This is a story about independence...

Why do I gotta do everything on my own terms? Why is it important to me that I do things when and how I choose, rather than when instructed by a meddlesome busybody, or otherwise forced to by circumstances beyond my control? What's so important about the choosing and agency and free will anyway? Surely there are people who know better than me, so I should just bow down to them and let them rule my life, because they know best.

Depressed? Just be happy. Tired? Just be fit and healthy. Drink too much? Just stop. Addicted to drugs? Don't take them any more. Bankrupt? Be rich instead. Hate your job? Be a multi-billionaire president of the universe instead. Anxious? Don't worry.

See? It's easy. Just do the blatantly obvious things that other people tell you to do and your life will be amazing. Of course if you don't do exactly what they tell you to do immediately then you're beyond hope of helping and you are stubbornly deciding to sabotage your own life. That's the only reasonable, rational and logical explanation for why anybody wouldn't immediately drop to their knees and say "oh my god thank you!" in praise of the giver of the most obvious answers to every problem that ever existed.

It's true that I'm somewhat bloody-minded and I'll deliberately do things my own way to prove I'm right, especially if an idiot tells me I'm doing something wrong and what I'm doing will never work. It's usually the case that there are a mountain of idiots who have oversimplified unworkable solutions to oversimplified versions of problems you don't have: "oh, you're bleeding to death? well, if you put some tin foil at the bottom of your grill pan, then it catches the fat and makes it easier to clean".

I guess people are only trying to be helpful, but don't ever let anybody tell you that their 'helpful' suggestions aren't rooted in the advice-giver's ego and their need to feel useful, as opposed to your need to solve a problem. You'll see that as soon as you start to explain that your problem is more complicated than their lazy appraisal had surmised, that they have no real interest in actually helping; they just wanted to feel smarter than you, that they were able to solve something where the solution was blatantly obvious to anybody with half a brain cell.

Thus, when it comes to hard problems, most people are just noise; irritating useless noise which needs to be filtered out so you can concentrate on solving the actual hard problem. If there were easy answers, the person who's been suffering and struggling with the problem would have figured out the solution long before some pseudo-helpful busybody came and suggested the very first thing that anybody would think of.

A problem shared is not just a problem that two people have, but it can also be a problem which will take twice as long to solve if the second person insists on making all the same mistakes as the first, by retracing every step, wrong turn and dead end that's already been exhausted by our long-suffering person with the problem. Reliving the experience of trying all the obvious things for a second time, knowing it's doomed to fail because those solutions have already been tried, is a painful and pointless exercise.

There are common problems which, if they were easy to solve, those easy solutions would already be exploited by vast swathes of people . Poverty, for example: if the solution to poverty is to simply get a better paid job and work hard, then we surely wouldn't see any more poverty. To suggest that poverty is due to laziness and stupidity is grossly insulting to the hard-working people who are trying as hard as they can to get themselves out of poverty, but the problem is that they already have the very best paid jobs which are available to them, and they already work as hard as they possibly can.

There are common problems which, if the de-facto solutions worked, we wouldn't consider to be problems at all. If abstinence, detox, rehab, 12-step programs and the like were a good solution to addiction and alcoholism, we wouldn't see alcoholics and addicts anymore, would we? The very existence of vast numbers of people who are dying from addiction and alcoholism is obvious evidence that unequivocally shows that the so-called 'solutions' on offer are not solutions at all: those things simply don't work.

"It works if you try hard"

No. No those solutions really don't work.

"But it worked for this person"

Yeah, maybe a little bit. But what about 99% of the others who it didn't work for? You're being an idiot. An exception does not prove the rule. You're blaming the victim. You're blaming people for their problems. You're undermining the hard work and effort and all the energy that's already been expended by that person in trying things that don't work.

We can't ignore the evidence and believe the charlatans who claim to have found solutions to problems, when the data shows that their claims are completely false.

Let's take mental health problems as an example. All the data was gathered from all the studies into the efficacy of antidepressant medication, and it's been shown conclusively that for at least 80% of patients, the medication made no difference whatsoever. What we also know about mental health is that it's an epidemic: things are getting worse, not better, and an ever-increasing number of people are suffering with depression, anxiety, suicidal thoughts, self-harm and a whole host of other mental health problems. Not only are our so-called 'solutions' not effective, but our incorrect belief that medications are effective, despite evidence to the contrary, is contributing to an epidemiological explosion in the number of people who are suffering. The biggest tragedy is that nobody is looking at any alternative treatments, because the charlatans claim that the available treatments are effective, despite overwhelming evidence that pharmacological treatments are not effective at all. Fewer than 1 in 5 patients would feel any benefit at all, and the benefits are marginal - at best - for that tiny minority.

Now let's look at addiction and alcoholism: 12-step abstinence based approaches are as ubiquitous as the booze and drugs themselves. Every church hall, community centre and other public space in your local area plays host to some flavour of X-Anonymous every night of the week, with every letter of the alphabet corresponding to a particular addiction or vice. If the 12-step abstinence approach was the right one, we wouldn't have an opioid epidemic exploding in the United States, claiming 70,000 or even 80,000 lives every year. If 12-steps and abstinence were solutions, we wouldn't have hospitals crammed full of people dying of alcoholism-related illnesses.

Charlatans present themselves as experts and saviours when the evidence quite clearly shows that the so-called 'solutions' they have to offer are not only a dismal failure, but are wasting time and money, diverting funding and research away from any real solutions which could have some meaningful impact on problems which affect a very great number of unfortunate people.

I find it deeply offensive that the 'solutions' on offer are clearly ineffective, and those who fail to succeed when they've been set up to fail are blamed for their lack of dedication, commitment, effort and blind faith in things which are demonstrably snake-oil and quackery, peddled by charlatans who should be stripped of any semblance of professional and ethical conduct.

The placebo effect is real and it's even effective when a person knows they're receiving a placebo treatment, so I don't see why we can't all get sugar pills and redirect all the money that's wasted on ineffective treatments - and those who dispense them - and plough those funds into scientific empirical research.

I hope it's now clear why I choose my own evidence-based path, instead of placing my fate in the hands of charlatans and fraudsters who are pedalling snake-oil quack cures which don't work. The age-old adage about following doctor's orders is pure idiocy when the evidence overwhelmingly demonstrates the folly of such a course of action.

Of course I stay abreast of developments in the field of clinical research into promising pharmaceutical compounds which might be effective and offer the "magic bullet" that so many of us desperately yearn for: a pill which cures the depression, anxiety and the craving for those substances which do actually temporarily alleviate the unpleasantness of human existence.

As for poverty... yes, you're right that one or two people got rich playing the lottery, but that doesn't mean that it's a solution for the whole of humanity.

Tags: #medication #depression #anxiety #addiction #drugs #alcohol