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Old 11-24-2008, 12:16 PM   #11
taxwonk
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Re: Advice?

Quote:
Originally Posted by Atticus Grinch View Post
One of my nieces is a high school sophomore. She's a little high-strung -- trust me, she comes by it honestly -- but otherwise seems like a totally normal kid. She's witty, a fast talker (it seems they all are at that age), and empathetic. Her parents are both pretty successful in their fields and can both be a little retentive, but their home life is comfortable and at the high-end range of functioning. She lives on the East Coast so we don't see her all the time, but when she talks about problems it seems like normal teen girl trauma -- school, bitchy friends, and more school.

So here's the thing -- we just found out that they're thinking of putting her on Xanax. Her mom says that some of her friends are already on it, and it has improved their outlook a great deal.

I'm outraged. Of course, I don't have complete insight into her day-to-day, but with the information that I know and putting it into the preexisting narrative of What I Think Is Wrong With America, this seems completely wrong to me.

I appreciate that there are real things called mood disorders and that some people need medication in order to do chemically what their brain cannot do organically. I get that. Depression and anxiety are real things.

But so is being a teenager. Let's assume that there's something going on here where she's struggling more than I've been led to know. Still, I'm gobsmacked that someone would even consider taking a teenager and attempting to treat symptoms without knowing whether she has a permanent condition that requires medication. Call me silly, but I thought these drugs were supposed to be prescribed when other approaches to a particular pathology had failed. I've go no objections at all to adults taking these drugs, because I trust that they would only do so as adults, figuring out that they needed to get past whatever was blocking their uptake of life's happiness. But a fucking teenager? If my kids are frustrated, anxious and unhappy at age 15 that's how I'll know they're growing up correctly. I didn't realize that adolescence, even in its extreme pathological form, was a condition requiring medication.

Am I being too, pardon the phrase, prescriptive here? Am I old-fashioned to think that pharmaceutical mood alteration is pretty serious stuff, and that even if she experiences a positive outcome there's still moral risk here?
I take xanax because I have severe coronary artery disease, congestive heart failure, and a history of unstable angina. I find I generally take my xanax about one-third of the presecribed dosage.

When did she have her life-threatening health event that makes keeping her on a low purr sort of a medical necessity?
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