May 07, 2007

05-07-2007 Media Madness

I am mostly of the living today, thankfully. As usual there is much afoot.

The Washington Post reports that Cho never received outpatient treatment after his brief stay in a psych unit. Due to very unclear lines of authority and follow-up in the mental health system in Virginia. There is something very messed up about that state's system. One question: if Cho was deemed ill enough to be placed under outpatient treatment, then why was he not kept in a hospital for longer? It strikes me that someone may have dropped the ball bigtime. More on this later.

Psych Central takes on in-store clinics.

CL Psych had some great items late last week, including this on the very weird Risperdal for depression study that involved some dubious stats and contorted authorship. As well, he notes a TV ad for a Seroquel study involving youngins by the bipolar child mafia at Harvard.

The Last Psychiatrist takes on the "media causes copycat suicides by reporting on suicides" theory.

Rivers in Portland, Ore. test positive for Prozac. It's not the water supply, but damn. Can Seroquel be far behind?

Posted by Philip Dawdy at May 7, 2007 11:48 AM
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Interesting development on Cho that may not be auspicious for those of us who think drugs might have played a role. We're still wondering what that was his roommate saw him taking that morning and also one paper reported finding "meds for psychological problems" in his personal effects -- was it accurate? I just want to remind everyone that just because he didn't receive the mandated outpatient treatment that doesn't mean he didn't go to a GP or some other source -- like an internet pharmacy -- to get medications. College students are getting stuff over the internet all the time. I sure wish some investigator would ask all the right questions or this information is going to be lost forever as it has in other rampage shooting investigations.

Posted by: Sara at May 7, 2007 12:19 PM

good points sara, although i've had a hunch all along that this case likely wouldn't fit the drug induced violence pattern. but it's an avenue that should be looked at esp if cho had gotten off/on any type of medication in the recent past, no matter what avenue he may have gotten the meds through, or not.

Posted by: Philip Dawdy at May 7, 2007 12:43 PM

I like the idea of the walk-in clinics popping up everywhere. I like the convenience. For people like myself without a chronic illness, this is a good option. I don't go to dr very often, so continuity of care isn't all that important. After I stopped seeing my pdoc and moved to a different city, I started over with a clean slate. Nobody knows my previous psych hx and that's how I intend to keep it.

Posted by: Lisa at May 7, 2007 02:48 PM

Well, just want to add that there is not just ONE drug induced violence pattern, but actually a variety of ways in which drugs can facilitate and exacerbate the process of going mad and becoming violent, which isn't to say someone might not have gone mad, even without drugs. It just MIGHT be a whole lot worse or I suppose I reluctantly might accept that exactly the right drug treatment for the right amount of time might help stop the process too if a lot of other things are coming into play as well.

Posted by: Sara at May 7, 2007 05:24 PM

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