October 24, 2007Mood American Style: Yoga Mats And AntipsychoticsI've been tracking that Abilify TV ad lately, and all of a sudden there is a new entrant in the antipsychotic ads derby: Geodon, Pfizer's atypical antipsychotic. I ran across a Flash ad for it on HealthCentral.com, where a self-congratulatory blogger blogs about bipolar disorder. The ad can be viewed here (if it's still active) or the basic imagery can be seen here on Pfizer's site. Yep, a woman in yoga top on a yoga mat. She's seated atop a boulder and stares out at the sun. The ad copy I saw noted that Geodon is for mixed moods and scrolled symptoms such as "irritability" past my eyes. What's a mixed epsiode like the ad asks? "Happy, sad, hyper, lethargic." In other words, this is total bipolar disorder 2 country--dubbed mixed episode here--and you can "discover what's possible with Geodon." I tried Geodon for a few weeks once. What was possible? A complete inability to sleep, and akathesia. I lost weight though which was nice for a change from a psych med. Anyone I've spoken with about this drug has had decidedly mixed experiences, but sure hasn't seen much of a calming Yoga feeling from it. The idea of meditating on this drug is hilarious. Thirty years ago, these same symptoms wouldn't be dubbed bipolar and would've been treated with Valium and the like. That didn't work out too well, of course, but I am not convinced that America's love affair with antipsychotics is working any better. Keep in mind Geodon carries two black box warnings. Between Abilify and Geodon, the pharma companies are really targeting women with the new mood marketing. Irritable and depressed? We'll get you back to the Yoga studio soon. Please. Pfizer and BMS, Abilify's maker, are praying on every woman's perceived weaknesses and insecurities like a pick up artist at a bar. Marketing like this makes me want to barf. I wonder how female readers feel about this ad and about being in the cross hairs of all this new bipolar "awareness" in ways that men aren't (even though the gender split on the disorder is 50/50). So tell me. And speaking of weird, check this quote from that blogger from that same page: "We may be the ones with mental illness, but our families are the ones who suffer from it." Breathtaking. Written like someone who has never had a med--such as an antipsychotic--go bad on him. Get back to me on that suffering, John. Posted by Philip Dawdy at October 24, 2007 12:05 AM
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"We may be the ones with mental illness, but our families are the ones who suffer from it." This line bugs the hell out of me. As if we mentaly ill people are having some kind of party and our families are stuck cleaning up after us, making sure that none of us drive drunk, and telling the officers that, "yes, we're sorry, we'll turn the music down." This guy writes an awful lot without saying anything. Posted by: Jon S. at October 24, 2007 04:46 AMI do yoga. All practitioners of yoga have noted yoga's mental benefits, so now here comes big pharma suggesting that some people need drugs to do yoga! Gross. The person you bring to the mat is okay without drugs and yoga impaired is a terrible thought. As for John's website: this bogus idea that it's one person who is sick and others who suffer is nonsensical. It's the person who suffers who is sick. If Bipolar's mother is wringing her hands because she disapproves of Bipolars's life, it doesn't mean Bipolar needs his meds adjusted, it means Bipolar's mother needs talk therapy to help her get over her pathological obsession with Bipolar's life. How many other ailments are there where if you're not suffering, you're sick because other people are unhappy with you and if you are suffering you are well. It's the dehumanization again - the mentally aren't human, they don't suffer so it doesn't matter how you treat them and John has apparently internalized this with the help of lots of pills. Posted by: Sally at October 24, 2007 05:18 AMIronically, I was finally *driven* to yoga by my most recent attempt to medicate my bipolar disorder. The Trileptal was a raging success for 72 hours until I broke out in a rash. Since I have terrible luck with medication (and refuse to take anti-psychotics due to the anecdotal and PI info I've read about them), I finally turned to Yoga. Starting next week I'll be doing it twice a week for two months. I absolutely hate these ads (all pharma ads, actually), and as a woman am disturbed to see these drugs marketed to women like they were Midol! Thank you for continuing to bring them to light. Posted by: lavalady at October 24, 2007 05:29 AMI've been seeing a lot of Ablifry ads in Women's Magazines lately too. (I've taken both Ablifry and Geodon. I couldn't read more than a few paragraphs at a time on Abilfry and Geodon did nothing.) I think women are targeted even though the gender split is 50/50 because statiscally we are compliant in taking meds and seeking out "treatment." In our local Minneapolis Icarus meetings I thought it would be a huge estrogen fest and we would have to beg men to come to even things out but it has been mostly men coming since the beginning. My guess is because its less threatening atmosphere than going to see a doctor or a therapist, but that was something that really surprised me. Posted by: Christin at October 24, 2007 07:08 AMWell I sure take Lamictal and am not causing anyone to suffer per being around me: though I see my youngest suffering on antipsychotics, I've seen her live with tremors so bad she couldn't hold a fork, I've seen her face go pale and her body become a beaten down warrior by age 19. I've seen her eyes roll up into her head and get stuck looking up, seen her gain 50 lbs on a 5' 3" frame, seen her lean to the right and walk with a shuffle--all of those symptoms--plus more--while on Zyprexa, Abilify, Clozaril, Haldol and Risperdal. My oldest daughter just successfully removed [slowly] Geodon, because she couldn't stand the sedation and the double vision and never had a reason to be on it.[no psychosis].Just BP2 and that was the standard rx from her pdoc. Now, on Lamictal alone, she is a successful college student, has a job, her own apartment, pays car payments--all at age 24. She learned from me--question the pdoc and get second opinions. My youngest daughter at age 17 walked out of her pdoc office, and hired a new one. Simple: you don't go back and the new pdoc calls over for your files. Hiring a doctor is just that: you pay them for services, if you are not happy with the outcome, you are not in a binding contract.[I know this comment applies to 2 articles here]. I've also noticed that Yoga mat ad on Psych Central. Sometimes, it's replaced for an ad for Abilify. All depicting women. I take Geodon for mild schizophrenia so it pisses me off when it is marketed as a "mood" drug. And yes, women seem to be the target...like we are all emotional basket cases in need of a pill. You are so right on with this article. CP. Posted by: cp at October 24, 2007 09:05 AMAs horrible as those ads are, they don't suprise me. I've long believed that direct-to-consumer advertising should be illegal when it comes to prescription medication. Pharma companies will do anything to make a buck, and of course advertising works, it does for any other product, so why not an antipsychotic? What really astounds me is the comment by that blogger. That's like saying "we might be the ones with cancer, but our families are the ones who suffer". While it can be difficult to be a family member, I think it's essential that neither the family nor the doctors forget that this is about treating the patient, not medicating them into oblivion to make it easier for the family. This may sound obvious, but as we can see, even some "mental health care consumers" seem to forget. Posted by: Anders at October 24, 2007 09:18 AMI think the point is that these are NOT direct-to-consumer ads, these are direct-to-family ads, BYPASSING the consumer, in a way. As someone remarked earlier, marketing during football games is going directly to the men perhaps to subtly give them the idea that maybe their women could be "improved". This is a variation on the marketing-to-kids trope, where if you can sell an idea to a kid (cereal-box prizes), they can go bug their parents to buy the product. Posted by: Susan at October 24, 2007 03:52 PMIt just makes me angry on so many levels. It frustrates me to consider how many women are being manipulated by marketing to believe that the normal emotional responses to life are actually negative and abnormal, getting placed on meds to cure a problem they don't really have which is ultimately more harmful. It also offends me because it minimizes the pain I and others who actually suffer mental illness go through "happy, sad, hyper, lethargic" doesn't even touch on how it feels to endure a mixed episode. Posted by: Ab at October 24, 2007 04:48 PM"If Bipolar's mother is wringing her hands because she disapproves of Bipolars's life, it doesn't mean Bipolar needs his meds adjusted, it means Bipolar's mother needs talk therapy to help her get over her pathological obsession with Bipolar's life." Awesome, Sally, that's a great point. The definition of "severe mental illness" is where your disorder bothers the people around you. The family dynamics around a psych label are mysterious indeed. I commented to a friend lately that I find it surprising that, out of the quartet of misfits that make up my original family, I was the one chosen to wear the crown. My friend replied "Well, you know, 1 in 4 people is supposed to have a mental disorder. I guess they chose you." Posted by: Francesca Allan at October 24, 2007 05:43 PMUsing images of yoga to sell antipsychotics is such an affront as to be downright infuriating. Nothing could be more inconsistent or divorced from reality. The bitter irony is that yoga done well is a way better mood stabilizer than Geodon and probably even a "cure" for loads of psychiatric ills. I know it's helped me immensely. And Philip is right when he says that anyone on an atypical antipsychotic would probably have a very difficult time doing yoga and would probably disrupt any class they tried to attend. I'm not kidding. It's also sad that John McManamy is so drugged up now he's lost all perspective. Peter Breggin has an article on how drugged up patients lose their insight by becoming spellbound on the drugs; he calls it "Intoxication Anosognosia" -- I think it's so true. I see it all the time. Posted by: Sara at October 24, 2007 07:27 PMthis marketing to women doesn't seem like such a good idea once the continuation of the human race is taken into account. what happens when a woman gets pregnant while taking this cure for moodyness? is she detoxed slowly in the babies most vulnerable time? is she stopped abruptly whith horrible withdrawls? forced to stay on them? are we looking at a future ofdrug addicted babies? low birthweight, defects? (etc. . . .) recently i thought i was pregnant. i looked at the handful of pills i take every night and cried. Posted by: jenna at October 24, 2007 09:40 PMOne thing I wanted to add here is that I've never been influenced by any advertising [DTC]of the psych meds, or by the note pads, booklets and CD's left by Pharma reps at my psych office. I'm starting to see a pattern here: women writing that they don't appreciate being targeted in these ads--and the good part is--I don't think the ads are having the influence Pharma wants them to--instead it's a backlash from savvy women who refuse to be manipulated by an industry. I see a lot of smart comments here. Re: Sara's post and saying that "John McManamy is so drugged up now he's lost all perspective", I'm starting to see a pattern here: women writing that they don't appreciate being targeted in these ads--and the good part is--I don't think the ads are having the influence Pharma wants them to--instead it's a backlash from savvy women who refuse to be manipulated by an industry. This here little world on Philip's blog is an exception to what is going on out there. Don't let it fool you---women are soaking up those ads and popping pills by the millions. Posted by: Gianna at October 25, 2007 10:32 AMGianna, do you have any stats to back up your claim to millions? [just kidding!] Posted by: Stephany at October 25, 2007 03:41 PMNo, thirty years ago, they would have been committed and forced to live in state hospitals. You know, you seem to have a very selective view of history. Yeah, there's a lot to be desired about today's meds... but are you ACTUALLY saying (and I think you are) that everything we have know is shit? Are you saying that you want to go back to pre-1950s asylum care? You know, what I find most abusive about your blog is the fact that you cite one side: you say all meds suck (please tell me what meds you like) and forget to tell how those meds are better than NO MEDS. You know what, fuck this, psychiatrists are one of the worst paid areas of medicine -- but you never mention that do you? No, you inpume these folks... and yet I bet you actually take psych meds, right/ What a hypocrite! I'm not saying that there're ain't major problems with med research, but you through out the baby with the bathwater. Let me ask you a simple question: Do you think Thorazine was a great med? That will tell me a lot about your viewpoint... of course that all depends if you "publish" this post... And you have the audacity to wonder why the published media is suffering these days while YOU publish a blog (see: http://www.furiousseasons.com/archives/2007/06/the_web_20_content_creators_starve_while_techies_eat_free_lunches.html) Posted by: Joe at October 27, 2007 01:41 PMJoe, what the hell's your problem? Philip's been very forthcoming on his own drug experiences. Your hostility is hard to understand. I trust you're not going to pretend that the psych wards were emptied due to Thorazine. That may be Big Pharma's line but it's not the truth. Emptying the asylums was a financial, not a medical, decision. Posted by: Francesca Allan at October 27, 2007 03:36 PMI've got a newsflash for ya Joe: This IS 2007, and my 19 year old daughter was discharged to the state institution for warehousing, just like the good old days. I'm in a legal process to prevent that from happening. It may not happen to her, because I'm a strong advocate [on Lamictal],but it sure as hell is happening to the other roomies she had. Times have not changed. Medications have.If the meds were any better that state hospital would be EMPTY. Posted by: Stephany at October 27, 2007 05:11 PMJoe, there are a lot of people who identify with what Philip is writing, and I'm not sure why you find that so threatening. I've taken a lot of different psych meds over a period of years, and I'm not impressed with the result. I can say that I personally am not better off having been on those meds. While I have not experienced the asylum days of the 1950's, I have experienced the asylum days of the late 90's - early 2000. I still feel kind of sick to my stomach when I think about some of what I experienced (and saw others experience) in those places. Why is it not okay to say that? If you have actually been reading this blog over time you would realize that no one is saying STOP taking your meds. In fact, just the opposite. If it works for you, then great. For some of us, though, the effects have been a complete disaster. I also have a relative who has experienced the Thorazine days. She is permanently disfigured from Thorazine and Haldol. She has taken the newer atypical drugs, as well. Guess what? Her life is still a mess. She did NOT get better on the newer drugs. So, I guess I have a right to feel kind of po'd about that. Oh, and call me callous but I don't give a rat's ass about a psychiatrist's salary. I have contributed enough financially to the psychiatric field. I would love to have a refund. Posted by: Lisa at October 28, 2007 12:01 AMLet's not forget that psychiatrists' salaries are handsomely increased the more their patients are incarcerated, drugged and electroshocked. Plus you've got the Big Pharma-sponsored "educational" conferences which count as continuing education credits. Worrying about psychiatrists' salaries is a non-starter for me. I'm sure they're not just in it for the money, anyway. Tragically, they actually think they are helping society. So did the Nazis. Posted by: Francesca Allan at October 28, 2007 08:54 AMI'm not that old and I experienced the "Thorazine" days. I'm 43. The first few years I was on anti-psychotics I was on Thorazine. Besides being constipated I'd have to say I prefer Thorazine over Seroquel!! Bottom line though, they all suck and never helped me, hence the reason I am withdrawing! I got the wool pulled over my eyes. My problems are manageable without drugs!! Posted by: Gianna at October 28, 2007 10:12 AMI've been following your blog, probably since you started - so PROPS!! Anyways, due to my impaired vision from my cocktail, I sometimes pick up a rag-mag (Enquirer or even Cosmo, etc) at the pharmacy, as my vision and other side effects keep me from reading "real" things and my enjoyment is limited to mostly pics with exception to internet in large font. I believe Big Pharma is definitely taking a shot at women and basically any consumer of today's forms of media. I have a case of bipolar-phobia since being diagnosed a long time ago - it waxes and wanes, but during my me-time (haha like that exists) do I constantly have to be reminded of it in Life & Style, Cosmo, or any other magazine,let alone television ads about 9 times a day? I'm pretty OK when it's a physician authored article or sometimes an advice column. But, because these idiots are sitting in yoga gear and wearing fashionable velour sweat suits on relaxing walks with loved ones, does that mean I have failed the big "Drug Exam"? I don't recall every seeing anyone look so content and primped as these ads in my shrink's office waiting room, let alone me , or a majority of everyday citizens. Did anyone else catch the Oprah Bipolar episodes? If so, did you check out her message boards afterwards? I think about 90% of her posting viewers are convinced that they are self-diagnosed "bipolars" and are rushing to their GP's for a truly miraculous diagnosis (I am hoping it was also a public service those truly in need, regardless if it's bipolar or another illness)!?! example of a poster on her boards "OMG I was up at 6am, made DH toast - it burned, middle child has a sciene project due today and hasn't even started, guidance counselor wants to see me about first-born's wardrobe looking goth, and I've been bawling for 2 days because of PMS" here you have anxiety, bad self esteem, disappointment and depression - and the people on Oprah felt like that - hey, I want a "disease of the day" (hey celebrities get that,right?)and pop a magic pill or two and life will be great? "right??? Post a comment
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