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SELLING SICKNESS exposes the unhealthy relationship between society, medical science and the pharmaceutical industry.

Drug manufacturers today fund aggressive marketing campaigns designed to create public awareness of previously unknown diseases, or known by less dramatic names. Shyness thus becomes branded as 'Social Anxiety Disorder,' constant worry becomes 'Generalized Anxiety Disorder,' and premenstrual tension is now 'Premenstrual Dysphoric Disorder.' The sale of SSRI anti-depressant medications used to treat these and other diseases, such as Paxil, Zoloft and Prozac, has become an annual $20 billion market.

The film features commentary from paid medical consultants to the drug companies, patients, researchers, patient advocates, advertisers, attorneys, and psychiatrist Dr. David Healy, a critic of the pharmaceutical industry. SELLING SICKNESS also visits trade shows and professional conferences to show how the pharmaceutical industry promotes the use of its drugs within the medical community.

Co-written by Ray Moynihan (author of the book Selling Sickness, 2005), an internationally respected health journalist and current guest editor at The British Medical Journal, the documentary reveals aspects of the drug trade not mentioned in commercials or magazines, including the deceptive use of clinical trials sponsored by the pharmaceutical companies, the highly addictive nature and many adverse side effects (like suicidal impulses among adolescent patients) of popular SSRI anti-depressants. At an FDA hearing in Washington, D.C., the testimony of parents who have lost their children to suicide starkly emphasizes the need for greater regulation of these heavily promoted and prescribed anti-depressants.

In a society where the techniques for selling diseases has become even more sophisticated than the medical science which develops cures for them, where everyday emotional problems are touted as epidemic diseases, SELLING SICKNESS sounds a vitally important cautionary note.

' * * * [3 stars]! Recommended! A thoroughly researched and well-made film.'-Video Librarian

'Provocative... Bracing... A welcome, bitter tonic to the surfeit of glossy advertising and lucrative enticements that surround any practicing physician today.'-Journal of the American Medical Association

'Disturbing! Should make you think twice before popping a pill.'-The Mercury

'A thought-provoking film... although its critical intent is apparent throughout, it provides a complex account... this film is sure to prompt a valuable discussion about the medicalization of everyday problems, the difficulties of anticipating atypical reactions to new drugs, and the impact of new advertising and marketing methods on the relationship between doctors and patients.'-Bulletin of the History of Medicine

'Lively! Superior! Recommended!'-Ragged Edge Magazine

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Main credits

Scott, Catherine (film director)
Fiske, Pat (film producer)
Johnston, Robyn (narrator)

Other credits

Editor, Karen Johnson; photography, John Whitteron; composer, Felicity Fox.

MARC Record See Worldcat record

Keywords

Ray Moynihan; Ray Moynihan; paxil; prozac; zoloft; lexapro; antidepressants; depression; social anxiety disorder; generalized anxiety disorder; SSRI; drug marketing; pharmaceutical; GlaxoSmithKline; Pre Menstrual Dysphoric Disorder; suicide; FDA; advertising; ads; video; dvd; film; David Healy; documentary; "Selling Sickness"; Icarus Films;

SELLING SICKNESS POST PRODUCTION SCRIPT

Shot	Dur	VISION	DIALOGUE	Timecode
		Fade up Archival footage from The Relaxed Wife CU Pan of stack of books SUPER fades on: Film Finance Corporation Australia presents	Archival Music In: 10:00:00:10 *Archival male V/O:* Today Medical Science recognises that …	10:00:00:00
		MED Man lying on floor in bedroom, woman sitting SUPER fades on: a Paradigm Pictures production	… some folks aren’t helped by relaxing …	10:00:07:19
		MCU Man’s face, opens mouth SUPER fades off	… exercises, …	10:00:08:19
		MED Man lying on floor in bedroom, woman sitting	… in cases …	10:00:11:18
		MED Man with round sign on head	… of difficult tension …	10:00:12:03
		MCU round sign ‘World’s Worries Other Folk’s Problems My Affairs’	… and nervous apprehension, …	10:00:13:16
		CU Man’s face scrunched up		10:00:14:24
		DISSOLVE TO CU glass beaker with paper face, CU bottom of round container	… doctors now prescribing …	10:00:16:07
		MED arms and hands reaching up, beaker in middle	… medicine.	10:00:19:06
		MWIDE arms coming out of desk with beakers and containers	Archival music out: 10:00:22:16 MUSIC IN: 01.01.53.05	10:00:21:13
		MED Man sitting in chair, odd look on face, CU Man’s face with odd look	*Man’s V/O:* Jeff’s losing control of himself … *Woman’s V/O:* you just drink this and …	10:00:24:00
		CU sign ‘THINK’	… you’ll be fast …	10:00:26:15
		CU sign ‘SMILE’	… asleep …	10:00:27:09
		CU sing ‘WORK’	… in no time.	10:00:28:01
		WIDE Man boxing in bedroom, woman sitting on bed reading		10:00:28:14
		CU Man’s face with odd look	NARRATION: For decades pharmaceutical …	10:00:29:19
		MCU round sign ‘Perfect, My Very Best, Good Work’	… companies have sought innovative …	10:00:30:14
		MED arms and hands reaching up, beaker in middle ZOOM in	… and sometimes humorous ways to promote their miracle cures …	10:00:31:19
		DISSOLVE to MWIDE two men in silhouette, cell structures in bkgd SUPER fades on: Pfizer Ad	… but today, the selling …	10:00:35:19
		MED man looking at cat scans	… has become as sophisticated …	10:00:37:10
		MID woman writing equations on glass	… as the science.	10:00:38:20
		WIDE people working in laboratory		10:00:40:14
		DISSOLVE to rotation of pharmaceutical boxes of drugs	… The promotion of blockbusters …	10:00:41:01
		DISSOLVE to image of pills rolling towards camera on conveyor belt – above them, superimposed Prozac, Paxil, Zoloft packages, Aropax pill, ad people with hands on head, Lexapro, Seroxat and Sarafem packaging	… Prozac, Paxil and Zoloft has caused antidepressant sales to skyrocket generating a 20 billion dollar market.[i]	10:00:44:10
		WIDE woman (Amy Verodosa) with crown on head walking across stage	Amy Verodosa (Miss Orlando) V/O: I am diagnosed with panic disorder …	10:00:44:23
		MCU Amy with crown on head speaking at microphone	Amy Verodosa (Miss Orlando) SYNC: … and if I can do this and get up and become someone else and make a difference in the world, so can you.	10:00:56:00
		CU TILT down Zoloft ad – blue with sunflower	NARRATION: While many have been helped, …	10:01:01:01
		DISSOLVE to CU Aropax ad, woman with young girl ‘love that aropax smile’	… there’s a growing global …	10:01:02:20
		DISSOLVE to WIDE roomful of people, screen on right side at back	… controversy that …	10:01:04:09
		MWIDE people seated facing camera in large room	… benefits have been overblown …	10:01:06:01
		MWIDE man (Glen) with large picture frame, reading at microphone, people seated behind and in front	… and rare …	10:01:07:14
		MCU people in audience facing camera	… but potentially deadly …	10:01:08:20
		MED side view David Healy and another man seated in audience	… side effects	10:01:10:00
		WIDE people seated in a square, blue cloth hanging from tables	… played down.	10:01:11:02
		MID man (Glen) at microphone with picture frame of girl	Glen McIntosh SYNC: The dramatic and severe symptoms that led to my daughter’s suicide, manifested only after she started taking antidepressant drugs.	10:01:12:05
		CU man (Tom) intv	Tom Woodward SYNC: These drugs are being prescribed like candy, they are being given for practically everything it seems today.	10:01:20:22
		DISSOLVE to MWIDE speeded up shot of people walking in streets		10:01:26:09
		DISSOLVE to cascading pills on conveyor belt FADE & slides on title: SELLING SICKNESS FADE & slides off		10:01:30:00
		MED David Healy walking into room with flags and chairs	MUSIC OUT: 10:01:38:10 NARRATION: Leading Psychiatrist, David Healy is a strong supporter …	10:01:36:14
		MED Sideview PAN with Healy walking right	… of medicines for those in genuine need, but he’s rocked the scientific …	10:01:36:14
		MWIDE TV studio Healy with Talking Politics host in bkgd	… establishment with accusations …	10:01:44:19
		MID Healy talking to host	… that aggressive drug …	10:01:46:07
		LS Healy at podium on left, slide of magazine cover on right	… marketing is creating need, …	10:01:47:24

LS sideview people at tables listening	… blurring the boundaries …	10:01:49:18
MID Healy speaking at podium	… between medical conditions …	10:01:51:10
MID sideview audience listening	… and ordinary life.	10:01:53:04
CU sideview man’s face	David Healy V/O: Now there are …	10:01:55:01
MID sideview people in audience listening, women in front wearing red	… scientific, political …	10:01:56:13
MID sideview people in audience listening	… and ethical issues involved here, but …	10:01:58:14
MCU Healy speaking	David Healy SYNC: … within psychiatry there is, of course, one more issue, the very way you understand yourself is involved here.	10:01:59:23
DISSOLVE to lights at night, goes out of focus, superimposed 3-D paxil/aropax/seroxat pill revolves	MUSIC IN: 10:02:07:02 NARRATION: Paxil, also known as Aropax and Seroxat became the world’s top selling antidepressant …	10:02:07:02
CU Paxil ad ‘Your Life is Waiting’	… only after its manufacturer …	10:02:16:14
CU Paxil ad ‘Millions could be helped by Paxil	… started advertising a little known condition …	10:02:18:11
DISSOLVE to CU PAN of advertisement ‘may suffer from social anxiety disorder’	… called ‘Social Anxiety Disorder’.[ii]	10:02:21:00
DISSOLVE to CU ad ‘Why Paxil?’	Dr Murray Stein V/O: People with …	10:02:24:14
DISSOLVE to CU TILT down of social anxiety disorder ad	… social anxiety disorder consider themselves very shy, …	10:02:26:11

MCU man intv (Dr Murray Stein) SUPER fades on: Dr Murray Stein University of California, San Diego	… are uncomfortable meeting new people, uncomfortable being in situations where they may have to present themselves …	10:02:29:20
CU TILT down	… like speaking in public, doing …	10:02:36:09
DISSOLVE to CU ad ‘what’s it like to have social anxiety disorder?	anything when other people are watching …	10:02:39:07
DISSOLVE to CU PAN up and across left of Aropax ad	… and there is the potential for you to say or do something to embarrass …	10:02:41:08
DISSOLVE to CU ad ‘Is there treatment for social anxiety disorder?’	… yourself. NARRATION: As with the other antidepressants …	10:02:44:17
DISSOLVE to CU TILT down of ad, woman’s face, ‘should have, could have, would have’	… almost all the key clinical trials of Paxil …	10:02:47:03
DISSOLVE to CU hands typing on laptop computer	… have been funded by the pharmaceutical industry. MUSIC OUT: 10:02:52:15	10:02:51:09
ECU sideview man’s (Stein) face	… A paid consultant to 17 drug companies …	10:02:53:20
CU computer image of brain ‘Increased activation in GSP …	… including GlaxoSmithKline, the makers of Paxil, …	10:02:56:21
MID sideview man (Stein) typing on laptop computer	… Murray Stein, has worked on the main trials …	10:03:00:01
ECU computer image ‘Anterior 32, Posterior 5’	… of the drug for Social Anxiety Disorder.[iii] Dr Murray Stein V/O: People will choose …	10:03:03:04

CU intv man (Dr. Murray Stein)	Dr Murray Stein SYNC: … jobs where they get to interact as little as possible with other people. So we see people with social anxiety disorder really accommodating …	10:03:06:21
MID sideview man (Harry) working on computer	… the illness, by becoming you know librarians, accountants …	10:03:15:17
CU computer cables and hands working	… computer programmers. Harry Skigis V/O: I was never …	10:03:19:19
ECU sideview man’s (Harry) face	… originally like this I was always a really outgoing person, liked to be the …	10:03:23:22
ECU red computer board	… centre of attention. Things started …	10:03:27:03
MCU man intv SUPER Fades on: Harry Skigis Paxil Patient	Harry Skigis SYNC: … happening in my life um. I lost one of my best friends …	10:03:30:08
ECU hands with tv remote	Harry Skigis V/O: … which is when I first started having panic attacks and …	10:03:35:06
ECU Harry’s face	… anxiety attacks. And as the stress …	10:03:37:20
LS man lying on couch	… got worse the panic attacks and the anxiety got worse …	10:03:40:20
MCU Harry intv	… and as the stress went away the panic attacks didn’t go away.[iv]	10:03:45:10
WIDE ZOOM out to EWIDE woman walking towards camera, house behind	Deb Olguin V/O: Social anxiety disorder is to me it meant the fact that I just really could not work with the public …	10:03:50:24
MID woman intv SUPER Fades on: Deborah Olguin Paxil Patient	Deb Olguin SYNC: … without being quite nervous or quite anxious.[v]	10:03:57:19

LS Deb walks through door PAN to table	*Deb Olguin SYNC:* Good Morning everybody. Deb Olguin V/O: I have a hard …	10:04:01:04
MID two women seated	… time, even to this …	10:04:01:06
MID Deb in blue shirt	… day going to social functions.	10:04:07:04
MWIDE Deb in kitchen on telephone	… I was unemployed …	10:04:10:11
CU Deb on telephone	… and I found myself getting really nervous and agitated at job interviews.	10:04:13:17
CU Deb intv	Deb Olguin SYNC: …. I would stutter when I spoke, um, typing was difficult and it seemed like every time I went on another interview it got worse, and it got worse and it got worse. Then I saw the commercials and I thought well maybe this might help me.	10:04:19:00
CU images of Paxil ad on television SUPER fades on: Paxil Ad – GSK	Ad Woman V/O: Paxil, the only medication proven effective for social …	10:04:35:03
MED Harry sitting on couch, legs crossed	… anxiety disorder. It works to correct”… Harry Skigis V/O: I started seeing the ads on TV for Paxil …	10:04:38:08
CU Harry’s face	… and the ads summed up just what I was feeling.	10:04:43:12
CU images of Paxil ad on television SUPER fades on: Paxil Ad – GSK	Ad Woman V/O: What it is. … What it feels like. Harry Skigis V/O: The one ad that really stood out for me was a gentleman that went out to a dinner party I believe …	10:04:48:20

MCU Harry intv	Harry Skigis SYNC: … and it showed it from his perspective and everyone was looking at him and …	10:05:01:05
CU images of Paxil ad SUPER fades on: Paxil Ad – GSK	Harry Skigis V/O: … I mean you just got this vibe from this commercial and that’s exactly how I felt. *Ad Woman V/O:* We know what social anxiety can feel like and Paxil can help. Harry Skigis V/O: … It took me a couple of months to get the guts to call the doctor.	10:05:01:05
MCU Harry intv	Harry Skigis SYNC: … I went for an appointment and I explained to him what was going on and before I even asked about Paxil he suggested it to me. MUSIC IN: 10:05:25:09	10:05:18:00
MWIDE Deb riding bike PAN left	Deb Olguin V/O: I just walked in to the physician’s office and said, I think I have social anxiety disorder, …	10:05:25:19
MCU Deb intv	MUSIC OUT: 10:05:33:20 Deb Olguin SYNC: … and I heard of this medication called Paxil on television and I’d like to try it. And …	10:05:32:03
ECU prescription being written for Paxil, 20 mg each day	MUSIC IN: 10.05.38.14 Deb Olguin V/O: … he went ahead and filled the prescription. I pretty much diagnosed myself. He did not ask me any questions. He just filled the prescription that I wanted.	10:05:38:14
DISSOLVE to Paxil ad (bill bottle and Paxil pill) SUPER fades on Paxil Ad – GSK	MUSIC OUT: 10.05.52.00 *Ad Woman V/O*: Paxil is not habit forming. Ad Woman V/O: I’m not bogged down by worry anymore. I feel like me again.	10:05:49:13

	Barbara Mintzes V/O: I did a study in doctors offices and what I found was if a patient had come in and they’d asked for an advertised medicine, …
CU Intv Barbara Mintzes SUPER fades on: Barbara Mintzes Health Researcher University of British Columbia	Barbara Mintzes SYNC: … three quarters of the time they walked out of the doctor’s office with a prescription for that specific brand. MUSIC IN: 10:06:08:18	10:06:03:16
WIDE whip PAN of tall buildings and sky		10:06:09:00
MED people walking on streets of NYC		10:06:10:21
LS people walking on streets of NYC		10:06:12:09
MED		10:06:13:21
WIDE people walking on streets of NYC PAN left following man	NARRATION: These days its not just drugs …	10:06:16:08
MID PAN left with man who walks into building	… that are branded, its also the diseases that go with them.	10:06:19:04
MED man (Vince) sitting at desk on telephone	MUSIC OUT: 10:06:25:19 Vince Parry SYNC: … the thing is the butterfly is one type of an image, the humming bird is actually . . . NARRATION: Vince Parry’s firm designs advertising …	10:06:24:00
CU hands holding pen and moving over graphic, hand flips pages	… campaigns for drug companies … helping draw public attention to the latest disorders - a job he describes as condition branding.	10:06:31:09

MID man (Vince) on telephone	Vince Parry SYNC: the butterfly is a little bit overused . . . Vince Parry V/O: Condition branding …	10:06:39:05
MID man intv SUPER fades on Vince Parry President & Chief Branding Officer Y Brand	Vince Parry SYNC: … really creates new ideas about illnesses and conditions that are embraced by both patients and physicians.	10:06:41:16
MID sideview Vince with man	Vince Parry SYNC: … so what’s the idea behind the bridge structure? Man SYNC: The …	10:06:47:22
CU ad ‘balance’	Man V/O:… bridge is a metaphor… NARRATION: While drug companies …	10:06:50:20
MID Ad layout, PAN left, pencil circling above	… might call it disease awareness raising, Parry’s …	10:06:53:15
MID sideview Vince with man, PAN down to ad work	… notion of branding a condition suggests industry might sometimes influence the very way …	10:06:56:15
MID hand moving in front of ad work	… conditions are being defined.	10:07:02:12
MID Vince Parry intv	Vince Parry SYNC: You need to create an idea or to own an idea about the condition itself, and the best way to define the condition. You need to own an idea about who that person is, how that patient or that profile of that individual manifests itself in the population.	10:07:04:14
B/W Archival footage MID man	*Man V/O*: Look at Fred, he’s not even sure that he can stand up, …	10:07:22:04
B/W Archival footage CU shoes tapping	… his feet are cold, …	10:07:23:09

B/W Archival footage MCU hands holding utensils	… his hands are hot …	10:07:25:03
B/W Archival footage CU man	… and Fred wishes he were somewhere else. Diagnosis ….	10:07:26:24
B/W Archival footage CU title ‘STAGE FRIGHT’ wipes to ‘FEAR’	… Stage fright. Vince Parry V/O: In the past jitters, stage fright, inability …	10:07:31:09
B/W Archival footage MID man fingering his neck	… to feel comfortable in a crowd. These were normally …	10:07:36:13
B/W Archival footage ECU man’s eyes and nose	… called shyness …	10:07:39:01
B/W Archival footage MED two men, one standing, one sitting	… or extreme shyness or diffidence or other words, most recently, …	10:07:40:10
MID Vince Parry intv	… it’s what we call social anxiety disorder.	10:07:40:10
B/W CU TILT down ad ‘Overcoming back-to-school jitters’	Dr Murray Stein V/O: Shyness is a very common personality trait. …	10:07:47:01
MCU Murray Stein intv	Dr Murray Stein SYNC: If you ask people in the general population, you ask 100 people “are you shy?”, about a third of people will describe themselves that way.	10:07:51:07
CU advert drawing of character with mouth open ‘Feeling Anxious? You are not alone …	… Social anxiety disorder can be thought of…	10:07:58:00
CU advert ‘Say Good-bye to Shy’	… in some ways as being a real …	10:08:00:06
CU advert ‘Challenging Extreme Shyness’	… extreme of shyness. So if you …	10:08:02:11

MCU Murray Stein intv	… took those 33 people out of 100 who said that “I’m shy”, probably two or three or four of those people would actually have shyness that interferes with their lives to the point that we’d say they have social anxiety disorder. MUSIC IN: 10:08:19:00	10:08:04:24
WIDE dusk street shot with cars		10:08:19:03
MED people walking in city (fast motion)		10:08:21:17
MED people walking in city (slow motion)	NARRATION: While there are differing views about how many people are affected by these conditions, companies …	10:08:23:11
DISSOLVE & SUPERIMPOSE CU brochure ‘You are not alone … Social anxiety disor …’ on bottom of screen	… sometimes choose to promote the highest estimates.	10:08:29:04
DISSOLVE & SUMPERIMPOSE CU brochure ‘1 out of every 8 …’	… The maker of Paxil has claimed one in eight people suffer from social anxiety disorder- which adds up to over 30 million Americans.[vi]	10:08:33:15
DISSOLVE & SUMPERIMPOSE CU brochure paragraph		10:08:38:00
MWIDE people crossing street and walking around	Dr Murray Stein V/O: There is no sharp dividing …	10:08:42:09
LS people walking towards camera	… line between who has social anxiety disorder and somebody who has social …	10:08:45:21
MID crowded scene of people milling	… anxiety and fears that really aren’t something we’d want to diagnose. MUSIC OUT: 10:08:55:17	10:08:51:09

MCU Murray Stein intv	Dr Murray Stein SYNC: The fact of the matter is, people are really going to vote with their feet whether or not they feel that this diagnosis fits for them. This is a problem for them in their lives and its something they want help with.	10:08:55:18
MED man in suit (Vince) speaking	Vince Parry SYNC: … when we show the people the three different ideas and expose the people to them, what’s the basic type of reactions …	10:09:05:24
MID sideview man sitting and listening, body of man standing	Vince Parry V/O: … we want to get out of this, you know what’s the face inside the bottle so to speak.	10:09:10:21
MED man in suit (Vince) speaking	NARRATION: Parry’s Firm has advised several big drug companies, and though he hasn’t worked …	10:09:14:06
CU board with various photos	… on Paxil or Social Anxiety Disorder, he sees it …	10:09:18:17
MID sideview man listening, building in bkgd	… as a good example of branding a condition.[vii] Vince Parry V/O: With some …	10:09:21:17
LS Vince speaking to two men and showing board with photos	… thing like Paxil and social anxiety disorder, …	10:09:25:21
MCU Vince intv	Vince Parry SYNC: … they own the idea about personal empowerment, …	10:09:28:21
CU TILT up of advert woman’s face (red colour)	Vince Parry V/O: … a more of a control over your own life. …	10:09:32:03
CU advert ‘Overpowered by Anxiety’ (red colour)	… Beyond the ingredients of the product or …	10:09:34:13
CU advert ‘Empowered by Paxil’ (red colour)	… the way it works, these are the ways that these brands …	10:09:36:09
MCU Vince intv	Vince Parry SYNC: … impact these patients and therefore they can identify them. It creates inextricable bond with them.	10:09:38:17

MED Harry and woman eating at restaurant		10:09:46:04
MCU spooning food	Harry Skigis V/O: The Paxil …	10:09:47:17
CU Harry eating	… alleviated a lot of the …	10:09:48:24
MED Harry and woman eating in restaurant	… social anxiety type feelings …	10:09:51:01
MCU Harry intv	Harry Skigis SYNC: … and the panic attacks and to a certain point it made it a lot better.	10:09:53:07
MCU Deb intv	Deb Olguin SYNC: Paxil alleviated my anxiety, it did help me. I did as a matter of fact get a job just about 2 and a half months after starting taking the medication …	10:09:58:01
CU woman with blond hair SUPER fades on: Paxil CR Ad – GSK Woman speaking, man & woman laughing, man, man in boardroom, woman and child running up steps	*Ad Woman’s SYNC:* John your so sad lately, remember how you used to laugh all the time. Barbara Mintzes V/O: If you look at the way drugs advertised on television, you get a lot of very normal life situations being presented. The impression that you have is that …	10:10:08:01
MCU Barbara Mintzes intv	Barbara Mintzes SYNC: … these are treatments for everyday problems for sadness, for anxiety that people are encountering in their normal lives. And it’s a shift from a drug that’s approved to treat actually people who are suffering from an illness to the idea that you just take a pill to deal with normal life situations.	10:10:21:13

158.		CU Paxil ad SUPER fades on: Paxil Ad – GSK Woman in kitchen speaking to camera, man with head in hand, man speaking, man sleeping	*Ad Woman SYNC:* You know, your worst fears, you know the what if … and I can’t control it and I’m always worrying … *Man V/O:* It’s like I never get a chance to relax. Dr. David Healy V/O: The problem with these adverts is, they’re not showing you people who are …	10:10:43:06
		MCU Man, flowers on right in bkgd, intv SUPER fades on: Dr David Healy Dept of Psychological Medicine University of Wales	Dr. David Healy SYNC: … severely ill, who really do need treatment, who we can all agree need treatment, they’re showing us people who look rather like us on a bad day.	10:10:54:12
		MWIDE Healy and woman walking in hallway towards camera	NARRATION: A long time consultant to the …	10:11:07:04
		MED camera following Healy through door	… pharmaceutical industry, Psychiatrist, David Healy, now travels the …	10:11:07:04
		LS TRACKING shot of Healy sitting down with tv presenter	… world speaking out about the potential risks of these heavily marketed medicines.	10:11:10:15
		MCU sideview young man with headphones, ZOOM out MID	TV Presenter V/O: Dr David Healy is a world-renowned expert on anti depressant drugs, and he …	10:11:15:24
	cpac	MID tv presenter addressing camera	… joins me now in the studio, thanks for coming in. David Healy V/O: Thank you very much for having me.	10:11:19:16

	MID David Healy speaking	David Healy SYNC: I actually use drugs to treat people who’ve got problems with their nerves. I used them when they came out first and I use them still. …	10:11:23:01
cpac	MED Healy at round table speaking to tv presenter	… And GPs prescribe them in good faith because they think these things are basically harmless, but in actual …	10:11:30:03
cpac	MID David Healy speaking	… fact, they aren’t.
	MWIDE technician with camera filming Healy and tv presenter	NARRATION: Like many others, he’s concerned that a decade of mass marketing …	10:11:37:01
	CU Healy on television monitor	… has transformed once rare conditions into modern epidemics.	10:11:41:11
	MCU Healy intv	David Healy SYNC: I think the figures probably …	10:11:46:19
	DISSOLVE to people milling on crowded street	David Healy V/O: … point to 40 to 50 million people per year world …	10:11:49:02
bbc	DISSOLVE to MED bluish pills pouring into shot	… wide being on these pills.	10:11:52:01
	DISSOLVE to CU hand with packet of pink pills	Deb Olguin V/O: So I usually take my Paxil in the evening, …	10:11:56:00
	MED Deb sitting in kitchen getting pill out of packet and taking it	… I have to take one out, since I’m only 10mg, I just snap em in half, and then I take my Paxil.	10:11:56:12

MED Deb and her partner Sergio coming out of gate from house PAN with them to car	*Sergio SYNC:* Ok we all set, we got the place all locked up?” NARRATION: With sales peaking at more than $3 billion[viii] a year for GSK, Paxil became one of its biggest money spinners, but for Deb …	10:11:59:21
MID Deb getting into driver seat	… the price of a prescription is barely affordable. Deb Olguin SYNC: … here we go …	10:12:23:09
CU sideview hands on steering wheel	MUSIC IN: 10:12:28:16 Deb Olguin V/O: When I need Paxil and I can’t afford it in the United States, my husband …	10:12:28:16
ECU sideview Deb’s face	… and I drive down to Mexico, where we can get a supply of …	10:12:32:23
MID sideview Deb driving	… Paxil, without a prescription for approximately …	10:12:37:15
WIDE driving shot out front car window - road, mountains, desert	…. fifty per cent less than what you pay for …	10:12:41:02
WIDE travelling shot out side window – desert	… in the United States.	10:12:44:11
WIDE TRACKING shot of van travelling left on road, ZOOM out		10:12:46:20
WIDE travelling shot past ‘Mexico Next Exit’ sign	NARRATION: In the US, …	10:12:51:00
WIDE travelling shot past caravan park	… rising prices and growing use have caused national spending on pharmaceuticals to …	10:12:53:05
DISSOLVE to PAN along people waiting in line at border	… double in just six years [ix]….and thousands of patients are forced to cross borders to buy cheaper …	10:12:58:05
LS people walking towards camera	… medicines.	10:13:03:16

MID old man riding on tricycle		10:13:06:00
MID sideview man 1 spruiking	*Spruiker 1 SYNC:* … Viagra, $4 a pill, guys.	10:13:07:19
MID man 2 spruiking	*Spruiker 2 SYNC:* Come on folks …	10:13:09:19
MID couple facing each other in crowd		10:13:11:02
MCU man 3 spruiking	Spruiker 3 SYNC: We’re like pop corn in a movie theatre.	10:13:12:12
LS people walking outside of shops	NARRATION: Health systems …	10:13:14:15
MID couple walking in crowd	… around the world are in crisis …	10:13:16:02
MCU plastic bag and legs walking	… over exploding drug costs, …	10:13:17:16
LS people walking with bags towards camera	… and some nations now spend …	10:13:19:02
MED sign ‘Farmacia Baja’	… more on medicines …	10:13:20:23
MED sign ‘Farmacia Cotton #1’	… than they do on …	10:13:22:02
LS crowd in pharmacy	… doctors.[x]	10:13:23:06
LS lines of people in pharmacy at cash registers		10:13:24:10
LS Deb and Sergio walking towards camera	Deb Olguin V/O: I’ve stopped taking Paxil …	10:13:25:12
MWIDE Crowd walking away toward gate, PAN up and left to sign ‘Los Algodones, Mexico’	… in the last four and a half years I’d say about 5 times … MUSIC OUT: 10:13:32:20	10:13:28:04
MID Deb Olguin intv	Deb Olguin SYNC: … and it wasn’t really voluntary.	10:13:32:22

MED Deb and Sergio getting cards from spruiker and walking into pharmacy	… It was because I couldn’t either afford it or couldn’t get prescription refilled“ *Sergi SYNC:* Thank you. *Spruiker 2 SYNC*: Your welcome …	10:13:36:02
MED worker at pharmacy, PAN right to Deb and Sergio	*Pharmacy Worker SYNC*: Can I help you mam … *Deb Olguin V/O:* Ola … NARRATION: It was when Deborah stopped taking Paxil, that she discovered …	10:13:42:01
ECU sideview pharmacy worker	… a far more serious problem …	10:13:47:09
MCU sideview Deb and Sergio	… than the drug’s cost.	10:13:49:13
ECU sideview pharmacy worker TILT down to package in her hand	The problems started when my prescription ran out and I went …	10:13:51:24
MID Deb Olguin intv	Deb Olguin SYNC: … around ten days and I was totally not functioning, not functioning at all. It was horrible.	10:13:56:15
MID coffee being poured into cup		10:14:05:16
MCU Sergio sideview parrot on shoulder	Sergio V/O: She’s gone through withdrawals or I’d say 4 or 5 times, …	10:14:07:00
LS Sergio in kitchen taking jar off shelf	… and its really stressful. …	10:14:10:02
MED Sergio intv in kitchen	Sergio SYNC: … She gets really irritable, she can’t eat, she is just very difficult to be around. Any little thing sets her off.	10:14:13:00
CU water from tap into glass		10:14:20:24
Med Harry sideview at sink	Harry Skigis V/O: When I decided to try to get off Paxil, …	10:14:22:12

CU hands with Paxil container opening and spilling out pills in hand	… that’s when … the reality of ‘oh my god I’m hooked on this stuff’ really came about. MUSIC STING IN: 10:14:28:14	10:14:26:07
LS PAN with Harry across room to sit down	… I was in actual physical pain from these …	10:14:33:02
MCU Harry intv	Harry Skigis SYNC: … zaps I mean they just go through you’re whole body. … MUSIC STING OUT: 10:14:39:05	10:14:36:12
ECU Harry smoking cigarette	Harry Skigis V/O: … It’s not only the zaps and getting sick …	10:14:39:06
MCU cigarette butts in tin can	… it just feels like all the panic attacks that …	10:14:42:12
ECU Harry eyes	… you’ve missed from taking the drug …	10:14:44:16
MCU Harry intv	Harry Skigis SYNC: … are now bottling out of you like at an uncontrollable rate.	10:14:46:22
LS Harry seated and working on computer		10:14:50:23
CU hands on keyboard TILT up to Harry’s face sideview	Harry Skigis V/O: The day after I started getting sick, I actually …	10:14:52:01
CU internet search scrolling through Paxil sites	… went on the internet … I did a search on …	10:14:55:10
ECU Harry’s face sideview	… Paxil and withdrawals …	10:14:57:19
CU hand on computer mouse	… and all these people …	10:14:59:12
ECU Harry’s eyes	… were describing what I went through …	10:15:01:04
ECU computer screen Paxil withdrawal symptoms	… to a T.	10:15:03:01

ECU computer screen ‘Information Center, Paxil withdrawal guide		10:15:04:02
MCU man Darcy	Darcy SYNC: You have these sudden electrical jolts …	10:15:04:16
MCU woman Selena	Selena SYNC: Electric shock sensations …	10:15:05:03
MCU woman Susan	Susan Johnson SYNC: I couldn’t walk …	10:15:08:04
MCU man Luka	Luka SYNC: Incredibly fatigued …	10:15:08:21
MCU woman Susan	Susan Johnson SYNC: I could hardly talk …	10:15:10:07
MCU woman Colleen	Colleen SYNC: I used to get the shakes …	10:15:11:07
MCU woman Tina	Tina SYNC: Pins and needles …	10:15:12:12
MCU man John	John SYNC: Tingly feelings …	10:15:13:02
MCU woman Susan	Susan SYNC: Extreme vertigo …	10:15:14:00
MCU man Kim	Kim SYNC: Very violent dizzy spells …	10:15:14:23
MCU woman Tina	Tina SYNC: I fainted a couple of times …	10:15:16:00
MCU woman Colleen	Colleen SYNC: Chest pains …	10:15:17:07
MCU woman Susan	Susan SYNC: I couldn’t sleep …	10:15:18:01
MCU woman Colleen	Colleen SYNC: stomach spasms …	10:15:18:19
MCU woman Sandy	Sandy SYNC: Migraine headaches …	10:15:20:01
MCU woman Colleen	Colleen SYNC: the nervousness …	10:15:20:20
MCU man Darcy	Darcy SYNC: Racing thoughts …	10:15:22:00
MCU woman Colleen	Colleen SYNC: Anxiety attacks …	10:15:22:16
MCU woman Selena	Selena: Heightened emotional sensitivity …	10:15:23:18

MCU woman Susan	Susan: Crying spells …	10:15:25:00
MCU woman Sandy	Sandy: I was very angry …	10:15:26:03
MCU man Darcy	Darcy: I got the impression that I could create harm …	10:15:27:12
CU telephone, hand picks up receiver, TILT up to sideview woman’s face	FX: Phone ringing *Woman SYNC:* Good Afternoon. … Karen Barth Menzies V/O: The Paxil lawsuits …	10:15:31:13
MID sideview woman above at computer and on phone	… started about two and a half years ago. …	10:15:35:18
MID sideview man at computer and on phone	… We filed them in August of 2001 …	10:15:38:15
MCU Karen Barth Menzies intv SUPER fades on: Karen Barth Menzies Attorney BaumHedlund	Karen Barth Menzies SYNC: … and within days we had to shut down our office and put everybody on phones because …	10:15:40:20
ECU computer mouse with red ball	… we had thousands and thousands of people contacting us.	10:15:46:21
CU woman on phone	*Woman SYNC:* … and were you warned of its addictiveness? NARRATION: The LA Law firm, Baumhedlund, alleges …	10:15:49:05
MID above woman at computer and on phone sideview	… GlaxoSmithKline failed to warn doctors and consumers that …	10:15:55:21
ECU Karen on phone	… Paxil can cause withdrawal symptoms and dependence in some patients - …	10:16:00:10
MID Karen at computer and on phone sideview	… though GSK is strongly defending the action [xi] Karen Barth Menzies V/O: We continued to get calls …	10:16:04:06

MCU Karen Barth Menzies intv	Karen Barth Menzies SYNC: … over the last 2 years, we’ve had over 10,000 people call us now, and all of them complaining of the same things. ‘I’d started taking this drug, I had no idea that I could become addicted to it, and now I’m addicted’.	10:16:09:10
MCU Harry sideview	Harry Skigis V/O: I decided to join the law suit …	10:16:21:12
ECU computer screen Baum Hedlund address, withdrawal sites	… because GSK has been telling people that …	10:16:23:17
ECU Harry’s eyes	… it is just not addictive. To me its so much worse than …	10:16:26:17
MCU Harry sideview	… what I originally went on the drug for.	10:16:30:18
LS Deb and Sergio in kitchen talking	Deb Olguin V/O: I don’t want anybody to ever go through what I’ve gone through. …	10:16:32:18
MCU Deb sideview	… And I haven’t found a doctor or anybody who could tell me …	10:16:35:24
MCU Deb intv	Deb Olguin SYNC: … how to stop taking this medication, without having to go through major withdrawal.	10:16:39:04
DISSOLVE to MED pink pills passing	MUSIC IN: 10:16:44:22	10:16:42:23
SUPERIMPOSE pink and then white pills on conveyor belt, other shot fades out	NARRATION: Not everyone suffers withdrawal symptoms and there is debate about how commonly they occur. For some, like Harry and Deb, the problem can be so severe they are unable to stop at all [xii]	10:16:50:20
DISSOLVE to ECU mouth one	Dr David Healy V/O: We really don’t know, either in the case of people who are depressed …	10:16:58:19
DISSOLVE to ECU mouth two	… or people who have got social anxiety disorder, …	10:17:03:04

DISSOLVE to ECU mouth three	… what’s going to happen to you when you go on these drugs long term? MUSIC OUT: 10:17:09:24	10:17:06:00
DISSOLVE to MCU David Healy intv	Dr David Healy SYNC: What’s going to happen to you when, some months or some years up the road, you actually try to halt this drug. Paxil is the drug that has got the highest number of reports to the World Health Organization, of withdrawal from any drug, ever. [xiii] MUSIC IN: 10:17:26:24	10:17:09:24
CU pink pills spilled out of bottle	Ad Woman V/O: Paxil … MUSIC OUT: 10:17:30:15	10:17:27:18
ECU pink pills	… is non habit forming, …	10:17:29:05
CU Paxil ad, SUPER fades on: Paxil Ad – GSK man washing car, man smiling, Woman speaking to camera	… non habit forming … *Woman SYNC:* I don’t feel bogged down with worry anymore, I feel like me again.	10:17:30:08
CU Paxil CR Ad SUPER on: Paxil CR Ad – GSK Woman speaking, women with surfboards	NARRATION: While advertisements are the most visible forms of …	10:17:36:21
CU Video News Release SUPER fades on: Paxil VNR – GSK Woman walking towards camera	… marketing, there are other, far more subtle strategies. *Ad Woman V/O:* Sonya Burkett suffered from uncontrollable worry …	10:17:39:15

MED tv studio, above woman on monitor screen	… and anxiety … NARRATION: This is a Paxil video …	10:17:46:23
ECU hand operating switch	… news release made for GSK [xiv] …	10:17:49:20
MED bank of tv monitor screens	… They are sent to …	10:17:51:09
MCU back of operator watching bank of monitors	… local TV stations and …	10:17:53:12
CU tv monitor with man (Jack Gorman) speaking	… feature medical experts, …	10:17:54:19
CU tv monitor with Sonya Burkett speaking	… patients and …	10:17:56:03
ECU text on blue tv screen	… copy suggestions for the local …	10:17:57:00
ECU mouth speaking, tv monitor in bkgd	… reporters to read – all to be packaged …	10:17:58:14
MED back of operator watching bank of monitors	… as a breaking medical …	10:18:00:12
MED tv monitors	… news story.	10:18:03:03
CU assembly line of pill bottles SUPER fades on: Paxil VNR – GSK	Barbara Mintzes V/O: In the case of the Paxil news release, its very …	10:18:05:01
MID pills in packages moving down conveyor	… misleading …	10:18:07:20
CU Barbara Mintzes intv	Barbara Mintzes SYNC: … in terms of looking like news when in fact it’s a …	10:18:09:10
MID torso, hand taking pills out of packet SUPER on: Paxil VNR – GSK	… form of advertising.	10:18:12:01

CU Sonya speaking	*Sonya Burkett V/O:* Paxil helps me with the anxiety the worry … Barbara Mintzes V/O: You get the impression that you are getting an interview with a patient …	10:18:13:20
CU Jack Gorman speaking	… and with a psychiatrist. …	10:18:18:21
MID Gorman on phone	You don’t get any information about whether …	10:18:20:06
CU Barbara Mintzes intv	… there were any financial links between the manufacturer of this product and …	10:18:22:21
MED Jack Gorman seated and on the phone, slight ZOOM in, PAN right with him as he moves SUPER on: Paxil VNR – GSK	… the people who are being interviewed. MUSIC STING IN: 10:18:29:14 NARRATION: The expert featured, is Jack Gorman, a psychiatrist who speaks and consults for many drug companies.[xv] MUSIC STING OUT: 10:18:37:10	10:18:27:15
MCU Jack Gorman on tv screen	*Jack Gorman SYNC:* Paxil underwent extensive testing, for patients with Generalised Anxiety Disorder, and it proves to be an effective and well-tolerated medication.	10:18:38:04
CU Paxil bottle and pills lying beside it	*Ad Woman V/O:* The good news is that the FDA …	10:18:47:19
CU pink pills, one on it’s own	… has just approved Paxil to treat …	10:18:49:16
CU advert woman at birdcage ‘GAD Symptoms … Restlessness … Fatigue …	… G A D. Barbara Mintzes V/O: With Paxil you have now, I don’t know how many indications, …	10:18:51:20
MCU Barbara Mintzes intv	Barbara Mintzes SYNC: … it’s indicated to treat depression, generalised anxiety disorder, Social Anxiety Disorder, …	10:18:56:16

CU advert ‘Paxil CR – Now for PMDD Balanced. Everyday. PAN across to mum and baby	Barbara Mintzes V/O: … Premenstrual Dysphoric Disorder …	10:19:01:11
DISSOLVE to CU TILT up Paxil advert ‘overcoming panic disorder	… and you start …	10:19:03:18
DISSOLVE to CU PAN across advert ‘ can’t, I just can’t’	… wondering, where will it all end?	10:19:0506
MCU woman Susan	Susan SYNC: I started taking Paxil for symptoms of PMS	10:19:08:17
DISSOLVE to MCU woman	Woman SYNC: Obsessive compulsive disorder …	10:19:12:20
DISSOLVE to MCU woman	Woman SYNC: Acute panic disorder …	10:19:14:09
DISSOLVE to MCU woman Selena	Selena SYNC: General anxiety …	10:19:15:11
DISSOLVE to MCU woman	Woman SYNC: Panic attacks …	10:19:17:02
DISSOLVE to MCU woman Tina	Tina SYNC: Anxiety …	10:19:17:15
DISSOLVE to MCU woman	Woman SYNC: Social anxiety disorder …	10:19:18:10
DISSOLVE to MCU man	Man SYNC: Clinical depression …	10:19:19:17
DISSOLVE to MCU man Kim	Kim SYNC: Depression …	10:19:20:15
DISSOLVE to MCU woman	Woman SYNC: Obsessive compulsive …	10:19:21:07
DISSOLVE to MCU woman Sandy	MUSIC STING IN: 10:19:23:01 Sandy SYNC: I started feeling sad …	10:19:22:13

DISSOLVE to CU internet file ‘Panic Attack’		10:19:24:01
DISSOLVE to CU scroll down internet file ‘obsessive compulsive’	David Healy: It really isn’t clear …	10:19:25:04
DISSOLVE to CU sideways wipe ‘Generalised Anxiety Disorder	… that these are all different illnesses, its clear	10:19:27:00
DISSOLVE to TILT down internet file ‘post traumatic stress disorder’	… there’s a problem, but what suits … MUSIC STING OUT: 10:19:32:00	10:19:29:16
MCU David Healy intv	… the pharmaceutical companies is to break the problem up so that it looks like it’s different illnesses and then to focus selling different drugs for each little bit of the problem.	10:19:31:20
CU Ad – Sarafem SUPER: Sarafem Ad – Eli Lilly Two women, words on screen ‘bloating, irritability’, looking in mirror, think it’s PMS? Woman and man fighting	*Ad Woman 1 V/O:* That time of the month nothing ever fit … *Ad Woman 2 V/O:* Think its PMS? … think again. Vince Parry V/O: A condition isn’t even thought of for example and ahh	10:19:43:11
CU Ad Sarafem, woman and man woman yelling, ‘it could be PMDD … SUPER fades on: Sarafem Ad – Eli Lilly	… researchers will be doing work and discover a completely …	10:19:51:17
MCU Vince Parry intv	Vince Parry SYNC: … unknown condition so you want to brand that condition to draw attention to it that it even exists.	10:19:55:23

CU tv report, woman and child on swing, text PMDD, woman speaking, diagram,	*Ad Man V/O:* Donna Burns suffers from a condition known as pre-menstrual dysphoric disorder …	10:20:00:03
DISSOLVE to text ‘it could be PMDD’	… or PMDD – the symptoms?	10:20:04:03
MCU Woman speaking, diagram of woman ‘Affects 3,000,000’, ‘3 out of 4 get PMS,’	*Woman SYNC:* … mood swings, irritability, anxiety, tension, depression … Barbara Mintzes V/O: With PMDD, especially, you know you have to wonder also about the ill for every pill syndrome. …	10:20:07:21
CU tv Sarafem trolley ad SUPER fades on: Sarafem Ad – Eli Lilly	… Any women who’s within her reproduction years has hormonal mood swings, that’s part of normal life. *Ad Woman V/O:* You think its PMS … it could be PMMD … Barbara Mintzes V/O: I guess the whole process in which this became a …	10:20:20:22
MCU Barbara Mintzes intv	Barbara Mintzes SYNC: … separate psychiatric disorder, you have to wonder whether that would have occurred in the same way if you didn’t actually have the marketing opportunity to sell drugs for that specific disease. MUSIC IN: 10:20:47:24	10:20:35:04
CU advert ‘it could be PMDD’ ZOOM out to woman’s face	NARRATION: PMDD is not even listed in the international manual …	10:20:48:00
DISSOLVE to CU advert ‘irritability, think it’s PMS? Think again. ZOOM out and down to woman’s face	… of diseases as a separate disorder and is not well recognised …	10:20:51:16

DISSOLVE to CU advert woman’s face PAN to ‘mood swing	… in Europe. Even in the US, it only attracted widespread attention …	10:20:55:12
DISSOLVE to advert ‘out of control’	… after Eli Lilly won approval from the …	10:21:00:03
DISSOLVE to advert ‘it could be PMDD	… regulators to market their drug for the condition.[xvi] MUSIC OUT: 10:21:06:07	10:21:02:07
DISSOLVE to Sarafem advert ‘more like the woman you are’	Vince Parry V/O: There’s a disorder called PMDD, and the drugs that …	10:21:05:09
MID Vince Parry intv	Vince Parry SYNC:… are best suited for this are a certain type of antidepressant - the most notable one being Prozac.	10:21:09:01
MED bottles of pills on conveyor belt moving along, MID bottles	Vince Parry V/O: … But women who have severe depression around their periods don’t want to be thought of as taking an antidepressant. …	10:21:14:06
CU pink pills in packets, MED pill sorting machine in operation, packages coming down conveyor belt, CU Sarafem packages being stamped	… So the company that manufactures Prozac, Eli Lilly & Company, repackaged the drug under the name Sarafem.	10:21:19:19
Sarafem Ad SUPER fades on: Sarafem Ad – Eli Lilly Package of Sarafem, woman smiling	*Ad Woman V/O:* Sarafem, the first and only prescription medication for PMDD … Vince Parry V/O: The name SERAFEM has a soothing, reassuring quality to it, which is what they were looking for …	10:21:26:22
MID Vince Parry intv	Vince Parry SYNC: … and they dyed the pill purple because that was the colour that was very appealing to women. …	10:21:36:03

Sarafem Ad SUPER fades on: Sarafem Ad – Eli Lilly Woman looking in mirror, another watching	Vince Parry V/O: … And even the advertising that was done to support it, the women weren’t …	10:21:41:23
MID Vince Parry intv	Vince Parry SYNC: … spooky women who looked depressed. The advertising featured women who were confident, …	10:21:45:16
Sarafem Ad SUPER fades on: Sarafem Ad – Eli Lilly Woman looking confident	Vince Parry V/O: … self-assured, were unafraid of asking for help …	10:21:50:12
MID Vince Parry intv	Vince Parry SYNC: … and recognising that this is a condition they shouldn’t feel ashamed of.	10:21:54:08
CU Pfizer logo,	MUSIC IN: 10:21:58:05	10:21:58:05
CU advert ‘Treatment: Zoloft #1 Prescribed SSRI		10:22:00:02
MWIDE people in hall at trade show		10:22:01:22
MID two people looking at graph		10:22:03:13
CU sign ‘Take therapy where it’s never gone before’	NARRATION: One of the first …	10:22:05:05
MED two men talking	… steps in raising …	10:22:06:24
CU advert in Spanish for Xanax XR	… awareness about a new condition	10:22:08:16
CU Paxil CR advert ‘Paxil CR controlled release tablets’	… is building a consensus within …	10:22:10:09

CU pink advert ‘Anxiety’	… the medical community …	10:22:11:23
CU pink advert ‘insomnia, muscle aches …’	… about what the disease is …	10:22:13:09
MED couple talking to woman at trade show	… and how to best treat it.	10:22:14:18
MED rep speaking to couple and handing them leaflets	*Woman SYNC:* Would you want some information on Paroxotine? Vince Parry V/O: You have to foster the interaction between patients, and thought leaders - …	10:22:17:07
LS people in hall PAN right to people standing	… people that lead the debate about these conditions. And what happens is that …	10:22:26:18
MID Vince Parry intv	… a lot of times this lead is taken by the pharmaceutical companies themselves.	10:22:31:03
CU Lexapro sign		10:22:34:20
CU Surmontil sign		10:22:36:08
MID two men talking, camera tracks around them	NARRATION: The pharmaceutical industry sponsors more than 300,000 medical meetings and conferences every …	10:22:38:02
MED threemen standing around counter	… year in the United States …	10:22:43:02
MED two men chatting, sign ‘life is our life’s work’ in bkgd	… alone[xvii]	10:22:44:16
MWIDE people at tables in big hall	… These meetings bring together doctors, …	10:22:46:08
MED three men seated at table	… company reps and consumers …	10:22:47:24
MED Dr Jack Gorman at microphone podium ‘Hyatt’	… who attend sponsored scientific sessions …	10:22:49:23
CU slide ‘disclosure information …’	… featuring many thought-leaders like psychiatrist, …	10:22:52:18

MID Jack Gorman at microphone	… Jack Gorman. *Dr Jack Gorman SYNC:* … increase the serotonin levels … MUSIC OUT: 10:22:57:00	10:22:55:10
MWIDE people sitting at tables listening	Vince Parry V/O: Physicians attend conferences, …	10:22:58:12
MID people listening	… where there would be speeches given and …	10:23:00:00
MID Vince Parry intv	Vince Parry SYNC: … the presentations that are put together by the thought leaders are worked in conjunction with medical societies, the pharmaceutical companies themselves, the researchers at those companies.	10:23:01:17
MWIDE people sitting at tables listening sideview PAN right across room	Vince Parry V/O: … So that physicians are actually taught what their role is in understanding the condition and how they should really approach it.	10:23:12:10
CU turquoise bag with Paxil logo on it		10:23:19:14
MED woman rep speaking to man	David Healy V/O: What the marketing departments are up to …	10:23:20:20
MID Dr David Healy intv	David Healy SYNC: … is trying to create consumers, when in this case the consumers they are trying to create are physicians like me. They’re trying to get us to think a particular way. They are trying to get us to see the illnesses, that we will then see in you …	10:23:23:19
MED Man talking to three reps	David Healy V/O: … and the sales of their product will then follow. …	10:23:42:09
CU ad Zoloft ‘Depression? Anxiety?	… Physicians miss …	10:23:44:24
MED group of people	… that ultimately they are the consumers, …	10:23:47:09

MID Dr David Healy intv	… but there’s this weird market here because I consume by putting pills in your mouth and you’re the one who is going to have to suffer the consequences of things if they go wrong.	10:23:50:13
MID Dr Jack Gorman speaking at microphone SUPER fades on: Dr Jack Gorman Mt Sinai School of Medicine	Dr Jack Gorman SYNC: The drugs that we are most likely to use nowadays to treat anxiety disorders are of course, the Seratonin Reuptake Inhibitors …	10:24:01:12
CU computer brain image	NARRATION: One of the theories routinely presented at medical conferences is that mood …	10:24:08:24
MED Dr Jack Gorman speaking at microphone and podium	… and anxiety disorders are caused by a …	10:24:13:13
CU internet images of various brains	… chemical imbalance that can be fixed …	10:24:15:24
CU Paxil packet and pink Paxil pills	… with antidepressants like Paxil and	10:24:18:01
DISSOLVE to CU ad word ‘Zoloft’ on sunflower, ZOOM slightly out	… Zoloft, called Selective …	10:24:19:23
DISSOLVE to CU ad ‘Zoloft, Thanks a bunch’	… Serotonin Reuptake Inhibitors, …	10:24:20:10
DISSOLVE to Aropax pills moving around	… or SSRIs.	10:24:22:01
DISSOLVE to CU ad ‘The Science of Anxiety’	Dr Murray Stein V/O: We …	10:24:24:23
DISSOLVE to MWIDE man (Stein) at podium speaking to audience	… believe …	10:24:27:02
MID audience listening	… that many of the anxiety …	10:24:28:00

MCU Dr. Murray Stein speaking into microphone	… disorders, involve …	10:24:29:14
CU Dr. Murray Stein intv	Dr Murray Stein SYNC: … some imbalance. It’s not exactly clear what the imbalance would be or exactly what parts of the brain would be involved. …	10:24:31:08
CU internet brain image – pink arrows	Dr Murray Stein V/O: … And if you …	10:24:37:10
DISSOLVE to CU internet brain brownish in colour	… change levels of	10:24:38:22
DISSOLVE to CU internet image of part of brain bluish	… serotonin in the brain …	10:24:40:05
CU advert ‘Understanding Anxiety’ TILT up to woman’s eye	… then you really can affect things like …	10:24:41:10
DISSOLVE to CU internet image greenish brain, red vein filling with blood	… mood and anxiety. NARRATION: Healy believes differently. Dr David Healy V/O: There’s no evidence that there’s a …	10:24:43:23
MID Dr David Healy intv	Dr David Healy SYNC: … lowering of Serotonin, or a clear chemical imbalance,	10:24:49:15
CU advert ‘Balanced, everyday …’ Woman playing with child on couch	Dr David Healy V/O: … of any sort in anyone who’s got nervous problems. …	10:24:53:13
DISSOLVE to advert ‘What causes social anxiety disorder? Man on phone	… That’s not to say there aren’t …	10:24:55:08

MID Dr David Healy intv	Dr David Healy SYNC: … things that may be biologically wrong and things that in due course need to be put right. …	10:24:57:17
CU advert woman with surfboard TILT down to ‘the power of balance’ and Paxil CR logo	Dr David Healy V/O: … And the only reason that you hear about this now is because it’s wonderful marketing copy. It’s the kind of thing that a GP can use …	10:25:02:01
MID Dr David Healy intv	Dr David Healy SYNC: … when they’re trying to persuade a person to have pills. It sounds like they’re saying “take vitamin serotonin”, it sounds like if your serotonin system’s too low, well, you really almost have a moral duty to put it right.	10:25:09:12
MED three people at conference table	NARRATION: Despite the scientific uncertainty about the …	10:25:25:02
LS people in audience listening sideview	… role of serotonin, for many people these medications bring …	10:25:28:06
MCU man speaking	… great success. And conferences offer an opportunity to …	10:25:31:07
LS people in audience listening sideview	… share experiences.	10:25:34:05
MCU man speaking	Male patient SYNC: My panic disorder and my anxiety got to me so much, …	10:25:36:22
MED three women and one man in audience listening facing left	Male patient V/O: … it overwhelmed me, but working closely with my psychiatrist …	10:25:40:23
MCU man speaking	Male patient SYNC: … who I’d see once a week, taking the medication that …	10:25:43:23
MID 5 people in audience	Male patient V/O: … she’d prescribe, I slowly began …	10:25:46:19
MCU man speaking	Male patient SYNC: … to regain the control that I’d lost.	10:25:49:10
MCU woman speaking	Female patient SYNC: I allowed fear to dominate my life, …	10:25:52:04

MCU two women in audience facing right	Female patient V/O: … and I do believe that the medication that I was on, …	10:25:54:12
MCU woman speaking	Female patient SYNC: … was necessary, because it helped alleviate the symptoms enough so that I had so that I could understand …	10:25:58:08
MID man and woman listening facing left	Female patient V/O: … and comprehend and make those life style adjustments.	10:26:03:20
MED four people listening facing camera	Miss Orlando V/O: There are millions of Americans every year who are diagnosed with anxiety, …	10:26:06:23
MID woman with crown on her head speaking into mic	Miss Orlando SYNC: … we are normal people. We just have a little slight chemical imbalance and it can be controlled. Miss Orlando V/O: My name is Amy …	10:26:11:04
LS Miss Orlando pageant – group of well dressed women on stage with Amy	… Verodosa and about two months ago I became Miss Orlando.	10:26:17:05
LS woman (Amy) being crowned	*Man V/O:* Ladies and Gentlemen - please - Miss Orlando, Amy Verodosa.	10:26:20:18
LS Amy waving and walking across stage	Fx: Cheering Miss Orlando V/O: My platform is ‘I care’ which stands for Conquering Anxiety Through Research and Education …	10:26:24:13
MCU Amy with crown on head intv	Miss Orlando SYNC: … and I’ve also have a vested interest in this because I am a former …	10:26:30:01
MED Amy picking clipboard off table	Miss Orlando V/O: … sufferer of panic disorder myself and I’ve been on Paxil for the past three years. …	10:26:34:09
MID tracking shot of Amy walking left	… I’m still on Paxil, the same prescription, same dosage. …	10:26:38:11

MCU Amy with crown on head intv	Miss Orlando SYNC: … Now we’ve faded out the cognitive behavioural therapy. One day I hope to also fade out the medication.	10:26:42:17
MID Amy speaking with man	Miss Orlando SYNC: Thank you so much it really was a pleasure talking to you. Miss Orlando V/O: I think as the years have progressed, …	10:26:47:17
MID TRACKING with back of Amy’s head	… we’ve made so many developments with technology …	10:26:52:03
MID TRACKING with Amy as she walks along left	… but the number one important thing is to accept it …	10:26:54:18
MCU Amy with crown on head intv	Miss Orlando SYNC: … and to have community support and awareness of this disease.	10:26:57:11
MID sign ‘Freedom From Fear’ ZOOM out to include white house	MUSIC IN: 10:27:00:13 NARRATION: Patient support groups, like Freedom from Fear, now play a big role in raising awareness about anxiety and depression, …	10:27:00:13
MED woman (Mary Guardino) at big desk on phone	… advocating both drug and behaviour therapies. *Mary Guardino SYNC:* Here, if you could do that because I’ll call him … Mary Guardino V/O: Because of my own … MUSIC OUT: 10:27:14:09	10:27:08:10
ECU Mary on the phone	… struggle with anxiety disorders and depression, …	10:27:15:11
MCU Mary Guardino intv SUPER fades on: Mary Guardino Founder, Freedom from Fear	Mary Guardino SYNC: … I wanted to give back something and …	10:27:18:16

MCU Mary TILT down to hand writing note	Mary Guardino V/O: … help people who were suffering like me …	10:27:21:20
MED Mary in office, man walks in and sits down	… so I started a support group. Mary Guardino SYNC: So …	10:27:24:23
MCU Mary speaking to someone off to the left	… I spoke with the PR company, you know … Mary Guardino V/O: One of the things … …	10:27:28:02
MED young man seated looking at pamphlet	… that I found, when you’re reaching consumers …	10:27:31:08
MCU Mary Guardino intv	… is you have to have a good tagline. You have to give them a quick message, which raises their curiosity and interest and says WOW, that could be me.	10:27:34:02
CU poster ZOOM out to sharks circling ‘Fear comes in many forms …’	NARRATION: Freedom From Fear, like many patient groups, receives funding from pharmaceutical companies …	10:27:48:22
DISSOLVE to poster ‘Are you at risk? …’ TILT down	… and works closely with the industry PR firms.	10:27:54:03
DISSOLVE to text ‘GSK is a proud sponsor …’	Mary Guardino V/O: A large amount of our money does come from pharmaceutical companies, …	10:27:57:13
MCU Mary Guardino intv	Mary Guardino SYNC: … and I think it is the responsibility of a pharmaceutical company to be generous and supportive to advocacy groups and to trust them to get out the message that is important to their constituents.	10:28:02:19
MED man styling Mary’s hair	*Mary Guardino SYNC:* … How long do you have to stay here til?	10:28:20:22
MID Mary being made up facing camera	Mary Guardino V/O: One of …	10:28:23:03
ECU eyelid make up being applied	… Freedom From Fears major …	10:28:25:08

CU man dabbing Mary’s lips	… activities is each year, running what’s called, National Anxiety …	10:28:27:21
MED man putting radio mic on Mary	… Disorder Screening Day. We do a lot of promotion, …	10:28:30:19
LS woman standing in control room	… and we get a lot of attention.	10:28:34:07
CU tv screen Mary with presenter	*Mary Guardino SYNC:* … it is very common with anxiety disorders to have sleep disturbance, …	10:28:36:15
MID woman in control room facing left	… people have a lot of … NARRATION: Through its network …	10:28:41:12
MID tv screens with Mary on them	… with hundreds of locations across America, Freedom From Fear promotes …	10:28:43:14
MWIDE Mary at podium, large blue screen ‘When the Mind Causes Pain	… screening days, where people can learn about anxiety …	10:28:47:11
MID Mary at microphone	… disorders and depression, …	10:28:50:17
CU hands holding survey paper	… then get a free screening to see if they or a loved one, could be …	10:28:52:12
ECU pen marking survey	… suffering from any of these illnesses. Vince Parry V/O: The area that has been most ripe for condition branding …	10:28:56:01
MID Vince Parry intv	Vince Parry SYNC: … has been anxiety and mood disorders and the reason for that is very basic. There isn’t a blood test you can take. There isn’t a number or a statistic that you can measure.	10:29:01:09
MID man filling out form	Vince Parry V/O: … A lot of the scales are really cognitive scales, …	10:29:10:09

MID Vince Parry intv	Vince Parry SYNC: … meaning scales that result from asking a series of questions and getting a series of answers. And there’s no accepted understanding of exactly what that is.	10:29:13:18
CU woman’s face with glasses, PAN right to young girl	Dr David Healy V/O: People are distressed and unhappy and awkward and nervous, and they fill up a rating scale …	10:29:22:00
CU hand with pen filling out form	… that actually maps out a little bit of …	10:29:29:08
MID sideview woman and young girl reading forms	… their distress and nervousness, …	10:29:32:00
MCU Dr David Healy intv	Dr David Healy SYNC: … but this isn’t proof that you actually have the problem and its certainly not proof that you should be treated for the problem.	10:29:34:23
ECU sideview woman with glasses listening	*Mary Guardino:* But if all else fails, take an anti depressant. …	10:29:42:23
LS Mary at bottom of screen, blue screen behind ‘We invite you …	… After I overcame all of those things, I said, why wouldn’t anybody really want to take some drugs if it could help them to overcome their terrible life? Vince Parry V/O: Mood disorders, while they’re not life threatening in many instances, …	10:29:46:18
MID Vince Parry intv	Vince Parry SYNC: … still have a tremendous effect on the quality of life. So the research that is being funded by the pharmaceutical companies is really expanding the idea about the benefits of therapy beyond just protecting or saving your life, into improving the quality of your life. Making life a lot more enjoyable and livable. And that‘s definitely changing the idea about the way we think about what a condition is versus, you know the previously accepted notion, it’s got to something life threatening.	10:29:59:22

	MUSIC IN: 10:30:27:18
MWIDE people moving about on crowded streets		10:30:27:21
SUPERIMPOSE antidepressant packets which are circling	Dr David Healy V/O: If you’ve got a very severe problem and I treat you with a pill like Paxil or whatever, I may save your life, I may save your marriage, I may save you’re career. …	10:30:28:18
MCU Dr David Healy intv	Dr David Healy SYNC: But if you don’t have that, if you’ve got a very mild problem then simply making you a psychiatric patient … MUSIC OUT: 10:30:44:02	10:30:41:02
MWIDE people walking in crowded area, trees in bkgd	MUSIC IN: 10:30:48:11 … poses much more risks, than leaving you untreated.	10:30:48:11
DISSOLVE to CU still of young girl (Caitlin)	Glen McIntosh[xviii] V/O: My daughter, Catlin Elizabeth McIntosh, …	10:30:55:06
DISSOLVE to ECU of above still	… was a beautiful bright child, …	10:31:01:04
MCU man (Glen McIntosh) intv SUPER fades on: Glen McIntosh	Glen McIntosh SYNC: … had a pretty typically childhood, no real major problems, …	10:31:08:12
CU home movie footage of two girls and Christmas tree	Glen McIntosh V/O: … and then 6^thgrade …	10:31:09:10
CU still two girls with hands at top of Christmas tree, slight ZOOM in	… came along. The older kids picked on her, she was too tall, she didn’t quite fit in. …	10:31:14:00
MCU man (Glen McIntosh) intv	Glen McIntosh SYNC: … At the same time she was having trouble sleeping. MUSIC OUT: 10:31:23:23	10:31:19:21

CU still of family around a table with food	NARRATION: A school counsellor who saw Caitlin at the time, …	10:31:23:24
CU still two girls and a man in bkgd	… was worried she may be having thoughts of self-harm, and suggested she see a doctor	10:31:29:00
DISSOLVE to ZOOM in to young girl with Santa hat on	Glen McIntosh V/O: The doctor talked to her, decided she was depressed, and gave her Paxil. … MUSIC IN: 10:31:36:11	10:31:30:00
CU still young girl lying on side ZOOM out	… After about a week, it was obvious it was not working. Her mood just deteriorated, she was despondent. She was just like a zombie. MUSIC OUT: 10:31:48:24	10:31:33:10
MCU man (Glen McIntosh) intv	Glen McIntosh SYNC: So we took her to a councillor, who suggested a psychiatrist. And the psychiatrist put her on Zoloft. After that it just got dramatically worse.	10:31:49:00
LS man with green sweater (Tom Woodward) playing ball	MUSIC IN: 10:32:02:13	10:32:01:15
MWIDE young boy throwing ball	Tom Woodward V/O[xix]: Our daughter …	10:32:05:15
MID Tom throwing ball	… Julie had been going through what one friend described as a rough patch. …	10:32:07:15
CU Tom Woodward intv SUPER fades on: Tom Woodward	… She was going through normal teenage issues, things that affect girls and boys a lot of times at that age. …	10:32:12:15
CU still of young girl (Julie) seated on couch	… And we had gone through an agency that was recommended to us through our local school district. …	10:32:19:03
CU still of Julie with blue dress on	… And they had given her an evaluation and said that she was experiencing depression. …	10:32:24:07
CU still ZOOM out Julie hugging young boy	… As part of this clinic, they prescribed Zoloft for Julie.	10:32:30:16

ECU Woman (Kathy Woodward) intv SUPER fades on: Kathy Woodward	Kathy Woodward SYNC: I gave it to her. I filled the prescription for her. She didn’t want to go to the clinic and I said “Julie …	10:32:34:12
CU still young girl (Julie) and her mother (Kathy)	Kathy Woodward V/O: … it’s probably a good thing, just talk out your problems and get it over with.”	10:32:43:21
DISSOLVE to TILT up still to two young girls hugging	Tom Woodward V/O: The counsellor said these drugs and these antidepressants in Zoloft are very safe, …	10:32:48:17
DISSOLVE to CU PAN right to young girl and boy	… they’re very mild, very effective. …	10:32:53:07
DISSOLVE to CU PAN left to two young girls	… And the prescribing information we received about the Zoloft said the same thing. … MUSIC OUT: 10:33:00:10	10:32:56:20
CU Tom Woodward intv	Tom Woodward V/O: … None of the mental health professionals we dealt with, were, had informed us and let us know that there were problems associated with these drugs and things we should be looking for.	10:33:00:11
CU Glen McIntosh intv	Glen McIntosh SYNC: She became suicidal, thinking about throwing herself out of second story windows all the time. …	10:33:07:20
CU still young girl (Caitlin) in ski sweater, arms outstretched	… She would put her head down on her desk and doze off during class and then wake up …	10:33:13:11
CU still of Caitlin smiling	… in the middle of a dream where she was lying in a puddle of blood. …	10:33:17:17
CU home movie footage of Caitlin playing	… Before she was just a despondent 6^thgrader, trying to respond to school, … MUSIC IN: 10:33:22:24	10:33:21:16
CU home movie footage of Caitlin	… boom, a week later, they said she was majorly depressed with …	10:33:26:03

DISSOLVE to CU still Caitlin leaning against tree ZOOM in	… psychotic features. NARRATION: Following the Paxil and then the Zoloft doctors next prescribed Caitlin …	10:33:30:11
DISSOLVE to CU still Caitlin and young boy	… a combination of tranquilizers and anti-psychotic drugs.	10:33:36:16
DISSOLVE to CU still two young girls making faces at camera	Glen McIntosh V/O: They wouldn’t listen, that she was just a normal kid that needed, you know, attention. …	10:33:41:05
MCU man (Glen McIntosh) intv	Glen McIntosh SYNC: … All they could see was a bunch of symptoms and they had a list of drugs that could treat those symptoms. …	10:33:45:09
DISSOLVE to CU still Caitlin in bed looking ill	Glen McIntosh V/O: … January 5^th, 2000 she went to school …	10:33:49:04
MCU man (Glen McIntosh) intv	MUSIC OUT: 10:33:56:18 Glen McIntosh SYNC: … and went to the girls’ bathroom and during second period and hung herself with her shoelaces from the hook on the back of the doors bathroom.	10:33:53:24
DISSOLVE to CU home movie footage of people dancing	MUSIC IN: 10:34:05:12	10:34:05:12
DISSOLVE to CU still of young girl (Julie)	Tom Woodward V/O: Julie had been taking the pills for seven days …	10:34:10:05
CU Tom Woodward intv	Tom Woodward SYNC: … and on the seventh day she took her life by hanging.	10:34:17:09
CU sign ‘Julie’s Room’ with ballet slippers		10:34:20:20
MID toys and dolls		10:34:23:04
MID teddy bear	Kathy Woodward V/O: She went into the …	10:34:25:03
CU family photos spread out	… garage when we were out …	10:34:27:04

CU still of Julie with mum and dad	… for two hours and that’s …	10:34:29:07
CU still of four kids	… where she was found the next day.	10:34:31:17
MED back of Kathy looking at book		10:34:35:01
MID Kathy with blue sweater on crying	Kathy Woodward SYNC: I remember all these things so clearly. …	10:34:39:24
MID photo album, ZOOM into photo of woman and young child		10:34:46:02
ECU Kathy crying and speaking	Kathy Woodward SYNC: … Sometimes, I go to sleep with my head on the clothes so I can smell her all night.	10:34:52:17
MED clothes on chair		10:35:03:14
NUD teddybear lying on jeans		10:35:06:03
CU ceramic ballarina shoes hanging on wall		10:35:08:08
MCU Tom Woodward intv’	MUSIC OUT: 10.35.13.20 Tom Woodward SYNC: That drug prompted her to take her life. I believe that was, that was the only variable, that was the only thing that was different during that period of time was the drug.	10:35:10:10
LS Glen and Mary McIntosh sitting on the couch looking at photos	NARRATION: While there is no doubt in the minds of the parents, no coroners inquiry …	10:35:22:03
MCU hands with photo album TILT up to Glen and Mary faces	… has investigated the girls’ state of health or the potential role of antidepressants	10:35:27:16
CU photo of Caitlin with Santa hat	… in either suicide. MUSIC IN: 10:35:34:24	10:35:32:23
DISSOLVE to LS out of focus shot of kids playing ball		10:35:35:16

DISSOLVE to LS in focus shot of young girl seated on bench, other kids playing	Barbara Mintzes V/O: With any medicine that a person will take, there’s a balance of, how likely it is to …	10:35:42:04
MID Barbara Mintzes intv	MUSIC OUT: 10:35:54:16 Barbara Mintzes SYNC: … make them feel better, or to cure whatever problem that they have, versus, what’s the likelihood that they might actually be harmed. And when you’re giving drugs to healthy people, you shift that balance, so that if you’re already healthy the likelihood of benefit becomes much much smaller. And then there’s a concern that actually what are we doing at a population level? MUSIC IN: 10:35:54:16	10:35:49:18
DISSOLVE to WIDE people walking on crowded street – out of focus	Barbara Mintzes V/O: … Are we causing much more harm then benefit?	10:36:10:16
MED crowd milling	Dr David Healy V/O: I think what’s happening is, we’re not just picking up people who were ill and need to be treated, …	10:36:16:08
MID David Healy	Dr David Healy SYNC: … we’ve gone way, way beyond that and are actually making people ill.	10:36:22:01
MED legs of children playing ball	NARRATION: With any individual case of suicide, …	10:36:26:17
DISSOLVE to MED out of focus legs of children playing, TILT up bodies	… direct causes are the often not clear, but one explanation for how these drugs might increase the risk of suicidal behaviour, is through an adverse reaction known as Akathesia.	10:36:33:13
CU still photo of Julie and her father Tom	Tom Woodward V/O: We also know now that Julie was experiencing Akathesia, … MUSIC OUT: 10:36:49:17	10:36:43:11

CU Tom Woodward intv	Tom Woodward SYNC: … she was responding badly to the drugs that were in her system. …	10:36:49:03
CU still photo of Julie and brothers	Tom Woodward V/O: … She was showing agitation, she was pacing. …	10:36:53:01
CU Tom Woodward intv	Tom Woodward SYNC: … Things that were taking place that we didn’t connect and didn’t put together until after it was too late.	10:36:57:08
CU still photo Caitlin with Santa hat on	Glen McIntosh V/O: Now we know, in studying the literature, she had Akathesia, …	10:37:02:03
CU Glen McIntosh intv	… she had a severe inner agitation and she described it as such , she said I just don’t know, I can’t sit still, I’m so nervous, I can’t stay in my own skin. I’ve got to get away. …	10:37:06:00
CU still photo of Caitlin with funny face and blue jacket	… And that inner state of agitation can lead to suicide. MUSIC IN: 10:37:17:19	10:37:14:11
LS David Healy and woman walk towards camera		10:37:21:11
MWIDE Healy and woman walking away towards building		10:37:24:20
SUPER fades on: Dept of Psychiatry Emory University Atlanta, Georgia	MUSIC OUT: 10:37:29:11 Man in audience SYNC: How do you decide both as a clinician also theoretically whether or not someone really needs a drug and who doesn’t …	10:37:27:05
MID four people listening sideview	Man in audience V/O: … really need a drug and is that really a meaningful distinction? Dr David Healy V/O: My big concern is this,	10:37:33:04

MID sideview David Healy answering question, slight ZOOM out	… we may do good but I’m also sure knowing my track record which I don’t think is any worse than anyone else’s, that we can do harm.	10:37:37:12
MID three people listening	… And if that’s the case, …	10:37:45:15
MID sideview David Healy answering question	… we need to let people know what the harm could be. We need to recruit them onside so that they can play a part in trying to make sure that the harm is less likely to happen.	10:37:47:21
MWIDE David Healy with group walking through gate, PAN right, snow on ground	MUSIC IN: 10:37:58:06 NARRATION: As an expert witness in key court cases, David Healy has had unprecedented access to GSK archives. …	10:37:58:06
MWIDE David Healy walking with woman	It was there he found evidence showing Paxil not only caused withdrawal problems, …	10:38:07:15
WIDE steeple TILT down to ornate building SUPER fades on: Parliament House Ottawa, Canada	… but was also was linked to a small increased risk of suicidal behaviour in depressed children. MUSIC OUT: 10:38:20:23 Dr. David Healy V/O: I want to ask the question of …	10:38:13:01
MED Healy at microphone in front of flags, man stands beside him, ZOOM in MID Healy	Dr David Healy SYNC: … what kind of society have we become, when increasingly it seems pharmaceutical companies can get …	10:38:21:10
MID cameraman with camera	… drugs on the market for children which haven’t been …	10:38:27:13
MID Healy speaking, flags behind him	… shown to work and which have been claimed to be safe and effective when they aren’t.	10:38:30:22

WIDE Healy walking towards camera, PAN left	MUSIC IN: 10:38:36:20 NARRATION: Healy’s findings of a potential link between Paxil and suicide related behaviour in …	10:38:36:20
MED Healy working at desk	… children were later confirmed by drug regulators in the UK.[xx]	10:38:45:06
MID Healy looking down	Dr David Healy V/O: The regulators in the UK have had the opportunity for the first time to see …	10:38:49:00
MID book opened out on desk, hand turns page	… the clinical trials done with the SSRI group of drugs …	10:38:52:16
MID David Healy intv	Dr David Healy SYNC: … and what they found is that just as I had seen in the GSK archives …	10:38:56:11
MCU Healy’s face looking left, TILT down to keyboard	… that in most of the clinical trails that were done on children who were depressed, the evidence is …	10:39:00:24
CU text on screen ‘The data from SSRI trials …’	… that the drug didn’t work at all.	10:39:06:01
LS Healy working at desk, high looking down	NARRATION: British regulators went on to find that with most SSRI …	10:39:09:04
CU report TRACK down page	… antidepressants, except Prozac, there was a potential …	10:39:12:08
DISSOLVE to table move across page sideways right	… link with suicide related behaviour in depressed children and no evidence of benefit.[xxi]	10:39:15:23
DISSOLVE to LS Healy in the distance at desk working through hallway	While Zoloft manufacturer, …	10:39:21:06
DISSOLVE to MID reflection of Healy	… Pfizer, rejects …	10:39:23:16
DISSOLVE to CU GSK letter, ZOOM out slightly	… those findings, …	10:39:25:12

DISSOLVE to ECU TRACK along paragraph in letter right, fades to white	… GSK has publicly admitted the problem.[xxii] MUSIC OUT: 10:39:30:14	10:39:26:22
FADE from white into WIDE tv studio, Super ‘Charges of Fraud’; Paxil packet (2 shots) CNN Logo	News Presenter SYNC: Well there is no doubting that many kids are depressed but are drug companies taking risks with their health? That question is at the centre of a landmark lawsuit against the makers of Paxil.	10:39:30:14
CU ZOOM into legal document; highlight middle of document (2 shots)	News Reporter SYNC: The New York state attorney general is suing GlaxoSmithKline, the makers of Paxil for fraud on the grounds that they conducted five studies of the drug on children and adolescents but only publicised one – the favourable one.	10:39:39:24
DISSOLVE to MID man speaking	Spokesperson SYNC: Once you start putting out studies, a positive study in this case, …
Various shots of pills, assembly line, machinery, people (6 shots)	… you’ve got to release the other studies, negative or not, so the doctors have a complete picture and they can make the appropriate prescribing decision. NARRATION: GSK says it has acted responsibly and rejects the allegations of fraud.[xxiii]	10:39:56:14
WIDE TILT up large building, dissolve to top of building with GSK logo (2 shots)	Dr David Healy V/O: The pharmaceutical companies have concealed the evidence where the clinical trials don’t suit their pill but even worse again, …	10:40:08:16
MCU David Healy intv	Dr David Healy SYNC: … you get clinical trials which appear in some of the principal journals in the field which claim the drug is safe and very, very effective. But when you get to see the raw data, you find in actual fact, this is not the case at all.	10:40:19:02
MWIDE people seated at tables listening	NARRATION: That belief leads …	10:40:30:14

LS Healy at microphone, screen on right ‘Texas Medication Algorithm Project’	… Healy to contend that until the company’s raw data are available to independent public scrutiny, marketing …	10:40:33:00
MED sideview audience listening	… will continue to corrode science.	10:40:39:19
MID sideview three people listening	Dr David Healy V/O: Everybody say ah, well, look the adverts, …	10:40:42:03
MCU David Healy intv	Dr David Healy SYNC: … that’s the marketing. The clinical trial, that’s the science. But in actual fact we’ve now come to the point where its actually the clinical trial that’s the marketing.	10:40:45:06
WIDE car tracking shot on freeway out front window	MUSIC IN: 10:40:54:12	10:40:54:12
MID Harry driving, over shoulder	NARRATION: At the same time as trying to overcome …	10:40:58:07
MCU Harry driving sideview	… withdrawal, Harry has experienced other serious problems as well.	10:41:03:19
CU hand on steering wheel	Harry Stigis V/O: The paxil started to cause …	10:41:09:05
ECU Harry face sideview	… really bad depression…one night it got so bad that I ate a bottle of sleeping pills, …	10:41:12:09
WIDE travelling shot out front car window	… in hopes that I wouldn’t wake back up.	10:41:19:20
MCU Harry driving sideview	NARRATION: He’s joining many others who are travelling to …	10:41:24:10
WIDE sign ‘Sky Harbor Intl Airport 1/2 mile’	… Washington for an official public hearing about SSRI …	10:41:27:17
LS car pulling up at curb	… antidepressants. Harry Skigis V/O: I want them to …	10:41:30:24

MID Harry getting out of car, PAN left to girlfriend getting out PAN with both	… at the very least, put adequate warnings in the commercials or on the bottles – something to let people know what they’re in for. If they have to take the drug, then they shouldn’t be misled in terms of what it’s actually going to do.	10:41:33:21
LS Tom and Kathy Woodward hugging children and going to car	Kathy Woodward SYNC: Can you grab those extra suitcases? Tom Woodward V/O: We didn’t know very much if anything at all about antidepressants when we first got started with this, but … MUSIC OUT: 10:41:58:04	10:41:48:02
MID Tom hugging son	… now we’ve learnt a great deal about it. …	10:41:59:09
MID Kathy and Tom Woodward intv	Tom Woodward SYNC: … These drug companies are some of the most profitable companies in the world, and these drugs are …	10:42:00:22
MED Kathy and Tom in the car	… some of their most profitable drugs. …	10:42:05:00
ECU young boy’s face sideview	… So there are huge …	10:42:06:09
MED Kathy and Tom backing car up, kids waving	… economic forces in place here.	10:42:07:16
MED Mary and Glen McIntosh at kitchen table, intv	Glen McIntosh SYNC: I really think that it is a mass marketing campaign of these pharmaceutical companies that win over the minds of the doctors …	10:42:11:21
WIDE Mary and Glen coming out of house	Glen McIntosh V/O: … to believe the paradigm of taking a behaviour and …	10:42:19:22
MED Glen packing car	… calling it a disease and then coming out with a drug to treat it. And …	10:42:24:12

MED Mary and Glen McIntosh at kitchen table, intv	… there’s a whole bunch of people that are on these psychotropic drugs now that just have behaviours that come out of normal life experiences and instead of getting a chance to work them through and have counselling, …	10:42:28:09
MED Glen walking towards Mary	… they’re immediately medicalised and given a drug.	10:42:38:11
ECU back of Glen’s head as he hugs, Mary comes into shot		10:42:40:20
MED Glen and Mary hugging	Mary McIntoshV/O: Caitlin dies, I go to a psychologist because I’m grieving, …	10:42:42:06
MED Mary and Glen McIntosh at kitchen table, intv	Mary McIntosh SYNC: … and that psychologist who heard the story, who knew who knew what happened to Caitlin, still tried to put me on antidepressants [laughs]. I mean, it just, it absolutely blows my mind.	10:42:49:00
MCU Glen driving sideview	MUSIC IN: 10:43:02:07	10:43:01:11
WIDE travelling shot out front car window	Glen McIntosh V/O: I have just got to go …	10:43:03:22
MCU Glen driving sideview	… and tell Caitlin’s story. But I’m really afraid that they’re not going to not going to do much but just give …	10:43:06:22
WIDE travelling shot out side car window of houses	… lip service but we’ll see. I know other parents are going and maybe if enough of us testify, it might make a difference.	10:43:11:22
EWIDE Capital bldg SUPER fades on: Washington DC		10:43:19:12
WIDE people seated in hall facing camera		10:43:24:07

MED people in audience looking slightly left	Man V/O: Good morning, and welcome to … MUSIC OUT: 10:43:28:06	10:43:26:07
MCU people in audience, Healy amongst them	… this joint session.	10:43:28:13
EWIDE of room with horseshoe table SUPER fades on: Food & Drug Administration Public earing on antidepressants and suicidal behaviour in children	… One of our goals today is …	10:43:30:18
MID man with glasses speaking	Man SYNC: … for this meeting is to be conducted in a fair and open way …	10:43:32:15
MWIDE people in audience sideview facing right	… where every participant is listened to carefully …	10:43:34:19
MID Harry standing against wall	… and treated with dignity, courtesy and respect.	10:43:37:09
CU Karen Barth in audience		10:43:39:17
WIDE big horseshoe table full of people	NARRATION: The US drug regulator, …	10:43:41:17
MED three men at table	… FDA, has convened a large committee of …	10:43:45:03
MED man putting on glasses	… advisers to examine the suspected link …	10:43:47:17
MED people seated, one man standing in bdgd	… between suicidal behaviour …	10:43:50:07
WIDE horseshoe table full of people	… in children with depression and the SSRI …	10:43:52:00
EWIDE room from the back	… antidepressants. …	10:43:54:07

MED sideview two men facing left, one of them is Healy	… Many believe these drugs can prevent …	10:43:56:02
MID people facing front in audience	… suicide. …	10:43:58:02
MID Tom in audience facing right	… But for others, like the families who’ve come to testify, …	10:43:59:13
MID three women facing right in audience	… the experience …	10:44:01:16
MCU men facing front	… has been dramatically different.	10:44:03:03
MID people in audience facing right, man and woman in foreground		10:44:04:14
MWIDE sideview Glen walks up to microphone with big photo in frame, ZOOM in to MID on Glen	Glen McIntosh SYNC: I’d like you to introduce you to my daughter, Caitlin Elizabeth McIntosh. Well, it’s actuall only a two-dimensional image of her, but its all I have left. She died of suicide at age 12 years, 3months - just …	10:44:05:23
MCU two blond women watching	Glen McIntosh V/O: … 8 weeks after being put on …	10:44:22:08
MID man with glasses and hands near mouth facing camera	… Paxil and then Zoloft.	10:44:24:06
MID woman facing left, microphone in front of face	Tom Woodward V/O: Our daughter Julie had been excited about college …	10:44:26:00
MID Tom and Kathy at microphone, Tom reading	… and had scored 1300 in her SAT’s several weeks before her death. Instead of picking out colleges with our daughter, my wife and I had to pick out a cemetery plot for he. Iinstead of looking forward to visiting Julie at school, we now visit her grave …	10:44:28:00
MID woman with glasses listening	Woman V/O: On September 9, 2001 …	10:44:39:23

MID sideview short woman with man in purple shirt beside her	Woman SYNC: … in a state of confusion and hopelessness, I put a 38 Special Smith & West revolver under my chin and pulled the trigger.	10:44:42:04
MID sideview woman with glasses at mic	Woman SYNC: I went from being a shy and mildly depressed, but never suicidal kid to being overcome with thoughts of hurting and killing myself while on the SSRI drugs. Thoughts which I acted on.	10:44:50:04
MID sideview young woman with blond hair	Young Woman SYNC: Three weeks later he pulled his car into a factory garage, started his engine, and there waited until he died of carbon monoxide poisoning.	10:45:01:14
MID sideview man with moustache	Man SYNC: He told me I can’t stand the way this drug makes me feel, 2 days later he committed suicide.	10:45:10:19
MED three men seated at table listening	Woman V/O: On Dec 5^th 2000, I discovered Jacob’s body …	10:45:16:14
MED two males standing against wall, PAN right to woman speaker sideview	Woman V/O into SYNC: … hanging from the rafter in our attic – he had hung himself with his own belt.	10:45:20:22
MED audience listening facing right	Young Woman V/O: Six weeks after I was put on the drug, I stayed home from school, wrote my goodbye …	10:45:25:12
MID two women facing camera	… letters and swallowed a cup of poisonous bathroom cleaner.	10:45:29:00
CU sideview woman with shortish blond hair	She stabbed herself twice in the chest with a large chiefs knife	10:45:32:16
MID sideview woman and man standing at the microphone	Man SYNC: How do you erase the picture of your child trying to run in front of a moving car?	10:45:36:16
MCU man with longish hair and a moustache	Man SYNC: She hung herself on the evening of November 11 in her bedroom.	10:45:40:01
MED two men at table listening and looking left	Man V/O: Matt hung himself from a bedroom closet hook, …	10:45:43:05

MID man listening facing camera	… barely higher than he was tall.	10:45:45:06
MCU sideview woman with blond hair speaking	Woman SYNC: She grew extremely violent towards us, she would run toward the silverware draw get a knife and attempt to stab herself.	10:45:47:08
MID sideview Harry at microphone	Harry SYNC: Would you people put your children on this drug, …	10:45:53:12
MCU man with white hair looking right	Harry V/O: … would you take it yourselves?	10:45:56:13
MED woman with hand on cheek listening	Woman V/O: I am a parent, …	10:45:58:11
MID sideview woman with blond ponytail at microphone speaking	Woman SYNC: … it is my right to make an informed decision., on behalf of my daughter, …	10:45:59:24
MID woman with hand on face, facing towards camera	Woman V/O: … you did not allow me to make that …	10:46:06:22
MED three men listening, facing camera	… informed decision. Please …	10:46:08:08
MID sideview woman with blond ponytail at microphone speaking	Woman SYNC: … have respect for our children, make sure that you put proper warning son these medications.	10:46:09:20
LS people walking down stairway	NARRATION: After a morning of public hearings …	10:46:15:04
LS people standing and sitting at table	… the committee reconvened and debate moved to …	10:46:19:07
LS two men speaking with woman in middle	… whether these incidents were caused by the underlying disease, …	10:46:21:18
MID three men in conference	… or due to some kind of …	10:46:24:12
MWIDE people in audience listening facing right	… stimulation syndrome activated …	10:46:26:17
WIDE from back of hall	… by the drug[xxiv]	10:46:28:24

MID line of people, Healy leaning forward	Dr. Joan Chesney V/O: I’m most impressed from what we heard in the .public hearing this morning, …	10:46:30:14
MID Woman with glasses speaking into mic SUPER fades on: Dr Joan Chesney	Dr. Joan Chesney SYNC: … about the stimulant syndrome, and about the number of individuals who had demonstrated psychosis, akethesia, mania, agitation and so on.	10:46:34:05
MCU two women one with glasses facing right	Dr. Wayne Goodman V/O: I think that myself and those …	10:46:45:02
MCU woman with glasses facing right	… around table, have a reasonable suspicion …	10:46:47:21
MCU man with hand on cheek facing left	… that there is a subgroup of children …	10:46:50:06
Man facing right with moustache speaking into microphone SUPER fades on: Dr Wayne Goodman	Dr. Wayne Goodman SYNC: … who are developing an idiosyncratic reaction …	10:46:52:22
MID man and woman listening facing left	Dr. Wayne Goodman V/O: … to SSRIs and could possibly …	10:46:57:07
Man facing right with moustache speaking into microphone	Dr. Wayne Goodman SYNC: … lead to violent behaviour including self-harm.	10:47:00:17
ECU man facing right speaking, woman behind him SUPER fades on: Dr Thomas Laughren Food & Drug Administration	Thomas Laughren SYNC: If there’s a view that the syndrome …	10:47:03:04
MID woman in yellow sweater facing right	Thomas Laughren V/O:… is so well described …	10:47:05:16
MID woman with hand over mouth and man in white shirt	… and ah, …	10:47:08:01

ECU man facing right speaking, woman behind him	Thomas Laughren SYNC: … and does exist, you know, put together the case you know. …	10:47:09:15
MCU woman with glasses looking towards camera	… Again the problem here has been that the events we are looking at are part and parcel of the disease	10:47:13:23
MID woman with blond bob and red shirt speaks SUPER fades on: Dr Laurel Leslie	Dr. Laurel Leslie SYNC: Some of the family stories this morning were not of kids who were feeling down, they were of kids who acted suicidedly because of impulsivity and …	10:47:18:23
MID woman with glasses looks left and shakes head	Dr. Laurel Leslie V/O: … not because of suicidal symptomatology that had been ongoing.	10:47:27:04
WIDE back of audience, table in bkgd	NARRATION: The extent to which the drugs …	10:47:30:18
MED woman with glasses facing right, speaking	… or the disease cause suicidal behaviour …	10:47:33:18
MID man with glasses facing left, speaking	… is the subject of ongoing debate and investigations —	10:47:36:12
MID Healy in the audience	… but by the end of the day a consensus …	10:47:39:10
MED Harry in audience with hand to head	… had emerged to take urgent action.	10:47:41:24
MCU woman with glasses, gray hair facing left speaks SUPER fades on: Jean Bronstein Consumer Representative	Jean Bronstein SYNC: If I heard nothing from this mornings testimony, I heard repeatedly, that people feel the need for patients and family to have more information then they have currently.	10:47:45:03
MID woman with glasses facing camera speaking	Dr. Joan Chesney SYNC: And when we’re dealing with a drug, with no apparent benefit. It seems to me that any risk becomes …	10:47:56:23

	MID two women, one dark hair, one light hair, face right, look left	Dr. Joan Chesney V/O: … incredibly important. Dr. Mark Hudak V/O: A lot of the …	10:48:03:16
	MID man with glasses facing camera speaking SUPER fades on: Dr Mark Hudak	Dr. Mark Hudak SYNC: … people who spoke this morning, the picture that was presented of their child or someone they knew, was not someone who was very, very ill. It was someone who had relatively minor type findings, who were put on these drugs with terrible consequences. And I think I agree with every speaker sho said that something needs to be done to, …	10:48:06:21
	CU man with glasses on facing right	… to educate practitioners and the public, …	10:48:27:14
	MID three men looking right	… that these things may not at all be benign. …	10:48:30:24
	MID man with glasses facing camera speaking (Mark Hudak) FADE to Black	… And I think that warning needs to go out in the very strongest terms from the agency as soon as possible. FX: Clapping	10:48:33:17
	FADE up TEXT 1 FADE to Black	MUSIC IN: 10:48:42:09 Seven weeks later the FDA issued warnings urging doctors to look more closely for worsening depression or suicidal behaviour in people taking SSRI antidepressants.[xxv]	10:48:42:09
688.	FADE up TEXT 2 FADE to black	4 Months later While GSK has not granted access to the raw data from its trials, the company has released results from Paxil trials in children, and agreed to make public the results of all future trials.[xxvi] GSK later settled the NY Attorney General’s lawsuit with a payment of $2.5 million[xxvii] GSK declined all requests for an interview.

689.	MID Kathy Woodward and son PAN left to other son	Kathy Woodward SYNC: Are you going to go out to play? NARRATION: For the families for whom warnings …	10:49:03:07
690.	CU Tom lifting cup to drink pan left across table to son	… did not come soon enough its back to every day life. Tom Woodward V/O: We’re going to try to reach out to as many people as we can, tell our story and try to spread the word, so people can make informed decision.	10:49:08:21
691.	MCU Tom in bkground, son in foreground facing left	… If they think there is some value to these drugs so be it. …	10:49:20:14
692.	CU Tom Woodward intv	Tom Woodward SYNC: … But go in with your eyes open understanding what the down side is. Because the down side could be very great.	10:49:23:13
693.	MED Mary and Glen lighting candles		10:49:30:14
694.	CU candle being put in sand	Glen McIntosh V/O: I think what we’re calling mental illness and mental disorders today, are just part of a …	10:49:36:06
695.	ECU Glen looking down	… continuum of human behaviour, a continuum …	10:49:41:21
696.	ECU Mary with eyes closed	… of personality types, a continuum of temperaments. …	10:49:44:15
697.	DISSOLVE to CU TILT up still photo to Caitlin’s face	… Anybody who is outside that norm, is now labelled with some disorder. …	10:49:46:10
698.	CU Glen McIntosh intv	Glen McIntosh SYNC: … If you look back through history Mozart, Beethoven, Einstein, any of the great artists and scientists would all have been labelled with ADHD or some other darn thing. They all would have been put on drugs and we probably wouldn’t have a lot of the great things we have today.	10:49:55:01

699.	MWIDE bluish fast motion crowd shots		10:50:08:22
700.	DISSOLVE to pills on conveyor belt (few shots)	David Healy V/O: What I see repeatedly is people who are going along to their GP who are under stress who are may a little bit unhappy and if they …	10:50:16:11
701.	MID David Healy intv	David Healy SYNC: … don’t smile on their way in the door to the GP, there’s a risk they’re going to go out the door with a script for an antidepressant. And in the process it’s not just …	10:50:26:00
702.	DISSOLVE to MID crowd walking shot	David Healy V/O: … people being labelled as being ill. …	10:50:34:18
703.	DISSOLVE to pills on conveyor belt	… What’s happening here much more is, we’re …	10:50:37:18
704.	MID David Healy intv	David Healy SYNC: …changing their experience of what it means to be human.	10:50:42:12
705.	FADE up TEXT 3	If you are taking any of these medications, do not stop or rapidly reduce the dosage as abrupt discontinuation can carry serious risks. Please consult your doctor.	10:50:47:01
	FADE up individual credits
	Director CATHERINE SCOTT		10:50:55:09
	Producer PAT FISKE

		Editor KAREN JOHNSON
		Director of Photography JOHN WHITTERON
		Sound Recordist DANIEL MIAU
		Composer FELICITY FOX

Credit roll

Narrator

ROBYN JOHNSTON

Production Manager

SYLVIA WILCZYNSKI

Additional Research

SYLVIA WILCZYNSKI

SOPHIE ALSTERGREN

PAT FISKE

EMMANUELLE CHARLES

JIMMY CHOI, Teale Productions

Selling Sickness

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