{"id":179,"date":"2018-05-04T10:17:18","date_gmt":"2018-05-04T10:17:18","guid":{"rendered":"https:\/\/blogs.bmj.com\/ebmh\/?p=179"},"modified":"2018-05-04T10:17:18","modified_gmt":"2018-05-04T10:17:18","slug":"medsworkedforme-in-conversation-with-holly-brockwell","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/ebmh\/2018\/05\/04\/medsworkedforme-in-conversation-with-holly-brockwell\/","title":{"rendered":"#MedsWorkedForMe: In Conversation with @Holly Brockwell"},"content":{"rendered":"

 <\/p>\n

Our latest YouTube hangout<\/a> (#EBMHchat) discussed editor Dr Andrea Cipriani\u2019s recently-published network meta-analysis<\/a> of the efficacy and acceptability of 21 antidepressant medications, for major depressive disorder. Dr Cipriani and Digital Content Editor Dr Michael Ostacher were joined by Professor Benoit Mulsant, Professor Roy Perlis and Dr Erick Turner, who discussed the results of the study and their implications for clinical practice and patient choice.<\/p>\n

This research garnered widespread media coverage<\/a>, with commentators<\/a> acknowledging that antidepressants \u201care not snake oil or a conspiracy \u2013 they work\u201d. The evidence inspired freelance journalist Holly Brockwell<\/a> to tweet<\/a> \u201cdamn right they work. Took until the third try to find the one that works best for me, but man was it worth it. Never be afraid to ask for help, that\u2019s why it\u2019s there\u201d. One person (@WayTooLateTV) responded \u201cthank you for sharing this. I\u2019m diagnosed as having disorganized schizoaffective disorder\u2026 Meds worked for me,\u201d inspiring Holly\u2019s hashtag.<\/p>\n

Although Holly couldn\u2019t make the hangout, we caught up with her to ask her views on the study and the importance of social media in connecting research findings to people taking or considering taking antidepressant medication.<\/p>\n

 <\/p>\n

\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 What led up to you creating #MedsWorkedForMe?<\/em><\/p>\n

I\u2019ve long had issues with the way antidepressants and other mental health meds are perceived in society. One of the primary reasons is that I lost my dad to suicide<\/a> when I was five years old, and I think there\u2019s a good chance he would still be with us if he\u2019d felt able to ask for help. The stigma against mental health treatments \u2013 \u201ccrazy pills,\u201d \u201chappy pills\u201d \u2013 is strong, and can be fatal.<\/p>\n

Personally, I\u2019ve been on antidepressants for most of my adult life, because I need them. I don\u2019t feel bad about that, and I\u2019m quite happy to openly discuss it (as I did on Twitter, in the lead-up to creating the hashtag). However, a lot of people don\u2019t have that freedom, so I feel it\u2019s my responsibility as someone with something of a platform to talk about it and help to normalise it.<\/p>\n

The fact is, antidepressants help with the chemical balance in your brain. That\u2019s not something you can think or exercise your way out of, any more than you could fix kidney disease by going for a run. Yet that\u2019s always the suggestion \u2013 \u201cjust exercise instead!\u201d It\u2019s insulting, and people replying to the hashtag with that kind of thing got short shrift from me.<\/p>\n

I take 40mg of Fluoxetine (better known as Prozac) every day, after Citalopram and Sertraline didn\u2019t work for me. If the type of medicine you\u2019re on isn\u2019t working for you, keep trying. It\u2019s frustrating, but most people eventually find one they\u2019re happy with, and it makes such a difference to your life.<\/p>\n

 <\/p>\n

\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 How did people respond to #MedsWorkedForMe?<\/em><\/p>\n

As ever with Twitter, the responses were a very mixed bag. The majority were kind and supportive, with lots of people telling their own stories. There was a lot of inspiring stuff in there, as well as some amazing help and advice offered, from veteran SSRI-takers to newbies. Some people even decided to get help for the first time after reading the tweets, which is incredible.<\/p>\n

There were also lots of heart breaking stories in the same vein as my dad\u2019s \u2013 people whose lives might have been saved if they\u2019d felt able to talk openly about their mental health. As a result, though, their relatives left behind are keen to help others, and that\u2019s why a lot of them participated in the hashtag discussion.<\/p>\n

Finally, there were the trolls. Some people said nasty things about people who take tablets, others attacked people who died by suicide, and then the more well-meaning but just as useless responses about pharma conspiracies, clean eating, miracle cures, etcetera, came in. They were in the minority, though, and even I learnt a lot from the discussions that branched off from my hashtag.<\/p>\n

 <\/p>\n

\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 What do you think about this meta-analysis?<\/em><\/p>\n

I found it really interesting that fluoxetine was found to be one of the less effective antidepressants, as it was like a revelation to me when I started on it. The thing is, though, everyone\u2019s brain is different and reacts totally differently to the same drug. Which can be frustrating when your friend found her sparkle again by taking sertraline and all you got was a dry mouth and a headache, but thankfully we live in an age where there are loads of choices and overall, it\u2019s pretty clear that they work for the majority of people.<\/p>\n

That last bit is important, though \u2013 that\u2019s why the hashtag was \u201cmeds worked FOR ME,\u201d not \u201cmeds work.\u201d Some people sadly don\u2019t find that meds work for them, and we shouldn\u2019t pretend that\u2019s not true.<\/p>\n

 <\/p>\n

\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 You\u2019re on Twitter \u201call the time\u201d. What\u2019s the role of social media in relation to <\/em><\/p>\n

\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 patients or service users, carers and researchers?<\/em><\/p>\n

Social media has been both a blessing and a curse for academia. When I was studying Linguistics at the University of York, conversational social posts on sites like Twitter and Facebook made really useful corpora of real-world, real-time language use. For other disciplines, the applications are less obvious, but for medical science in particular, \u2018social\u2019 can be a real double-edged sword.<\/p>\n

On the one hand, social sites make it easier to recruit participants for studies, especially when you\u2019re targeting a very niche population (I often see study recruitment posts on Reddit, for instance). And they make it easier to spread the word about published studies and interesting results. But social is also responsible for simplifying and distorting findings to fit the short attention spans of sites like Twitter, and commentary from non-expert journalists and laypeople can mislead.<\/p>\n

I\u2019d like to think #MedsWorkedForMe was a useful adjunct conversation to the study it sprang from.<\/p>\n

 <\/p>\n

\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Do you have a final thought for readers? <\/em><\/p>\n

If you\u2019re currently taking a medication that doesn\u2019t work for you, go back and ask for something else. Don\u2019t be afraid to advocate for yourself, this is your life and your body. Similarly, if you\u2019ve never taken antidepressants but feel you might benefit, please talk to a professional. If they\u2019re not helpful, talk to another one. And don\u2019t forget, the Samaritans are there day or night if you need to talk about anything. It\u2019s free in the UK from any phone, just dial 116 123.<\/p>\n

 <\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

  Our latest YouTube hangout (#EBMHchat) discussed editor Dr Andrea Cipriani\u2019s recently-published network meta-analysis of the efficacy and acceptability of 21 antidepressant medications, for major depressive disorder. Dr Cipriani and Digital Content Editor Dr Michael Ostacher were joined by Professor Benoit Mulsant, Professor Roy Perlis and Dr Erick Turner, who discussed the results of the […]<\/p>\n

Read More…<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-179","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"\n#MedsWorkedForMe: In Conversation with @Holly Brockwell - Evidence-Based Mental Health Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/ebmh\/2018\/05\/04\/medsworkedforme-in-conversation-with-holly-brockwell\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"#MedsWorkedForMe: In Conversation with @Holly Brockwell - Evidence-Based Mental Health Blog\" \/>\n<meta property=\"og:description\" content=\"  Our latest YouTube hangout (#EBMHchat) discussed editor Dr Andrea Cipriani\u2019s recently-published network meta-analysis of the efficacy and acceptability of 21 antidepressant medications, for major depressive disorder. 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