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).

Psychiatry Interrogated:  A Book Review

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Psychiatry routinely presents itself as a legitimate medical specialty differing from the other specialties only in the kinds of illnesses treated. But there is another important difference between psychiatry and real medicine. Psychiatry's core concepts are embedded formally and informally in our legal, social, educational, and workplace institutions in ways that the other medical specialties are not.

From One Parent to Another

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In the couple of years since my daughter Rebecka and I published our book, I have received many emails, Facebook messages and phone calls from despairing parents. They want to know, how did you get through it? What do you suggest? What else can we try?

The Continuing Evolution of Mad in America Continuing Education

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The pharmaceutical industry has long funded CEU and CME curriculums, with the predictable result that the knowledge base, where it exists at all, is tainted by commercial interest. We have a critical vacuum to fill, and intend to keep doing so until the field is fully saturated with unbiased professional education.

October 17, 2010

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Bob-- A couple of very positive patient encounters yesterday: • First, I saw a fit, vibrant 45 year old woman who presented for the first time...
Revolt Against Psychiatry

The Revolt Against Psychiatry: A Book Review

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The focus of Bonnie Burstow’s new book, The Revolt Against Psychiatry, “is not the problems that psychiatry presents but the attempt to counter them.” Burstow asks, “What pressures might we bring to bear to loosen the grip of psychiatry? We habitually seem to be losing the battle; so how do we turn the situation around?”

Drug Development, “Lucrative Markets,” and the Future of Psychiatry

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A recent Medscape article by a prominent US psychiatrist sheds light on why there is inadequate attention to non-pharmacological treatments of mental distress.

3 Reasons Medication Should Be a Last Resort for Your Child

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Many people today struggle with the intensity of a challenging child and, unfortunately, wind up being advised to use medications as a first intervention rather than as a very last resort. In their heart of hearts, everyone really wants the intensity that has gone awry to be the very source of their child’s greatness.

CRPD Defeated in Senate – What Now?

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Yesterday December 4, 2012, the U.S. Senate failed to ratify the Convention on the Rights of Persons with Disabilities by a 2/3 vote.  Right...
Photo shows back view of woman sitting holding a tea with a laptop computer with a young Asian man smiling on the screen

Home Alone: Finding Connection During the Pandemic

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This wave of emotional distress is a perfectly reasonable human response to living our lives in an increasingly isolated and uncertain world.

The Story of Legal Capacity: Specificity and Intersections

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In this article I explore legal capacity as it has impacted my life, through the lens of a negative experience and a positive one. My aim is to encourage people to be aware that legal capacity is a social construct, it is not an inevitable fact of life and can be changed - indeed we are seeing it change before our eyes with respect to the particular act of marriage. Legal capacity is being similarly reshaped from a disability standpoint, in a much more comprehensive way. The story of legal capacity is the story of law in people’s lives.

Commentary on the National Comorbidity Survey Replication

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An article in the New York Times reported on a publication in JAMA Psychiatry that presented the results of a reanalysis of data from the National Comorbidity Survey Replication Adolescent Supplement. The results suggest that the vast majority of those adolescents who might attempt suicide are already in treatment. This should discourage efforts to identify even more children at risk and get them in to treatment if the rationale for screening is to prevent suicide attempts.

Chemical Imbalances and Other Black Unicorns

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“What do you think caused your problems?,” I asked. “I have a chemical imbalance, a chemical imbalance, an imbalance in the brain that makes me ill.”

I Got a Break from Reality for Christmas!

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The more we worry about the separation from reality, the more scared we get and the more separated we get. This month I found out about another trap. When you can see the beauty and spirituality and mystery and magic of what is going on, it's tempting to do things to make it last longer and help yourself get further into it, like skip sleep or skip meals or use drugs. I had to fight those temptations often through this month, and still am, to be honest, because there is so much of this process that was not just scary, but glorious and giganticly interdimensional and impactful.

Psychiatry On The Defensive, But Ceding No Ground

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The British Psychological Society's Division of Clinical Psychology has attracted a fair amount of attention in the past year or two by publicly expressing dissatisfaction with psychiatry's so-called diagnostic system. For almost a hundred years, psychologists who work in this field have gone along with the travesty of psychiatric diagnosis, even though the flaws of such a system are clear to anyone with even cursory training in psychology. What the DCP is saying, if I understand them correctly, is that they will no longer play along with this charade.

#1 Wacko Memo: Disability & Mental Health Revolution to Stop Global Warming!

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I often hear some of these metaphors used about humanity today: Our combined ability to think and act are paralyzed, we the public seem suicidal, we are addicted to oil and consumerism, we are blind to alternatives, we are deaf to the cries of the poor and planet, we hallucinate, such as believing that money and technology are more important than our values. Sure sounds like a disability to me. So maybe the social change movement led by people considered disabled have something to offer now?
MIACE withdrawal course

The Continuing Education Course on Withdrawal from Psychiatric Drugs is Here!

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A full picture of the seven webinars that comprise our upcoming psychiatric withdrawal course, with presenters including Sandra Steingard, Peter Breggin, Kelly Brogan, Carina Hakansson, Will Hall and a panel of survivors. The course begins on October 24th and slots are filling fast!

December 6, 2010

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Bob- I saw a sixteen-year old girl for a sports physical today. She plays softball for the local high school and also is on the...

Medication and Spirituality

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In 2007 I returned to school to pursue a bachelor’s degree in psychology. I remember being confused by the over-emphasis on biological treatments for suffering which seemed to me much more spiritual and relational in nature. A few years earlier, my misgivings had been stirred as I sat on a California beach listening to a friend tell me about what it was like to be on Prozac. She told me that she couldn’t really cry anymore, or connect to her deeper feelings. She couldn’t orgasm. I recall my throat closing up, my thoughts running panicky and confused. I was so disturbed by the power of this drug to rob her of her tears and climaxes, experiences I associated with the more private, sacred parts of being human.

Twenty Years Since My Last Suicide Attempt: Reflections

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It has been twenty years since my last suicide attempt. I was barely eighteen years old, and had already spent the last four years, my entire adolescence, really, in and out of the mental health system. On that day, twenty years ago, I left the hospital with nothing but a prescription for yet another drug in my hand, sent back to the decrepit group home where I began my adult life.

The Logic of the ADHD Diagnosis

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When constructing the ADHD diagnosis, progenitors essentially say, "Let's study a group of people who do particular hyperactive, impulsive, and distracted behaviors that are associated with chronic and pervasive problems in school, social life, and work. If the person is an adult, the problems must be present in childhood and show consistency throughout development. We will call this group "ADHD" and study correlated biological characteristics and other associated difficulties. We will continue to tweak the criteria so that the diagnostic net falls on the people with the correlated dysfunctions and patterns of biology that we find in our research.

Psychiatry’s Thalidomide Moment

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The authors of Study 329 began recruiting adolescents for a comparative study of Paxil, imipramine and placebo in 1994 and finished their investigations in 1997. They dropped a large number of their original cohort, so the randomness element in the study must be open to question. Late in 1998, SmithKline Beecham, the marketers of Paxil, acknowledged in an internal document that the study had shown that Paxil didn’t work for adolescents in terms of the two primary and six secondary outcomes they had established at the start of the study. In a nutshell, Study 329 was negative for efficacy and positive for harm, contrary to their succinct upbeat conclusion.
papercut figures surrounding quarantined COVID virus

US Considering Policies That Will Lead to Mass Death Of Psychiatric Patients

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Being a psychiatric patient likely puts you at much greater risk for illness or dying from COVID-19. While most of the talk about "mental health in the time of the pandemic" focuses on mindfulness, ways to relieve your stress, and the accessibility to psychiatrists during social distancing, this reality of COVID-19 and mental health is being overlooked.

1984 & DSM5, Revisited: Where Are the Social Workers?

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Where are the social workers? Where are the NASW and its local and state-wide chapters? For that matter, where are the peer-run and -led...

Shanghai’d in Recovery

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I am honored to share the story of one family that has learned about the power of language, hope and letting go with love so that every family member can grab on to a life worth living.

Free Blog Ideas

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Right now I am working on the Connect Power site build to make an underground railroad to help people out of the mental health...