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).

introverted

I’m Introverted, Not Depressed!

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Urging introverts to act more extroverted as a pathway to greater life satisfaction is wrongheaded. Elizabeth's case is one where the demoralization and despondency she experiences—forced to sacrifice her needs as an introvert to comply with the social scripts required to live in an extroverted world—masquerades as depression.

Paradigms Lost

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The fundamental stance of bio-medical psychiatry remains unchanged since my grandfather’s time – “mentally ill” people managed like stock portfolios, reduced to diseased brains and bundles of genes and biochemicals that can be quantified, manipulated and cured “scientifically” by bio-tech and surgical interventions. Magic bullets as magical thinking.

The First “Working To Recovery” Camp: June, 2015

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About a year ago, my partner Ron Coleman said to me "let's have a recovery camp." I said "what’s one of those?" and he said "I'm not sure, but let's invent it." And so, from June 7th to 12th 2015, we created a community of recovery for a week. The next step is to create communities of recovery around the world — not just as temporary camps, but long-lasting oases within our communities.

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.

Winners of the American Dream

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Since I left the psychiatric prescribing trenches and came south for the winter, I’ve been staying in a beach town within driving distance of a technology metropolis. I take breaks from my writing and walk to the beach. There, I meet and talk with the winners of the American dream. They are intelligent, highly educated and financially successful. They take their beach vacations here.

ï»żNovember 9, 2010

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Bob-- Today, I saw a very friendly, highly intelligent (she has a PhD in economics) and overweight 34 year old woman for a refill of...

The George Costanza Excuse for Medical Ghostwriting

Several months ago, two professors at the University of Pennsylvania were accused of ghostwriting. The university has now announced the results of their investigation, which is partially based on work by the great moral philosopher, George Constanza...

Mental Health Survival Kit, Chapter 4: Withdrawing from Psychiatric Drugs (Part 2)

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Peter GĂžtzsche: The MIND organization in Denmark and the psychiatric guild suppressed information regarding the discontinuation of psychiatric drugs.
new york times

Suicide, Ketamine, the Propaganda Model and the New York Times

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A lengthy NYT op-ed had offered what I considered to be a fairly insane solution: “an old anesthetic called ketamine that, at low doses, can halt suicidal thoughts almost immediately.” Despite recognizing how much power the psychiatric-pharmaceutical industrial complex has over the NYT, I submitted my own op-ed in response.
Closeup of a hand lying on the floor with pills spilling out

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

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Peter GĂžtzsche on more harms caused by depression pills, including akathisia and its connection to homicide.

When “Recovery” Feels Like a Trap

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People in roles of power in the mental health system often don’t realize how much complicity they have in actually creating the symptoms they claim are biologically-based in individuals with psychiatric labels.

Dr. Pies’ Non-Apology

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Dr. Pies' summary of Schroder et al's study is misleading. In fact, the researchers found that the more times a person was hospitalized, the more likely they were to believe the chemical imbalance myth.

Towards a New Psychiatry: Say ‘No’ to the Fiction of Brain Diseases

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During my lifetime I have witnessed the fall of Freudian psychiatry and the ascension of molecular psychiatry. Unfortunately, we have gone from the frying pan into the fire. I certainly do not subscribe to old-fashioned psychoanalytic ideas which had been beset by considerable problems throughout the years. Its practice suffered from dogmatic theories and miscast beliefs, which worked to the detriment of responsiveness to our patients. I love and value the work of psychiatry. Nothing is more gratifying than helping people heal from painful symptoms, and to fulfill their ability to love and recover their authenticity. I am proposing a new and different paradigm for psychiatry.

Children, Youth and Mental Health in British Columbia: A Presentation to the Legislature

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"From years of personal and professional experience, I must tell you my biggest fear is that we’re massively misunderstanding the emotional and mental suffering of children and teens. We’ve taken their feelings, thoughts and suffering and transformed them into symptoms, diagnoses, reductive theories and then prescribing them an array of psychiatric drugs with dire short- and long-term consequences. We’re drugging their emotions, their thinking and their quest for meaning into disabling silence."

In Memory of Julie Greene

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With deep regret, Mad in America announces another loss in our contributor community. Julie C. Greene, writer and antipsychiatry advocate, lost her battle with kidney disease on November 29 at her home in Beaver Falls, Pennsylvania. Julie had been an MIA blogger since 2014, including several pieces on the dangers of lithium.

Why Mental Health Systems Should Be Organized Under Alcohol and Drug Systems

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While I was in charge of the public systems for both mental health and addictions in Oregon, I found it a challenge to maintain an equal focus on alcohol/drug problems compared to mental health. One big reason for the emphasis on mental health was that the mental health budget was big, about 6 times greater than that for addictions. And that doesn’t even count the hidden funding for psychiatric drugs which probably added another 30 or 40% to mental health —atypical antipsychotics are a lot more expensive than Antabuse.
stigma

Mortification of the Self: The Impact of Stigma on Identity

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This is how the vicious cycle continues: the more one internalizes stigma, the more she will distance herself from her social surroundings; the more she distances herself, the more she will experience proliferation of symptoms; and the more symptoms are present, the more others will stigmatize and "force" the person into further isolation.

‘Mad’ Psychologist Speaks Out

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Yet again I find myself in the painful, ridiculous and uncomfortable position of having to try to do my best to repair the extensive damage which is being done to vulnerable survivors of child abuse by the system. Yet again I am powerless to do much about it.
multi-lens

Introducing Multi-Lens Therapy

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How can we restore something as essential to the healing and helping process as knowing what is going on? If your client has an actual biological problem, he needs one sort of help. If he hates his job, he needs another sort of help. It is absurd (and not okay) that a helper would look only at putative “symptoms” and not at what’s going on.

Addiction, Biological Psychiatry and the Disease Model (Part 1)

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Both addiction and “mental illness” are far more prevalent where there is poverty, patriarchy, and other forms of mental and physical violence; all this creates fertile ground for various forms of trauma experiences on a daily basis. Addiction and extreme states of psychological distress will never be fully eradicated, or even humanely treated on a broad scale, until the material conditions from which they have emerged are transformed in a truly revolutionary way.
A teenage girl writing

A Developmental Response to Trauma and Trauma Language

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Understanding life events (and/or our responses to them) as trauma has transformed how we suffer and how we relate to pain.
A male doctor looks slightly angry at a woman who looks sad in profile

“Impairment: Says Who?”: The Fundamental Question of Mental Health Treatment

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The criterion of "impairment" is defined not by the person seeking treatment, but by other people: parents, clinicians, courts, employers, and so on.

What We Talk About When We Talk About Bipolar Disorder

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On the 6th of June 2013, ITV's This Morning hosted the News Review. One story was about the actor Stephen Fry and his recent publicity on how he has battled with his ‘bipolar’ condition and suicide attempts. While we don’t have any issue with this and the important message Mr Fry was trying to put across, we do have grave concerns over the comments made by the two guest speakers, and with what was imparted to This Morning’s vast susceptible viewing audience.

How the “Relational Perspective Paradigm” Informs Justice-Oriented Clinical Practice

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At the Center for Family, Community & Social Justice, Inc. we have made every effort to implement a "Just Therapy Practice" that reflects the decision to serve children, adolescents and their families and communities in oppressed urban areas according to principles underlying the “relational perspective paradigm” rather than the “objective realism paradigm.” It takes some time for us to appreciate that the adoption of a design of thinking oriented by a relational and contextual perspective also opens new vistas and perspectives for personal and professional encounters and work.
Blue background, transparent pill bottle, blue and white pills out of the top

The Challenge of Presenting Antidepressant Risks and Benefits

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Two goals are in direct conflict for doctors when it comes to antidepressant prescriptions: fully informed consent versus maximizing placebo value.