms and education to learn to control the symptoms through lifestyle changes? So Mr. Cruise, I applaud your efforts to inform the public but I would hope it would provide an option without oppression?