Blogs

What follows is my attempt to report on the Pre-Seminar program from the 17th International Conference on the Treatment of Psychosis.

Even though more and more researchers have become interested in investigating the complexities of voice hearing in and of itself (as opposed to treating it simply as one of a number of so-called "positive symptoms" of schizophrenia), the lack of a clear identification of the defining characteristics and significance of the experience for voice hearers makes it difficult to compare results across different studies.

The rush to institute increased mental health services in Connecticut, initiated in response to the shooting at Sandy Hook Elementary, is troubling for a number of reasons. The most obvious problem with the rush to legislate costly mental health services, based on the horrific events at Newtown, is that there is no publicly available data to support the need for increased services. In fact, anyone reviewing the limited number of records available would agree that Adam Lanza was not a child who fell through the cracks of mental health services. On the contrary, it appears that Lanza received the best mental health treatment money could buy. The question that one cannot help but ask is, if Lanza received the best mental health could offer, did that mental health "treatment" contribute to Lanza's violent behavior? Let me explain.

From Mad in Sweden. One of the most important contributions made by research on recovery, is understanding people diagnosed with “severe mental health problems”, as not merely victims of an illness, but as agents in their own lives.

In a recent Huffington Post blog — republished at Mad In America — prominent psychiatrist Allen Frances declared: “Psychiatric coercion has become largely a paper tiger: rare, short-term, and usually a well-meaning attempt to help the person avoid the real modern-day coercive threat of imprisonment.” With Representative Tim Murphy’s bill — advocating for court-ordered “outpatient” psychiatric compliance — locked in committee, it is tempting to believe that Frances might be right. Does Murphy’s bill look scary to us, but actually lack any real teeth?

In the months following my five-year high school reunion in the summer of 2006, I drifted about in a sea of indistinguishable days. Amidst...

I've been working on starting a business that can use market forces to create benefit for our communities. This is called social entrepreneurship. Different models...

Dear Bob: Saw a young man recently, early 30s, who wanted help withdrawing from benzodiazepines. He had been on escalating doses of Xanax for two years.  The...

The recent incident in the grounds of Washington Capitol, involving a young educated woman, brought shock to many people. It was another opportunity to blame a victim of mental illness and demand further restraint and medical attention for such individuals. Yes, we are lacking dignified, caring, discerning and attentive treatment for those whose spirits are broken. But we certainly don’t suffer from a lack of medical treatment for such individuals. It is time for policy-holders, and our scientific community to ask the 'heretical' question; “Could the drugs be the culprit behind the violence?”

The ocean’s waves are constant and unchangeable, bound by earth and gravity; for a long time I believed life was this way, too—that who I was and how I felt and what I believed about myself were all bound by some invisible force that would always keep me trapped in a perpetual state of agonizing being. What a beautiful thing to know that after so many years of believing this, I’ve proven myself wrong.

GSK has recently announced that it will cease paying doctors for promoting its drugs and sponsoring them to attend conferences and sever the link between pay for its sales representatives and the numbers of prescriptions physicians write. My reading of GSK’s annual report leaves me in no doubt that they are changing their business model because it is likely to increase their profitability – not because they are being forced to. There is a niche in the market for a pharmaceutical company to become the leader in ethical practice. It is not necessary for GSK to be ethical in reality but to create the perception of being so.

The mission statement for the Western Mass Recovery Learning Community’s peer respite (Afiya) is “To provide a safe space in which each person can find the balance and support needed to turn what is so often referred to as ‘crisis’ into a learning and growth opportunity.” Although I sometimes question our choice to use the word ‘safe’ (given how impossible an absolute version of ‘safe’ is to achieve and how saddled with distasteful meaning such a term can be within the mental health system), I’m not sure that statement could otherwise be any more straight forward and meaningful. Yet, so often, It’s unclear what meaning people are truly making of it.

Technology is worshipped in U.S. culture, but when it comes to transforming depression and emotional suffering, is this predilection for technology justified? Technology worship means...

I’m not sure how I feel about horseback riding. Well, actually, I know that the act of horseback riding itself terrifies me, but really what I mean is: I’m not sure how I feel about the process of ‘breaking’ a horse to make it rideable. However, when I conducted some (admittedly superficial) research on the topic, I came up with an abundance of information.

When a foster youth encounters a Psychiatrist, chances are high that s/he will get medicated. Traumatized foster youth are often prescribed powerful psychotropics due to exhibiting a wide variety of “normal reactions to abnormal events,” such as despair, agitation, anxiety and self-harm. The practice has been well documented; foster children are prescribed psychotropics at a 2.7 to 4.5 times higher rate than non-foster youth. The National Center for Youth Law aptly summarizes the problem as; too many (25% of foster youth medicated), too soon (300 children under the age of 5 in California are given psychotropics annually) too much (adult dosages) and for too long (no planning or reviews for possible discontinuation).

Clients regularly hint in passing at what’s causing their distress. The hints we get from a client help us determine which of these many causes are more probable than the others or maybe even which is the cause. Nor is it hard to hear these hints, if we train ourselves to listen for them. Responding to causal hints with a spirit of inquiry and careful talking points deepens the work.

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...

In this chapter, Peter Gøtzsche discusses the problems with observational studies and other flaws in ADHD research.

In my most recent blog post, “The Unmedicated Life”, I attempted to answer a question I’m frequently asked by other survivors — “How did you get better from psychiatric medication damage/withdrawal?” But there is also a part two to the question that I didn’t address, which is, “How did you know when you were better?”

Losing someone you love to suicide can be a devastating experience. A legacy of torment is created where stigma, shame and secrecy reside. These are echoes of a world that does not know how to respond to what is now termed an epidemic. The baton of collective discomfort is passed from someone who has completed suicide to those intimately involved, making grieving suicide a lonely sentence of social disapproval. I know. This happened to me.

It seems more and more common for people who consider themselves mental health advocates to make the argument that “mental illness is like physical illness.” Have you heard this “depression is like diabetes” tactic? I have a hard time seeing how this is advocating for those in emotional distress.

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

In behavior therapy, enduring psychological discomfort is an essential aspect of therapy leading to recovery. This may have implications for withdrawal experiences.

I first learned about the significance of our country’s Bill of Rights around the same time I started on my first doses of SSRIs for depression and suicidal feelings. At the same time I was learning in school about the “inalienable” freedoms to which citizens of the United States are entitled, I was learning in a psychiatrist’s office about how I might be a “danger” to myself and lose some of these freedoms “for my own good.” I don’t claim that I was conscious of the contradictions at the age of 13 or 14, but the significance is not lost on me now.

I do not claim to know how to heal the wounds from the tragedy that occurred in Newtown on December 14th, 2012. Nor do I claim to know how to prevent future tragedies of this sort. The intent of this post is to oppose ineffective and inhumane practices, prompted by reactions to the events in Newtown and other communities, that are falsely thought to be effective.