Study Reduces Over-prescription of Antipsychotics in Older Adults
New intervention shows promise in reducing over-prescription of off-label antipsychotics in older adults.
Thar’s A New Sheriff in Town!
As a longtime participant in the conversations here on Mad in America, I’m very excited about taking on the role of moderator for the MIA discussion boards. MIA considers the community discussions to be integral to its mission to serve as a forum for “rethinking psychiatry,” and I am assuming this role at a time that the organization, in response to the reader survey we conducted, is striving to make the discussions more welcoming to all.
Results of the 2018 Mad in America Reader Survey
In June 2018, we ran our first ever reader survey. The purpose of the survey was to gain feedback on what you, our readers, want to read and thus provide helpful suggestions for future content. This update provides a brief review of the results of the survey so far and outlines what actions we will take in response. Thank you to all who responded for taking the time to tell us how you feel about Mad in America.
The Scientism of Childhood and Adolescent Depression
When I was training to be a child psychiatrist in the mid-1990s, childhood depression was considered to be rare, related to adversity, and generally unresponsive to pharmaceutical treatment. Since then much has changed. The psychiatrization of the pain and struggles involved in growing up has caused considerably more harm to young people than good. I believe the science is on my side in this conclusion.
Screening Instruments Do Not Reflect Individual Experiences of Depression
Researchers detect discrepancies between the language used to describe lived experiences of mental health and the language used in modern screening tools.
In Defense of Healthy Mania
It is important to distinguish, and not simply pathologize, experiences that are manic-like because they are time-honored states of mind associated with aspiration, ambition, and goal-achievement. The need to generate boundless energy, overtalk the issues to sustain single-minded focus and motivation, and have a somewhat grandiose vision of what can be accomplished, combined, can eventuate in a manic mix of tendencies necessary to bring higher-order goals to fruition.
Mindfulness Improves Resiliency to Stress in University Students
New research demonstrates the lasting effects of mindfulness training on stress and wellbeing among university students.
The Effect of Psychiatric Diagnosis on Young People’s Sense of Self and Social Identity
A new review highlights the effects that psychiatric diagnosis has on children and adolescents’ social relationships and views of self.
Can Children Have Bipolar Disorder?
After seeing the family for two sessions I came to the conclusion that what Adam was suffering from was inconsistent discipline, temper tantrums and misbehavior that were inadvertently encouraged by his parents. The correct prescription for Adam was not an antipsychotic medication that might cause him harm, but family therapy to help the parents implement a behavioral program that would fit Adam’s needs.
Mental Health Apps May Lead to Overdiagnosis, Study Finds
A new study finds that mental health apps promote a one-dimensional view of mental health.
What Are Best Practices For Psychosis And What Gets In The Way?
Research investigates clinicians’ perspectives on best care practices and the complicated realities of providing care in the face of agency limitations and mechanized interventions.
Ensuring Integrity of Studies: Analysis of the Dan Markingson Case
Dan Markingson was a 26-year-old mentally ill young man who violently killed himself in 2004 while enrolled in a drug-sponsored study of atypical antipsychotics among persons experiencing psychosis for the first time. Highly vulnerable individuals like Markingson should not be taken advantage of in the name of scientific research, and inability to protect such vulnerable subjects compromises the integrity of research.
Julia Rucklidge: Nutrition, Mental Health and TED
An interview with Dr Julia Rucklidge, professor of clinical psychology at the University of Canterbury in New Zealand and Director of the Mental Health and Nutrition Research Group.
Stimulant Drugs Have Adverse Effects on Cognitive Functioning in Healthy Students
Study of students without an ADHD diagnosis finds that stimulants (Adderall) have little impact on cognitive performance.
Psychiatric Retraumatization: A Conversation About Trauma and Madness in Mental Health Services
As a clinical psychologist and someone who was herself “diagnosed” and “treated” for “serious mental illness,” Noël Hunter has a unique vantage point to view the mental health profession. I spoke with her about her new book, which offers an insightful critique of mental health’s diagnostic and treatment irrationalities.
Unsafe Use of Sleep Drug Zolpidem is Common
Three out of four users of the sedative, zolpidem (brand name Ambien), do not follow FDA recommendations to reduce risk.
Healing From Schizophrenia
My experience is that living in a psychosis forces your brain to "stretch" — you develop extra capacity to handle things. I was pretty much living a normal life, even working some of the time, while having all of my psychotic problems. After the psychoses faded away, I no longer needed to fight monsters, but I still had that extra capacity left. After 11 periods of psychosis, my brain has never worked as well as it does now.
Most Psychology Research Does Not Generalize to the Individual
A new study claims that quantitative research in psychology is “worryingly imprecise” and that generalizations may be flawed and misleading.
“Diagnostic Dissent”: Experiences of Individuals Who Disagreed With Their Diagnosis
Researchers investigate the first-person experiences of people who disagreed with their psychiatric diagnosis of psychosis.
Social Adversity and Crime Victimization Increase Risk of Psychotic Experiences Five Fold
Researchers parse out factors within urbanicity that leads to risk for psychotic experiences.
Escaping from AOT: Letter to the Judge
To the judge presiding over my upcoming AOT hearing: I would like a better way to take care of my own health care than the choices currently being imposed on me by community mental health centers, which involve forcibly injecting me with a drug that I do not want and making me take a daily pill that I do not want to take. There is no reason that anyone should make my own health care choices for me.
Searching for Zen and Finding a Cow
If I had a clinical problem, why was something as ancient and simple as meditation helping me? And if normal positive human habits could be so profoundly useful, why the heck was the field marketing pills and “clinical” coping mechanisms to me instead? This frustration helped me jump ship from the medical mindset and hop into the world of humanity.
My Polypharmacy Predicament
Ironically, my post-traumatic stress disorder no longer stems from the events that led to my hospitalizations, but from the maltreatment I received within the hospitals. Now, every time I take my medication late or miss a dose, I feel the unsettling presence of dissociation creeping in, the terrifying panic of losing my mental bearings and being rehospitalized.
The Story of a Professional Delusion: Do Psychiatrists Believe Their Own Words?
I believe this is what happened: The people responsible for this travesty looked at the truth (that psychiatrists hardly ever tell the truth about their drugs) and realised they didn't like what would flow from that fact getting loose. So they removed it and substituted a falsehood (only ever) whose consequences they could live with.
New Research Suggests Brain Abnormalities in ‘Schizophrenia’ May Result From Antipsychotics
Study finds that reduced cortical thickness and brain surface area associated with 'schizophrenia' may result from antipsychotic drug use.
