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).

Scapegoating: Why Humanity Desperately Needs Hope to Cling to

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How convenient to be able to deposit all our hatred, anger, fear, and worry into a pail that looks different and believes in stuff we don't understand. Or better yet, to be able to throw all of our sorrow, hatred, and pain into an abstract bin organized by the greatest piece of trash: the Diagnostic and Statistical Manual (DSM).

Study 329: By the Standards of the Time

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The controversy over “Study 329” on the effects of Paxil in teen depression has raised questions about the state of ALL medical research. I decided to look at the research for the most recent psychiatric drug approved by the FDA, a new antipsychotic called cariprazine or Vraylar.  I located twenty studies of Vraylar on www.ClinicalTrials.gov, the U.S. government-sponsored registry for clinical trials.  Three were still in process, and seventeen were completed.  Not one had shared its results on the government website, a supposedly mandatory step.

eCPR: A Health Promotion Approach

eCPR is a public health education program designed to teach people to assist others through emotional crisis through three steps: C = connecting, P = emPowering, and R = revitalizing. eCPR recognizes that the experiences of trauma, emotional crisis, and emotional distress are universal; they can happen to anyone, at anytime, anywhere.

Hearing Voices Network Launches Debate on DSM-5 and Psychiatric Diagnoses

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The recent furore surrounding publication of the new DSM has provided a much-needed opportunity to discuss and debate crucial issues about how we make sense of, and respond to, experiences of madness and distress. Many psychiatrists, psychologists and other mental health professionals have expressed their dismay about the dominance and inadequacy of a biomedical model of mental illness. Whilst we share these concerns, welcome these debates and support colleagues that are willing to take a stand, The Hearing Voices Network believes that people with lived experience of diagnosis must be at the heart of any discussions about alternatives to the current system.
hand touching orange electricity

Whose Finger is Taking the Pulse of America’s Shock Treatment Controversy?

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My doctors presumed I had agitated catatonia and ran 450 volts of electricity through my head 116 times to “reboot” my brain. They called it electroconvulsive therapy (ECT). I call it Electroconvulsive Trauma.
Creative collage portrait of mini black white gamma astonished girl touch huge arm palm isolated on drawing background.

Why I Resigned from Mental Health America

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When MHA lobbied for expanding forced treatment, I could no longer allow myself to be a cog in the oppressive, profit-driven, psych industry wheel.

A Stranger in a Strange Land (Pt. 2): What Happened to You?

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Through the act of deep listening to personal stories of distress and healing, I have become convinced that even the most well-meaning mental health professionals are persistently asking the wrong questions. We are operating within a system that prizes the stability, conformity, and sedation of persons with experiences too unusual or too "disruptive" to social norms. It is a system that asks the question, "What is wrong with you?" and it is a system that defines "fixing" the problem as managing symptoms so that people aren't a bother (financially, logistically, and socially) to other people.

Overprescribing Madness

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Slick salesmanship, dishonest and incompetent medical practice (overlooked by timid regulators) and cultural, commercial, and political drivers now see Australians hooked on a cycle of over-diagnosis and over-medication.

Integration of Physical and Mental Health

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Integration of physical and "mental health" care has been a popular topic in psychiatric circles in recent years. I've never been entirely clear about the nature of this proposed integration of psychiatry with primary care, though from what I've gathered, it sounds like there will be a psychiatrist, or other mental health worker, attached to primary care practices, either in the flesh or via computer screens. What has always been crystal clear, however, is that the proposal would entail a huge expansion of the psychiatric net.

There is Big Medicine in Everyone

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I woke up at 3 am this morning. The spring is a time of big energy for me. Once upon a time in my life this energy was pathologized and called manic, bipolar. I was taught to fear it and drug it and by no means express it. I have been unlearning all that for some years now.
neurodiversity

Neurodiversity is Dead. Now What?

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The neurodiversity movement is a public relations campaign that emphasizes the positive qualities associated with some presentations of autism—creativity, increased tolerance for repetition, enhanced empathy, and exceptional memory—while erasing or minimizing the experiences of autistics who are severely disabled.
Pills and orange pill bottle on black textured background

Critical Psychiatry Textbook, Chapter 8: Depression and Mania (Affective Disorders) (Part Eleven)

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Peter Gøtzsche discusses the harmful effects of lithium and anti-epileptic drugs used for bipolar disorder.

What’s Wrong With You? Nothing.What Has Happened to You? Something.

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Licensed Mental Heath professionals are trained and are required to find out what is wrong with people. Unfortunately, 90 percent of the people who could benefit from professional mental health services, in my opinion, are suffering from feeling something is wrong with them. They already feel bad about themselves, like they are failing in life. Enter the totally well-intentioned mental health professional.

Stimulants and Food

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The FDA recently approved lisdexamfetamine (LDF) for the treatment of the newly minted DSM-5 diagnosis of Binge Eating Disorder. This caused me some consternation and this blog will be as much about my reaction to this news as to the news itself.

From Protesting to Taking Over: Using Education to Change Mental Health Care

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As we develop critical awareness about the mental health “treatments” that don’t work and that often make things much worse, the question inevitably comes up, what can those who want to be helpful be doing instead?

Child Development and The Challenges to Parenthood: An Experiment in Time Travel

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We often need a new lens to look through in order to grasp a better way to understand, conceptualize and accept the real reasons behind the sometimes annoying and frustrating behaviors associated with child development. As many of you who read my blog know, I have grown tired of the increased trend of early diagnosis of children. I'm all for early interventions to help kids overcome learning deficits and developmental delays, but why — beyond education compliance policy and getting insurance companies to pay for the bill — do we have to label them with a learning disability or permanent mental disorder?

The Problem of Blame

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On January 27 I posted a blog, Maternal Attachment in Infancy and Adult Mental Healthon my website Behaviorism and Mental Health. In this article I reviewed a longitudinal study by Fan et al.  The main finding of the study was: “Infants who experience unsupportive maternal behavior at 8 months have an increased risk for developing psychological sequelae later in life.”
3d illustration of a brain with one end red and shattering

Psychiatric Drugs “Help” By Causing Brain Dysfunction

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There are currently ten classes of prescription medications that impair brain function, including both psychiatric and non-psychiatric drugs. A number of non-drug “treatments” do the same.
3D illustration of a model house in construction on a table of blueprints

Feel Hopeless About Reforming a Broken System? Incremental Change Is Still Change

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Despite all our efforts, it seems that a radical transformation of the system has not yet occurred. However, incremental changes can directly improve the lives of thousands.

Does MadinAmerica Promote the Spreading of Scientific Anarchy?

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I believe that Dr. Jeffrey Lieberman, the past president of the American Psychiatric Association must judge some writers and commenters here on MIA as being “anti-science” and “anarchists.” He has now published at least two articles that, in essence, suggest that critics of the DSM-5 and psychiatry should be silenced.
nutritional food

Is Your Brain Adequately Nourished to Cope With COVID-19 Stress?

Mental health resilience is a function of a well-nourished brain. Even in our developed, western society, our brains are only marginally nourished, contributing to the epidemic of mental illness visible even before COVID-19 arrived on the scene.

Important Considerations for Implementing Assisted Outpatient Treatment: A Collaborative Advocacy Agenda

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For my entire career a vicious debate has raged about involuntary outpatient treatment largely pitting parents and clinical professionals on the pro side against consumers and rehabilitation professionals on the con side. Like it or not, packaged as Assisted Outpatient Treatment (AOT), involuntary outpatient treatment is increasingly coming to a neighborhood near you. The cornerstone of the con position has always been that even if AOT is done with the best of intentions forcing someone to do something or to change in a way they don’t want to change is inherently an assaultive thing to do. There is a large risk the coerced person will react resentfully and even aggressively in response. There is also a large risk that the people exerting power coercively will be corrupted by their power and abuse it. This damaging effect on staff who forcibly treat people is why I personally wouldn’t want to be involved in it.

DxSummit Officially Launches

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As co-chair of the Diagnostic Summit Committee of the Society for Humanistic Psychology, I am pleased to announce that today we officially launch the Global Summit on Diagnostic Alternatives (DxSummit.org), an online platform for rethinking mental health. Our goal is to provide a place for a collegial and rigorous discussion of alternative ways to conceptualize and practice diagnosis. Today's launch is marked by the appearance of our first eight posts. These posts come from a variety of prominent people in the field, each offering a unique perspective on the current state of diagnosis and where we might take things as we move forward.

Sleepwalking My Life on Seroquel

When my son was 5, I ended up as a single mum, with ‘bipolar’ disorder, in a foreign country. I had to always work harder to prove that I was worthy.
Close-up photo of hands holding a model brain

From the Dopamine Theory to the Outcomes Paradox

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Why does long-term use of neuroleptics correlate with poorer social and occupational outcomes?