NICE Guidelines for Bipolar Disorder- a Missed Opportunity
                    There are some things to applaud about the recently released update of the NICE bipolar guidelines, not least the recognition that the diagnosis has been inappropriately applied to children with behavioural problems. Hopefully this will help curtail the worrying trend of using toxic bipolar drugs in this age group. As usual, however, the Guidelines overlook glaring problems with the evidence base for drug treatment in general, and miss an opportunity to stem the diagnostic creep that has come to the UK and Europe via the United States.                
            Quotations From the Genetics “Graveyard”: Nearly Half a Century of False Positive Gene Discovery...
                    In a 1992 essay, British psychiatric genetic researcher Michael Owen wondered whether schizophrenia molecular genetic research would become the “graveyard of molecular geneticists.”1 Owen predicted that if major schizophrenia genes existed, they would be found within five years of that date. He was optimistic, believing that “talk of graveyards is premature.”2 Owen now believes that genes for schizophrenia and other disorders have been found, and was subsequently knighted for his work. Despite massively improved technology, however, decades of molecular genetic gene finding attempts have failed to provide consistently replicated evidence of specific genes that play a role in causing the major psychiatric disorders.                
            Badgers Included
                    The story of "Mrs. Frisby and the Rats of NIMH" has a great deal of personal significance to me because it was the last book I can remember reading to my three young daughters before taking Prozac.  These memories have taken on a newer and more relevant meaning since Gary Greenberg invoked the title of that children's book in his excellent article for the New Yorker, "The Rats of NIMH," following Thomas Insel's blog, "Transforming Diagnosis," in which for a brief moment, the director of the NIMH disavowed psychiatry's bible, the "DSM-5."                
            Cured Meat: an Underground Art Take on Mental Healthcare
                    There was a time when I, as a young woman, had not yet been a prostitute, a heroin addict, a homeless bum, and all that. I was, at that time, a literature student, at a famous school, and things were going well. But an eerie stampede of social workers and mental hospital stays were overshadowing it all. The tentacular reach of psychiatric drugs into the deepest recess of my being was performing a nasty assault on me from within the bloodstream. In order for my life not to be wasted, it became imperative that I get away. So I said goodbye, America. Goodbye, everybody that I used to know.                
            Changing Minds About Voices: Action Over Words
                    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.                
            Behavior Modification and an Authoritarian Society
                    How, in a democratic society, do children become ethical and caring adults? They need a history of being cared about, taken seriously, and respected, which they can model and reciprocate. Today, the mental health profession has gone beyond behavioral technologies of control. It now diagnoses noncompliant toddlers with attention deficit hyperactivity disorder, oppositional defiant disorder, and pediatric bipolar disorder and attempts to control them with heavily sedating drugs. While Big Pharma directly profits from drug prescribing, the entire corporatocracy benefits from the mental health profession’s legitimization of conditioning and controlling.                
            Doing It Alone Together: Core Issues In Dutch Self-Managed Residential Programs
                    For the last six years we, a group of researchers, social work students, peer experts, and social professionals associated with the Amsterdam University for Applied Sciences, have been studying and facilitating the development of self-managed programs in homelessness and mental health care in the Netherlands. With our research we want to contribute to the development of new and existing programs through critical reflection. With this blog, I hope to share some of our findings, to give back to the respites from which we learned so much.                  
            Enough is Enough Series, #5 – The ADHD Fiction is Exposed. The French Have...
                    The time has come that the fictitious ADHD qualifies for my ‘Enough is Enough’ series. It’s time to stop addressing pharmaceutical psychiatry on its own terms: its fraudulent and corrupt 'science,' its spurious 'evidence base,' and its imaginary psychiatric ‘diseases.’ I’m done with this. The evidence is in. Let’s get real. Psychiatry has become a profession of drug pushers. As a psychiatrist I am beyond troubled. Let’s get real.                 
            Love It, Hate It … Write Your Own Review of the DSM-5 on Amazon
                    Greetings, MIA readers. Would you like to write your own review of the DSM-5 (even if you haven’t read it, never mind bought it.) I’ve done neither, but I’ve read, talked, written enough about it to have an opinion. Write your own review of the DSM-5 on Amazon …Here's the link                
            Why the DSM Differential Diagnosis is So Disappointing
                    For many clinicians like myself, families come to us with insurance that they seek to use in addressing psychological issues.  As most know, in order to utilize the insurance benefits, a diagnostic code has to be billed that is specifically assigned to the identified patient, who in my case is a child or adolescent.  As has been widely documented on MIA and other venues, this presents many challenges/controversies, both of an ethical and etiological origin. But this article is about a very specific concern, one that is inherent in the categorical, disease-based model, but also one that continues to depict the human person as a set of parts, not a dynamic, holistic being constantly interfacing with his or her environment.                
            Pulling for a New Reality: from Mental Illness to Mental Wellness
                    Evolutionary psychiatry and breakthroughs in neuroscience are rapidly blurring the lines between adaptive and maladaptive changes. What would be possible if we put our attention on, gave money and resources to mental wellness instead of mental illness? The re-election of President Obama provides another opportunity for us to create a future for ourselves and our children that we could be proud to leave as a legacy, especially as it relates to how mental health is defined and considered in the body politic and media. Imagine mental wellness. Together, we can!                
            Talk Therapy Can Cause Harm, Too
                    The Association for Psychological Science (APS) was founded twenty years ago by psychologists and neuroscientists who were dismayed by trends in the American Psychological Association (APA). The APA had lost its old single-minded focus on the search for empirically based answers to psychological questions. This may have followed from the fact that the APA’s membership encompassed an ever-larger percentage of practicing psychologists with many immediate, practical concerns. Yet it is these very clinicians who are in such dire need of empirically validated procedures. It might be time to summarize newer empirical literature that challenges the assumption that the mere expression of emotion is helpful.                
            If I’d Known Then What I Know Now
                    If I'd known then what I think I know now about our overuse of psychiatric medications (and all the words we were using to dehumanize people and their experiences), what would I have done differently? Was my occasional reference to recovery hollow? Once I get beyond my increasing regrets and start trying to imagine steps I could have taken, here's what I would do.                
            GlaxoSmithKline’s Journey to Transparency
                    GSK's continued failure to provide true transparency flies in the face of what the overwhelming majority of people signing consent forms probably intend - which is to make their data available for scrutiny by independent experts.  If those who participate in trials thought some remote risk of a breach of privacy were being used to prevent disclosure of details that would save someone else's life - but threaten GSK's profits - most of us would likely be horrified.                 
            The Scarlet Label: Close Encounters With ‘Borderline Personality Disorder’ (Part 2)
                    I’ve heard countless horrific stories of abuse, neglect, trauma and most every form of torment that one human can inflict upon another. The sting of such stories never lessens. I’ve often marveled at the mind’s capacity to focus a sustained attention upon ever new ways to perpetuate and promote anguish. Sophia’s story, presented here, is tragically similar in regards to the abuse she suffered.                
            Fear is Life Force … (in Clinical Circles it’s Often Called Anxiety) – An...
                    It’s not just in spiritual circles but also in psychiatric and mental health circles that fear and anxiety are too often medicated away instead of worked with. It’s not easy to work with it and a lot of professionals don’t know how to hold such space for such courageous facing of the dark parts of psyche and so many people don’t learn that it’s actually possible. For those of us who’ve come off psych drugs and faced severe psychiatric drug withdrawal syndrome it becomes a necessary and often heinously difficult initiation . . . Learning to embrace my experience and surrender to it was the way through for me.                
            Extend Your Child’s ADHD Summer Drug Holiday to Infinity and Beyond!
                    With school starting across the country, from the perspective of most kids, the fun is officially done. Summer by youthful definition is basically over. Meanwhile, parents nationwide are basking in this euphoric occasion. No longer will they hear every five minutes the astute yet shortsighted exclamation “I’m bored, there’s nothing to do!” Finally parents can switch their XM channel from Hits 1 back to Coffee House without being berated for being so old. But due to the popularity of the ADHD diagnosis, many parents also are debating whether to extend their child's ADHD summer drug holiday into the school year, or once again start drugging the child-like behaviors associated with the symptoms of the controversial ADHD diagnosis.                 
            Peace Making
                    Many of us feel at a loss to fight back against the tidal wave of negative opinion against us. We are wasting our breath arguing that the vast majority of us never commit acts of violence, that the medical model fails everyone and coercion drives people away, etc.
                
            Further Evidence of the Adverse Effects of Antidepressants, and Why These Have Taken so...
                    When the idea that selective serotonin re-uptake inhibitors (SSRIs) might make people feel suicidal first started to be discussed, I admit I was sceptical. It didn’t seem to me the drugs had much effect at all, and I couldn’t understand how a chemical substance could produce a specific thought. Because these effects did not show up in randomised controlled trials, they were dismissed and few efforts were made to study them properly. Then some large meta-analyses started to find an association between the use of modern antidepressants and suicidal thoughts and actions, especially in children.                 
            Psychiatry Disrupted
                    On August 15, 2014, McGill-Queens University Press published Psychiatry Disrupted: Theorizing Resistance and Crafting the (R)evolution.  The work is a collection of papers by various authors, edited by Bonnie Burstow, Brenda A. LeFrançois, and Shaindl Diamond.  There is a Foreword by Paula Caplan, and a Preface by Kate Millett. It is no secret that there is growing opposition to psychiatry.  No longer marginalized and ignored, as in former decades, anti-psychiatry writers are proclaiming psychiatry's spurious and destructive nature in a wide range of venues.  Even the mainstream media is taking tentative steps in our direction.                
            False Arguments, Part. 2: Anti-Anti-Stigma
                    It’s taken me a while to write part 2 of this series, and honestly I’ve been torn between several compelling topics.   But, here I land.  Just a brief re-cap before I get rolling:  The foundation of this ‘False Arguments’ series is that sometimes I, you, we... all get drawn into arguments and belief systems that are based on a particular starting point that is assumed to be, or acted upon, as if they are valid.                
            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.                
            A Critique of Genetic Research on Schizophrenia – Expensive Castles in the Air
                    In the light of the much trumpeted claims that recent research has identified genes for schizophrenia, it is important to review the track record of this type of endeavor. Despite thousands of studies costing millions of dollars, and endless predictions that the genetics of schizophrenia would shortly be revealed, the field has so far failed to identify any genes that substantially increase the risk of developing schizophrenia.                
            The Today Show and ECT: The Full Story & Informed Consent
                    The Today Show chose to air a segment on ECT, and only interview people who were happy with their experiences — one of whom is a famous author, which gives his testimony more weight. We all know that many people are happy with their ECT experiences. That's why most of us are not asking for a ban on ECT — just for the opportunity for truly informed consent so that people can accurately weigh the potential benefits along with the serious risk of adverse effects.                
            I Believe Most of us Have a Broken Heart, Not a “Mental Illness”
                    Some of you might know me from co-founding The Icarus Project, an online community, real-life support network, and alternative media project by and for people living with the complex gifts that are too often labeled as “mental illness.”  Some of you might not know that I'm also a poet. I've been asked to share my work here on Mad in America. This first poem I'm going to offer you is about trauma and resilience; the ways that the world breaks our hearts, and the ways we survive to find our voices again.                
            