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The Barbaric State of Mental Health Care in the age of drug prohibition

Why electroshock therapy remains the go-to treatment for ending severe depression in America

by Brian Ballard Quass, the Drug War Philosopher

April 22, 2026



The following comments are written in response to an article on the Mad in America website entitled "Which Would You Prefer: Electroshock or a Safe Taper?" by Jennifer Giordano. 1

My answer to your question is neither.

I believe that shock therapy is a crime in an age when we do not let people use the plants and fungi that grow at their very feet. Why should we be forced to potentially damage our brain by a government that denies us our access to Mother Nature? I would rather suffer while protesting the drug prohibition that outlaws my right to heal than to undergo ECT.

My tapering to get off Venlafaxine failed miserably after a year, when my depression suddenly returned far worse than ever. But my answer is not shock therapy. I have decided to live the remainder of my life “on Venlafaxine” just so that I can think straight, that’s just how thoroughly my brain chemistry seems to have been changed by this drug. I think it shows how low the healthcare field has sunk thanks to drug prohibition that their go-to fix for people in my situation is damaging the brain. The FDA won’t approve of drugs that grow at our feet, yet they champion shock therapy2. This is absolutely bizarre, and it can only be drug-propaganda that keeps people from seeing it as such.

I think that healthcare officials have a moral duty to speak up against the drug prohibition that has turned depressed people like myself into a patient for life, without yet “curing” my depression — as if depression should be cured in the first place, but rather just symptomatically treated. My idea of a “cure” for depression would not be the same as what a Big Pharma chemist considers to be a cure, in any case.

There are plenty of drugs that could end my depression in a trice. Anyone who denies this is unfamiliar with pharmacology, ethnobotany, drug literature, drug history, and psychological common sense, for that matter.

The government lied and told us that “drugs” fry the brain. How ironic that it is drug prohibition itself that actually forces us to fry brains. Like so many other social evils in America, ECT only makes sense to those who reckon without drug prohibition and how it has outlawed our right to heal.




Key Takeaways:






Notes for essay entitled The Barbaric State of Mental Health Care in the age of drug prohibition: Why electroshock therapy remains the go-to treatment for ending severe depression in America:

1: Which Would You Prefer: Electroshock or a Safe Taper? Giordano , Jennifer, Mad in AMerica, 2026 (up)
2: The FDA on ECT: Supporting a Vital Treatment Charles, Kellner MD, 2019 (up)




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NIDA is just a propaganda arm of the U.S. government -- and will remain so until it recognizes the glaringly obvious benefits of drugs -- as well as the glaringly obvious downsides of prohibition. We need a National Institute on Drug Use, not a National Institute on Drug Abuse.

Science knows nothing of the human spirit and of the hopes and dreams of humankind. Science cannot tell us whether a given drug risk is worthwhile given the human need for creativity and passion in their life. Science has no expertise in making such philosophical judgements.

In America, they save the depressed from cocaine and opium by turning them into patients for life with dependence-causing "meds." Now 30-year-old doctors get to treat 67-year-olds like children, with new visits every damn three months.

Properly speaking, MDMA has killed no one at all. Prohibitionists were delighted when Leah Betts died because they were sure it was BECAUSE of MDMA/Ecstasy. Whereas it was because of the fact that prohibitionists refuse to teach safe use.

Before anyone receives shock therapy -- or the right to assisted suicide -- they should have the option to start using opium or cocaine daily -- in fact, any drug that makes them feel that life is worth living again.

That's another problem with "following the science." Science downplays personal testimony as subjective. But psychoactive experiences are all ABOUT subjectivity. With such drugs, users are not widgets susceptible to the one-size-fits-all pills of reductionism.

Imagine if there were drugs for which dependency was a feature, not a bug. People would stop peddling that junk, right? Wrong. Just ask your psychiatrist.

There are endless creative ways to ward off addictions if all psychoactive medicines were at our disposal. The use of the drugs synthesized by Alexander Shulgin could combat the psychological downsides of withdrawal by providing strategic "as-needed" relief.

The formula is easy: pick a substance that folks are predisposed to hate anyway, then keep hounding the public with stories about tragedies somehow related to that substance. Show it ruining lives in movies and on TV. Don't lie. Just keep showing all the negatives.

Outlawing substances like laughing gas and MDMA makes no more sense than outlawing fire.


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