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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?

On February 28th, the New York Times reported the latest psychiatric disorder “gene finding” claim in an article entitled “5 Disorders Share Genetic Risk Factors, Study Shows,” The Times reporter described a study that claimed to have identified shared genes associated with five psychiatric disorders: autism spectrum disorder, attention/deficit-hyperactivity disorder (ADHD), bipolar disorder, major depressive disorder, and schizophrenia. We have seen thousands of such claims in psychiatry since the 1960s, and we have also seen that these claims do not survive replication attempts.

My path to becoming an activist began at a young age. My parents were both visionaries in their own ways. They both saw the possibility of creating a world in which all people would be able to live satisfying lives. They both were strong supporters of the Civil Rights Movement.

Not long ago I had a conversation with a psychiatrist. He told me about a diagnostic dilemma he’d run up against at work; When a judge makes an unfunded treatment mandate as part of her judgment, she pressures the doctor to make a “payable” psychiatric diagnosis. If the doctor stretches the truth out of sympathy and provides an inaccurate but payable diagnosis so that his patient can have access to medical care and money to live on, he is committing fraud that can mean heavy fines and incarceration for himself.

Machiavelli had it right. “There is nothing more difficult to take in hand, more perilous to conduct, or more uncertain in its success than to take the lead in the introduction of a new order to things.” Ever since we launched our DSM-5 Boycott three weeks ago, we’ve received support from organizations and individuals but have become entangled in more wrangling than I ever would have anticipated.

The United States desperately needs good programs to help people withdraw from neuroleptic drugs. From all I have seen and heard, there aren’t any - none at least that can reputably claim to get good results on a fairly consistent basis. Again and again I find myself challenged to envision such a program, and in reply to the challenge I have broken down this hypothetical program into various components.

Many of us in the consumer/survivor movement have begun to worry that recovery is being co-opted. That it is being used too easily, and has lost its meaning. I think we live in bubble. Outside our world, the larger society has not even heard that recovery is possible. In fact, society hears a constant litany, through major media, that emotional distress is due to chemical imbalance. Today young people are told they will never recover, and should accept that they have a life long illness.

(dictionary.com) Cult, n. a particular system of religious worship, especially with reference to its rites and ceremonies. an instance of great veneration of a person, ideal, or...

This is a transcript of my keynote speech at Alternatives 2012, which a Madness Radio listener recently transcribed.

The DSM claims to be a scientific system of classification. The validity of any system of scientific classification is the extent to which it can be shown to reflect the real world. Fifty years of study and investigation, and huge sums of money spent across the Western world on neuroscientific research institutes, on careers and equipment, has failed to establish the validity of a single psychiatric diagnosis.

The primary lesson of the mental health civil rights community is that we have to learn to lean on each other to get though adversity, which means opening up and admitting when things aren't moving in a direction we want or expected or try to typically project publicly. We have to ask for help. Here's what I'm chewing on or what's chewing on me.

Editor's Note: To protect the anonymity of her son, this author has published under a pseudonym. With the help of the Internet, my seventeen-year-old son...

Two generations of molecular genetic researchers have attempted, yet failed, to discover the genes that they believe underlie the major psychiatric disorders. The most recent failure is a molecular genetic study that was unable to find genes for symptoms of depression. Like most genetic researchers in psychiatry, the authors failed to consider the possibility that no such genes exist.

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.

One of the things debated and discussed in blogs such as this, and in a lot of other places, is the nature of “mental...

My public writing has brought my mother and I closer together than we’ve been in decades. There have been disagreements. But now, my almost ninety-year-old mother tells me she reads everything I write. She recently told me that she’s glad I see things so clearly.

So now we know Soderbergh’s movie Side Effects is not so Black/Noir after all – more Fifty Shades of Grey. Emily Hawkins (Rooney Mara) is put on Ablixa by her psychiatrist Jonathan Banks (Jude Law) and while on it kills her husband. She apparently murders him while sleep-walking triggered by Ablixa and sleep walking being a perfect defense against murder she is acquitted.

Many advocates for a long time have been unhappy with federally funded conferences that have a budget in the six figure area that are only held at luxury hotels. I've tried to come up with an alternative to Alternatives. I'm partnering with Paul Komarek of Defying Mental Illness to host our very first event. We're calling this the UnDiagnosing UnPlanned UnConference series. Our first event is in Cincinnati next week, Feb. 15 - 17, and we'd love for you to come.

Now is the time to harness our individual stories, our collective stories, to counter the negative and hateful stories painted about us in the media. We need to push back with stories of our own. Stories that give people hope. We will be filming, for the Obama administration's campaign to encourage discussion of mental health issues, as many people as possible telling their stories of how they built a life of meaning and purpose; what helped, what hurt, and what they see as promising policy directions.

Many of us are taught to fear the expression of strong emotions, and to hide or suppress big feelings. We have also erroneously been taught that only specially trained people or “professionals” are equipped to handle these experiences. But people knowledgeable in conventional treatment often aren’t exposed to community-based, holistic, common sense, person-to-person approaches. Many people have gained wisdom and resiliency by working through emotional distress, and it is helpful to do this with someone who understands the growth potential in these experiences.

Twenty-five years before Prozac, 1 in 10,000 of us per year was admitted for severe depressive disorder - melancholia. Today at any one point in time 1 in 10 of us are supposedly depressed and between 1 in 2 and 1 in 5 of us will be depressed over a lifetime. Around 1 in 10 pregnant women are on an antidepressant.

When even some establishment psychiatrists are delegitimizing DSM-5, it becomes far easier to delegitimize psychiatric labels.

You may think I’m slow on the uptake when I say this. And maybe I am. But I recently came to the realization that products or lifestyles that are vigorously marketed and promoted are bad for you.

When patients come to me with complaints of low libido, low or flat mood, weight gain, hair loss, and cloudy thinking, one of my first questions is “Are you on the Pill?”. When they come complaining about premenstrual irritability, insomnia, tearfulness, bloating, and breast tenderness, requesting that I sanction beginning a course of oral contraceptives and perhaps an antidepressant, the one-size-fits-all-cure-all of psychiatrists and gynecologists nationwide, my first comment is “There’s a better way.”

The road was dark and I only half knew where I was going. East. I couldn’t see through the rearview mirror, because the backseat was piled high with boxes. It didn't matter, there were no other cars on the highway. It was just me, in the middle of the night, driving and crying.