Addressing the Twofold Mental Health Crisis in New York City
The focus on crisis work displaces our attention and resources onto the symptomatic rather than the essential issues.
Childhood Trauma and Recent Stressors Rarely Addressed; ECT Given Instead
Mental health services force electroshock, rarely asking about causes like childhood adversities and recent stressors; few receive therapy.
We Must Stop the ADHD Prescribing Cascade, Not Perpetuate It
There is no scientific evidence base for routine use of multiple psychiatric drugs, particularly for children.
Beyond Pleasure: A Developmental View of Addiction
Sometimes addiction has more to do with the ability to tolerate day-to-day life without the substance: self-regulation.
New NEJM Perspective on Antidepressants and Pregnancy Misses the Mark
The NEJM opinion piece ignores basic science, common sense, and decades of research findings in making the case for SSRIs in pregnancy.
Medication-Free Treatment in Norway Found Effective Over the Short Term
Those who received drug-tapering support did just as well or better than those receiving treatment as usual.
How Mental Health Ideology Perpetuates a War on Emotions
Despite unprecedented access to therapy, medication, and novel treatments, mental health is deteriorating.
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.
