12 Essential Facts About Psychiatry
With these twelve facts, you are equipped to defend against the misinformation propagated by academic psychiatry, Big Pharma, and the laypeople they target. You are encouraged to use this knowledge to (firmly but respectfully) challenge statements you hear in passing or from loved-ones such as “He is mentally ill,” “I have a chemical imbalance and these drugs help correct it,” or any other commonly accepted falsehoods that the above facts expose.
Unusual Beliefs and Behaviors vs. Objective Realities and Truths
As a parent, and a child psychologist, and just as a person, I believe that acquiescing to the idea that we should simply help people “cope more effectively with things as they perceive them” falls short of the most effective and even most loving response.
Psychiatric Eugenics Then and Now—You Betcha It’s Still Happening
Most are oblivious to the fact that psychiatric eugenics initiatives continued to exist—and beyond that, to flourish—long after the end of what is normally thought of as “the eugenics era” (roughly, late nineteen century to 1945). Sadly, we are not learning from history what we direly need to learn.
It’s You, It’s Not Me: Treatment Resistant Depression and the Psychiatric Breakup
"Treatment resistance" is best explained not as a medical issue but as a way for psychiatry to resolve cognitive dissonance.
NAMI and Robert Whitaker
Fireworks and heated debate were expected by many when Robert Whitaker recently addressed a group at the National Alliance on Mental Illness (NAMI) annual convention in San Antonio, Texas. So why was Whitaker invited to the national NAMI convention and how did it turn out?
New York State’s Assisted Out-Patient Treatment Program: Racial Myths & Other Stereotypes
New York State’s out-patient commitment program, termed Assisted Out-Patient Treatment (AOT), was instituted in 1999 to protect the general public from treatment non-compliant and...
Engaging “Madness”: A Guide for Significant Others and Families
Using personal stories from my own family, my new booklet Engaging 'Madness' paints a clear picture of what an alternative healing journey outside the biomedical paradigm can look like.
Leon J. Kamin (1927-2017): A Nemesis of Genetic Determinism and Scientific Racism
Leon Kamin should be remembered for his role as an intellectual nemesis of the purveyors of the false ideologies of scientific racism and genetic determinism. The Science and Politics of I.Q., Not in Our Genes, and Kamin’s other writings remain works of major importance.
What’s Blocking Progress in Behavioral Healthcare?
It's time to stop blocking progress and give peer-run organizations the same access to the funding streams used by Community Mental Health Centers. There is no reason to give more money to the people who have had all the money all along and can't solve the problems. Open up the competition, and then see what kind of amazing developments occur.
Poverty & Mental Illness: You Can’t Have One Without the Other
If you’ve spent any time in the public mental health system, you know that folks diagnosed or labeled as having serious mental illnesses are...
The United Met States of Psychiatry
Psychiatry’s desperate drive to legitimize itself as a profitable medical authority has resulted in a mass delusion so pervasive and destructive that it's put us on a path towards societal collapse. This is not an overstatement, in my opinion, as the statistics are mind-boggling— one in five Americans are on psychiatric drugs. One in five. By my calculations, this means that 62,913,200 people ingest mind-altering, body-altering, spirit-altering pills they believe to be “medications” on a daily basis.
My APA protest speech: “Keeping the Channel Open”
If you haven't been labeled mentally ill by the American Psychiatric Association, you have to ask yourself what's wrong. Perhaps you were ahead of the game: you knew not to reveal yourself to them, you knew how to avoid them, you found other social support, and if so, a big congratulations. If not, what's wrong? Why have you conformed?
“You Can’t Go Home Again: New York’s Medicaid Health Homes”
Shortly after I posted a two-part blog on this site back in February about New York’s just-approved Medicaid Health Homes, I got this crazy,...
My Reply to Pete Earley: Do I Have Blood On My Hands?
Since I spoke at NAMI’s national convention last month, the writer Pete Earley has invited people who listened to my talk to send him their reports of the event. Earley wrote a book titled Crazy, which was both about his son’s struggles with mental illness and the criminalization of the mentally ill, and in his book and other writings, he has told of his frustration with laws that prevented his son from being forcibly medicated. Yesterday, on his website, he published a letter from a mom who attended my talk with her adult son, and she told of how, after returning from the meeting, her son apparently abruptly stopped taking his medication and has now gone missing.
Letters from the Front Lines
Bob--
I want to share with you a success story that has played out over the last three months.
I have been working with a woman...
Set, Setting, Forgetting: Silence on Abuse in Psychedelic Therapy Histories
The failure to address therapist abuse in MDMA-AT perpetuates a dangerous silence that distorts the field's history and compromises future practice.
Reflections on How We Think About and Respond to Human Suffering, Existential Pain, and...
Any attempt to establish an alternative diagnostic system to the predominantly biologic DSM-5 classifications or to initiate a transformation of the individually oriented mental health treatment systems needs to critically explore how, not only what, we think about health and healing, about mental and emotional suffering, about traumatic experiences and injustices, and the multiple forms of pain that are part of our human existence. The broad critique of the DSM-5 by so many national and international organizations and individual colleagues will in the end not be powerful and far reaching enough without this inquiry into the foundations of our thinking and without reflection about our ways of thinking.
Do We All Need Tinfoil Hats? Considering Schizophrenia
If alien species wanted to intervene in human society without fully revealing themselves, how would they do it? Choose a select number of individuals who are easily discredited by others in the group. In other words: Turn people into schizophrenics.
Are We Witnessing the Emergence of a New Paradigm?
Increasing numbers of people are finding the perspective that sees mental distress as an isolated, static category, fixed within a biological predisposition or malfunction, to be insufficient.
My Daughter and Prozac
While our daughter was growing up, my ex-wife treated our daughter’s body like a temple. She was the only kid among her friends not allowed to drink soda or cow’s milk as they might negatively affect her health. But Prozac for mild anxiety? Sure, no problem. I was honestly and genuinely shocked.
Why I Have (Mostly) Given Up on Diagnosis
Every year about this time I review my template file for new client notes. It has blank sections for name, presenting concern, history, plan, and a number of other categories. This year I found myself staring at it, considering whether a revision was in order. And the category that leapt out at me was “Diagnosis.” The truth is, I seldom use it any more.
The Ups and Downs of Online Therapy
Now that the novelty has worn off and we are able to step back and analyze the situation, what does the switch to teletherapy portend for our profession?
Spiritual Bypass and the Chill Pill
I’ve wondered for a long time how I managed to get caught in the razor wire of benzodiazepines. I didn’t sleep for long enough to have me hovering around psychosis — true. My doctor had a dizzy insistence that benzos would resolve the problem — also true. The benzo wire was so low and sharp that I was caught before I realized I’d fallen. How could I have known? But still, the question lingers.
In Defense of Healthy Mania
It is important to distinguish, and not simply pathologize, experiences that are manic-like because they are time-honored states of mind associated with aspiration, ambition, and goal-achievement. The need to generate boundless energy, overtalk the issues to sustain single-minded focus and motivation, and have a somewhat grandiose vision of what can be accomplished, combined, can eventuate in a manic mix of tendencies necessary to bring higher-order goals to fruition.
The Powerful Allure of Psychedelics in Today’s Disenchanted World
As a psychiatrist and psychedelic researcher in Melbourne, I’ve reached the conclusion that we are in for a wild ride with psychedelics over the next few years.