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).

Critical Psychiatry Textbook, Chapter 5: Psychiatric Diagnoses Are Not Reliable (Part One)

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Psychiatric diagnoses have poor validity and do not tell us much about the nature, course, and treatment of the "diseases."
Needle about to pop a green balloon

One Flew Over the Scientific Consensus’ Nest—The Story of Dr. Ophir and ADHD

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The backlash against Dr. Yaakov Ophir, licensed clinical psychologist and promising scholar, began when he reported his findings about the scientific validity of ADHD.
Illustration of a brain in a test tube against a black background

Critical Psychiatry Textbook, Chapter 4: Are Psychiatric Disorders Caused by a Chemical Imbalance? ...

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On the evidence base for textbooks' statements of the imbalance of neurotransmitters causing psychiatric disorders.

Black Movement Leaders: Lost & Found

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As some of us get caught up in lamenting the whiteness of our movement, we are actively losing the stories of Black leaders.
Photo of a sculpture of a woman on a bench looking wistfully out to sea

We’re Obsessed with Labelling Suffering, But Our Power to Think about it Matters More

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I needed Kierkegaard and Freud; my psychiatrist prescribed cereal bars. My despair was an imbalance to be corrected, rather than a relationship with the world.

Remembering Fernando Freitas in Brazil

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Psychiatrist Paulo Amarante writes of Fernando Freitas and his fight against psychiatry's pathologization of life.
Photo of a young White boy with glasses looking at a giant sheet of brain imaging results, with a Black man smiling happily behind him

Critical Psychiatry Textbook, Chapter 3: Are Psychiatric Disorders Detectable in a Brain Scan?

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Peter Gøtzsche discusses how textbooks portray brain imaging data for psychiatric diagnoses and the flaws with that body of research.
A background of a road leading through a forest. Text over it reads: "Mad Camp July 20-24 2023"

Summer Mad Camp 2023

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Mad Camp, as a work in progress, is a five-day summer camp for mad people, July 20-24, at a forested retreat center in Northern California.
Illustration depicts a giant glowing brain with tiny people standing all around it

Critical Psychiatry Textbook, Chapter 2: Are Psychiatric Disorders Mainly Genetic or Environmental? (Part Two)

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In this chapter, Peter Gøtzsche discusses the problems with observational studies and other flaws in ADHD research.
Rio de Janeiro Aerial Skyline - Brazil

Fernando de Freitas: A “Dear Friend” Who Was a Warrior for Radical Change

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Fernando de Freitas, co-founder of Mad in Brasil, passed away January 30. He had devoted his professional life to seeking to transform psychiatric care in Brazil and beyond.
Illustration of wires wrapped around a brain

We Must Not Remove Legal Protections for People at Risk of Forced ECT

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Written testimony submitted to the Connecticut State Legislature in opposition to a bill removing legal protections for those at risk of receiving ECT against their will.
Illustration of dna strand unraveling, glowing bright blue against dark blue background

Critical Psychiatry Textbook, Chapter 2: Are Psychiatric Disorders Mainly Genetic or Environmental? (Part One)

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Textbooks portray ADHD and schizophrenia as genetic disorders, despite the much stronger evidence for environmental factors.
Illustration depicting dna strands and molecule chains

“Hidden Valley Road” and Schizophrenia: Do Genes Tell the Story?

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The “genetics of mental disorders” story told in Kolker's "Hidden Valley Road" involves omission and misrepresentation of genetic research.
Photo of a magnifying glass sitting on an open textbook

Critical Psychiatry Textbook, Chapter 1: Why a Critical Textbook of Psychiatry?

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The discrepancy between opinion and science is prevalent in psychiatric textbooks. The coming generations of healthcare professionals will learn a lot during their studies that is incorrect.

New York’s Mayor: We’re out of Ideas, so It’s “Back to the Cuckoo’s Nest”...

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A psychiatrist obsessed with violence among the mentally ill, Torrey is dedicated to promoting involuntary hospitalization.
Close-up of a hand holding a tablet with a question mark on it. Below, scattered tablets with frowns or hearts.

Seriously Misleading Network Meta-analysis in Lancet of Acceptability of Depression Pills

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It is a futile exercise to rank depression pills based on flawed trial reports and—most importantly—when the patients prefer to be treated with a placebo.

Problem-Solving Through Skills-Building: Motivating Kids to Change

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Children can overcome all sorts of difficulties by learning specific behavioural or emotional skills with the help and support of their social network.

Mad in America’s 10 Most Popular Articles in 2022

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A roundup of Mad in America's most read blogs and personal stories of 2022 as chosen by our readers.
Illustration depicting orange person looking frightened with orange ghosts swirling around them

Ghosts Popping out Everywhere: The Shifting Times We Live in and the Process of...

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We are living in challenging times. Every day we hear or read or hear stories of racism, sexism, inequalities, oppression. Emerging, there are experiences...
Close-up of therapist's hands explaining a problem to his patients

When Violence Hits Home, Can We Keep Growing?

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We want to share conversation we had coming out of these events in the hopes it might help others explore how to keep growing emotionally in an uncertain and sometimes violent world.
Profile of a bearded man head with a symbol of neurons in the brain

A Brain for Our Emancipation

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In times of crisis, we are required to adapt to conditions of suffering to safeguard capitalist production. We are asked to adapt our flexible brains to a hostile environment, and the possibility of transforming that environment is suppressed.
A photo of Mayor Eric Adams at a podium, with many other people behind him wearing suits.

Consumer Advisory Board Chair: NYC Mayor Adams Did Not Consult With Us on New...

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I chair the Consumer Advisory Board for the NYC Department of Mental Hygiene (DOMH). And I can tell you firsthand: We were not consulted before this plan came to fruition.
A Black woman sits with a therapist

Psychotherapy: Less Expensive and Better Than Pills, It’s What the Patients Want but Don’t...

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Studies with long-term follow-up show that psychotherapy has an enduring effect that outperforms pharmacotherapy. Psychiatry does not deliver what the customers want.
Photo of pregnant person holding a glass of water and a handful of pills. Sitting cross-legged on couch. We cannot see her face.

Dubious Science: Downplaying the Risks of Antidepressants in Pregnancy

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When popular websites, such as Johns Hopkins and the Mayo Clinic, downplay the possible risks of antidepressant use in pregnancy, they are ignoring the evidence.
Illustration of a blue face; the back of it is dissolving into computer code

Data on Your Mind: Good Public Health or Mental Health Surveillance?

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The ethics of data harvesting are murky and echo global concerns around the ways in which profiling technologies can be used to perpetuate discrimination.