Blogs

Essays by a diverse group of writers, in the United States and abroad, engaged in rethinking psychiatry. (The directory of personal stories can be found here, and initiatives here).

A Black mother and daughter sit on the couch. Mother is explaining something to a sullen-looking girl.

The Psychiatric Peddlers in Your Schools

27
Educators and parents must equip children with the necessary tools to meet the normal problems of childhood that psychiatry attempts to address.

Reflections on the Silicon Valley Teen Suicides-by-Train: Fifteen Years Later

8
A psychiatrist and mom reflects on teen suicide clusters in Palo Alto and discusses alternative ways to address adolescent mental health.
hand behind barbed wire with dark background

The “Madness” of Inpatient Psychiatry

50
Inpatient psychiatry is not a place of psychological healing; it is devoid of compassion and full of human rights abuses.
Miniature photography. Blue and white pills and blue hazmat-suit figures

Much of U.S. Healthcare Is Broken: How to Fix It (Chapter 2, Part 8)

0
Les Ruthven addresses benzodiazepines and whether substance abuse disorders should be considered brain diseases.

Irish Psychiatry Says Chemical Imbalance Is a Figure of Speech—So, What Now?

23
Don’t researchers and clinicians have an ethical responsibility to inform the public that the "chemical imbalance" story is false?
Illustration of a mother holding a baby with dark clouds in the background; pills fall like rain

Enlarging the Treatment Lens for Postpartum Depression

5
Drugs, social support, placenta encapsulation: How can we approach the specter of postpartum depression?
Doctor looking perplexed or angry pointing at a clipboard

How the Medical Profession Pathologizes Emotions and the Damage to Patients

29
Doctors’ diagnostic inflexibility and unwillingness to take an integrative approach limits patients’ autonomy in their own treatment.
A syringe and a bottle labeled ketamine.

Much of U.S. Healthcare Is Broken: How to Fix It (Chapter 2, Part 7)

3
On antidepressants versus CBT, the buzz around ketamine, and drugs for postpartum depression.
A young man sitting on steps outside looking sad

Trauma and Resources Within Social Context

12
What is seen as pathology is a complex web of surviving strategies learned in aversive circumstances that can cause distress later.
Young boy looking through the window

As a Psychologist, I’ve Seen Many Children Misdiagnosed as Autistic—It’s a Clinical Catastrophe

25
The ASD diagnosis glosses over the many developmental specifics that might underlie a child’s challenges related to social communication.
A woman looks to the side in distress, while holding a wedding band and a pen to sign divorce documents

The Social-Emotional Distress Field, or How I Divorced “Mental Health”

18
At this crisis point, I realised that resigning from my job was not enough. I needed to divorce from the Mental Health field as a whole. 
Man with hands against glass, out of focus, looking distressed

Are “Trauma/Addiction Experts” and Psychiatrists Misleading Us?

55
“Experts” refer to an ill-defined concept of “trauma,” but unique traumatic experiences should not be generalized.
Photo of an open hand on a deep red background with scattered white pills

Much of U.S. Healthcare Is Broken: How to Fix It (Chapter 2, Part 6)

0
Les Ruthven addresses the research showing that psychiatric hospitalization increases suicidality.
Climber snaps the safety carabiner on the rope. A climber on a cliff ties a safety knot

RADAR and the Dignity of Risk-Taking

6
The goal may not be to eliminate risk, but to respect the risk that people are willing to take, and to help make tapering as safe as possible.
Unhappy Woman In Converstion With Friend Or Counsellor

“Get Over It”? A Response to Empower Parents to Repair Instead of Victim Blame

27
An epidemic of children blaming their parents in therapy? In my 20 years as a psychologist, I've seen the opposite.

The Dangers of Precision Medicine: Mental Health Is Not a Battlefield

22
Rather than a war to be fought within individuals, we should envision mental health as a garden to be carefully nurtured.
A male doctor looks slightly angry at a woman who looks sad in profile

“Impairment: Says Who?”: The Fundamental Question of Mental Health Treatment

46
The criterion of "impairment" is defined not by the person seeking treatment, but by other people: parents, clinicians, courts, employers, and so on.
Miniature hazmat team inspects hazardous pills

Much of U.S. Healthcare Is Broken: How to Fix It (Chapter 2, Part 5)

1
Les Ruthven addresses increases in suicide and homicide caused by antidepressant drugs.
3d illustration of pawns over black background with red, orange and green circles

Toxic Interactions: Social Circumstances and Well-Being

28
Social circumstances are indisputably connected to psychological well-being, but this has gained no traction in policy and service provision.
Lonely, suffering man in a crowd of people who do not notice him.

Accounting for Mental Disorder: Time for a Paradigm Shift

86
Many people continue to be victimized by psychiatry’s adherence to a model that exists to satisfy guild interests, not science.
pills and money

Much of U.S. Healthcare Is Broken: How to Fix It (Chapter 2, Part 4)

24
Les Ruthven addresses a ghostwritten study claiming effectiveness of antidepressants for children and adolescents.

Arrested Development: Britney Spears’ Memoir Is a Survivor’s Tale of Generational Trauma, Psychiatric Abuse,...

74
Miranda Spencer discusses Britney Spears' new memoir and the harms of conservatorship.

Giving Caregivers a Platform: Sherita, Mother of Tony

9
This is the story of Sherita and her son Tony, and her efforts to help him following years of psychiatric drugs and hospitalizations.
Suffering young man on couch and compassionate woman.

What Helped—and What Didn’t Help—My Recovery

20
In order to recover, it was necessary to give up the psychiatric treatment system, and the idea that I need something from that system, that I belong there.
Illustration depicting a face with hypnotized eyes, strings like a puppet

It’s Health’s Illusions I Recall, I Really Don’t Know Health at All

8
There is a core concept shaping the ‘market’ in health, the concept of an assay, that few doctors or patients understand.