CONTINUING THE PHILOSOPHY OF REGINALD O. KAPP

9.143 Antidepressant solution - social prescriptions               13.6.19

Paper for the next Brighton and Hove Health and Wellbeing Board on 27.7.19 By John Kapp, johnkapp@btinternet.com, 01273 417997, founder of the CAmpaign for Social Prescribing of Talking Therapies (CASPOTT) see 9.140 of www.reginaldkapp.org. 13.6.19



1 Summary conclusions.

2 Recommendations

PART 1 THE PROBLEM WITH ANTIDEPRESSANTS (ADs)

3 Could drugs be causing the epidemic of depression?

4 What is the main NHS treatment for low mood?

5 Are the side effects of antidepressants (ADs) ‘mild’ or ‘severe’?

6 Why do doctors trivialise the side effects of ADs?

7 What are the side effects of ADs?

8 Could these side effects accurately be called ‘mild’?

9 Why do patients take ADs?

10 Is what the doctor tells them true?

11 Have patients any legal redress if they are harmed by the drug?

12 What about the side effect of ‘suicidal tendencies’?

13 Are ADs addictive?

14 Is ‘addiction’ or ‘dependency’ a listed side effect of ADs?

15 Why is ‘addiction’ or ‘dependency’ not listed?

16 Does the recent promotion of the side effects of ADs from ‘mild’ to ‘severe’ imply that the RCPsych accepts that ADs are addictive?

17 Why is it important for the drug companies and RCPsych to prevent ADs being listed as addictive?

18 Can you get used to side effects?

19 Why is it difficult to withdraw from ADs?

20 What about weight gain?

21 What are the side effects of other mood-altering drugs?

22 Why aren’t the addictive effects of prescription medication more widely known?

23 How addictive are ADs?

24 The example of Valium

25 The example of alcohol

26 The example of nicotine

27 The example of cannabis, cocaine

28 The example of caffeine as an AD

29 What is the difference between street drugs and prescription medication?

30 Is there any help to withdraw from street or prescription drugs?

31 How does this affect GPs?

32 How many GP surgeries have closed?

33 What happened to government promises?

34 How have the drug companies behaved?

35 Why do psychiatrists say that ADs are not addictive?

36 Does the new statement that ADs can have severe side effects indicate that the RCPsych have changed their mind?

37 Are NICE consulting on their guidelines for depression?

38 What have RCPsych asked NICE to do in their statement on 29.5.19?

39 Will this make any difference to treatments that commissioners commission?

40 Will NICE admit that ADs are addictive?

41 What do NICE guidance CG 90 say about depression?

42 Are NICE guidelines mandatory on commissioners?

43 What is the root cause of the crisis in primary care?

44 How long is the waiting time for talking therapies?

PART 2 SOLUTION – COMMISSION DRUG-FREE TREATMENTS

45 Are there any effective drug-free treatments for low mood and addiction?

46 Which are the most cost-effective methods?

47 Are MBIs NICE recommended?

48 What other drug free interventions are available?

49 How can these new interventions be provided for patients in primary care?

50 Is a new prescribing system needed to do this?

51 What can the HWB do about this?

52 How can these treatments be paid for?

53 Conclusion

54 References

Appendix 1 Extract from NHS website www.nhs.uk/conditions/antidepressants/

Appendix 2 Royal College of Psychiatrists press release 29.5.19

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