While the world watches and waits, and demands to know what killed Anna Nicole Smith (and where her son Daniel got the Methadone which killed him just five months prior – duh), a far more disturbing prescription drug-related death has occurred.
Four-year-old Rebecca Riley died of an overdose of Clonidine, a drug prescribed for bipolar disorder. This would normally be a tragic morality tale about the importance of keeping prescription drugs away from children, except for one undisputed fact.
A doctor had prescribed that drug, along with others, for the little girl starting when she was only two years old; and the little girl was intentionally given the overdose over a period of months in order to control her, prosecutors say.
Apparently what used to be known as the “terrible twos” is now being diagnosed as ADHD and bipolar disorder.
After Rebecca’s death, police found only seven Clonidine tablets in the family’s medicine tray; the pharmacist said there should have been 75.
All together, prosecutors say, Carolyn Riley got 200 more pills in one year than she should have.
The Rileys’ lawyers call them unsophisticated people who did not question their children’s doctors.
Both were unemployed; they collected welfare and disabilty benefits and lived in subsidized housing. Michael Riley, who is also awaiting trial on charges of molesting a stepdaughter in 2005, claimed to suffer from bipolar disorder and a rage disorder; his wife told police she suffered from depression and anxiety.
“They are not the sort of people who go on the Internet and look on WebMD. These are the sort of people who, when they go to a doctor, the doctor is God and they do what the doctor says,” said John Darrell, Michael’s lawyer.
Carolyn’s lawyer, Michael Bourbeau, said that because the Rileys’ three children were all taking Clonidine, Rebecca’s prescription may have come up short at times when her siblings were given some of her pills. And some of the pills may have been lost when they were split in half, he said.
In July, after a therapist filed a complaint with the state Department of Social Services, social workers met with the family’s doctors and other medical professionals and were assured that the medications Rebecca was taking were within medical guidelines.
“There were lots of medical eyes on this case and none of them seemed to say there was an issue of over-medication in this case,” said Social Services Commissioner Harry Spence, who has come under fire for the agency’s handling of the case.
Still, there were lingering concerns. When social workers tried to make a home visit in November, Carolyn “resisted and evaded,” Spence said. Weeks later, workers resolved to make a surprise check, but Rebecca died the very next day, before they could visit.
Rebecca was found dead on the floor of her parents’ bedroom wearing only a pink pull-up diaper and gold-stud earrings, on top of a pile of clothes, magazines and a stuffed brown bear.
Rebecca’s uncle, James McGonnell, and his girlfriend, Kelly Williams, who lived with the Rileys, told police that the Rileys would put their kids to bed as early as 5 p.m. Rebecca, they said, often slept through the day and got up only to eat.
When Michael Riley decided the kids were “acting up,” he told Carolyn to give them pills, McGonnell and Williams told police.
According to McGonnell and Williams, Rebecca spent the last days of her life wandering around the house, sick and disoriented. But the Rileys told police they were not alarmed. “It was just a cold,” Carolyn repeatedly said during police interviews.
The medical examiner said Rebecca died a slow and painful death. She said the overdose of Clonidine caused her organs to shut down, filling her lungs with fluid and causing congestive heart failure.
Williams told police that the night before she died, Rebecca was pale and seemed “out of it.” At one point, the little girl knocked weakly on her parents’ bedroom door and softly called for her mommy, but Michael Riley opened the door a crack and yelled at her to go back to her room, Williams said.
Later that night, McGonnell told police, he heard someone struggling to breathe and found Rebecca gurgling as if something was stuck in her throat. McGonnell told police he wiped vomit from his niece’s face, then kicked in the door to her parents’ room and yelled at the Rileys to take Rebecca to the emergency room.
Instead, Carolyn Riley said, she gave her daughter a half-tablet of Clonidine.
You can read the rest of this extremely disturbing story here.
Obviously, her parents are going for the “I’m too fucking stupid to know what I was doing” defense. However, I fjrmly believe that nobody is that fucking stupid.
Yet to be determined is what other heads will roll in the course of the investigation and, more importantly, whether this will open the public debate into the complete fucking stupidity of psychiatry in general.



This is one of the worst things I’ve ever heard. What a horrible family, and I hope they’re thrown in jail for life. This is disgusting, I hope they get the book thrown at them.
You are responsible for your own health, and for the health of your little children, especially. Fuck these people with a power drill.
Stuart don’t get your panties in a twist. I read an article in the L.A. Times a few years ago and apparently this is a big problem with foster children. As I recall it two year old children got up in the morning and walked out to get their pills and in a number of cases there was apparently no record of when or how the children got started on this crap.
Now you can get it all twisted up.
MHW
Thank you for completely ruining my night. I have a 2 month old (which is why I am up at 2 am), and that story made me physically sick.
Obviously, her parents are going for the “I’m too fucking stupid to know what I was doing” defense. However, I fjrmly believe that nobody is that fucking stupid.
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I’d say the couple, the Foster agency, and the parents are all that stupid. And I think all 3 shold have the book thrown at them.
I’d say the problem starts with giving toddlers anti-depressants. I know a good many adults who say they’re helped by their pills, so I don’t dismiss them out of hand like I once did, but at four years old? Honestly.
Wait, all of psychiatry is completely retarded? Admittedly the ADD shit is, but…are you some sort of Scientologist?
I don’t think that it’s fair to paint all psychiatry as stupid. Psychology, however, has the potential to be much more helpful and much less harmful.
Giving pills to four year olds to help them behave should be criminal.
Nigel: No, I’m definitely not a clamhead. LOL In fact, I think Scientology is a scam cult made up by a science fiction writer to make money. I won’t even watch Tom Cruise movies, simply because he’s a Scientologist. I think Scientology’s tax exempt status should be removed, because it is not a church. I think Scientology killed Lisa Macpherson, and probably others. I could go on and on, but no, I’m no sort of Scientologist.
Mental illness is very real, and we are lucky to live in a time where we have the scientific knowledge to help its sufferers. So I am not suggesting that psychiatry doesn’t have legitimate uses. Far from it, because I know for a fact that it helps many (my father suffers from schizophrenia and, without his medication, he lives in a world the rest of us can’t see). Psychiatry, when practiced responsibly, is a very powerful tool to help those who cannot otherwise be helped.
With great power, though, comes even greater responsibility.
The problem I have is with the “better living through chemistry” mindset that many have, including both psychiatrists and patients. People are running to the doctor and being given psychotropic drugs every time they feel anxious or depressed these days. Children are being diagnosed and medicated for ADD and ADHD simply because it pisses off their teachers when they don’t want to sit still and study in school. Normal reactions to life’s ups and downs are being treated as mental illness.
That’s not to say that everyone who feels anxious or depressed is being misdiagnosed or mistreated, since there are mental illnesses which cause those symptoms, and it does result in needless suffering. However, it’s nowhere near as common as the number of Prozac and Klonopin prescriptions would suggest.
In this case, a two-year-old from a dysfunctional home is acting up, and a psychiatrist jumps to the conclusion that it’s bipolar disorder – a major mental illness rarely diagnosed in children, and until recently never diagnosed in young children – rather than just the “terrible twos” or a normal attempt to get attention from her highly dysfunctional parents. Even more tellingly, the other two children in that household were also diagnosed with that same mental illness.
Do you have any idea how incredibly rare it would be for all three siblings to suffer from bipolar disorder at all, much less bipolar disorder so severe that it was diagnosed when they were still babies? Chances are, if in fact these kids showed any unusual symptoms at all, it was merely a reaction to having a suspected pedophile father with “rage disorder”, and a depressed mother who wasn’t taking care of them and probably didn’t properly bond with them. This is not rocket science, after all. For the psychiatrist to not assume that the behavior was normal under the circumstances shows complete fucking stupidity on her part.
In fact, based on the psychiatrist’s bizarre diagnosis of those children, let me put the parents’ diagnoses into everyday common-sense terms. The dad is an asshole with a bad temper (who maybe likes to diddle little girls), and the mom is depressed and anxious because she lives with a an asshole with a bad temper (who maybe likes to diddle little girls). Since when are those things mental illnesses? They have control over their behavior and/or the causes thereof, so it’s not a mental illness so much as it is a lifestyle. Unfortunately, it is an increasingly common lifestyle in certain segments of society, and they are being enabled to continue that dysfunctional lifestyle by a psychiatric profession which feels it must label everything as a mental illness.
I’m sure they both were using the mental health system to avoid working, and they continued to milk it by having their children diagnosed with a psychiatric disability so they can get an extra check for them also. The doctor is too stupid to realize what they’re doing, or maybe she’s just in it for the money, so she plays along. After all, if everything isn’t a mental illness, that psychiatrist can hardly explain the checks she gets from the government for treating these patients.
Where does it end? How many other people are being misdiagnosed and/or overmedicated with dangerous psychiatric drugs? More to the point, how many children are being treated with psychotropic drugs to control normal childhood behavior? How many times is the psychiatric community helping people take advantage of the welfare/disability system, by pinning a diagnosis on literally everything? It happens a lot more than most people think. And it majorly pisses me off.
That, in a nutshell, is what I meant when I referred to the “complete fucking stupidity of psychiatry in general”.
Alright, good. I didn’t see who posted this so I didn’t know it was you. Interestingly, right after I posted that I saw a study that therapy had improved the lives of schizophrenics much more than drugs over a multi-year period.
How the F#$# do you diagnose a 2-yo with bi-polar disorder??????
Most people think the mood swing is instantaneous, but in reality it takes several months (sometimes 6). In the first 2 years off life IT IS A MOOD SWING.
The Doctor who prescribed the meds, should have his license taken away and he should be indicted for medicare fraud. Most likely he was collecting a state check for seeing the kid. If he/she said “kid’s normal”, they would not have gotten any followup visits. Instead they now (then) had to do follow visits to monitor medicine or re-athorize refills. (Which could then be billed to medicare).
Update on case:
http://news.yahoo.com/s/ap/20070327/ap_on_re_us/drugged_to_death
The doctor gave up her license pending an investigation. School officials and others say the little girl showed none of the symptoms her parents reported. Prosecutor says they did it to get disability benefits for the little girl.