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Dosed: The Medication Generation Grows Up [Hardcover]

Kaitlin Bell Barnett

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Book Description

10 April 2012
Over the last two decades, we have seen a dramatic spike in young people taking psychiatric medication. As new drugs have come on the market and diagnoses have proliferated, prescriptions have increased many times over. The issue has sparked heated debates, with most arguments breaking down into predictable pro-med advocacy or anti-med jeremiads. Yet, we’ve heard little from the “medicated kids” themselves.
 
In Dosed, Kaitlin Bell Barnett, who began taking antidepressants as a teenager, takes a nuanced look at the issue as she weaves together stories from members of this “medication generation,” exploring how drugs informed their experiences at home, in school, and with the mental health professions.
 
For many, taking meds has proved more complicated than merely popping a pill. The questions we all ask growing up—“Who am I?” and “What can I achieve?”—take on extra layers of complexity for kids who spend their formative years on medication. As Barnett shows, parents’ fears that “labeling” kids will hurt their self-esteem means that many young children don’t understand why they take pills at all, or what the drugs are supposed to accomplish. Teens must try to figure out whether intense emotions and risk-taking behaviors fall within the spectrum of normal adolescent angst, or whether they represent new symptoms or drug side effects. Young adults negotiate schoolwork, relationships, and the workplace, while struggling to find the right medication, dealing with breakdowns and relapses, and trying to decide whether they still need pharmaceutical treatment at all. And for some young people, what seemed like a quick fix turns into a saga of different diagnoses, symptoms, and a changing cocktail of medications.
 
The results of what one psychopharmacologist describes as a “giant, uncontrolled experiment” are just starting to trickle in. Barnett shows that a lack of ready answers and guidance has often proven extremely difficult for these young people as they transition from childhood to adolescence and now to adulthood. With its in-depth accounts of individual experiences combined with sociological and scientific context, Dosed provides a much-needed road map for patients, friends, parents, and those in the helping professions trying to navigate the complicated terrain of growing up on meds.

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Amazon.com: 4.7 out of 5 stars  10 reviews
14 of 15 people found the following review helpful
5.0 out of 5 stars Sensitive treatment of an important subject -- deserves to be a best-seller 15 April 2012
By David Paulson - Published on Amazon.com
Format:Hardcover
I attended a book reading at Book Court and purchased this book. I am not in the mental health profession and have no prior association with the writer.

I recommend this book highly. I have personal experience with this subject: two now grown-up kids using the class of drugs described in this book, one childhood friend who died of side-effects of anti-psychotic drugs, and I also swallow a Zoloft pill daily. If I had read this book before my kids started medication and therapy, the kids would have benefited, and I would have got a lot more out of my multi-hundred thousand dollar investment.

What did I like about this book? First, I admire the journalistic professionalism of the writer. She points out that too much of the discussion of this topic occurs in the abstract, and that drugs too easily become a metaphor for something else. The subject tends to be discussed in a generalizing and polemical way. The writer has avoided this pitfall completely. Her observations are grounded on a mastery of the professional literature, and on the personal experience of the writer and her interview subjects. It is a nuanced, well-rounded treatment of the subject, and the work offers some good practical suggestions to parents and professionals.

I hope people will read the book, but here are just some of the writer's observations that I found interesting:
- The writer talks about how important it is to explain the disorder and the treatment to the child, and how difficult it is to encourage children to take ownership of their own treatment. If this is not done correctly, the result is non-compliance or chaos (I've seen it).
- At the same time that children know how to manipulate adults and even game the system, they are very secretive, and often legitimately feel that therapy is an invasion of their privacy.
- The conditions of children change rapidly and it is difficult to arrive at one diagnosis. Since scientists don't really understand why some of these medicines work or don't work, the treatment has to be closely monitored and adjustments can be necessary. Let's admit it, it's just a process of trial and error. (One of my sons reached age 20 and his psychiatrist still couldn't pin down what his affliction was at all. It might be depression, it might be ADD, it might be anything... you get the idea).

From a father and bill-payer's standpoint the writer also dances around another subject that is important. People, including professionals, do what they are incented to do. This is as true of the mental health field as it is for Wall Street. In this case, pharmaceutical companies, attorneys, psychiatrists and various flavors of therapists all make money delivering services "for the sake of the children," therefore in their eyes ANYTHING they do is justified, so long as the child does not commit suicide without a signed waiver. Except for the attorneys, I think that the professionals who treated my children were good-intentioned for the most part. However, in my experience with the therapists, there was no accountability in terms of demonstrating that the services had any positive impact. This is especially true of endless talk therapy, where the child can hone their skills in killing time and lying, without the therapist ever feeling any inclination to report back that the treatment is not working. This is my opinion, not the writer's, but I think it is interesting that even though in the end she recommends combining medication with therapy, almost every therapeutic experience described in the book was unsuccessful, at least until the children became adults and could own their own treatment.

To come back to the point, I highly recommend that anyone with a child in therapy and/or receiving medical treatment read this book. If you can commit to at least $250 per session for a psychiatrist, I believe you can also spend $25 on a book and learn how to make your child actually benefit from the treatment.
2 of 3 people found the following review helpful
5.0 out of 5 stars A Great Book! 18 May 2012
By Dad of Divas - Published on Amazon.com
Format:Hardcover
As a parent who has struggled with a child that does have some issues with mental illness this book hit home. The author brings to light some very valid arguments and concerns that my wife and I have struggled with when it came to whether or not to medicate our child. What I loved most about this book were the real life examples and stories of long time users of medication and what this has done for them (in the positive and negative) and how taking this medication has impacted their life. All of the children were now old enough to describe their feelings and thoughts on this which made the book even more compelling. I am now re-reading a few of these stories and I know that when I am done I plan to share this book with a clinical social worker that is our neighbor as she also works with kids in these types of situations and I know that she too will find this to be an interesting and informative read.

I highly recommend this book to anyone that works with medicated children, parents who have children who are medicated or are contemplating medication or others who work with children in many different ways!
2 of 3 people found the following review helpful
5.0 out of 5 stars Valuable perspective for kids growing up on meds 1 May 2012
By Mary Cool - Published on Amazon.com
Format:Hardcover
A really valuable book with a careful, balanced review of the pros and cons of life on meds. There's hardly any family out there, really, that hasn't been touched by mental illness, and having a book that deals head-on with the identity issues and coping strategies that result from growing up "medicated" is an amazing resource. The best parts of the book are the real-life journeys of child psych patients and how their experiences on meds have not only affected how they've thought about their lives, but even in some cases, impacted the efficacy of the medication. Also striking are the sections in which Ms. Bell Barnett discusses how children are often deeply and enduringly affected by how their parents and healthcare professionals explain their treatment to them --- moreover, children who don't receive a clear explanation about their condition are often at risk for self-modifying or abandoning their treatment altogether. For this reason alone, I think this book is a must-read for anyone who has, works with, or treats children taking pscyhotropics: the case studies will help you understand how young people process and make decisions about their medications --- for better or for worse --- and how talking with them about it openly can really be its own life-saving intervention.
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