I love this cartoon. The joke works because we want to pay for inner strength; it should feel difficult, like a triumph – something deeply reached for.

But I don’t read it as an outright critique. As much as this cartoon questions the legitimacy of drugs, it also pokes fun at modernity. The joke works, too, because reaching for the medicine cabinet is so utterly unromantic. Where once there were shaman, vision quests or holy insight, now there’s Rite Aid, $10 and a ’scrip for Paxil.

Nonetheless, is it so far-fetched to find strength in the act of helping oneself? How much humility does it take to crack open that white bottle cap for the first time? It’s easy to conceive of “pill-popping” as a shortcut, an easy way out – until we’re the ones faced with the choice. We may have a hard time admitting it, but inner strength isn’t always there. Sometimes, we need to reach out.

And that’s an act of courage in itself.

Popular Drugs May Help Only Severe Depression

A headline from two years ago in Nature:

SSRIs show efficacy over placebo only in the most severely depressed patients

Drug companies exaggerate and even fictionalize their drugs’ benefits. This is not news.

I’m not against the use of these drugs, but their reckless promotion leaves a sour taste. Who are these drugs made for, exactly? When I take one of these pills, who stands to gain? These are always good questions to ask. Pills can work, and in the severest cases they’re necessary despite risks. But in the battle for peace of mind, no drug is an easy answer. Adam Phillips says it best: “Havoc is always wreaked in fast cures for confusion.”

[Update: As usual, Jonah Lehrer has a clever take from a year ago. -Ed.]