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Our Short-Sighted Fears about Long-Term Drug Use
Our Short-Sighted Fears about Long-Term Drug Use
exposing the Christian Science defeatism of the war on drugs
by Brian Ballard Quass, the Drug War Philosopher
May 14, 2024
Author's Follow-up:
October 24, 2025
So this guys says that the use of naturally occurring medicines could lead to problems in the longer term??? What hypocrisy! Open your eyes!! The problems are here -- and they are all because we have outlawed godsend medicines! Effexor is absolutely impossible to kick -- the few who do so have cognitive impairment! Stop fretting about possible downsides to using time-honored medicine beloved of Sigmund Freud and Benjamin Franklin, and wake up and smell the psychiatric pill mill -- which was created thanks to drug prohibition which gave Big Pharma a monopoly on mind mood mediccine!
And now the essay proper
I just had my buttons pushed by a guy who worries that using drugs in psychiatry could lead to problems "in the longer term," (by which he apparently means drugs other than antidepressants 1, of which he himself appears to be critical). I wanted to address this fear in essay form because it seems to reflect the assumptions held uncritically by many otherwise sane-thinking individuals. Their argument goes something like this: "Yes, some drugs might help (maybe, sort of...)... Oh, but what if someone gets addicted to them! Oh, no! We must stay the course and keep drugs illegal!"
My first response is: Why don't we worry about the problems that the Drug War is causing RIGHT NOW? Folks are receiving brain-damaging shock therapy because we refuse to treat them with substances that grow at their very feet. Folks are committing suicide 2 because they have no access to drugs that could cheer them up and give them a new view of life. Anyone who knows something about entheogens knows this is true345. To say that we could never learn to use such drugs wisely is Christian Science defeatism disguised as a concern for public health.
My second response is: Why do you think that antidepressants have caused a problem "in the longer term"? Answer: Because antidepressants are the only game in town. Because the Drug War has outlawed all competition when it comes to mood-enhancing drugs. It's not drugs that are a problem here, it is the lack of drugs and thus the lack of choice.
My third response is: It is not the role of scientists to do a cost/benefit analysis about psychoactive drug use. While they may report some of the potential costs of using a given drug - indeed, that's all they're allowed to study in today's ideologically driven labs: namely, the downsides of drug use -- they know nothing of the psychological costs of going without the drug nor of the psychological and/or spiritual benefits that the user hoped to find in such drug use, nor of the user's life goals nor of how the user would personally define the term "a fulfilled life." In short, they know nothing of the hopes and dreams of the would-be user6. How then can they decide that a benefit is not worth a cost when they know nothing of the benefit in question nor of the costs of going WITHOUT that proposed medicine (such as the many opportunities missed thanks to one's gloomy introspection and apathy).
But Americans have been taught from grade school that safe use of drugs like cocaine is simply not possible. (Someone forgot to send that memo to UK talk-show host Graham Norton, BTW, one of the few celebrities who speaks honestly - or, indeed, at all -- about such topics.) To the extent that this is true, however, it is only true because of the Drug War, which does everything it can to make cocaine use a problem: by refusing to teach safe use (as in, cocaine is contraindicated for those with a heart condition), while corrupting supply and shooting and arresting anyone who so much as mentions the word "cocaine 78 ." (Bringing coca leaves to the US to make tea? Expect to be treated like a druggie scumbag if the DEA finds out.)
Getting back to that guy who pushed my buttons: when he says that drugs may cause problems in the long-term, he no doubt means that use may become habitual, that a user may end up taking the drug every day of their life.
Here are two quick responses to that latter concern.
If the drug works for him or her based on their goals in life, what's wrong with daily use? One in four American women take a Big Pharma 910 med every day of their life11. Not only do doctors not consider this a problem, but they actually encourage their patients to "keep taking your meds."
If the user develops a habit that they wish to kick, they will have a host of drugs to swap for their pharmacological nemesis once substances are relegalized. It's called "fighting drugs with drugs.12" Unfortunately, such a protocol merely makes common psychological sense - and materialist science does not believe in common sense. That's why they can't even decide if laughing gas 13 could help the depressed14. They're still waiting for microscopic proof of that assertion, since the mere laughter of real human beings tells them nothing.
Could drug use cause a problem in the long term? What couldn't? But as adults, we can profit from their use while making that use as safe as possible. It is only the Drug War doctrine of Christian Science defeatism that tells us otherwise.
Finally, a few of my tweets in response to the button-pusher mentioned above:
Psychiatry had no concern for the long term when they started folks on SSRIs which turned out to be dependence causing. But they use the fear of long term consequences to deny us access to the plants that grow at our feet.
Anything can cause problems in the long term. When we legalize all drugs, including entheogens, we can treat that problem. The Drug Warrior tells us the lie that we can never learn to use these hundreds of substances wisely.
This is why science should butt out when it comes to psychoactive drugs. Use of such substances only makes sense based on a cost/benefit analysis, and when it comes to one's hopes and dreams in life, the potential user is the expert, not the scientist.
I would have been far better off had psychiatry risked causing me problems in the longer term rather than giving me SSRIs.
Psychiatry has caused more problems in the longer term than any street drugs. The only reason opiates are a problem is because we outlawed opium : we refused to have people using opium 15 peaceably at home. Now we complain that they're in the streets.
This is awkward because the button-pusher is replying but I'm still not sure to whom. Possibly to me? Anyway here's my response to his latest tweet about the difference between physiological and psychological addiction.
Moreover, any discussion on this topic has to take into account the societal effects of prohibition, not just look at a personal case. Detroit is in ruins because the Drug War brought guns and violence to the hood thru wild financial incentives16.
Moreover, any discussion on this topic has to take into account the societal effects of prohibition, not just look at a personal case. Detroit is in ruins because the Drug War brought guns and violence to the hood thru wild financial incentives.
Drug warriors have their way because they ignore all the stakeholders: the 100,000 disappeared in Mexico, the American cities in ruins, the patient who had shock therapy because we outlawed Mother Nature's entheogens.
So it's not enough to worry about the long-term for the patient. We have to worry about the long-term for democracy itself -- although I fear we may already be too late for that given the new trend toward fascism.
At best, antidepressants make depression bearable. We need not settle for such drugs, especially when they are notorious for causing dependence. There are many drugs that elate and inspire. It is both cruel and criminal to outlaw them.
Rick Strassman reportedly stopped his DMT trials because some folks had bad experiences at high doses. That is like giving up on aspirin because high doses of NSAIDs can kill.
We don't need people to get "clean." We need people to start living a fulfilling life. The two things are different.
American businesses judge people, not by the color of their skin but by the contents of their digestive systems.
My local community store here in the sticks sells Trump "dollar bills" at the checkout counter. I don't know what's worse: a president encouraging insurrection or an electorate that does not see that as a problem.
AI is inherently plagiaristic technology. It tells us: "Hey, guys, look what I can do!" -- when it should really be saying, "Hey, guys, look how I stole all your data and repackaged it in such a way as to make it appear that I am the genius, not you!"
If daily drug use and dependency are okay, then there's no logical or scientific reason why I can't smoke a nightly opium pipe.
I've been told by many that I should have seen "my doctor" before withdrawing from Effexor. But, A) My doctor got me hooked on the junk in the first place, and, B) That doctor completely ignores the OBVIOUS benefits of indigenous meds and focuses only on theoretical downsides.
Prohibitionists think that they merely have to use the word "drugs" to win an argument.
As great as it is, "Synthetic Panics" by Philip Jenkins was only tolerated by academia because it did not mention drugs in the title and it contains no explicit opinions about drugs. As a result, many drug law reformers still don't know the book exists.
Unless otherwise indicated, no AI is used in the creation of site content. These essays represent the original ideas of their author and not the ideas that the author SHOULD have based on an algorithmic parsing of existing data. For more on this subject, consider the AI-related viewpoints to which the author subscribes as delineated in the New York Times opinion piece entitled "What 370,000 College Essays Tell Us About A.I.’s Effects on Creativity" by Rebecca Winthrop of the Brookings Institution.
I just had my buttons pushed by a guy who worries that using drugs in psychiatry could lead to problems "in the longer term," (by which he apparently means drugs other than antidepressants 1, of which he himself appears to be critical). I wanted to address this fear in essay form because it seems to reflect the assumptions held uncritically by many otherwise sane-thinking individuals. Their argument goes something like this: "Yes, some drugs might help (maybe, sort of...)... Oh, but what if someone gets addicted to them! Oh, no! We must stay the course and keep drugs illegal!"
My first response is: Why don't we worry about the problems that the Drug War is causing RIGHT NOW? Folks are receiving brain-damaging shock therapy because we refuse to treat them with substances that grow at their very feet. Folks are committing suicide 2 because they have no access to drugs that could cheer them up and give them a new view of life. Anyone who knows something about entheogens knows this is true3 4 5. To say that we could never learn to use such drugs wisely is Christian Science defeatism disguised as a concern for public health. 
My second response is: Why do you think that antidepressants have caused a problem "in the longer term"? Answer: Because antidepressants are the only game in town. Because the Drug War has outlawed all competition when it comes to mood-enhancing drugs. It's not drugs that are a problem here, it is the lack of drugs and thus the lack of choice.
My third response is: It is not the role of scientists to do a cost/benefit analysis about psychoactive drug use. While they may report some of the potential costs of using a given drug - indeed, that's all they're allowed to study in today's ideologically driven labs: namely, the downsides of drug use -- they know nothing of the psychological costs of going without the drug nor of the psychological and/or spiritual benefits that the user hoped to find in such drug use, nor of the user's life goals nor of how the user would personally define the term "a fulfilled life." In short, they know nothing of the hopes and dreams of the would-be user6. How then can they decide that a benefit is not worth a cost when they know nothing of the benefit in question nor of the costs of going WITHOUT that proposed medicine (such as the many opportunities missed thanks to one's gloomy introspection and apathy).
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