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).

Why Mainstream Psychiatry Fears a Balanced Understanding of Psychosis

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Many people are now familiar with the BPS report, Understanding Psychosis and Schizophrenia, and they have appreciated how it integrates both science and a humanistic understanding to convey a fresh and progressive approach to difficult and extreme experiences. But it has come under attack by psychiatrists, using arguments that are often quite slick, and sound reasonable to the uninformed. But they are wrong, and the better we can articulate how and why they are wrong, the better we can advocate for a more humane and skillful response to people having the experiences that are called “psychosis.”

What if ACEs (Adverse Childhood Events) Were the Basis of Mental Health Treatment? 

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What would happen if the mental health system fully recognized the pervasive and profound impacts of trauma on their clients? How might a deeper appreciation of the multi-faceted sequelae of childhood maltreatment and toxic stressors reshape mental health services? While the implementation of trauma-informed care in mental health programs has made significant inroads, the dominant bio-reductionist model continues to constrain and undermine progress.

Yet Another Disappointment: First Catie, and Now the 12-Month Results from TEOSS

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The NIMH's CATIE trial of antipsychotics for adult schizophrenia is regularly understood to have shown that atypical antipsychotics are "no better" than the old...

Everyone’s Afraid of an Angry Woman: Honoring Sinéad O’Connor

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In her tragic passing, I choose to honor her by raising up these words she said, by hearing and believing them.

Why I Prescribe

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This is about neuroleptics. It is about psychosis or madness or whatever term one prefers. It is about people 18 years and older. I take...

Civilians

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If you’ve ever driven your car in a blizzard, you realize that the biggest hazard isn’t the snow or ice on the road; it’s mostly other drivers. You of course have your own vehicle (and welfare) to look out for, and it’s certainly stressful driving slowly, keeping traction on the slippery tarmac, maintaining concentration, watching out for black ice, and so on. But these variables remain somewhat under your control. Other drivers; not so much.

Mental Health Survival Kit, Chapter 3: Psychotherapy: The Human Approach to Emotional Pain

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Through the process of healing—whether assisted by psychotherapy or not—we learn something important that can be useful if we get in trouble again.
deception

Bias and Deception in Behavioral Research

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Contrary to popular belief, science is not immune to the corrupting influences of the society it operates in. When false results produced by p-hacked research have social, scientific, and political importance, and affect or harm the lives of millions of people while entire fields look on, it constitutes a scientific scandal.

Evidence Distortion in Medicine Explained in One Single Chart

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15 positive and 15 negative studies of antidepressants were reported to the FDA. But while all 15 positive trials were published, only 7 negative trials were.

The Cure for Mood Disorders Is Dementia?

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Perhaps the most alarming current trend in psychiatry, documented by Domino and Schwartz (2008), is the rise in prescriptions for the class of drug...

The Lessons of Ancient Philosophy

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As Michael Fontaine's recent piece illustrates, history has a great deal to teach us about the nature of this complex thing called madness and how we, as a society, might respond to it better. It is not only fascinating to know that modern debates about the nature of ‘mental illness’ are reflected in ancient teachings, we can learn much from seeing the issues aired in a radically different social and historical context.

Anxiety: The Price We Pay for Consciousness

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In his NY Times article “A Drug to Cure Fear,” Richard Friedman noted: “It has been an article of faith in neuroscience and psychiatry that, once formed, emotional memories are permanent.” This has not been a principle of these disciplines, including clinical psychology, for many years. Consolidation-reconsolidation-extinction models have been around for some time now, applied in particular to persons suffering from traumatic memories; e.g., Holocaust survivors, war and genocide survivors, etc.

When Medical Muckraking Fails

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Everyone knows how muckraking is supposed to work.  An investigative reporter uncovers hidden wrongdoing; the public is outraged; and the authorities move quickly on...
Illustration: A hand reaches out of a computer, holding a card with the MIA logo on it

What Does ChatGPT Say About MIA?

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I imagine that I am like many people when it comes to AI, which is that I don’t really know what to make of it. My first request was “write an essay about the Mad in America website.”

It’s as Bad as You Think: The Gap Between the Rich and the Poor...

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Many of us in the U.K. are mad - mad with anger at the injustice and cynicism of a political system that is turning the gap between rich and poor into an unbridgeable chasm. Mad with anger because the most vulnerable in society are now paying the price for a political ideology - neoliberalism - with their lives. We are mad and angry because they are blamed for failings that are not of their making, but which originate in the system under which we live. 'Psychological' assessments, online cognitive behavioural therapy (CBT) and other forms of 'therapy' are being used to force unemployed people with common mental health problems back to work. Mental health professionals responsible for IAPT (Improving Access to Psychological Therapies) have been relocated to help 'assess' and 'treat' claimants.
A road curves past a tree. A path worn into the grass leads away.

A Case for Parallel Mental Health Care

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Can people turn against the psychiatric priesthood and find the answers within themselves and their own communities?

See No Evil, Hear No Evil

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When you take a woman who has been eating processed food, taking The Pill, antibiotics, and maybe even a PPI, exposed to xenoestrogens, endocrine disruptors, and friendly-bacteria-slaughtering pesticides and you grow a baby in that womb, there is a good chance you have created a time-bomb. Throw in 70 doses of 16 neurotoxic and immunosuppressive vaccines by age 18, some formula, and genetically modified and processed baby food, 4 years of plastic diapers, and Johnson’s 1,4-dioxane babywash and… Houston, we have a problem.
photo of a person from the back looking at a sunset over a long road

Why Not Seek Treatment Through the Mental Health System?

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When I was emotionally stuck, I didn’t feel the current understanding of psychiatric problems and treatment would help. In fact, I felt it would be a hindrance to recovery.

Interview: Is Forced Treatment Deterring Youth from Seeking Mental Health Care?

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Researcher Nev Jones, Ph.D., talks about her study of youth hospitalized against their will, and how their experiences affected their attitudes about mental health treatment and providers.
house of cards is tumbling down with title: Psychiatry's Evidence Base

Desperate Measures: Ghaemi’s Response to Our Review of Lithium and Suicide Prevention

Ghaemi’s article is more of a rant than a scientific commentary.

Enough with the Questions!

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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.

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...

Akathisia and Prescribed Harm as Traumatic Chemical Brain Injury (TCBI)

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I stopped thinking of akathisia in terms of the disease model and instead began thinking of it as an injury. Akathisia is not the car crash; it is a result of the car crash.
man's back on blue background vector illustration

Please Stop Saying Depression Is Like Diabetes

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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.

Forced Psychiatric Treatment (and Protection against it) in Germany in 2013

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For years, people in Germany who act like they are radical antipsychiatry activists have said that in this country psychiatric violent (forced) treatment has been forbidden. Unfortunately, this is not true.