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We now have 40 plus years of diagnosing and medicating children for ADHD in the US, and at a population level there’s no evidence that US kids are mentally or cognitively ‘healthier’ than kids in other societies.

As the 60 Minutes episode featuring E. Fuller Torrey comes to air, I feel moved to ask: when will the lies that robbed me of my late teenage years and young adulthood stop? When will the false notion that professionals can predict who - and who will not - be violent give way to the reality - proven over and again - that they are no better able than chance to make such predictions? When will we see the reality that forced treatment is actually, statistically, more harmful than helpful? It certainly was not helpful for me.

I think it is time to reclaim the word disability. Disability needs to be appreciated. To the extent we value community over isolation, anything anyone cannot do, or needs help with, builds community. There are infinite examples in every career and walk of life of how necessary “disability” (since we're calling it that) is for connection, service and meaning in life. Without it we'd have absolutely no need for each other. And the fastest way to despair is to feel unnecessary.

Conferences, trainings and seminars can play an important role in changing the culture of a community. As Margaret Mead said: “Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has.” The work is formidable but the results… man it is worth it!

One of the amazing things about my new life and new career is the people I have met. I have become part of a movement that is filled with heretics. I am constantly inspired by the people that have the courage to write in this and other forums. I am inspired by the people that protest and refuse to accept a broken paradigm.

The Redhall Walled Garden provides a tiny glimpse into the future, as a potential alternative to psychiatric hospitals, halfway houses, and the other oppressive forms of treatment that comprises the current status quo in most countries around the world. We can all learn from this alternative approach, and we should popularize aspects of this program just as we do the Soteria House and the Open Dialogue model.

First episode psychosis (FEP) and duration of untreated psychosis (DUP) remain the foci of great numbers of early intervention programs in Western countries. “Untreated” in DUP-anese is synonymous with unmedicated, which often creates a sense of urgency and a myopic fixation on getting these youth started on anti-psychotics and keeping them on. What is the impact of this medical model and its accompanying chemical imbalance narrative on these emerging adults? How often does it set them on a course of regained functioning and restored hope, or does it serve as a gateway into a lifetime of disability and discouragement?

The core of Acceptance and Commitment Therapy, or ACT, is the idea of simply accepting, rather than trying to get rid of, disturbing or unwanted inner experiences like anxiety or voices, and then refocusing on a commitment to take action toward personally chosen values regardless of whether that seems to make the unwanted experiences increase or decrease. This idea is consistent with the emphasis in the recovery movement of finding a way to live a valued life despite any ongoing problems, but ACT has value because of the unique and effective strategies it offers to help people make this shift.

Finally, National Institute of Mental Health (NIMH) director, Thomas Insel recognizes what treatment reform activists and investigative reporter Robert Whitaker have been talking about for years—the research shows that American psychiatry’s standard treatment protocol has hurt many people diagnosed with schizophrenia and other psychoses who could have been helped by a more selective and limited use of drugs, and a more diverse approach. What is amazing about this recent announcement by the NIMH director is that it could ultimately mean less money for drug companies which have, through their financial clout, heavily influence standard of care.

It is difficult to overstate the ubiquity and influence of the biomedical model that provides the foundation for psychiatric diagnosis and treatment in the United States. As a clinical psychologist who has spent the past 15 years working in medical centers, inpatient psychiatric hospitals, outpatient mental health clinics, a residential substance abuse treatment center, private practice, and academia, I have encountered the myriad effects of the biomedical model on a daily basis. Among these encounters, five are particularly memorable and help to illustrate the popularity and consequences of characterizing psychological problems in purely biomedical terms.

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.

David Cohen's work begins to address a paradox: medication effects are not simply chemical impacts on a biological brain, but rather the complex interactions of social factors, expectation, placebo, "nocebo," and learning. As a harm reduction approach to withdrawal emphasizes, empowerment may be the most important consideration for supporting people's wellness.

We suspect that many people would benefit from an alteration in diet and there is certainly growing evidence that improving diet affects physical health. Whether that is true for mental health needs to be more rigorously tested, and we are encouraged that there are studies currently being conducted around the world attempting to manipulate diet to directly test this hypothesis.

People who are considered the highest functioning in American culture such as politicians, lawyers, medical doctors (including psychiatrists), major league sport players, etc., all lack certain abilities that I possess (and, of course, vice-versa). Are their abilities actually the real ones and mine “soft,” surreal, abstract, inaccessible and useless? In order to redefine health, we must redefine worth. Are you sure the “abled” are able to accomplish what you value? Are you sure the “disabled” aren't more able to heal the world?

Do you think youth prevention programs, sports, arts programs, or spiritual approaches can help people through emotional distress? We've been calling for this dialogue for years and now it's time to get out in your city and participate in it. In four days in Kansas City we'll have the first ever large scale public forum that includes information about medical harm and the full range of entrepreneurial solutions.

It takes courage and integrity to make changes to your beliefs and approach. In 2008 Professor Roger Mulder, head of psychiatry at Otago University, published research in which he concluded “Antidepressant treatment is associated with a rapid and significant reduction in suicidal behaviours. The rate of emergent suicidal behaviour was low and the risk/benefit ratio for antidepressants appears to favour their use.” In Dr. Mulder's conference presentations last week, he stated that the medical/psychiatric paradigm that has dominated approaches to suicide since WWII has largely failed to influence suicide rates. In Dr. Mulder’s view “New approaches are required – possibly public health, sociological, community or combinations in addition to, or instead of, medical approaches.”

If we call someone mentally ill, in some ways we may be recognising their predicament as a powerful one, and their need for support. However, we may also be judging their state of mind as faulty. But what if what seems a faulty mind is much more than that? We can go deeper than trying to say what is wrong with someone, how ill they are, or what category they fit into. We can instead ask: How do parts of them feel? What might different parts of them need? And what are the contexts in which these experiences have emerged?

In March, the United Nations Human Rights Committee asked the U.S. to explain how it sees nonconsensual medication in psychiatric institutions as being compliant with Article 7 of the International Covenant on Civil and Political Rights, which prohibits torture and other cruel, inhuman and degrading treatment or punishment (including nonconsensual medical and scientific experimentation). A group of grass roots survivor activists have sent a report on forced drugging in the U.S (along with an executive summary) to the Committee.

As we approach world hearing voices day 2013 Karen and I are in Canada. We have just enjoyed running a preconference workshop for about 100 people in Winnipeg. I am sitting in my room before breakfast writing this piece and as I sit I am thinking back twenty-three years ago; I am in a psych unit in Manchester and I have a new support worker called Lindsay. By then I had been a psych patient for almost ten years and was fast approaching spending the rest of my life in the system. My support worker had convinced me to go to a new group that was starting in Manchester called a hearing voices group.

It took over twenty years for the state medical board to sanction a Minnesota psychiatrist who was responsible for the deaths and injuries of 46 patients. Today, in the Markingson case, it looks as if history is repeating itself. How many patients die while bureaucrats delay?

I am walking through my local park in Copenhagen, Denmark, early in the morning breathing in the fresh smell of damp soil and late summer blooms. I am thinking about my thesis that I have just handed in and the fact that if it is passed I will be a certified psychologist! But, I will not be just any psychologist. I will be Denmark's first official 'Mad' psychologist, joining the ranks of others such as Rufus May, Eleanor Longden, Arnhild Lauveng, and Pat Deegan.

What does the new DSM-5 have in common with an Alfred Hitchcock mystery?  They both use a plot device, a “MacGuffin,” to drive the story. Hitchcock explained a MacGuffin as on the one hand “ridiculous”, “non-existent”, “empty” and inherently without meaning, and at the same time the central point around which the entire story turns.  Which narratives, and whose, are served by the "diagnosis MacGuffin”? Are there more socially desirable alternatives to replace this particular plot vehicle? 

Three-and-a-half years ago I quit my career as a psychotherapist. I’d done it for ten years in New York City and had given it my all. It was a career that chose me, loudly, when I was 27 years old. I learned a huge amount from it and I believe I was helpful to a lot of people. It also represented a vital stage in my life. But then the time came to leave. That also came as a sort of revelation.

For too many years I was taught and believed that children diagnosed with autism were incapable of learning through the normal channels of relationship. I accepted that they must be taught differently and could easily dismiss their frequent displays of emotional distress as simply a symptom of their autism. This all changed when I attempted to reconcile what the autism intervention and child development fields had to say about what children need for optimal social and emotional development.

The National Council on Trauma Informed Care asserts that “knowledge about the prevalence and impact of trauma has grown to the point that it is now universally understood that almost all of those seeking services in public mental health have trauma histories.” A central tenet of trauma informed care is flipping the paradigm, from asking “what’s wrong with you?” to asking “what’s happened to you?”