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).

Mad in America MIA

MIA at Eight Years: Are We Fulfilling Our Mission?

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Mad in America is about to turn eight years old, and as we are launching a fundraising effort to keep us going through 2020, I think it’s appropriate to ask the relevant question: Are we accomplishing what we set out to do?
love hope christmas cards

Cast Aside No One

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When I first presented my cards to the woman at Newport Hospital's front desk, I was greeted with a smile, but when I told her to whom I wanted them sent, her smile quickly faded. She sighed and asked me to consider handing out my cards to "the other patients" instead, as if the patients in the psychiatric unit didn't matter at all.

Teen Bipolar Disorder and the Abnormal Brain: Making Sense of New Research

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Maltreatment is broadly defined as being “characterized by sustained or repeated exposure to events that usually involve a betrayal of trust.” It includes not only physical and sexual abuse, but also emotional abuse, including exposure to domestic violence, humiliation and shaming, as well as emotional and physical neglect. The way maltreatment is defined has great significance in the way we think about the connection between childhood experiences and adult mental illness. The word “trauma” itself may convey a kind of “not me” response, but when the term is defined in this way, we see that these experiences are, in fact, ubiquitous.

Moving ‘Beyond the Medical Model’: HELP WANTED

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This summer, Sera Davidow, Laura Delano, Sean Donovan and Caroline White began a collaborative process with many others from the Western Mass RLC and beyond to develop two new films (not yet titled) focusing particularly on the topic of psychiatric drugs. And that’s where YOU come in.

Can ChatGPT Defend the Long-term Use of Antipsychotics?

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ChatGPT has perfectly captured the pattern of psychiatry’s response to the research that tells of harm done.

You, Your Kids, or the Doctor… Who’s Running the Show?

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Let’s face it, as our kids slowly developing brains wrestle with behavioral and maturity issues while also trying to juggle expectations related to academic and social challenges, some of the behaviors they display can be quite concerning. Understandably, after trying what seems like everything in the books plus the kitchen, bathroom and laundry room sinks, caring and often exhausted parents are actively looking for help, resources and answers. But guess what? Without any need for pharmaceutical intervention or “drug therapy,” for centuries parents have been quite capable of helping challenged children overcome semi-annoying and concerning behaviors that some “experts” want to label today as symptoms of a mental disorder. Behaviors that a billion kids worldwide display every day.
woman blurry reflection

Dear “Psychology Today”: Believe Incest Survivors

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Incest survivors are the neglected heroes of the #MeToo movement. Yet when it comes to entrenched narratives that silence incest survivors, mainstream media continues to propagate these harmful myths unchecked.

Shining a Light on Numbers Needed to Treat (NNT)

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With an NNT of 7, one out of every seven people given an SSRI would benefit from the treatment, while the other six would be needlessly exposed to the adverse effects.

“You Can’t Go Home Again: New York’s Medicaid Health Homes”

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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,...
I by Jeffrey Fidel cure bipolar diagnosis

A Doctor Cures His Bipolar Diagnosis Without Psychiatry: Review of ‘I’

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I details what happened to Jeffrey Fidel when he quit psychiatric drugs and embraced an alternative, non-medical healing approach — a set of philosophical and spiritual teachings known as the Tao Te Ching and Hua Hu Ching.

Biology and Genetics are Irrelevant Once True Causes are Recognized

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The psychiatric genetics literature contains few references to specific environmental factors that cause psychiatric disorders, and while researchers acknowledge a role for these factors, they usually claim that environmental causes are mysterious or unknown. As a leading group of psychiatric genetic researchers recently put it, while claiming that schizophrenia “has a substantial genetic contribution,” the “underlying causes and pathogenesis of the disorder remains unknown.” But research suggests otherwise.

One Gutsy Woman

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The childhood and psychiatric abuse altered my neurological, hormonal and other bodily functions and it was difficult to say which abuse left what mark. The doctors used medication to fix the changes and the taking of prescription pills became a habit. I took pills to calm me, pills to sleep, and pills to make me happy. A few months after stopping all medications, I was a bundle of nerves and I opened the cupboard for a pill. Living on autopilot as I had been doing for so long had to stop. I switched gears from absentmindedly resorting to pills, to purposefully calming myself without using drugs by breathing the way the psychologist had taught me.

Goodbye, Brian Wilson

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I propose to call any psychiatrist-patient bond “Landy syndrome” after psychiatrist Eugene Landy, the captor, abuser and oppressor of Brian Wilson.

Coming Out: Iatrogenic Illness Awareness Month

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Our main reason for beginning an awareness month is the need for recognition-- a yearning to make the word “iatrogenic” and its corresponding language available to our community, and to the greater public as a household name. We don’t have the luxury of raising money for research, racing for the cure, or ribbons. For that we would have to be on the map. Why is it that something this pervasive gets so little traction?

Changing the World and Other Extreme Sports

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By Dani, Director at Afiya For anyone who’s unfamiliar, Afiya is the first peer-run respite in Massachusetts and it is one of only about 18 in the country. It’s no surprise, then, that people are confused about how we do things. But, it’s not just confusion. I’ve come to realize there is actual defensiveness that arises at times when we talk about what we do at the house. If I’m wearing my activist hat, this can be supremely annoying.

Final Lecture

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On May 16, 2014, I retired from a 35-year career as a professor of clinical psychology at Miami University. As a part of my retirement celebration, I gave a Final Lecture to my Department. These Final Lectures give retiring faculty members the opportunity to talk about anything they think is important for their colleagues and the attending students to hear. I focused on the changes I have witnessed in the profession of clinical psychology over my career; changes that were not for the better.

The Risk Society and the Germanwings Tragedy: Stigma on Both Sides of the Psychiatry...

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Andreas Lubitz’s apparent intentional crash of Germanwings flight 9525 has brought discussions of the intersection of violence and mental disorder back to the front page. As the story unfolded I anticipated two reactions that typify the polarization of public discourse surrounding mental health issues. First, news reports that moralize about ending “stigma,” but that characterize people with mental health diagnoses in ways that perpetuate negative stereotypes.
A History of Fatigue

Book Review: A History of Fatigue from the Middle Ages to the Present

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Fatigue has always been in the background, infiltrating everywhere, ruling our choices and life paths—and the pharmaceutical industry has taken advantage.

A Peek Inside the Modern Asylum

The psychiatric hospital of today is a panopticon, a modern prison for the daring mind and for weird behavior. I was once inside and thus, am inviting you to have a look. I will take your hand, and encourage you to join me, on an exploration of the inside of the psychiatric institution. We'll have a small peek, but in reality, it is much more distressing for the one who is being observed.

Philip Seymour Hoffman, Drugs and the Therapeutic State

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Philip Seymour Hoffman died only 5 weeks ago. I was disappointed by the immediate zoom-in on Hoffman’s heroin addiction and the immediate and zealous search for villains; for the evil dealer. The toxicology report completed after his death led the New York City medical examiner to conclude that he had been “killed by a poisonous mix of drugs that included … heroin … cocaine, amphetamines and sedatives.” Yet, no outcry against Big Pharma for producing these drugs – the amphetamines, sedatives and the oxycodone – in the first place. Nor against the FDA for allowing them willy-nilly in the marketplace with little regulation. Nor against the GP’s who dispense these drugs like M&Ms.
power threat meaning framework

“The Power Threat Meaning Framework”: A New Perspective on Mental Distress

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Many of us have drawn attention over the years to the problems and shortcomings of psychiatric "diagnoses." The Power Threat Meaning document draws together the various threads in this debate and blends them into a coherent, cogent, and highly readable account.

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

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A psychiatrist and mom reflects on teen suicide clusters in Palo Alto and discusses alternative ways to address adolescent mental health.

Is Motivation Worth More Than Expertise?

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The strongest evidence we have as to whether a drug causes a problem does not come from RCTs or any other controlled study but rather from good clinical accounts. Even if RCTs were done by angels, so there was no hiding, no miscoding, nothing untoward, RCTs can still hide adverse events. The onus is on large and powerful corporations who have a lot of resources to pinpoint the populations where the benefit is likely to exceed the risk, if they want to continue to make money out of vulnerable people.

Support for SB 614 with Amendment to Supervision Qualifications

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Throughout California, the nation, and the world, peer specialists provide services to individuals with mental health challenges. In California, over 6,000 peer specialists are employed. In 2007, the Centers for Medicare & Medicaid Services guided states to create peer certifications. Since then, more than 30 states have created statewide peer certifications, and if Senator Leno’s Senate Bill 614 goes through, so will California

SAMHSA’s Rose-Colored Lens

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SAMHSA should be commended for undertaking an important educational task with laudable goals. Unfortunately, I have to conclude that SAMHSA’s Recovery to Practice module on medications for psychiatrists is a very minimal and even misleading attempt at educating psychiatrists.