Daughter of a Psychiatrist

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Here I was, 15 years old and already in a long-term treatment facility. I was, on paper: crazy! This entire time, all the adults in my life had been speaking for me. I never felt like I was any of the things they said, but I went along with it. What else could I have done? Every time I rebelled, it only confirmed to my mother what she thought of me.

“Generation Meds: the US Children Who Grow Up on Prescription Drugs”

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“In America, medication is becoming almost as much a staple of childhood as Disney and McDonald’s,” writes Sarah Boseley in the Guardian. In this piece photographer Baptiste Lignel follows six boys and girls to examine the long-term effects of these drugs.
childhood bipolar

Childhood Bipolar Disorder, Deconstructed

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Diagnosing children with juvenile or pediatric bipolar disorder is largely an American phenomenon. Do we actually have more “bipolar” children in the United States—or are we simply labeling more of them as such? If it is ever fair to call a child “manic,” isn’t the child’s environment the direction in which we should look?

Off-Label Antipsychotic Use Among Children Soaring

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Researchers from Philadelphia and Baltimore find, in a study of Medicaid records for 50 states and the District of Columbia, that antipsychotic prescribing to...

Childhood Adversity Influences Levels of Distress in Voice Hearers

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Research finds that hearing negative voices explains how childhood adversity is related to distress.

Childhood Bipolar Disorder More Rare Than Previously Claimed, Study Finds

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Re-examination of meta-analytic claims finds the prevalence of pediatric bipolar disorder is close to zero.

Familial Factors Affect Depression, BD, OCD, PD, and Phobias

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A study of 566 families with 1416 bipolar-disordered members, and 675 families with 1726 depressed members by researchers from Johns Hopkins and the University...

Sexual Side Effects of Medications in Young People

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The effects of antidepressants and mood stabilizers on young people's psychosexual development receive little attention or research, says Kaitlin Bell Barnett (author of "Dosed:...

Making the Case Against Antidepressants in Parliament

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On Wednesday, May 11, there will be an inquiry by a work group in the U.K.’s Parliament into whether increases in the prescribing of antidepressants are fueling a marked increase in disability due to anxiety and depression in the U.K. I wrote about a similar rise in disability in the United States in Anatomy of an Epidemic, and the All Party Group for Prescribed Drug Dependence, which is the Parliamentary group that organized the debate, asked me to present the case against antidepressants.

Does DSM-5 Matter? Yes; but not for Psychiatrists

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What makes the DSM so pernicious is that it is a cultural document whose influence transcends not only psychiatric practice but also the Western civilization from which it originates. Each revision of the DSM rescripts and reimagines how we make sense of our experiences, reinterprets what thoughts, feelings and behaviors are socially sanctioned, and ultimately what it means to be human.

Bright Light Therapy More Effective Than Medication Alone for Bipolar Depression

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A new randomized, double-blind, placebo-controlled trial has found bright light therapy to be a powerful intervention that could provide an alternative to medication for people with “bipolar depression.”

Disease Theory of ‘Mental Illness’ Tied To Pessimism About Recovery

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Researchers recently completed a first of its kind, large-scale international survey of attitudes about mental health and they were surprised by the results. According to their analysis published in this month’s issue of the Journal of Affective Disorders, people in developed countries, like the United States, are more likely to assume that ‘mental illnesses’ are similar to physical illnesses and biological or genetic in origin, but they are also much less likely to think that individuals can overcome these challenges and recover

Pressuring Parents to Drug Children

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Jim Gottstein on Pressuring Parents to Drug Children

Prozac Preschool

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From Pacific Standard: Young children are increasingly being prescribed psychiatric drugs. However, there is very little research on the safety and efficacy of psychotropic drugs...

Study Explores Sexual and Intimate Partner Violence in College Women with Disabilities

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A new study explores sexual violence and intimate partner violence in college women with mental health related disabilities.

Minimal Evidence for Disruptive Mood Dysregulation Disorder in Childhood

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Researchers offer a critical take on the inclusion of the Disruptive Mood Dysregulation Disorder in the DSM-V.

Hypotheses, Scientific Evidence, and On Being Compared to an AIDS Denier

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In today’s Boston Globe (April 14), Dr. Dennis Rosen, a pediatric lung and sleep specialist at Children’s Hospital in Boston, reviews my new book,...

Trauma and Misdiagnosis in Childhood Bipolar Disorder

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Psychology Today offers a psychoanalytic perspective on childhood bipolar disorder that finds trauma at the root, a view that sees Beyond Meds as extending beyond the diagnoses...

“ADHD, Bipolar Disorder and the DSM: A Need for Uncertainty?”

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Claudia M. Gold, a psychiatrist who writes for the Boston Globe, takes on The New Republic's article ADHD Does Not Exist, which, she says,...

Hospital Stays for Juvenile Bipolar Jumped 434% from 1997 to 2010

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A report from the Healthcare Cost and Utilization Project finds that hospital stays for a diagnosis of bipolar disorder in children aged 5-9 increased...
healthy mania

In Defense of Healthy Mania

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It is important to distinguish, and not simply pathologize, experiences that are manic-like because they are time-honored states of mind associated with aspiration, ambition, and goal-achievement. The need to generate boundless energy, overtalk the issues to sustain single-minded focus and motivation, and have a somewhat grandiose vision of what can be accomplished, combined, can eventuate in a manic mix of tendencies necessary to bring higher-order goals to fruition.

Book Review: “Overmedicated and Undertreated”

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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.

Different Forms of Childhood Adversity Related to Specific Psychosis Symptoms

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In this month’s issue of Psychological Medicine, researchers from King’s College London found evidence for associations between different types of childhood adversity and specific symptoms associated with psychosis. As current categorical approaches to psychosis and schizophrenia diagnoses come under increasing scrutiny, this study adds support to sociological and psychological theories and treatments.

Will Psychiatry’s Harmful Treatment of Our Children Bring About Its Eventual Demise?

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The safety of our children is a sacred obligation we strive to preserve. Anything or anyone that harms them becomes the object of our...