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I have facilitated support groups and worked one-on-one with those who hear voices for nearly 10 years.. The insights I've come to from my own experience have often facilitated understanding for others. Here is what I have learned from my experience of hearing voices.

Sometimes the best way to make real change is just to do the work. Sometimes the talk is the work and it can be hard to separate out the two. However, in a growing number of instances, it’s hard to miss the futility of the talking and how tied up we can get in our own virtual war of words. Stepping away can be liberating. Sometimes, while everyone else is wrapped up in the talking, you can get an awful lot done.

There was a time when I, as a young woman, had not yet been a prostitute, a heroin addict, a homeless bum, and all that. I was, at that time, a literature student, at a famous school, and things were going well. But an eerie stampede of social workers and mental hospital stays were overshadowing it all. The tentacular reach of psychiatric drugs into the deepest recess of my being was performing a nasty assault on me from within the bloodstream. In order for my life not to be wasted, it became imperative that I get away. So I said goodbye, America. Goodbye, everybody that I used to know.

While some will frame Eleanor Longden’s story, told in her awesome TED video (which has now been viewed about 1/2 million times!), as the triumph of an individual struggling against “mental illness,” I believe the story might better be seen as a refutation of the whole “illness of the mind” metaphor, and as an indication of a desperate need for a new paradigm.

Secret court proceedings against someone certainly justifies the feeling that people are out to get them. Expressing this sentiment is characterized as paranoia. If people felt they had a fair legal process they are likely to be less upset.

Chinese medicine offers one proven path to emotional balance and harmony for many people who struggle with anxiety or depression. Many people who receive treatment from a licensed acupuncturist experience significant benefit, and don’t need to take psychiatric drugs.

An anti-anti-stigma campaign The whole anti-stigma campaign is something of a joke. Google the word “stigma,” see for yourself. Mental health labels are inherently stigmatizing,...

In the 1950s, when the drugs we now call ‘antipsychotics’ first came along, psychiatrists recognised that they were toxic substances that happened to have the ability to suppress thoughts and emotions without simply putting people to sleep in the way the old sedatives did. The mental restriction the drugs produced was noted to be part of a general state of physical and mental inhibition that at extremes resembled Parkinson’s disease. Early psychiatrists didn’t doubt that this state of neurological suppression was potentially damaging to the brain.

Since the invention of the printing press, community-controlled publications have enabled the voices of those with little power in society to be heard. Gandhi said that without a journal, a community could not be united. Asylum magazine is a printed magazine, in existence since 1986, which provides a place where alternative voices in mental health can be heard.

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.

If I thought that it was possible, I would have opened a string of clinics all over the country to help get people off of antidepressants.  Unfortunately, the problems that sometimes occur when people try to stop an SSRI antidepressant are much more severe and long-lasting than the medical profession acknowledges, and there is no antidote to these problems. The truth is, giving people information about taking antidepressants is like giving information to people who are enroute to a casino; they go because they hear that some people win (at least for a time), but the losers are the ones who ultimately pay for it all — and the odds are not in their favor.

I envision a world where there is no need for a mental health field/system because communities are strong and we have a holistic understanding...

The story of "Mrs. Frisby and the Rats of NIMH" has a great deal of personal significance to me because it was the last book I can remember reading to my three young daughters before taking Prozac. These memories have taken on a newer and more relevant meaning since Gary Greenberg invoked the title of that children's book in his excellent article for the New Yorker, "The Rats of NIMH," following Thomas Insel's blog, "Transforming Diagnosis," in which for a brief moment, the director of the NIMH disavowed psychiatry's bible, the "DSM-5."

At the end of my TED Talk one of the conference’s co-hosts came onto the stage and asked me, with a respectful interest, whether I still hear voices. For a split second I hesitated, wondering whether to play it down with an airy “oh, not all that much now.” Instead I opted for the truth: “All the time,” I said cheerfully, “In fact I heard them while I did the talk – they were reminding me what to say!”

I was fifteen. My birthday had come and gone and, as always, no one had noticed but me. I was fifteen, and I had been in Bellevue and Rockland State Hospital for more than half my life. I knew that I would be there until I died, becoming one of the crazy patients in Building 58, hanging from the bars of the porches — raving, screaming, making noises like animals in the zoo.

Can withdrawal from psychiatric drugging be so terrible as to leave you with Post-Traumatic Stress Disorder (PTSD) — to somehow rearrange your psyche for the worse even once time and hard work have undone the damage caused by the chemicals? To so profoundly alter your core self that you acquire a new diagnosis meriting special considerations or further treatment in order to resume a normal life again? If the real definition of insanity is “repeating the same mistake over and over and expecting a different result,” then embracing a psychiatric diagnosis of PTSD as a result of psychiatric damage would surely make you “insane”.

On August 1, Jeffrey Lieberman the current President of the American Psychiatric Association wrote an open letter to Psychiatry News asking whether is was time for psychiatry to "re-engage with pharma." Dr. Lieberman’s essay seems short on acknowledging any personal or collective responsibility for the problems that arose in our profession's interactions with the pharmaceutical industry.

I have had to think a lot about how to navigate supportive relationships and how to figure out how to not let people’s needs for support consume my life entirely, while still trying to be supportive in ways that I can. Sometimes it works out better than others.

I came through integrative medicine as a stepping-stone to holistic care. I learned about supplements and herbs that could be added on to medications or used on their own to change mood and enhance wellness. I practiced in this way for a couple of years, prescribing and strategically augmenting, before understanding that true personalized, lifestyle medicine obviates the need for medication. It gets to the root. I no longer wanted to enhance psychotropics; I wanted to eliminate them.

The first time I heard someone labeled schizophrenic I was about 10 years old. A man was talking to himself and appeared to be house-less and perhaps on drugs. My mom, a very good teacher and explainer of things to me, said, “That man is schizophrenic. That means he can't tell the difference between what's inside of himself and what's outside.” In retrospect this seems like a relatively sophisticated and sensitive explanation; Falling in love, hearing music that enters our heart, having children/giving birth, connecting powerfully with another person in a meeting of the minds, feeling empathy, deeply caring about something, experiencing oneness with nature, are all examples of times when the line between inner and outer reality is blurred.

The last sentence in a recent New York Times article tells of the police taking a man to get his monthly Haldol injection under the involuntary treatment law. It breaks my heart to see that police-state tactics such as forced Haldol injections are understood to be the only thing that can reach some people. I know it isn't true.

In just two decades, pointing out the pseudoscience of the DSM has gone from being an “extremist slur of radical anti-psychiatrists” to a mainstream proposition from the former chairs of both the DSM-3 and DSM-4 taskforces and the director of NIMH. In addition to the pathologizing of normal behaviors, another explanation for the epidemic — the adverse effects of psychiatric medications — is also evolving from radical to mainstream, thanks primarily to the efforts of Robert Whitaker and his book Anatomy of an Epidemic. While diagnostic expansionism and Big Pharma certainly deserve a large share of the blame for this epidemic, there is another reason.

The American public has come to view ADHD drug treatment as a rather benign option for common behavioral and academic issues. A recent report by the Centers for Disease Control and Prevention indicates that 14% of American children receive a diagnosis of ADHD before the end of childhood. Rates of diagnosis and treatment vary by geographic region. In some communities rates of treatment are much higher than the national average. By most any reasonable measure, the number of children who are medicated under the guise of ADHD is out of bounds. Current levels of ADHD drug treatment are unsafe for individuals and society.

In these days with limited access to mental health facilities, and when in-patient or out patient treatment might be focused on invasive treatments and not on recovery, you may be tempted to "provide sanctuary" for a friend or family member who is experiencing serious mental health challenges. Many of you have probably already done this.

Since I spoke at NAMI’s national convention last month, the writer Pete Earley has invited people who listened to my talk to send him their reports of the event. Earley wrote a book titled Crazy, which was both about his son’s struggles with mental illness and the criminalization of the mentally ill, and in his book and other writings, he has told of his frustration with laws that prevented his son from being forcibly medicated. Yesterday, on his website, he published a letter from a mom who attended my talk with her adult son, and she told of how, after returning from the meeting, her son apparently abruptly stopped taking his medication and has now gone missing.