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).

Study 329 Continuation Phase

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All the fuss about Study 329 centers on its 8-week acute phase. But this study had a 24-week Continuation Phase that has never been published. Until Now.
woman holding her head annoyed wearing medical mask

Is COVID-19 Making Everybody Crazy?

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The response to the pandemic promises a vast expansion of the market for therapists, but such claims carry great potential for harm, adding to the burdens of people with upsetting but understandable, deeply human feelings.

Psychosis as a Spiritual Crisis: An Opportunity For Growth

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I co-led a day long Continuing Education Training with that title last month in Oakland. Almost 100 people attended this first ever in the United States, taxpayer funded CEU training that explored the spiritual dimensions of psychosis. But it wasn't preaching to the choir of those who are true believers in that possibility, because the majority in attendance were front line professional county mental health staff!

Antipsychiatry – Say What?

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What exactly does “antipsychiatry” mean? Is the term useful or hopelessly ambiguous? Can one be antipsychiatry without being abolitionist? And if one wants to end the use of psychiatric coercion only, does that position qualify as antipsychiatry?

The Use of Antipsychotic Medications in Children

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Since the mid-1990s antipsychotic medications have been increasingly prescribed for children, adolescents, and adults. The most recent report finds an increase in use for older children from 2006 to 2008. Most of the prescriptions of antipsychotics for children reported by the study were for conditions which had not been approved by the FDA (called off-label use).
A kaleidoscopic photograph depicting a busy street, reflected multiple times

The Problem of High Functioning Anxiety

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We have accepted that the busier we keep ourselves, the happier we can expect our lives to be. "Acceptable behavior" is defined by increased productivity across all aspects of life.

Searching for a Rose Garden: Challenging Psychiatry, Fostering Mad Studies

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Searching for a Rose Garden: Challenging Psychiatry, Fostering Mad Studies is a timely and unique collection of essays that should be of interest to anyone with personal experience with, or research interests in, mental difference, psychiatrization and its resistance.

DSM-5’s “Speculative” 2002 Diagnostic System Based On Expected Gene Findings

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According to a leading group of psychiatric genetic researchers, writing in 1999, “From the perspective of psychiatric genetics, the Human Genome Project is an immense factory producing and refining the tools we will need to discover the genes that cause mental illness.” A 2002 “speculative outline” by a group helping to revise the DSM envisioned a future DSM-5 practice of classifying disorders on the basis of "the patient’s genotype, identifying symptom- or disease-related genes, resiliency genes, and genes related to therapeutic responses and side effects to specific psychotropic drugs.” A dozen or so years ago, at least some of the DSM-5 architects believed that genes would at long last be identified and would be integrated into the next version of the DSM. As we know, this did not happen.
clown psychiatrist

The Three Types of Psychiatric Drugs – A Doctor’s Guide for Consumers

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Psychiatrists say little in their brief sessions. But if you take the few things they do say, read between the lies and boil them down to their essence, you’ll be left with this message: “Whatever is upsetting you is not worth listening to — just shut up and take one of these shut-up pills.” 
A photograph of an archery target with three arrows in it. None have hit the bullseye.

From the Health Minister Down, Nobody Is Seriously Interested in the Quality Control of...

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The ultimate metric is whether psychological treatment makes a real-world difference to client’s lives. But the data cannot answer this key question.

As We Scapegoat Schizophrenics Today, I Am Reminded of Nazi Germany

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I was barely eight years old, an inmate of Rockland State Hospital, and the war in Europe was over. On the front page of every newspaper were the photographs taken by the soldiers who had just liberated the Nazi concentration camps.
suicide hotline

Suicide Hotlines, Risk Assessment and Rights: Whose Safety Matters?

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The hotline “counselor” will tell you that, if you’re unable to keep yourself safe, they will have to send you some “help.” We all know that what they mean is not a friend or a therapist but the police. Because strangers, usually big white men with guns, keep everyone safe and are not triggering, traumatizing or on power trips at all.

Mad Flies and Bad Science

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Tension mounts across the ideological divide as D-Day (DSM-5 Day) approaches. The APA has powerful allies on its side. President Obama has just launched Decade of the Brain 2 with the announcement two weeks ago that heralds the arrival of BRAIN ( Brain Research through Advances in Innovative Neurotechnologies). If that’s not enough, those who believe that science will ultimately explain madness can always rely on the media to fawn at their feet.

Proposal From Italy: An International Collection of Recovery Stories

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We want to start an international initiative to promote the writing of recovery stories in every country, with the ultimate goal of sharing at an international level the most compelling ones from each country. Our proposal is born from an awareness that recovery stories are necessary today in order to give back to mental sufferance its meaning and transparency, to fight the biographical opacity of biological theories (the broken brain) and to guarantee decisional power to those who are offered (or imposed) mono-dimensional or dehumanizing treatments.

Insane Medicine, Chapter 4: The Manufacture of Autism Spectrum Disorders (Part 1)

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Because the “scientists” who study, categorise, and establish guidelines for autism can’t find anything definitive, they resort to scientism. Over time, it becomes part of our cultural “common sense.”

Why the Rise of Mental Illness? Pathologizing Normal, Adverse Drug Effects, and a Peculiar...

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In just two decades, pointing out the pseudoscience of the DSM has gone from being an “extremist slur of radical anti-psychiatrists” to a mainstream proposition from the former chairs of both the DSM-3 and DSM-4 taskforces and the director of NIMH. In addition to the pathologizing of normal behaviors, another explanation for the epidemic — the adverse effects of psychiatric medications — is also evolving from radical to mainstream, thanks primarily to the efforts of Robert Whitaker and his book Anatomy of an Epidemic. While diagnostic expansionism and Big Pharma certainly deserve a large share of the blame for this epidemic, there is another reason.

The Elusive Emotional Wounds of Omission That Our Culture Inflicts On Us – and...

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When we try to understand why we emotionally suffer, we can look to the ever-growing, reliable knowledge that traumatic, overt emotional wounds of commission can surely cause our emotional suffering via depression, anxiety and even extreme states.

Female Peer Specialists Paid Less than Males, Study Finds

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In a recent national study by The College for Behavioral Health Leadership, female peer specialists made an average of $2 less than their male counterparts at $14.70 per hour compared to $16.76, respectively. For those of us who don’t live in New York, the gender pay gap is something that affects our lives whether or not we realize it.
Monarch eTNS device

FDA Approves Using Electricity All Night Long on Children’s Brains

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The FDA just approved sales of an electrical device called the Monarch eTNS to be used on the brains of children diagnosed with so-called ADHD. The device “sends therapeutic signals to the parts of the brain thought to be involved in ADHD,” according to the FDA press release. “Therapeutic signals”? Really?

Inpatient Hospitalization: An Inside Perspective

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When someone is in severe crisis due to feeling emotionally overwhelmed, one of the main access points for care is an inpatient hospital setting.  Though many disparage the hospital setting, there are few alternatives to this setting during an acute mental and emotional crisis. At the same time, there are a number of barriers to individuals getting optimal care. I will try to examine some of these barriers and some of the main critiques of hospitalization. In a perfect world, those experiencing severe emotional crisis would be able to find true sanctuary; a place for rest and healing. With enough time, nourishment and self-care, people experiencing severe emotional distress can and do get better.

Stop Saying This, Part Three: “Everything in Moderation” and More

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Let’s start only accepting real relational offerings that do not make us contort, disavow comfort, strong-arm ourselves into appearing strong, or shoulder responsibility that is not ours.

Organized Denial: Psychiatry’s Quiet Desperation

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Peter Gøtzsche’s new book, Deadly Psychiatry and Organized Denial brings up an important and complex  issue.  How do psychiatrists get up in the morning and damage people all day long while pretending to help them?  The book is elegantly referenced – and I encourage everyone who practices thoughtful psychiatry to read it, because you need to be much better educated to practice high-quality mental health than you do to act as a dispensing machine.  Gøtzsche is absolutely right; on all levels psychiatrists are in denial about the damage that they are doing to patients.

An Open Letter to the President’s Commission on Combating Addiction and the Opioid Crisis

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The Commission was addressed by organizations engaged with various aspects of addiction treatment. Much of the input seemed apropos, but one voice was missing. Speakers failed to include even one practicing physician or advocate for the pain patients who have been blamed for the so-called “opioid epidemic.”

Evolution or Revolution? Why Western Psychiatry Won’t Change by Incremental Steps

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...but how realistic is it to expect that the biological skew of Western psychiatry can be sustainably changed one small step at a time?

New WHO QualityRights e-training: Advancing Mental Health, Eliminating Stigma, and Promoting Inclusion

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QualityRights is WHO’s global initiative to improve the quality of care and promote the rights of people with mental health conditions or psychosocial disabilities.