“Why is Depression Incidence Increasing?”

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-Was life better in the past, or is there some other reason depression is increasing?

What Caused the American Child Bipolar Epidemic?

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-Psychiatrists analyze why US bipolar diagnoses in children and adolescents increased 40 times over in less than 10 years.

Three Psychiatrists Attempt to Distinguish Grief, Complicated Grief and Depression

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In Medscape, three psychiatrists discuss the new definitions in the Diagnostic and Statistical Manual of Mental Disorders for grief, complicated grief, depression and major depression, and try to explain how to reliably distinguish between them all.

Interview with Gary Greenberg: The DSM is the Key to the Health Care Treasury

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BrainBlogger has an interview with Gary Greenberg, psychotherapist and author of The Book of Woe: The DSM and the Unmaking of Psychiatry. "The (Diagnostic...

The Lancet Psychiatry “Diagnosis Debate” Continues

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The Lancet Psychiatry's December issue includes two letters commenting on Mary Boyle and Lucy Johnstone's article, "Alternatives to psychiatric diagnosis," along with a new...

NIMH Webinar Explains New Way of Categorizing Mental Disorders

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The US National Institute of Mental Health is providing public access to a video of a webinar explaining the Research Domain Criteria initiative and...

Alternatives to Psychiatric Diagnosis?

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Is there an alternative to the current, dominant way of making psychiatric diagnoses? If so, what would it look like? On his Critical Psychiatry...

How Reliable is the DSM-5?

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More than a year on from the release of DSM-5, a Medscape survey found that just under half of clinicians had switched to using the new manual. Most non-users cited practical reasons, typically explaining that the health care system where they work has not yet changed over to the DSM-5. Many, however, said that they had concerns about the reliability of the DSM, which at least partially accounted for their non-use. Throughout the controversies that surrounded the development and launch of the DSM-5 reliability has been a contested issue: the APA has insisted that the DSM-5 is very reliable, others have expressed doubts. Here I reconsider the issues: What is reliability? Does it matter? What did the DSM-5 field trials show?

How About a Diagnostic Alternative for Use in Talk Therapy?

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Note: This post originally appeared on August 18, 2014 on dxsummit.org. On August 5 and 6, 2014, a group of roughly twenty persons met in Washington, DC...

Greenberg on DSM: “There are many… who wonder about the sanity…”

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"There are many practitioners, including psychiatrists, who wonder about the sanity and the soundness of the enterprise in general," Gary Greenberg tells the Australian...

The Proliferation and Elimination of Mental Illness: Clinging to the Slopes of Everest

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A month ago, I published a critique of specific terminology of DSM-5.  Like countless others, I have serious concerns about the overpathologizing of normal behaviors that appears to be occurring over the past few decades.  The potential consequences of this trend have been widely articulated in many circles, and have raised a serious question, “What is normal?” But while this has been occurring in both psychiatric and lay arenas, another movement has been gaining significant support.  It is the idea that mental illness (or disease) is a fabrication, and as Sera Davidow quoted E. Fuller Torrey in her recent moving article, “Mental illness does not exist, and neither does mental health.”

Final Lecture

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On May 16, 2014, I retired from a 35-year career as a professor of clinical psychology at Miami University. As a part of my retirement celebration, I gave a Final Lecture to my Department. These Final Lectures give retiring faculty members the opportunity to talk about anything they think is important for their colleagues and the attending students to hear. I focused on the changes I have witnessed in the profession of clinical psychology over my career; changes that were not for the better.

Rethinking Diagnosis

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Imagine that you got upset. Is it very remarkable that I can “diagnose” that you are upset? After all, you are clearly upset. What expert thing did I accomplish by agreeing with you that you were upset? Or imagine that you are angry. Is it very remarkable that I can “diagnose” that you are angry? After all, you are clearly angry. Have I added anything meaningful by saying “I diagnose that you are angry” instead of “You seem angry”? “You look upset” is the simple, truthful thing to say and “I diagnose that you look upset” is a piece of self-serving chicanery.

Psychiatry: We Need a Truth and Reconciliation Commission in Mental Health

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My name is Leah Harris and I'm a survivor. I am a survivor of psychiatric abuse and trauma. My parents died largely as a result of terrible psychiatric practice. Psychiatric practice that took them when they were young adults and struggling with experiences they didn’t understand. Experiences that were labeled as schizophrenia. Bipolar disorder. My parents were turned from people into permanent patients. They suffered the indignities of forced treatment. Seclusion and restraint. Forced electroshock. Involuntary outpatient commitment. And a shocking amount of disabling heavy-duty psychiatric drugs. And they died young, from a combination of the toxic effects of overmedication, and broken spirits.

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...

The Great “Crazy” Cover-up: Harm Results from Rewriting the History of DSM

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I have been immersed in the field of psychiatric diagnosis – and resistance to it – for more than a quarter of a century. In the late 1980s, I was a consultant to two committees appointed by DSM-IV Task Force head Allen Frances to decide what DSM-IV should contain. I resigned from those committees after two years because I was appalled by the way I saw that good scientific research was often being ignored, distorted, or lied about and the way that junk science was being used as though it were of high quality . . . if that suited the aims of those in charge.

Disclosure Does Not Prevent Bias

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A study from Lisa Cosgrove at Harvard's Safra Center for Ethics of potential conflicts of interest among DSM-5 committee members, investigators of new DSM-5 diagnoses,...

Japan Leads the Way Away From “Schizophrenia” as a Concept

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Schizophrenia Bulletin follows the movement change to the name and concept of "Schizophrenia", revealing that Japan has taken the lead.  Japan, to remove the...

DSM-5 Boycott Enters 2nd Phase: A Primer for the NO-DSM Diagnosis Campaign

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Yes, the boycott of the DSM-5 continues. I can’t tell you how many fewer DSMs have so far been purchased as a result of the boycott; and conversations I have had with professionals in New York’s public mental health system lead me to believe that the great majority continue to accept the validity of the biomedical model and the centrality of psychoactive medications in the treatment of persons caught up in the public system. Perhaps that’s the most important argument in support of the boycott’s continuation – we have so many more folks to reach.

“Psychosis Risk Syndrome is Back to Haunt Us”

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Allen Frances adds to his catalog of DSM-5 mistakes with the return of the controversial - and ultimately rejected - "Psychosis Risk Disorder", under...

Lowered ADHD Threshold “More Harm Than Good” (BMJ)

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Analysis in the British Medical Journal concludes that the lowered thresholds for Attention Deficit Hyperactivity Disorder diagnosis in DSM-5 will mean "that many children...

How to Escape Psychiatry as a Teen: Interview with a Survivor

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When I lived in Massachusetts I taught yoga and led writing groups for alternative mental health communities. While the organizations I worked for were alternative, many of the students and participants were heavily drugged with psychiatric pharmaceuticals. There was one skinny teenager I'd never have forgotten who listed the drugs he was on for me once in the yoga room after class: a long list of stimulants, neuroleptics, moods stabilizers; far too many drugs and classes of drugs to remember. I was at the housewarming party of an old friend, and who should walk in but that boy who used to come to my yoga classes and writing groups religiously. And he was no longer a boy; he was now a young man. “I'm thinking yoga teacher,” he said. I nodded. Did he remember where? “I'm not stupid,” he said, as if reading my mind. “I'm not on drugs anymore. I'm not stupid anymore.”

“The Way We Diagnose Mental Illness Might Be A ‘Mistake'”

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The San Francisco Chronicle reviews Jon Ronson's "The Psychopath Test", which chronicles the meteoric growth of the DSM in "chaotic editorial meetings in a small...

Sera Davidow: “Non-compliance Saved My Life”

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Sera Davidow, MIA Blogger and Director of The Western Massachusetts Recovery Learning Community (RLC), discusses her lived experience within the psychiatric system.

Alfred Hitchcock Presents: The DSM-5

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What does the new DSM-5 have in common with an Alfred Hitchcock mystery?  They both use a plot device, a “MacGuffin,” to drive the story. Hitchcock explained a MacGuffin as on the one hand “ridiculous”, “non-existent”, “empty” and inherently without meaning, and at the same time the central point around which the entire story turns.  Which narratives, and whose, are served by the "diagnosis MacGuffin”? Are there more socially desirable alternatives to replace this particular plot vehicle?