Blogs

Editor’s note: This is part two of a two-part essay. The first part described Jessica’s personal experiences with involuntary commitment, the psychiatric system, and...

If molecular genetic research had actually delivered the genes for psychiatric disorders promised by mainstream psychiatry and its subfield of psychiatric genetics, twin research today would be largely obsolete because focus would have shifted to molecular genetic research, and a person’s genotype and diagnosis would be determined directly from his or her DNA. Twin research, therefore, retains its current level of importance in psychiatry only because the genes believed to exist for its disorders, based largely on genetic interpretations of twin studies, have not been found.

A group of caring and concerned experts, specializing in mental health, child development, research, and parenting, have started a united movement to help families nationwide. Our effort is called Project #ForTheKids, and our goal "is to dramatically slow down the trend of over diagnosing, labeling and medicating children in the name of mental health."

In our nation's history, in the face of fear, we have often risen to achieve noble goals. Other times we have behaved tragically — for instance, interning and seizing property from Japanese Americans during World War II. Certainly, there were spies among us then. Only in hindsight did we recognize that our treatment of the larger group — who were not — was gravely mistaken. We are on the verge of witnessing such an event in our own time.

The Future of Mental Health interview series continues with interviews this past week with James Maddux (on positive clinical psychology), Lucy Johnstone (on critical psychiatry and psychological formulation), Michael Cornwall (on being present to “madness”), Monica Cassani (on beyond meds: everything matters), Tim Carey (on parenting skills and family mental health) and Sharna Olfman (on the science and pseudoscience of children’s mental health. Here some highlights...

The roll-out for Mad in America Continuing Education courses is moving into its next phase —improved presentation of courses and a more aggressive marketing of what we believe are unique CME and CEU resources for professionals and advocates alike. If I needed any reminder of why our continuing education project is so necessary, all I need to do is continue to read through my Psychiatric Times email.

When I looked through my mountains of medical records, I saw that the providers who listed my race as black applied diagnoses like major depressive disorder and PTSD. The providers who saw me as white preferred diagnoses of panic disorder and borderline personality disorder. Of course, my experiences are just anecdotal. But if racial bias due to subjective experiences of practitioners can play such a large role in mental health diagnostics, how is this even considered a scientific discipline?

I face the daily challenge at my urban center in Hartford, Connecticut of working with young adults (18-25) coming out of the juvenile system into adult outpatient care. Most of these youngsters come to us on multiple medications of all classes. Almost all have stories of trauma, abuse and neglect going back some generations. Almost all carry psychiatric labels of bipolar or schizoaffective or personality or behavioral disorders. Very few of them have ever been told of the long-term effects of the medications they have been prescribed.

At the 50th American Psychosomatic Society meeting in New York, Michael Shepherd was speaking. His topic - The Placebo. When the lecture finished, Lou Lasagna said "this paper is now open for questions." Nothing happened. Nobody said anything at all. Lasagna couldn't refrain from commenting: "There are 3 possible explanations. First, you were all asleep and therefore you heard nothing. Secondly, it was so bad that since this speaker has come 3,000 miles you didn't want to embarrass him. Third, it is genuinely so original and new that you don't quite know what to make of it. I'll leave you to decide which it was". What had Shepherd said?

May 8^th in the USA Today:   “WASHINGTON (AP) — Wrigley says it is taking a new caffeinated gum off the market temporarily as the Food and Drug Administration investigates the safety of added caffeine.”  Really?  Major Tranquilizers, Amphetamines, Benzodiazepines, and Selective Serotonin Reuptake Inhibitors have all been approved by the FDA for the treatment of “mental illness.” These drugs are being prescribed to youth, some as young as 3 and 4 years of age. My Big League Chew is more dangerous than Uncle Jim’s Seroquel or my big brother’s Adderall?

What I find most compelling about the message of RECORD is its reclamation of pain, for the album makes clear that Dylan's is not the story of a journey to happiness and bliss and total peace of mind, but rather, one back to the truth of what it means to be human— pain, anguish, and all. It is an embracing of suffering, not a leaving behind of it, and this, too, has been my journey. This, I believe, is what psychiatric liberation is all about.

As we struggle to invent a humane approach to the extreme states that get called “psychosis” or “madness” or “schizophrenia,” it may be helpful to investigate some of the better approaches developed in the past. While these approaches are not without their flaws, they are often surprisingly insightful. (It can also of course be depressing to notice how truths once more widely known were so easily “forgotten” as compassionate approaches got ditched in favor of the latest coercive innovations.)

The Western Mass Recovery Learning Community (along with the five other RLCs across the state of Massachusetts) remains in jeopardy of a 50% slash to our budget that would go into effect July 1, 2015 should it come to pass. As noted in my previous post (Peer Supports Under Siege), the proposed reduction was introduced by Governor Charlie Baker in early March. However, there are many hoops to jump through and so we’ll remain in budget limbo for some time to come while the House and Senate draw up their own recommendations and then everyone comes together to make a final call.

Since animal research is the foundation for moving on to clinical trials despite its poor quality, it is likely that this leads to many superfluous trials in humans based on false hopes. This leaves a risk of adverse events for the participants in the trials, and subsequently the patients.

"The Antidepressant Era" was written in 1995, and first published in 1997. A paperback came out in 1999. It was close to universally welcomed. It was favorably received by reviewers from the pharmaceutical industry, perhaps because it made clear that this branch of medical history had not been shaped by great men or great institutions but that other players, company people, had been at least as important.

During World War II 2.5% of the world’s population died. Imagine a German youth of 18, A Russian youth of 18, a British youth of 18, an American Jewish youth of 18, a French youth of 18, a Japanese youth of 18. Think of the parents of each of these young men. Think of their grandparents. Think of their sisters, their younger brothers — think about everyone affected by that calamity. To say that the “mental health” of all of these people was affected by the fact of a world conflagration is to make a bad joke.

As awareness spreads about there being something wrong with existing approaches to “psychosis” aka “madness.” Interest grows in exploring what to do instead. One meeting place for exploring this question of “what to do” will be the ISPS conference in NYC in March 2015, which is titled “An International Dialogue on Relationship and Experience in Psychosis.” This conference promises to stand out in terms of the variety of voices,  perspectives, approaches and traditions that it will bring together to focus on the deeper issue of how helpers can best understand and interact with those experiencing what is called psychosis.

The future of mental health interview series continued this past week with interviews with Peter Kinderman, president-elect of the British Psychological Society, on the efforts of the British Psychological Society, Jed Diamond on individual psychotherapy, Ruth Folit on healing through journaling, Shawn Rubin on gender diversity issues, and Marilyn Wedge on reclaiming childhood.

By January of my junior year in college, I had reached my first true emotional bottom. Though surrounded by people on a daily basis...

In a recent NPR story, there was a discussion of the serotonin theory of depression. It was acknowledged by the scientists who were interviewed that there is no evidence of a serotonin deficiency in the brains of people who are depressed.

An astounding development is the explosion in the numbers of substance abusers being diagnosed with Bipolar. I teach a class in Substance Abuse at...

For several decades, since the days when I was a patient, I have seen and heard how an obsession with questions damages psychiatry. Many of us have been asked the same questions day after day, year after year: ‘Do your thoughts seem faster than normal?’, ‘Do you ever have thoughts in your mind which are not your own?’, ‘Do you feel anxious?’, and so on. Hearing only what a patient says under questioning when frozen by paralysis, or subject to the hyper-arousal of anxiety, the professional misses the opportunity to hear the threads of something new, the possibility of weaving with the patient a narrative of hope and recovery.

In 1980, my father started the Can Collector’s Club (CCC). I was 2 years old. As the story goes, it was my mother’s brainchild, but dad quickly took ahold of the idea with his entrepreneurial spirit. Some people thought he had lost his mind. Some still do. But the purpose of the CCC was simple. Convince family and friends to turn aluminum cans into him so that he could use the money from recycling to support our college fund. And clean up the environment.

It looks like a great event:  The Hearing Voices Network 25 Years On: Learning from the PAST, Practicing in the PRESENT, Visioning the FUTURE. ...

When I first heard of the proposed “Helping Families in Mental Health Crisis Act of 2013” (H.R. 3717)”, I felt relieved and thought “maybe somebody has finally got it!” However, as I read and processed the words I realized just how much Tim Murphy didn’t get it. Is this mental health system broke? Yes it is. Can it be fixed? Yes it can. But we must do it collectively and with the experience and voices of those with true lived experiences including their families and allies. I stand with millions of others who have shown through our resiliency that our movement is real, has saved lives and most of all we have people that can give voice to what really needs to be changed within the system. If only people will listen.