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).

Review: “(Mis)Diagnosed: How Bias Distorts Our Perception of Mental Health”

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Psychiatric diagnoses can be shaped by prejudice, reflecting biases that ignore trauma, diminish populations, and invalidate humanity and experience.

Wholesome Wave

In a recent blog, we talked about the fact that nutrition and poverty are linked, and how poor nutrition is likely a mediator variable in the relationship between poverty and illness. In other words, it is the suboptimal nutrition associated with low income which likely explains much of the vulnerability to mental and physical illness. Today we want to tell you about an amazing American program that is making great strides in addressing this issue.

In Memoriam: Leonard Roy Frank

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  Editors' Note:  We at Mad in America have all known and loved Leonard. He truly represents the best of why we are engaged in these...
nurses in an old movie

Deep Sleep “Therapy” in Australia in the 1960s & ’70s: Could Something Like This...

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Psychiatry has a history of continuing to perform harmful, even deadly procedures. But does it still happen? Medication-induced akathisia filled two and a half pages of the DSM-IV. Why was it written out of the DSM 5?

Living Mindfully with Voices

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I hope this will be of help to people who hear voices and their friends and supporters. I also hope it will be helpful to the voices which are parts of many people's lives. Many voices I have come across and the people that hear them are convinced that their voices are spiritual in nature. I take an agnostic position on this, and therefore endeavour to respect different spiritual understandings. My intention is not to explain all voices psychologically but to help people make peace with their voices so they can get on with their lives.
hearing voices

Helping People to Constructively Engage with Voices

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When voices are engaged with creativity and compassion, the result can be a positive change in the relationship with voices, leading to much greater peace of mind. But how can people learn how to facilitate this? A new video series by Charlie Heriot-Maitland, Rufus May and Elisabeth Svanholmer offers some practical ideas.
mental health awareness

Building a Culture of Mental Well-Being

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We used to turn to family, community, and religious/philosophical teachings to ease our despair. Now, one is expected to turn to psychiatrists and therapists. With depression rates rising throughout the world, modern society must find a way to enhance the individual’s capacity to build a meaningful, satisfying, and self-actualized life.

The Antidepressant Wars in the Post-Truth Era

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We have at least some solid, incontrovertible evidence available to all that the claims about antidepressants in the press do not directly match the text of the source article in the Lancet. Nowhere in the original article did the authors make the extreme or even controversial claims appearing in the mainstream media.

My Daughter and Prozac

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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.

The Denial of Pain and Mortality: Or, the Art of Self-Prescribing and the Philosopher’s...

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“Don’t look at me! Save yourself!” Andrew* was a 25 year old with an imposing build that was mollified only by his despair and terror. Andrew was losing his mind. I didn’t have to see Andrew and I somewhat wish I never did. I had received a call late at night from Andrew’s nurse. “You gotta give him something man, I mean, he’s freaking out and I feel really bad.”

Fact Checking the New Yorker

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In the March 1 issue of the New Yorker, Louis Menand surveyed the topsy-turvy world of treatments for depression, writing in part of the...

Our Culture Is Abusive

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Emotions are viewed as dangerous liars in this culture, and those who express them in a way that makes people in power uncomfortable are diagnosed as "mentally ill."

The Real “Mental Illness” Epidemic: Withdrawal from Antidepressants

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If the incidence of mental illness has remained the same, but an ever-increasing percentage of the population takes psychiatric medications, then these drugs are being over-prescribed. Now there is an epidemic of people trying to stop SSRI antidepressants, and the effects can be crippling.

The Evidence of Our Convictions

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We are an unlikely duo, sharing secrets only known to insiders, the inmates and staff of Bader 5, Boston Children's Hospital's adolescent psychiatric unit. I am the nurse who blew the whistle that no one heard in 2010, she is the teenager who was imprisoned on Bader 5 for nine months in 2013. We met for the first time on this past Thanksgiving Day at Yale New Haven Children's Hospital, where she has been a *medical* patient for the past nine weeks.
evidence base for neuroleptics

How Well Do Neuroleptics Work?

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A recent paper published in Schizophrenia Bulletin reported on a meta-analysis of antipsychotic drugs which found that a significant number of people do not experience a remission of psychotic symptoms. The evidence base suggests that it is time for us to reappraise the effectiveness of these drugs and shift our practice patterns accordingly.

Hey; Don’t Just Shoot the Messenger!

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Global leaders in the critical psychiatry movement met on 18 Sep 2015 for a one-day conference to address an urgent public health issue: the iatrogenic harm caused by the over-prescription of psychiatric medications. We were treated to an expert review of the ways in which the widespread use of harmful and barely (if at all) helpful medicines has become the mainstay of psychiatry’s contribution to society. At gatherings such as this, when people discover I am a psychiatrist I often become a lightning rod for their anger and frustration. It’s okay; it comes with the job, but a couple of things happened at Roehampton which reminded me why this can happen, and why all of this is so much more complicated than the simple black-and-white “Pharma and psychiatry bad, everyone else good.”

Carrie Fisher, Bipolar Disorder, and the Spread of False Information

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As a child of the 80s, I had a childhood dream of growing up to be Princess Leia, and — of course — marrying Han Solo. What I did not dream of was fighting an empire that seems only to grow over time, and with no Harrison Ford by my side to make it all better. The death of Carrie Fisher is heartbreaking; the news coverage of her life and suffering is a tragedy.
Suffering young man on couch and compassionate woman.

What Helped—and What Didn’t Help—My Recovery

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In order to recover, it was necessary to give up the psychiatric treatment system, and the idea that I need something from that system, that I belong there.

Pulling for a New Reality: from Mental Illness to Mental Wellness

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Evolutionary psychiatry and breakthroughs in neuroscience are rapidly blurring the lines between adaptive and maladaptive changes. What would be possible if we put our attention on, gave money and resources to mental wellness instead of mental illness? The re-election of President Obama provides another opportunity for us to create a future for ourselves and our children that we could be proud to leave as a legacy, especially as it relates to how mental health is defined and considered in the body politic and media. Imagine mental wellness. Together, we can!
eugenics

Psychiatric Eugenics Then and Now—You Betcha It’s Still Happening

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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.

Do Antidepressants Worsen the Long-term Course of Depression? Giovanni Fava Pushes the Debate Forward.

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In 1994, Italy's Giovanna Fava, editor-in-chief of the journal Psychotherapy and Psychosomatics, wrote for the first time of his concern that "long-term use of...

Paradigm Shift

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An important study was headlined on MIA this week. The study examined the effectiveness of cognitive behavioral therapy (CBT) to treat the symptoms of people labeled with a diagnosis of schizophrenia and related conditions who had elected to not take neuroleptic drugs.

Diagnosing Dangers

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As I wrote in my first blog, A Three Pronged Approach to Mental Health System Change, after I read Mad in America in 2002,...

SMILES Study: Depression and Nutrition

The question this study asked was: In adults with depression who eat a poor diet, does teaching them about nutrition have an impact on their mental health? At the end of the 12-week intervention, the answer was: Yes.

Mental Health Survival Kit, Chapter 2: Is Psychiatry Evidence Based? (Part 5)

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The psychiatrists have fought really hard to hide the terrible truth that depression pills double the risk of suicide, not only in children but also in adults.