Why Didn’t Howard Hughes Seek Treatment for His OCD?

Understanding OCD and Its Historical Context

Obsessive-Compulsive Disorder (OCD) has become a more recognized and understood mental health condition in modern times. However, many are unaware of how this condition was perceived in the mid-20th century, especially during Howard Hughes' time, and the challenges he and countless others faced in managing their symptoms. At the height of his success, Hughes struggled with his own battles, their origins, and the ineffective societal perceptions and treatments of his era. This article aims to explore why Howard Hughes did not seek treatment for his OCD, delving into the social, medical, and personal circumstances that influenced his choices.

The Diagnosis and Obscure Understanding of OCD

In the 1930s and 1940s, OCD was not yet officially recognized as a diagnosable and treatable condition. While signs and symptoms of OCD were observed, the medical community did not have a clear understanding of what caused these behaviors. The concept of mental health disorders as medical conditions was still in its infancy, and most mental illnesses were seen as character flaws or neurotic traits rather than legitimate medical syndromes.

Self-Medicating and the Impact of His Bodyguards

Among the reasons why Howard Hughes did not seek proper treatment for his OCD was his extensive self-medication. During his twilight years, Hughes was influenced by a group of Mormon bodyguards whom he hired to manage his every detail. These men, driven by their rigid Calvinist faith, subjected Hughes to a regimen of daily medication that served to control his symptoms but also had serious side effects.

Eupevra and the Dangers of Over-Medication

A significant part of Hughes' regimen included a drug called Eupevra, which was prescribed to help manage his obsessive and compulsive behaviors. Eupevra contained amphetamine, which was a common ingredient in medications of this time. While it provided temporary relief from his symptoms, the long-term use of this drug led to severe health issues. The amphetamine caused Hughes to become hyperactive, irritable, and prone to paranoia, which only exacerbated his existing problems.

Bodyguard Control and Financial Manipulation

The Mormon bodyguards were not only medical attendants but also held significant financial control over Hughes. By managing his medications, they ensured that he remained compliant and unable to question their authority. Financial dependence played a crucial role in Hughes' inability to seek independent treatment. Essentially, Hughes was unable to access healthcare that was not controlled by the same people who were controlling his finances.

Controversial Use of Drugs and Their Effect on Hughes

The use of drugs such as Eupevra not only led to Hughes' decline but also contributed to the deterioration of his health and mental state. The drugs under the supervision and direction of his bodyguards were not given in therapeutic doses but rather in a manner that kept Hughes compliant and under control. The side effects of such high doses were significant and included severe paranoia, constant nightmares, and auditory hallucinations.

Long-Term Consequences and Hughes' Downfall

The continuous use of amphetamine-like substances had profound long-term effects on Hughes' mental health. The drug-induced paranoia and obsessive behaviors ultimately led to a complete breakdown of his mental and physical well-being. Hughes became increasingly isolated, paranoid, and obsessed with cleanliness and control, which were the very symptoms he was trying to manage in the first place.

Conclusion and Reflections

Howard Hughes' story serves as a poignant reminder of the challenges faced by individuals with mental health disorders in the mid-20th century. Despite his immense wealth and resources, Hughes was unable to find the treatment he needed due to the lack of understanding and the control exerted by his bodyguards. His experience highlights the importance of recognizing mental health conditions, providing accessible and effective treatment, and ensuring that patients are fully informed and in control of their care.

Keywords: Howard Hughes, OCD, mental health, self-medication, bodyguards