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It used to be that the times when Santa Claus would show up were times when I was worrying about whether or not I had the right kind of medicine. I know when I see him that he is the medicine, and that he is showing me how to live.

Experiencing emotional pain is a necessary part of life. Emotional pain often contains valuable lessons to help us on our journeys. We need to make sure we are not numbing our hearts to those that are hurting. We need to de-stigmatize the struggles, joys and pains that come with being human. We need to not just mindlessly pursue happiness - though we might think of that as an inalienable right - and avoid pain. We need to do the only thing that brings true joy: embrace all of life and each other, as we experience together all that makes us human.

This week another study was published showing that SSRI antidepressant use during pregnancy is associated with increased rates of autism in the children.  By my count, this is now the tenth study on this topic and it follows on the heels of previous studies – all of which found links between SSRI antidepressant use in pregnancy and autism in the offspring.  Most of these studies were recently reviewed by Man, et al, who also concluded that SSRI antidepressant use during pregnancy is associated with autism in the children. So we now have numerous studies in different human populations all showing a link between SSRI use in pregnancy and autism in the children. Yet, much of the news and blogosphere focus on casting doubts about these findings. What is going on here?

In Part One of this article series, we reviewed the contemporary research into the links between psychosis, problematic family dynamics, and other forms of childhood trauma. After reviewing this research, we find that a very interesting and important question emerges: What do all of these have in common? In other words, is there some common denominator that all of these types of trauma and patterns of problematic family dynamics share, a single underlying factor that makes someone particularly vulnerable to experiencing a psychotic crisis? Indeed, I believe that there is.

This is a very important, well-written book which should become essential reading for anyone involved in the healing arts, since suffering is - or should be - at the heart of our endeavors. Suffering tells us what’s really important to us, and our approach to it tells us what we’re really made of.

I came up with a tie for my "Enough is Enough" series, so I will address two articles. “Researchers identify key biological markers for psychotic disorders,” in Medical Xpress. The whole enterprise is a house of cards built on the ‘belief’ in a group of medical brain diseases, for which we haven’t found the specific proof yet. 'We are on the verge,' psychiatry says, so the belief is close enough. And if you repeat a belief often enough, it is taken as true. This is what has happened. There is no real science behind it, and at some point in the process a mistaken belief transforms into a lie.

A little background for MIA readers on the recently published Huffington Post review about the documentary Healing Voices (see below), which I got published so as to help get the film gain publicity and screenings. I’ve been a Huffington Post blogger since 2007, but I’ve routinely had pieces that run counter to the psychiatry establishment censored. The current review was published within a few hours of my submitting it, and I can only speculate as to why. Perhaps it has to do with what department I submitted it to (which may have permitted it to avoid the Huffington Post medical review board); perhaps it was the references to the mainstream TED and the NIMH; or perhaps our movement is making so much progress that the Huffington Post is less reluctant to shut me up on pieces like this.

A former pharma executive has broken ranks with the industry in a new book by reporting how multiple psychiatrists, schools, and his desperate hopes pressed him to allow higher and higher doses of antipsychotic medications. The result: his 15-year-old son's death from Seroquel.

Several of us involved in RxISK.org monitor other groups setting up to offer information on medicines. Some of these, like eHealthMe, offer useful information. As ever, though, pharmaceutical companies are in there early. The Brintellix website is a masterclass in how to appear patient-centered, and patient-friendly. How to move with the times and make the new way of doing things yours.

In New Zealand, the government is passing legislation called the Natural Health and Supplementary Products Bill that will limit access to minerals and vitamins. While safety and efficacy are important, this Bill will ban for sale many NHPs that New Zealanders rely on for their health. In so doing, it will ban all of the formulas for which there is scientific evidence of benefit for mental health. We have some evidence that the result could be tragic.

There are very few things considered more taboo in the world of mental health than the suggestion that problematic family dynamics can lead to a child developing a psychotic disorder. And yet, when we look honestly at the history and research of psychosis and the broader concept of “mental illness,” it becomes apparent that there are few subjects in the mental health field that are more important. I’d like to invite you, then, to join me on a journey into this taboo territory, dividing our trip into three legs. In the first leg (Part One), we’ll go back in time to explore how such a crucial topic has become so vilified, and then embark upon a flight for an aerial view of some of the most essential findings of the last 60 plus years of research that look at the links between problematic family dynamics and psychosis.

Throughout California, the nation, and the world, peer specialists provide services to individuals with mental health challenges. In California, over 6,000 peer specialists are employed. In 2007, the Centers for Medicare & Medicaid Services guided states to create peer certifications. Since then, more than 30 states have created statewide peer certifications, and if Senator Leno’s Senate Bill 614 goes through, so will California

In our field, there is a significant “missing heritability” between rates of “schizophrenia” in monozygotic twins and the combined reduced influence of genetic variants identified in genome-wide association studies (GWAS). The 80% figure often given as a heritability factor is somewhat misleading for students in our field who do not know how the H2 statistic is derived and various ways of deriving it. Through extensive molecular biological research of the most recent studies on monozygotic twins I have derived a theory which will make a much stronger case for socioenvironmental influences on what was previously though of in classically genetic terms.

In our nation's history, in the face of fear, we have often risen to achieve noble goals. Other times we have behaved tragically — for instance, interning and seizing property from Japanese Americans during World War II. Certainly, there were spies among us then. Only in hindsight did we recognize that our treatment of the larger group — who were not — was gravely mistaken. We are on the verge of witnessing such an event in our own time.

As I write this, the New York Times is asking readers to respond to the question “What should be done to prevent mass shootings?” The more responses the New York Times receives from people who understand that the answer is gun control — not misguided legislation that would only harm those it purports to help — the more they will take notice. Please write!

The strongest evidence we have as to whether a drug causes a problem does not come from RCTs or any other controlled study but rather from good clinical accounts. Even if RCTs were done by angels, so there was no hiding, no miscoding, nothing untoward, RCTs can still hide adverse events. The onus is on large and powerful corporations who have a lot of resources to pinpoint the populations where the benefit is likely to exceed the risk, if they want to continue to make money out of vulnerable people.

Mad in America readers are familiar with the variety of negative effects caused by emphasizing biologically based treatments for psychological disorders. Yet, over the past five years, research has identified another negative consequence which, I think, is less well known: increased prognostic pessimism. Long story short: numerous studies have found that individuals who more strongly endorse biological etiologies of psychological disorders tend to have increased prognostic pessimism.

Although it is axiomatic in psychiatry that genetic factors are involved in bipolar disorder (manic-depression), and that they play a predominant role, there currently exists little if any scientifically acceptable evidence that bipolar disorder and other “affective disorders” are caused by disordered genes. Given almost 50 years of gene discovery claims that were not confirmed by replication attempts, we must assume by default that current gene finding claims are false-positive results as well. In the 1920s, pioneering psychiatric geneticist Ernst Rüdin decided against publishing his large family study of “manic-depressive insanity,” most likely because the results did not fit his theories of Mendelian inheritance, and failed to support his advocacy of eugenic policies.

In the wake of transitioning from relationship to true friendship with my Beloved, I am continually struggling with what to do with myself in light of heartbreak, hardship on socially moving forward — alone, as it were — and ways to keep Hope alive. Were I to ably move forward in silence and in privately held pain and suffering, weeping in heartache, hoping for relief and release, wouldn’t falling apart be easier without as much aforethought? Placing blame on my mental diversity, my moods, as it were…

In inpatient eating disorders care, we were required to step on the scale but were not allowed to know what we weighed. We were told it was “against recovery” to know our weight; that knowing it would surely cause a devastating relapse.

Sometimes as a journalist one thing leads to another and you suddenly find yourself going down a dark rabbit hole that you hadn’t planned to visit. That’s what happened to me recently when I was writing a piece about how the Veterans Administration’s mental health system and the military in general were failing women in need of care following sexual assault. Retaliation is rampant in the military against those who tell the truth about what happens to victims of abuse, with pseudo-psychiatric diagnoses like “Borderline Personality Disorder” often used to damage or end a victim’s career.

This is my 31^st article on MIA and the most personal. It's about being tender and loving with myself when I'm suffering, and how for me that means being merciful and defiant at the same time. For me to mercifully nurture myself and allow my need for comforting myself to be claimed, I have for long now, first needed to defy the perceptions of others that would say I don't deserve such loving mercy.

Scapegoating the “mentally ill” every time violence or chaos breaks out allows us to absolve society of any blame. It allows us to ignore the problems that give rise to anger, distress, and violence (i.e., poverty, rejection, discrimination, oppression, injustice, abuse, etc) and instead focus on the one thing that can never be proven or defined and yet so easily can be identified in another. It provides relief without any reflection on how our society and way of life, and the inevitability of death, may be contributing to the terror that overwhelms us.

Every year about this time I review my template file for new client notes. It has blank sections for name, presenting concern, history, plan, and a number of other categories. This year I found myself staring at it, considering whether a revision was in order. And the category that leapt out at me was “Diagnosis.” The truth is, I seldom use it any more.

Two facts about Robert Califf are beyond question. He is an expert on clinical trials, who is already seen as a leading architect of the future of medical research. And as the New York Times put it, he has “deeper ties to the pharmaceutical industry than any FDA commissioner in recent memory”. A lot of senior figures in medicine support Califf in spite of his ties to Pharma. The guy is just so bright, and understands the nuts and bolts of drug research so well! Surely a person like this is more useful than some outsider who offers only a squeaky-clean resume, they argue.