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I know the popular thing to do right now is rail against the Murphy Bill, and with good reason given its devastating implications. (I plan to do my fair share of railing.) Yet, I can’t ignore the less sensational tragedies of the day. Today's tragedy is a documentary that lets us know that, along with trauma, "approximately 20 percent of adolescents have a diagnosable mental health disorder." In other words, there's the trauma... and then there's the 'mental illness.' Separate and not particularly equal.

Mental health services today are almost completely dominated by the view that extreme distress such as psychoses are biological disorders that require treatment with drugs or other medical interventions. This is despite the absence of evidence that such conditions have a biological basis. In addition to this, recent work within the evidence-based medicine paradigm casts doubt on the effectiveness of most forms of physical treatment in psychiatry. At the same time the evidence accumulates that many physical treatments, such as the long-term use of neuroleptic drugs, are fraught with risks and danger.

The case of this young girl, virtually kidnapped by Harvard psychiatrists who had her parents' custody rights taken away, has become a well-reported scandal. Ordinary people are seeing that the power of psychiatry, which has no place in a democratic society, can be used against regular folks. It isn't just a danger to the crazed psychotic killers that people with psychiatric labels are portrayed to be. This is a critical moment for our movement, and we should not ignore it.

My law review article entitled "Rethinking criminal responsibility from a critical disability perspective: The abolition of insanity/incapacity acquittals and unfitness to plead, and beyond" has been published in Griffith Law Review. The article attempts to find a way to deal with concerns for a degree of toleration towards socially disruptive behavior that may be criminalized, without making some people categorically and legally irresponsible as happens with the insanity defense.

International events related to emotional health issues continue to shock the world, and call into question the value of the mental health industry. Recently, many people around the globe have felt devastated by the suicide of Robin Williams and shocked by the downing of the plane by Andreas Lubitz. Numerous incidents of violence have been shown to involve the mental health industry with some link to mental disorders or psychiatric medication. The important issue to understand is what do these connections mean.

Law and spirituality both deal with the issue of responsibility. The law sets out norms and standards promulgated by authorities in accordance with the procedures established by the state, typically set out in a constitution or governing statute, or according to custom. These norms and standards might or might not reflect accurately a consensus about values and principles that are shared by the people governed by them, and might or might not have been adopted in procedures that are satisfyingly participatory and democratic.

What would happen if a team of highly qualified psychologists joined up with a team of people who knew psychosis from the inside, from their own journey into madness and then recovery – and if they collaborated in writing a guide to understanding the difficult states that get names like “psychosis” and schizophrenia”?

For the past several years whenever a critical essay has come along examining the work of Irving Kirsch and his colleagues I have made an effort to examine the validity of the proposed arguments. Kirsch and his colleagues used the Freedom of Information Act to gain access to the unpublished trials of antidepressants and then pooled the clinical trial data – both published and unpublished ─ and analyzed it as a single data set. It is common for pharmaceutical companies to only publish those studies that find their products effective, and to withhold the negative studies, making it difficult to reach accurate conclusions by examining only the published data. Kirsch and his colleagues have reported that in the company sponsored clinical trials, the SSRIs only marginally outperform placebo, with the difference being statistically different but not clinically significant.

We spend a lot of time writing about knowledge dissemination in mental health, and over time, have increasingly recognized the important role of science...

Study 329 seems to fit the classic picture: It has Big Pharma ghostwriting articles, hiding data, corrupting the scientific process and leaving a trail of death, disability and grieving relatives in its wake. But is it at fault alone? Both Big Pharma and Big Risk (the insurance industry) were once our allies in keeping our hopes alive – in keeping our children alive and well. They are now a threat. And of the two – Big Risk is the bigger threat.

In psychiatry, there has always been a swing between the two poles of nature and nurture. Unfortunately, psychiatry is firmly back in the nature camp. Lip service is paid to the emotional environment and trauma. But that is as far as it goes. The accepted (and dangerous) belief is that psychiatry deals with brain diseases – inherited brain diseases. We are back to absolute genetic determinism.

Everywhere you turn, you see “OCD, ASD, MDD, ADD, ADHD, BPD, GAD, PD, SAD, PTSD, NPD," etc. The problem is not limited to this acronym soup, but the pseudo diagnoses they represent. Patients today get stained by the specious medical diagnoses of biological psychiatry. And furthermore they are brainwashed to believe that these fictitious brain ‘diseases’ are genetic. Biological psychiatry treats people like they are mechanical objects, renaming them almost as they are re-branding products. The one I like the best is the renaming of ‘manic-depressive’ to ‘bipolar.’ Instead of a name which accurately describes the states of suffering, it was turned into something mechanical — a battery with two poles. We’ve gone from something human to something Frankensteinian.

One of my very favorite questions: How long have you been ‘in Recovery’? These unnecessary delineations between those who are living ‘in recovery’ and those who are simply living continue to foster an ‘us’ and ‘them’ that inherently negates the truth that ‘us’ IS ‘them.’ All I can think to say in response is, “Just when was it decided (and by whom) that what you get to call ‘life,’ I have to call ‘recovery’?”

Over 100 million people in the US suffer from chronic pain – defined as pain lasting longer than 12 weeks. Up to 80% of those sufferers are women, many of whom report having been repeatedly brushed off or referred out by medical doctors who could find no discrete medical cause for the symptoms they reported. Some patients report an even harsher finding by their doctors: “To the best of my ability to determine, your pain is not medical in origin. I believe you need to be evaluated by a psychiatrist or psychologist who is qualified in psychosomatic issues.”

I was recently talking with a young man about his anxiety, which he experiences as extreme.  When I asked him what the anxiety was...

An article in the New York Times reported on a publication in JAMA Psychiatry that presented the results of a reanalysis of data from the National Comorbidity Survey Replication Adolescent Supplement. The results suggest that the vast majority of those adolescents who might attempt suicide are already in treatment. This should discourage efforts to identify even more children at risk and get them in to treatment if the rationale for screening is to prevent suicide attempts.

We have just celebrated the anniversary of the rapidly expanding global Hearing Voices Movement which was founded more than twenty-five years ago following the ground-breaking research of Professor Marius Romme and Dr Sandra Escher. Romme and Escher have advocated for a radical shift in the way we understand the phenomenon of Hearing Voices; in contrast to traditional, biomedical psychiatry which views voices as an aberrant by-product of genetic, brain and cognitive faults, their research has firmly established that voices make sense when taking into account the traumatic circumstances that frequently provoke them.

There are 50 Spiritist psychiatric hospitals in Brazil, offering inpatient and outpatient services that utilize an integrative approach to recovery, stressing the spiritual alongside physical and emotional therapies. Few people outside Brazil know of them. This article describes their philosophy, successes, as well as the treatments they use—and how they are a valuable resource for sensitives, creatives, and visionaries.

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?

Amidst a reported leveling in medication usage among young children, a disturbing side trend has emerged. Antipsychotic medication use in preschoolers has soared over the past decade, to the upwards tale of a two- to five- fold increase despite lack of FDA approval in almost all of these medications for this age group and little to no information about long-term side effects. In addition, researchers have noted that most antipsychotic medications were being used off-label, and increasingly for the treatment of behavioral issues that many argue are both developmentally inherent and often a product of significant environmental dysfunction.

A colleague and I have been tracking individuals who elect to reduce their dose of neuroleptic drug. The two year results are presented here.

This blog is a little different than my normal. I want to tell you about an inspiring ADHD conference I took part in last week and a band of 800 lb. gorillas who gently shared the obvious with adults just wanting the facts when it comes to ADHD. First, if you didn't know, October was ADHD awareness month. Yes, according to www.ADHDawarenessmonth.org, a website sponsored by Shire Pharmaceuticals (the philanthropic makers of Adderall and Vyvanse) and supported by a large collection of non-profit groups (e.g., CHADD) conveniently supported by the profits of many other ADHD-focused pharmaceutical companies, October was the month to celebrate awareness of ADHD. October was the month to learn more about the ADHD stimulant drugs so often prescribed. Move along folks… nothing to see…no conflict of interest here.

Today I read Psychiatric News, the newspaper of the American Psychiatric Association, and I was drawn to an article about the new APA President, Jeffrey Lieberman, because the front page teaser announced that "he is 'mad as hell'".

In Butte County, California, Law Enforcement and NAMI have recently partnered to provide identification cards for people in the mental health system. The cards reveal the person's psychiatric diagnosis and current medication prescriptions. This White Card project may be well-intentioned, but it makes me very uncomfortable. I believe it is a form of psychiatric profiling that could be adopted by law enforcement around the United States.

I think it is time to reclaim the word disability. Disability needs to be appreciated. To the extent we value community over isolation, anything anyone cannot do, or needs help with, builds community. There are infinite examples in every career and walk of life of how necessary “disability” (since we're calling it that) is for connection, service and meaning in life. Without it we'd have absolutely no need for each other. And the fastest way to despair is to feel unnecessary.