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).

wilted flower

Language of Mental Illness “Others” People: It’s a Human Rights Violation

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When separation and microaggressions are legitimized and put into public policy and discourse, we become second class citizens and subhumans. This is oppression and bigotry systemically supported and then denied by almost everyone, including those most seriously affected. We come to believe these lies.
Illustration depicting a card on a clothesline reading "DIAGNOSIS: PLACEBO EFFECT" against a blue background

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

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Peter Gøtzsche discusses misleading statements about depression pills and dosing.

Mad in Brasil TV

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Mad in Brasil launches MIB TV, an innovative communication space open to public participation. Every two weeks mental health professionals, researchers, users of psychiatry, family members and leaders of popular movements will discuss articles of interest on Mad in Brasil.

Finding the Inner Wild

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Modern “civilized” cultures do not have a good relationship with the wild. It seems we are always doing everything possible to shut it out of our lives, or to kill or tame it to the point where it is unrecognizable. Yet that which is wild is always still lurking, somewhere over the edge of our boundaries and frontiers, and also inside people, both inside the “others” we might approach warily on the street, and even inside our family members and ourselves.

Making Sense of Being Crazy in a Crazy World: A Community Poll

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Hey Mad in America Community! Happy New Year! I want to share an exciting project with you that's going on at The Icarus Project. Members of The Icarus project have been imagining maps and roads and labyrinths that would lead us in our journey and ground us in the moment. These have been called “wellness maps” or “mad maps” – reminder documents we create for ourselves and the people around us about our wellness goals, warning signs, strategies for health and who we trust to look out for our best interests when we’re not at our best. As I've been saying for years, “The act of figuring out what it means personally to be healthy is about learning to leave a trail back to how we want to be. The clearer we articulate it, the easier it is to get back there.”

On Spiritual Emergence and Other Extraordinary Experiences

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In a nutshell, I switched coasts and moved from Philadelphia to attend CIIS in San Francisco, because I couldn’t tell my story. In Philly I was known for my role as Storytelling Training Trainer, in which I facilitated a workshop to help people share their stories of mental health and substance abuse recovery. But I never felt I could tell my own real story, because the culture there wouldn’t allow it. The culture allowed me to be a person diagnosed with bipolar with psychotic episodes, who was living a meaningful life, but it did not allow me to be a person who is undergoing a very profound developmental process where my psyche was perceiving and processing my universe in ways that were shifting my paradigm of the potential of what reality can be, which for me, is a very spiritual process, and my true story.

Finding the Gifts Within Madness

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When people are seeing the world really different than we do, it’s often reassuring to think that there must be something wrong with them – because if they are completely wrong, or ill, then we don’t have to rethink our own sense of reality, we can instead be confident about that own understandings encompass all that we need to know. But it can be disorienting and damaging to others to have their experiences defined as “completely wrong” or “ill.” And we ourselves become more ignorant when we are too sure that there is no value in other ways of looking or experiencing.

Activism, Suicide, and Survival: Healing the Unhealable

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The present-day mental health establishment focuses primarily on a ‘biological’ cause for despair and other so-called ‘aberrant’ mental manifestations in the world. But when we look at the news, it’s bursting with sad realities. Animals dying, people starving, rape everywhere. Climate change bringing more disasters, racist mortgage practices. Are we to grow a skin so thick that we don’t cry when we read about a government firing scud missiles on its people? How are we to process mass-murder in an elementary school? What is more aberrant: to be so hardened that we do not cry, or to cry constantly? Might the healthy response to depressing realities to become depressed? How do we create hope when so often our world seems so terrible? How much activism is enough?

What is Love? An Ode to Motherhood on Mother’s Day

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For Mother’s Day this blog will not address the pressing issues of psychiatry today. Suffice it to say that the harm done by the twin traumas of deprivation and abuse generate all the psychiatric struggles we are all subject to. This is the other side of the story - in appreciation for what I have learned about love from my wife.

Psychiatry: The Hoax Exposed

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It's no secret that at the present time, psychiatry is reeling under a barrage of scrutiny and criticism. Their long-standing contention that all significant problems of thinking, feeling, and/or behaving are brain illnesses "just like diabetes," which need to be "treated" with drugs and high-voltage electric shocks to the brain, has been thoroughly discredited. And yet they go on peddling their spurious, self-serving ideology and the products of their pharma partners. The great mystery in all of this is why has the mainstream media been so slow to pick up the story.

Race, Gun Violence & Mental Health: #BlackLivesMatter

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In the wake of yet another national uproar about a mass shooting, much of the public once again turns its eye towards supposed mental health reform as the solution to the atrocity of acts of gun violence carried out in public spaces by primarily young, white men. The issue of gun control has soared back up to the top of concerns being addressed by presidential candidates, and national discourse has fallen back into its routine, polarized stances. The Republican leadership continues to suggest that gun control is not the solution — there must be something wrong with “those people’s” brains.

A Racist Movement Cannot Move

Our movement is just as racist (and sexist, and classist, and transphobic, etc.) as any other. There are many reasons why this remains so, yet all of it co-exists alongside the fact that people of color are substantially more likely to be given what are seen as the harshest psychiatric labels, subjected to force, and injured or killed.
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Duration of Untreated Psychosis Revisited: Response to the Goff Paper

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Based on the studies cited, it seems hard to support the assertion that “early initiation of antipsychotics may improve long-term course of the illness.” This raises an urgent question about initial treatment. Doesn’t it make sense to try to capture all of those individuals who might get through a psychosis without drugs?
birds trees relationship epistemology

Perspectives on “Reality” from an Alternative Epistemology

Contemplating human existence with a different paradigm of thinking will open our minds to perceiving the profound human diversities rooted in race and culture, developmental experiences, gender identities, sexual orientations, trauma, hunger, or immigration status, to name but a few ways we are or become profoundly diverse as humans.
peer workers support mentorship nyc

Building a Support Network for Peer Workers in NYC

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Peer Workers are actively organizing in New York City. This is significant because the mental health system is failing Peer Workers on so many fronts, and it’s long overdue that we start organizing support for ourselves. Peer work started from a social movement on the streets and has ended up a marginalized and co-opted role in a broken system.

1984 & DSM5, Revisited: Where Are the Social Workers?

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Where are the social workers? Where are the NASW and its local and state-wide chapters? For that matter, where are the peer-run and -led...

Martin Keller, Principal Investigator of Controversial Paxil Study, Leaves Brown University

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I just learned that Dr. Martin Keller, principal investigator of the controversial Paxil study 329, has retired from his position as a professor of...

Lessons from the Pandemic: Panic Attacks Are Not Random

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The ease and confidence with which many clients assume they are prone to panic attacks reflects larger cultural trends truncating and framing human suffering in medicalized terms.

UN: Ensure No One is Detained in Any Kind of Mental Health Facility

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The Committee on the Rights of Persons with Disabilities, authoritative body that interprets this treaty, has now confirmed beyond a shadow of a doubt that all mental health incarceration violates Article 14 of the CRPD. All governments should take notice, and incarcerated people and human rights defenders should take heart from this welcome development.

Los Creativamente Inadaptados – The Alternatives to Psychiatry Movement in Chile/Argentina 2015

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There are more and more of us who are determined to build an international movement that doesn’t forget its history, and that reweaves solidarity and community back into a model of mental and emotional and spiritual health. The system we live under is organized to keep a small number of people in control of the rest of us. Those who don’t fit into the model are drugged and silenced. We — the Mad Ones, the ones who have no choice but to feel the suffering of this planet and the people on it — we have a responsibility to create a new world that can hold our visions and brilliance. We have a responsibility to know our own histories of oppression and resistance. We carry with us the memories of the dead, the tortured, the exiled, and the ones whose flames can never be extinguished.

Rethinking Mental Health and Drug “Therapy” for Children

A group of caring and concerned experts, specializing in mental health, child development, research, and parenting, have started a united movement to help families nationwide. Our effort is called Project #ForTheKids, and our goal "is to dramatically slow down the trend of over diagnosing, labeling and medicating children in the name of mental health."

How Young is Too Young? Part 1: Prescribing Psychiatric Drugs – Infancy to Toddlerhood

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Do you remember feeling pressure as a child to do better at school, fit in socially, or behave more appropriately? Making the right decision was not always as easy as adults and cheerful children's books sometimes painted it. Today's expectations and demands placed on children for Disney-like perfection, however, are exponentially greater and strangely different. At an ever increasingly early age, we are expecting kids to behave years beyond their developmental ability and maturation.

Tweeting While Psychiatry Burns

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Part one of a lecture given at a British Neuropsychiatric Association meeting on February 22 under the heading of Psychopharmacology: 1952–2017. In slide 2, you see Tokyo University on fire. The students have occupied the Department of Psychiatry and stay for ten years.

Call to Action: MA Bill H.3594 for Informed Benzodiazepine Use

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This proposed legislation would require practitioners to obtain written informed consent regarding risk of dependency and addiction and risks associated with long-term use. It would also mandate warning labels concerning long-term use.

November 11, 2010

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Bob-- Today, I saw a bright, athletic lacrosse player who is a high school sophomore. She was seeing me to follow up on a mild...