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Since COVID, NISAPI has transitioned our collaborative therapy setting from barns and fields to kitchens and living rooms. Our clients report similar positive outcomes with telehealth as in person.

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.

All throughout life, trauma defines the negative elements of our environment. Just as responsiveness is the source of healing in the world, trauma is the agent of harm and damage. Trauma consists of abuse: sadism and cruelty; and deprivation: the cold absence of loving which generates the absence of the possibility of tender attachments. Trauma is an assault so extreme that it overrides and rewrites our otherwise healthy play of consciousness. It outpaces our flexibility to adapt, and writes a dark new play in its place.

This week another study was published showing that SSRI antidepressant use during pregnancy is associated with increased rates of autism in the children.  By my count, this is now the tenth study on this topic and it follows on the heels of previous studies – all of which found links between SSRI antidepressant use in pregnancy and autism in the offspring.  Most of these studies were recently reviewed by Man, et al, who also concluded that SSRI antidepressant use during pregnancy is associated with autism in the children. So we now have numerous studies in different human populations all showing a link between SSRI use in pregnancy and autism in the children. Yet, much of the news and blogosphere focus on casting doubts about these findings. What is going on here?

I am a female physician who survived my own suicide attempt. I had managed to fly under the radar as a very progressive family MD for twenty years. And when I stumbled and bled, the sharks were there ready to devour the carcass. Do I believe that racism and sexism influenced charges being filed against me? I certainly do.

Chinese medicine offers one proven path to emotional balance and harmony for many people who struggle with anxiety or depression. Many people who receive treatment from a licensed acupuncturist experience significant benefit, and don’t need to take psychiatric drugs.

Telling people emphatically how much I am suffering at times, asking for reassurance that my dear ones love and care about me and sense my purpose, may make me unpopular with some who pride themselves on being “more together,” yet it also fosters the intimacy, closeness and trust I feel with so many. And because of it, I don't need to ask myself if anyone will care if I die. I can experience that reassurance while I'm alive, if I have the humility to ask for it, and keep asking until my soul is met with other souls who genuinely care. That experience humbles me greatly and somehow makes all of my brokenness feel like love and open heartedness.

It's been five years today since I completed a six year withdrawal process from a large cocktail of psychiatric drugs. Today is also my 50th birthday which, frankly, seems much more remarkable to me at this point. Inside I am only aware of eternal youth. Upon having done an informal and small survey, it seems most people feel that way though it's not talked about much among the adults of our species. That which watches and experiences our lives in these bodies does not age. It's actually a wonderful thing. So I'm here wondering what comes next in this amazing trajectory which is the life being lived in this body that my parents called Monica.

In the September, 2015 issue of JAMA Psychiatry, a team of Swedish researchers published a study evaluating the serotonin system in persons with social anxiety. the findings here are in direct contradiction to what the pharmaceutical companies would have us believe: that anxiety and depression are caused by deficit levels of serotonin. There was an editorial by the authors in the same issue which attempted to obfuscate the findings by referencing the heterogeneity in persons who exhibit social anxiety. Unfortunately, neither the article or the editorial referenced the work of neuroscientist who for the past 30 years have been investigating what happens in the brains of animals that are subjected to uncontrollable stress.

Mad In America bloggers, and everyone who is interested, you are cordially invited to participate in a Campaign to Support the CRPD Absolute Prohibition of Commitment and Forced Treatment. The requested action is to write a blog post or contribute artwork, relevant to the purpose of the campaign, i.e. discussing and supporting the absolute prohibition that is promulgated under the Convention on the Rights of Persons with Disabilities (CRPD).  Posts should be ready for March 29, 2016, the opening day of the 15th session of the Committee on the Rights of Persons with Disabilities.

There is an enormous irony in a psychiatrist using the epithet "thought police" to express censure, when it is psychiatry itself that routinely incarcerates and forcibly drugs and shocks people on the grounds that their thoughts and speech don't conform to psychiatry's standards of normality.

If a patient has high cholesterol or sugar, the doctor may prescribe a drug to lower what is too high, but he/she generally adds some suggestions: for instance to avoid certain types of food, to do more physical activity, to refrain from smoking. But if someone has a low mood and sees medical help, the doctor--particularly if he or she is a psychiatrist--will likely just prescribe a drug and not encourage any “self-therapy.” The problem with his approach to care is that psychiatric drugs, even when they are properly prescribed, may help very little in the long run and create a number of additional problems

I ended 2016 as I started it: listening to a celebrity reducing the complex interplay between society and the psyche to a matter of simple biology. This deprives people of the opportunity to really understand their suffering and find meaning in it — and it undermines the case for prevention.

In mental health, we have spent an inordinate amount of effort on the intellectual level. Since most people who come to us for help have deeper needs than that, we’re going to fail most of them if we don’t instead operate predominantly at the emotional level.

Expect Recovery….seems like a tall order, especially for people that have: little hope; spent years cycling in and out of hospitals; spent years on...

I have been involved in hundreds of commitment hearings in which psychiatric diagnoses were crucial. In that context, I have never witnessed the presence of all three factors: (1) the transparent (honest) use of diagnostic labels (which includes the acknowledgment of the inherent biases built into the labels as well as their limited validity), (2) allowing full voice to and full acknowledgment of the labeled person’s view of reality, and (3) using the labels in a manner that produced a useful understanding, which in standard mental health practice would require that the understanding be significantly more beneficial to the labeled person rather than the labeler.

I was recently talking with a young man about his anxiety, which he experiences as extreme.  When I asked him what the anxiety was...

In "Mud Flower," Meghan Caughey seeks an ethics centered on the valuation of madness—and on art as one communicative pathway for values—for the muddy waters discarded by society.

We are pleased to announce that Charmaine Harris, who is a part of the POD team, will join the peer-supported Open Dialogue panel on Wednesday as a co-host.

There are many similarities between mental health oppression (which is an umbrella terms for what this blog/web site is about) and racism. I invite readers to contemplate the similarities and differences in these pernicious forms of oppressions. Sera Davidow has begun a wonderful MIA blog-discussion on this. (Thank you, Sera.) In the mean time let me admit to my own racism. Here is what I wrote previously. I offer it as an invitation to racism 101.

Being a woman of a certain age, I dutifully went in for a “routine” colonoscopy a few weeks ago. My doctor came to see me before the procedure. She spent about 5 minutes reviewing the procedure and asked me to sign the consent form. I was in the procedure room for about 10 minutes and then we were done. A few days ago, I got the bill. It got me to wondering about the reimbursement for the work I do.

When the idea that selective serotonin re-uptake inhibitors (SSRIs) might make people feel suicidal first started to be discussed, I admit I was sceptical. It didn’t seem to me the drugs had much effect at all, and I couldn’t understand how a chemical substance could produce a specific thought. Because these effects did not show up in randomised controlled trials, they were dismissed and few efforts were made to study them properly. Then some large meta-analyses started to find an association between the use of modern antidepressants and suicidal thoughts and actions, especially in children.

Dear Funder, You say you want to work on health equity but can you walk the talk? Do you care about hearing the actual community? Do you REALLY want data-driven, accurate info to balance harm vs benefit? Or do you just want to keep your status quo? Dear Funder, Don't be fragile. Move beyond your blind spots. Our people matter.

Bob-- My brain is still buzzing from my second day back in the trenches. My final patient today was a middle-aged woman who...

You and me, we are different. We live in the world of magic, where angels appear, where voices scare but also reveal, where visions show us the other, real, parallel world. God blesses only very few of us with such an ability. And that’s why you have to fight for this right.