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All Thumbs Book Reviews
                              All Thumbs Book Reviews







            A Mind of Your Own                           Why do they cling to such an unsuccess-
            by Kelly Brogan, MD, with Kristin Loberg  ful approach? Brogan gives a brief, insightful
            HarperCollins Publishers                  history. For a long time psychiatry didn’t get a
                                                      lot of respect. People have gotten very attached
               There is something about upset apple carts  to the idea that you aren’t doing much if you
            that I find very entertaining so I enjoy a book  don’t dish out drugs to solve every problem.
            that upsets a few, and this one does. A Mind of  When someone came up with the idea of using
            Your Own talks about depression in women but I  drugs to treat depression, the pharmaceutical
            think much of it applies to both men and women.  industry was more than happy to help with that.
            One popular paradigm holds that depression is  A great quote right at the beginning of chapter
            caused by a chemical imbalance in the brain.  1 perfectly summarizes what is going on out
            Dr. Brogan scrutinized this theory and found. . .  there: “The medicalization of distress obliterates
            nothing. That is, no studies that support the idea  meaning and creates profit.”
            that depression is caused by chemical imbal-     One favorite explanation for almost every-
            ances in the brain, lack of serotonin or any such  thing is genetics. I’ve never been real impressed
            thing. If anything, higher serotonin levels in  by that explanation, and Brogan isn’t either. Our
            the brain cause more problems than they solve.  understanding of genetics has gone through
            She goes on to say that most cases of depression  some profound transitions in recent years, and
            are not due to any malfunction of the brain at  there is no reason to believe we now have it all
            all. If you understand how the pharmaceutical  figured out. The Human Genome Project identi-
            approach to psychiatry works then you already  fied twenty-three thousand genes, which sounds
            hear those apples rolling around on the floor.  like a lot, but isn’t nearly enough to define the
               So what is depression? It is not a disease.  diversity and complexity of the human species.
            It is a symptom. Your body is telling you there  Brogan answers at least part of that riddle by
            is something wrong, something out of balance.  explaining that our human framework is occu-
            There are a number of things that can trigger  pied by trillions of bacteria that perform critical
            depression. One is inflammation in general and  functions such as digestion and immune func-
            in the bowel in particular. Disruption in the  tion. Each of the many species of bacteria has its
            microbiome (caused by toxic chemicals, drugs,  own DNA. Epigenetics is another relatively new
            artificial sugar, lack of nutrients or stress) is  development. In most cases, to say the cause of
            often a factor. Diabetes is another trigger.  an ailment is genetic is a popular way of saying.
               Do anti-depression drugs work? That de-  “We don’t know.”
            pends on what you mean by work. If you are     This book has a good list of the leading
            hoping for side-effects like headache, nausea,  causes of depression. Number one is drugs
            insomnia, sexual dysfunction, stroke, cardiac  for birth control. The author used to think of
            conduction defects and increased risk of death,  this as a woman’s right but her perspective has  Five of the
            then these drugs are great.               changed a little since she became more aware of   top ten
               A paper published in The British Medical  the side effects. Blood clots, cancer, gallstones,
            Journal revealed that more than half a million  high blood pressure and low libido are on the   violence-
            people aged sixty-five or older die in the West  short list. Responsibility for birth control lands  inducing
            each year from psych meds. Five of the top ten  primarily on the woman in this scenario. If you   drugs are
            violence-inducing drugs are antidepressants.  really want to dig in your heels and demand that
            That sounds pretty depressing to me.                         Continued on page 90.  antidepressants.
 Wise Traditions   SUMMER 2016                       Wise Traditions                                                  89
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