Seeing BPD in a Positive Light: An Interview with Dr. Shay Welch

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Those diagnosed with borderline personality disorder are told that their very personalities are disordered, pathological or just intolerable.

How My Body Rejected Lithium After 25 Years

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I was promised mood stability and less suicidal ideation. It was supposedly the leading option, my best line of defense. That is what I was told for the next 25 years, but I was never told about lithium toxicity.

Dangerous Gifts: Rethinking Madness, Healing, and Human Connection – A Conversation With Sascha DuBrul

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Sascha du Brul's interests lie at the intersection of the public mental health system and the mad underground movement. He joins us to discuss his two decades of activism in psychiatric circles.

Is Psychiatry Making Us Sick?

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Concept creep describes how some concepts expand their meanings over time. In psychiatry, this can result in less severe symptoms being increasingly interpreted as...

From Eradicating Psychosis to Being With Voices: A Psychiatrist’s Journey from Biomedical Nihilism to...

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I had compassion for the people on the other side of the fishbowl; I could see myself in them. My colleagues thought this was a problem.

Being Mindful of Agony: How to Incorporate the Sublime in Our Daily Life—An Interview...

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MIA’s Ayurdhi Dhar talks to Will Adams about trauma and contemplative practice, the delusion of separation that plagues humanity, the punitive infantilization of psychiatric patients, and how mindfulness must not be restricted to a meditation cushion.

I Refuse to Die; I Am Not Leaving

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Few experiences carry as much stigma as experiencing psychosis, and the shame doesn't fade when the psychosis does.
A well-dressed woman leaves the psychotherapy office, looking concerned

The Hidden Psychotherapy Drop-Out Crisis

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There is a discrepancy between what most people embarking on psychotherapy seek and what practitioners are trained to provide.

What Psychiatry Missed: My Ferritin Level Was 6

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No one told me that anemia could be contributing to the mental health issues that would not resolve. The providers put me on antipsychotics; meanwhile, my underlying iron stores remained depleted.
a thick textbook labeled "DSM" stands like the monolith from 2001, blocking a red glow from behind and casting a deep shadow

Let There Be Light: Before Psychiatry Writes Its Next DSM

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Very high prevalence raises a more fundamental question: Where exactly does the medical disorder end and ordinary human variation begin?

Don’t Let Barbie Out of the Glovebox – An OCD Account

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It’s easy to cling to my diagnosis for comfort. In fact, externalizing obsessions the way you would an alien invasion or a metastasized tumor is a foundational part of OCD’s gold standard of treatment.

Psychiatric Drugs and Violence: What Can Genetics Tell Us? A Conversation With Selma Eikelenboom

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Brooke Siem speaks with Selma Eikelenboom, together they explore what questions her research raises about the relationship between psychoactive drugs, genetic variation, and violence.
Pharmaceutical drugs pills and syringe vials in box on wooden background

Getting Rid of the Pain Before Answering Its Questions: Psychiatry’s Damage to Self and...

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By answering questions that pain asks, one can rediscover one’s true self. If you get rid of pain before you have answered its questions, you get rid of the self along with it.
A child holds two pill bottles

From Efficacy to Non-Efficacy: Lessons from Pediatric Fluoxetine TrialsĀ 

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Modern studies find that fluoxetine has lost its efficacy for children and can now be considered clinically equivalent to placebo.

My $100,000 Life Sentence

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One word turned my entire life upside down and nearly convinced me to end it. What was that one word? Borderline.

Soteria Model Linked to Lower Psychiatric Readmission Rates, Study Finds

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The Soteria care model is an alternative to restrictive inpatient psychiatric care for people experiencing psychosis in which patients and service users stay in...

The ODDESSI: Open Dialogue, The Lancet, and a Trojan Horse

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DESSI trial results provide a beginning for rethinking psychiatric care
Group of people sitting on chairs in circle and discussing some problems together during therapy lesson

Open Dialogue and ODDESSI: What Have We Learned?

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I found Open Dialogue to be a compelling and deeply humane way of working but I also learned how hard it is to implement and sustain.

The Abyss and Beyond

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Psilocybin seemed less interested in helping me avoid the abyss than in showing me that there was an entire landscape beyond it.

When Stopping Prescription Drugs Is Hard: Alicia Martin and the TaperMate Story

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Alicia Martin is an Australian community pharmacist and the creator of an ingenious mobile app, TaperMate, which aims to help people with hyperbolic drug tapering and prescribed drug withdrawal.
Brown-haired woman from the back, collaged onto photo of pills

Clancy’s Lawyer Blew the Chance for Lindsay to Go Free

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If there is a second trial for Lindsay, I hope her lawyer puts a psychopharmacologist or neurotoxicologist on the stand.

Pharmaceutical Industry Corruption Is Structural, Systemic, and Profitable, New Review Finds

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A new empirical review published in the Journal of Law, Medicine & Ethics reports that pharmaceutical industry corruption is a structural, industry-wide problem. Author...

What I Learned After Losing My Partner to Polypharmacy

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I am left with questions that cannot be resolved retrospectively. Why were medications added without clear longitudinal review of cumulative exposure?

Remembering Dory Previn: An Interview by Peter Sterling in 1974

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Dory Previn was an American lyricist, singer-songwriter, and poet whose deeply personal work explored her struggles with mental health, including experiences of psychosis. In October 1974, she met with neuroscientist Peter Sterling for a candid conversation about her psychiatric treatment.
researcher attempts to hide a paper behind his back that says "INCONVENIENT TRUTHS"

ADHD UK Cannot Hide the Flawed Science Behind the Diagnosis and Its Treatment

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The extensive critique of the biomedical account of ADHD and its treatment with stimulant medication has persisted for decades.