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On January 6th, 2014, a teenager with a diagnosis of schizophrenia died in North Carolina. He was shot and killed by the police that his parents called for help after he wanted to fight his mother. It is said that he was "having an episode."

I read somewhere recently that when Millenials are feeling upset, agitated, down, confused, hopeless, exhausted, or out-of-sorts they wonder if they are just going through a hard time, just struggling with concerns about themselves and their lives, or if they are suffering from a mental illness. No wonder. Since they have been able to comprehend language they have been bombarded by what I call the Biopsychiatric Belief System (BBS).

We have long been told that “low levels” of serotonin in the brain equal bad and sad, and we have been educated by the Pharmaceutical industry about the opportunity we have, through the use of antidepressants, to retrain our wayward neurons: by making the proverbial holes in the strainer that much smaller. But even if you accept the conventional wisdom regarding the role of serotonin in the narrative of mind, merriness, and misery, from where do we think that this magical neurochemical arises?

Perhaps the most alarming current trend in psychiatry, documented by Domino and Schwartz (2008), is the rise in prescriptions for the class of drug...

It has been a year this since the Mad In America website launched and I posted my first blog. You have been a smart and well informed audience. I know that many of you are eager to change the mental health system; for what it is worth, you have changed one doctor.

We need all of our voices to come together to challenge that sort of power in order to have any sort of hope at all. To the best of my knowledge, the majority of people who hang around these ‘Mad in America’ parts are particularly interested in prioritizing, promoting, and creating access to (true) alternatives, including those built upon peer-to-peer supports. But, whenever one of us falls, it becomes that much easier to knock the next one down. We need more examples to point to, not less; more places to reference and say, “If they can do it, why can’t we?”; more places to call upon and say, “If you don’t believe us, how about them… or them… or them?”

Mad in America readers will not be astonished by the news that Big PhRMA showers physicians with “free” trinkets and samples and lunches and dinners and junkets and dollars. Such tactics are common throughout the world of commerce, where they are described by terms ranging from “promotion” to “commercial bribery.” But do bribe-like actions ensnare physicians?

Emergency Rooms have become the triaged door to mental health care. Even without so many walk-ins, doctors and health care workers agree that the ER may be good for heart attacks and gun shot wounds, but not for delusions, extreme agitation or despair. But if all you have is an Asylum Fix, then every worried or grieving or traumatized or elated individual looks like he or she needs long-term care. Here are 10 alternatives to crisis and misery.

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.

International events related to emotional health issues continue to shock the world, and call into question the value of the mental health industry. Recently, many people around the globe have felt devastated by the suicide of Robin Williams and shocked by the downing of the plane by Andreas Lubitz. Numerous incidents of violence have been shown to involve the mental health industry with some link to mental disorders or psychiatric medication. The important issue to understand is what do these connections mean.

In my previous blog, I used a new term, Dialogical Recovery to describe the importance of dialogue to recovery. I and others in the...

I hadn’t seen this psychiatrist or any other now in several years. I chose to make this visit to the man who prescribed the drugs for my 6-year-long psychiatric drug withdrawal for several reasons. Upon reflection, I think the primary one was ritualistic. Something to mark the end of that phase of my life. A goodbye to psychiatry, concretized.

Greetings, MIA readers. Would you like to write your own review of the DSM-5 (even if you haven’t read it, never mind bought it.) I’ve done neither, but I’ve read, talked, written enough about it to have an opinion. Write your own review of the DSM-5 on Amazon …Here's the link

For decades the gold standard for medical evidence was the review article - an essay looking at most or (hopefully) all of the research on a particular question and trying to divine a general trend in the data toward some conclusion ("therapy X seems to be good for condition Y," for example). More recently, the format of review articles has shifted - at least where the questions addressed have leant themselves to the new style. The idea has been to look at the original data for all of the studies available, and in effect reanalyze them as though the research participants were all taking part in one gigantic study. By increasing the number of data points and averaging across the vagaries of different studies, a clearer finding might emerge. The meta-analysis has gone on to be revered as a strategy for advancing healthcare. It has vulnerabilities.

I recently read an article by Fredric Neuman, MD, titled The Use of the Minor Tranquilizers: Xanax, Ativan, Klonopin, and Valium.  Dr. Neuman opens by telling us that benzodiazepines are "Very commonly prescribed for any sort of discomfort . . . They are called anxiolytics, and they are prescribed for any level of anxiety and more or less to anyone who asks for them." Dr. Neuman has been working at the Anxiety and Phobia Center for 41 years, first as Associate Director and then as Director. So when he says that benzos are routinely given to "anyone who asks for them," it's probably safe to say that he's being accurate.

In 1956, Lou Lasagna was on his way to being the most famous doctor in the United States; an advocate for controlled clinical trials of both the safety and effectiveness of medication, as well as for a revision to the Hippocratic Oath to include a holistic and compassionate approach to medicine. Then, caught in the nexus of reason, regulation, and the pharmaceutical machine, his star fell.

Danish psychiatry has been besieged by scandals. Or perhaps it is better to say 'exposed', as many of the scandals - like massive overmedication, deaths etc. - have been an ongoing problem for years. 2014 has started off with a bang. Two deaths due to psychiatric drugs acknowledged as being the cause of death. This is the first time this has happened.

Coercive situations like the one depicted in this blog subtly replicate older times when colonizers dominated Indian people using guns and ammo. In the contemporary times, oppressive mental health systems of colonizers use pills and labels to force-feed ‘civilizing’ principles. This intergenerational comparison might seem more intriguing if you consider that the psychiatric nurse in question was a Commissioned Corps officer in full uniform blues while meeting with this girl in the bunker-like Indian Health Service (IHS) clinic located along “Fort Road.” If you drive straight out along that road for 23 miles, you’ll end up on the park grounds of the actual historic fort where this girl’s ancestors were once bull-whipped for non-compliance.

Fear. Omnipresent. Difficult to ward off or ignore. Just to advise readers, this long, somewhat involved article has been written for purely didactic purposes. Frankly, I’d like more folks to learn how to challenge their fears, how to organize and do systems change work. I trust readers will find it useful and that I managed to at least approximate what I intended.

Back in 1983, I put myself in a mental ward. I desperately wanted help with my eating disorder, but no one took these types of problems seriously back then. The ward was rather nice, so I returned many times. Nothing good ever came of it, but I always hoped this time, it will do some magic. Every time I left, I'd realize my eating problems hadn't been solved at all.

Imagine that you got upset. Is it very remarkable that I can “diagnose” that you are upset? After all, you are clearly upset. What expert thing did I accomplish by agreeing with you that you were upset? Or imagine that you are angry. Is it very remarkable that I can “diagnose” that you are angry? After all, you are clearly angry. Have I added anything meaningful by saying “I diagnose that you are angry” instead of “You seem angry”? “You look upset” is the simple, truthful thing to say and “I diagnose that you look upset” is a piece of self-serving chicanery.

Anne Hull and Dana Priest, of the Washington Post, received a Pulitzer prize for breaking the story of the horrid conditions at Walter Reed Army Medical Center where men were “afloat on a river of painkillers and antipsychotic drugs” Each morning, they were expected to rise at dawn for formation, though most of them were snowed under by benzodiazepines, opiates, alcohol – anything that would push Iraq and the pain away. A year later I too would be snowed under and would fight an invisible war of my own. It wasn’t until months later, deep in withdrawal tolerance that I realized my slide into disability was caused by the drugs.

Robert Whitaker has raised questions about the problems with long term exposure to antipsychotic drugs but recent research raises questions about their efficacy in the short run.

This is about neuroleptics. It is about psychosis or madness or whatever term one prefers. It is about people 18 years and older. I take...

Law and spirituality both deal with the issue of responsibility. The law sets out norms and standards promulgated by authorities in accordance with the procedures established by the state, typically set out in a constitution or governing statute, or according to custom. These norms and standards might or might not reflect accurately a consensus about values and principles that are shared by the people governed by them, and might or might not have been adopted in procedures that are satisfyingly participatory and democratic.