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).

March 29, 2011

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Dear Bob-- Since you posted about my termination last week, I've received a lot of words of support and encouragement, and I wanted to say...

An Introduction: The Story of Bias in the STAR*D Trial and More

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The 35-million-dollar Sequenced Treatment Alternatives to Relieve Depression (STAR*D) study is the largest antidepressant effectiveness study ever conducted. STAR*D enrolled 4,041 depressed patients and...

Letters from the Front Lines

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Bob-- I want to share with you a success story that has played out over the last three months. I have been working with a woman...

March 15, 2011

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Bob-- I want to share with you a success story that has played out over the last three months. I have been working with a woman...

Chapter Eight: “Forget Happiness . . . I’ve Got Control”

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At no moment in my childhood-- whether in those weekday hours after school spent exploring the woods with my dog, or on the early...

March 4, 2011

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Bob-- I'm going to share with you a case from today that did not involve psychotropics, but I think it illustrates an important point about...

Chapter Seven: Becoming Bipolar, Becoming Empowered

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A newfound acceptance of my bipolar diagnosis during the winter of my freshman year at Harvard filled me to the brim with a sense...

Andreasen Drops a Bombshell: Antipsychotics Shrink the Brain

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In 1991, Nancy Andreasen began a long-running study of first-episode schizophrenia patients, which involved periodically measuring their brain volumes with magnetic resonance scans. In...

February 14, 2011

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Bob-- Recently, I saw a thirty-six year-old Bulgarian man for a follow-up visit. He is my age, with three children almost exactly the same ages...

Chapter Six: A Disease of Dis-Ease, and New Hope for a Cure

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On the day I arrived as a freshman at Harvard in the fall of 2001, I dropped my belongings in my dorm room, said...

January 31, 2011

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Bob-- Today, I saw an intelligent and sarcastic teenage boy for renewal of his Adderall. He presented with his well-meaning but frustrated father, who is...

Speaking at MGH Grand Rounds, and More

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As many readers of this blog may know, I spoke at the psychiatric department’s Grand Rounds at Massachusetts General Hospital on January 13, which...

January 17, 2011

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Bob-- About a month ago, I started caring for a fifty-five year old Filipino woman. She speaks English well, though with a heavy accent. She...

Antipsychotics and the Scientific Method

In a recent article in the New Yorker, titled, The Truth Wears Off, science writer Jonah Lehrer discusses an intriguing problem in science. The...

January 7, 2011

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Bob-- This is the twentieth letter that I'll be posting on your website. I thought I'd use the occasion to reflect on what I've observed...

Psychiatric Drugs and Violence: A Review of FDA Data Finds A Link

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There has been an enduring controversy over whether psychiatric medications can trigger violent actions toward others. A review of the FDA's Adverse Event Reporting...

December 22, 2010

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Bob-- Many cases I have shared with you have been interactions with patients who are seeking a healthier way of dealing with mood disorders, or...

December 15, 2010

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Bob-- I saw a thirty-four year old woman today for a follow-up visit regarding post-partum depression. She delivered her second child two months ago, and...

Chapter Five: Filling the Void

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When I returned to boarding school in the fall of my junior year, I brought with me not just duffel bags of clothes, athletic...

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...

Updates on the Epidemic

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Here’s a rundown of a hodgepodge of studies that I’ve come across recently that relate to themes I wrote about in Anatomy of an...

Do Psychiatric Drugs Impair Normal Brain Development?

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At the recent annual meeting of the Society for Neuroscience, which was held in San Diego from November 13-17, four poster presentations told of...

The GlaxoSmithKline Ghostwriting Documents, Part Two

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On Tuesday, the New York Times reported on how SmithKline Beecham paid a marketing company, Scientific Therapeutics Information (STI), to ghostwrite a medical textbook...

Chapter Four: Eye of the Storm

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I settled into my new life in the fall of my sophomore year at a co-ed boarding school in Western Massachusetts and was convinced...

A Ghostwritten Psychiatric Textbook Hints at a Much Larger Problem

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The report by the New York Times today that a 1999 medical text authored by Dr. Charles Nemeroff and by Dr. Alan Schatzberg was...