Blogs

This is my 31^st article on MIA and the most personal. It's about being tender and loving with myself when I'm suffering, and how for me that means being merciful and defiant at the same time. For me to mercifully nurture myself and allow my need for comforting myself to be claimed, I have for long now, first needed to defy the perceptions of others that would say I don't deserve such loving mercy.

“The substantial hereditary component in schizophrenia,” a pair of researchers wrote in 1993, “is surely one of the two or three best-established facts in psychiatry.” But is it really? For mainstream psychiatry and psychiatric genetics, schizophrenia is “a severe mental disorder with a lifetime risk of about 1%, characterized by hallucinations, delusions and cognitive deficits, with heritability estimated at up to 80%,” or a “highly heritable neuropsychiatric disorder of complex genetic etiology.” Many commentators have challenged these claims, and some have challenged the concept of schizophrenia itself.

I know the popular thing to do right now is rail against the Murphy Bill, and with good reason given its devastating implications. (I plan to do my fair share of railing.) Yet, I can’t ignore the less sensational tragedies of the day. Today's tragedy is a documentary that lets us know that, along with trauma, "approximately 20 percent of adolescents have a diagnosable mental health disorder." In other words, there's the trauma... and then there's the 'mental illness.' Separate and not particularly equal.

I wasn't sure how to judge mental health first aid. I kept asking friends taking the course but it's hard to get a good assessment if they don't understand the risks of labels and medication. People need to understand that in order to hear how sometimes things that are intended to help can actually harm.

In a recent national study by The College for Behavioral Health Leadership, female peer specialists made an average of $2 less than their male counterparts at $14.70 per hour compared to $16.76, respectively. For those of us who don’t live in New York, the gender pay gap is something that affects our lives whether or not we realize it.

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.

Just as the American Psychiatric Association's (APA) long-delayed DSM5 was about to launch, the director of NIMH, Dr Thomas Insel, provoked a flurry of acrimony when he mentioned in his blog that his organisation intended to move away from the ideas behind DSM: “Patients with mental disorders deserve better... NIMH will be re-orienting its research away from DSM categories... we will be supporting research projects that look across current categories – or sub-divide current categories – to begin to develop a better system”. It now seems Insel's comments had more to do with NIMH funding needs than points of principle.

Justina Pelletier, who lived with her parents in Connecticut, had been diagnosed with mitochondrial disease, a rare and debilitating illness, and had been receiving treatment for this from Mark Korson, MD, Chief of Metabolism Services at Tufts Medical Center in Boston. In February of last year, Justina's parents took her to Boston Children's Hospital with flu-like symptoms. Dr. Korson had recommended an admission to Boston Children's so that Justina could be seen by Alex Flores, MD, a gastrointestinal specialist who had recently transferred from Tufts to BCH. But instead, Justina's care was taken over by the psychiatry department.

On September 4, 2017, psychiatrist Ronald Pies published an article titled: "Hearing Voices and Psychiatry’s (Real) Medical Model." Let's take a look at the six fundamental assumptions that the eminent and scholarly Dr. Pies assures us "underlie the model most psychiatrists actually use in their clinical work."

The seemingly unstoppable political alliance made up of NAMI, the American Psychiatric Association (which represents 24,000 psychiatrists), the financial lobbying power of the corporate drug industry, and a chorus of fear-mongering politicians, achieved a great political victory this week when president Obama signed the Medicaid DocFix legislation into law.

In this blog, I discuss three RCTs that support Martin Harrow's findings in his naturalistic study that long term use of neuroleptics is associated with worse functional outcomes.

This month, the seventh study and eighth study came out on the topic of antidepressant exposure during pregnancy and autism.  And these studies showed, as essentially all of the others have, that antidepressant use during pregnancy (principally with selective serotonin reuptake inhibitors or SSRIs) is associated with autism in the exposed children. With so many children being diagnosed with autism and so many women taking antidepressants during pregnancy, everyone wants to know: are these things (the antidepressants) associated with autism or not?  Quite frankly no one has the time to read through all eight scientific papers (and dozens more animal and basic science studies) to understand this important area, so I will do my best to briefly summarize it here.

Regulators seem all too happy to license ever more dangerous variations or combinations of older drugs already on the market and causing serious problems. This willingness has offered an opening for financial speculators to make a killing speculating on the likely profits these drugs could yield, and getting out of the game before much happens.

Professionals across the Western world, from a range of disciplines, earn their livings by offering services to reduce the misery and suffering of the people who seek their help. Do these paid helpers represent a fundamental force for healing, facilitating the recovery journeys of people with mental health problems, or are they a substantial part of the problem by maintaining our modestly effective and often damaging system?

Academia has long been the official search engine for knowledge. Here supposedly are the ivory towers where seekers after truth, men and women intellectuals, teach new generations and carry out learned research, to add to the sum of human wisdom. It also has a longstanding history of questionable relationships; from those with the arms trade, to continuing over-reliance on big pharma psychiatric research funding.

Justina Pelletier, a fifteen-year-old girl from West Hartford, Connecticut, has captured the heart of the American public. Whether or not Justina Pelletier may survive her ordeal is yet to be determined. Thousands of people nationwide are praying. What is certain at this point, is that Justina is truly America's Sweetheart and she will never be forgotten.

Note: This post originally appeared on August 18, 2014 on dxsummit.org. On August 5 and 6, 2014, a group of roughly twenty persons met in Washington, DC...

Widely heralded as the father of American psychopharmacology, Kline insisted that his discoveries were adjunctive to psychotherapy, not replacements. The psychopharmacology of Kline's era recognized that medications are a blunt instrument.

Earlier this year, I was invited to speak at TEDMED 2014 and John Kazanjian and I worked hard to come up with a 13-ish minute version of my play Sick. The video of the talk/performance got released today on TEDMED.com and YouTube. It’s been a wild ride sharing the big play with small audiences around the country these last couple of years, and I am excited and humbled by the potential audience this abbreviated version can have online. I hope you have a chance to watch it.

Would you accept money "with no strings attached" from a robber who, in the act of stealing, happened to kill some of his victims? Would you accept money that has been stolen? Would you accept sponsorships from tobacco companies for a meeting about lung diseases? Few doctors would. Why is it then that most doctors willingly accept sponsorships from drug companies that have earned much of their money illegally while being fully aware that their criminal activities have killed thousands of patients, the very people whose interests doctors are supposed to take care of?

Criticisms of the paper were contradictory. Some psychiatrists said that no one ever really believed the serotonin theory. Yet the public does believe it, and are very surprised to learn that it is a myth.

I am quarantined in Stabilization. In front of me an old woman with cherry lipstick and a clipboard asks questions about sexual abuse, but my mind is through the square window on the door behind her. In that room I see a steel bed surrounded by emptiness. On top of it lay leather straps that are uneven in width where they’re wearing thin. Each strap has a set of holes to fasten the buckles tight, and I can see quite clearly that the ones nearest the end are circles while the ones furthest away have stretched into ovals. Tonight will be a Haldol night.

The American Journal of Psychiatry (January, 2103) recently published a series of articles that analyzed the outcomes of the field trials that were conducted by the DSM-5 Task Force, to determine the inter-rater reliability of the multiple diagnostic categories that will comprise the DSM-5. A table below tracks the downward progression of inter-rater reliability from DSM-III through DSM-5.

Why do I inwardly cringe at the approach of things like “Mental Illness Awareness Week” and “World Mental Health Day”? Because I’m mentally preparing myself for the onslaught of societally-approved messages about human suffering, messages ranging from the ill-informed to the downright dangerous.

An interview between Drs. Aftab and Pies reveals a deep mistrust of patients' reports of their own experiences, and devolves into a game of semantics in an attempt to prove psychiatry's relevance.