9 Comments
Jan 19Liked by Owen Scott Muir, M.D

Yes! Now we need Gov’t to put forth more rules to protect kids! Foster Kids (all kids) deserve so much better! As a teen, if I had had a psychiatrist like you to begin with I wouldnt have gone down the antipsychiatry path.

I think I have reached a point where I dont hate psychiatry anymore... but we need change. The system (between foster care and psychiatry) caused way too much harm. I would rather have stayed in the trailer park.

Expand full comment
author

That's really hard and heartening to hear. I think a lot of us see problems, and it's hard to see solutions when we focus on only the problems. But having been in the thick of it, as a patient, and as a health professional, the most important thing I've walked away with on most days is listen to the people were trying to serve, at any age. They're probably telling us the truth about their experience! Thank you for the feedback. Thank you for reading. And thank you for having an open mind, despite everything.

Expand full comment

Thank you Dr. I appreciate it. Throughout the years I have learned to challenge black/white thinking. I was a teen about 18 years ago!!! (I just dated myself)

I cant do anything about the past, but I would like to see better for foster youth. It seems like the younger generation of Psychiatrists are a bit more open to criticism (not that I was a peach... I was a tough kid) but def. the prison like settings of those facilities and the everyday dehumanizing practices like forced drugging and strip searches under the guise of ‘safety’ made things worse and we decompebsated being locked in there.

I don’t exactly know what all of the solutions are, but the status quo is definitely not tenable.

Thanks again for speaking out!

Expand full comment
Jan 19Liked by Owen Scott Muir, M.D

Thank you for speaking out! Foster youth are routinely warehoused in subpar facilities and given these drugs! UHS is one of the worst offenders. They own a lot of the troubled teen industry facilities!

Expand full comment
author

The data is the data.

Expand full comment
Jan 18·edited Jan 18Liked by Owen Scott Muir, M.D

"For [higher dose medicine exposed individuals], young adults aged 18 to 24 years had significantly increased risk of death, with 127.5 additional deaths per 100,000 person-years." Jesus Christ, I feel like I've been misdirecting my harm-reduction strategy lectures.... This is appalling

Expand full comment
author

I was similarly appalled.

Expand full comment
Jan 15Liked by Owen Scott Muir, M.D

I have been saying this for YEARS, but they look the other way. Anti-psychotics are terribly addictive with a low success rate of titration and a smorgasbord of sides, many treated as separate diseases.

We know the faulty generic opiates below potency standards and that the "crisis" is according to great PR, political. Losing patents loses money, profit over patient care. However, supplanting with weight gaining SSRI's as well as anti-psychotics for emotional, neurologic and pain management for opiates is a death by a thousand cuts, but it's a huge increase in the profit margin. According to MedScape aka "The National Enquirer for Nurses," there will be an increase in prices of more than 500 medications? So, let's see, if we list a drug for each of these sides we have: water retention, high cholesterol, elevated glucose, renal syndrome, steatosis, arterialsclerosis, thrombosis, to name a few. Each treated as "diseases" buffers the symptoms enough that no practitioner with less than 15 minutes to see a patient can nail down the cause: polypharmacy. As an aside, this is also an educational point, because many conflicting interests have an influence over what academia contains, not to mention clockwork changes in diagnostic lab ranges for what is normal and what isn't. A perfect example is the eGFR ranges establishing lower numbers as optimal, A1c glucose values and blood pressure. I had a nurse try to tell me that 119 over 80 was hypertension, she stated as being taught in med school.

Expand full comment
author

Death by a thousand poor definitions

Expand full comment