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).

The Questions Are Not the Problem

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It is possible that if we ask “What happened to you?” instead of “What’s wrong with you?”, we wouldn’t see much of a change at all. Those people who are inclined to think of mental health problems as illnesses, as something “wrong,” would be able to explain that what happened to you was the cause of the illness; it produced what is wrong with you. It is much more crucial to understand “What is happening for you now?”
passage painting psychosis

Passage

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When I was twenty-eight, I had what is commonly referred to as a “psychotic break.” It was nothing like what I would’ve imagined, given the cultural stereotypes. It was not in the least nonsensical. There was an exacting inner logic and meaning. Twenty-two years later, I continue to believe in the harrowing greatness of what my younger self went through.

Recovery: Compromise or Liberation?

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The 90s were labeled - rather optimistically - as the ‘decade of recovery.’ More recently, recovery has been placed slap bang central in mental health policy. Is supporting recovery pretty much good common sense? Or is the term being misused to pressure those suffering to behave in certain ways?
Man on a white background reads the instructions for medicines. Male looks at the list and composition of the drug. The concept of home self-medication and the study of the properties of drugs

False Information in UK Package Inserts for Antidepressants About a Chemical Imbalance

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To state something that is blatantly false is not a “paradigm,” it is a lie, plain and simple.

Chemicals Have Consequences: Antidepressants, Pregnancy, and the New York Times

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Depressed pregnant women need good care.  They should not be made to feel guilty for the choices they make concerning their depression or lectured to by those who don’t understand the area or lack compassion for them.  In that sense, Andrew Solomon does the public a service by turning his attention and writing talents to the topic of depression and pregnancy this week in the New York Times.  However, a crucial part of providing good care to depressed pregnant women is to give them accurate information on the topic.  In this sense, Andrew Solomon falls short.

#ADA25 Birthday, Mental Health, Justin Dart and My Crazy Hashtags

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This weekend I am celebrating the twenty-fifth anniversary of the Americans with Disabilities Act. Let us get a little bit crazy now! I am introducing a new segment where I boycott so-called normality. Our choice, our only choice, and we always have a choice, is what kind of madness we want.
Doctor holding syringe, a patient cringing away in fear out of focus in the background

White Paper Presents Case Against Forced Treatment

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"I see the white paper as the culmination of my 40+ years of advocacy for people subjected to psychiatric incarceration and forced drugging."

Antidepressants & The Undead

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Several of us involved in RxISK.org monitor other groups setting up to offer information on medicines. Some of these, like eHealthMe, offer useful information. As ever, though, pharmaceutical companies are in there early. The Brintellix website is a masterclass in how to appear patient-centered, and patient-friendly. How to move with the times and make the new way of doing things yours.

Defining Recovery

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Yesterday, Dr. Daniel Fisher emailed and asked my thoughts with regard to “recovery”. Even before I walked away from prescription-pad-only psychiatric work, others asked me about this. Other treatment providers, designated patients and family members asked what I thought they could expect to happen next and what they should do to make things better. I told them that chemical interventions are not the only, or even the essential, tool for recovery.

Why Social Isolation Leads to Inflammation

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We are wired for community. If we disconnect, our bodies will call us back to the sense of human connection that we are wired for, using the unexpected language of inflammation.

The Right to Profit vs. The Right to Know

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For years, drug companies have sought to boost sales by hyping the benefits of new drugs while downplaying their risks. A couple of years ago the European Medicines Agency (equivalent of the FDA) set up a program to grant public access to all clinical trial results used in the approval of new drugs. The program was hailed by activists and researchers around the world as a big step forward for patient safety. Now AbbVie, along with another U.S. drug firm called Intermune, has filed a lawsuit to stop the release of clinical trials on their drugs, effectively shutting the whole program down.

A Milestone in the Battle for Truth in Drug Safety: Study 329’s Final Chapter...

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Arguably the most controversial drug study ever, Study 329, concluded that paroxetine was a safe and effective medication for treating major depression in adolescents. It concluded that paroxetine was a safe and effective medication for treating major depression in adolescents, and it is still widely cited in the medical literature. Though GlaxoSmithKline’s promotion based on Study 329 resulted in the biggest fine in corporate history, the study remains unretracted.
cartoon drawing of a superhero ripping a sign that reads "DSM"

DSM Led Us Far Astray. Life Story Is the Path to Truth.

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When the DSM-5 came out six years after the study was published, it ignored the evidence that psychological injuries caused 88% of “depression” in adulthood. It wasn't just this study that was sidelined. All the research that linked childhood trauma to later episodes of “depression” was ignored as well.

Rx Resilience: Cultivating the Ability to Bounce Back

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In many respects, resilience is the most important sign of health. This is true in physical health, and even more so in mental health. Resilience is what I spend my working hours trying to help others achieve. Resilience is what I have spent my own life discovering, harnessing, and finally thriving with. Quite simply stated, resilience is the ability to bounce back or recover from the trials and tribulations that living as a human being inevitably comes with.

Part V: The Michelle Carter Texting Trial Becomes a Witch Hunt

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In Parts I-IV, I discuss how the DA succeeded in gaining the conviction by means of highly emotional and at times misleading and untruthful manipulations in public and in the courtroom. Here I want to look more closely at the DA’s motivation and other activities. Was it a personal vendetta?
Ivor Browne

The Mystic of Ireland: An Homage to Ivor Browne

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Ivor Browne fearlessly challenged what he saw as a dehumanizing system, liberating many from institutional care and pioneering new experimental therapies. He developed innovative community models and most of his groundbreaking work took place outside of, and in spite of, orthodox thinking.

Greed Disguised as Science: How a Multitude of Factors Led to the Opioid Crisis

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Opioids are now the leading cause of mortality from overdose, accounting for 91 deaths every day. The context and key players that created and contributed to the opioid epidemic must be brought into sharp focus if we are to have any hope of stemming the tide of this public health crisis.
antipsychotic

Duration of Untreated Psychosis Revisited: Response to the Goff Paper

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Based on the studies cited, it seems hard to support the assertion that “early initiation of antipsychotics may improve long-term course of the illness.” This raises an urgent question about initial treatment. Doesn’t it make sense to try to capture all of those individuals who might get through a psychosis without drugs?
Illustration of a woman holding an umbrella over another woman

I Set Up a Suicide Crisis Centre to Provide the Opposite of What I...

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Our approach is to openly care about our clients and empower them as much as possible. It's vital that clients know we care about their survival.

Former NIMH Director’s New Book: Why, With More Treatment, Have Suicides and Mental Distress...

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Psychiatry’s worsening outcomes despite increased treatment should provoke the consideration that a paradigm shift is necessary.
fragility

Funder Fragility and Forced Collaboration

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Dear Funder, You say you want to work on health equity but can you walk the talk? Do you care about hearing the actual community? Do you REALLY want data-driven, accurate info to balance harm vs benefit? Or do you just want to keep your status quo? Dear Funder, Don't be fragile. Move beyond your blind spots. Our people matter.

“Depression Among the Elderly Must be Prioritized”

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Older people are the group that gets the most antidepressants in Sweden. 17 % of those over 65 used antidepressants in 2019, and in the group over 75 the medication comprised 26 % of women and 16 % of men, according to the statistics from National Board of Medicines statistics.

Away From Psychiatrization: Towards Socio-Ecological Wellbeing in the Community

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The modern notion of poor mental health and how to respond to it is an escalating series of biomedical interventions that don’t actually solve the underlying problem.

Conferring Legitimacy on the Counterhegemonic

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Those of us who are radicals are commonly struggling to find ways to confer legitimacy on positions which substantially challenge an oppressive status quo. In this article, I will be exploring how to accomplish such feats successfully.

Pilgrim’s Progress: From Young Madman to Old Therapist

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I'll begin this chapter of my personal odyssey through madness and the vocation it created of my life as a therapist specializing in madness, with...