GlaxoSmithKline Honorarium to Dr. Drew Pinsky Exhibit and His Radio Transcript Mentioning Wellbutrin...

8/22/2019 GlaxoSmithKline Honorarium to Dr. Drew Pinsky Exhibit and His Radio Transcript Mentioning Wellbutrin and the W

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MEMORANDUMJune 2, 1999To: Holly Russell From: Lisa Draho, Jocelyn $erioRe: Intimacy & Depression on David Essel- Alive!Cc: Leslie Miller, Lisa Weiss

Dr. Pinsky recently joined David Essel on his national radio program to talk aboutintimacy and depression. During the fifteen-minute segment, Dr. Pinsky communicatedkey campaign messages. Highlights included: Switcl:;ting to or adding Wellbu.trin is recommended for people experiencing a loss

oflibido , Antidepressants such as SSRis can decrease libido, and negatively impactintimate relationships at a time when intimacy and connection with a partner ismost importante Sexuality is important to maintaining intimacy D ~ p r e s s i o n is an illness that pulls people away from i!J.timacy with their partner Intimacy is essential for healthy relationships, and it's important to talk to yourpartner and healthcare provider about problems iri your relationship or withantidepressant medication , . Depression is a very serious illness that affects millions ofpeople: medication cansave lives

. The Seattle Town Hall can be seen on the web sitewww Intimacy.Al1dDepression.com

Calll-800- 577-8550 for information about campaignOverall, Dr. Pinsky kept the program focuson the seriousness of depression, its impacton intimacy, and the importance'of seeing a healthcare professional for treatment for thisillness an interesting and informative manner.We have included a copy of the tape. Please let us know ifyou would like a transcript toshare with you colleagues.

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Transcr ibed byA STENO SERVICE 60 East 42nd St ree t , NYC 682-4990

TRANSCRIPTION OF AUDIOTAPE FOR: COONEY/WATERS GROUP

SUBJECT:DATE:INTERVIEWWITH:TAPE #:

SIDE:LENGTH:

FILE NAME:DISC NAME:

NOTES:

DAVID ESSEL - ALIVEMay 22, 1999Dr. Pinsky1 C-60A13 Min.C00602Cooney #2

W: I 'm a 34 year o ld married woman and have j u s trecen t ly become l ike super mul t ip le orgasmic . It'sj u s t , it doesn ' t seem poss ib le to me to have tha tmany, we're t a lk ing , ' ' i counted 60 one night .

DAVID ESSEL: 60. Hello Tom.

M: You a l l was t a lk ing about t h a t la?-y t h a t had the60 orgasms.

DAVID ESSEL: Yeah, n o n ~ s t o p .


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M: I had sev e ra l women l i k e t h a t . I had to qui ta f t e r about tw o hours .

DAVID ESSEL: 1-800-743-800. Whenever I hear t h a tl ine I j u s t ... obvious ly it cracks me up. 800-743-8000. David Esse l and the box with you. We have anexper t r i g h t now t h a t i s going to br ing on in j u s t asecond and I 'm going to ask him some quest ions aboutt h a t c a l l because it still amazes me. I 'm t a lk ingabout Dr. Drew Pinsky. You know him. 16 years nowhos t ing Love Line on the r ad io , t h a t ' s with WestwoodOne. He's a l so obviously on MTV with Love Lines andh e ' s ch ie f o f service department medic ine andprogram d i r e c t o r of chemical dependency services ,Lawson (SENDS ?] hosp i t a l in Pasadena. Dr. Drew,welcome.

DR. PINSKY: David, thank you fo r having me. Iap.precia te it.

DAVID ESSEL: This i s a great oppor tun i ty fo r ushere . Before we ge t in to one of the events t h a tyou ' re working with now on in t imacy and depress ion ,I wanted to ask you about t h i s ques t ion , the l i n e rt h a t you j u s t heard was a woman who ca l led in andsa id t h a t obviously she was 34 and she s t a r t ed


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count ing o r g a ~ m s a f t e r she was making l ove r to he rhusband and she l a id t he r e in bed and she counted 60j u s t nonstop. Is t h a t phys ica l ly poss ib le?

DR. PINSKY: Oh yeah. For some women. What I th inkshe was amazed about i s t h a t it suddenly s t a r t ed andt h a t kind of th ing most typ ica l ly happens frommedica t ion , f r ank ly . And she , you know, fo r women

t h e r e ' s no r e f rac to ry , fo r some women anyway,t h e r e ' s no r e f rac to ry phase and yeah, t h a t ' s noproblem fo r some women. They j u s t do it u n t i l theyexhaus t , phys ica l ly ge t exhausted, t h e r e ' s no s o r to f s a t i a t i o n . There ' s a downside to t h a t too . Theyd o n ' t ge t the l a rge re l ease t h a t some people getsometimes with a s ing le orgasm, bu t i n t e r e s t i n g ,t h a t ' s one of the th ings I 'm here to t a lk about ,abou t how medicines e f f e c t sexual fuhc t ion . 'There .' sno doubt t h a t of ten t imes when people have a change

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i n t h e i r arousa l phase , in t h e i r sexual funct ion ing ,in t h e i r l ib ido , in t h e i r orgasmic func t ion , thenumber one cause fo r t h a t i s medica t ion .

DAVID ESSEL: What type of a medica t ion wouldincrease someone's orgasmic p o t e n t i a l where they gofrom t h ree o r four to 60?


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DR. PINSKY: In t e re s t i n g ly l o t s of thea n t i d e p r e s sa n t s , but the one t h a t I have most ... I ' veseen t h a t from in my c l i n i c a l prac t i ce i s [BUTRIN ?]o r [BUPROPRION ?] . It ac tua l ly i s th e one weadvocate , . one of the t h ings we suggest people do ift h e y ' r e get t ing decrease in t h e i r l i b ido o r decreasein the i r . arousal from an an t idepressan t whicht y p i c a l l y occurs in the sera ton in re -up takei n h i b i t o r medication. We t h ink about swi tch ing too r adding [WELBUTRIN ?] o r [SERASON ? ] o r [RAMRON ? ]o r o t h e r medications th.at may enhance o r a t l e a s tno t suppress sexual a rousa l as much as th e se ra ton inre -up take inh ib i to rs do. So it's a .germane poin t tot h i s th ing and people , you know, we l i ve in t h i sr e a l l y screwed up soc ie ty r i g h t now where people a res o r t of th ink about sex u a l i t y as s o r t of ar ec rea t i o n and it's been pul l ed away from thein t imacy which i s r ea l ly what it's a l l about and myshow, a l l I hear about every day i s th e consequencesof empty re l a t ionsh ips and the f ac t s , the l ack ofi n t imacy we hav'e with everybody.

DAVID ESSEL: I saw on one of your shows, th i$ hadto be about a month ago where you looked veryperp lexed_and you made a comment about t ha t . Yousa id the re i s no in t imacy. Whoever you were t a lk ing


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tor the c a l l e r tha t had ca l led in you sa id t h e r e ' sno connection there .

DR. PINSKY: There ' s no connect ion.

DAVID ESSEL: You were t a l k in g about t h a t they weret r y ing a l l t h i s v a r i e ty and you sa id t h a t t h a t was acover up fo r int imacy.

DR. PINSKY: Of course . People a re looking fo rdrugs and f as t cars and more money and more par tner sand ~ e i r d e r sexual ac t s as a way of f i l l i ng t h i samazing emptiness we a l l have when i n f ac t we knowt ha t r e a l hea l th r I know your show i s a lo t abouth ea l t h 1 but heal th and happiness and well be ing is .a l l very much t i ed in to the human connectedness /t h a t our int imacy i s what s u s t a in usr what al low usto growr would u l t imate ly give us a sense o fhappiness . And t h i s o th e r s tu f f r we could say it 1 Sa l l our whole l i fe t ime and still have t h a t b ig emptywhole i n s ide o f us and no t d ea l with it. In fac t ,again , another par t of what 1 1 m hear to t a lk abouti s how depress ion/ very of ten 1 pu l l s p e o p l ~ apa r t int h e i r int imacy and people who are depressed withdrawfrom re la t ionsh ips r igh t a t th e t ime when they needt he i r par tner the most , th e par tners don 1 t

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unders tand t h i s , they g e t angry, t hey fee l g u i l t y ,they f ee l r espons ib le fo r the p erso n ' s fee l ings .Then we as physic ians pu t people on ant idepressantst h a t more of ten than not , fu r the r suppress t h e i rl ib ido and . sor t of decrease the p o t e n t i a l fo rphys ica l contac t and t h i s t h ing kind o f sp i ra l sdownward. On top of tha t we l i ve in a t ime in theworld when managed care i s s o r t o f ru l i n g the l and.

You can ' t ge t the kinds of moda l i t i e s of t rea tmentt h a t are rea l ly necessary fo r complete re so lu t ion ofth ings l ike depress ion. Ind iv idual therapy , coupletherapy. These th ings are c r u c i a l fo r the ul t ima tereso lu t ion of these problems.

DAVID ESSEL: What i s your main goal? You'reinvolved wi th th i s int imacy and depress ion ...

DR. PINSKY: My main goal , my persona l goa l in a l lt hese th ings , a l l my endeavors i s . to t ry ways to useth e media to c rea te hea l th , to change the cu l tu re ina b e t t e r di rec t ion . My c l i n i c a l p r a c t i c e , a l l I seei s th e negat ive impact, the l a s t 30 years we've beenon a big s p i r a l downward and t a l k to any phys ic iano r anybody t h a t works in mental h ea l th , they wi l lt e l l you, we know what i s hea l thy fo r people and ourcu l tu re does in no way confirm t h i s . In terms of

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th e in t imacy and depress ion campaign, my goal i s A,to make p ~ o p l e unders tand t h a t d e p r e ~ s i o n i s ase r i ous condi t ion. As many as 19 percen t of peoplewith major depress ion w i l l die . That i s ... t h a t ' s

~ n t i d e p r e s s a n t i s the corners tone of t rea tment butth e i nd iv idua l therapy and couple therapy a rec ru c i a l . And t h a t communication i s an e s s e n t i a lpiece of people get t ing over a f f ec t i v e di s tu rbances .

Communication with the par tne rs so t h a t theyunders tand what the person i s going through and s t ayconnected at. th e t ime they need. them the most andcommunicat ion with your ca re take r , your phys ic ian ,so you can go back and say hey, t h i s medica t ion i sscrewing me up. I 'm not in te res ted in my husband

any more, what ' s the deal?

DAVID ESSEL: And a l o t of people , I know from ours h o ~ , we ge t ca l l s , they should 'be tak ing some ofthe informat ion to t h e i r doctors , they ' re ca l l i n g usand say ing I ' ve t o t a l l y los t . my i n t e r e s t ...

DR. PINSKY: Yup, t h a t ' s the deal . They d o n ' t go tot h e i r doctors . It's b iza r re to me. They d o n ' t ...it's b iza r re t o me they go' to the rad io to you andme and they d o n ' t go where they need to go.a l l , every th ing ' s a l l messed up r i g h t now.


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DAVID ESSEL: But p ar t of t h a t reason, I know whyDr. Drew, and you do to , i s because there are .a lo tof doctors t h a t do not have people s k i l l s , t h a tindividuals f ee l in t imida ted being in the o f f i ce andthey sure as heck fee l in t ima ted saying somethingabout t h e i r se xua l i t y .

DR. PINSKY: That I 'm sure c on t r i bu t e s but I go t tot e l l you, s ince I was in t r a i n i n g . t h e r e ' s been at remendous amount of e f fo r t pu t i n to help ingphysic:Lans be sk i l l ed in approaching people andbeing ca re fu l to l i s t en and t a l k about these i s su es .

And I ce r t a i n l y see no weakness in my peers . I seeweakness in the system. The system poor ly se rvespeople . People don ' t have hea l thca re . They d o n ' tt h ey ' r e ~ f r a i d it's going to cos t them a lo t ofmoney. They d o n ' t want to wai t a l l day. They ' reaf ra id the doctor won' t have t ime fo r them o r won ' tl i s t e n , t h a t t h e y ' l l be somehow u n g ra t i f i ed by thei n t e rac t io n . It's more a systems i s sue than it i sthe p rac t i t i o n e r i s sue . And it's the same outcome.

People don ' t go and they d o n ' t ...

DAVID ESSEL: We're speaking with Dr. Drew of coursefrom MTV and Love Line on the r ad io , both r ad io and


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t e l ev i s i o n . Out.of cur ios i ty , how did you ge tinvolved in int imacy, re la t ionsh ips , love a t sucha big, huge nat ional leve l?

DR. PINSKY: Tota l acc iden t .

DAVID ESSEL: Was it r ea l ly ?

DR. PINSKY: Yeah. I f you to ld me I was going to bebroadcas t ing I would have been, I would have laughedin your face . I was John Q. Medical Student andResident and r ea l l y involved in my t ra in ing andac t u a l l y fo r many, many years j us t p rac t i ced 14, 16hours a day and did s o r t of radio as a communityserv ice . I did it as a volun tee r fo r almost tenyea rs . I was not paid fo r it or anyth ing and itj u s t happened to be In t h i s one veh ic le and thevehic le to me was a vehic le whereby I could reach apopula t ion tha t usua l ly d i d n ' t l i s t e n to the kinds

/" 'of t h ings t h a t I needed to t e l l them about . Things. l ike .pregnancy and b i r t h cont ro l and sexual lyt ransmi t ted di seases . But when I s t a r t e dbroadcas t ing I was the f i r s t to t a lk about somethingca l l ed GRID, Gay Related In t e s t ina l DiseaseSyndrome, you now know t h a t to be AIDS. And nobodywas t a lk ing about it publ i c ly and god forbid anybody

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t a lk ed about safe sex with kids because oh jeeze , wec a n ' t do tha t , they might eyen.have more sex.

DAVID ESSEL: You know t h e r e ' s still a l o t of peoplet h a t be l i eve t h a t today.

DR. PINSKY: Well I 'm encounter ing t h a t in te rms o ft a l k i n g t o people about the morning a f t e r p i l l .There ' s g rea t res i s tance to t a lk ing about emergencycont racep t ion . I see t h a t as a c r i t i c a l i ssue inour so c i e ty and to me a way to completely e rad ica teabor t ion . The morning a f t e r p i l l could e l imina teabor t ion eas i ly . But people a re ambiva lent . Oh, i sit an abor t ion p i l l i t s e l f ? No, it i s n ' t . We knowit suppresses ovula t ion, t h a t ' s a l l it does.Anyway, bu t I 'm here to t a lk about depress ion andcommunication and the f ac t t h a t you 've got t a lk toyour p ar tn e r , you've to i d en t i fy depress ioh . Youc a n ' t be s t igmat ized by it. You go t to t a l k t o yourdoc t o r and sometimes you got to take medica t ionbecause t h a t r ea l ly , it i s a dangerous condi t ion andal though the medication too i s kind of s t igmat izedt hese days , usua l ly fa i r ly sho r t term, and itp o t e n t i a l l y saves peoples ' l i ve s .

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DAVID ESSEL: You, I saw in some of th e pressmate r i a l s t h a t yqu ~ r e doing some what do you ca l l !l i k e l ive presen ta t ions in Sea t t l e , t h a t you ' remeet ing with t h i s in t imacy and depress ion group,t h e r e ' s a whole panel of you, a re you going to do ito t h e r than Sea t t l e , i s t h a t j u s t the one main c i ty?

DR. PINSKY: We did it in New York and 'San Franciscoand then the l a s t one was in S e a t t l e . The Seat t l eone ac tu a l ly y o ~ can see it or i the Web s i t e .wV!w.int imacyanddepression.com, no spaces , or you canc a l l 1-800-577-8550 fo r more in format ion on both thetown h a l l meetings and the campaign in genera l . Butits rea l ly cool , look on the. Web, you ac t u a l l y seeth e event . I t was a very nea t even t . We go i n tob ig ha l l s , th r ee or four thousand people and you s i tdown with some rea l ly except iona l people whothemselves are high power profess iona ls in the f i e l do f the t rea tment of depress ion ahd one i n p a r t i cu l a rwh o i s ac tu a l ly a t h e rap i s t who's been se r io u s lydepressed and he r sort of journey with it and it'sve r y , very touching.

DAVID ESSEL: What d id you l ea rn Dr. Drew? What didyou l ea rn from being involved in t h i s panel t h a t you


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d i d n ' t know p r i o r to walking in o r was t he reanything?

DR. PINSKY: In New York we have the oppor tun i ty towork with a guy named Tom [WISE ?] who i s the vicech a i r of the department of psych ia t ry a t Georgetownand he t aught me a lo t about some of the numbersassoc ia ted with these and I d i d n ' t unders tand howmany, how f requent it was tha t t rue bona f ide majordepress ion occurs in our s o c i e t ~ and how p o t en t i a l l ydangerous it is and how much the medicat ion haverevolut ionized and ' in many cases saved l i v e s . I wasa l i t t l e maybe ambivalent , I knew how to use themedicines but in my p rac t i ce I ran a depar tment ofmedicine in the p sy ch ia t r i c h o sp i t a l and I washaving to deal with the medical consequences ofmedica t ion more of ten than not so I was a littlesk ep t i ca l but as I ' ve learned about th e d i sease I ' v er e a l l y come to unders tand.mysel f the ex ten t of theproblem.

DAVID ESSEL: And I know from the exper ience I haveof t rave l ing some and speaking t h a t t h e re w i l l bepeople t h a t you would not know r i g h t o f f the ba tt h a t are b a t t l i n g se r ious depress ion t h a t can hideit and work and func t ion ...


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DR. PINSKY: Well the same appl i e s to addic t ion o rany othe r major ... we r fo r what ... I mean a l l ... why wecan t a lk about diseases o f the h ea r t but we can 1 tt a l k about diseases of the bra in i s bizar re to me.I mean it 1 S l ike it 1 s t ime we came out o f the darkages andwe know so much about bra in funct ion. Weeven know why tha t n ine .year o ld can play the pianothey way he does.

DAVID E S S E L ~ I 1 m going to ask you to hold t h a t thought and you 1 re going to come back and give us

th e answer there . 1-800-743-8000. Werre t a lk ing toDr. DreW 1 of courser from Love Line and we 1 ll havehim back and speak in j u s t a moment or twor 1-800-743-8000. Awesome to have you on board. rrm DavidEsse l . Stay r i gh t t h e re .

[END OF TAPE]

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Thank you.A STENO SERVICE 60 Eas t 42nd St r ee t , NYC 682-4990

GlaxoSmithKline Honorarium to Dr. Drew Pinsky Exhibit and His Radio Transcript Mentioning Wellbutrin...

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