Medicalization

Standard

Pristique  More times than I can count during my week and often my day, a patient presents with what they tell me is anxiety or depression and requests that I write a prescription for whatever pill they have seen advertised on television or a tranquilizer that works for their friend or relative. I can, however, likely count the number of times I have actually written such a prescription. I am not against medications. I am not a practitioner of “woo”, as some of my more conservative colleagues would call me. I just don’t know when being fully human became a disease.

One patient came into the office in tears, telling me that she needed Ativan or Valium because she could not stop crying since her husband died. She couldn’t sleep. When I asked when he died, she told me
” Last night”. A fairly young adult asked for antidepressants because he had problems sleeping since his wife of 10 years left him two months ago. He also sometimes felt very sad, like he wanted to cry. People have lost their jobs, their home is danger of foreclosure and their son just went to jail. They don’t think that they should cry, or worry or have problems sleeping.

I will save the discussion or rant about Big Pharma and disease mongering for another day. Today, I just want to ask, why isn’t it okay to cry your eyes out and not be able to sleep when your loved one dies? Why is not okay be anxious, sleepless and worried when you lose your job and your life seems to be falling apart? I think not only is it okay, but it is important to fall apart now and then.

There was a time when it was expected to show appropriate emotion. The Bible talks about sack cloth and ashes and gnashing teeth when grieving. In some cultures women used to cut off a finger when their husband died. Thank Goodness that now they only chop their hair off very short as a demonstration of grief. In many cultures people wore black as a symbol of their mourning for a full year after the death of someone they love.

Today, people want a pill or six so they can go about their lives “normally”, as if it all didn’t matter really. Not the marriage, or the job or home or the damn kid in jail. There is very little chance that I am going to give them a pill. I am going to talk to them about normal human emotions of sadness, grief, despair, worry, nervousness and problems getting that elusive 8 hours of uninterrupted sleep brought to you by a beautiful moth. I am going to talk about the importance of crying, and pacing the floor, of looking through photo albums and crying until you can’t cry. Cry until you cry yourself to sleep.

Yes, it is okay. It is healthy. I prescribe a good cry or several. I suggest we stop spending so much time, energy and money trying to avoid feeling sad, hurt, angry, lonely, sleepy, or whatever scary emotional reaction we are having to a situation.

In the real world, not everyone gets a pony, eats rainbows and poops butterflies. Life is sometimes messy and painful. We will get through it. We will. We can do it without sedation. I don’t believe that we should be trying to take away unpleasant feelings for the most part. I believe that we can’t dampen the negative side of life without also dampening the joyful side of life. Human emotions are not a disease. I am not talking about psychosis or self harm. I am talking about healthy reactions to painful situations.

We need to make it okay again to get the blues, feel melancholy, sad, scared, hurt, angry, lost, confused or lonely. We need to talk to each other again. We need to accept that humans have a full spectrum of emotions and rarely is it a disease to feel things deeply.

3 responses »

  1. What type of profession are you in? Sometimes it is hard for those of us that suffer from depression to “re-learn” that it is ok to feel unpleasant feelings. At least I know that is my case, as my therapist tells me. It is more of learning how to effectively cope with the situation that is causing the anxiety than which pill will work this week.. Thank you for sharing.

    Liked by 1 person

    • I am a family nurse practitioner who works as a locum tenens. This is much like a migrant farm worker, except in healthcare. I work short term in many different locations, but mostly in community health clinics. Yes, I agree that it is difficult to re learn to cope with human emotions. I think all of us are bombarded every where we turn with the idea that feeling anything other than happy is a disease. I am happy to hear that you have someone who is encouraging you to work through life’s adventures instead of sedating you. I am hoping to follow your journey through your blog.

      Like

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