Psych meds drove my son crazy

Original article at salon.com.

Until he was 17, my son was unique and funny and odd. He was difficult in some ways but incredibly easy in others. He washed the family's dishes precisely, went to bed at exactly the same time each night, and sorted our mail into careful piles. He did fairly well in school -- above average in math, a little below in social studies -- and spent his weekends playing tournament-level chess. He was a loner, but sweet and articulate and very close to his only brother.

Then junior year came. He met a girl, he went to a dance, he thought life was better. And for a night it was. Then the dance ended, the girl decided she was interested in someone else, and the boy became depressed.

.. after six months, I took him to a psychologist who recommended a psychiatrist who put him on a newfangled antidepressant she said would have the added benefit of controlling some of his obsessive tendencies, like stacking the dishes and sorting the mail.

I didn't want to control those things -- to me, these weren't symptoms, they were characteristics of my son. And I'd fought for 17 years to keep him drug-free. But the psychiatrist and the psychologist and several family members insisted: He'd become unhappy, his routines were getting in the way of his developing a social life. This pill, they said, would help him.

Instead, he gained 30 pounds and began to lose his mind.

It happened slowly, over a period of months. First his grades began to fall. There were some random episodes of violence -- nothing major, just an out-of-control moment here or there. A tendency to stand up from the dinner table, after a full meal, and walk to Arby's for a snack. Eerie giggles that seemed involuntary. A flat expression on his once-curious face.

Senior year, he started an after-school job at an auto parts factory but lost it when he couldn't keep up with even the elderly workers. He stopped speaking to his brother entirely and even hit him several times. He lost interest in music, computers and chess.

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Then we drove to Rochester to meet with the nine practitioners who'd been called in to assess our son. It was an interesting case, they told us -- and instructive. Within three days, they'd performed a series of medical tests and evaluations, determining that our son was neither schizophrenic nor psychotic. He was autistic, exhausted, improperly medicated, borderline diabetic, and simply stuck. It would take them perhaps a month to detox his body of all the drugs and treat the underlying catatonia that had dogged him for more than a year.

"This occurs in about 15 percent of all young people with autism," the team lead told us. "We don't know yet why it happens, but we can treat it."

And then they did. Magically, it seemed. On the morning after they began their regimen -- a combination of therapies that they orchestrated like a carefully choreographed dance -- our son awoke and stretched, clear-eyed, to ask us if we'd like to play a game of hearts. And after a slightly shaky start, he shot the moon, gathering all the tricks with controlled sweeps of his right hand, flashing us a shy but satisfied smile.

Side effects like our son's -- almost certainly caused by a unique combination of the drugs and autistic catatonia -- were not explicitly cited. These facts, however, were:

"In Minnesota, psychiatrists collected more money from drug makers from 2000 to 2005 than doctors in any other specialty," the Times reported. "Total payments to individual psychiatrists ranged from $51 to more than $689,000, with a median of $1,750. Since the records are incomplete, these figures probably underestimate doctors' actual incomes."

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