Take Action – Missouri Legislature

Psychiatry’s Continued Attacks on Missouri Citizens

This session of the Missouri Legislature has several bills demonstrating the psychiatric industry’s continued attempts to defraud and abuse citizens.

SB90  Decriminalizes the psychedelic drug psilocybin in certain cases, and requires the Department of Mental Health to conduct a study on it for mental health treatment.

Sponsor: Senator Stephen Webber (Democrat, District 19 – Boone)

Psilocybin is a naturally occurring psychedelic compound found in over 200 species of mushrooms, commonly known as “magic mushrooms.” It alters perception, mood, and cognition, and produces hallucinations. It can also cause anxiety, paranoia, and depersonalization.

It is not known how psychedelic drugs are supposed to work as mental health treatment. Psychedelics carry the risks of devastating immediate and long-term harms, putting human lives and sanity at risk.

For more information about CCHR’s opposition to psychedelic drugs, please see the discussion here.

There are also two similar bills HB829 and HB951

Sponsor: Representative Richard West (Republican, District 102 – St. Charles)

Sponsor: Representative Matthew Overcast (Republican, District 155 – Stone, Ozark, Taney, Douglas)

There were two similar bills in last year’s Legislative Session, indicating that this is a hot topic for psychiatry. We are seeing a rapturous psychiatric reception given to these harmful psychedelics, buoyed by a re-hashed brain chemical theory and claims of a “renaissance” in mental health treatment. It took 30 years for the “chemical-imbalance-in-the-brain-causes-depression” myth to be fully recognized as pseudoscience and dangerously misleading to consumers. We should recognize the trademark signs of this same marketing scam with psychedelics and prevent America from “turning on and tuning out” to these mind-altering drugs before it is too late.

SB218  Provides for the establishment of a mental health treatment court as an alternative for the disposal of cases that stem from mental health or co-occurring disorders of criminal defendants.

Sponsor: Senator Rusty Black (Republican, District 12 – Andrew, Atchison, Caldwell, Carroll, Chariton, Clinton, Daviess, Dekalb, Gentry, Grundy, Harrison, Holt, Linn, Livingston, Mercer, Nodaway, Sullivan, Worth and part of Buchanan County)

Basically, a mental health treatment court is a path to place offenders into the psychiatric mental health system, instead of handling criminal actors in the Justice System where they belong. This subversion of Justice has been a primary inroad for psychiatric fraud and abuse in society.

Psychiatry’s ideologies and actions have contributed to today’s failing criminal rehabilitation and increasing crime rate. 

For more information about this, please see the discussion here.

There are also two similar bills HB82 and HB227.  

Sponsor: Representative Dave Griffith (Republican, District 60 – Cole)

Sponsor: Representative John Black (Republican, District 129 – Webster)

SB44  This act establishes the “Committee on School Safety” within the Department of Public Safety. The Committee shall at least quarterly evaluate and establish guidelines for school safety concerns, including plans to prevent school firearm violence. While it does not specifically mention psychiatry or mental health, it does not preclude psychiatric interference in the matter such as mental health screenings for school children.

Psychiatric, mind-altering drugs have been found to be the common factor in an overwhelming number of school shootings. We urge you to alert your legislators to this fact, and ask them to incorporate this information into this legislation in order to head off fraudulent and abusive psychiatric involvement in any school safety committee.

Sponsor: Senator Travis Fitzwater (Republican, District 10 – Callaway, Lincoln, Montgomery, Pike and Part of St. Charles County)



HB680  Requires the department of mental health to apply for grant funding from the United States Department of Health and Human Services to establish mobile mental health units throughout the state in cooperation with local public health agencies.

What can we say about this? “Psychiatry does not commit human rights abuse. It is a human rights abuse.” – Thomas Szasz

Just take a look at one or more of the CCHR web sites to start to understand how very bad this bill is:

https://www.cchrstl.org

https://www.cchr.org

https://www.cchrint.org

Sponsor: Representative Michael Johnson (Democrat, District 23 – Jackson)


The Missouri Legislature

The Missouri General Assembly is the state legislature of the State of Missouri and is composed of two chambers: the House of Representatives and the Senate. The General Assembly is responsible for creating laws for governing the State of Missouri. The Revised Statutes of Missouri (RSMo) are electronically available on this site:  http://revisor.mo.gov/.

You can find your Representative and Senator, and their contact information, by entering your 9-digit zip code here.

The current Session this year (103rd General Assembly, 1st Regular Session) convened on Wednesday, January 8, 2025, and will end on Friday, May 16, 2025. You can see all of the House Bills (HB) by clicking here; and the Senate Bills (SB) are listed here.

If you are not a voting resident of Missouri, you can find out about legislation in your own state and write your own state legislators; also, we are looking for volunteers to monitor legislation in Missouri and the states surrounding Missouri — let us know if you’d like to help out.

You can also help out by sending CCHR STL a tax-deductible monetary donation so that we can continue to alert you to these issues.

Check out our handy discussion about How to write to a legislator.

We Urge You To Contact Your Legislators To Express Your Own Viewpoints.

Please write, call or visit to express your viewpoint as an individual or professional, and not as a representative of any organization. Let us know the details and any responses you get. The full text of each bill can be found on the House and Senate Joint Bill Tracking site. Just put the bill number into the search box (e.g. SB123 or HB123).

While this list is not all the bad bills, and does not include any of the good bills, we’ve chosen the worst of the bad’uns to get you going on contacting your legislators!

Decide for yourself and take action.

Summary

Instead of these failed psychiatric approaches, the emphasis must be on workable mental healing methods that improve and strengthen individuals and thereby society by restoring people to personal strength, ability, competence, confidence, stability, responsibility and spiritual well-being. Psychiatric drugs and psychiatric treatments are not workable.

Read the text of these bills to see how they encourage psychiatric fraud and abuse, and urge your Missouri state legislators to reject pro-psych bills in their current form.

The real problem is that psychiatrists fraudulently diagnose life’s problems as an “illness”, and stigmatize unwanted behavior as “diseases.” Psychiatry’s stigmatizing labels, programs and treatments are harmful junk science; their diagnoses of “mental disorders” are a hoax – unscientific, fraudulent and harmful. All psychiatric treatments, not just psychiatric drugs, are dangerous.

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CCHR Applauds Call for Human Rights-based Approach to Mental Health

A new article in Health and Human Rights Journal calls for an approach to mental health in which every aspect of it and its determinants is endowed with respect for, and the realization of, human rights.

by CCHR National Affairs Office 

A new perspective article calls for a more comprehensive, human rights-based approach to mental health that addresses the wider social, economic, and environmental factors that cause emotional distress. The article was published in Health and Human Rights Journal, a joint publication of Harvard University’s FXB Center for Health & Human Rights and Drexel University’s Dornsife School of Public Health.

The authors contrast a human rights-based approach with today’s biomedical approach, which assumes increased psychiatric screening, diagnosis and treatment of mental health symptoms will lead to mental well-being for individuals and nations. 

The article’s authors note that there has been criticism of the psychiatric influence, or “psychiatrization,” of the Sustainable Development Goals issued by the United Nations, which identified improved mental health as a priority for global development. Psychiatrization refers to the increasing influence of psychiatry through its institutions and practices affecting an increasing number of people and areas of life.

“Concerns about psychiatrization stem from the fact that the focus is predominantly on scaling up the diagnosis and treatment of mental disorders, without paying attention to how a biomedical approach is limited in addressing the environmental, social, economic, and political determinants of mental health,” wrote lead author Lisa Cosgrove, PhD, a professor in the Counseling Psychology Department at the University of Massachusetts and co-founder of the Centre for Mental Health, Human Rights, and Social Justice.

Cosgrove and colleagues call for a human rights-based approach to mental health which “ensures that every aspect of health care and its determinants is imbued with respect for, and the realization of, human rights.”

The article references Dainius P?ras, a child psychiatrist and former UN Special Rapporteur on the right to health, who argued that mental well-being should not be defined as the absence of a mental health condition, but instead is the result of a social, political, economic and physical environment that enables people to live a life of dignity, with full enjoyment of their rights in the pursuit of their full potential.

“The Citizens Commission on Human Rights applauds the call for a human rights-based approach to mental health,” said Anne Goedeke, president of the CCHR National Affairs Office. “CCHR is dedicated to ensuring human rights and dignity in the field of mental health.”

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End the Fraud and Abuse of Involuntary Psychiatric Detentions

Research indicates psychiatric confinements against a person’s will have been increasing at three times the rate of the increase in population.  Investigations and U.S. Justice Department complaints have alleged that patients have been held and their insurance billed unnecessarily.

by CCHR National Affairs Office

The Citizens Commission on Human Rights (CCHR) has resolved, as a major focus of its national efforts in 2025, to raise awareness of the abusive and costly practice of detaining people against their will in psychiatric facilities, with the goal of ending the practice.  CCHR is a mental health industry watchdog.

State laws on psychiatric detentions vary in the U.S., but nearly all states allow involuntary inpatient civil commitments, evaluation and treatment of individuals deemed a danger to themselves or others.  However, this determination is completely subjective, which opens the potential for fraud and abuse. 

CCHR chapters around the world have for years complained to the proper authorities on behalf of individuals reporting to the organization that they were wrongly committed to a psychiatric facility, forced to take psychiatric drugs, held for long periods of time, traumatized by circumstances in the facilities, and released in worse condition than when they were first detained.

Exposés of the practice have also appeared in the press.  A recent investigation by reporters at the New York Times focused on Acadia Healthcare, one of the largest chains of for-profit behavioral health facilities in the U.S., and concluded, “Acadia has lured patients into its facilities and held them against their will, even when detaining them was not medically necessary.”

Acadia allegedly maximized insurance billing by using various excuses to continue holding patients, sometimes until their insurance coverage ran out.  Acadia reportedly charges as much as $2,200 a day for some patients.  With the bulk of Acadia’s revenue coming from government insurance plans, including Medicaid and Medicare, taxpayers are footing the bill for most of these detentions.

In September, Acadia agreed to pay $19.85 million to settle allegations that the company knowingly submitted false claims for payment to Medicare, Medicaid and TRICARE for medically unnecessary services for patients it improperly admitted to its facilities and patients held for excessive lengths of stay, according to the U.S. Department of Justice.

Similarly, in 2020 another of the largest U.S. chains of for-profit psychiatric facilities, Universal Health Services, agreed to pay $117 million to settle Justice Department allegations that included billing for medically unnecessary inpatient admissions and keeping patients longer than medically necessary.

Evidence shows that involuntary commitment has become far more prevalent in recent years.  A 2020 study at the UCLA School of Public Affairs found that in the 22 states which provided civil commitment data for the five-year period ending in 2016, the states’ average yearly involuntary detention rate increased at three times the rate of their average population growth.  It has been estimated that four of every ten admissions to psychiatric facilities are involuntary, a figure that reportedly rose by 27% over the last decade.

The increased risk of suicide in the period following discharge from psychiatric confinement is well recognized, with the risk even greater for those who are admitted to psychiatric facilities against their will.

The World Health Organization (WHO) has called on countries to end coercive mental health practices.  “People subjected to coercive practices report feelings of dehumanization, disempowerment and being disrespected.  Many experience it as a form of trauma or re-traumatization leading to a worsening of their condition and increased experiences of distress,” WHO advised.

The Citizens Commission on Human Rights is dedicated to ending this abusive practice.  “The power of a psychiatrist or other mental health practitioner to deprive individuals of their liberty based on purely subjective evaluations, which will always have the potential for abuse and which research has shown to be harmful to patients, must stop,” said Anne Goedeke, president of the CCHR National Affairs Office.  “This will be a major focus for us in 2025, as we work to restore human rights to the field of mental health.”

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Missouri Psychiatrist and Co-Conspirator Finally Brought to Justice

In 2004 the Citizens Commission on Human Rights of St. Louis (CCHR STL) filed a formal complaint against St. Louis, Missouri psychiatrist Franco Sicuro, for fraud and abuse related to a patient’s alleged misdiagnosis and mistreatment lasting over a very painful fifteen months.

Sicuro headlined the news in 2020 when he was indicted by the U.S. Attorney’s Office, Eastern District of Missouri, for $15 million in health care fraud.

Eventually Sicuro pleaded guilty in 2022 to a felony conspiracy charge and admitted that Medicare, Medicaid and other insurers lost more than $3.8 million based on fraudulent reimbursement claims submitted by clinical laboratories that he owned. Sicuro has since satisfied the restitution owed, and agreed to forfeit $3.1 million in assets.

Finally in 2024 the U.S. Attorney’s Office, Eastern District of Missouri, reported that Sicuro’s co-defendant, Carlos Himpler, was sentenced to 20 months in prison and fined $100,000 for submitting more than $3.8 million in fraudulent claims to Medicare, Medicaid and private health care benefit programs.

This kind of criminal fraud is rampant in the psychiatric industry. Experience has shown that there are many criminal mental health practitioners. If you become aware of such, file a fraud report here: https://www.cchr.org/take-action/report-psychiatric-abuse.html.

CCHR St. Louis was among the first to spot and make known this psychiatrist’s criminal behavior and thanks to its persistent education with health and regulatory agencies on the abuses of psychiatry justice was able to prevail.

What is needed is legislation that provides not only more effective oversight but also stronger accountability measures: criminal and civil penalties, removal from CMS programs (Centers for Medicare & Medicaid Services) and their funding, and hospital closure where systemic abuse is found. Only such a comprehensive solution can begin to thwart the level of abuse, fraud and malpractice that is so widespread today in the for-profit mental health industry.

Contact your local, state and federal representatives and express your opinions about this. Find contact information for your Missouri legislators here: https://www.senate.mo.gov/LegisLookup/ZipLookup

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New Study Finds Antipsychotic Drugs Worsen Behavior in Nursing Home Residents

New research provides additional evidence that off-label prescribing of antipsychotic drugs for elderly patients with dementia is not effective in reducing behavioral symptoms and exposes them to risks of serious side effects.

by CCHR National Affairs Office

Antipsychotic drugs significantly worsened behavior in two out of three nursing home residents using the drugs, a new study indicates.  The researchers say their findings support the importance of focusing on approaches other than the use of antipsychotics for the behavioral symptoms of elderly patients.  The Citizens Commission on Human Rights (CCHR) urges caregivers and family members to report any instance of harm or abuse from the use of antipsychotics to CCHR, as well as the Centers for Medicare and Medicaid Services (CMS). 

The new study explored the association between antipsychotics and worsening behavior in patients in long-term care facilities.  Antipsychotics are commonly prescribed for agitation or other behavioral disturbances in older people with dementia. 

Researchers at the University of Waterloo in Ontario, Canada, analyzed data from nearly 500,000 Canadian nursing home residents from 2000 to 2022 and found that nearly 68% of the residents who used antipsychotics had worse behavioral problems during follow-up checks. 

“Our findings support the importance of focusing on non-pharmacological approaches to care, especially in the setting of those experiencing BPSD [behavioral and psychological symptoms of dementia],” the researchers concluded.

The study further found that 26% of nursing home residents in Canada were prescribed antipsychotics for off-label uses not approved by the FDA. 

“Sometimes people may say they don’t have enough staff to deal with these issues, but the reality is that these medications can make disability and cognitive impairment worse,” said John Hirdes, Ph.D., a professor in the School of Public Health Sciences at Waterloo University who was part of the research team. 

The researchers recommended getting to the source of dementia patients’ behavioral issues and providing non-drug support first.  That support may be in the form of better pain management, activities to reduce anxiety, gentle exercise, or music and art therapy, which have been shown to improve behavioral symptoms without the need for antipsychotic drugs. 

“Although the positive effects of non-pharmacological treatment are widely discussed in the [medical] literature, these approaches are infrequently and inconsistently implemented,” the researchers wrote.  The study was published in the Journal of the American Medical Directors Association.

In 2005, the U.S. Food and Drug Administration (FDA) issued its most serious “black box” warning for atypical (second-generation) antipsychotics, including Abilify, Zyprexa, Seroquel and Risperdal, after finding the drugs nearly double the rate of death in elderly dementia patients.  In 2008, the FDA extended the warning to all antipsychotics by including typical (first-generation) antipsychotic drugs, such as Haldol, Thorazine and Prolixin, and added a warning for stroke and other cerebrovascular adverse events in elderly patients with dementia.

Atypical antipsychotic drugs, initially promoted as safer than older generation antipsychotics, not only failed to prove safe when used for behavioral treatment in older adults with dementia, but also failed to show evidence of effectiveness, a 2013 study found. 

Antipsychotics carry the risks of serious side effects, including tremors, anxiety, confusion, restlessness, rigidity, tardive dyskinesia (uncontrollable muscle movements), cognitive decline, stroke, cardiovascular events, and an increased risk of death in elderly dementia patients that prompted the FDA warning.

The CMS National Partnership to Improve Dementia Care in Nursing Homes worked successfully to reduce the percentage of long-term nursing home residents in the U.S. who are prescribed antipsychotic drugs from 23.9% in 2011 to 14.8% at the end of 2023, but the rate hit a low of 14% in 2019 and has risen since then.  Some 2.2 million Americans aged 65 and older are currently prescribed antipsychotic drugs.

Resident rights in the federal regulations for long-term care facilities prohibit the use of medications for discipline or the convenience of others.  CCHR urges caregivers and family members to report any wrongful prescribing of antipsychotics to nursing home patients by contacting CCHR, as well as CMS.

WARNING:  Anyone wishing to discontinue or change the dose of an antipsychotic or other psychiatric drug is cautioned to do so only under the supervision of a physician because of potentially dangerous withdrawal symptoms.

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CCHR Calls for Repeal of Laws Allowing Forced Psychiatric Detention Amid Evidence of Abusive and Racist Use

New study finds requests made under Massachusetts law to transport people against their will for psychiatric evaluation were made by health professionals who had not seen the individuals who were the subject of their requests, and those individuals were disproportionately Black people.

by CCHR National Affairs Office

The vast majority of requests to law enforcement and emergency medical services in Boston to transport individuals against their will to a hospital or psychiatric facility for psychiatric evaluation, often leading to involuntary commitment, were made by health professionals who had not seen the individuals who were the subject of their requests, a new study has found.  The individuals forcibly transported and evaluated were disproportionately Black people.  The Citizens Commission on Human Rights (CCHR) is calling for the repeal of laws allowing such gross violations of human rights. 

A team of researchers led by Kevin M. Simon, MD, MPH, Chief Behavioral Health Officer of the Boston Public Health Commission and an instructor in psychiatry at Harvard Medical School, analyzed the 488 written applications made by health and mental health professionals for involuntary mental health transport and evaluation in Boston over a one-year period in 2021-2022. Massachusetts law allows the involuntary procedure if medical or mental health professionals believe a person is a danger to him/herself or others. 

The researchers found that in three out of every four (76%) requests, the professionals had not seen the individuals they were asking to be forcibly transported for psychiatric evaluation, acting instead on information received from other sources.  They further found that the individuals subject to the involuntary procedures were disproportionately Black people.

“The analysis revealed racial disparities: 41% of involuntary hospitalization applications were for individuals identified as Black or African American, but this racial group represents only 23% of Boston’s population,” the researchers wrote.  The study is available online in advance of publication in Psychiatric Services.

Statewide, tens of thousands of people are involuntarily transported for psychiatric evaluations each year in Massachusetts.  Similar involuntary procedures are found in state laws across the U.S. 

CCHR and investigative reporters have uncovered the fraud and abuse at many psychiatric facilities from the misuse of state mental health laws to wrongly detain, evaluate and treat individuals against their will, while billing their insurance for it.

Because of such reported harm, the World Health Organization (WHO) issued guidance in 2021, advising countries to end coercive mental health practices, which it said are used “despite the lack of evidence that they offer any benefits, and the significant evidence that they lead to physical and psychological harm and even death.” 

The WHO guidance extends its call for prohibiting coercion even to those in mental health crisis, stating, ”People subjected to coercive practices report feelings of dehumanization, disempowerment and being disrespected.  Many experience it as a form of trauma or re-traumatization leading to a worsening of their condition and increased experiences of distress.”

The Citizens Commission on Human Rights agrees.

“We must end the abusive business as usual of psychiatrists and other mental health practitioners depriving individuals of their liberty with the stroke of a pen, causing people to be taken by force to a psychiatric facility, forced to undergo unwanted psychiatric evaluation and treatment, then claiming that this coercive, traumatizing experience is for the good of the individual,” said Anne Goedeke, president of the CCHR National Affairs Office.  “Human rights must be restored to the field of mental health.”

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As International Human Rights Day Approaches, CCHR Urges Adoption of the Mental Health Declaration of Human Rights

International human rights standards call for human rights-based approaches in the field of mental health.  Citizens Commission on Human Rights is working to make those rights a reality through the promotion of the Mental Health Declaration of Human Rights.

by CCHR National Affairs Office

The Citizens Commission on Human Rights (CCHR) National Affairs Office announces it will be carrying out a promotional campaign, launching on International Human Rights Day, to raise awareness of the Mental Health Declaration of Human Rights.  This Declaration, like the United Nations Universal Declaration of Human Rights (UDHR) that inspired it, lays out fundamental human rights, but as specific to the field of mental health. International Human Rights Day marks the signing of the UDHR on December 10, 1948.

All human rights organizations set forth codes by which they align their purposes and activities. The Mental Health Declaration of Human Rights articulates the guiding principles and goals for the field of mental health to which CCHR adheres.

The mental health rights in the Declaration include the right to be treated with dignity, the right to fully informed consent to mental health treatment based on the full disclosure of risks, as well as the right to refuse consent, and the right to know what alternative treatments are available.  The Mental Health Declaration of Human Rights sets forth these and other fundamental mental health human rights to which CCHR believes everyone is entitled.

International human rights standards call for changes in mental health approaches to ensure human rights are respected.  In 2017, Dr. Dainius P?ras, the United Nations Special Rapporteur on the right to health, called for “a sea change” in mental health care around the world to replace “outdated practices that violate human rights.” 

More recently, the World Health Organization (WHO) issued guidance in 2021 for promoting a rights-based approach to mental health.  WHO observed that “an entrenched overreliance on the biomedical model in which the predominant focus of care is on diagnosis, medication and symptom reduction…hinder[s] progress towards the full realization of a human rights-based approach.”  It called for mental health systems and services to align with international human rights standards, including the U.N. Convention on the Rights of Persons with Disabilities, which aims to protect the human rights and fundamental freedoms of all persons with disabilities.

CCHR is making the Mental Health Declaration of Human Rights more widely known.  Because adequate protections for human rights in the field of mental health are vital, CCHR urges that these rights be recognized by the widespread adoption of this Declaration.

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CCHR Calls on FDA to Require Updated Antidepressant Warnings After Research Finds Withdrawal Symptoms Are Common

Withdrawal symptoms are experienced by nearly half of the people trying to quit antidepressants, even if tapered over several weeks, research finds.  CCHR says prescribing information and medication guides do not adequately convey this widespread risk and calls on FDA to require updates.

by CCHR National Affairs Office

Close to half of the people who quit antidepressants experience withdrawal symptoms regardless of whether they stop suddenly or taper their dosage over several weeks, a new study finds.  In light of recent research, Citizens Commission on Human Rights (CCHR) calls on the U.S. Food and Drug Administration (FDA) to require antidepressant manufacturers to carry more adequate warnings in their prescribing information and medication guides on the risk of withdrawal symptoms when patients stop using the drugs.

The new research, published in Molecular Psychiatry, investigated the incidence of so-called antidepressant withdrawal syndrome by reviewing drug trials of antidepressants that included data on withdrawal symptoms.  What researchers found is that nearly half of study participants experienced withdrawal symptoms when stopping antidepressants after having used the drugs for 8 to 12 weeks in the trials.

“The pooled incidence of AWS [antidepressant withdrawal syndrome] from all available studies was 42.9% [and] from 11 RCTs [randomized controlled trials] was 44.4%,” the researchers concluded.  They found no significant difference in the incidence between the types of antidepressants used.  

They also found that the longer antidepressants were used, the greater the incidence of withdrawal symptoms, with the incidence rising to over 51% for those who quit after taking antidepressants for longer than 24 weeks. 

These findings are consistent with prior research.  One study found that more than half (56%) of people who attempt to come off antidepressants experience withdrawal effects, with nearly half (46%) of them describing the symptoms as severe.  Another found that among people whose withdrawal effects were persistent, ranging in duration from 5 to 166 months, 81% experienced mental health disturbances like anxiety, depression, emerging suicidality and agitation.  Physical symptoms, primarily headache, fatigue, dizziness, brain zaps, visual changes, muscle aches, tremor, diarrhea, and nausea, were experienced by 75%.

CCHR has previously called for updated warnings in prescribing information and medication guides to more adequately warn prescribers and consumers of the increased risks of atrial fibrillation, stroke, cardiovascular disease, and long-lasting and permanent sexual dysfunction from the use of antidepressants. 

CCHR has also called on the FDA to issue an updated Drug Safety Communication on the risks to newborns from their mothers’ continued use of antidepressants during pregnancy.  Those risks include premature birth, lower birth weight, neonatal hospitalization and withdrawal symptoms.

“The FDA, which is responsible for ensuring pharmaceutical drugs are safe, must take immediate action due to the growing body of research indicating that adverse effects when using or attempting to stop using antidepressants are more widely experienced and potentially more severe than current prescribing information and medication guides indicate,” said Anne Goedeke, president of the CCHR National Affairs Office.  “FDA action is long overdue on this urgent public health issue.”

WARNING: Anyone wishing to discontinue or change the dose of an antidepressant or other psychiatric drug is cautioned to do so only under the supervision of a physician because of potentially dangerous withdrawal symptoms or other complications.

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CCHR Calls on FDA to Update Antidepressant Information for Increased Risks of Stroke and Heart Disease

New research finds antidepressants increase the risk of stroke, atrial fibrillation, heart failure and other cardiovascular events. Citizens Commission on Human Rights calls on the U.S. Food and Drug Administration to update medication guides to reflect these risks.

by CCHR National Affairs Office

The increased risk of stroke and other cardiovascular diseases faced by depressed individuals is due to their use of antidepressants, not to the depression itself, a new study indicates.  Citizens Commission on Human Rights (CCHR) calls on the U.S. Food and Drug Administration (FDA) to update antidepressants prescribing information and medication guides to fully disclose these risks now established by research.

Prior research had looked for, but had not found an underlying biological mechanism to account for the increased risk of cardiovascular diseases in depressed people.  Until now, the contribution of antidepressants to the risks of stroke and heart diseases had not been adequately evaluated. 

Researchers in the new study used methodology that allowed them to separately assess the effect of major depression and antidepressants on seven cardiovascular conditions: arrhythmia, atrial fibrillation (AFib), coronary artery disease, high blood pressure, heart failure, stroke, and cardiovascular diseases as a group. 

They found that the use of antidepressants increased the risk of atrial fibrillation and stroke by 44% each; arrhythmias by 28%; coronary artery disease, high blood pressure, and heart failure by 16% each; and overall cardiovascular disease by 35%.  They concluded that the association of depression with these cardiovascular diseases is primarily accounted for by depressed patients’ use of antidepressants, not from depression itself.

“The use of antidepressants is linked to heightened risks of each CVD [cardiovascular disease],” the researchers reported, publishing their results in the British medical journal, BMJ Mental Health.

Heart diseases and stroke are major health concerns in the U.S.  “Cardiovascular disease and stroke are common and costly, and their prevalence is rising,” warned a recent article in Circulation, the journal of the American Heart Association.  

The FDA-approved prescribing information and medication guides for antidepressants, such as Zoloft, Prozac, Cymbalta and Pristiq, do not currently mention the potential risks of stroke and cardiovascular diseases associated with the use of the drugs.  Some 45 million Americans are currently taking antidepressants prescribed by their psychiatrists or other prescribers.

“It is incumbent on the FDA to require antidepressant manufacturers to update the information provided to patients to warn of the potential risks of stroke, atrial fibrillation, heart failure, and other life-threatening cardiovascular events from the use of these drugs,” said Anne Goedeke, president of the CCHR National Affairs Office.  “Consumers have the right to know the full extent of the potential dangers of antidepressants.”

WARNING: Anyone wishing to discontinue or change the dose of an antidepressant or other psychiatric drug is cautioned to do so only under the supervision of a physician because of potentially dangerous withdrawal symptoms or other complications.

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CCHR Calls on FDA to Revise Guidance on Use of Antidepressants by Pregnant Women

Recent research adds to medical literature indicating potential risks to newborns from pregnant women using antidepressants. Citizens Commission on Human Rights calls on the U.S. Food and Drug Administration to review the research and issue updated guidance. 

by CCHR National Affairs Office 

Many pregnant women choose to stop using antidepressants during their pregnancy for reasons that include avoiding the risk of potential harms to their baby from the drugs.  The Citizens Commission on Human Rights (CCHR) calls on the U.S. Food and Drug Administration (FDA) to conduct an urgent review of recent research concerning those harms and issue updated guidance to health care professionals and the public in an FDA Drug Safety Communication.

Expectant mothers who continue taking antidepressants incur the risks of a number of potential harms to their newborns, according to recent research.  A 2022 comprehensive analysis of data from over 45,000 babies found that pregnant women who used antidepressants had greater risks of premature birth, lower birth weight, and neonatal hospitalization for their newborns than pregnant women who quit the drugs. 

The study also found that the risk of their newborns experiencing withdrawal symptoms was more than doubled in women who continued their antidepressants.  Those symptoms include excessive crying, irritability, jitteriness, feeding problems, respiratory distress, and hypoglycemia.

Pregnant women’s use of antidepressants can negatively affect brain development in their children and increase the risk of certain birth defects and miscarriage.  Fetal exposure to antidepressants, especially during the first trimester of pregnancy, is associated with an increased risk of fetal death, including stillbirth.

“In light of a growing body of recent research indicating greater risks of serious negative outcomes to babies from women taking SSRI and SNRI antidepressants during pregnancy, the FDA should conduct an urgent review of these studies’ results and issue an update to health care professionals and the public reflecting these risks,” said Anne Goedeke, president of the CCHR National Affairs Office. 

“Prescribers have an obligation to fully disclose to their pregnant patients the risks to their babies of taking antidepressants during pregnancy, as well as discuss evidence-based, non-drug alternatives,” she added.

In a new study, researchers found that pregnant women who had stopped using antidepressants and who did not have severe mental health conditions faced no greater risk of psychiatric hospitalizations, mental health outpatient visits, self-harm, suicide, death from any cause, or taking sick leave compared to women who continued to use the drugs during pregnancy.

The prescribing of antidepressants was called into question by a 2022 study which found that the theory of a chemical imbalance in the brain – a lack of the brain chemical serotonin – causing depression had no scientific basis.  If a lack of serotonin is not the cause of depression, then antidepressants prescribed to increase the availability of serotonin in the brain are fixing a problem that does not exist.  

WARNING: Anyone who wants to stop taking an antidepressant is cautioned to do so only under the supervision of a physician because of the risk of potentially dangerous withdrawal symptoms or other complications.

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