How was the chemical imbalance theory developed? I didn’t answer this question directly in the previous post: What is the Chemical Imbalance Theory.
We understand it does not prove anything with regards to chemicals in your brain that are being problematic and causing mood symptoms (i.e. imbalanced levels) and that therefore you need to take a specific medication – or many medications as is the norm these days – to correct this imbalance.
[bctt tweet=”Psychiatrist Ronald Pies, M.D. Calls the Chemical Imbalance Theory Urban Legend.”]
That hypothesis and purported reality is false. Taking lithium for bipolar is not the same thing as being prescribed insulin to treat a diagnosed condition of diabetes, for example.
That does not mean that lithium may not help you if you are suffering from Manic Depression – now called BP-1 – it sedates a person who has become manic and spun out of control.
But Manic Depression has never been proven to be caused by a lithium deficiency, and long-term use is very harmful. The claims lithium is neuroprotective are hogwash. It is a neurotoxin that damages neurons.
Related post: Neuroprotective Properties of Lithium.
How Was the Chemical Imbalance Theory Developed?
If you are thinking, like I used to, that those smart scientist types did some heavy duty tinkering in a lab somewhere (most likely at a university, right?) and discovered about a mentally ill persons brains (using mice of course).
They discovered the difference in some (from normal brains) was attributable to chemical levels in the brain being altered i.e. too much or too little of something.
They were able to prove there was an imbalance of identifiable chemicals and that was therefore hypothesized to cause mental illness. Fixing this imbalance, would therefore treat the problem.
Unfortunately, that is not what happened or what they did. It’s more a ‘cart before the pony’ scenario, where they manipulated cause and effect and proved nothing scientifically.
A Drug Was Developed For Depression Then the Chemical Imbalance Theory Was Developed
The whole theory – or hypothesis – was developed after a medication was created (that was real science, done in a lab, patents granted and voila… something to prescribe for patients) to try and help those suffering from depression.
Here is a quote from a 2007 psychology research paper published by the American Psychological Association (APA): The “Chemical Imbalance” Explanation for Depression: Origins, Lay Endorsement, and Clinical Implications.
You can read the full article here: APA article.
Not only is it an unproven hypothesis created to market drugs and make money, psychotropic medications have been repeatedly shown to be ineffective in addition to causing severe harm: death, disability, homicidal and suicidal acts, etc.
Isn’t that wonderful?
Psychiatrist Ronald Pies, M.D. Calls Chemical Imbalance Theory an “Urban Legend”
So now we understand that it is not a proven theory, but something that was developed to understand effects of why drugs that had been developed seemed to be helping those with serious mood disorders, psychosis or other symptomatology.
And that’s all great and good, as long as it is clearly understood it didn’t prove anything – but the researchers get 5 gold stars for trying.
Here is a quote from eminent psychiatrist Dr. Ronald Pies – former Editor in Chief of Psychiatric Times. He wrote on July 11th, 2011:
“I am not one who easily loses his temper, but I confess to experiencing markedly increased limbic activity whenever I hear someone proclaim, ‘Psychiatrists think all mental disorders are due to a chemical imbalance!”
“In the past 30 years, I don’t believe I have ever heard a knowledgeable, well-trained psychiatrist make such a preposterous claim, except perhaps to mock it.”
And he wrote this too!
“In truth, the ‘chemical imbalance’ notion was always a kind of urban legend- – never a theory seriously propounded by well-informed psychiatrists.”
I now get how it came to be, and also understand clearly that it has been debunked, however well-intentioned in theory it was at the start. Nothing wrong there, that’s what scientists do… try to figure things out.
But – I hope you get this clearly now – the huge problem is that this debunked theory is still being used to manipulate psychiatric patients (regular docs prescribe psychotropic meds too and say the same lie to their patients) into taking medications that they are being told are correcting an imbalance of chemicals in their brain.
Nope. Psych drugs do affect chemicals in the brain and alter levels of them… that is true. But everyone needs to understand it’s a crapshoot-style of treatment and nothing that was developed from verifiable science.
This is why the new focus on the gut and its affects on neurotransmitters i.e. “Your Second Brain” is so exciting – it has yet to be proven false!
Related post: You Have a Second Brain – Your Gut!
Your brain is messed up if suffering from bipolar disorder (BP) or have Major Depressive Disorder (MDD) – but the why of it has yet to be clearly understood.
Everyone wants to understand the brain better and why some folks brains function in ways that make them very ill.
Let’s keep trying.