“May Not Be Curable?” Really?
Here is my response to a series begun by Adrian Warnock at Patheos, who will be hosting a Patheos-wide conversation on Mental Illness. It is very distressing to read this sort of hopeless prognostications by one of the Church’s leading spokespersons of the Charismatic Renewal. I note that he is “a trained psychiatrist”:
“Mental illness may not be curable, but often does respond well to medical treatment.” What bleak words! I’d like to share a more hopeful narrative, one of complete recovery from psychosis. But first, let me push back on the idea that ‘medical treatments are effective’ — can you offer supporting evidence?
The truth is, you are actually better off living as a schizophrenic in a third world country without medical treatment, as your outcome of recovery without relapse is far better, according to two World Health Organization studies. These found 63.7% of the patients in the poor countries were doing fairly well at the end of two years. In contrast, only 36.9% of the patients in the U.S. and six other developed countries were doing fairly well at the end of two years. The researchers concluded that “being in a developed country was a strong predictor of not attaining a complete remission.” In the developing countries, only 15.9% of patients were continuously maintained on neuroleptics, compared to 61% of patients in the U.S. and other developed countries.
And study after study conducted since the 70′s support this underreported fact, that patients do far better without psych drugs. There may be short term immediate effects, but there are greater relapse incidences. This has been demonstrated by the Vermont Longitudinal Study, the Rappoport study, and for example, this study by Martin Harrow, in which NIMH-funded researchers followed the long-term outcomes of schizophrenia patients, and they found that at the end of 15 years, 40% of the schizophrenia patients who had stopped taking antipsychotics were recovered, versus 5% of those who had stayed on the drugs. Long-term outcomes for patients with “other psychotic disorders” were also much better for those off the drugs than for those who stayed on the medications.
You can find links to these studies and the other information about them, here: http://www.madinamerica.com/2011/11/antipsychotic-drugs-and-chronic-illness/ Many of the contributors to that site, which is a wonderful resource for cutting edge science and encouraging words for those who struggle, have made the same conclusion as Dr. Jonathan Cole, the author of the ’77 NIMH study who titled his report, “Is the Cure Worse Than the Disease?.”
For those very scientific reasons, I would be very reluctant to be part of a church support group that “had a partnership with non-Christian psychiatrists”, particularly if they were promoting psychotropic drugs. But I have found there are spiritual reasons to reject psychiatry’s chemical remedies, as well.
Because, like Amy Simpson, I too grew up with a mother who was Schizoaffective (a combination of bipolar and schizophrenia), and I myself had a post-partum psychotic break. My mother came to know the Lord before she died, and also had to withdraw from her psych drugs because of treatments for emphysema. Her social worker was astonished at the calmness and lucidity she enjoyed without the mind-numbing effects of carbamazepine — she truly had the ‘peace that passes understanding’. And I also recovered fully from my own nervous breakdown, and from a lifetime battle with crippling anxiety — all without medication. I refuse both the stigma and the diagnoses, and proudly proclaim that there is great hope for those fighting for this kind of a dignified life.
Many of us who have recovered reject the accepted narrative that we have a crippling chemical imbalance in our brains that dooms us to a lifetime of substandard living, and a dependance on drugs. We recognize these disorders are more than brain diseases, they are also spiritual crises. Jesus can and does heal those with “mental illness”. I am one of the captives he has set free: http://thenface2face.wordpress.com/good-news-about-psychosis-recovery-i-did-it-using-no-bad-drugs/
- Do Antipsychotics Worsen Long-term Schizophrenia Outcomes? Martin Harrow Explores the Question. (madinamerica.com)