Showing posts with label Scotland. Show all posts
Showing posts with label Scotland. Show all posts

Monday, December 24, 2007

The problem of soaring psychiatric drug use.

A report from Aberdeen, Scotland. As is typical in many of these reports, in the original story there is a sop to the industry with the mention of a sentimental story of some mother praising the drugs, distracting from the obvious criminal increase in their usage. Here are some snippets with the relevant information

Use of a controversial drug on unruly children has rocketed in the North-east.

This year Ritalin has been prescribed 7,268 times, compared to 5,937 last year by NHS Grampian.

The figures are among the latest health statistics from NHS Scotland.

It marks an astonishing rise in use of the stimulant, which was prescribed just 167 times in Grampian back in 1996.

Ritalin is used to control people, mainly five to 14-year-olds, who have attention deficit hyperactivity disorder (ADHD).

[...]

Its side effects include difficulty sleeping, stomach aches, diarrhoea and headaches.

[...]

Yesterday's statistics also revealed a rapid rise in the use of anti-depressants.

In 2006/07 there were 297,157 prescriptions for anti-depressants in Grampian compared to 284,661 in 2005/06. Back in 1992/93 there were just 97,162 prescriptions.

Nobody from NHS Grampian was available for comment.

[...]

Saturday, November 24, 2007

Woman flees her own country to keep her first child out of the hands of social workers when it is born.

Reported here several months ago, a 22 year old Scottish woman has been told by social workers that her own first born child was to be removed from her when it was born, based on bogus psychiatric theories evaluating how her problems as a young teen. Fran Lyon was told by social services that she was in danger of suffering from Munchausen's by Proxy, a fake disease invented by a long discredited psychiatrist. This diagnosis was used to threaten the removal of the child.

Munchausen's syndrome by proxy was identified in the 1970s by the now discredited Sir Roy Meadow. It was alleged to take the form of fabricated illness where a parent claims a child is ill by making up symptoms.

The theory became increasingly influential and in 1993 the professor's evidence helped convict British nurse Beverley Allitt of the murders of four children.

But the Angela Cannings and Sally Clark miscarriages of justice wrecked Meadow's reputation because he had been an expert witness.

Many now question whether Munchausen's even exists.

The mother in this most recent case has since fled the country and is now in hiding. As with almost all cases involving county council children's services, it is extremely difficult to discover why or how a decision has been reached. As a result, it is impossible for people to challenge what they see as a dubious outcome.

Fran's story was told on Tonight With Trevor McDonald, broadcast 26 November on ITV1. Online video streaming available, might not be available outside the UK.

(The ITV Video Player requires Internet Explorer and Windows Media Player with DRM (Digital Rights Management) enabled to protect video files delivered to your computer.)

From the other side of the pond, it appears like a secret court conducted by secret terrorists.

As seen in this report in the Daily Mail.

She is, on first impressions, just like any other first-time mother. The cot and the pram are on order, she has bought more cuddly toys than she will ever need and she has even given her little girl a name – Molly.

With less than six weeks to go before the birth, the baby is kicking and it brings Fran Lyon an undeniable thrill of pleasure. At least, it does now she finally feels safe to enjoy it.

For all the innocent joys of impending motherhood have been denied Fran since social workers warned her four months ago that Molly would be taken away ten minutes after birth and placed with foster parents.

Fran, a third-year student doing a neuro-science degree at Edinburgh University, is, to everyone who knows her, a sociable, kind and intelligent woman. But to her local authority she is a danger to herself and her baby.

Seven years ago Fran had an eating and selfharming disorder and spent 13 months in a psychiatric hospital followed by nine successful months of counselling.

Now 22, and with her emotional troubles behind her, Fran is outraged that she should be judged a risk to herself and her child despite a fistful of medical reports that dispute this.

Last week, fearing the worst, Fran moved from her home in Hexham in Northumberland to Birmingham, where she hoped a different authority would treat her more sympathetically.

But with the birth so close, she felt she couldn't take any risks with bureaucracy and on Wednesday, Fran took an even more drastic step. She got on a flight bound for Europe – and went into hiding. Wary of revealing her whereabouts, Fran agreed to talk about her nightmare in a lengthy telephone call to The Mail on Sunday.

She will also be seen in an exclusive report tomorrow evening on Tonight With Trevor McDonald. She said: "I wouldn't have done it unless I absolutely had to. Every time there was a twinge, I was absolutely petrified. I just kept thinking, 'Please don't go into labour, please, not yet.' It was terrifying.

"It's a lot better now that I'm away. Lots of people suggested I should leave but I always thought it was too extreme. Then when I went to Birmingham things weren't going to happen quicklyenough. Northumberland's plan stood until Birmingham made their own and I didn't have vast amounts of time.

Now it's such a relief not to be constantly looking over my shoulder. It has been so fraught with other people's interventions. For the first time this will be just us: me and Molly. I just want to enjoy it. I could never do that before.

"For months I've been reading a book called Molly The Hungry Caterpillar and feeling her kicking about. It's lovely, but all the time the fear has been in the back of my mind that these might be the closest moments I will ever have with her."

Fran is in good health apart from suffering a rare condition, angiodoema. It is possible her throat might swell and she has been given tracheotomy equipment in case of an incident.

For such a young woman, Fran seems practical and level headed. In just a few days, she has organised a lease on an apartment, had an appointment with a midwife, booked a place at the local hospital and made contact with English speaking mother-and-baby groups.

It is a considerable testimony to her ability to cope – given what social services had thrown at her. So why did Hexham Children's Services feel it necessary to take such draconian – some might say menacing – steps against a young woman who has battled to put her life in order?

As with almost all cases involving county council children's services, it is extremely difficult to discover why or how a decision has been reached. As a result, it is nigh on impossible for people to challenge what they see as a dubious outcome.

Fran's story began last April when she became pregnant. Although the baby was unexpected, she was delighted. She says: "I was shocked because I'd had the contraceptive injection. But I remember waking up the first morning after I knew and feeling secretly thrilled.

"I didn't have a clue how I was going to make it work with university and my job [for two mental health charities] but I was determined that I was having her."

The first problem began when she and Molly's father fell out. She had become unhappy about something he was doing and reported him to the police. She ended the relationship immediately and he is now the subject of an investigation by police – who alerted social services.

She told them her story – that she was brought up in Northampton in a middleclass household where her parents were teachers, and how at 14 she was raped by an acquaintance.

Traumatised, she became clinically depressed and spent the next three years, on and off, in residential psychiatric hospitals after being diagnosed with a borderline personality disorder characterised by self-harming instability and suicidal tendencies.

For the final 13 months, Fran had individual psychotherapy sessions and group analysis before being discharged into outpatient care. By the age of 18 she had fully recovered and the diagnosis of borderline personality disorder was removed. Despite it all, Fran earned nine A-grade GCSEs, four A-grade A-levels and her place at university.

When she became pregnant, Fran accepted that social services might take an interest in her and went out of her way to cooperate. "I was very up-front with the mental health staff," she said.

"I told them my history and gave them the names of my doctors as I assumed they would want to pursue it further. I thought I might need to see the health visitor a bit more often."

Instead, Fran received a letter informing her that a "child protection case conference" would be held on August 16. Social services contacted a number of experts. One of them, Dr Stella Newith, the psychiatrist who treated Fran as a teenager, had no doubts when called on to give her opinion about her former patient.

In a letter to Northumberland County Council, Dr Newith said: "I consider the risk of harm to a child to be so unlikely as to be negligible.

"There has never been any clinical evidence to suggest that Fran would put herself or others at risk, and certainly no evidence to suggest that she would put a child at risk."

It was a view backed up by Dr Rex Haigh, a psychiatrist who worked with Fran in the charity sector and acted as a character witness. He advised: "I have no doubt that her diligence and capacity, particularly in dealing with complex emotional situations, will stand her in good stead for the rigours of parenthood. Your efforts to protect children would be better directed elsewhere."

Yet the social workers decided, instead, to give more weight to the views of consultant paediatrician Dr Martin Ward Platt – even though he made it clear he had never met Fran.

In a letter, Dr Ward Platt said: "If the professionals were concerned from the evidence available that [this woman] probably does fabricate or induce illness, there would be no option but to put the baby into foster care at birth pending a post-natal forensic psychological assessment."

Fran says she was told by social services that she was in danger of suffering from Munchausen's by Proxy, a controversial and unproven condition in which a parent – usually the mother – invents an illness in her child to draw attention to herself.

Apart from Dr Ward Platt's letter, there has been no other evidence presented to Fran suggesting that she was at such risk. The syndrome was first identified by Sir Roy Meadow, the now-discredited doctor responsible for evidence that led to the wrongful convictions of Angela Canning and Sally Clark for murdering their children.


Dr Ward Platt also recommended that Fran be assessed by professionals. Social services drew up their "birth plan" without doing any of these assessments. In October, Fran was told the plan would mean that Molly would be immediately removed into care, minutes after she was born. Fran was also told she could not be trusted to breast-feed her, for fear that she might try to take strychnine as a way of poisoning her own child.

Fran says: "I was just horrified. It was horrific to sit in this room with these people and realise that they could not only conceive of such a bizarre, terrible thing, but think that I was actually capable of it.

"In some ways I think the whole thing was compounded by a lack of understanding. There is no evidence that Munchausen's by Proxy exists. I was being asked to prove that I wouldn't do something. But how can I do that? They were asking me to do the impossible."

Fran engaged the help of Bill Bache, the lawyer who overturned Angela Canning's conviction, and John Hemming, the Liberal Democrat MP and chairman of the pressure group Justice For Families. And yet all the time, she tried to find a compromise with the social workers.

She says: "I asked to go to a mother and baby unit so we would be under 24-hour supervision. I thought it would show I was willing to cooperate and there could be no argument about Molly's safety, but there was a lot of resistance to the idea."

In one last attempt to find a middleway through the nightmare, Fran agreed to yet another assessment. The assessor was to be appointed by the social workers but would be officially independent. They chose Professor Douglas Turkington, a psychiatrist based at the Royal Victoria Infirmary in Newcastle.

In his report, he said that Fran should not be separated from Molly but should instead be "supervised during the immediate postnatal period in her bonding with Molly and be allowed to breast feed".

It is the breakthrough Fran has been hoping for – but she says she can't risk waiting to see if social services view it in the same light. On November 9, the birth plan from Northumberland Social Services arrived in the post. Fran was expecting it but nothing could have prepared her for its conclusions.

"I just fell apart," she says. "It's only when you see it in writing that it becomes real. It said I would get ten minutes with Molly until the umbilical cord had been cut."

Fran and her baby would then be parted and the baby would be taken to another room in the hospital. Fran feared that the conditions of the birth plan would mean that even her mother, who she said she was very close to, would not be able to see the child.

She added: "They said if I didn't consent they would get a police protection order as soon as she was born. This effectively meant that there would be a policeman stood outside the delivery suite.

"She would be only a few minutes old and by herself. That was the one thing that tore me up inside . . . the thought of Molly lying in some horrible hospital baby cot with no one that loves her.

"I'm not an impulsive or dramatic person. I want to sit down and work things out. But this was agonising. I knew I had to do something."

She didn't know, then, that something would mean fleeing abroad. Despite the drastic upset, Fran is not bitter. "I suppose I feel very disappointed. It didn't seem possible for anyone to backtrack just a little bit, to say there was another way. That's what I found so hard. That and the fact there was no compassion. They said it was about Molly but it certainly never felt like that."

But perhaps most worrying of all is the fact that Fran's case, while undoubtedly extreme, is also indicative of a disturbing trend. Two thousand babies less than a year old were taken from their parents last year by social services – three times the number of ten years ago.

Fran's story already has echoes of Nicky and Mark Webster, formerly known as the Hardinghams, whose case was highlighted in this newspaper. They, too, fled the country in order to stop social services taking away their newborn baby, a boy called Brandon, after their first three children were adopted over abuse allegations.

The Websters have since returned to England and have won a landmark case to keep their fourth child. And what does the future hold for Fran Lyon, a young mother who was dealt a rough hand as a teenager and fought to get a normal life and now just wants to do what's best for her daughter?

Perhaps social workers know something Fran is not revealing. Last night a spokeswoman for Northumberland County Council said: "We are unable to comment on individual cases, and we do not believe that it is in the best interests of any mother or child to discuss personal details through the media, but unfortunately it does mean only one side is being heard.


"Safeguarding arrangements in Northumberland were rated as good in a recent rigorous Government inspection. Ms Lyon and her legal adviser have attended all of her case conferences and have been fully informed of the concerns of the professionals involved in her case.

"Where a child or unborn baby is subject to a child-protection plan and they move to reside in another authority or country, responsibility would normally pass to the new authority or relevant authority in another country. Northumberland County Council would make sure the new authority has all the relevant information it needs to make informed decisions."

Mr Hemming said: "I think it's appalling and very disturbing and, sadly, Fran's case is not unique.

"Of course there are situations where you've got to intervene but the system all too often fails to intervene where it should and then intervenes where it shouldn't. It's a steamroller of a system and it steamrollers mothers and children."

Only one thing remains certain. If Fran proves herself to be a good and loving mother, Northumberland's carefully worked-out "birth plan" can only ever be seen as an act of almost unimaginable cruelty by the State.

Thursday, November 08, 2007

Prozac nation: alarm at huge rise in anti-depressants’ use

From the Herald, in Scotland

Government efforts to cut the number of anti-depressants prescribed by GPs were thrown into doubt yesterday after new figures showed they had increased four-fold over the past decade.

A report by NHS Quality Improvement Scotland (QIS) found that the number of prescribed daily doses of the drugs had gone up from 19 per thousand to 85 between 1992 and 2006.


Medical experts at QIS, a health board established to oversee improvements in the NHS, said the record level of prescriptions may be due to the popularity of newer anti-depressants such as Prozac, which had fewer side effects, and patients being given more drugs over a longer period. But it was not clear whether there had been any increase in the number of people diagnosed as depressed.

Mental health charities expressed alarm at the latest figures, saying they showed an overdependence on medication to treat mental illnesses and highlighted a lack of available alternative treatments such as psychological therapy.

Faced with a rise in prescriptions, the previous Scottish Executive imposed a target of reducing the increase in anti-depressants being prescribed to zero by 2009. But while there were some signs that prescription rates were levelling out, there was scepticism over the SNP's manifesto commitment to cut them by 10% over the same period.

Dr Dorothy Muir, chair of the QIS clinical outcomes group, said that, though there were signs prescription rates were levelling, it was "probably unlikely" they could be reduced.

Dr Geraldine Bienkowski, lead clinician for psychology at NHS Education for Scotland, said there was "limited" evidence that providing alternative therapies led to a cut in prescription rates. But there was also evidence that, in some situations, increasing the provision of psychological therapies had a knock-on effect of increasing the rate of prescriptions, as it increased awareness of depression among GPs, she said.

Prescription rates for anti-depressants are strongly linked to deprivation, with Greater Glasgow having the highest rate in the country, according to QIS's figures.

Women are more likely to be diagnosed with depression and the condition was most common in the 25 to 44 age group, its figures show.

However, research undertaken by Glasgow University has found wide variations in prescribing levels between GP surgeries and that factors such as deprivation, gender, and age only account for 50% of these.

Dr Philip Wilson, a Glasgow GP involved in the research, said that different prescribing cultures within GPs surgeries may account for some of the variation. He also questioned whether simply cutting levels of prescriptions was in patients' best interests.

"There's a lot of evidence that people's depression relapses if they stop them too soon. In the case of a second or subsequent episode of depression the guidelines are now telling us we should be prescribing for a period of two years," he said.

Shona Neil, chief executive of the Scottish Association for Mental Health, said the figures betrayed a medical culture in which there was a "pill for every ill". She said: "People are being prescribed these pills for problems which are far beyond mental health issues. If you're living in poverty, are unemployed and without a good social support network, a pill isn't going to improve any of that. We have pathologised suffering to a level that isn't helpful."

Dr David Steel, chief executive of NHS QIS, defended the use of a target but conceded it was unlikely the new goal could be met. He said: "One of the great advantages of a target like that is it gets us talking about it, even if we don't meet it."

Shona Robison, Health Minister, said the Scottish Government was committed to the previous administration's goal of "levelling off" the prescription of anti-depressants and had invested £4.5m in developing alternative treatments for people with depression.

But she made no mention of the SNP's previous manifesto commitment. "We are striving to drive down the prescribing of antidepressants by offering a range of other effective interventions," she said.

Last night a Scottish Government spokeswoman denied that the manifesto commitment had been dropped saying it was "still committed to the reduction over the next two years".

Wednesday, October 17, 2007

Lawsuit over shocking advice to parents

From the Daily Record

Two couples left with the wrong children after their babies were swapped at birth have been told by a psychologist to pretend the kids they raised are dead.

The shrink even urged the couples to put gravestones for the tots in their back gardens. Both sets of parents blasted the advice.

Czech couples Jan and Jaroslava Cermak and Libor and Jaroslava Broza are still struggling to come to terms with the mix-up that saw them take each other's daughter home from hospital last December.

And Jan, 26, said the advice from psychologist Olga Hlinkova had made the nightmare even worse.

He added: "We have agreed to get rid of the shrink.

What a terrible, cold, inhumane suggestion - pretending the baby we had raised had died. Where do they think these things up?" Libor and his wife are also refusing to have anything more to do with Hlinkova.

And both couples have agreed to abandon a rigid timetable for swapping the children back.

Libor said his partner and Jan's wife were planning to go away together with the babies, Nikola and Veronika, to a secluded cabin so the children can gradually get used to their real mums.

He added: "They will prepare themselves for the exchange and decide finally if they can really go through with it."

Libor's partner said: "Nikola and I have shared so many moments and now everyone seems to think I am just going to let her go. I do not think I can do it."

The couples plan to sue Trebic Hospital near Brno for £250,000 compensation. Police are investigating whether the babies were swapped deliberately.

Thursday, September 20, 2007

Children aged just 12 being put on adult mental wards

From this report seen in the Scotsman

Children as young as 12 are being forced into adult psychiatric wards due to bed shortages, leaving them exposed to sexual predators and seriously disturbed patients, a medical watchdog has warned.

The adolescent patients, many at risk of suicide, are not receiving specialist treatment in Scotland due to a lack of in-patient facilities.

[...]

New figures seen by The Scotsman show there were 186 admissions for children with mental health problems across Scotland in 2006-7, and 171 of those were treated on an adult ward.

Doctors have raised the issue of public safety, claiming that there is increasing pressure to discharge adolescent patients who may be a risk to themselves and others.

[...]

"There is a risk of sexual predators in these units, but also a risk of general violence and drugs," said Mr Malcolm.

"There are 171 children being admitted every year in Scotland to an adult unit, which is unacceptable. Children as young as 12 are being admitted."

[...]

A shocking report by the charity, Childline, earlier this year revealed hundreds of girls had contacted the helpline after contemplating suicide.

According to the counselling service, four out of every five calls UK-wide involved discussions with girls about their suicidal feelings, with about 1,100 Scots children calling to discuss mental health issues such as depression.

Childline counsellors have called on the government to tackle the shortages of specialist therapists to help troubled children through exam stress, family troubles and eating disorders.

Research shows an alarming decline in the mental health of UK adolescents, with rates of depression and anxiety increasing by 70 per cent in the last 25 years.

The number of teenagers being treated for mental health problems in Edinburgh has soared by nearly a quarter in just three years.

Medical experts have blamed growing stress related to exam results and divorce for contributing to the huge rise.

Sunday, June 17, 2007

Suing over drug which left her too scared to go out

From the Sunday Mail

A Scots mum is to sue drugs giant GlaxoSmithKline after claiming their antidepressant Seroxat made her scared to leave her home.

Diane Smith claims she became agoraphobic when she tried to wean herself off the controversial drug.

She even missed her son's wedding and could not go to see her dying father as she has become a prisoner in her own home.

Diane, 43, of Thurso, Caithness, has issued a writ in the High Court in London claiming £50,000.

Seroxat has been linked to a string of suicides and users say they have suffered serious side effects, including depression.

Diane's case is the first to be lodged over the effects of coming off the drug.

Her action was launched this year to beat an English High Court 10-year timebar as she started taking the drug in 1997.

In January, an investigation for the BBC's Panorama claimed GlaxoSmithKline covered up vital evidence about Seroxat's safety.

Mum-of-four Diane was on the antidepressant for five years from August 1997 to June 2001.

She said: "I was walking on the beach with my handicapped son Lee, who is now 18, when I suddenly felt dizzy and the whole beach started to sway. It was the strangest sensation.

"I went to see the doctor who said I was suffering from stress and prescribed Seroxat.

"I was on it for five years until 2001 when suddenly the psychiatrist took me off it. Then the trouble started.

"I felt suicidal. I get panic attacks and I cannot go out. I can't even go to the supermarket just down the road. I'm a prisoner in my own home. When my son James got married I couldn't go. When my daughter Denise graduated I couldn't go and when my dad died I could not be at his bedside - all because of this drug.

"I'm not really interested in the money. I'm more interested in getting the truth known because this drug is a danger."

Her husband James, 50, said: "It's been a terrible time for Diane and it has not been easy for the rest of us. It's broken our hearts."

Since it was first prescribed in 1990, Seroxat has been linked to at least 50 suicides of adults and children.

It was banned for under-18s in 2003 after a government watchdog found it trebled the risk of suicidal thoughts in depressed children.

A spokesman for GlaxoSmithKline said: "Seroxat has helped millions of people lead fuller lives and has helped revolutionise the treatment of depression and other psychiatric conditions. The majority of patients do not suffer symptoms on stopping Seroxat.

"If they do occur most patients find they are mild and go away on their own, although in some patients they may be more severe and/or prolonged.

"The most common symptoms include dizziness, sensory disturbances, sleep disturbance, anxiety and headache."

The drug company have been bombarded by lawsuits in the US.

Donald Schell, 60, from Wyoming, killed his wife, daughter and granddaughter, then shot himself after taking the drug for just two days.

His son-in-law Tim Tobin sued and GSK were ordered to pay £4.5million.

Wednesday, December 06, 2006

Update: The Continuing Wretched Saga of Psychiatrist Clint Tatchell

[Updated to connect to earlier posts on this site detailing the earlier wretched details.]

As reported in the Scotsman

See also this earlier report for more sordid details, as well as this one

A Psychiatrist has been found guilty of drunkenly writing a prescription for a flatmate at a party without consulting the man's GP.

Dr Clint Tatchell wrote a prescription for 28 diazepam tablets for Brian Hoolichan under the influence of alcohol.

The findings were released by the fitness to practise panel of the General Medical Council after a hearing in London.

David Steel, 30, was found dead in Dr Tatchell's home in Spiers Wharf, Glasgow, on 21 September, 2003 after taking drugs including heroin, cocaine, ecstasy and diazepam. He had died of an ecstasy overdose.

The GMC panel found Dr Tatchell guilty "dishonest" behaviour when he tidied his flat after it was discovered that Mr Steel was dead.
And now, hopefully the police will have their way with him. Don't people usually go to jail over things like this? I have seen reports that he has lost his license to practice, or "struck off" as the say in Britain. (which is at least a start).

Wednesday, November 29, 2006

Drug death party psychiatrist admits substance misuse

As seen here, a followup from this earlier report on this site.

The psychiatrist who hosted a party where a man died from an overdose has admitted that he also used class A drugs.

Dr Clint Tatchell, who specialised in addiction therapy, has denied inappropriately supplying pills to his friends at the Roman-themed event at his luxury Glasgow flat.

The General Medical Council has been told that David Steel, 30, overdosed on ecstasy at the toga party.

Dr Tatchell, 37, who worked for NHS Greater Glasgow, also denied claims that he lied to police and hurriedly tidied the flat before detectives arrived to investigate his friend's death in September 2003.

Officers later discovered Mr Steel had taken a cocktail of drugs including diazepam, ecstasy, heroin and cocaine.

Dr Tatchell claimed there were no illegal drugs in his Spiers Wharf flat on the night of the party, but admitted he had taken ketamine, a horse tranquilliser, on nights out with Mr Steel before his death.

Dr Tatchell said: "Obviously one of the topics which did come up with us getting to know each other was about our drug experiences. We spoke openly and freely about it.

"In narrating these stories and experiences with mind altering substances, David Steel did tell me about ketamine and its use as a recreational drug.

"I remember explaining the medicinal uses and he did explain the recreational use and the effect one gets from it.

"From what he described, the effect of the ketamine sounded very much like the euphoria that I had experienced when I had experimented with ecstasy, but it did not seem to have the same side effects."

Dr Tatchell admitted he became "curious" about trying ketamine and even researched it on the internet. "I do admit that I did use it on a few occasions with David Steel. On all occasions when we used it was usually in a clubbing environment because that was the only avenue David Steel had.

"He told me how to purchase it, there was one club in particular in Glasgow where you could get it if you wanted to use it."

Dr Tatchell admitted to the panel that he had taken ecstasy and cocaine while working as a model in the Netherlands for 18 months in the early 1990s.

He claimed he stopped because it gave him a sore tongue and anxiety attacks.

Dr Tatchell said he decided to give up ketamine completely because of a "moral dilemma" he faced when he was offered a post with NHS Greater Glasgow. He added: "I did have a dilemma with regard to using a mind-altering substance and working in a field where I was actually dealing with a group of society that was abusing it."

Before working for the trust, Dr Tatchell worked at the exclusive Priory rehab clinic in Glasgow. He told the panel there were no drugs at his flat during the party, which started out as a night out in a Glasgow gay bar and turned into a three-day bender.

He said: "I was not aware of any drug-taking in my flat."

The psychiatrist trained in Johannesburg, South Africa, and practised in addiction psychiatry for NHS Greater Glasgow between 6 May, 2003, and 31 July, 2004.

Dr Tatchell denies his fitness to practise is impaired.

The hearing continues.

Sunday, October 01, 2006

Tenfold increase in Ritalin prescriptions for ADHD children sets off U.K. investigation

According to this report

After studies revealed a nearly tenfold increase in Ritalin prescriptions in the U.K., public backlash spurred an investigation of doctors' prescription procedures by the National Health Service. However, the results of the review may not be available until March of 2008.

The delay has left some parents and doctors unsure of whether ADHD drugs are the right move for their children.

While one mother in Scotland said Ritalin had been indispensable in calming her son, another said her child became incredibly aggressive and hard to manage while on Ritalin, injuring his brother by throwing him through a glass door.

"I think in 10 years time we will say that ADHD was too simple an explanation for many children," said Dr Gwynedd Lloyd, head of Educational Studies at the Edinburgh University, adding that many doctors label children as having ADHD and prescribe them the amphetamine Ritalin without investigating other possibilities. "We will ask ourselves what we were thinking giving these children amphetamines," she said.

Dr. Dave Coghill, senior lecturer in child and adolescent psychiatry at Dundee University, disagreed, saying Ritalin was an effective drug. "By inhibiting impulsive behavior in children with ADHD it allows them to socialize and develop normally," he said. "Despite the risks, the medication can work for some children."

Attention Deficit Hyperactivity Disorder is usually diagnosed when children show signs of inattention, hyperactivity and an inability to start and foster social relationships. For many children, the alternative isn't better, as the side effects of ADHD drugs such as Ritalin can include loss of appetite, sleeping problems and death.

The FDA assigned Ritalin its most serious safety warning -- the "black box" warning -- last month after 25 deaths were linked to cardiac problems caused by the drug. Seven U.K. children are also thought to have died due to Ritalin side effects.

"Why is it conventional medicine, and even some parents, are so willing to rely on drugs to control children's behavior?" Asked consumer advocate Mike Adams, who has written extensively on ADHD at NewsTarget.com, and interviewed experts in the field such as Dr. Fred Baughman. "If colorful cereals made from processed sugar and refined grains didn't pass for a 'complete breakfast,' and soft drinks and fruitless 'fruit drinks' weren't standard lunchtime fare, we'd notice a marked improvement in the behavior and learning ability of our school-aged children.

"Ritalin is handed out like candy simply because the drug companies know it is a huge revenue producer, and school administrators support the practice because medicating students makes them more sedate," he added.

Friday, August 01, 2003

Glasgow Schools told not to punish kid bullies

Teachers in Glasgow, Scotland, have been advised not to punish bullies. Top child psychologist Alan McLean claims bringing the playground thugs to book will only make their behaviour worse.

He insists, in new guidelines sent to every school, that punishing them just meets the wish for revenge of parents. But today the mother of a teenage girl who committed suicide after being bullied at school condemned the advice. The mother of 15-year-old Nicola Raphael called instead for tough sanctions.

The psych position sort of seems like, "don't stop the criminals, because if you do, they get mad at you"

This just inspires contempt for the shrink who came up with this.