email page print pageAll Topic Reviews
100 Things Guys Need to Know1001 Solution-Focused Questions101 Ways to Meditate17 Lies That Are Holding You Back29 Gifts8 Keys to Stress ManagementA Layman's Guide to Managing FearA Parent's Guide to Asperger Syndrome and High-Functioning AutismA User Guide to the GF/CF Diet for Autism, Asperger Syndrome and AD/HDADD-Friendly Ways to Organize Your LifeAddiction and ChangeAddiction Recovery ToolsADHD Grown UpAdolescent DepressionAdvanced Sexual TechniquesAfter SuicideAfter the Ecstasy, the LaundryAge-Proof Your MindAnswers for AristotleAnxiety, Phobias, and PanicAre You Fully Charged?Authentic HappinessAwakening Self-EsteemBe Honest--You're Not That Into Him EitherBeating the BluesBecoming OrgasmicBeen There, Done That? DO THIS!Better Sex Through YogaBetter Than EverBeyond AddictionBibliotherapyBinge No MoreBipolar DisorderBlinkBoomers Really Can Put Old On HoldBrain LongevityBrainstormBread Upon the WatersBreak Through PainBreathingBringing Up ParentsBuddhist Boot CampBullyBut I Love HimCalm EnergyCalm Focus JoyCan't Eat, Won't EatCancer on $5 a Day* *(chemo not included)Caring in Remembered WaysChained to the DeskChange Your AgeChange Your Brain, Change Your LifeChange Your ThinkingChildren of the Aging Self-AbsorbedChildren of the Self-AbsorbedConceptual BlockbustingConquer Your Critical Inner VoiceConquering Postpartum DepressionConquering Shame and CodependencyCoping With Difficult PeopleCoping with Infuriating, Mean, Critical PeopleCoping With TraumaCreative Writing In Health And Social CareCrossing the Unknown SeaDance the Chakras Yoga WorkoutDaydreamingDe-Stress Your Life in 7 Easy StepsDealing with a NarcissistDefying DementiaDelivered from DistractionDematerializingDepression FalloutDepression-Free for LifeDivorce PoisonDoing ItDone With The CryingDown and Dirty Sex SecretsDr. Andrew Weil's Guide to Optimum HealthDr. Weisinger's Anger Work-Out BookDying to Be ThinEasy YogaEmbarrassing Medical ProblemsEmbracing UncertaintyEmotional Chaos to ClarityEmotional ClaustrophobiaEmotional Fitness for IntimacyEmotional IntelligenceEnjoying Guilty PleasuresEssays on Philosophical CounselingEvamarie Pilipuf's Yoga Express DVDEvery Day Yoga for Every Body DVDEveryday GreensExercise for Mood and AnxietyFailureFamily Desk Reference to Psychology Family FirstFast Food for the SoulFat and FuriousFatal FlawsFear and Other Uninvited GuestsFeeding Your ChildFinding Meaning in the Second Half of LifeFlow: The Psychology of Optimal ExperienceFluid Power Vinyasa Flow YogaFlying ColorsForgive Your Parents, Heal YourselfFreaks, Geeks and Asperger SyndromeFrom Sabotage to SuccessFull Steam Ahead!Getting a Good Night's SleepGetting ControlGetting over Getting MadGetting the Love You WantGetting the Love You Want Audio CompanionGetting Your Life BackGirl StuffGirlWiseGod Never BlinksGoddess WorshipGoing DownGoing Home without Going CrazyGood MedicineGoodbye, ThingsGrieving Mental IllnessGuilt, Shame, and AnxietyHalf Empty, Half FullHe's Just Not That Into YouHeal & Forgive IIHealing ADDHealing through ExerciseHealthy AgingHonoring GriefHooking UpHot ButtonsHow Full Is Your Bucket?How I Stayed Alive When My Brain Was Trying to Kill MeHow Philosophy Can Save Your LifeHow Proust Can Change Your LifeHow Successful People ThinkHow to Change Someone You LoveHow to Give Her Absolute PleasureHow to Handle a Hard-To-Handle KidHow to Have Magnificent SexHow to Keep Your Teenager Out of Trouble and What to Do If You Can'tHow to Live Well Without Owning a CarHow to Make Great Love to a ManHow to Make Great Love to a WomanHow to Stay SaneHow to Stop Feeling Like ShitHypnography for MenHypnography for WomenI AMI am PotentialI Saw It HappenI Wasn't Ready to Say GoodbyeI'd Rather LaughI'm OK, You're My ParentsIllness and the Art of Creative Self-ExpressionIn the Mood, AgainIntroduction to Qi YogaIt's Called a Breakup Because It's BrokenIt's Not as Bad as It SeemsJudo with WordsKripalu YogaKripalu Yoga Dynamic DVDKripalu Yoga Gentle DVDKundalini Yoga MeditationKundalini Yoga to Detox and Destress DVDLearn to RelaxLearned OptimismLearning Outside the Lines Letting Go of AngerLies! Lies! Lies!Life MakeoversLife StrategiesLife's WorkLifting DepressionLiving the TruthLiving Well with Pain and IllnessLiving with AnxietyLiving Your Best LifeLiving Your DreamLost in the MirrorLove & SurvivalLove Your Body, Love Your LifeLoving Someone With Bipolar DisorderLunar Flow YogaMadhur Jaffrey's World VegetarianMake It CountMaking a Good Brain GreatMaking ADD WorkMaking Your Mind MatterManaging Your MindManic DepressionMastering Anger and AggressionMastering the Power of Self-hypnosisMaui PilatesMeditation for Optimum HealthMeditation in a New York MinuteMind MappingMind-Body Workbook for AnxietyMindfulness for BeginnersMindfulness for Urban Depression: Tools for Relief from Stressful City LivingModerate DrinkingMotherstylesMozart's Brain and the Fighter PilotNapkin NotesNatural Healing for DepressionNew Hope for People with DepressionNo Enemies WithinNo More AnxietyNot Your Mother's LifeObsessive-Compulsive Disorder DemystifiedOne Last Hug Before I GoOrgasmOrgasmsOutsmarting DepressionOutsmarting OvereatingOver 100 Truly Astonishing Sex TipsOvercoming Compulsive CheckingOvercoming Compulsive HoardingOvercoming DepressionOvercoming Obsessive ThoughtsOvercoming the Fear of FearOvercoming Your Difficult FamilyPain Free for LifePain Free for WomenParanoia of Everyday LifeParenting Children With ADHDPassionate VegetarianPlan BPlanning for UncertaintyPlato, Not Prozac!Position Of The Day PlaybookPositivityPotatoes Not ProzacPower Yoga: Fat BurnerPowerfully Recovered!PredatorsPreventing Misbehavior in ChildrenProcrastinationProcrastinationProtecting the GiftPsychology Moment by MomentQiGong IllustratedQuantum Memory PowerRaising a Self-StarterRaising Kids in an Age of TerrorRaising Resilient ChildrenReady for AnythingReal Solutions for Overcoming Internet AddictionsRecovery from AddictionRelationship RescueRespect-Me RulesRitalin is Not the Answer Action GuideRomantic IntelligenceSabbathSecrets of a Passionate MarriageSelf MattersSelf-CoachingSelf-CompassionSelf-Help NationSelf-Help Stuff That WorksSelf-Help Without the HypeSelf-NurtureSeven Life Lessons from Noah's ArkSex and SpiritSex DetoxSex PositionsSex Q & ASextasySexual PleasureSleep BetterSolar Flow Yoga DVDSoulmatesSpiritually Healing the Indigo Children (and Adult Indigos, Too!)Spontaneous HealingStanding at Water's EdgeStaying Connected to Your TeenagerStaying Sane When Your Family Comes to VisitStop Arguing with Your KidsStop Caretaking the Borderline or NarcissistStop Me Because I Can't Stop Myself Stop OverreactingStop Smoking and Chewing Tobacco for Life ChangesStop Walking on EggshellsStraight Talk about Your Child's Mental HealthStress ReliefStrong, Smart, & BoldSun SalutationsSunbathing in the RainSurviving a Borderline ParentSurviving Manic DepressionSurviving Sexual ViolenceTaking Charge of ADHD, Revised EditionTaking Charge of AngerTaking Charge of Anger: Six Steps to Asserting Yourself without Losing ControlTaming Your Inner BratTeen Angst? NaaahTen Minutes to RelaxThank You for Being Such a PainThe 10 Best Anxiety BustersThe 5 Reasons Why We OvereatThe 7 Secrets of the ProlificThe Anger WorkbookThe Antidepressant Survival ProgramThe Art of Becoming HumanThe Art of Exceptional LivingThe Beginner's Guide to Healthy EatingThe Better Sex Guide to the Kama SutraThe Betty Ford Center Book of AnswersThe Bipolar Disorder Survival GuideThe Breakout PrincipleThe Bully, the Bullied, and the BystanderThe Chronic Pain SolutionThe Complete Vegetarian HandbookThe Consolations of PhilosophyThe Core Question: Who Am I?The Crowdsourced Performance ReviewThe Emotional Eater's Repair ManualThe Emotional RevolutionThe End-of-Life HandbookThe Essential Guide to Prescription Drugs 2005The Essential KamasutraThe Feeling Good HandbookThe Five Things We Cannot Change ...The Game of TruthThe Gift of FearThe Gift of ShynessThe Good Vibrations Guide to SexThe Guide for International Intercultural Couples and Families Intercultural MarriageThe Happy Hook-UpThe Healing JourneyThe Healing Journey for CouplesThe Healing Journey Through GriefThe Healing Power of PetsThe Identity CodeThe Illustrated Guide to Extended Massive OrgasmThe Inside Story on Teen GirlsThe Introvert AdvantageThe Intuitive WriterThe Irritable Male SyndromeThe Jewel Tree of TibetThe Joy of MeditatingThe Last Self-Help Book You'll Ever NeedThe Light of DiscoveryThe Little Book of Healthy TeasThe Little Yoga BookThe Magic of Thinking BigThe Making of Dr. PhilThe Male Stress Survival GuideThe Money WorkbookThe Mood CureThe Mozart EffectThe Myth of Self-EsteemThe New Cancer SurvivorsThe New Rational TherapyThe OASIS Guide to Asperger SyndromeThe OCD WorkbookThe Passion PlanThe Pilates Workout JournalThe Pill Book Guide to Natural MedicinesThe Places That Scare YouThe Pocket Life CoachThe Porn TrapThe Power of FocusThe Power of Full EngagementThe Power of Negative ThinkingThe Power of PlayThe Power of Self-CoachingThe Pursuit of PerfectThe Quest for Peace, Love, and a 24'' WaistThe Real Rules for GirlsThe Secret of LifeThe Secret Strength of DepressionThe Self ImprovedThe Self-Compassion Skills WorkbookThe Self-Help SourcebookThe Sex Addiction WorkbookThe Spa DeckThe Stoic Art of LivingThe Stress CureThe Stress Less WorkbookThe Stress Owner's ManualThe Stress Reduction Workbook for TeensThe SuperStress SolutionThe Ten Minute Sexual SolutionThe Therapy for the SaneThe Truth About Chronic PainThe Ultimate Guide to Sex and DisabilityThe Van Gogh BluesThe Way of StretchingThe Way of the JournalThe Way of TransitionThe Weblog HandbookThe Why CaféThe Worst-Case Scenario Survival HandbookThere's a Spiritual Solution to Every ProblemThings Might Go Terribly, Horribly WrongThink Confident, Be ConfidentThink NakedThink SmartThinking for a ChangeThis Is HowTotal PilatesTrain Your Brain to Get HappyTrain Your Brain to Get RichTransformation Trauma in the Lives of ChildrenUltimate SexUnderstanding the Borderline MotherUndoing DepressionUnhappy TeenagersUnlock the Genius WithinUntangling the WebVirtual AddictionWaking Up to What You DoWay to Be!What We Say MattersWhat Women WantWhat's Happening to My Body? Book for BoysWhat's Holding You Back? When a Family Member Has DementiaWhen a Parent is DepressedWhen in Doubt, Make BeliefWhen Perfect Isn't Good EnoughWhen Someone You Love Is DepressedWhen Things Fall ApartWhen Words Are Not EnoughWhen Your Body Gets the BluesWhen Your Child Has an Eating DisorderWherever You Go, There You AreWhy Can't I Change?Why Is It Always About You?Why Smart Executives FailWorried All the TimeWoulda, Coulda, ShouldaWriting as a Sacred PathWriting in FlowWriting to HealYes, Your Teen Is Crazy!Yoga 4 TeensYoga as MedicineYoga for EveryoneYoga for MeditatorsYoga for OsteoporosisYoga for Pain ReliefYoga for Regular Guys DVDYoga for the Young at HeartYoga on DemandYoga Weight Loss for DummiesYou Are Not AloneYou Are Not Your IllnessYou Can Think Yourself ThinYou'll See It When You Believe ItYour Body Speaks Your MindYour Brain on FoodYour Child, Bully or Victim?Zen Sex
With millions of people in the US now taking SSRI medication, its not surprising that many of them are not thrilled with the results. SSRIs like Prozac have significant side effects, and they dont always keep on having the initial results. The main side effects people notice are "physical and mental lethargy, loss of sex drive and performance, and significant weight gain." (p. 1). Such side effects make people less ready to continue taking their medication on a regular basis. People occasionally skip doses or just give up on it altogether. People get tired to taking the same pill day after day.
Robert Hedaya is a psychiatrist at Georgetown University Hospital and also has a private practice. He specializes in "clinical psychopharmacology," which is the science and maybe the art of prescribing mind-altering medication to people. He explains that most psychiatrists have "only a rudimentary knowledge of psychopharmacology" and have even less knowledge of the interaction of such medication with the body. (p. 5). Furthermore, most people who take such medication have never seen a psychiatrist, but instead had it prescribed by their primary-care physicians, who have even less understanding of the effects of these drugs.
So Hedaya has created his Antidepressant Survival Program (lets call it ASP) as a response to the needs of his patients. It is based on what he calls "Whole Psychiatry" (p. 6), which pays attention to the whole person. As evidence of the effectiveness of his program, he says that he has tried it on over three hundred of his own patients, who have had problems with self-esteem, confidence, vitality, vigor, and sex drive. He reports that his program is a success.
So what is this amazing new approach? It requires eating well, getting exercise, checking for underlying non-psychiatric conditions (such as hypothyroidism and food allergies), and adjusting medication to avoid side-effects of medication. Thats it. Big anticlimax. This enormously repetitive book (with 292 pages) is recommending pretty much the same as every other self-help book out there. Nutrition, exercise, stress reduction, play, and spiritual renewal. While I was reading this, my local public television station had one of its frequent pledge-drives and I found myself watching Dr Andrew Weil doing a couple of specials on health and nutrition. Weil, author of Eating Well For Optimum Health and Spontaneous Healing gave remarkably similar advice to Hedaya concerning nutrition.
At this stage, I should admit a personal interest in this book. Ive been taking antidepressants since 1993, for depression and dysthymia. I think they probably help me, but who knows? Maybe it is all placebo effect. What is do know is that generally life is easier when Im taking them. I dont experience any terrible side effects from them. Ive gained some weight, but Im still easily within the normal range, and many men gain weight in their thirties, whether or not they take medication. I have mixed feelings about continuing to take medication for the rest of my life, and I sometimes consider alternatives like St Johns Wort, or maybe just trying six months without medication, at some point when my life becomes stress-free and stable. (This might possibly happen when I retire in thirty years.) But on medication Im productive and Im rather reluctant to endanger my productivity by changing medication.
Nevertheless, I can imagine feeling happier, more productive, more satisfied, more cheerful, friendlier, and calmer. I wonder whether my medication has subtle side effects, and whether I can blame it when my life doesnt go exactly as I want. So I thought about trying the ASP. I thought about it some more. But I didnt do it. I do get some exercise already from walking and jobs around the house and garden, and I eat pretty well, although I probably get too much saturated fat from potato chips and dairy products.
Ive little doubt that if I went on Dr Hedayas program Id feel better than I do, in the long run, even if it meant depriving myself of some indulgences and experiencing some sore muscles in the short term. But then I expect that anyone who went on his program, whether or not they take medication, would feel better in the long run. For those who take psychiatric medication, it would be astonishing to find a psychiatrist who is sympathetic and ready to listen to the possible subtleties of side-effects, digestive issues, the various moods and odd ideas that they experience, and all the other aspects of life covered by "whole psychiatry."
thumb up or down? Would I recommend this book? In the end, despite my feeling that it is far less original and useful than the author thinks, it could be worth reading. The very act of buying it and then reading it could prompt you to do what you already knew you should, i.e., eat better and get more exercise, and insist to your psychiatrist that he or she comes up with some resourceful and helpful suggestions for fine-tuning your overall well-being.