We Need a Culture That Embraces Emotion Instead of Numbing It
Medicating depression and anxiety does nothing to address their root cause. SSRIs clear away the smoke without putting out the flame.
Electroconvulsive therapy (ECT): It’s Not Just the Memory Loss
A new study shows ECT can cause disastrous health and cognitive problems, and chronic impairments across many day-to-day activities.
Women Likely to Be Retraumatised by ECT: Disturbing Findings from a New Survey
The widespread use of ECT on women needs to be understood from a trauma-informed perspective.
Phenomenological Therapy: Centering Subjectivity
Phenomenological therapy can create space for authentic expression, sometimes for the first time in a client’s life.
Commentary: Does First Year Treatment With an Antipsychotic Lead to Long-Term Harm?
There is no good evidence that antipsychotics provide a benefit to first-episode or early-episode psychotic patients.
Remembering Steven Morgan
Steven Morgan, who was well known for his activist efforts in challenging conventional psychiatry, which included writing for Mad in America, recently passed away,...
Obituary: Beckie Child, Oregon Peer Advocate
Beckie Child, MSW, PhD, passed away on October 25, 2025. I had the privilege of knowing her and working with her for over 25 years.
When the Family Is the Patient
The child is reacting to a dysfunctional family dynamic, often unconsciously asking for help for their family.
How Chatbots Deepen the Mental Health Crisis
All chatbot therapy delivers is a feedback loop where the simulated solution deepens the real-world problem.
False Profits, or, Thera-nos
On predatory private group practices and the Lower Ed enshittification of social work training.
“You Need to Know Your Value”: Shame and the Fee in Psychoanalytic Socialization
My focus on the fee makes tangible the powerful role of shame in shaping clinicians' attitudes toward the practical business of psychotherapy.
Psychodynamics in the Red (or How I Went Broke in Therapy)
Frankly, I was hoping therapy would cost me less. In the end, it would cost me almost everything I had.
Use of the Self: Class Politics and Liberatory Potentials of Containment and Enactment...
Enactments, we learned, were bound to occasionally occur and typically required processing and remedy.
Class Notes from the Consulting Room
Capitalist realism: whatever the downsides, we’re trained to believe this is the best system we’ve got.
What Psychoanalytic Clinicians Can Learn From John Womack’s “Grubbing Analysis”
Finding the place to make an intervention that builds towards a change in the balance of power in the sector we work in.
The Rate of Exchange
We value what we pay for, you reason, but you will slide your scale for me. And so, we begin our work together. The talking cure.
There’s No Escape From the World
There’s always an economic transaction underneath. When the business stops working out, the therapy is apt to end.
Evoking Discomfort: Expressive Writing on Money, Class, and Psychoanalysis
Therapists seem to be doing a massive amount of mental gymnastics to rationalize professional practices that are financially motivated.
Eating Disorders: Where Madness Meets Medicalization
While there is overwhelming focus on the psychological side of ED healthcare, there is still an enormous gap in the physical side of it.
The Healing Powers of Nature
For folks who struggle to fully trust, or attach, to a therapist, forming an attachment with nature can be revelatory.
Lemmings Don’t; Humans Do
Being depressed is not your fault, but part of buying into an insane society. You do not have a “chemical imbalance” but are responding to your world.
My PTSD Is Mine Only
Trauma doesn’t submit to categories. It doesn’t fit criteria. It is wild. It is intimate. It is always, always personal.
Facing the Truth About World Mental Health Day
Big Pharma has quietly sponsored World Mental Health Day campaigns, shaping global mental health policy.
DSM: Improve, Trash, Replace, or None of the Above?
Most clinicians are well aware that many diagnoses are vague, not specific, and don’t point to a treatment that works.
An Open Letter to Those I Love Whose Neurotypical Privilege Keeps Them from Seeing...
The next time you see someone who is unhoused, have some compassion.
