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).

My Peer Service Work

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My work in peer service stems from the giving back to my community, yes, but it’s more than that. I do it because I can’t do anything else. I love this work. I love consumer 1:1 contact and prefer to be in the background otherwise because I don’t like attention.
woman rejecting mask held by psychiatrist

Should You Ever Ask Someone “Are You Suicidal?”

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For every person “Are you suicidal?” may assist, there are many more of us who are scared into silence when those words are uttered. Why? Well, “Are you suicidal?” is, in fact, the king of the suicide risk assessment questionnaire. “Are you suicidal?” has become the red, neon, flashing sign that screams “Stop! Don’t talk to me!” Perhaps this might just explain why suicide risk assessments are well known not to work.

How Psychiatry Turned General Difficulties in Adaptation into “Real Illnesses Just Like Diabetes”

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Though many psychiatrists have abandoned the "chemical imbalance" concept, they now promote the use of a pre-scientific notion that the only criteria for defining disease is the presence of distress or impairment.
scientism of childhood depression

The Scientism of Childhood and Adolescent Depression

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When I was training to be a child psychiatrist in the mid-1990s, childhood depression was considered to be rare, related to adversity, and generally unresponsive to pharmaceutical treatment. Since then much has changed. The psychiatrization of the pain and struggles involved in growing up has caused considerably more harm to young people than good. I believe the science is on my side in this conclusion.
Photograph of man's lower face with a pill on his tongue

Psychedelics—The New Psychiatric Craze

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Psychedelics have become popular through the potent mixture of financial interests and desperation. Evidence for their beneficial effects is lacking.

Moving ‘Beyond the Medical Model’: HELP WANTED

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This summer, Sera Davidow, Laura Delano, Sean Donovan and Caroline White began a collaborative process with many others from the Western Mass RLC and beyond to develop two new films (not yet titled) focusing particularly on the topic of psychiatric drugs. And that’s where YOU come in.
workhouse inmates

So What is Mental Disorder? Part 2: The Social Problem

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The English Workhouse was designed to deter people from seeking state assistance, and Victorian asylums were designed to care for poor people whose behaviour was disruptive to Workhouse routines. Madness, previously viewed as an interesting, if inconvenient, manifestation of humanity, came to be seen as a social problem in need of correction.

The Unforeseen Relationship: Psychiatric Medication and Spirituality

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In 2015 I completed a qualitative research study exploring the interrelationship between psychiatric medication and spirituality. The key finding was that people were engaging spiritually with their prescriptions in ways that significantly impacted the course and outcome of recovery.
marxist

From Picket Lines to Worry Lines

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In Politics of the Mind: Marxism and Mental Distress, Iain Ferguson aims to use the marxist approach “not only to make sense of mental distress but also help us address and change the material conditions that give rise to it.” He begins by describing the ‘crisis in mental health’ that disproportionately affects the unemployed, poor, and oppressed.
Perplexed, confused scientists looking at lab results. White background.

The Spravato Controversy: A Row Over the Drug’s Efficacy Compels a Reassessment of...

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The UK's drug regulator rejected Janssen's esketamine nasal spray. Why did the US FDA approve it?

3 Facts All Parents Should Know About ADHD Stimulant Drugs

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Medicating children for a host of mental disorders has become very popular in some parts of the USA. More than 8 million kids from 6 months to 17 years of age are on pharmaceutical drugs in this wonderful country. We lead the world in drugging youth for behavioral, cognitive and attention issues. We are once again #1. But I would like to share with parents as well as adults working with children a few not so readily available facts related to medicating kids for behavior issues.

Co-Optation, Failed Analogies, and ‘How to Touch a Hot Stove’

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'How to Touch a Hot Stove' (the centerpiece of what is being called 'The Hot Stove Project') is a film that professes to be about a new civil rights movement. It employs interview clips from a wide array of 'big names' on all sides of the 'mental health' world, in a purported effort to compare and contrast the many voices that lay claim to that concept. In fact, the filmmakers did a fairly good job of writing about a film that would surely have stood out in a sea of chemically imbalanced cinema. Unfortunately, the film they wrote about is not the film they made.
Black and white illustration of a flying origami bird with a giant realistic bird for a shadow

An Illness, or Risky Experimentation?

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Questioning is what I did, but once I started questioning so much of what I had learned and of what my identity had been, it wasn’t obvious to me where I should stop.

Getting Back to Dialogue – The Core of Healing!

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When people are “mad,” they are often insisting that certain things are so, and frequently seem unwilling or incapable of appreciating or learning from other perspectives. Yet when the supposedly “sane” mental health system approaches those who are mad, it typically does the same thing – it insists that its own view of what’s going on is correct, and seems incapable of appreciating or learning from others, whether they be the patient, the family, former users of services, or anyone who understands madness in a different way.

A Not-So-Charmed Life

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If you looked at photos of Luke Montagu in the grounds of Mapperton, his stunning ancestral manor, you might well envy his lot. Look closer and you’ll sense that his story has not always been one of wine and roses, for the next Lord Sandwich has spent most of the last seven years in hell, thanks to the interventions of drug-obsessed psychiatrists. Yet, though his experience was heartbreaking, often terrifying, it is now becoming a story full of hope and resilience, of grace and grit, for he has co-founded the Council for Evidence-based Psychiatry as his contribution to the information war on the false or misleading claims made about the benefits of psychotropic drugs.

Should Consumer/Survivors Help Psychiatrists Become Better Psychiatrists?

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I was recently surfing the internet and came across an Etsy ad selling a lobotomy tool set - hammer and orbitoclast. I was tempted to make the purchase and indulge my penchant for this historical “apparatus” especially given its rise as heroic therapeutic intervention for three decades. It was a mere $168.00. Although I didn’t buy the historical torture device, that ad left me with one penetrating realization: psychiatry is here to stay.

Diagnosis: Without Shoes

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I got a call from a colleague – someone with whom I’ve worked fairly closely over these past six years. The problem was the typical reaction one can expect when you bring together people in clinical and a variety of other roles who have been indoctrinated to think that medication is the way, and you offer clear and direct challenges to their belief system. Many people (most, even) responded well to the workshop. Some did not.

We Have Seen the Evidence Base, and it is Us

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Anyone who has used benzodiazepines and sleeping pills knows how difficult it is to get off them (worse than heroin!) and how much time it takes to recover. Although there is a lot more helpful information on the web these days, a lot of it is based on anecdotal accounts, personal stories and theories rather than “real” evidence.
Illustration of a man in a suit with a weight chained to his leg. He is reaching for graphs and dartboards against a blue background.

The Mental Health Industry Speaks Volumes About Our Society’s Priorities

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An educated public has a much better chance of advocating from the grassroots for safe and effective treatments in the face of a pharmaceutical industry more interested in profits than people.

Time Magazine and Anatomy of an Epidemic

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As I expected, Anatomy of an Epidemic is turning out to be a controversial book. A nice review in New Scientist magazine, a thrashing...
doctors become drug dealers

How Doctors Became Such Prolific Drug Dealers

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The transformation of normal, unavoidable aspects of life into Medically Treatable Diseases made it not only justifiable, but a moral obligation for potentially everyone to come get euphoria-giving pills. Upstanding, responsible people obey doctor’s orders and do whatever’s medically needed to cure serious illnesses. It was a business model that worked well.

Some Principles of Human Design for a Post-COVID World

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This essay contributes a biologist’s perspective to identifying humanity’s fundamental needs in our necessary transition to a new world order.

Study 329: Big Risk

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Study 329 seems to fit the classic picture: It has Big Pharma ghostwriting articles, hiding data, corrupting the scientific process and leaving a trail of death, disability and grieving relatives in its wake. But is it at fault alone? Both Big Pharma and Big Risk (the insurance industry) were once our allies in keeping our hopes alive – in keeping our children alive and well. They are now a threat. And of the two – Big Risk is the bigger threat.

Impoverished Youth; Our Neighbors in Distress, and at Risk

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There is a great deal of discussion about youth being diagnosed - by general internists as well as psychiatrists - with ADHD, bipolar disorder, autism, irritability and depression and then joining the ranks of the pathologized and overmedicated on a march towards long-term distress. Less attention has been paid to the 27 million children who, covered by federal and state Medicaid programs, are at high risk due to dangerous mismanagement of second-generation anti-psychotic drugs (SGAs). Recent reports have documented the brutal facts.

Psychiatry Admits It’s Been Wrong in Big Ways, But Can It Change? A Chat...

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Since interviewing Robert Whitaker for AlterNet in 2010, after the publication of Anatomy of an Epidemic, the psychiatry establishment has pivoted from first ignoring him, to then debating him and attempting to discredit him, to currently agreeing with many of his conclusions. I was curious about his take on the recent U-turns by major figures in the psychiatry establishment with respect to (1) antipsychotic drug treatment, (2) the validity of the “chemical imbalance” theory of mental illness, and (3) the validity of the DSM, psychiatry’s diagnostic bible. And I was curious about Whitaker’s sense of psychiatry’s future direction.