Guiding Voices, Trauma-Induced Voices

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I have facilitated support groups and worked one-on-one with those who hear voices for nearly 10 years.. The insights I've come to from my own experience have often facilitated understanding for others. Here is what I have learned from my experience of hearing voices.

Changing Minds About Voices: Action Over Words

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Sometimes the best way to make real change is just to do the work. Sometimes the talk is the work and it can be hard to separate out the two. However, in a growing number of instances, it’s hard to miss the futility of the talking and how tied up we can get in our own virtual war of words. Stepping away can be liberating. Sometimes, while everyone else is wrapped up in the talking, you can get an awful lot done.

Understanding Madness as Revolution, Then Working Toward Peace

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While some will frame Eleanor Longden’s story, told in her awesome TED video (which has now been viewed about 1/2 million times!), as the triumph of an individual struggling against “mental illness,” I believe the story might better be seen as a refutation of the whole “illness of the mind” metaphor, and as an indication of a desperate need for a new paradigm.

Michael Wilusz: Coming of Age on Psych Drugs

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Michael Wilusz discusses his experience struggling with emotional distress, the ensuing regimen of psychiatric drug treatment, and his process tapering off of the drugs.

Is a Little Stigma Better Than None?

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An anti-anti-stigma campaign The whole anti-stigma campaign is something of a joke. Google the word “stigma,” see for yourself. Mental health labels are inherently stigmatizing,...

Is Depression Unhappiness?

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We have good reason to despair, to feel anguish, and pain. We have a planet that we are poisoning. We have people populating the planet who like to harm one another. We have families who, in their own pain and trauma, pass on that pain and trauma to their children. We face tragedies of all kinds just by being alive. Being human is DIFFICULT. It’s also the most amazing adventure and it can be very very painful to wake up to just how amazing and outrageous this life we’ve been given is. It’s no small task for any of us.

Challenges and Visions for the “Mental Heatlh” System

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I envision a world where there is no need for a mental health field/system because communities are strong and we have a holistic understanding...

On “Schizophrenia”

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The first time I heard someone labeled schizophrenic I was about 10 years old. A man was talking to himself and appeared to be house-less and perhaps on drugs. My mom, a very good teacher and explainer of things to me, said, “That man is schizophrenic. That means he can't tell the difference between what's inside of himself and what's outside.” In retrospect this seems like a relatively sophisticated and sensitive explanation; Falling in love, hearing music that enters our heart, having children/giving birth, connecting powerfully with another person in a meeting of the minds, feeling empathy, deeply caring about something, experiencing oneness with nature, are all examples of times when the line between inner and outer reality is blurred.

Why the Rise of Mental Illness? Pathologizing Normal, Adverse Drug Effects, and a Peculiar...

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In just two decades, pointing out the pseudoscience of the DSM has gone from being an “extremist slur of radical anti-psychiatrists” to a mainstream proposition from the former chairs of both the DSM-3 and DSM-4 taskforces and the director of NIMH. In addition to the pathologizing of normal behaviors, another explanation for the epidemic — the adverse effects of psychiatric medications — is also evolving from radical to mainstream, thanks primarily to the efforts of Robert Whitaker and his book Anatomy of an Epidemic. While diagnostic expansionism and Big Pharma certainly deserve a large share of the blame for this epidemic, there is another reason.

Harm Reduction & the Elephant in the Room: End DSM Dependency

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If you’ve been paying attention the last two years, you’ve seen the new DSM-5, as well as its predecessors, taking a beating from a variety of critics pre- and post-publication. Most have begun by noting the lack of construct validity of DSM’s diagnoses, dating from the landmark DSM-IIIR in 1987. Given the absence of scientific evidence to support their existence, these diagnoses were less likely to represent the neurobiological phenomena claimed by the DSMs’ several authors than to be products of their collective imaginations.

Many Ears Make Light Listening

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When we share our stories publicly, whether in speaking, writing, or another art form, we acknowledge we are part of something bigger. We are aware we aren't the only ones who have been abused or witnessed abuse, or who are scared to let go of our ancestral shame and fear. We are, rather, part of an entire generation, an entire society that is moving away from silence, blame and abuse. In sharing our stories, we instantly recover from a big hunk of loneliness, loneliness that might not be so easily resolved sitting in a room across from a professional, with a few non-offensive art pieces on the walls. We acknowledge that every single one of us who experiences physical or emotional symptoms is holding onto things for others, in our bodies, and together, word by word, we can break free.

Harrow + Wunderink + Open Dialogue = An Evidence-based Mandate for A New Standard...

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In the wake of the new study by Dutch researcher Lex Wunderink, it is time for psychiatry to do the right thing and acknowledge that, if it wants to do best by its patients, it must change its protocols for using antipsychotics. The current standard of care, which—in practice—involves continual use of antipsychotics for all patients diagnosed with a psychotic disorder, clearly reduces the opportunity for long-term functional recovery.

CBT More Cost-Effective Than SSRI for Panic Disorder

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A two-year study of 150 panic-disorder patients found that the societal cost of cognitive-behavioral was less than that of CBT plus SSRI or SSRI...

A Paradox Revealed – Again

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In this blog, I discuss three RCTs that support Martin Harrow's findings in his naturalistic study that long term use of neuroleptics is associated with worse functional outcomes.

The Chemical Imbalance, Genetics & Biology of Bipolar Disorder: Myths of Psychiatry

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This video from Bipolarwakingup.com explores why what most people think about the relationship between genetics, chemical imbalance theory and bipolar disorder is pure myth.

Antipsychotics and Drug Addiction

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Dopamine supersensitivity as a result of sustained antipsychotic treatment can lead to compulsive drug seeking and drug-taking behavior, according to the theory offered by...

Tapering Off Medications When “Symptoms Have Remitted”: Does That Make Sense?

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While a 2-year outcome study by Wunderink, et al. has been cited as evidence that guided discontinuation of antipsychotics for people whose psychosis has remitted results in twice as much “relapse,” a not-yet-published followup of that study, extending it to 7 years using a naturalistic followup, finds that the guided discontinuation group had twice the recovery rates, and no greater overall relapse rate (with a trend toward the medication group having more relapse.)

Avatar Therapy: A New Battle for the Tree of Life

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In the film Avatar, scientists are keen to exploit the moon planet Pandora which is inhabited by 10-foot-tall blue humanoids called Na'vi.  To do so they create Na'vi human hybrids called “Avatars” which are controlled from afar by genetically matched humans. When the scientists decide to destroy the eco-system of the planet to gain access to valuable minerals, war breaks out between the humans and the Na'vi. At this point the main character, Jake, who operates an Avatar, has to choose whose side he is on.  Eventually Jake's life is saved and transformed by the Tree of Souls, which the humans are trying to destroy. Why are Avatars in the news again? The latest innovation from psychiatric research is using computer-generated avatars to help people who hear aggressive voices.

Abilify Can Worsen Psychosis & Aggression

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In a systematic literature review, researchers from Canada and Japan found that the antipsychotic aripiprazole (Abilify) was significantly and causally related to increased increased...

Madness and Play: Exploring the Boundary

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When children do things like recoil in fear from monsters and ghosts in their darkened bedroom at night, it’s easy to see the “out of touch with reality” aspect of their experience as being closely related to the faculty that gives them their ability to play – their imagination. We help children through such challenging experiences by being with them, and by playing together, doing things like creating scary images together and then figuring out how to cope with them or laugh at them. In the process we help them explore how to create a world view that works to at least some extent and has room for joy and originality - when their imagination helps them (and maybe others) see the world in new ways.

Starvation: What Does it Do to the Brain?

The Minnesota Starvation Experiment was conducted at the University of Minnesota during the Second World War. Prolonged semi-starvation produced significant increases in depression, hysteria and hypochondriasis, and most participants experienced periods of severe emotional distress and depression and grew increasingly irritable. It really should not be a surprise to this audience that the brain’s functioning is highly compromised when the body is being starved of food (and nutrients). What we wonder is whether eating a diet of primarily highly processed foods low in nutrients has similar effects.

Matt Samet: Climbing Out of Benzo Madness

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Rock climber, author, and MIA Blogger Matt Samet discusses his experience becoming addicted to, and subsequently coming off of, benzodiazepines.

Little Victories on Breezy

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In my most recent blog post, “The Unmedicated Life”, I attempted to answer a question I’m frequently asked by other survivors — “How did you get better from psychiatric medication damage/withdrawal?” But there is also a part two to the question that I didn’t address, which is, “How did you know when you were better?”

My APA protest speech: “Keeping the Channel Open”

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If you haven't been labeled mentally ill by the American Psychiatric Association, you have to ask yourself what's wrong. Perhaps you were ahead of the game: you knew not to reveal yourself to them, you knew how to avoid them, you found other social support, and if so, a big congratulations. If not, what's wrong? Why have you conformed?

Obesity in Men Diagnosed With ADHD as Children

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A 33-year controlled, prospective study conducted as a collaboration by researchers in New York, Mexico, and Verona, Italy found that men diagnosed with ADHD...