A Photographer Documents the Medication Generation

While teaching a photography workshop to American students in Paris in 2008, French photojournalist Baptiste Lignel was shocked to learn that roughly half of the students in his class were taking some kind of prescription psychiatric medication.

Spread from "Pop Pills," by Baptiste Lignel, 2015 (all images by Baptiste Lignel)
Spread from “Pop Pills,” by Baptiste Lignel, 2015 (all images by Baptiste Lignel)

While teaching a photography workshop to American students in Paris in 2008, French photojournalist Baptiste Lignel was shocked to learn that roughly half of the students in his class were taking some kind of prescription psychiatric medication. He’d been unaware of the statistics about mass medication of US youth: the National Center for Health Statistics says that 6% of kids under age 18 take medication for ADHD (like Adderall or Ritalin), and 5% of American 12- to 19-year-olds use antidepressants.

Many members of the “Medication Generation,” as today’s young adults have been called, are the first to have come of age while taking these psychiatric drugs. The long-term effects of these medications on kids’ emotional, social, and neurological development remain the subject of much research and controversy.

After learning more about mass medication in America, Lignel embarked on what would become a seven-year long photojournalism project. He followed nine American children taking medications for various disorders (namely anxiety, depression, OCD, and ADHD), took their portraits, and interviewed them about how medication impacts their lives. He met with each kid every couple years, documenting how their mental health and medication usage changed (or didn’t).

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Madison at 16. Condition: ADHD. Medication: Focalin XR 20mg; Focalin XR 5mg; both for two years. “I did really bad on standardized tests. I got mad and gave random answers. So in freshman year I was tested, which took four days and led to a 300 page report. That got me time and a half for every test, which 6 people of the 30 in my class have,” Madison says.

“When I began making images for this project, I had a very strong and very negative opinion about the situation regarding prescription behavioral medication in the US,” Lignell tells Hyperallergic. “I felt medication was just a quick fix valued by a society with little patience for differences and a strong drive for achievement. This whole perception crumbled with the very first interview I made. It revealed a complexity I had not suspected, in good ways and in bad.”

Lignel’s extended investigation has now turned into Pop Pills, a book compiling these nine children’s first-person stories and portraits at various points in their lives. These case studies offer rare insight into the long-term effects of medication — more meaningful insight, in many ways, than data from an impersonal research study investigating the same issue might.

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Madison at 19. Medication: Focalin XR 25mg a day; Focalin XR 5mg a day as needed. “I do depend on them, yes, but I don’t take them during the summer and I like to take breaks on the weekends. When I don’t take them now I’m not a zombie and can not be socially awkward with people, but I’m almost more hyper.”

“When making these images, I had to come up with a photographic setup compatible with a very un-photogenic topic — medication taking,” Lionel says of his process. He decided to do a set of three portraits for each person: One contextual, one face shot, and one hand shot with the daily dose of medication. “There is an interesting tension between how ‘normal’ the kids appear in those portraits and the tools they need to use to reach this ‘normality.'”

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Madison at 22. Medication: Focalin XR 5mg a day. “I’m learning to attempt to sit down and be able to concentrate when it comes to things I love or get excited about [without medication], but it still doesn’t last as long as a natural attention span should,” Madison says.

Over time, many of the kids Lignel profiled stopped taking medication; most, even those who feel they benefit from medication and are grateful for its aid, aim to stop eventually. “The grow up and mature into interesting young adults with often a very clear understanding of where they stand with medication and where they want to go with it — mostly away from it, when it’s not already the case,” Lignel says. “I find this full of hope, in spite of numbers.”

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Nick at 19. Condition: ADHD. Medication: Concerta 27mg a day, for past two years; Ritalin 15mg a day, for the past six years. “6th grade was a disaster. It was fast paced, with reading, and tests, simply too much,” Nick says.

By featuring their first-person accounts, Pop Pills gives voice to a group of stigmatized youth who are the subject of so much hand-wringing debate — in the media, in the medical community, among parents — but who rarely get to contribute to this debate themselves.

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Nick at 22. Medication: Focalin XR 10mg when needed. So my mom switched me to the Montesori school where all the kids there were weird, strange and had their own gifts and disorders, so I fit in perfectly. I’m sure a lot of people there were taking some kind of medication,” Nick says.
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Andrew at 16. Condition: depression. Medication: Welbutrin, 100mg twice a day for 2 years. “I got very depressed after a very hard breakup two years ago. I was for 2 days in a general hospital and 5 days in a mental hospital. I left with 75mg of Wellbutrin a day. After about a day on medication I already noticed a change, it helped me see the bigger picture,” Andrew says.
Andrew S. at home, in his bedroom.
Andrew at 19. Off medication for 2 years. “Once I got to college, I decided that I would stop taking medication. I didn’t really notice any change. I haven’t been depressed or anything, I’ve been ‘me,’ it’s been fine,” Andrew says.
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Andrew at 22. 5 years off medication. “I’ve been learning that medication isn’t necessarily for every case of behavioral problem or emotional problem. In some extreme cases, yes. But the fact that these are chemicals that you put in your body to make your brain work in a different way, and that’s a product of the modern age that I don’t think is essential to making actual healthy people,” Andrew says.
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Rylie at 12. Condition: ADHD. Medication: Concerta 18 mg/day, 4 years Methylphenidate 5 mg/day 2 years.
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Rylie at 15. Medications: Concerta 18 mg/day, 7 years; Methylphenidate 5 mg/day, 5 years

Pop Pills will be published by Dewi Lewis in Spring of 2016. Go here to pre-order a copy for $48.