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).

10 Reasons Why Psychiatry Lives On—Obvious, Dark, and Darkest

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No matter how clearly the scientific case is made that psychiatry is a pseudoscientific institution, it continues to retain power. When we recognize that scientific truths alone are not setting society free, we begin to shift our energy to different strategies.
continuing education

Is Remaking Psychiatric Care Possible?

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The failures of our current drug-based paradigm of psychiatric care tell of a pressing need for systemic changes in psychiatry. But as we discovered when marketing our new continuing education course on this topic, it's always difficult to promote radical change.
quitting antidepressants

Lingering Side Effects of Quitting Antidepressants

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Nobody told me what it would be like when I first stopped taking antidepressants. The worst is definitely over, but I’m still experiencing some lingering side effects. When the hyper-arousal to sights and sounds kicks in and my head starts buzzing, I’ve learned some ways to cope.
american red flags

Trump and Cuomo: Red Flags Are Red Herrings

Curtailing the rights of people with psychiatric histories is nothing more than a red herring, a ploy to maintain social control. We need to disarm the “re-institutionalization” movement by holding it accountable to the actual science of modern psychiatry and the history of institutions.
psychological injuries

How Psychological Injuries Cause Physical Illness—And How Therapy Can Heal It

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How does experiencing physical abuse as an 8 year old shorten one's lifespan? How do insulting words turn into diabetes? Or sexual abuse trigger a heart attack 50 years in the future? Emotional wounds can damage DNA and produce a huge web of destructive effects, but therapy can turn the process around.

William James’s Letter to His Depressed Daughter

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If you discover that your child has been experiencing a bout with depression, what wise words might you share? Brilliant psychologist William James was forced to address this issue himself when his 13-year-old daughter, Peg, began to struggle with melancholy. I present his long, thoughtful reply for your consideration.
chemical imbalance theory castle

Pies’ Polemic and the Question of Theories in Psychiatry, Again

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If the "Chemical Imbalance Theory of Mental Disorder" is a mirage, if not a frank deception, then what theory are psychiatrists using to justify prescribing their drugs? What is the current accepted theory or model of mental disorder by which psychiatry justifies not just its extensive and unequalled powers, but its very existence?
behavioral genetics

A ‘Blueprint’ for Genetic Determinism

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Robert Plomin's Blueprint: How DNA Makes Us Who We Are was seen as a "declaration of victory of nature over nurture." Plomin has a 40-year track record of unfulfilled gene discovery claims and predictions, and there is every reason to believe that his new polygenic score claims and predictions are merely a continuation of this trend.

How Healthcare Foundations Destroy Grassroots Advocates

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We advocates are often told we're the key to progress in mental healthcare. Yet foundations continue to minimize our role and to damage us and our organizations every day. Here is how they do it, and what they need to do if we are ever to make real progress.

System Change Webinars: Promoting Radical Change

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Starting on September 17, Mad in America will be offering a series of monthly webinars how to make changes in real-world programs that reflect the progressive reform agendas that embody a "green" revolution in mental health care. Enroll now!

Psychiatric Drug Withdrawal in Spain

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My study, in which I slowly withdrew people from prescribed antipsychotics and antidepressants, found that it is possible to decrease both spending on psychiatric drugs and patients' chronic exposure to them. In general, the drug-reduction process was well-tolerated and well-accepted among those treated.
not mental illness

The Problem Lies in the Term ‘Mental Illness’

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Shouting out “I am mentally ill and I am not dangerous” creates the same incomprehension as blaming ‘mental illness’ in the first place. This would be a perfect opportunity for all those people diagnosed with ‘mental illness’ to stand up and say loud and clear: “It isn’t mental and it isn’t an illness.”
poverty

Poverty: The Newest Medically Treatable Brain Disease

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If your hunger/worries are so severe and persistent that they lead to abnormal, dysfunctional behaviors, then you have clinical poverty. Like any illness, you can’t just snap out of it on your own. You need help, and it’s now here — ask your doctor about exciting new treatments for poverty today!
creating mental health

Creating Our Mental Health

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We wanted to challenge the conventional assumption that mental health is a static condition or attribute by suggesting that it’s more useful to think of it as an activity that people do together, rather than a thing that individuals have or don’t have. This distinction matters because we can change what we do — what we are, not so much.
Ivor Browne

The Mystic of Ireland: An Homage to Ivor Browne

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Ivor Browne fearlessly challenged what he saw as a dehumanizing system, liberating many from institutional care and pioneering new experimental therapies. He developed innovative community models and most of his groundbreaking work took place outside of, and in spite of, orthodox thinking.
re-visioning public mental health system

Collaborative Strategies for Re-Visioning the Public Mental Health System

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The beauty of sticking around for a while is that we’re living to see some of our “outsider” ideas beginning to challenge modern psychiatric doctrine in the public arena, and our “radical” mental health stance is slowly re-visioning important conversations and practices.
anger

In Defense of Anger

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The therapy industry has aided and abetted the rejection of anger our society is hell-bent on, and made it astoundingly difficult to know what healthy anger looks like. I clawed myself apart trying to “heal” from all this anger, which compounded with every failure to dispel the anger until I was basically a human-shaped sack of rage.
graphic detail

No Graphic Detail: The Injustice of Being Silenced

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They tell us we’re too fragile to speak our own truth, and that those around us are too fragile to hear it. If you must name what happened to you, at least slap a “trigger warning” on yourself, and don’t “paint a picture.” Fuck that. The truth is that graphic detail can make some of us stronger in a way that silence never could.
Marianne Williamson

We Must Hear Marianne Williamson’s Message About the Overuse of Antidepressants

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Although some of Marianne Williamson's rhetoric on the subject of the overuse of prescription medications may be over the top, the topic deserves much more public attention and debate, since it is a crisis as real as the opioid epidemic.
surveillance psychiatry

Brave New Apps: The Arrival of Surveillance Psychiatry

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Large, centralized, digital social networks and data-gathering platforms have come to dominate our economy and our culture. In the domain of mental health, huge pools of data are being used to train algorithms to identify signs of mental illness. I call this practice surveillance psychiatry.
hate speech

Blaming the “Mentally Ill”: This is Hate Speech

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As could be expected, in the wake of the mass murders in El Paso and Dayton, we have politicians such as President Trump and others such as E. Fuller Torrey blaming the killings on the “mentally ill.” We have heard this over and over again, and I think it is time to call this out for what it is: Hate Speech.
antidepressants and suicide

Antidepressants and the National Suicide Epidemic

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We encourage young people to see themselves as fragile creatures whose brains can go haywire for any reason, or no reason at all. Then we tell them they have the “disease” of depression and ply them with drugs with a known link to worsening depression and suicidality going back for decades. How many more will have to die before this changes?
suicidal

How “Safe Messaging” Gaslights Suicidal People

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Suicide prevention constructs a reality in which the problems of suicide lie within suicidal people. Sanity is constructed around wanting to live, insanity around wanting to die. Within this paradigm, the suicidal person can never be trusted. They are fragile, vulnerable, demanding protection, surveillance, and management.

Helping People Come Off Medication—Bad for Business?

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The message in journal editorials, comments and opinion articles, is that 'this new study shows great promise' and that 'we need further research'. My interpretation is: 'give us the money and we will be happy to carry this out'. With the implied promise that, once this new research has been done, we will get a better world. Sadly this is rarely ever the case.
eugenics

Psychiatric Eugenics Then and Now—You Betcha It’s Still Happening

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Most are oblivious to the fact that psychiatric eugenics initiatives continued to exist—and beyond that, to flourish—long after the end of what is normally thought of as “the eugenics era” (roughly, late nineteen century to 1945). Sadly, we are not learning from history what we direly need to learn.