Playing the Odds: Antidepressant ‘Withdrawal’ and the Problem of Informed Consent
If I thought that it was possible, I would have opened a string of clinics all over the country to help get people off of antidepressants. Unfortunately, the problems that sometimes occur when people try to stop an SSRI antidepressant are much more severe and long-lasting than the medical profession acknowledges, and there is no antidote to these problems. The truth is, giving people information about taking antidepressants is like giving information to people who are enroute to a casino; they go because they hear that some people win (at least for a time), but the losers are the ones who ultimately pay for it all — and the odds are not in their favor.
Trauma and Schizophrenia: The Ultimate Political Battle
This weekend I attended an international trauma studies conference in Miami, Florida, where some of the leading researchers and clinicians in the field of trauma gathered to share their innovative projects and findings. Although there were many worthwhile moments, overall I left feeling paradoxically hopeful, saddened, inspired, and a bit dumbfounded. One study after another was presented on "trauma-related disorders" and their associated treatments, yet there was not a single mention of schizophrenia or its related diagnoses. Four days of trauma discussion and the topic of psychosis was nowhere to be found.
Victim Blaming: Childhood Trauma, Mental Illness & Diagnostic Distractions?
Why, despite the fact that the vast majority of people diagnosed with a mental illness have suffered from some form of childhood trauma, is it still so difficult to talk about? Why, despite the enormous amount of research about the impact of trauma on the brain and subsequent effect on behaviour, does there seem to be such an extraordinary refusal for the implication of this research to change attitudes towards those who are mentally ill? Why, when our program and others like it have shown people can heal from the effects of trauma, are so many people left with the self-blame and the feeling they will never get better that my colleague writes about below?
No, There is no Such Thing as ADHD
Somewhere along the line we have lost the understanding that kids come in all shapes and sizes. Some kids are active, some are quiet; some kids are dreamers, others are daring; some kids are dramatic, others are observers; some impulsive, others reserved; some leaders, others followers; some athletic, others thinkers. Where did we ever get the notion that kids should all be one way?
My Story and My Fight Against Antidepressants
I’d like to share a bit about what happened to me after being placed on these medications, and how I successfully got off. Until recently, I was embarrassed to talk about my personal experiences publicly, as I’m a professional who specializes in anxiety and depression. Today, medication free, I feel better than ever before, and I am now on a mission to help my current clients get off medications, and to inform others through my writing about the dangers and pitfalls of starting antidepressants.
The Trouble with Twin Studies
As most readers are aware, it is widely believed that both within and without of psychiatry genetic factors play an important role in causing major psychiatric disorders such as schizophrenia, bipolar disorder, major depression, ADHD, autism, anxiety, and even post-traumatic stress disorder (PTSD). Twin studies provide the main pillar of support for this belief which is often, though mistakenly, presented as a scientific fact.
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.
Things Your Doctor Should Tell You About Antidepressants
The conventional wisdom is that antidepressant medications are effective and safe. However, the scientific literature shows that the conventional wisdom is flawed. While all prescription medications have side effects, antidepressant medications appear to do more harm than good as treatments for depression.
Reflections on a Psychiatric Indoctrination, or, How I Began to Free Myself from the...
(dictionary.com)
Cult, n.
a particular system of religious worship, especially with reference to its rites and ceremonies.
an instance of great veneration of a person, ideal, or...
Dreams: Still the Royal Road to the Unconscious
As a Jungian, and a blogger on Mad In America, I've been feeling the need to weigh in a bit from a depth psychology perspective. I rarely read about dreams, or the function of the personal or collective unconscious here. So here goes my attempt to communicate what my friend and mentor John Weir Perry shared with me, from a teaching on understanding dreams that Carl Jung had personally revealed to John in the 1940's.
The Promise of Open Dialogue
Open Dialogue is an innovative, network-based approach to persons experiencing severe psychiatric crises and conditions. Developed at Keropudas Hospital in Tornio, Finland, this way of working has garnered international attention for its outcomes with first time psychosis. Noting the positive interest Open Dialogue has begun to attract in the U.S., publisher Marvin Ross, in a recent Huffington Post blog (11/11/13), argues that before making the global claim that Open Dialogue achieves better results than standard treatment, we need to do more research. I agree.
Dear Self-Proclaimed Progressives, Liberals and Humanitarians: You’ve Really Messed This One Up
When it comes to psychiatric diagnosis, I can be almost certain that anyone outside of my immediate field of work just won’t ‘get it,’ no matter where they stand on anything else. And not only won’t they get it; they will often actively be one of the unwitting oppressive masses, either through their inaction or worse.
When Homosexuality Came Out (of the DSM)
With a diagnosis of schizophrenia, if internalized, comes the erosion of personhood, lowered self-esteem, shattered dreams, and a sense of disenchantment. The psychiatrist Richard Warner has even suggested that those who reject the diagnosis of severe mental illness may have better outcomes as they retain the right to construct their own narrative of personhood and define what really matters for them. Despite public education campaigns (or perhaps because of them), the stigma of mental illness is as enduring as it was 50 years ago.
Katharine Hepburn is Glamorous – Suicide is Not
What do you do when the media reports stories of children who have killed themselves on SSRIs? Position the stories of these children, not the drugs they were taking, as a suicide risk. Warn that more children will die if mouthy parents are allowed to speak and upstart journalists are allowed to report. And then position psychiatrists as the only people who can talk about suicide without producing an epidemic of self inflicted deaths.
Suicidal Tendencies, Part I: I’m Suicidal Because I’m Mentally Ill Because I’m Suicidal
I can’t even begin to count the number of times I’ve heard “Research has found that about 90% of individuals who die by suicide experience mental illness.” Here’s what I believe it means in far too many instances: It’s an 'out.' It’s an easy answer that absolves us all of blame. If someone has a ‘sickness in the brain,’ then it doesn’t have to be our fault or even necessarily our concern.
R.D. Laing & Anti-Psychopathology: The Myth of Mental Illness Redux
Twenty-five years after R.D. Laing’s death, are we more humane and compassionate in our treatment of those at our mercy? It is difficult to say. But one thing that we cannot deny, our culture has become even more “medicalized” than at any time in history. The medical metaphor that Laing found more or less acceptable when explaining what he thought therapy is, has become increasingly literal. More and more, anything that pains us is a condition that can be treated.
Comments by Shock Survivors and Their Loved Ones
The #FDAStopTheShockDevice petition has received over 2,200 signatures and 800+ comments. A more thorough analysis of those comments is forthcoming, however, we wanted to offer a glimpse of what people shared. The sixth, seventh, and eighth most common words used in the comments submitted through the petition were "damage," "barbaric" and "torture." We must continue the fight to make sure that the FDA hears the people who will be adversely affected by the proposed rule if it becomes an order. There is still a small window of time for you to sign the petition and leave a comment to the FDA.
Recovery: Compromise or Liberation?
The 90s were labeled - rather optimistically - as the ‘decade of recovery.’ More recently, recovery has been placed slap bang central in mental health policy. Is supporting recovery pretty much good common sense? Or is the term being misused to pressure those suffering to behave in certain ways?
On Religious and Psychiatric Atheism: The Success of Epicurus, the Failure of Thomas Szasz
When the American psychiatrist Thomas Szasz killed himself a year and a half ago at the age of 92, I thought there would be a global outpouring in psychiatric circles of sympathy or scorn. Instead, his death was largely met with silence, a silence as deafening as the one that attended the second half of his long, prolific, and polemical career. Szasz’ name didn’t show up at all in the APA program last year, and this presentation of mine is apparently the only one to mention him this year. This silent treatment has, ironically enough, and surely against his will, forced him to fulfill the ancient Epicurean ambition to live and die unnoticed.
The Sociological Study of Mental Illness: A Historical Perspective
Mental illness, as the eminent historian of psychiatry Michael MacDonald once aptly remarked, “is the most solitary of afflictions to the people who experience it; but it is the most social of maladies to those who observe its effects.” It is precisely the many social and cultural dimensions of mental illness, of course, that have made the subject of such compelling interest to sociologists. How, for example, are we to define and draw boundaries around mental illness, and to distinguish it from eccentricity or mere idiosyncrasy, to draw the line between madness and malingering, mental disturbance and religious inspiration? Who has social warrant to make such decisions, and why?
Why the Rise of Mental Illness? Pathologizing Normal, Adverse Drug Effects, and a Peculiar...
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.
Reflections on Being a Therapist
Three-and-a-half years ago I quit my career as a psychotherapist. I’d done it for ten years in New York City and had given it my all. It was a career that chose me, loudly, when I was 27 years old. I learned a huge amount from it and I believe I was helpful to a lot of people. It also represented a vital stage in my life. But then the time came to leave. That also came as a sort of revelation.
“Mental Disorders in the Classical World” (A Review)
The current view of mental illness and its accessory idea, mental health, were born of the Enlightenment. Formerly, spiritual ailments had been considered sins or heresies. They were allegedly produced by the diabolical interventions of witches, Satan, and/or Jews, and confessors relied on prayer or holy water to remedy the soul. With the decline of Christianity in Europe, those ailments were reinterpreted in secular (mechanistic, atomistic, materialist) terms that reduced the self to its molecular substructure. The mind became equated with the brain, and remedies naturally became mechanical or chemical—insulin shock, lobotomy, electroshock, surgery, and drugs.
Traditional Healing and Psychosis vs. the Promises of Modern Science
As noted in Anatomy of an Epidemic, the prognosis for someone experiencing psychosis is far better in developing countries than in industrialized countries. Robert Whitaker and others posit that this is due to the treatment models used in the developing world, as well as to debility and chronicity caused by psychiatric drugs themselves. I think it's also important to explore traditional tribal and village based models of helping people experiencing psychosis and examine why they may be effective. Do these traditional societies know something we don't?
A Challenge to “I Am Adam Lanza’s Mother”
As I write these words on a Monday evening, my spirit aches. It aches with grief for the lives lost in Connecticut last week; it aches with dread for our collective American future in Sandy Hook’s aftermath; and it aches with love and empathy for Michael, a thirteen-year old boy whose once private life has, for the last day and a half, been on display for millions to see, exploited by a mother whose opinions are representative of America’s most pervasive mass delusion: that “mental illness” is a biologically-based condition requiring psychopharmaceutical “treatment” and “mental health care”, and that “the mentally ill” are a class of Other that threatens the safety, security, and health of America.