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).

Decolonizing Psychiatry in Pakistan: A Reckoning with our Colonial Past and a Call for...

Psychiatrist Yousaf Raza details the problems with psychiatric health care in Pakistan and shows how to find a way forward.

The Drug Taper Paradox

When we look to pills to solve one problem, we forget the opponent processes the body will naturally employ to return to homeostasis.
An artist's posable mannequin lies flat amongst a pile of pills, dark lighting

The Lie That Antidepressants Protect Against Suicide Is Deadly

Antidepressants do not protect against suicide. According to placebo-controlled trials, they double the risk of suicide.
Medical Stethoscope and Pills on Dollars

Much of U.S. Healthcare Is Broken: How to Fix It (Preface)

Medical practitioners base their practice on clinical experience, rather than the sound published health research, which they distrust.
Photo of a pig

Pigs in the Hospital: The Collapse of Venezuela’s Mental Health System

The directors of the hospital, considering the empty spaces provided by its lack of services, decided to allow “milicianos” to move in, along with their pigs.
Closeup on gloved hands held up as if asking for help

Psychiatry, Violence, and the State: California’s Systematic Failure of Its Unhoused Population

California has decided to systematically restrain, incarcerate, forcibly strip, and drug its now sizable unhoused population.
Illustration: man trapped in a bottle of pills tries to scream for help

Withdrawing From Psychiatric Drugs: How to Produce Smaller Doses Than Those the Drug Companies...

Peter Gøtzsche: To reduce the risk of withdrawal symptoms, it is necessary to respect the form of the binding curve.
A hand erases a chalk drawing of the world surrounded by stick figures

Over-stressing Stress: American Psychological Association Report Omits Oppression

Despite noting financial problems, global conflict, and climate crisis, the report was on how individuals could work on their own stress.
United Nations logo in UN headquarters in Manhattan New York City

The New WHO and UN Guidance: Psychiatry Must Entirely Change

According to the preeminent health and rights bodies in the world, the WHO and the UN, psychiatry has to change entirely.
Macro photo of thumbtacks holding strings in a network on a blue background

How the Psychosocial Approach Provides an Alternative to the Biomedical Model

The biomedical model ignores the social context in which mental distress exists, despite a large body of evidence of that link.
Blue background, transparent pill bottle spills blue and white pills toward camera

Why Do Only Some People Experience Severe Antidepressant Withdrawal?

Much of the vulnerability to antidepressant withdrawal may be related not to bipolar disorder, but a trait called “bipolarity.”
A sign in the desert reads "ROAD CLOSED"

Critical Psychiatry Textbook, Chapter 16: Is There Any Future for Psychiatry? (Part Six)

In the final blog in Peter Gøtzsche's series, he presents his concluding thoughts and suggestions for the future of psychiatry.

I Secret Shopped #988 and Three Cop Cars Showed Up Outside My House

Although it professes to divert calls away from carceral responses, #988 may actually be increasing involuntary interventions.
Blue background, transparent pill bottle, blue and white pills out of the top

The Challenge of Presenting Antidepressant Risks and Benefits

Two goals are in direct conflict for doctors when it comes to antidepressant prescriptions: fully informed consent versus maximizing placebo value.
Illustration: Man trapped in a bottle of pills tries to scream for help

Critical Psychiatry Textbook, Chapter 16: Is There Any Future for Psychiatry? (Part Five)

Discussing how psychiatric drugs lead to a more chronic course for depression and psychosis.
Vector illustration. Head shape with broken prison bars; a man in a suit launches out on a jetpack into a blue sky with clouds.

Madness and Method: Exploring the Realm of Unconventional Reasoning

What if madness isn’t a defective form of reasoning, but a distinctive style of reasoning?

Healing From Psychiatric Drug Harm, Part 2: Rational Approaches to Recovery

How do I want to live with what happened? I can't change the past, but I can choose how to move forward, focusing on progress, not perfection.

Medication-free Ward in Tromsø, Norway May Soon Close

The Tromsø ward has shown that offering patients the option to forgo psychiatric medication, or to taper from the drugs, can be a successful model of care.
Blue background, white pill bottle, blue and white pills out of the top

Antidepressant Withdrawal: A Clinician’s Middle View

In the debate about antidepressant withdrawal, I present a middle ground, where the views of both sides are understood to have origins in wanting to help people.
3D illustration of an upside-down maze with business-people falling out of it into a white void

Critical Psychiatry Textbook, Chapter 16: Is There Any Future for Psychiatry? (Part Four)

On the failures of the publicly funded long-term studies and psychiatry’s fraudulent reporting of these results.

The American Journal of Psychiatry’s Answer to MIA: A Silence that Speaks Volumes

The American Journal of Psychiatry will not be retracting the fraudulent STAR*D study.
A girl looks sad, blurry through a rainy pane of glass, dark

The War on Suicide Is Making Things Worse

While allegedly intended to help, institutionalizing people against their will does more harm than good. Psychiatric coercion is dehumanizing.
Painting of Dostoevsky by Vasily Perov

Dostoevsky: A Psychologist We Can All Learn From

Psychology has greatly broadened its scope since Nietzsche’s day and yet his implied criticism is one the discipline is still wrestling with.
Stock photo of a white-coat male doctor holding a screwdriver to the head of a male patient as if to "fix" him.

Critical Psychiatry Textbook, Chapter 16: Is There Any Future for Psychiatry? (Part Three)

Psychiatry forcefully maintains its delusions, even when the most reliable science has shown that their beliefs are wrong.

Grant, Interrupted: An Introduction and Report Back from Oregon

We hope the Oregon Health Authority can overcome its critics and get back on track to doing what it set out to do: creating peer support respites led by grassroots groups.