From Medical Misdiagnosis to Sexual Assault of a Minor – the Story of Michelle Francoeur

February 8th, 2011. By LucyC

Have you heard of Michelle Francoeur? A teacher in small-town Canada recently found not criminally responsible for sexual assault of a minor due to mental illness—mental illness that was misdiagnosed and mistreated, as it turned out. Francoeur’s story may not have been front and center in main stream media—but it reads like a best-seller.

In 2008, the then 37-year old teacher of kindergarten through grade nine and mother of two young children began experiencing health problems. So she went to her doctor, and was subsequently diagnosed with depression. She was prescribed an antidepressant medication known as Effexor or venlafaxine. And this is when her problems began.

During the next few months Francoeur’s behaviour underwent a ‘radical change’. For example, she began drinking alcohol excessively, spent money carelessly, went days without sleeping, failed to eat regularly, and consequently suffered significant weight loss, and talked excessively. Worse, the jury that recently heard her case was told by Francoeur’s defense lawyer, she began taking shortcuts in caring for her two daughters aged five and seven.

And at some point over the next few months she began a series of sexual encounters with a 15-year old ex-student. This marked lack in judgement resulted in her being charged with sexual assault. And presumably, the loss of her job, and income.

As it turned out, the boy initiated the relationship with Francoeur—if you can call it that—by sending her a ‘flirtatious’ text message. That led to several ‘sexual encounters,’ between them before the boy’s parents cottoned on.

During this period, Francoeur’s family members had become very concerned about her behavior, and contacted Francoeur’s doctor, by letter. Somewhere, somehow, this must have led to a revisitation of the original diagnosis, because Michelle was re-assessed and subsequently diagnosed with bipolar disorder. And this is key, because the medication she was prescribed—Effexor—is known to escalate the “manic” phase experienced by people with bipolar disorder. The manic phase is characterized by extreme feelings of elation, euphoria, racing thoughts, inability to sleep and difficulty appreciating consequences.

Francoeur’s lawyer, Aaron Fox, summed up the situation pretty well, when he told the Canadian Broadcasting Corporation “It was a “very tragic circumstance…It was a lady who has an underlying condition which was misdiagnosed and received medication that really had a catastrophic effect on her.”

Problem is, even though Francoeur’s been acquitted, damage has been done, to her reputation, her self esteem, and very possibly her career as a teacher. Certainly, going back to teaching in the town of Shell Lake, Saskatchewan, with a reported population of less than 200, could pose some problems.

All this from a misdiagnosis which led to a disastrous choice of medication in her circumstance.

Needless to say, Francoeur’s story raises a number of concerns, such as how many others may have been misdiagnosed like Michelle, and suffering as a consequence? Was Francoeur warned of the possible adverse effects of the drug?

And what about the physician—does his misdiagnosis constitute medical malpractice? Just how much responsibility does he or she bear in all this? After all, this entire situation may have been avoided had she not been prescribed an incorrect medication.

Answers may be forthcoming—or not. It all depends on what, if anything, Francoeur decides to do. For now, she must be quite relieved to have her name cleared, to be out of the spotlight—and most importantly—know she has been correctly diagnosed and appropriately treated, so she can get on with her life and redefining ‘normal’.

Tags: Antidepressant, Effexor, effexor-heart-birth-defects, medical malpractice

This was posted on Tuesday, February 8th, 2011 at 5:52 pm and is filed under Drugs/Medical . Feel free to respond, or trackback. Read our comments policy.