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).

´╗┐Volunteers for Psychotherapy Is A Finalist for International Award

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Volunteers for Psychotherapy, which is located in Hartford, Connecticut, and has for years run an innovative program that gets clients involved in community programs,...

Chapter Three: At War With A Diagnosis

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Note: In this third entry, it is still early on in my story. It is the fall of my ninth grade year, I am...

´╗┐November 11, 2010

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Bob-- Today, I saw a bright, athletic lacrosse player who is a high school sophomore. She was seeing me to follow up on a mild...

´╗┐November 1, 2010

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Bob-- Since we've started posting these letters, I've had a number of readers responding to me and asking about my strategies for withdrawal. As you...

´╗┐November 9, 2010

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Bob-- Today, I saw a very friendly, highly intelligent (she has a PhD in economics) and overweight 34 year old woman for a refill of...

´╗┐The Successful Creation of a Societal Delusion . . . and the Increase in...

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Ever since the revised edition of DSM III was published in 1987, the psychiatric establishment in the United States -- i.e., the American Psychiatric...

´╗┐November 4, 2010

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Bob-- Today, I saw a healthy, strapping young man, 28 years old and an avid recreational softball player. He is a former college athlete and...

´╗┐Tardive Dyskinesia in the Atypicals Era: Is The Risk Any Less Today Than Before?

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A few weeks ago, while I was at a birthday celebration, a friend who works in a mental health setting remarked that she was...

´╗┐New Rat Study: SSRIs Markedly Deplete Brain Serotonin

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Dutch investigators will soon publish an article in Neurochemistry International that sheds light on how SSRI antidepressants affect the serotonergic system over the longer...

´╗┐October 28, 2010

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Bob-- I had an interesting case today. A friendly, 24 year old, very slender and slightly distracted Vietnamese woman who has a 18 month-old...

´╗┐Do Antidepressants Worsen the Long-term Course of Depression? Giovanni Fava Pushes the Debate Forward.

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In 1994, Italy's Giovanna Fava, editor-in-chief of the journal Psychotherapy and Psychosomatics, wrote for the first time of his concern that "long-term use of...

´╗┐October 25, 2010

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Bob-- A couple of weeks ago, I got a call from the mother of one of my teenage patients, a 14 year old Chinese-american boy...

´╗┐October 21, 2010

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Bob-- I'm going to try to be quick today (unlikely), but I want to share two cases: 1) I saw a pleasant 32 year old woman...

´╗┐October 17, 2010

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

´╗┐October 14, 2010

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Bob-- Had two very interesting cases this morning: First, I saw new patient, a very thoughtful, intelligent retired pastor who is on Citalopram. We were visiting...

Chapter Two: Opening Pandora’s Box

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Soon after awakening to my crisis of ÔÇśselfÔÇÖ, I was sent to my first therapist. My social circles had changed, and IÔÇÖd begun to...

´╗┐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...

´╗┐SAMHSA, Alternatives, and A Psychiatrist’s Despair over the State of American Science

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In my last post on my Psychology Today blog, which I also publish here, I told of my experience speaking at the Alternatives conference...

´╗┐SAMHSA, Alternatives, and the Story of an Opportunity Lost

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In the last chapter of my book Anatomy of an Epidemic, I noted that if our society is going to stem the epidemic of...

´╗┐October 6, 2010

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Bob-- Yet another challenging day. I had two more patients today whose trajectories would relate perfectly to Anatomy of an Epidemic. The first was an 61...

Keeping Tabs on the Serotonin Theory of Depression

In 2008, Philip Cowen published an essay in Trends in Pharmacological Sciences. His essay leads off with the provocative question, ÔÇťSerotonin and Depression: Pathological...

Chapter One: Journeying Back to Self

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This blog is an attempt to make sense of what brought me into the world of psychiatry as a child and of where it...

´╗┐September 25, 2010

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Bob-- My brain is still buzzing from my second day back in the trenches. My final patient today was a middle-aged woman who...

´╗┐September 21, 2010

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Dear Bob: Today, fittingly, was a very psych heavy day at my clinic. I saw the whole gamut of patient situations, patients (and their conflicted...