Jürgen Margraf and Silvia Schneider, both well-known psychologists at the University of Bochum in Germany, claim that psychotropic drugs are no solution to mental health issues in an editorial for the latest issue of the journal EMBO Molecular Medicine. They argue that the effects of psychiatric drugs for depression, anxiety, and ‘ADHD’ are short-lived and may have negative long-term consequences.
A new study, published online ahead of print in the journal Clinical Psychology Review, investigates the underlying connection between the experience of trauma and the development of symptoms associated with psychosis. The researchers discuss both psychological and biological mechanisms that may account for this connection and conclude that there is an urgent need for both trauma-informed treatments and preventative community-based and policy level interventions.
Last week, well-known Stanford scientist John Ioannidis and his colleague Denes Szucs released a new analysis online. They examined research published in eighteen prominent psychology and cognitive neuroscience journals over the past five years and found that the studies in these fields are generally of “unacceptably low” power and suffer from inflated effect sizes and selective reporting.
In July, The Lancet published a study finding that cognitive-behavioral therapy (CBT) from trained psychotherapists was not superior to short-term behavior activation (BA) intervention delivered by minimally trained workers for depression. The study has come under criticism, however, with the Mind the Brain PloS blog questioning the motives behind the suggestion that clinical psychologists can be replaced by less expensive mental health workers.
In an article for Psychiatric Services, psychiatrist Christopher Gordon and his colleagues report on the results of a one-year feasibility study attempting to implement Open Dialogue approaches to crisis intervention to the treatment of first-episode psychosis in the US. Their trial program was successful, with positive clinical outcomes, improved functioning, and significant changes in symptoms, leading the researchers to suggest that states consider adopting to Open Dialogue model.
Psychiatrists and psychologists have traditionally taken distinct approaches toward mental health and, according to a new study, these differences may be here to stay. Researchers in the UK surveyed psychiatrists and psychologists in training about their perspectives on the causes of mental health issues and found that, despite attempts to integrate the field, the two disciplines “continue to sit at opposite ends of a biological/psychological spectrum.”
For The Times, Labour MP Luciana Berger writes about her concerns with the increased use of antidepressants. “Antidepressants should never be prescribed as a first response to mild depression,” she writes. “Psychological therapies are what the National Institute for Health and Care Excellence (NICE) recommends. Unlike fluoxetine, citalopram and the rest, talking therapies are non-addictive and can be matched to a patient’s needs.”
In the Washington Post psychiatrist, Samantha Boardman argues that counselors should focus on a patient’s strengths instead of what they perceive as being wrong. “The researchers found that deliberately capitalizing on an individual’s strengths outperforms a treatment that compensates for an individual’s weaknesses,” she writes. “This challenges the assumption held by many health professionals that we need to fix the problem before focusing on anything else.”
Ever since I recovered from pharmaceutical abuse that nearly killed me over a decade ago, I haven’t used mental health services. There were many reasons for this and I can’t say I was always decidedly against them for myself, or entirely convinced I couldn’t be helped by a good therapist. And then I got lucky, and found someone I can talk to each week.
Trauma-focused cognitive behavioral therapy (Tf-CBT) is effective at reducing the symptoms associated with PTSD in children and adolescents, according to a new trial out of Germany. The multicenter randomized control trial, published this month in the journal Psychotherapy and Psychosomatics, found the intervention to be significantly superior to control conditions at reducing negative emotional and behavioral responses following various types of trauma and abuse.
The Association for Advancement in Philosophy and Psychiatry is issuing a call for abstracts, with a particular interest in submissions from service users. The 29th annual meeting, to be held next May 20th to 21st , 2017 in San Diego, California, will feature keynote presentations from MIA contributors Joanna Moncrieff and Nev Jones, among others.
Many experts expressed concern when the rate of antipsychotic prescriptions to children in foster care showed a rapid increase, peaking in 2008, and new recommendations and policies have tried to curb the use of these drugs. While the rate has plateaued, a new study points out that the “new normal” prescription levels are still dangerously high. The data reveals that almost one in ten children in foster care are currently being prescribed antipsychotic drugs with dangerous side-effects, many for diagnoses like ‘ADHD’ and disruptive behavior.
If a patient has high cholesterol or sugar, the doctor may prescribe a drug to lower what is too high, but he/she generally adds some suggestions: for instance to avoid certain types of food, to do more physical activity, to refrain from smoking. But if someone has a low mood and sees medical help, the doctor–particularly if he or she is a psychiatrist–will likely just prescribe a drug and not encourage any “self-therapy.” The problem with his approach to care is that psychiatric drugs, even when they are properly prescribed, may help very little in the long run and create a number of additional problems
“Researchers argue poor communities and communities of colour face an inordinate amount of suffering and trauma, by virtue of their positioning at the very bottom of the US’s deeply unequal socioeconomic and racial ladder.”
In a large review study published this week in The Lancet, researchers assessed the effectiveness and potential harms of fourteen different antidepressants for their use in children and adolescents. The negative results, familiar to MIA readers, are now making major headlines.
Are psychotherapists less likely to accept patients that are working class or black? According to a new study from the American Sociological Association, the answer is yes. The study, published in this month’s issue of the Journal of Health and Social Behavior, found that therapists in New York City were less likely to offer appointments to patients who were perceived to be black or lower working-class.
Chelsea Roff is the Founder and Director of Eat Breathe Thrive (EBT), a non-profit with an inspired mission to bring yoga, mindfulness, and community support to people struggling with negative body image and disordered eating. I reached out to Chelsea to learn more about her life and organization, which she writes, “…is like AA for people with food and body image issues, plus yoga and meditation.” Chelsea shared her journey from life as a patient to yogi, author, and innovative community organizer. With her permission, you can find this interview below.
In 2011 the American Academy of Pediatrics (AAP) issued guidelines recommending therapy over stimulant drugs as the primary treatment for children diagnosed with ‘ADHD.’ New research from the CDC reveals, however, that children between ages 2 and five are still prescribed medications before receiving the recommended therapy or psychological services. Overall, the researchers found that 75% were being prescribed “ADHD’ drugs while no more than 55% received psychological treatments. Incredibly, among those on private insurances, the percentage of children receiving psychological services for ‘ADHD’ showed no increase following the 2011 recommendations.
For Aeon, Samira Thomas writes that while resilience is attracting a lot of attention from psychology, patience in an underexplored and undervalued virtue in the face of suffering. “Unlike resilience, which implies returning to an original shape, patience suggests change and allows the possibility of transformation as a means of overcoming difficulties,” she writes. “It is a simultaneous act of defiance and tenderness, a complex existence that gently breaks barriers.”
While an estimated 74-percent of patients diagnosed with major depression receive a prescription for an antidepressant, new research reveals that mindfulness-based cognitive therapy (MBCT) may be most helpful when drugs are not used. The study, published in the current issue of Psychotherapy and Psychosomatics, found that the participants in a randomized control trial for MBCT who showed the greatest improvement were those who had not taken antidepressants.
PsychAlive is releasing a new blog and e-course on “Making Sense of Your Life,” with psychologists Lisa Firestone and Dan Siegel. They draw upon the latest neurobiological research, attachment theory and clinical experience to guide participants through the process of creating a coherent narrative around past traumas.
Psychotherapist Chantal Marie Gagnon voices her frustration with social media posts and stigma reduction ads that perpetuate the belief that all mental health issues are biological in origin. “I saw a pin on Pinterest recently that read, ‘Depression is an Illness, not a Choice,’ and it made me angry,” she begins.
A new article in The Medical Journal of Australia laments that, while antidepressant use continues to climb, the research evidence shows that their effectiveness is lower than many thought. Meanwhile, fewer patients are getting access to psychotherapy.
Professionals across the Western world, from a range of disciplines, earn their livings by offering services to reduce the misery and suffering of the people who seek their help. Do these paid helpers represent a fundamental force for healing, facilitating the recovery journeys of people with mental health problems, or are they a substantial part of the problem by maintaining our modestly effective and often damaging system?
Copyright © 2016 Mad in America Foundation.