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This is a memorial to my friend Ken Braiterman who was a long time member of the mental health civil rights movement. He was a best friend/ally/coworker/enemy of David Hilton, who lost his life to mental health civil rights battles. Ken wrote a great series of posts about David's struggle with advocacy.

The new Social Security Act, an Obamacare-inspired, Open Payments report came out September 30th. As part of the new healthcare reform policy, this federal report requires pharmaceutical and medical device companies to annually share documentation of direct payments they provided to entities such as medical practices and teaching hospitals. But before anyone gets excited and thinks there is finally a reliable and valid monitoring method to document that such payments are minimal as well as on the up and up, please note that 40% of the payment records (considered for inclusion in the 2013 Open Payments report) were not included in the $3.5 billion due to “unresolved questions” being cited.

The article “Special K, a Hallucinogen, Raises Hopes and Concerns as a Treatment for Depression,” by Andrew Pollack in the New York Times, December 9, 2014, tells how far afield my field, psychiatry, has really gone - that it is even a consideration to use an hallucinogen for the treatment of depression.

I am a psychiatric survivor of over thirty-six years. Since my nervous breakdown in 1978, I have undergone multitudinous experiences ranging from the subtly humiliating to the horrifically debilitating at the hands of incompetent psychiatrists and psychopharmacologists who, in the name of medicine, did more harm than good.

If you live on Earth and breathe, then you must overthrow what is mistakenly called “normal” and the mental health industry. Why? Today, our planet is faced with an unprecedented emergency, according to the vast majority of scientists, wise people and just about everybody else. It seems that the general public is paralyzed, and as our leaders continue to procrastinate, we are collectively entering into the beginning of chaos. In order to survive, we must get a little crazy

The documentary CRAZYWISE, released earlier this year, challenges Western ideas of human suffering by considering the concept that extreme states can be processes of transformation and that other cultures might have something to teach us.

Around the country, consumers of the public mental health system speak of ‘empowerment’, ‘recovery’ and ‘independence’ while being disempowered, and made reliant on a system that uses the word ‘recovery’ as only a buzzword. How can Peer provided services help?

In the business of clinical trials, the most valuable commodities are the research subjects. Filling clinical trials is hard, and filling them quickly is even harder. That’s why in 2000 a clinical investigator told the HHS Office of the Inspector General that research sponsors were looking for three things from research sites: “No. 1—rapid enrollment. No. 2 — rapid enrollment. No. 3 — rapid enrollment.”

The invitation from the London Review of Books to review Ben Goldacre’s Bad Pharma™ reads: “We were unsure, at first, what a review could add that isn’t already in the book – scrappy summaries and bits of praise are not for us. The book is of sufficient importance that the main thing is to get someone who knows what they’re talking about to present the material confidently... frame the discussion”. My head said it was inconceivable that the LRB wouldn’t take a review, even if it was at odds with the invitation to praise Bad Pharma. But my gut told me the inconceivable was about to take flesh.

In my most recent blog post, “The Unmedicated Life”, I attempted to answer a question I’m frequently asked by other survivors — “How did you get better from psychiatric medication damage/withdrawal?” But there is also a part two to the question that I didn’t address, which is, “How did you know when you were better?”

The use of seclusion and restraint in mental health care in Ohio is legitimately subject to the assessment, criticisms and recommendations of the United Nations Special Rapporteur of the Human Rights Council on torture and other cruel, inhuman or degrading treatment or punishment.

On June 13, 2014, United States District Court Judge Carol E. Jackson issued a Memorandum and Order decision holding that a former psychiatric inmate was allowed to bring federal civil rights claims under 42 U.S.C. §1983 against hospital personnel when the hospital continued to hold her against her will after authorization had expired. In her Memorandum and Order decision, Judge Jackson took Ms. Pierce's rights seriously and, reading through it, one gets a sense that the court was offended by the cavalier attitude of hospital personnel towards their patients' rights. It is clear that if the Court's ruling is upheld, it can result in dramatic improvement in the way people are treated in Missouri psychiatric hospitals.

It's commonplace to hear that we need a big change—a revolution, if you will—to make "the system" recovery-oriented, to replace the tired old over-emphasis on a biological model and to replace it with a new more hopeful standard of care.  I know—I have used all these catchwords myself for the past several years.

Beginning in the 1990s, a number of pharmaceutical and biotechnology companies began to set up bioethics advisory boards, ostensibly to obtain guidance about controversial ethical issues. Over the years, the ties between industry and bioethics have gradually grown closer, with companies setting up endowed chairs and hiring bioethics consultants. Yet very little is known about how bioethics advisory boards work. What exactly is their purpose? Do they prevent ethical wrongdoing, or do they provide ethical cover?

Our approach is to openly care about our clients and empower them as much as possible. It's vital that clients know we care about their survival.

An issue that we think deserves more media attention than it is currently receiving is the idea of Preventive Intervention in Psychiatry. The goal of Preventive Intervention is to reduce the rate of psychiatric diagnoses in an at-risk group of people by pretreating all the group members with a medication. For instance, could the rate of PTSD in the military be reduced by pretreating everybody in the military with an SSRI?

Greetings! My name is Michael Rock.  Until now I have been participating on MadinAmerica.com as a commenter named “Marcellas”.  It is very nice to finally introduce myself to this community under my real name.  Although I only occasionally commented, I have been a regular visitor and reader of MadInAmerica. I feel like I need to apologize for hiding behind Marcellas. Anonymity is not something I am proud of, nor was it a trivial matter to me. I have been working with people in groups for twenty five years.  I love my job, and believe I am helpful. I felt that "Marcellas" allowed me to continue to work quietly for change within the system.

I do not claim to know how to heal the wounds from the tragedy that occurred in Newtown on December 14th, 2012. Nor do I claim to know how to prevent future tragedies of this sort. The intent of this post is to oppose ineffective and inhumane practices, prompted by reactions to the events in Newtown and other communities, that are falsely thought to be effective.

A little over a year ago, there was consternation in psychiatric circles as a French psychiatrist, Daniele Canarelli was found guilty after her patient hacked a man to death. She had not recogized the hazard he posed. Doctors didn’t like the implications they saw. In a series of lectures I have raised the question as to how long it might be before doctors would be found guilty for a suicide or homicide linked to an antidepressant, given that we have known that these drugs can cause suicide or homicide for over 50 years.

When I as a European follow American politics I can’t help being amazed by the  - I believe a polite expression would be – colorful personalities in the Tea Party and how they manage to continue to be a powerful part of American politics despite making claims that as I see them reported are easily debunked. American politics does not affect me directly but when I compare psychiatry as a part of the medical science to the Tea Party there are some striking similarities.

When I was a psychiatric resident in 1971, the treatment for schizophrenia and manic-depression seemed to be very promising. The hopeful period of deinstitutionalization had just begun. It seemed like we were turning the corner. We were emptying out the state hospitals. And let me tell you, they really were snake pits. And the promise was that patients would return to the community. There they would have individual and family therapy; housing; assistance with working; and help with activities of daily living, when necessary. Finally, an enlightened age... finally.

We often need a new lens to look through in order to grasp a better way to understand, conceptualize and accept the real reasons behind the sometimes annoying and frustrating behaviors associated with child development. As many of you who read my blog know, I have grown tired of the increased trend of early diagnosis of children. I'm all for early interventions to help kids overcome learning deficits and developmental delays, but why — beyond education compliance policy and getting insurance companies to pay for the bill — do we have to label them with a learning disability or permanent mental disorder?

The bot was created by one Danny Freed, inspired by the suicide of his close friend a few years prior. Danny reportedly balks at calling Joy a ‘bot,’ and refers to it instead as a “mental health journaling service.” Joy operates through Facebook’s system and auto-chats you at least once a day to check in.

One of the issues we face in mental health is that everyone knows the system is broken, but there is no replacement yet. So the question is, what are the mental health design principles to build a replacement? How do you build a functional mental health system that isn't disease-based? How do you make it robust, scalable and spreadable?

The day was one long meditation—doing what the mind ordered with no effort to control it. This is the Zen state that monks seek but that physicians consider a mental disorder to be treated by amphetamines.