Mother Talkers

Mother's little helper redux

Sat Dec 08, 2007 at 11:57:51 PM PDT

Last summer, catching up on the goings-on after a week in blazing hot and muggy Mexico, I read on CNN.com that Al Gore III was arrested recently for possession of -- in addition to marijuana -- Vicodin, Xanax, Valium and Adderall.  Oh my! The article pointed out that prescription drug use is becoming more prevalent among the young than even good ol' pot.

Prescription drug abuse is particularly common among upper middle class students, according to Lisa Jack, a clinical psychologist at Augsburg College in Minneapolis, Minnesota.  "It just goes to show that where you're from doesn't matter," Jack said.  (I hope she isn't speaking geographically).

The article goes on to admonish parents to lock our medicine chests so that vulnerable offspring will be adequately protected from evil.

Okay, done.  But it seems to me that psychologists should be asking, "Why are upper middle class bathrooms filled with an array of pretty-colored mood-altering pills in the first place?"

Welcome to the world of the upper middle class housewife.  We take our children's ADHD medication Adderall (basically speed) to get through the morning rush and the long list of daily chores. Valium (a tranquilizer) around 3 p.m. to take off the remaining Adderall edge and get through the afternoon kid activities with a smile.  Xanax before stressed-out husband walks through the door assessing performance and demanding moral support and a lovely dinner.

After the kids are safely tucked in, Vicodin (an opioid) gives the same buzz as the 2 or 3 glasses of wine that we used to be able to handle easily, but which now lead to belly fat which, face it, is not only unsightly but downright unhealthy.

What the young ones apparently haven't discovered yet is that Ambien at bedtime puts one into a nice dreamless coma that lasts until the alarm bell goes off and the cycle begins again.

I bet that you wish you could be-e-e half as lucky as me-e-e.

Addendum: Last night I watched a documentary called God Grew Tired of Us. It was about the Lost Boys of Sudan, a group of 27,000 young men between the ages of 5 and 10, who walked over a thousand miles to escape massacre in their homeland. By the time they reached Kenya, 15,000 of them had died.  

A number of the young men had the incredible good fortune of coming to the United States. They were spread out over the country and given food and shelter for a number of months.  They were expected to find gainful employment and become strong and self-sufficient. Their gratitude for the opportunity brought tears to my eyes.

Within a year many of these young men were despondent.  They lamented that they were isolated from their support groups.  They had little time for fun, for meaningful human interaction.  They worked long hours and slept little.  They had survived nearly unimaginable hardship in Africa, but they were being crushed by the American Dream. Still they knew they were "lucky."

This leads me to my point.  Many of the women I know have given up careers and other interests to tend a family.  Most of us are married to very driven and successful men.  Men who work long hours and are rarely home.  We live in large houses on big lots.  I have lived in the same house for 15 years and I can't tell you the names of the neighbors two doors down.  

Our children are high achievers.  My 17-year-old daughter and 14-year-old son leave for school at 6 a.m. They are expected to get good grades, play sports and musical instruments, compete in tournaments, do charity work. It is assumed that they will go to an elite university and make their families proud.

When mothers begin to bend from the pressure, we visit one of the psychiatrists in town who understands our plight.  We have a hard time getting up in the morning, we say. We feel anxious. We can't sleep.  He says that our husbands are narcissists and hands us a couple prescriptions.

When our children don't perform well, or exhibit unruly behavior, he doesn't ask why.  He says they have ADHD, or they are exhibiting signs of bipolar disorder. He gives us more prescriptions.

Of course this is not true for all of us.  Many of us meet regularly to hike. We are devotees of whole foods and good nutrition. We are in book clubs and playgroups and women's organizations.  But, in truth, we are careful not to reveal too much.  Maintaining the illusion of near perfection is still important to most of us.  And to our husbands and kids.

So it's true.  We do have many mood-altering pills in our medicine chests.  They hide a number of societal realities that should be brought into the light.  As is often the case with western medicine, we are happy to treat symptoms and ignore the underlying causes of the illness.  Seeking wholeness, authenticity, support, fun, freedom, and overall wellness would go a long way to keeping those drugs out of the hands of upper middle class teenagers.

I hope this clarifies the diary's intent.

Tags: drugs, health, addiction, parenthood (all tags)

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  • untitled (0 / 0)

    I don't know.  Sure, there are parents who abuse substances, whether prescription pills, alcohol, illegal drugs, whatever.  Obviously, not a good thing for children to be around.  Is it a moral failing, or a  physical addiction or a little bit of both?  I think the jury is out on that one.

    I get a little concerned when prescription drugs get pulled into the debate with such a wide statement like this:

    But it seems to me that psychologists should be asking, "Why are upper middle class bathrooms filled with an array of pretty-colored mood-altering pills in the first place?"

    I don't know anyone who does what you say above, I've only read about them.  I do know that many people have real needs for psychiatric meds.  

    I don't mean to be harsh, but I think statements like the one you wrote don't really help anyone. In fact, attitudes like this keep the stigma of mental illness firmly in place, deterring people from getting real help.

    • Yeah. (0 / 0)

      I don't know any parents who are self medicating with anything stronger than Bud Light.  

      I think generally people get on these kinds of meds due to a serious incident - particularly the strong narcotic painkillers - and become addicted.  Doctors give them out like crazy - I had dental issues and was given Vicodin.  If I was susceptible to addictions then that could be very dangerous.  Maybe we need to look at how we manage pain as well.  Are there alternative therapies to help people with chronic long term pain that don't expose them to issues of addiction?

      But no "we" don't take our kids ADHD meds and "we" don't pop Xanax like candy.  

      "As God is my witness, I thought turkeys could fly"

      by lonestar canuck on Sun Dec 09, 2007 at 10:05:39 AM PDT

      [ Parent ]

      • brain chemistry (0 / 0)

        Right, there are people who can have a few beers and be fine. There are people who have one sip and go on a binge and end up dead in gutter.  Same for every other drug.

      • We're terrible about pain in general (0 / 0)

        For people who are really in pain, we don't tend to give enough. People who take an appropriate amount for the pain won't get addicted. But obviously, people do abuse these drugs.

        It's pretty common for someone to get a Vicodin prescription and not use it up. That is the ideal case, of course.

        • So right. (0 / 0)

          Most people who use pain meds are responsible.

          A friend recently had an extremely painful bout of viral menengitis and took vicodin. She joked that she was going to bring the leftovers to our white elephant gift exchange. What else was she going to do with them? She wouldn't dream of taking them needlessly.

  • I don't know anyone (0 / 0)

    like this, either. Maybe I'm just naive.

    I do worry about drug companies pushing prescriptions on people that aren't needed. The for-profit health care industry has a lot to win from selling drugs.

  • Well...I would like to believe there (0 / 0)

    aren't people living like this, but I can't honestly believe its not so.  My daughter and my husband both work in the healthcare field, and honestly, most would probably be surprised at the sheer volume of psychoactive drugs that are being prescribed.  Now, many of these people are quite probably mentally ill or dealing with long term pain, etc., but one has to stop and wonder what in our society is creating so much mental despair?  

    • i fall on the side of... (0 / 0)

      Not really knowing anyone who takes RX drugs as described in this diary.  I do however know many people who are benefitting from drugs like Zoloft and other depression medications.  I honestly don't know if we are seeing more depression (though I wouldn't be at all surprised) or is that depression has come out of the shadows?  I am thankful that we are learning more and more about depression in all of its forms.

      It is difficult for me to believe that many instances of crushing depression isn't a chemical imbalance.  I also wonder when I read about the latest Mall shooting. This young man's history seems to be a combination of family disruption along with diagnosed mental problems. You combine that history with access to street drugs and guns...modern day depression becomes a whole lot more complicated.

      • And we have to include (0 / 0)

        over prescription of drugs by often well meaning health care providers because they lack the ability to do anything for these people.  Often people lack the ability to access true mental health care and what we see are those who are just prescribed one drug after the next by well meaning primary care doctors who have little ability to accurately diagnose or understand the complex process of helping such patients through medication.  

        I'm not doubting that depression is a "real" illness...but I think its possible that the science is ahead of what we're capable of providing in terms of care for individual patients.  

        • i totally agree! (0 / 0)

          and can attest personally to just what you describe.  as many of you know we moved my mother and step father in with us nearly 3 years ago.  why?  because we were convinced my mother was dying.  turns out between 3 doctors (none of whom apparently communicated despite saying they did) prescribed over 20 different drugs including...vicodin, high dosage morphine patches, remicaide( only given to last stage cancer patients, my mother never had cancer), several strong sleeping RXs, and more! 3 months after moving her in with us and getting her into Kaiser, she was taken off ALL drugs.  my mother who was falling down constantly, couldn't walk really, never slept at night-only dozed off in mid sentence is now driving, alert and perfectly fine!

          yes another example of our lousy lousy health care system.  when docs learn only about new meds through their drug reps, we are in a world of hurt.

          • Oh, absolutely... (0 / 0)

            and it goes way above and beyond treatment of mental illness.  Its not uncommon for people to be on drugs that they no longer remember what they were prescribed for!  

            I am certainly not one who's against medical treatment...I take several prescription medications myself that quite frankly, I need to make sure I'm still going to be here in 10 years time.  However, the treatment (or overtreatment) of every ailment is often  just the assumption.  For example, I get cluster headaches.  These are often referred to as "suicide headaches" and for good cause, I might add.  As the word "cluster" suggests, they come in clusters.  A "cluster period" might last anywhere from a couple of weeks to several months.  During this time, there's daily headaches occurring at the same time, every day.  During one of these cluster periods, I have no quibble with prescribing any drug to get a person through, but a couple of years ago, after I had just gotten through a cluster cycle, I had to argue with a doctor over being put on a drug to prevent these headaches.  I WAS NOT having them at the time...and I can go a year or two between cluster cycles, so why on earth would I want to be permanently on a strong drug during the interim?  Now, when I enter another cycle, I'll be more than happy to try this drug...but I could see no good reason to add another drug or two during a period of time when I didn't need them.

            • cluster headaches are awful (0 / 0)

              my ex got them and i literally hauled him to ER on 3 occassions...suicide headaches is a perfectly apt description.  unfortunately my dd has inherited this too, although her's are not clusters, just migraines.  you have my sympathy as i think i have only seen that kind of pain 2 other times...kidney stones and labor.
              • Never had a kidney stone, (0 / 0)

                but for me, a cluster headache is ten times worse than giving birth.  More pain involved in one than in all of my several completely natural childbirths combined.  I still don't want to be a drugs while I'm not in a cluster cycle, though.  

                • never suffered any of them :) (0 / 0)

                  big big baby w/r/t pain.  and labor?  at the first real contraction i had the nurse in a head lock for a quick epidural.  i don't blame you for not wanting to be on the drugs when not in a cycle.  i finally subcumbed to a cholesterol drug this year.  it is the first RX i have ever taken regularly.  i wouldn't even do birth control pills for longer than 6 months.  doesn't mean i wouldn't take Rx if needed, but i too am wary.
                  • I take a cholesterol drug, (0 / 0)

                    I take drugs to keep my heart rate and rhythm in line and I take drugs to keep me out of heart failure.  No problem with necessary drugs...but to treat pain I'm not currently having?  No thanks.

          • asdf (0 / 0)

            Remicade is used to treat rheumatoid arthritis, Crohn's disease, other bowel disorders, and at least one unspellable spinal condition.

            I'm glad your mother's doing better.

    • untitled (0 / 0)

      But let's say there is an underlying condition.  

      In the past, people would just zonk themselves out with a bottle of whiskey or whatever they had.  

      The underlying problem is the same, addiction, pain, mental illess.  It's just how we're dealing with it changed with the creation of all the psychiatric meds.  

      • I think there's more, too... (0 / 0)

        I think in past times, we offered more support to people during stressful times in their lives.  For example, new mothers were often surrounded by other family members took up the slack.  The new mother also wasn't expected to return to full time work in six weeks time and still manage to be the perfect housewife and mother while doing so.  

        And ofcourse, I think we prescribe drugs without fully knowing or understanding what potential effects could be.  Not nearly enough continuing care.  I'm not arguing against treating mental illnesses, I just think that we can't hand out these drugs in the same way we hand out aspirin.  

  • I apologize (0 / 0)

    for the esoteric nature of the post.  Clearly I did not take into consideration the diverse readership of Mother Talkers.  

    To be clear, I am not diminishing the importance of proper treatment for those struggling with mental illness.  But I rather doubt that Al Gore III has medical need for Vicodin and Valium and Xanax and Adderall.  Nor can I imagine a psychiatrist prescribing all of these medications to a single individual. I was trying to give a sense of what the "recreational" use of these drugs looks like, and why upper middle class children are at risk for this type of drug abuse.

    I will amend my post and attempt to clarify my point. Please check back, and let me know if I've succeeded.

    I appreciate you taking me to task for playing cute with a serious problem.  

    Let your life be a counter-friction to stop the machine. Henry David Thoreau

    by half dozen on Sun Dec 09, 2007 at 10:56:30 AM PDT

    • complex issue for sure.. (0 / 0)

      and a bit of a hot button for me.  we are in the throes of dealing with a family member who is suffering.  sometimes well meaning friends will say things that make me cringe.  we don't know who can handle a drug and who can't.  none of us are perfect and every family has its issues. but if you are one of the unfortunates who become easily addicted...man, it is hard on the family who must endure the raised eyebrows of those questioning what you did wrong.
  • Please read the diary's addendum (0 / 0)

    and let me know if I've clarified my meaning.

    Thank you!

    Let your life be a counter-friction to stop the machine. Henry David Thoreau

    by half dozen on Sun Dec 09, 2007 at 12:42:34 PM PDT

    • I think you did a wonderful job (0 / 0)

      at further explaining your point.  Ofcourse, I didn't disagree with your original premise.

      We've set up unrealistic standards.  Few people can measure up, and ofcourse "productivity" is the only measure we're interested in.  We're losing parts of our humanity.  We're suffering from phantom limb pain caused by the amputation of part of our spirits, our souls.  There is nothing in our present day society that fills the void and no one willing to be honest about real life.  We can't have and be everything all the time.

    • untitled (0 / 0)

      I still think we have to be careful about criticizing the use of psych drugs, due to the massive stigma attached to mental illness and emotional disorders.  It's a slippery slope from criticizing overuse by docs to criticizing someone who really needs them.  The same could be said for pain meds.

      Thank you for writing the addendum, your original diary made much more sense to me once I read it.

      • I agree with you... (0 / 0)

        Psych drugs have been salvation for many.  And I am glad that many behaviors that were formerly chalked up to weakness of character are now recognized as  chemical disorders that are largely treatable.

        I think human beings are more biochemically fragile than we realize. Environmental toxins, the complete destruction of our food supply, the lack of leisure time, sleep deprivation and high stress put us all at serious risk.  The constant assault on our senses that comes with living in the electronic age is, in my opinion, another root cause of societal pathology.  We can't seem to just sit still in silence with our thoughts. We can't just BE.  

        I honestly feel that a large part of my purpose as a mother is keeping myself and my family mentally and physically healthy.

        Let your life be a counter-friction to stop the machine. Henry David Thoreau

        by half dozen on Sun Dec 09, 2007 at 02:26:23 PM PDT

        [ Parent ]

        • Definitely (0 / 0)

          To your second paragraph, for sure.  

          There is still a genetic or biological component too.  

          For example, for me, no matter what, I just don't suffer from depression.  It's just not in my brain chemistry.  Loved ones die, life can be boring and stressful, I can be broke, eating crappy food, not exercising.  I can be sad, grieving, grumpy.  Still won't be depressed.  I have a hard time understanding people who are clinically depressed.  I just don't understand what they are going through, and I recognize that.

          Now excessive worry?  Sure.  I can do that.  I worry about stupid things.  Why?  Is it because my life is out of balance or I'm not eating right?  Maybe a bit.  But my brain just predisposed to worry.  But people would listen to me and say, "Why are you worrying about that?  That is so silly."  They would be right, but they just don't have the predisposition so they can't really understand it either.

          Thank you for your diary.  It really made me think about the things we can control to keep ourselves and our families healthy and sane, while maintaining empathy for those having a rough time.

      • So true (0 / 0)

        When I think of the damage inflicted by undiagnosed and untreated mental illness that I've seen in my grandparents' and parents' generations, I am grateful for the current crop of available psyche medications. They aren't perfect, but I'm sure they bring a lot of peace of mind to mentally ill people and their families.

    • quiet desperation.. (0 / 0)

      thanks for your addendum.  i live in a community that i think is very much like what you have just described. i don't know anyone here well enough to ascertain if prescription drugs are abused as you describe. alcohol seems to be the obvious drug of choice.
      • Alcohol (0 / 0)

        Alcohol is kind of odd when you think about it.  

        It's socially acceptable to drink a bit.

        In fact, it's less socially acceptable not to drink.  I don't drink, not even a drop.  I just decided after I had kids I didn't like the way it made me feel, especially the next day, and it was just not appealing anymore.  People think it's weird not to have a drink in certain situations.

        So, if you are looking to drown some pain, alcohol is the way to go, and it's a fine line between social drinking and abusive drinking, but quite easy to slip under the radar for a while.

        • Ha! (0 / 0)

          Try living in Australia!! You can't hide being pregnant here, because it's beyond weird to not have a drink at EVERY function. And right now is the season of the office Christmas party, when people get so drunk that they can't walk. And this is expected, and even acceptable. I just don't get it. I'm not getting totally drunk, well...ever really...but especially not in front of my boss and co workers!

          • ditto UK (0 / 0)

            Part of the reason I did a half marathon at the time I was trying to get pregnant in London was to disguise the fact that I wasn't drinking. Only way I could possibly get away with not having a beer at the pub was by saying "training!" Even then, it didn't save me from having the piss taken out of me, but at least it was for being a weirdy sporty person, not for being up the duff.

          • That's so funny! (0 / 0)

            Can't cover it up for long then!

            You have to sneak to the bar and ask them make you something that kind of looks like a drink so people will leave you alone!

            • I find that (0 / 0)

              club soda in a short glass with a lime in it works.  Especially when I wear juniper berry hand lotion.  Gin and tonic it is!

              Even orange or tomato juice works.  The trick is to have the toothpick with garnish. It makes everyone around you feel comfortable and allows you to not drink in peace!

              Let your life be a counter-friction to stop the machine. Henry David Thoreau

              by half dozen on Tue Dec 11, 2007 at 11:24:27 AM PDT

              [ Parent ]

            • I just wanted to get through (0 / 0)

              the first trimester and the first scan. I told my editor (and good friend) the day after I had the 12 week scan and told the rest of my close colleagues shortly thereafter. I just wanted a good excuse for the pre-conception and those first weeks!

              I always found ordering an orange juice and then saying it was a screwdriver was the answer. I'd usually volunteer to do a round and get myself a plain orange juice, then claim I'd had my limit after that.

  • Your addendum (0 / 0)

    just confirms for me why I'm so glad I don't live in a McMansion with a bunch of depressed women with absentee husbands and "high acheiving" children careening around buzzed off twelve prescription drugs in their Lexus SUVs.

    What the hell?

    • Are there (0 / 0)

      Are there really people like this?  I guess there are.    Look at Hollywood as an extreme example.  Too much money.

      • NJmom (0 / 0)

        I don't actually know anyone who abuses all the drugs I mentioned at any one time.  But those medications are certainly prevalent around here and are used for the purposes I mentioned, and probably others.

        It is well known that at our high school the kids sell their prescription medications, or those of their family members, to one another.  Our championship hockey team nearly saw their season cancelled this year after Oxycontin was found in two lockers.

        But, as shocking as drug use is, I think it's far less common than the dependence on alcohol I see all the time.  It's funny that nice wine served in a pretty glass is socially acceptable almost any time of the day.    

        Let your life be a counter-friction to stop the machine. Henry David Thoreau

        by half dozen on Mon Dec 10, 2007 at 07:07:20 AM PDT

        [ Parent ]

      • Actually, (0 / 0)

        according to my family members who work in healthcare, I think the problem might be more pervasive in those less affluent...those trying to hang onto middleclass status, the ones who live constantly with the fear of losing everything and having no where to go.  

  • Hmmmm... (0 / 0)

    Interesting. On first read, I just thought "yeah, yeah...someone else, another culture...not me". And then I had a think about what's in our cupboards. My husband is ADD. We have lots of dexamphetamines in our bathroom. Bottles of it because he is prescribed far more than he needs. And I still have leftovers of very strong pain meds from my c-sections and appendicitis (what are you meant to do with that stuff, anyway?). So if someone wanted to have a party...our house might be the place to come. Not being an addictive personality, it never occurred to me to take any of it. But I guess I should be aware of the kids later on.

    Of course, now I know that DH's dexies could make me more efficient and faster in the mornings...

    • the only Desperate Housewives (0 / 0)

      ep I ever saw was the one where Felicy Hoffman pops her kids' ADD medication to pull an all nighter doing costumes. It was kinda funny, but not funny enough to make me want to watch any more shows.

      I always throw out excess painkiller meds (on the rare occasions I've been prescribed) because I always need the bathroom cupboard space!

    • Medicine disposal (0 / 0)

      I just read in the paper that the best way to do this is to dump unused or expired meds into coffee grounds, cat litter or some other really unappetizing refuse so that they are not used by someone who finds them dumpster diving or something.

      • I did some checking... (0 / 0)

        And apparently the chemists here (oops...that's the pharmacies...sorry...wrong language) have a medicine disposal system. You can bring the medicine in and they dispose of it safely for you.

        • sounds pretty logical (0 / 0)

          I mean, this is a country that has safe disposals for medical sharps in public toilets. I love the Aussie practicality; does balance the coin for the "no worries" mentality.

  • interesting diary/topic (0 / 0)

    But, I agree that some people are trying to cope, at least where I live, with very high / unrealistic expectations of themselves and their kids.  "Maintaining the illusion" seems like an awful lot of work to me.  I see it around me, and it just makes me tired to think of all the stuff many of these women are doing to keep up.  It wouldn't surprise me a bit to find some of them using meds to keep all the balls in the air.  I don't often spend time with these put-together high achievers, but when I do there's a certain strain in their faces, especially around the eyes.   To me it looks like fear.  Fear that one of the balls will drop and life as they know it will not carry on.  

    I feel like saying, "Hey, it's not so bad down here."  Imperfection definitely has its charms.  And, it's way easier.  Of course, that's coming from a mom who feels proud of her kid even though he's not Ivy-bound.  Who would secretly love it if he went to community college for 2 years.  So you gotta take my thoughts for what they're worth.  

    I do know one mom who used to get her friend's son's leftover Ritalin before getting her own prescription.  She does not fit this profile of a driven person.  She just can't seem to get going without some speed.

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