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What if the key to saving someone is to admit you are powerless to save anyone at all? What would that beckon us to change? A few years ago, I spent a substantial amount of time talking with a man who entered my life because someone in the mental health system told him I might be the one who could save him (or at least, that’s how he heard it). His name was David.

As a longtime participant in the conversations here on Mad in America, I’m very excited about taking on the role of moderator for the MIA discussion boards. MIA considers the community discussions to be integral to its mission to serve as a forum for “rethinking psychiatry,” and I am assuming this role at a time that the organization, in response to the reader survey we conducted, is striving to make the discussions more welcoming to all.

In June 2018, we ran our first ever reader survey. The purpose of the survey was to gain feedback on what you, our readers, want to read and thus provide helpful suggestions for future content. This update provides a brief review of the results of the survey so far and outlines what actions we will take in response. Thank you to all who responded for taking the time to tell us how you feel about Mad in America.

When I was training to be a child psychiatrist in the mid-1990s, childhood depression was considered to be rare, related to adversity, and generally unresponsive to pharmaceutical treatment. Since then much has changed. The psychiatrization of the pain and struggles involved in growing up has caused considerably more harm to young people than good. I believe the science is on my side in this conclusion.

It is important to distinguish, and not simply pathologize, experiences that are manic-like because they are time-honored states of mind associated with aspiration, ambition, and goal-achievement. The need to generate boundless energy, overtalk the issues to sustain single-minded focus and motivation, and have a somewhat grandiose vision of what can be accomplished, combined, can eventuate in a manic mix of tendencies necessary to bring higher-order goals to fruition.

After seeing the family for two sessions I came to the conclusion that what Adam was suffering from was inconsistent discipline, temper tantrums and misbehavior that were inadvertently encouraged by his parents. The correct prescription for Adam was not an antipsychotic medication that might cause him harm, but family therapy to help the parents implement a behavioral program that would fit Adam’s needs.

Dan Markingson was a 26-year-old mentally ill young man who violently killed himself in 2004 while enrolled in a drug-sponsored study of atypical antipsychotics among persons experiencing psychosis for the first time. Highly vulnerable individuals like Markingson should not be taken advantage of in the name of scientific research, and inability to protect such vulnerable subjects compromises the integrity of research.

As a clinical psychologist and someone who was herself “diagnosed” and “treated” for “serious mental illness,” Noël Hunter has a unique vantage point to view the mental health profession. I spoke with her about her new book, which offers an insightful critique of mental health’s diagnostic and treatment irrationalities.

To the judge presiding over my upcoming AOT hearing: I would like a better way to take care of my own health care than the choices currently being imposed on me by community mental health centers, which involve forcibly injecting me with a drug that I do not want and making me take a daily pill that I do not want to take. There is no reason that anyone should make my own health care choices for me.

I believe this is what happened: The people responsible for this travesty looked at the truth (that psychiatrists hardly ever tell the truth about their drugs) and realised they didn't like what would flow from that fact getting loose. So they removed it and substituted a falsehood (only ever) whose consequences they could live with.

One of the issues we face in mental health is that everyone knows the system is broken, but there is no replacement yet. So the question is, what are the mental health design principles to build a replacement? How do you build a functional mental health system that isn't disease-based? How do you make it robust, scalable and spreadable?

An e-zine with the mission to contribute to changing the narrative about madness and mental distress in the Asia region has launched. Mad in Asia hopes to showcase narratives that are contextually relevant to the Asia region, with a focus on the human rights of persons with psychosocial disabilities.

With the increasing medicalization of depression, and as more and more physicians see the treatment of depression as falling under their purview, it is imperative to distinguish between actual clinical depression and "healthy depression" — the adaptive and expectable responses to distressing life events that signal a need for rethinking one's life and recalibrating one's self-perceptions and emotions.

It is time for a new strategy. Rather than try to get adults to question their entrenched beliefs, why not reach out directly to not-yet-fully-indoctrinated kids? This could be done by creating psychiatrized versions of their favorite films that show how ridiculous and harmful the medical model is. Scene 1: Annoyed by Simba's exuberance, Mufasa takes him to Rafiki, the monkey psychiatrist.

Part of what we mean when we say something is socially constructed is that the existence of an entity, in this case a specific medical condition, partly or wholly depends on certain social attitudes, beliefs, or reactions towards that entity. In this particular case, a mental illness exists if and only if it causes certain types of distress that we get to define.

Judgments of the so-called ‘angry consumer’ deeply reinforce divisions within mental health policy and services. The only way we can engage in meaningful co-production is not to gloss over histories of collective exclusion and disempowerment and all the pain and anger that goes with it, but rather to validate and work through difficult emotions.

Isolation, demeaning behaviors on the part of staff, forced injections and tranquilization — former patients of detention and residential facilities have been describing this inhumanity as the norm for decades. It is our acceptance of this as a norm that allows for abusive situations to arise so easily.

A psych hospital is like any other institution of total control. You have locked doors around you, there are guard-like mental health workers, and you only have so many ways to get by. Some people choose to sleep all the time. Some people choose to pace. And some people choose, given the right time and the right opportunity, to learn to steal or to get by in other ways.

The treatment of mental disorders with drugs is not the same sort of activity as the use of drugs in medicine. The ethical implications of the two situations are different. Insisting on equating the two obscures these differences and presents the use of drugs for mental distress as less controversial than it actually is.

Together, we can hold individuals who are plumbing the depths of their pain and help them to transform it. We can show them that there is another, med-free way to accept themselves and that there is precedent for what it looks like to break free from psychiatry, its labels, and consciousness-warping chemicals.

It’s still not easy for me to say, “I’m bipolar.” Know that I’m bipolar for good reason, reappropriating a painful word, so those in pain can find me—so you can find me. This is how I reappropriate a term used to strip me of my humanity, a term used to sell me counterfeit versions of reality. I refuse to let go of a label that helps me find my people, no matter how painful it is to retain.

Blue Dreams offers a history of the development of psychiatric drugs, but is partly a memoir of the demise of the author's health during the decades she spent on psychiatric drugs. At the time of writing her memoir, Slater is not yet at the point of realizing that the mental health system is not a productive place to go for answers to depression.

In the May 2018 issue of Current Psychiatry, renowned psychiatrist and editor in chief Dr. Henry Nasrallah provides a list of 27 "principles of psychiatric practice," most of them self-serving platitudes. There's one principle he has omitted, if we are to consider his own career to be exemplary: Cultivate mutually beneficial relationships with pharmaceutical companies.

All in all, it is not enough that public policy pundits push for greater access to mental health services. Alongside improving access, there needs to be renewed focus on the quantity and quality of psychotherapy the average American currently receives. Health insurers need to reexamine their false assumptions about the effectiveness of short-term, quick-fix therapies.

Much of the wild world is now a garden: a rational, controlled space. Yet if we step out of the garden and back into the old growth, I believe the process of psychosis belongs as part of Earth’s “will,” of her wild. The physiological process of psychosis—that of amplified senses—is ecologically purposeful. Not good nor bad, but part of what Nature does trying to grow. Here I share a talk I gave in Boulder, Colorado exploring these themes.