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).

parenting today

New Video Series: ‘Parenting Today’

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This series of thirty video interviews with leading experts from around the world is designed to help parents better understand how to raise strong, resilient kids and how to deal with the pressures exerted on them by the current dominant “mental disorder” paradigm. We hope that this interview series will provide helpful ideas that you may not be able to get anywhere else. The interviews can be found HERE.
love me liberals right wing psychiatry

Right-Wing Psychiatry, Love-Me Liberals and the Anti-Authoritarian Left

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Love-me liberals need to believe that they are completely tolerant and cannot admit that they are intolerant when it comes to certain kinds of defiance. Since love-me liberals are so self-certain of their tolerance, they believe that what upsets them must be a mental illness that requires treatment.

Dreams of a Quick Fix, Gone Awry

The version of psychiatry that many professionals, politicians and laypeople would like to be true is that mental illnesses are specific brain disorders with specific drug treatments, to which they are very responsive if identified early. In reality, the way we categorise mental illnesses is arbitrary, and the diagnostic criteria are over inclusive. Whilst psychiatric drugs can be helpful, the dream of a quick fix by targeted drugs has become a nightmare where we often do more harm than good in the way we use drugs, e.g. against depression, schizophrenia and ADHD.

If Psychiatrists Took Truth Serum, What Would They Say?

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Psychiatrists don’t use the same language that others do — the meaning of what they say isn’t always so clear. I can translate “psychiatrist speak,” since practicing within the field for over 30 years enabled me to gain easier insight into understanding what their words really mean. Here are 13 examples.
3d rendering of abstract human portrait with horizontal stripes bumped texture. Torso still life with drapery. Stylized bust sculpture object on pink background with cloth folds

Reason and Madness: How Psychiatry Marginalizes Those Who Contradict Western Norms

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Psychiatry can be used as a tool by those in power as an arbiter of normality, but it also reflects the dominant attitudes, values, and beliefs of society.

Answering the Critics: Massachusetts General Hospital Grand Rounds

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As many readers of Anatomy of an Epidemic know, I spoke at a psychiatric Grand Rounds at Massachusetts General Hospital on January 13, 2011....

Racism 102:  It Is Not About Colorblindness

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How do we genuinely heal from the damage of racism and internalized racism, as well as mental health oppression, adultism and all form of oppression? We can change all the laws in the land – and we have changed many laws (civil rights laws, employment laws via the Equal Employment Opportunity Commission and the Americans with Disability Act laws) but that doesn’t change attitudes.

Evidence That More Psychiatry Means More Suicide

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This has got to stop. Around the world a million people die from suicide each year and the response internationally is to pour more funding and channel more people into psychiatric services. Three large studies have now found that the more we spend on mental health services the higher our suicide rates. In addition, a recent study has completely discredited claims that 90% of those who die from suicide are mentally ill at the time of their death. We need to use this evidence to stop the expansion of psychiatry as a suicide prevention measure.
UK street in winter

How I Learned the Social and Environmental Causes of Madness

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My first encounter with mental illness was when I was 17. My friend was hospitalised in the psychiatric unit of the local general hospital and diagnosed with hypomania.

Why I don’t do “med checks”

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I don't do "med checks". What do I do?

Tell PCORI What Research Funding We Really Need

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So, at this national conference, Partnership with Patients, I met a bunch of "e-patient advocates," which are civil rights fighters in all the other "medical" areas. One thing I learned at that conference was that there are many "patient" advocacy opportunities. One of them is PCORI, the "Patient" Centered Outcomes Research Institute. This is theoretically an organization that funds research that people with lived experience ask for. However, the problem is that they aren't really talking to our community and we aren't talking to them. So they did this big splashy launch about "mental health as a major focus," and they said what they had figured out that mental health needed was.

Optimal Use of Neuroleptics, Part 3: Duration of Untreated Psychosis

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For the past 20 years, there has been a prevailing concern in psychiatry that psychosis is bad for the brain. When I read Anatomy of an Epidemic, this was one of my most pressing concerns; if I suggested to my patients that they pursue other treatments before starting drug treatment, was I helping or harming them?
Photo of a human skull sitting on a pile of pills against a black background

Critical Psychiatry Textbook, Chapter 7: Psychosis (Part Two)

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Peter Gøtzsche reviews the evidence that psychosis pills substantially increase mortality.

October 10, 2010

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Bob-- Today was full of psych stuff from the first patient to the last. Yes, these clinic days are representative of my typical practice. Just...

Trump and the Diagnosis Free-for-All

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It would seem that who is 'mentally ill' is a movable target (much more so than, say, the cancer or diabetes to which it is often compared), sometimes based on convenience and strategy. If you hold enough power, you can decide who's sick, provided they don't have enough leverage to outdo you at your own game.

Doctor Munchausen, I Presume!

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In 2000 when I gave a lecture on "Psychopharmacology and the Government of the Self" at the invitation of the University of Toronto, I ran into a problem.  In the public domain our shared difficulties were because of this lecture.  In fact, the difficulties stemmed from a member of the Establishment – Charlie Nemeroff – who put the frighteners on the U of T about hiring Healy. 'The psychopharmacology establishment in the face of adverse effects from drugs' is the same as 'the medical establishment in the face of treatment-related adverse effects' is the same as 'the British establishment in the face of allegations of paedophilia and child abuse' is the same as 'the Vatican in the face of allegations of abuse.' It’s about power.  We have it – you don’t.  Get lost.

Difference is Not Disease: Scientific Integrity, Human Diversity, and the Potentially Bleak Future of...

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There has been a lot of talk lately about neuroscience and the future of the medical model of "mental illness." It was made clear, in NIMH director Thomas Insel’s statement, that the DSM is a system of identification and classification of what are deemed disorders within our human experience. This isn’t exactly news to the vast majority of people who have spent even a little bit of time thinking about whether or not psychiatric diagnosis makes sense.

The Mirror Repeats: The Art of Phoebe Sparrow Wagner

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It is uncomfortably difficult to look at Phoebe Sparrow Wagner’s art. That much is intentional. She shakes up the viewer’s sense of wellbeing and security so that they can better identify with the plight of the mental patient.

Have You Ever Wondered Why Labels on Supplements are so Vague?

If it wasn’t evident before, these newer regulations make it crystal clear that prescription drugs have a monopoly over the terms “medicine” and “therapeutic benefit,” and that it is very difficult for anything that isn’t a Big Pharma drug to make a therapeutic claim.

The REST Project Support Service for Benzo and Sleeping Tablet Dependence: My Story

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As a service user of the REST project at Mind in Camden, I want to celebrate World Benzodiazepine Day 2018 by telling the world a little bit about what REST has done for me. I’m now 18 months off benzos, but I still attend REST regularly to process the anger and grief I feel about what I went through, and to support those who are still tapering.

My Story of Benzo Withdrawal and Activism

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My story starts in 1976. I had a nervous breakdown whilst studying for my Accountancy Technician examination. I was then prescribed a series of benzodiazepine/anti depressant drugs for 5 years. I have been campaigning for the last 28 years at local, national and international level on this public health scandal and government cover-up. The following questions need to be asked to those responsible: Why have the doctors and psychiatrists ignored the 1988 Committee on Safety of Medicines Guidelines on the prescribing of benzodiazepines? Why are the same physicians making the same mistakes with the newer drugs?

A Story About NMDA Receptor Subunits, and Why SSRIs Impair Cognitive Capacity

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The impact of long-term SSRIs on memory-related nerve cell receptors does have functional consequences. Research shows that SSRIs impair the acquisition of fear memories. (Perhaps a positive outcome.) But unlearning fear memories involves new learning as well, and according to a study by LeDoux and colleagues, long-term exposure to SSRIs makes it harder to unlearn fear memories.
A photo of a dirt path through the forest in bright sunlight

Inner Fire Is the Only Place I Would Go for Emotional Distress

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At Inner Fire, people share meals, take walks, clean, and garden, learning how to live again after being disconnected from others, nature, and our authentic selves.

The Use of Neuroleptic Drugs As Chemical Restraints

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On July 17, I wrote a post on the use of neuroleptic drugs as chemical restraints in nursing homes.  The article generated some comments, one of which touched on some very fundamental issues which, in my view, warrant further discussion. The comment read as follows: "All drugs can be dangerous toxic chemicals when not used appropriately. While many valid points are made in this article, it’s very one-sided and could be considered biased in that it’s written by a psychologist. I’ve seen many patients and families benefit from their use."

The Psychiatry Sandcastle Continues to Crumble

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Psychiatry would long since have gone the way of phrenology and mesmerism but for the financial support it receives from the pharmaceutical industry. But the truth has a way of trickling out. Here are five recent stories that buck the psychiatry-friendly stance that has characterized the mainstream media for at least the past 50 years.