Blogs

As my readers know, I am a great fan of Jeffrey Lieberman, MD, President of the APA. In his capacity as president, Dr. Lieberman writes a regular bulletin in Psychiatric News. These literary and intellectual gems have been a wonderful source of inspiration to me in my efforts to draw attention to psychiatry's flaws, and I don't think it would be an exaggeration to say that in many respects, Dr. Lieberman has been one of our greatest allies.

Did you know you are a key leader of a global peaceful revolution? Surprise! My guess is that many of you reading this may not yet know that you are one of the “Supreme Commanders” of world revolution. In fact, if you wish, and you reflect the values of Martin Luther King, you may say you are leading the organization that he first envisioned, the International Association for the Advancement of Creative Maladjustment (IAACM.) Let me explain.

There were days that I’d wake up and all I could do was cry for no particular reason, just another miserable day of withdrawal. However, the idea of taking photos would get me out of the house. Especially on those days, the absolutely only thing that would get me to move at all was the idea of taking photos. One particular day, I was just crying, crying, crying, and as soon as I got to a beautiful spot that I loved, I stopped crying, took photos, and felt at peace. I even found that the days I felt the worst were the days I took the best photos.

As a person who has been psychiatrized, but hasn’t faced long-term institutionalization, I have to accept that I can’t know that level of loss of power and vulnerability. (But I can tell you even short stays are enough to begin to understand.) And to be a person of color with psychiatric labels interfacing with the police? It’s like the perfect storm. (A type of ‘perfection’ that occurs more often than most, given that people of color are more likely to be diagnosed in the first place.)

The New Zealand government has just published research showing the numbers of children aged 2-14 years being diagnosed with mental disorders has doubled in the last five years with the key driver being an increase in anxiety disorders.

The strongest evidence we have as to whether a drug causes a problem does not come from RCTs or any other controlled study but rather from good clinical accounts. Even if RCTs were done by angels, so there was no hiding, no miscoding, nothing untoward, RCTs can still hide adverse events. The onus is on large and powerful corporations who have a lot of resources to pinpoint the populations where the benefit is likely to exceed the risk, if they want to continue to make money out of vulnerable people.

Once again this year, I was fortunate to attend the annual Saks Institute symposium. The topic — fittingly enough in LA — was mental illness in the movies. What struck me was the degree to which public discussions are shaped by two related categories of problems. There were ideas that I believe are misconceptions, and positions that are shaped largely by a lack of important information — especially information which isn't influenced by a profit-oriented corporate culture.

Andreas Lubitz’s apparent intentional crash of Germanwings flight 9525 has brought discussions of the intersection of violence and mental disorder back to the front page. As the story unfolded I anticipated two reactions that typify the polarization of public discourse surrounding mental health issues. First, news reports that moralize about ending “stigma,” but that characterize people with mental health diagnoses in ways that perpetuate negative stereotypes.

Tomorrow, May 18, the American Psychiatric Association kicks off its 166th annual conference. That same day, its new DSM-5 will be officially published. Given the occurrences of the past couple of weeks, which I’ll review briefly below, some members of the APA might wish tomorrow’s events would go unnoticed. But they won’t.

Most people on hearing that ADHD is a "neurodevelopmental disorder" would assume that a neurological pathology is implied. But all the DSM-5 requires is that the individual be functioning below par (for any reason) in one of several areas. It doesn't take a great deal of imagination to see how individuals who are distractible and impulsive have a higher mortality rate. But people who ride motorcycles routinely also have a higher than average accident-related mortality rate. Should we therefore conclude that riding motorcycles is a "valid" illness?

Just once, I'd like to share my story at a conference (any conference) and have it truly be heard. I'd like to share how much I was hurt by psychiatric diagnosis and a 'mental illness' perspective, and how I regard my experience as being largely rooted in trauma, and have people not revert immediately back to referring to everyone as 'mentally ill.' Just once. It hasn't happened yet.

I think the militant and committed people in our movement for human rights in psychiatry are not really aware of the damage that has been done to us by those who are responsible for smashing the national conference we controlled and most of the rest of our movement besides. People have grown used to our having no power at all, not being taken seriously, being completely shut out by the media. That isn't the way it was before 1985 and "Alternatives,” and the takeover of our movement by the “mental health” system.

I urge parents, doctors, educators and everyone concerned with the well-being of children to take a look at the debate on ADHD presented in the Times. The series of articles makes it clear that the hard line separating ADHD-like behavior from normal childhood reactions to environmental stress or normal developmental phases is beginning to soften. The number of ADHD diagnoses in the United Sates has exploded by 300 percent since 1983.

Ever since I recovered from pharmaceutical abuse that nearly killed me over a decade ago, I haven’t used mental health services. There were many reasons for this and I can’t say I was always decidedly against them for myself, or entirely convinced I couldn’t be helped by a good therapist. And then I got lucky, and found someone I can talk to each week.

This past summer, Behavioral Healthcare ran a two-part interview with me about my book, Anatomy of an Epidemic. This stirred William Glazer, a well-known...

Some of you might know me from co-founding The Icarus Project, an online community, real-life support network, and alternative media project by and for people living with the complex gifts that are too often labeled as “mental illness.” Some of you might not know that I'm also a poet. I've been asked to share my work here on Mad in America. This first poem I'm going to offer you is about trauma and resilience; the ways that the world breaks our hearts, and the ways we survive to find our voices again.

There was a lot said, shouted, chanted and sung about the rights of individuals (such as myself) who have mental health conditions at the March for Mental Health Dignity on the National Mall on August 24. The march—which was sponsored and supported by a list of advocacy organizations as long as your arm—had two basic demands: changes in policies that obstruct recovery from mental health conditions, and changes in society’s treatment of individuals who have such conditions.

The buzz in academic publishing right now is the story about how several hundred open access journals accepted a fake research paper. Of much more concern is that there are top-tier medical journals which have published clinical trials, that were read by thousands of people, that influenced clinical decisions, that we now know were bogus, but have never been retracted.

This is the third time in less than two years that I’m writing an article about young men walking into public venues and shooting a dozen or more people at a time --- first Tucson, then Aurora, now Newtown. The Newtown killer, Adam Lanza, didn’t just walk into the Sandy Hook elementary school where he shot and killed 26 persons, he broke in, determined to carry out the plan he had. “Why?” and “Where Next?” seem to be the questions we are always left with, along with “How can we prevent this from happening again?” Many Americans are also asking, finally, “What is happening to this country?”

A recent New York Times front-page story about ADHD care gone awry concluded with disturbing quotes from a an information session that was held in Norfolk, VA last October. “ADD and Loving It?!” was sponsored by Children and Adults with Attention Deficit Disorder (CHADD)—the leading advocacy group for ADHD. The story raises questions our country’s love affair with ADHD by detailing the tragic death of an aspiring medical student from the Norfolk-Virginia Beach area who became addicted to ADHD drugs.

Video games provide an example of an idealized relationship; in which authority is ever-attentive, un-preoccupied, and in which consequences are immediate and consistent, without prejudice or grudge. How understandable that in our relatively imperfect world, with unpredictable relationships, in which the hope of achievement and mastery is elusive or non-existent, children fall into behavior that appears to be unhealthy in comparison.

We work with one-size-fits-all interventions and reduce patients to their indication, or diagnosis. We tell ourselves that the algorithm works when it is “evidence-based”. What does this mean when we see that the house of cards has been glued into its position?

Children exposed to SSRIs during pregnancy, a recent study shows, were diagnosed with depression by age 14 at more than four times the rate of children whose mothers were diagnosed with a psychiatric disorder but did not take the medication. Such reports are usually met, appropriately, with an outpouring of reassurances from clinicians who take care of pregnant women, who need to protect their emotional wellbeing in whatever way they can. From my perspective as a pediatrician specializing in early childhood mental health our attention must be on prevention.

The Ct.Post.com website ran an article yesterday titled, Sandy Hook Study Dragging, which on its face is one of the most biased and misinformed articles of “news” this writer has seen in some time. As is so typical of the reporting in Connecticut, the Ct.Post.com uses the Sandy Hook shooting as an excuse to attack the gun lobby and cheerlead for increased mental health services in the state. The problem with this self-serving reporting is that there is absolutely no proof that Sandy Hook shooter, Adam Lanza, lacked good mental health services. In fact, according to the records that have been made available, Lanza received abundant mental health care throughout his life.

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,...