School refusal, Combined therapy for. 5 15 00

Adding imipramine (Tofranil, Janimine) to cognitive-behavioral therapy (CBT) resulted in improvement of school attendance. CBT plus placebo was markedly less effective.

"CBT is known to be effective in patients with school refusal, but the benefits of antidepressant medication are not well-established." "The 75% attendance goal was met by 54 % of imipramine-treated patient, compared with 17% of the placebo group." "Findings in this study support multimodal therapy for school refusal in this patient population….Furthermore, the study did not address how these short-term gains could be maintained over time."

fb- this would be like research entitle "combined therapy for not being able to get out of bed promptly, for having had a poor service game at tennis, or for "mild to moderate to school, or to the job lateness." Clearly these life-activities are in the NIMH research portfolio, for there is nothing—nothing whatsoever they will not drug for, which of course is their job, what they are paid for.

Bernstein G, et al: JAACAP 2000;39 (March) 276-283. Funded by NIMH

Respiridone for conduct disorder. low dose Risperdal reduced aggressive behavior in pilot study. Subjects were 20 patients, 5-14 years with conduct disorder (DSM-IV) with aggressive behavior of at least moderate severity. Patients were assessed weekly using the Rating of Aggression Against People and/or Property (RAAPP) scale (1=no aggression; 5=intolerable behavior). Risperidone patients gained more weight than controls (4 kg vs <1 kg). In view of the small sample size, observations of statistically significant reductions in aggression in patient taking Risperidone were remarkable.

Findling R, et al: JAACAP 2000; 39:509-516. Funded by Janssen Research Foundation and other sources.

Fb- here, as always, give the psychopharm strategy biologically normal children are represented to have a disease for purpose of justifying medical, pharmacological treatment, in this case with antipsychotic medication. Again, as throughout biological psychiatry there is only an illusion of a disease on the risk side of the risk/benefit equation while on the treatment or benefit side we have an antipsychotic drug, an extraordinarily dangerous drug. Not only is their no medical or ethical justification to treat, this is a crime.