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Discussing the damage psychosis pills cause to the brain, and how that manifests in many clinical harms, like tardive dyskinesia.

In 2000 when I gave a lecture on "Psychopharmacology and the Government of the Self" at the invitation of the University of Toronto, I ran into a problem.  In the public domain our shared difficulties were because of this lecture.  In fact, the difficulties stemmed from a member of the Establishment – Charlie Nemeroff – who put the frighteners on the U of T about hiring Healy. 'The psychopharmacology establishment in the face of adverse effects from drugs' is the same as 'the medical establishment in the face of treatment-related adverse effects' is the same as 'the British establishment in the face of allegations of paedophilia and child abuse' is the same as 'the Vatican in the face of allegations of abuse.' It’s about power.  We have it – you don’t.  Get lost.

Much has been written lately about an "epidemic" of opioid overdose deaths, in some cases advocating for a blanket reduction in the availability of prescription opioids. Regrettably, many readers will not penetrate beneath the sensational headlines to grapple with the complicated realities of this issue. Few who aren't themselves in pain may realize what harm such articles are doing to tens of millions of people.

The value-base and proven positive outcomes of Open Dialogue need to be expanded, not closed.

A very gifted and compassionate friend recently said that she feels enslaved to Abilify - that she has tried to taper off it several times but always ends up slipping into an extreme state, no matter how slow she tapers. She said this repeated experience makes her feel like a slave, because she has to go back on the drug to stop the very intense extreme state induced whenever she tries to stop taking it.

On February 22, Allen Frances, MD, published an article titled Psychiatry and Anti-Psychiatry on the HuffPost Blog.  The general theme of the article is that psychiatry may have some problems, but it is basically sound, wholesome, and necessary. The impression being conveyed here is that psychiatry's abandonment of a biopsychosocial approach and embracing of the brief med-check was the result of "drastic cuts in the funding of the mental health services." This is very misleading. The fact is that psychiatry set its own course when it jumped enthusiastically on the pharma bandwagon, and apart, from a miniscule minority who remained aloof from the drug-pushing, has made no attempt to alight.

With the semester over and summer quickly approaching, I sit here reflecting on the past school year. Thankfully, there were some shining moments for my two kids, my hundreds of students and the many schools I work with nationwide. But as a parent, professor and psychologist, I still have one main educational concern that still rises above all the rest. Can you guess what it is?

Could it be helpful to view mental distress by exploring Rollo May's concept of "being" rather than reducing humans to mere dysfunctional cogs in the machine of productivity?

We have good reason to despair, to feel anguish, and pain. We have a planet that we are poisoning. We have people populating the planet who like to harm one another. We have families who, in their own pain and trauma, pass on that pain and trauma to their children. We face tragedies of all kinds just by being alive. Being human is DIFFICULT. It’s also the most amazing adventure and it can be very very painful to wake up to just how amazing and outrageous this life we’ve been given is. It’s no small task for any of us.

Gabriel Ivbijaro and Lucja Kolkiewicz produce five pages dedicated to improving adherence with psychiatric medication through collaborative care and the implementation of modified CBT. The use of the word ‘collaborative’ in this context is misleading.

Our current, reductionistic approach to mental health issues doesn’t offer any insights or explanations on the etiology of most mental disturbances. Similarly, medication assisted treatment (MAT) focuses on the surface symptoms of opiate abuse without addressing the underlying causes of overwhelming distress and pain.

It’s now widely known that a good relationship between helper and person to be helped is one of the very most important factors determining the outcome from many different types of mental health treatment. But when people are in an extreme state such as the kind we call “psychosis,” forming a good relationship is not an easy thing to do. And unfortunately, the typical interaction between professionals and clients seen as psychotic in our current mental health system has characteristics which make a positive human relationship almost impossible.

IPS is about creating a power-balanced, relational context in which we can begin to explore and even challenge the stories we have been taught. We can name our experiences, and challenge the meaning that we have constructed around those experiences. This fundamentally alters what we think of as “help,” but also challenges social and political constructs of disability.

Research shows that psychiatric drugs seem to have an impact on libido, so I decided to collect personal stories to complement the evidence of side effects from psychotropic medication already available. Libido can be directly linked with wellness, and patients need more information to make the choice right for them.

The most worrying thing about the Goff et al paper is the minimisation of the evidence that antipsychotics produce brain shrinkage. There are no studies that show progressive brain changes in people diagnosed with schizophrenia or psychosis in the absence of antipsychotic treatment.

I'm old enough to remember a time when outpatient psychiatry was almost entirely a talking and listening profession. Depression was considered a fairly ordinary and understandable phenomenon – part of the human lot, so to speak - and remediation was conceptualized as being largely a matter of seeking support and solace from friends and loved ones, and of making positive changes in one's circumstances and lifestyle. In extreme cases, people did consult psychiatrists, but the purpose of these visits was to discuss issues and problems – not to obtain drugs.

I am returning to the subject of psychological formulation after rather a lengthy gap, during which controversy about the forthcoming 5^th edition of DSM has continued to grow – sign the petition ‘Stop the Insanity’ at  www.dsm5response.com if you share others’ concerns about the creeping medicalisation of everyday life and the risks that it poses.

This is an important issue. According to Centers for Disease Control and Prevention (CDC), the percentage of children with an ADHD diagnosis continues to increase, from 7.8% in 2003 to 9.5% in 2007 and to 11.0% in 2011. The CDC also notes that the base rates for ADHD varies substantially by state ranging from a low of 4.2% in Nevada to a high of 14.8% in Kentucky.

We need to learn to listen and respond in a caring way to the disturbed and disturbing voices within the population—to really engage with them, while also not believing any lies or distortions or letting destructive forces take over.

Because of the enormous obstacles confronting individuals with behavioral health conditions who have been incarcerated, many peer-run organizations have risen to the challenge and have created programs to help these people rejoin the community.

My friend Jake, in his words, experienced two decades of intense declining psychosis, terrifying and agonizing beyond comprehension. These states were triggered when he was in college and tried out a simple chakra meditation every day for one year. He describes the states of consciousness he couldn't understand that resulted from it as possibly kundalini energy and/or psychic attack.

The 2013 ISEPP conference in Greensboro is all about finding alternative ways of helping children and youth who are diagnosed with mental disorders and their families: Alternatives to the present system in which the children are very likely to be drugged, a treatment approach which will not be very helpful to them or their parents.

Last fall, I was invited by Psychiatric Times to write an article from a mother's perspective about what is needed to "fix a broken health system." As part of my essay, I told the story of my son Jake, who was robbed of all hope by the mental health system and died a homeless man. I also told the story of his cousin Kimmy, who escaped from the mental health system and is now doing well. Psychiatric Times declined to publish my essay.

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.

Today, July 1, 2016, the Alaska Supreme Court issued its Opinion in In the Matter of the Hospitalization of Mark V.    What strikes me the most about the case is that Mark's expressing the view that a psychiatric drug he was being required to take is poison, that it had side effects related to his sexual performance, and that it was killing him were all cited as proving Mark was delusional. As readers of this site know, these drugs can quite reasonably be characterized as poison, they do cause sexual dysfunction, and they are quite lethal to many many people, shortening lives on average by 25 years for those in the public mental health system, such as Mark.