I’ll drink to that
August 15, 2014 § 47 Comments
For someone who is depressed but doesn’t need immediate hospitalization, alcohol is a more effective and safer pharmacological treatment than antidepressants, if a drug is really necessary. It is better to avoid psychotropic remedies entirely; but if you are going to go there, at least do something that is a known quantity with a track record and a properly balanced social infrastructure.
Alcohol is something about which we have plentiful independent information: it isn’t caught in the vortex of economically motivated disinformation that David Healy exposes in Pharmageddon. Because its long term heavy use carries enough social stigma there is still some incentive not to get trapped in a situation of physical dependency, or to get out of one if you find yourself there. Nobody is going to stage an intervention to help you kick the SSRIs, but alcohol comes with some built in social mechanisms to help. Alcohol is quite effective at helping a person feel better in the short term, probably more effective than SSRIs; and it doesn’t come pre-packaged with a credentialed doctor who will hold you hostage to the prescription pad on the one side, and lecture you to keep drinking and not ‘go off your meds’ when you get to the point where the benefits are outweighed by detriments on the other. And nothing prevents you from having a qualified physician monitor your alcohol use.
So my advice to most people is that it is far safer to take up drinking than it is to see a psychiatrist, if you simply have to have a pharmacological remedy.