Inessential Pharmacology is a playful romp through the data behind psychiatric medications. The point of the book is to teach my readers how to understand what a medicine does. I give them the same tools I use, as a practicing psychiatrist, with a lot more humor than used to teach me. We go through a list of common medications, and using those as examples, we learn how to read research about those same medications. We learn about charts, graphs, tables, and the lawsuits and side effects that made these drugs famous. They also made pharmaceutical companies billions. This book is written for general audiences who have a definite interest in learning more about the medications that have shaped our lives. If you’re a medical student, it’ll help you crush your rotations. If you are a parent, it’ll help you understand what your doctor is prescribing for your child. If you’re a fellow physician, you’ll have a good laugh, and maybe learn something too. I wrote the book to be fun, and I hope it is. The humor is a little bit dark, so, fair warning!
Before Prozac, every depressed person who came to see a psychiatrist — if they didn’t spend a decade on the couch as the only treatment— walked out the door with a bottle of pills that could be used to complete suicide. This was not a medical specialty for the meek5. They were EKGs to read. They were serious side effects to manage. There were medical comorbidities. A whole generation of psychiatrists trained as real physicians—a whole year of internal medicine used to be the standard in residency. Now, it is four months. Many did psychoanalytic training, not using medicine at all, and just sitting there for an hour a day, four days a week, with people crippled by suicidal ideation and depression, relatively powerless, no miracle drugs, and the few medication’s they did have? It will be like handing every suicidal person a gun and telling them never to use it for anything but hunting as the only option.



