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The authors of Study 329 began recruiting adolescents for a comparative study of Paxil, imipramine and placebo in 1994 and finished their investigations in 1997. They dropped a large number of their original cohort, so the randomness element in the study must be open to question. Late in 1998, SmithKline Beecham, the marketers of Paxil, acknowledged in an internal document that the study had shown that Paxil didn’t work for adolescents in terms of the two primary and six secondary outcomes they had established at the start of the study. In a nutshell, Study 329 was negative for efficacy and positive for harm, contrary to their succinct upbeat conclusion.

In 1980, the British Medical Journal published a “Systematic Review of the Benzodiazepines” by the Committee on the Review of Medicines. The committee denied the addictive potential of Benzodiazepines and limited their suggestions to short term use. The results have been devastating.

Years ago, a psychiatrist by the name of Theodore Lidz published a book entitled Schizophrenia and the Family.  Unlike many others of his time, he believed that schizophrenic symptoms were not necessarily the result of an underlying disease, but could be caused by dysfunctional parental behavior.  He noted that significant conflict and high levels of tension were not necessarily the cause of symptoms; in certain families, a pattern of “skewed” communication existed in which odd, often unhealthy patterns of interaction and behaviors were allowed and even supported by one spouse, which resulted in a confusing, distorted environment for the children.

I imagine that everybody on this side of the issue knows by now that the eminent psychiatrist Jeffrey Lieberman, MD, Chief Psychiatrist at Columbia, and past President of the APA, called Robert Whitaker "a menace to society." The grounds for Dr. Lieberman's vituperation were that Robert had dared to challenge some of psychiatry's most sacred tenets! But in all the furor, it was largely ignored that in the same interview Dr. Lieberman had said something else that warrants additional discussion.

Probiotics have certainly become quite the rage across the world for the treatment of all kinds of ailments from irritable bowel syndrome (IBS) to infectious diarrhoea to stress to low mood. Some might say that the enthusiasm has been rather slow to develop. Recently, the popular press has propagated the idea that probiotics are the next antidepressants.

Since the mid-1990s antipsychotic medications have been increasingly prescribed for children, adolescents, and adults. The most recent report finds an increase in use for older children from 2006 to 2008. Most of the prescriptions of antipsychotics for children reported by the study were for conditions which had not been approved by the FDA (called off-label use).

If someone were to ask the surviving authors of Study 329 the question: “Knowing what you know now, if you had to do it over, would you agree to participate in that study again?”, many would probably say no. Study 329’s problems started to surface right after it was published. Several doctors wrote letters to the JAACAP Editor with probing questions, mostly centred on the psychiatric side effects of paroxetine, and the measures used to claim its efficacy in treating adolescents. The authors responded and the questioners did not pursue their concerns further. Except one. Next week, fourteen years and two months after it was published, it is about to take yet another hit, when the Restored version is published.

In 2000, behavioral geneticist Eric Turkheimer proposed "Three Laws of Behavior Genetics" based on what he saw as the “nearly unanimous results” of behavioral genetic studies of families, twins, and adoptees. However, critics have argued for decades that most behavioral genetic assumptions, models, concepts, “laws,” and “discoveries” do not hold up under critical examination. In 2015, a group of behavioral geneticists proposed an additional “Fourth Law of Behavior Genetics,” which states that behavioral characteristics are associated with many genes of small effect. Here I propose a “Fifth Law” of behavior genetics—actually, the only “law” one needs to know in order to properly understand this field.

“Mental health” — a misnomer? If you don’t subscribe to the notion of “mental illness,” why “mental health”? Why not the straightforward acceptance that individuals will act in a manner peculiar to each? In short, why not an existential or phenomenological understanding of human behavior as rooted in an individual’s idiosyncrasies and life experiences rather than in her/his brain chemistry?

A shock wave hit American psychology this past July when news surfaced in the New York Times that the American Psychological Association (APA) “engaged in activity that would constitute collusion with the Bush administration to promote, support or facilitate the use of "enhanced" interrogation techniques by the United States in the war on terror.” The APA quickly responded. At its annual convention held in Toronto the next month, the APA Council of Representatives did the right thing and voted to bar psychologists from participating in national security interrogations. There were lots of mea culpas, praise for the whistleblowers, and vows of future transparency and “never again.”

If you looked at photos of Luke Montagu in the grounds of Mapperton, his stunning ancestral manor, you might well envy his lot. Look closer and you’ll sense that his story has not always been one of wine and roses, for the next Lord Sandwich has spent most of the last seven years in hell, thanks to the interventions of drug-obsessed psychiatrists. Yet, though his experience was heartbreaking, often terrifying, it is now becoming a story full of hope and resilience, of grace and grit, for he has co-founded the Council for Evidence-based Psychiatry as his contribution to the information war on the false or misleading claims made about the benefits of psychotropic drugs.

Most of the movies I've seen which feature psychiatrists portray them as concerned, empathetic listeners, working diligently to help clients disentangle or resolve some life crisis: a portrayal, incidentally, which is in marked contrast to the reality of the 15-minute, drug-pushing med-check. No amount of mental gymnastics or PR can address psychiatry's fundamental flaws.

In contemporary U.S. culture, people who intentionally hurt their bodies are called “insane.” We may starve ourselves or carve ourselves, taking to the extreme culturally-embedded norms like thinness in an effort to fight against marginalization or cope with internalized shame. But instead of obtaining the voice or place in society we yearn for, we are further ostracized.

The suggestion embedded in this article’s title seems counter-intuitive. How could the tide be turning on psychiatry when the institution has never been so strong? And indeed indicators of its growing strength and tenacity are all around us. The exporting of its model to the global south via the World Bank, the emergence of outpatient committal, the explosion of funding for psychiatric research. Daily are there calls for most aggressive “detection” and “treatment.” And the mainstream press has never been more closed to truly foundational critiques. That acknowledged, let me suggest that such intensification is common when an old system is in the early days of crumbling.

In the last couple of weeks, I've read two articles in which the National Alliance on Mental Illness (NAMI) is described as being the “largest organization representing people living with serious mental illness.” Putting aside (for the moment) my issues with the use of blanket ‘mental illness’ terminology; since exactly when did they become a group that represents people who have been so labeled in any genuine sort of way? Until our voices are seen as having equal value and are given equal space, those that do not understand and lack insight into our experiences (whether they possess good intent or not) will continue to be the ones to define our past, present and future in the public eye.

In addition to hosting the Panorama programs and The Famous Grouse history of Study 329, Study329.org has a comprehensive timeline on the origins of concerns about the SSRIs and the risk of suicide, initially with Prozac and subsequently with Paxil/Seroxat. The hope is to provide a comprehensive repository for anyone who wants to study SSRIs, RCTs, and Study 329 in particular.

There was a lot said, shouted, chanted and sung about the rights of individuals (such as myself) who have mental health conditions at the March for Mental Health Dignity on the National Mall on August 24. The march—which was sponsored and supported by a list of advocacy organizations as long as your arm—had two basic demands: changes in policies that obstruct recovery from mental health conditions, and changes in society’s treatment of individuals who have such conditions.

I think we need to posit a meta-autonomy and meta-equality as being principles of natural law. To say "meta" here means that we do not have to adhere to traditional western constructions of the self and state - both legal fictions - but to go beyond them to what we actually value without thinking that everyone has to be the same as white non-disabled heterosexual males in order for our perspectives, our choices, our contributions and our claims and criticisms to be valid and for us to have standing in the social order.

What better way to keep people who have been dehumanized due to repeated traumatic experiences, and marginalized and stigmatized due their emotional distress, quiet and invisible than to do it legally and medically? Is there no better place to hide people who, when visible, are proof of social and psychiatric failure than in locked institutions? I have worked with many such individuals in the LA County Jail, and the locked inpatient wards, and in each case the institution’s process — although in compliance with legal and medical protocols — seemed to conspire to keep the individual powerless, medicated, isolated and confused.

My prior MIA blog posts have largely addressed the problems that can occur when people try to stop taking serotonin-related antidepressants, particularly  after taking them for a long period of time. I wanted to share a few updated thoughts that I have on the problem.

What is used to justify psychiatry today, if it is science at all, is bad science. Both the pharmaceutical industry and many of today’s psychological theories including those that support CBT employ the hoax of evidence-based psychiatry. We need to blow their cover.

In this truly remarkable — and meticulously researched — volume, Dr. Lynch annihilates psychiatry's cherished chemical imbalance theory of depression. Every facet of this theory, which the author correctly calls a delusion, is critically analyzed and found wanting. Please read Depression Delusion, keep it close to hand for reference, and encourage others to read it also. Ask your library to buy a copy. The spurious chemical imbalance theory is now so widely accepted that it will take enormous efforts to dislodge it. In any debate on this matter, Dr. Lynch's book will, quite literally, put the facts at your fingertips.

Study 329 is probably the most famous clinical trial ever. It is one of the few to attract a Fraud action and is certainly the only one with a $3 Billion fine linked to it. The study began recruiting adolescents to Paxil, imipramine or placebo in 1994 and finished up in 1998. Later in 1998, SmithKline Beecham, the marketers of Paxil (they hadn’t discovered it), acknowledged in an internal document that the study had shown that Paxil didn’t work for Children. This lack of benefit was something they were not inclined to share with the outside world. Instead they decided then they would pick the good bits out of the study and publish these.

Marijuana is now legal in two states, and legal for medical use in 23 states and the District of Columbia. Polls show the majority of Americans support cannabis legalization, and more and more of the country is joining the legalization trend. As a counselor working with people diagnosed with psychosis and mental illness I am often asked about my opinion and clinical experience — as well as my personal experience — with medical cannabis.

What would happen if the mental health system fully recognized the pervasive and profound impacts of trauma on their clients? How might a deeper appreciation of the multi-faceted sequelae of childhood maltreatment and toxic stressors reshape mental health services? While the implementation of trauma-informed care in mental health programs has made significant inroads, the dominant bio-reductionist model continues to constrain and undermine progress.