Among the many crusades in his quest to “Make America Healthy Again,” one target of Health Secretary Robert F. Kennedy Jr. is antidepressants. He has long said that psychiatric drugs like SSRIs (selective serotonin reuptake inhibitors) are harmful, including claiming they cause mass shootings.
Kennedy recently announced at a MAHA Institute mental health summit an initiative to help wean Americans off antidepressants. The announcement sparked a debate among experts over the campaign’s pros and cons.
Stigmatization and lack of access Kennedy’s perspective on deprescribing SSRIs “really is an oversimplification,” said Theresa Miskimen Rivera, the president of the American Psychiatric Association, to NPR. The health secretary has “no real interest in fixing structural problems,” said Amanda Marcotte at Salon. On the contrary, Kennedy has a “long history of talking about people on SSRIs in dehumanizing, often racist language” that implies their “actual problem is they are lazy and need to just work harder or even work for free.” It’s the “same old Republican playbook, just dressed up in a phony mask of compassion.”
There’s a “legitimate clinical problem” at the center of Kennedy’s initiative, said Jonathan Slater, a clinical professor of psychiatry at Columbia University Irving Medical Center, at Stat News. Deprescribing is indeed “understudied, undertaught and under-reimbursed.”
But the health secretary’s campaign “conflates that genuine clinical need with claims unsupported by evidence, and some that are actively dangerous,” said Slater. Redirecting patients away from medications is “only clinically responsible if the alternatives are accessible. They are not.”
Blind eye to weaning difficulties In diagnosing “overmedicalization as a major problem,” the MAHA movement “gets something right,” said Khameer Kidia, a physician and anthropologist at Harvard Medical School, at The Boston Globe. However, the issue “doesn’t begin with physicians and our prescription pads.” As the opioid epidemic has shown, the “problem starts higher up.”
The problem with MAHA’s approach to mental health is the “overarching placement of responsibility with individuals” rather than the “exploitative systems that create poor mental health,” said Kidia. MAHA is “half right with the diagnosis,” but its “prescription conveniently ignores the root causes of the problems it has identified.”
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