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What is informed consent? Informed consent obviously means if you are being given drugs you should know the common and potential adverse affects, drug interactions, risk of dependency and addiction, and counter-indications with other substances, health conditions or health concerns. This is the baseline of informed consent (which many people don't receive) but there is an incredible amount more that is included in what you deserve to know about any drug you are prescribed or medical system you are advised to subscribe to.

One of the roadblocks to recovery for those who suffer from depression is our culture's tendency to stigmatize depression and other mental health disorders. After my first hospitalization, I remember the dilemma I faced in trying to explain my three-day absence to my employer. If I told the truth—that I was being treated for anxiety and depression—I stood a good chance of losing my job. Instead, I reported that I had been treated for insomnia at a sleep clinic. In another instance, a client of mine who worked as a nurse was petrified of telling her colleagues that she dealt with depression, but when she shared her diagnosis of cancer, they showered her with with love and support.

I've been on hiatus for a few months now, and I decided that an informal entry would be most fitting at this time. I have had one question on my mind lately: what would motivate Psychiatry to drastically change its mission and practices in a way that is most consistent with contemporary evidence and moral responsibility?

The first time I tried to kill myself, I was 14. I won’t go into the indignity of being involuntarily locked up, time after time, until I satisfactorily convinced the staff that I wouldn’t harm myself or attempt suicide again. (I was lying.) The system taught me to lie, to hide my suicidal feelings in order to escape yet another round of dehumanizing lock-ups and “treatments.”

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.

The recent publicity surrounding the Justina Pelletier case has focused attention, not only on the spurious and arbitrary nature of psychiatric diagnoses, but also on the legitimacy and appropriateness of mental health commitments. It is being widely asserted that these archaic statutes are fundamentally incompatible with current civil rights standards, and the question "should mental health commitments be abolished?" is being raised in a variety of contexts.

This Wednesday, March 19th I will be speaking with the wonderful folks at Rethinking Psychiatry in Portland Oregon. These amazing individuals are working on reforming the mental health system and creating practical alternatives such as a Soteria-based housing model in the community. As I look at the present state of how we help people in severe emotional crisis I see enormous problems from beginning to end. I want to outline some of those main problems and then look at some ways we could work to reform them.

UN Human Rights Committee member Ms. Zonke Majodina said on Friday during the Committee's review of the United States: "I’m wondering whether any states have considered the ban which has been recommended by the Special Rapporteur on Torture made February last year, available on the UN website of documents. So given that it is really at state level that there is no compliance with the requirement to prohibit coercive treatments especially in mental health settings, I think the matter cannot just be left, there should be some form of good faith undertakings by federal government that these recommendations by UN bodies is taken seriously also at state level."

Under DSM-IV, a "diagnosis" of somatization disorder entailed a history of physical symptoms for which, despite thorough medical evaluation, no satisfactory physical etiology could be established. In DSM-5, this "diagnosis" was replaced by somatic symptom disorder. This is essentially similar to DSM-IV's somatization disorder – with one critical difference. The newer "diagnosis" can be assigned even if there is an identifiable physical illness.

When one is coming off of psychiatric pharmaceuticals, it's common to experience withdrawal induced anxiety, panic and psychosis. Here are some tips to help calm your body.

In the past decade, much concern has been raised about the increasing, excessive and inappropriate use of off-label psychiatric medications for children. In addition, the use of medication cocktails (polypharmacy) has become increasing common in child psychiatry. Several medication-related deaths have been reported in the past ten years. In 2006, the Food and Drug administration (FDA) received reports of at least 29 children dying and at least 165 more suffering serious side effects in which an antipsychotic was listed as the “primary suspect.” That was a substantial jump from 2000, when there were at least 10 deaths and 85 serious side effects among children linked to the drugs.

It’s become common place to give the National Alliance for Mental Illness (NAMI) a really hard time for accepting such high levels of pharmaceutical funding. While far too many people might still be surprised to learn the percentage of NAMI’s total donation income made up by big Pharma, it’s no surprise to those of us regularly lurking around these parts. However, I’ve come to realize that NAMI is taking an inequitable amount of heat on this topic, and that I, in fact, have been complicit in maintaining that imbalance.

When the benzodiazepines were first introduced, it was widely claimed, both by psychiatrists and by pharma, that they were non-addictive. This claim was subsequently abandoned in the face of overwhelming evidence to the contrary, and the addictive potential of these products is now recognized and generally accepted.

People have used psychoactive substances to dull and deaden pain, misery and suffering since time immemorial, but only recently, in the last few decades, have people been persuaded that what they are doing in this situation is rightly thought of as taking a remedy for an underlying disease. The spread of the use of prescription drugs has gone hand in hand with the increasing medicalization of everyday life, and a corresponding loss of the previous relationship that people had with psychoactive substances.

On Monday night, Irish television screened a documentary covering the events leading to the self inflicted death of Shane Clancy & the other young man he killed. In the documentary, psychiatrist Professor Patricia Casey is quoted as saying that she does not believe the SSRI Shane was taking played any role in the killings and that in her opinion they were caused by an undiagnosed psychiatric illness. Professor Casey did not meet Shane when he was alive. She has never spoken to his family, does not have access to his medical records or family history and has not spoken to his doctor.

Some time ago, a pediatrician that I respect greatly stopped by my office to chat.  In the midst of the conversation, he smiled, and spontaneously mentioned that he had seen a rash of a particular condition lately.  When I inquired what it was, he stated Helpless Parent Syndrome.

This week, Dr. Insel announced new guidelines for NIMH-funded research that will require clinical studies to link to an underlying brain mechanism. This is a response to psychiatry's poor track record thus far. I do not think this will solve the problem.

The safety of our children is a sacred obligation we strive to preserve. Anything or anyone that harms them becomes the object of our...

Apparently, May is ‘Mental Health Awareness’ month. However, the National Alliance for Mental Illness (NAMI) counters that with ‘Mental ILLNESS Awareness’ week that reportedly falls in October. Meanwhile, ‘Mental Health Awareness ’ day lands on April 16 (from 10am to 4pm, to be exact). ‘National Brain Awareness’ week picks up the baton on March 10 (passing it along to ‘World Bipolar Day’ on March 30). Other dates of note? Apparently, ‘Self Injury Awareness,’ day is on March 1, and the Disability World site cites an absolutely staggering list of dates to remember, including National Sauce Month (!?). But I digress. Suffice to say, my head is spinning

Justina Pelletier, who lived with her parents in Connecticut, had been diagnosed with mitochondrial disease, a rare and debilitating illness, and had been receiving treatment for this from Mark Korson, MD, Chief of Metabolism Services at Tufts Medical Center in Boston. In February of last year, Justina's parents took her to Boston Children's Hospital with flu-like symptoms. Dr. Korson had recommended an admission to Boston Children's so that Justina could be seen by Alex Flores, MD, a gastrointestinal specialist who had recently transferred from Tufts to BCH. But instead, Justina's care was taken over by the psychiatry department.

When Linda Sarage and Jake Powers first approached me about writing a section for the fantastic manual developed by the addictions community — From the Ground Up: How to Build Your own Peer-to-Peer Recovery Center — that would help connect this manual to the mental health community, I envisioned writing a section that would serve as some sort of translation tool that could connect two very different communities toward a common purpose.  After reading the manual, however, I quickly remembered how much the mental health community has in common with the substance abuse community and how little “translation” is actually needed.

Since interviewing Robert Whitaker for AlterNet in 2010, after the publication of Anatomy of an Epidemic, the psychiatry establishment has pivoted from first ignoring him, to then debating him and attempting to discredit him, to currently agreeing with many of his conclusions. I was curious about his take on the recent U-turns by major figures in the psychiatry establishment with respect to (1) antipsychotic drug treatment, (2) the validity of the “chemical imbalance” theory of mental illness, and (3) the validity of the DSM, psychiatry’s diagnostic bible. And I was curious about Whitaker’s sense of psychiatry’s future direction.

There's a growing (and soon to be quickly growing) group of us who are not therapists or psychiatrists but who offer “coaching,” connection and support. We offer this support to those coming off psychiatric drugs, or who would like to, or are opting to not go on in the first place but are facing pressure to. Most of us are psychiatric survivors so a lot of our knowledge and information is from firsthand experience. Others may have never been on psychiatric drugs but know a lot about the ins and outs of withdrawal through close association with those who have.

When we launched Madinamerica.com a little more than two years ago, we had in our sights the day when we would begin publishing original journalism pieces. Today, with the publication of Rob Wipond's article on Cindi Fisher, we have finally reached that goal.

An NBC online News article dated October 15, 2010, carried the noteworthy title New blood test may help detect schizophrenia. The article was written by Natasha Allen, a freelance medical journalist. The gist of the article is that there is a new blood test called VeriPsych which "researchers say" is 83% accurate in discriminating people who are "schizophrenic" from people who are not.