‘Unshrunk' Review: The Toll of the Treatment
For nearly 15 years, Laura Delano was, in her own words, a 'professional psychiatric patient.' She believed she had an incurable psychiatric disease that could be managed only with medication, therapy and the occasional hospitalization. Over the course of her long career as a patient, Ms. Delano was medicated with Seroquel, Geodon, Abilify, Zyprexa, Risperdal, Depakote, Topamax, Lamictal, Klonopin, Ativan, Ambien, Provigil, Prozac, Effexor, Celexa, Cymbalta, Wellbutrin, Lexapro, and lithium. So convinced of her condition was Ms. Delano that if anyone had handed her a memoir like the one she has now written, 'Unshrunk: A Story of Psychiatric Treatment Resistance,' she would have been insulted and outraged.
Her story begins when she was 13 years old. A competitive squash player and the soon-to-be president of her eighth-grade class, Ms. Delano was brushing her teeth in front of a mirror one evening when she had a harrowing experience: The edges of her vision blurred; she felt a terrifying sense of disembodiment and fragmentation; and the figure in the mirror was no longer recognizable as her. The episode didn't last very long, but it left her with a profound sense of unease. Reflecting on it in bed later that night, Ms. Delano began to see herself from the outside. The view was unsettling. Convinced that her life was all fakery and mindless rule-following, she resolved to escape.
What followed was a self-destructive spiral that went far beyond adolescent rebellion. Ms. Delano gives us an unsparing account of her alcoholism, cocaine abuse, eating disorders and episodes of self-harm. In the ninth grade, she was diagnosed with bipolar disorder and given prescriptions for an antidepressant and a mood stabilizer. Later came an antipsychotic and a drug to help her sleep. If anything, medication accelerated her decline. By age 19, when she was a sophomore at Harvard, she writes, 'I'd morphed from a raw, suffering, lost young woman . . . into a detached, absorbed, empathyless machine.'
Ms. Delano marks her eventual turnaround at age 27 to a moment of profound revelation in a Vermont bookstore. That was where she encountered Robert Whitaker's 2010 book, 'Anatomy of an Epidemic: Magic Bullets, Psychiatric Drugs, and the Astonishing Rise of Mental Illness in America.' The question Mr. Whitaker asked was simple: How is it possible that rates of mental illness have skyrocketed in parallel with the development of so many supposedly groundbreaking psychiatric drugs? Mr. Whitaker's book forced Ms. Delano to pose a question that had never before occurred to her. 'What if it wasn't treatment-resistant mental illness that had been sending me ever deeper into the depths of despair and dysfunction, but the treatment itself?'
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