May 13, 2008

Drug Czar Plays Politics With Mental Illness, Suicide And Marijuana

I suspect a few of you are aware that last Friday John Walters, America's Drug Czar, held a press conference and issued a report claiming that marijuana was leading to depression among teens. His office also once again floated its weak claim that pot causes schizophrenia. I suppose it's a sign of just how desperate Walters is to justify the federal laws on marijuana that he has to resort to the old Reefer Madness card. I think trying to use teen depression as a wedge issue shows just how hypocritical Walters has become because a press release from his office cannot cite much more than a stray survey and some SAMSHA surveys indicating that pot causes teens to be depressed. Surveys ain't science. In other words, he's not made his case very convincingly and is engaging in little more than fear mongering, SOP for his office.

"Millions of American teens report experiencing weeks of hopelessness and loss of interest in normal daily activities and many of these depressed teens are using marijuana and other drugs, making their situation worse, according to a new White House report released today. The report, from the White House Office of National Drug Control Policy (ONDCP), reveals that marijuana use can worsen depression and lead to more serious mental disorders, such as schizophrenia, anxiety, and even suicide."

Yes, pot makes people kill themselves. That's such a bizarre assertion that it's embarrassing--and, indeed, claiming pot causes anxiety and suicide while perfectly legal drugs such as Paxil, Zoloft, Effexor and so on have been linked to suicidality and suicides and to cases of very extreme agitation is the very height of hypocrisy. A 2001 study published in the Journal of Clinical Psychiatry found that 8.1 percent of admissions to one hospital's psych unit in a 14-month period were due to "antidepressant-associated mania or psychosis." Whether you like or hate pot, you ought to be against the feds making such hypocritical claims or you ought to be in favor of Walters warning parents of teens about the dangers of anti-depressant-caused psychosis. I simply don't know of any studies proving that pot causes suicide. I'm not saying it's impossible, but it's highly unlikely that such a link is very strong.

Why do I say that? So many more Americans smoke marijuana now than in, say, 1965, yet the rate of suicide in this country is pretty much the same as it was then (it's actually a small bit lower, depending on what year you look at).

More from the Czar:

"Research shows that some teens are using drugs to alleviate feelings of depression ("self-medicating"), when in fact, using marijuana can compound the problem. The report, released to coincide with May's Mental Health Awareness Month, shows a staggering two million teens felt depressed at some point during the past year, and depressed teens are more than twice as likely as non-depressed teens to have used marijuana during that same period. Depressed teens are also almost twice as likely to have used illicit drugs as non-depressed teens. They are also more than twice as likely as their peers to abuse or become dependent on marijuana. Marijuana use is associated with depression, suicidal thoughts, and suicide attempts.

"'Marijuana is not the answer. Too many young people are making a bad situation worse by using marijuana in a misguided effort to relieve their symptoms of depression,' said John P. Walters, Director, National Drug Control Policy. 'Parents must not dismiss teen moodiness as a passing phase. Look closely at your teen's behavior because it could be a sign of something more serious.'"

According to the Los Angeles Times, Walters may not even believe his own hype:

"Some addiction experts said the report stretches evidence by implying a causal link between smoking pot and developing mental illness that does not exist, even if there is consensus that depression is a risk factor for drug use.

"A British government advisory group concluded in a report last month that there was not convincing evidence to show 'a causal relationship between the use of cannabis and the development of any affective disorder.'

"Questioned about the drug control policy report's claim that 'using marijuana can cause depression and other mental illnesses,' Walters demurred and acknowledged there is no proof one leads to another."

Sounds like Walters may have been smoking something when he put this campaign together. Doctors tossed cold water on Walters's claims as well in the LAT piece:

"Among experts inside and outside the government, opinions are mixed on the relationship between teen depression and marijuana use.

"'Both conditions could be related to something else,' Dr. Victor Reus, a psychiatrist at UC San Francisco, said in an interview. 'Depressed teens are more likely to exercise less, stay indoors and watch TV. Take your pick as to which one is causal.'"

One further bit of hypocrisy: if Walters is so concerned about pot causing depression and suicides (and every other human psychological malady) in teens, then why isn't he concerned about the same phenomenon in adults, who smoke pot in numbers that must far outnumber teens? Or is he trying to say that pot doesn't cause depression and suicides in adults?

Posted by Philip Dawdy at May 13, 2008 12:05 AM
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Comments

I totally misread this and thought "Awesome! John Waters is the new drug czar!"

Posted by: Nick at May 12, 2008 11:32 PM

Now I have a day job and must rush but I have to say this piece demonstrates just how nonsensical and biased the information we get about all drugs is. Marijuana doesn't cause depression or schizophrenia any more than psych drugs cure these conditions. Lots of people know the marijuana research is bogus, hopefully some will also infer that information we get on psych drugs is just as bogus. If you could grow zyprexa in your back yard, it wouldn't make pharma companies rich and it wouldn't be legal much less prescribed.

Posted by: Sally at May 13, 2008 03:36 AM

Is it possible that so many kids are smoking marijuana because it helps their depression? But I guess that idea is literally unthinkable for these people.

Posted by: Garth at May 13, 2008 06:45 AM

Honestly I really get tired when supposed experts and opinion leaders try to tie any one "cause" to something as global and far reaching as depression or even suicide. To try and pin an increase or decrease on one drug whether it be grass or an antidepressant is pure folly when there are so many mind altering drugs in the picture from stimulants to antidepressants to antipsychotics to cocaine. There is a lot more to the story of why depression is increasing among young people than the use of marijuana. I'd say there are a whole lot of social ills that ought to be addressed too before we start worrying about a bit of grass.

Posted by: Sara at May 13, 2008 09:21 AM

Oh, I so agree with Sara. Just take a good look at the evening news. Who wouldn't be depressed growing up in such a world?

Posted by: Jazz at May 13, 2008 11:10 AM

Teens have classmates fighting in Iraq. Teens have parents that work all day. College is expensive, and hard to get into without high grades and a lot of community service hours;Senior Projects; lap tops are required for College; gas prices are basically @ 5 bucks a gallon; try being a 16 year old, or an 18 year old with dreams to go to college, and pay their way. Try being one who has lost a friend to war, or being part of a classroom that has photos of people you knew as a Sophomore, in combat boots, with an address to ship cookies from home on the poster. Depressing indeed.

Posted by: Stephany at May 13, 2008 03:57 PM

Is this type of crap and the psych industry failure to slag it out of existence, is why they can't help suicidal people. Its more than any one demographic or cause.
How many people suffering in chronic pain are suicidal because they can't adequate prescriptions because the war on drugs? Stopping suicide and depression should start at home with DEA and government.

The guilt about using drugs might cause problems but not feeling high/happy? That's like saying "antidepressants are working" and "things were getting better" so they had the energy to kill themselves. People don't kill themselves when they have an escape or hope.


Lets play it out
Kids try safe drug like pot. Finding out the anti-folks are full of lies. Kid now tries harder drugs and finds out the bad way some are dangerous. Better to be truthful than use lies and fear. Oh wait its a psych type manipulation game of Force, Fraud and/or Fear, my bad

Pot leads to harder drug use like public schooling leads to prison. While both my be there prior to the later they are not causes. This mock logic put to the test. Most people crawl before they walk which in 100% of the case was there before they could run. A criminal ran from police after learning to walk from crawling. Therefore crawling is the gateway to running from the police. Drug that Toddlers now Mr Shrink....

Posted by: ? at May 13, 2008 05:37 PM

After checking out the White House's report, I agree that the government's evidence is shaky. However, I don't think you've done a good job in making a case against the report.

First, hypocrisy is not a legit criticism of someone's argument. In fact, it's irrelevant. Someone can make a good point even if she doesn't practice what she preaches.

Second, your argument that pot doesn't lead to suicide is weak. Yes, the suicide rate hasn't increased in the past 40 years while pot use has increased. But this statistic doesn't prove your claim. There are too many factors that aren't controlled for to infer a non-causal link between this non-correlation.

The L.A. Times article you quote is a good start to rebutting the report's claims. The article appeals to relevant experts who question the claim that pot use can cause depression.

But there's better evidence. The White House cites two studies to support its causal claims: one showing that people who start to smoke pot are 4 times as likely to have developed depression as those who never start smoking; and one showing that early pot use is a significant predictor of later major depressive disorder.



I think neither study guarantees causation. In the former study, depressive episodes may have caused pot use. In the latter study, those prone to depressive disorder may be more likely to try drugs. Again, appealing to correlations alone isn't enough to support strong causal claims--on either side of this issue.

Posted by: Sean Landis at May 13, 2008 09:43 PM

I personally think dope speeds alot of processes up. Cerebral highs bring on deep thinking which if isnt directed in a positive way can screw you up and re programme you. kids shouldnt be allowed to smoke weed full stop. Its more dangerous than booze because of its mind altering ability. The conclusions reached when high dont dissapear like a hang over when you come down. It has long term effects! Those effects may be seen in yrs without the speeding up process but who knows. Weak Adults need also to consider this.

Posted by: ste at August 3, 2009 03:20 PM
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