Saturday, November 29, 2014

Crazymeds

Crazymeds.us is an excellent and highly informative site which I will never recommend to my patients.

It’s excellent because it gives mostly accurate and readable descriptions of the costs and benefits of every psychiatric medication. It has a laser-like focus on what patients will actually want to know and was clearly written by someone with an encyclopaedic knowledge of every treatment’s strengths and potential pitfalls.

This is important because the standard psychiatric response to someone who wants to know about a medication (when it’s not “shut up and trust me”) is to print out an information sheet from somewhere like drugs.com or webmd.com. These sites at worst just copy paste the FDA drug information sheet, and at best list off side effects in a rote and irrelevant way that only a robot could love. (...)

Everything crazymeds.us does is (...) Well-written, funny, mostly accurate (with the occasional mistake but no more than you’d expect from an individual effort), and precisely targeted to what patients really need to know.

And I still don’t recommend it to my patients, and probably never will. Why not?

Well, for one thing, it’s called crazymeds.us.

Most psychiatric patients have no problem with the word “crazy”. Either they don’t think of themselves as crazy, or they jokingly call themselves crazy and are happy to let other people in on the joke, or they self-identify as crazy as matter-of-factly as they’ll tell you the time of day, or they just don’t care.

But some psychiatric patients care about it a lot. Either they’re moderately neurotic people who are scared that if they accept psychiatric help with their mild depression it puts them in a category of “total lunatic” from which they will never escape, or they’re social justice types who are watching like hawks for any sign that their psychiatrist is a privileged ableist oppressor trying to use slurs to trivialize their concerns and victim-blame them for their problems.

I can usually tell which category a given person is in pretty quickly, but the chance of accidentally slipping up and recommending to someone from the second category a site called crazymeds.us is too horrible to contemplate.

by Scott Alexander, Slate Star Codex |  Read more:
Image: Crazymeds