Tuesday, October 22, 2019

NICE Guideline Update Acknowledges Severe Antidepressant Withdrawal

A new update to the NICE guideline for depression suggests providers discuss long-term, severe antidepressant withdrawal symptoms.
babydoll quadruplets

Hereditary Madness? The Genain Sisters’ Tragic Story

The story of the Genain quadruplets has long been cited as evidence proving something about the supposed hereditary nature of schizophrenia. But who wouldn’t fall apart after surviving a childhood like theirs? The doctors attributed their problems to menstrual difficulties or excessive masturbation — anything except abuse.

Smartphones, Loneliness, and Depression in Teens

New study finds that smartphone use may precede experiences of loneliness and depressive symptoms among older teens according to longitudinal analysis.

Reforming Schools to Prevent Mental Health Issues

New research explores the use of broad-based school-integrated resiliency and mindfulness interventions to prevent mental health concerns before they occur.

Discrimination Leads to Mental Distress for Gender Diverse People

Researchers seek to identify adaptive coping responses to discrimination for the transgender and gender diverse community.
trapped in mental health services

Mental Health Services Turned My Daughter’s Crisis into a Way of Life

My world turned upside down when my daughter nearly died from a serious suicide attempt. After several years as her caretaker I began to wonder: What can we do to change the way our mental health services are organized so they won't turn a crisis into a way of life for already distressed and vulnerable people?
ritalin use in france

Countervailing Forces Against Ritalin Use in France

A new study in the journal Social Science and Medicine explores why French children take stimulants far less than children in the United States. The study looks at how particular forces in society, in concert with government agencies, became an effective check on stimulant marketing for kids in France.

Clinical Trials Show Antidepressants “Not Beneficial in the Long Term”

Clinical trials also consistently fail to measure and report long-term harmful effects.

Clinical Guidelines for Depression Need Urgent Revision

A coalition of 35 health organizations expressed serious concerns that the NICE guideline for adult depression may cause clinical harm—they demand “full and proper” revisions.

Researchers: “Antidepressants Should Not be Used for Adults with Major Depressive Disorder”

A new review, published in BMJ Evidence-Based Medicine, concludes that antidepressants should not be used as the risks outweigh evidence for benefits.

Time’s Up: Culture of Denial Impacts Mental Health of Sexual Abuse Survivors

Study finds that not believing sexual abuse survivors often leads to self-blame and mental health issues.

Decontextualized Depression and PTSD Diagnoses Fail Indigenous Communities

A case analysis of an American Indian woman illustrates how the DSM diagnostic criteria misrepresent the lives of indigenous people.

How Social Dynamics at School Impact Teen Suicide

Teen suicide risk is influenced by relationships with adults and teachers, perceived popularity, close friendships, and school connectedness.

Zoloft Does Not Improve Depression, Even in Severe Cases, Study Finds

Despite their finding, the researchers suggest that SSRIs be given to people who do not meet criteria for depression or anxiety.

Economic Deprivation and Social Fragmentation Drive Suicide Rates in US

Major study finds that economic deprivation and a lack of social capital are driving increasing rates of suicide in the U.S.

How to Involve Youth in Their Own Mental Health Care

Clinicians play a key role in empowering adolescents and their parents to make decisions about their mental health treatment.

Antidepressant Use Associated With More Violent Suicide Attempts

A new study found that taking an antidepressant medication was associated with a heightened risk of suicide using violent means.

Antidepressant Use Does Not Prevent Suicide, Study Finds

A new study has found that antidepressants are ineffective for reducing suicide attempts. Researchers report that the risk of suicide is particularly high in the first month after starting an antidepressant.

Therapy Gets More Effective Over Time While Antidepressants Decrease in Effectiveness

New review of long-term depression data finds psychotherapy more effective over time whereas antidepressants decrease in effectiveness.

Psychiatrist Describes Role in Open Dialogue Model of Care

Psychiatrist outlines varying roles in Open Dialogue model, fostering service-user and family agency through meaningful conversations with a team of providers.

William James’s Letter to His Depressed Daughter

If you discover that your child has been experiencing a bout with depression, what wise words might you share? Brilliant psychologist William James was forced to address this issue himself when his 13-year-old daughter, Peg, began to struggle with melancholy. I present his long, thoughtful reply for your consideration.

Recovery Is Resiliency

Recovery is not a bridge we cross and never return to. Rather, it is more like crossing a stream we ford by side-stepping on different stones. Not all of the stones are as sturdy as some of the others. Yes, we slip at times, only to regain our footing and forge ahead.
surveillance psychiatry

Brave New Apps: The Arrival of Surveillance Psychiatry

Large, centralized, digital social networks and data-gathering platforms have come to dominate our economy and our culture. In the domain of mental health, huge pools of data are being used to train algorithms to identify signs of mental illness. I call this practice surveillance psychiatry.
hospitalization hospital

Prepared, Yet Unprepared: My Involuntary Hospitalization Adventure

Overall I learned a great deal during my hospital adventure. The whole experience seemed like a comedy of errors. For me the only people there who were truly out of touch with reality were staff members. All of the patients were very present, albeit in some distress. The reasons for their distress were not unreasonable.
schizophrenia 1960s hospital

Against the Odds: ‘Unimproved Schizophrenic’ to Yale PhD

Forty years after I had first been admitted to the hospital, I was ready to confront my past. So, I sent for my hospital records, and I read them. As an experienced clinician, I recognized immediately what the doctors hadn’t been able to see in 1960: my problem wasn’t ‘schizophrenia’ but PTSD, connected with incest.

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