Dear NAMI: My Apologies. I’ve Been Unfair.

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It’s become common place to give the National Alliance for Mental Illness (NAMI) a really hard time for accepting such high levels of pharmaceutical funding. While far too many people might still be surprised to learn the percentage of NAMI’s total donation income made up by big Pharma, it’s no surprise to those of us regularly lurking around these parts. However, I’ve come to realize that NAMI is taking an inequitable amount of heat on this topic, and that I, in fact, have been complicit in maintaining that imbalance.

Benzodiazepines: Dangerous Drugs

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When the benzodiazepines were first introduced, it was widely claimed, both by psychiatrists and by pharma, that they were non-addictive. This claim was subsequently abandoned in the face of overwhelming evidence to the contrary, and the addictive potential of these products is now recognized and generally accepted.

Neutralising Suffering: How the Medicalisation of Distress Obliterates Meaning and Creates Profit

18
People have used psychoactive substances to dull and deaden pain, misery and suffering since time immemorial, but only recently, in the last few decades, have people been persuaded that what they are doing in this situation is rightly thought of as taking a remedy for an underlying disease. The spread of the use of prescription drugs has gone hand in hand with the increasing medicalization of everyday life, and a corresponding loss of the previous relationship that people had with psychoactive substances.

Over Our Dead Bodies

8
On Monday night, Irish television screened a documentary covering the events leading to the self inflicted death of Shane Clancy & the other young man he killed. In the documentary, psychiatrist Professor Patricia Casey is quoted as saying that she does not believe the SSRI Shane was taking played any role in the killings and that in her opinion they were caused by an undiagnosed psychiatric illness. Professor Casey did not meet Shane when he was alive. She has never spoken to his family, does not have access to his medical records or family history and has not spoken to his doctor.

Are We Losing Our Parenting Will?

8
Some time ago, a pediatrician that I respect greatly stopped by my office to chat.  In the midst of the conversation, he smiled, and spontaneously mentioned that he had seen a rash of a particular condition lately.  When I inquired what it was, he stated Helpless Parent Syndrome.

Do We Need to See Inside the Box?

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This week, Dr. Insel announced new guidelines for NIMH-funded research that will require clinical studies to link to an underlying brain mechanism. This is a response to psychiatry's poor track record thus far. I do not think this will solve the problem.

Will Psychiatry’s Harmful Treatment of Our Children Bring About Its Eventual Demise?

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The safety of our children is a sacred obligation we strive to preserve. Anything or anyone that harms them becomes the object of our...

I Love … Stigma? Reaching Out to College Students & Beyond

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Apparently, May is ‘Mental Health Awareness’ month. However, the National Alliance for Mental Illness (NAMI) counters that with ‘Mental ILLNESS Awareness’ week that reportedly falls in October. Meanwhile, ‘Mental Health Awareness ’ day lands on April 16 (from 10am to 4pm, to be exact). ‘National Brain Awareness’ week picks up the baton on March 10 (passing it along to ‘World Bipolar Day’ on March 30). Other dates of note? Apparently, ‘Self Injury Awareness,’ day is on March 1, and the Disability World site cites an absolutely staggering list of dates to remember, including National Sauce Month (!?). But I digress. Suffice to say, my head is spinning

A Discussion of Justina Pelletier and Boston Children’s Hospital

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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.

Building Bridges Between Mental Health and Addictions Communities

9
When Linda Sarage and Jake Powers first approached me about writing a section for the fantastic manual developed by the addictions community — From the Ground Up: How to Build Your own Peer-to-Peer Recovery Center — that would help connect this manual to the mental health community, I envisioned writing a section that would serve as some sort of translation tool that could connect two very different communities toward a common purpose.  After reading the manual, however, I quickly remembered how much the mental health community has in common with the substance abuse community and how little “translation” is actually needed.

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.

Finding and Funding Our Way, Outside the System

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There's a growing (and soon to be quickly growing) group of us who are not therapists or psychiatrists but who offer “coaching,” connection and support. We offer this support to those coming off psychiatric drugs, or who would like to, or are opting to not go on in the first place but are facing pressure to. Most of us are psychiatric survivors so a lot of our knowledge and information is from firsthand experience. Others may have never been on psychiatric drugs but know a lot about the ins and outs of withdrawal through close association with those who have.

Launching MIA Reports

12
When we launched Madinamerica.com a little more than two years ago, we had in our sights the day when we would begin publishing original journalism pieces. Today, with the publication of Rob Wipond's article on Cindi Fisher, we have finally reached that goal.

A Blood Test for Schizophrenia with 83% Accuracy?

26
An NBC online News article dated October 15, 2010, carried the noteworthy title New blood test may help detect schizophrenia. The article was written by Natasha Allen, a freelance medical journalist. The gist of the article is that there is a new blood test called VeriPsych which "researchers say" is 83% accurate in discriminating people who are "schizophrenic" from people who are not.

Uses and Abuses of “Recovery” – A Review

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The World Psychiatric Journal has published an interesting article, Uses and Abuses of Recovery: Implementing Recovery-Oriented Practices in Mental Health Systems, that outlines "7 Abuses of the Concept of 'Recovery.'"  This effort to identify problems in the use of the term "recovery" is important,  and it is good to see the many issues they raise being discussed in a major journal.  I encourage people to read the article, as I won't be able to touch on many of its points here.  Instead, what I want to do is to add some to their list of abuses of "recovery" and to critique  some of their reasoning about what alternatives should be supported.

Six First Steps for Building Communities of Emotional Wellness

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I am being asked by a number of grassroots communities to facilitate a dialogue about how they can better welcome and support individuals who experience emotional distress. This is a challenge for many aspiring peers and allies in a culture where responsibility for our individual well-being has been increasingly transferred to psychiatrists, doctors, and other health professionals.

[Un]Settling In for the Long Haul: The Interplay of Complacency, Stagnation, and Psychotropic...

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By the time most of us have gotten into our 30’s and 40’s, a certain order has started to take place. We look for ways to increase convenience and amusement in the midst of our busy lives. We often purge those practices that don’t seem necessary to get through the day. We tend to avoid areas that unnecessarily challenge us to think differently, remain flexible, and push the envelope. We start settling in for the long haul. When complacency and stagnation set in, our human nature, especially of today, seeks immediate promises of relief. And marketers know this. This is where psychotropic drugs, among other artificial endeavors, enter the equation.

The Hallucination in the Room

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I recently read Rachel Waddingham’s excellent post (Me & the Meds: The Story of a Dysfunctional Relationship) on how she eventually managed to get off meds and take control of her hallucinations. This particular piece struck home with me because it illustrates that the biggest problem with the direction psychiatry has taken in the past fifty years is not the meds (acknowledging that meds are a big problem) but the refusal to deal with the obvious: Hallucinations.

DSM‘s Somatoform Disorders: Millions More Might Be Diagnosed

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On Dr. David Healy’s website from yesterday there is an article about the very problematic Somatic Symptom Disorder category in the DSM 5. I’ve written about this before because it’s of particular interest to many folks who’ve suffered iatrogenic damage from psychiatric drugs. Psychiatric drug withdrawal syndromes are sometimes devastating crippling physical illnesses that can last months and years. We have all faced being told our issues are psychiatric. We have routinely suffered from little or no care from our health care providers. We have had to take care of each other completely out of the system. Remaining in the care of doctors has often been dangerous. Somatic Symptom Disorder category further institutionalizes this dangerous trend.

ADHD, Bigfoot, and the Missing Links in Research

6
Like so many others, I have wanted to embrace the idea that research supports such beliefs as “ADHD is a chronic disease plaguing children”, and/or “Bigfoot exists”. I mean, who wouldn’t? We assume that research is based on sound evidence; information we can trust. Who wouldn't want to believe evidence that there is a simple medical explanation for those annoying behaviors exhibited by children in the process of developing into responsible young adults?

Neuroleptics and Tardive Dyskinesia in Children

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There's an interesting February 11, 2014, article on Peter Breggin's website: $1.5 Million Award in Child Tardive Dyskinesia Malpractice. Apparently the individual in Dr. Breggin's paper was diagnosed with autism as a child and was prescribed SSRI's before the age of seven. The SSRI's caused some deterioration in the child's behavior and mental condition, to combat which his first psychiatrist prescribed Risperdal (risperidone). Subsequently a second psychiatrist added Zyprexa (olanzapine) to the cocktail. Both Risperdal and Zyprexa are neuroleptics (euphemistically known in psychiatric circles as antipsychotics), and are known to cause tardive dyskinesia.

Depression and Suicide in the Elderly

5
In a few days, I will turn 65. Aside from asking myself, “Where did the time go?" I am reminded that my becoming a senior citizen is a part of a greater phenomenon--the aging of the baby boomer generation. While much attention has been focused on the rise of dementia and Alzheimer’s that will accompany the graying of America, there exists another equally significant hazard of growing old in our culture - the increasing number of older Americans who are attempting suicide - and succeeding. Given that I have battled depression my entire life, this trend takes on personal significance for me.

Me & The Meds: The Story of a Dysfunctional Relationship

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Those of us who question psychiatry’s relationship with medication may be be dismissed as ‘Pill Shamers’ or branded as irresponsible and dangerous voices by those who are convinced medication is the only way of treating someone’s ‘illness’. The debate can feel like a fight between two intractably opposed sides, giving the impression that we must either be ‘for’ or ‘against’ medication. Unfortunately the information and space needed to explore our complex relationship with medication – as practitioners and people – is in short supply, making the concept of informed choice a bad joke. Over the next two years, we will bring together a book made of contributions from people who have successfully taken control of their use of medication.

SSRI ‘Indication Creep’ Relies on Negligent Doctors

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A report on antidepressant consumption released on 18 February 2014 by the OECD shows huge increases in prescribing of the drugs across most countries. According to the report a key factor driving this increase is the expansion of the off label use of the drugs for a vastly increased number of indications. While this may not seem like news, I think it warrants some analysis because I think what we are seeing is something more complex than simple market expansion.

The Origins of Mental Health Services

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In order to explore the current political context of mental health services, as I will be doing in some upcoming blogs, it is necessary to establish what the modern mental health system actually consists of and what function it serves. It is only by tracing the historical development of mental health services, and analysing how and why the system arose, that we are able to fully comprehend its actual purpose.