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Psychiatric drugs: Australia, what are they doing to your children?

    A child collasped with psychiatric drugs

    Psychiatric drug prescribing for children is markedly increasing

    An Australian study regarding psychiatric drug prescribing for children found significant increases in all classes of psychotropic drugs.

    Between 2011 and 2018 prescriptions for attention deficit hyperactivity disorder medications almost doubled. Prescriptions of antipsychotic medications increased by 63% and prescriptions of antidepressant medications by 43%. 1

    The age group where there was the most increase in prescriptions was 10 to 14 year olds.

    An additional finding was that prescriptions for melatonin had the largest increase of all – increasing by 600% over this period. 2

    Off-label prescribing – not approved for use with children

    “Very few psychiatric drugs are approved for children or teenagers in Australia, and none for depression. However, we found that 1 in 10 teenagers 15 to 18 years were prescribed antidepressants in 2018

    Julie Klau, Study Author

    Julie Klau, an author of the study, points out the rising prescriptions are being done without regulatory approvals for the drugs being used with children.

    “Very few psychiatric drugs are approved for children or teenagers in Australia, and none for depression. However, we found that 1 in 10 teenagers 15 to 18 years were prescribed antidepressants in 2018’’

    University of Adelaide. E Black. Prescribing of psychiatric drugs to Australian kids on the rise. 2022. 3

    At the same time, there are several indications that there are wild variations in prescribing practices such as the rate of prescribing for antipsychotics in the Southern Highlands of New South Wales being 22.5 times higher than areas that had the lowest rate, with no possible clinical explanation for the differences. 4

    Disturbing side-effects

    “Antipsychotics are associated with weight gain and metabolic problems, including diabetes. And antidepressants are associated with suicidal behaviour, especially in vulnerable teens.”

    Professor Jon Jureidini

    Professor Jon Jureidini, study author and Research Leader of the Critical and Ethical Mental Health group, said:

    “Antipsychotics are associated with weight gain and metabolic problems, including diabetes. And antidepressants are associated with suicidal behaviour, especially in vulnerable teens. In America, the FDA – America’s equivalent of the Australian Therapeutic Goods Administration– has included a strong ‘black box’ warning about this risk on all antidepressants since 2004.”  

    University of Adelaide. E Black. Prescribing of psychiatric drugs to Australian kids on the rise. 2022. 5

    Antipsychotics have been found to produce increased mortality in children and a host of other appalling side effects. 6

    The largest drug use increase over the period was with melatonin. There are no studies on long-term use of melatonin in adults, let alone children. At the same time, the side effects of melatonin use include: dizziness, stomach cramps, headaches, nausea, confusion or disorientation, irritability, low blood pressure, DEPRESSION and ANXIETY. There is a study that suggests a relation between melatonin use and Type 2 diabetes. 7

    A prescription bias against disadvantaged children

    …children from disadvantaged families were 3 times more likely to be prescribed antipsychotic medications.

    This study from Adelaide University also found that children from disadvantaged families were 3 times more likely to be prescribed antipsychotic medications.

    This data confirmed figures from an earlier 2018 study which also found significant bias in prescriptions towards children from disadvantaged families:

    “These findings strengthen the evidence that children from disadvantaged families are more likely to be prescribed antipsychotics, use more psychological services and have worse health and educational outcomes.”

    University of Adelaide. Robinson Research Institute. Disadvantaged kids prescribed antipsychotic medication more often than others 2022. 8

    What also became clear from the 2018 study is that prescribing practices are ignoring the social factors that may be behind these children’s behaviour and they are simply put on potentially dangerous and debilitating drugs.

    Easier to just prescribe drugs

    …suicide rates for Australian children are steadily rising and the use of psychotropic drugs is doing absolutely nothing to improve that.

    As suggested in 2017 by Dr Paul Robertson, the chairman of the child and adolescent psychiatry faculty at the Royal Australian and New Zealand College of Psychiatrists:

    “One of the concerns is that prescribing medication is easier to do than delivering evidence-based, high quality psychosocial interventions. Where there is a shortage of resources, you worry that medications are relied on too much.”

    Sydney Morning Herald. 2017. Over 16,000 Australian children prescribed antipsychotics, PBS data shows 9

    All this leaves us with for 2020/21 is 247,884 children on psychiatric drugs. And 2,522 between the ages of 0 to 4 years. 10 11

    Indeed, that medications are being relied on too much seems a considerable understatement and yet what will it take to stop it?

    At the same time, suicide rates for Australian children are steadily rising and the use of psychotropic drugs is doing absolutely nothing to improve that. 12 13

    Further references:

    A hand pouring pills into a person's head

    Chemical imbalance – psychiatry as a pharma marketing tool

    Despite hundreds, if not thousands of contributions from psychiatrists in support of the chemical imbalance theory, some leading voices in the field deny there ever was a theory and the public have been misled …
    Antipsychotic drugs

    Antipsychotics – a horrible replacement for even worse alternatives

    When the first antipsychotic, chlorpromazine, emerged in the 1950s it was gleefully described by psychiatrists as a ‘chemical lobotomy’ – as though this was something to aim for …

    1. University of Adelaide. E Black. Prescribing of psychiatric drugs to Australian kids on the rise. 2022.
    2. Julie Klau, Carla De Oliveira Bernardo, David Alejandro Gonzalez-Chica, Melissa Raven, Jon Jureidini. Trends in prescription of psychotropic medications to children and adolescents in Australian primary care from 2011 to 2018
    3. University of Adelaide. E Black. Prescribing of psychiatric drugs to Australian kids on the rise. 2022.
    4. Sydney Morning Herald. 2017. Over 16,000 Australian children prescribed antipsychotics, PBS data shows
    5. University of Adelaide. E Black. Prescribing of psychiatric drugs to Australian kids on the rise. 2022.
    6. Wayne A. Ray, C. Michael Stein, Katherine T. Murray, Catherine Fuchs, Stephen W. Patrick, James Daugherty, Kathi Hall, William O. Cooper. Association of Antipsychotic Treatment With Risk of Unexpected Death Among Children and Youths. JAMA Psychiatry. 2019
    7. Medical News Today. 2022. Melatonin: Are we using too much?
    8. University of Adelaide. Robinson Research Institute. Disadvantaged kids prescribed antipsychotic medication more often than others 2022.
    9. Sydney Morning Herald. 2017. Over 16,000 Australian children prescribed antipsychotics, PBS data shows
    10. CCHR Australia. Psychiatric labelling and drugging of Australian children: The facts.
    11. Mental health services in Australia: Mental health related prescriptions, Table PBS.4:Number of patients dispensed one or more mental health-related prescription, by patient demographic characteristics, 2019-20, Australian Institute of Health and Welfare, 18 May 2021.
    12. PsychWatch Australia. 2019. More young Australians suicide/self-harm and use antidepressants while experts dismiss FDA warning
    13. Therapeutic Goods Administration. 2021. Antidepressant utilisation and risk of suicide in young people