
EXCLUSIVE Inside the anti-depressant capital of Britain: The miserable northern suburb where one in three people beg their doctor for medication
The leafy main road, two churches, a post office and an array of shops could at first sight pass for another well-heeled suburb of Stockport, Greater Manchester.
But scratch the surface and it becomes easier to understand why this is the depression capital of the country with nearly one in three people (31.7 per cent) begging their doctor for help with the mental health condition in one particular enclave.
Other statistics in Brinnington from the 2021 Census weave their own depressing story.
The unemployment rate here is 5 per cent, vs 2.9 per cent for England as a whole.
And the proportion of long-term sick or disabled people is an astonishing 11.7 per cent - nearly three times the national average of 4.1 per cent.
The area's economic woes and the fact that many seemed resigned to their fate - up to 40 per cent of people in Brinnington admit to smoking compared to 4 per cent in more affluent local areas - has led to the most troubling statistic of all.
People here will die on average 10 years sooner than those just five miles away in better-off Bramhall.
Perhaps surprisingly, in 2023, Which? Magazine named Stockport in the dozen best place to retire in Britain and last year the Sunday Times rated it the best place to live in the North West, following a £1bn town centre regeneration programme.
But the town centre is a good 40-minute walk away from Brinnington, or a 10-minute bus journey, for those who can make it.
And despite the acres of green space nearby, including the nearby Reddish Vale country park, Brinnington, tucked into a bend of the M60 motorway, seems trapped in a spiral of discontent.
One woman told us: 'They are forever moving people here, the homeless, refugees, the unemployed all get dumped here and the rest of us just have to carry on.
'Despite what it looks like, this is still a very working class area and most of the housing used to be council houses.
'The problem is the jobs have gone and there are a lot of people here who no longer know what to do with themselves. We can't seem to move on.'
Statistics in Brinnington from the 2021 Census weave a depressing story: the unemployment rate here is 5 per cent, vs 2.9 per cent for England as a whole
Phyllis Williamson, 67, who has lived in Brinnington for over 40 years, admits to being surprised at the depression statistics.
'The town looks affluent from the top road but there is a lot of poverty once you start looking around.' she says.
'The council tries to keep the place nice but there are a lot of people with problems in the the town houses and some of the tower blocks we have here.
'You can see it on people's faces. The community spirit is still here but it is not like it was forty years ago when you could knock on anyone's door.
'Now you would have to walk a long way before you would find a door you would be comfortable knocking on.'
The 11-storey tower blocks - there are seven barely seen from the main road but which dominate the landscape further back into town - are home to an array of people including those with disabilities.
One of the blocks, Conway Towers, is home to a lot of young families, some of whom are struggling to get by.
One woman who came outside, pushing her pram to the local shops, told us: 'I have got four kids and a partner who has mental health problems but we are stuck in this high rise.
'I have been here eight years and it seems as if I will be here forever. It looks like there is nowhere else to go.'
She was heading for the 1960s-style shop precinct just off the main Brinnington Road, where stands the local library, some council offices, a small supermarket and a chemists. Behind them there is a barbers, a bookies and a booze shop while up the road stands a B&M store and a post office opposite next to the bus stop.
Yards away, outside St Luke Church, three middle-aged women stand talking while smoking a joint, leaving the pungent smell of weed hanging in the air.
Six years ago, when Brinnington first began to appear near the top of the 'depression stats', a local GP, Dr James Higgins, now Primary Care Network clinical director for the area, examined his caseload for The Guardian.
He looked back on every consultation in the previous six weeks. Of the 123 adult patients he saw, 24 per cent were actively asking for help with depression, a further 28 per cent were already being treated for the condition and 16 per cent had previously had it.
'Only 31 per cent had never been depressed,' he said, admitting slight surprise at his own findings -- and that was before the pandemic hit.
Nearly half of all homes in Brinnington are social housing, with 68 per cent of people paying rent to either a private or public landlord. A total of 45 per cent of people live alone, compared with 30 per cent nationally.
Dr Dalia Tsimpida, lecturer in gerontology at the University of Southampton, has investigated what makes some neighbourhoods mental health hotspots.
She said: 'Deprivation is a key driver, accounting for up to 39 per cent of recorded depression levels across England, although this varies dramatically by location.'
Her research has identified a previously overlooked factor: noise pollution, which will certainly be a factor for some in Drinnington with the non-stop din from the M60 barely a stone's throw from many homes.
More noise pollution comes from rowdy teenagers screeching around on motorbikes, as well as the cars, buses, lorries and trains that fill the environment with a cacophony of sounds.
But worst of all, by far, are the planes that pass overhead every minute, landing and taking off from nearby Manchester Airport.
Locals, however, say they don't take it seriously. Several told us: 'You get used to it. It's just white noise.'
But areas with transportation noise exceeding 55 decibels on average in a 24-hour period show much stronger links between health deprivation, disability, and depression.
'Environmental stressors play a crucial but underappreciated role,' said Dr Tsimpida.
'While transportation noise doesn't directly cause depression, it significantly amplifies the impact of other risk factors.'
She added: 'Living in a depression hotspot exposes people to what may be "contagion effects" - both social and environmental.
'We observed that mental health challenges may spread through communities through mechanisms like social isolation, reduced community resources, environmental degradation, and normalised hopelessness.'
Recently, Stockport Council has trialled a new approach to help those residents 'feeling low, lonely, or in need of a lifestyle change.'
The non-medical 'Wellbeing Prescription' relies on exercise and activity instead of drugs and has been run in partnership with Life Leisure, Age UK Stockport, Viaduct Care CIC, and local GP surgeries in Brinnington and Bramhall.
But locals complain that the problem is that some people do not look after the town.
One woman said: 'We have a street cleaner who comes here three times a week and takes between 30-50 bags of rubbish off the streets on every visit.
'He has told me his bags are full of things like hypodermic needles, dog dirt, babies' nappies and lots of stuff people should be disposing of themselves.
'They just walk out of the door and throw stuff on the ground and leave it to the street cleaner.And then, as soon as he is gone, they will throw out some more.'
Among the haul that could be seen last week was a Morrisons supermarket trolley amid a pile of filled rubbish bags.
Another man. who asked not to be named said local contractors had learnt to be cautious when working on people's homes in Brinnington.
'One builder thought his compressor had packed in during a job but when he went outside he saw it had been unplugged and a couple of lads were carrying it down the road! They dropped it and ran when he shouted at them.'
Brinnington's sense of community is not helped by the fact that it has lost all four of its pubs leaving just two Labour and Conservative clubs as its only watering holes.
Consigned to history - and leaving the community poorer for it - are the Horsefield Arms, The Farmers Arms, the Jack and Jill and the Cheshire Cat.
But for all its problems, Brinnington railway station stands testament to the area's indomitable spirit.
Winner of the best-kept station award in 2023, its front hall is covered in racks of clothing and hats and stacks of books, dvds and trinkets of every description.
Everything on show is free for anyone to take.
Station master Stewart Hall, 43, said: 'We get up to 200 people down here a day and they take what they need. Some people just come down here for a chat, to pass the time and feel better.
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If you have more information about this story, you can reach Noel directly and securely through encrypted messaging app Signal on: +44 7809 334720, by email at external or on SecureDrop The BBC has also learned of concerns about two studies that looked at the ability of another dopamine agonist drug - Rotigotine - to tackle such exacerbation of health conditions. Both were sponsored by the drug's manufacturer, Belgian firm have been told that senior officials at the company repeatedly dismissed evidence of augmentation caused by Rotigotine, during the first study in of its authors, Dr Diego Garcia-Borreguero, says UCB staff sat-in on and discussed findings with academics. He says the interference was "subtle", but that the published results were not BBC has also discovered that eight out of nine authors of a second Rotigotine study in 2017 had been paid at some point by UCB - and that five of them were direct company paper's conclusions - that Rotigotine was effective in treating augmentation - are "ridiculous", according to Dr Andy Berkowski, a neurologist who has co-authored clinical practice guidelines for the treatment of RLS in the says data shows that more than 50% of the patients stopped taking the drug during the study largely because of adverse events or a lack of effectiveness - and more than half of those who completed it required an increase in dosage, potentially because of the worsening of their RLS says its studies were unbiased, underwent independent peer review, and that authors who were its employees, or who it had prior affiliations with, fully complied with guidelines on disclosing conflicts of said that Rotigotine's effectiveness was proven in multiple trials and most patients who completed its 2017 study experienced a significant clinical improvement. This corresponds to 37 of the 99 patients who began the study. A list of organisations in the UK offering support and information with some of the issues in this story is available at BBC Action Line. Dopamine agonist drugs were prescribed nearly 1.5 million times by GPs alone in England last year, according to published data seen by the drug, Aripiprazole - a partial dopamine agonist used to treat mental health problems - is also known to cause impulsive behaviours. It was prescribed for more than 1.7 million treatments in England alone last year, often to younger patient taking the drug told us his compulsive gambling had become so bad that he was stealing to fund his habit. The mother of another believes the medication caused her son to expose himself in UK's drug safety regulator, the MHRA, says it has no plans to change its warnings about dopamine agonist previously told the BBC that sexual impulses vary and a general warning about activities which may be harmful is Royal College of GPs said its updated curriculum - which is used to train doctors and will be published next month - will now include the monitoring of impulsive behaviour side effects for RLS, thought to affect between 6% to 17% of patients.A side effect can be considered to be "common" when it affects just 1% of the people who take the medicine, according to health guidance body Department for Health and Social Care did not comment.