15 Comments
Jul 11, 2022Liked by Emil O. W. Kirkegaard

They now have depot shots so that you only need to give treatment, say, once a month. It is nuts this is not mandated more frequently.

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tangentially, we should consider lock up to avoid damaging others in some cases.

ie violent psychotics refusing treatment, Isis graduates, Mafia bosses.

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Research how many mass shooters are on anti-depressants, esp. SSRIs, known to produce emotional numbness. The German pilot who flew SwissAir into a mountain was depressed, not just about his relationship break-up, but about his failing eyesight. They gave him more anti-depressants, known to have adverse effects on the eyes, so he got more depressed and more emotionally numb. The result was predictable. At the time, it was said that Transport Canada was still allowing pilots on these Rx pills to fly..... Such is the power of Pharma.

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Interesting piece. However, I don’t think you can infer psychosis from his being prescribed quetiapine. It’s such an ineffective antipsychotic drug that it’s mainly used (in Scandinavia, where I practice & where we are very restrictive with benzos) as a sleep aid and for anxiety.

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Addiction is not caused by drugs.

Dr. Lonny Shavelson found that 70% of female heroin addicts were sexually abused in childhood.

Addiction is a symptom of PTSD says Nobel Prize Winner in Medicine Eric Kandel in his book, "The Disordered Mind."

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Q: between Clozapine for anti-crime purposes, and its side effects e.g. obesity, could it be viewed as a form of pre-emptive death penalty, or at least a reduced QALY?

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You make the classic error people with no experience with the severely mentally ill make: you assume any extreme behavior you do not support must be due to "psychosis".

Here is a fact: psychosis is quite rare among mass shooters. No one really knows what sort of problems they have - for one thing, the majority die in their mass shooting episode, either at their own hands, or the hands of the police - but if anything, they likely have a personality disorder, not a psychotic disorder. Or maybe they are just evil - something people today shudder to accuse anyone, even the most heinous murderer of. Mustn't show yourself to be "judgemental" right? That's even worse than being transphobic!

Truly psychotic individuals, even those very paranoid, rarely commit major violent acts, especially carefully planned acts. Most mass killers have made extensive, careful plans, which they have researched over months before they acted. It's hard to plan things out when the voices in your head are screaming at you day and night. However, when under the spell of "command hallucinations" - voices commanding the patient to commit a certain act, psychotic individuals can be extremely dangerous.

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