Call for Client Inclusion in Recovery-Focused Psychiatric Diagnosis

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A new review, published in The Lancet Psychiatry, examines the perspectives of clinicians and service-users on psychiatric diagnosis.

Antidepressant Use Leads to Worse Long Term Outcomes, Study Finds

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Results from a 30-year prospective study demonstrated worse outcomes for people who took antidepressants, even after controlling for gender, education level, marriage, baseline severity, other affective disorders, suicidality, and family history of depression.
unhappy child root cause

The Unsung Psychiatric Impact of Strep Throat

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A sea change is needed in the evaluation of children with perceived psychological disturbances. Parents are told that their child has a fictitious biochemical imbalance in the brain while real medical disorders are overlooked. In our family's case, it was Pediatric Autoimmune Neuropsychiatric Disorder Associated with Strep (PANDAS).
superhero of the psych ward

How to Get So You’re Running the Psych Ward

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Being in a psychiatric prison is about power, and it should be treated that way. There are a number of strategies for how to get through life in a psych ward. Over the course of a couple of extended admissions I ended up developing my own personal strategy, which one would simply call Unceasing Persistence.
Verne Troyer

Verne Troyer’s Passing: What’s Prejudice Got to Do With It?

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Again and again after an incident like this occurs, the media bombard the public with calls to bring about greater awareness of "mental illness" and the importance of "treatment" that is generally described in a narrow way. There is little discussion about why the person may have been suffering in the first place.

Primary Care Practitioners May Mistake Irritability as Bipolar Disorder in Youth

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Family medicine and pediatric providers are less confident in their assessment of irritability in youth than psychiatric providers, which may lead to overdiagnosis of bipolar disorder.
pregnancy

How Should We Treat Depression in Pregnancy?

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What depressed pregnant women need is compassionate care and accurate information that recognizes the potentially severe consequences of depression while making it clear that chemicals going into a baby throughout its development will likely have consequences for that development.

Do Social Network Sites Help or Harm Well Being?

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How does social network site use influence well-being? Researchers suggest this depends on the extent to which site use is “connection-promoting."
psychotherapy underfunded by insurers

The Woeful Underfunding of Psychotherapy by Health Insurers

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Psychotherapy reimbursement rates have been in decline for decades, even though insurance premiums have risen sharply. This is mystifying given that the vast majority of people prefer psychotherapy over medications, science shows it rivals the benefits of medications, and it saves insurance carriers money.

Effort to Tackle Overuse of Antipsychotics in Older Adults Backfires

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A partnership designed to decrease antipsychotic use in elderly patients may have led to increased use of medications with even worse risk/benefit profiles.

Therapists Collaborate with Clients through Metatherapeutic Communication

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Researchers develop an initial framework for understanding metatherapeutic communication practices that may inform future integration of collaboration in psychotherapy.
depression sleeping woman

The Breaking Point

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How did I become someone who could barely function? I was a high-performing sales executive ranked in the top 2% of an international business communications company. But now, after using powerful psych meds for depression and anxiety for more than a decade, I couldn’t do basic things like go to the grocery store, plan a meal, make dinner, or get together with friends.
united states court of appeals

ECT Shock Treatment Class Action – Case Update April 2018

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In March, 2018, the Court issued an Order denying class certification in the case filed against the manufacturers of ECT shock devices. Attorneys for the ECT victims strongly disagree with the Court's assessment, and have now petitioned the Ninth Circuit Court of Appeals for permission to appeal the ruling denying class certification.
shining light

On Being Mad in Public

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Even as you are being shown amazing and mystical things and having all sorts of mysteries clarified in your mind, you are also being placed in a position where no one will pay any attention to what you have to say, or if they do, the results of that attention will be negative (such as being locked up). The mysterious and powerful journey you are on is almost invisible to other people.
supposedly psychiatric meds save lives

“Psychiatric Meds Saved Your Life,” and Mine

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It's not about whether it's right or wrong, true or false that psychiatric drugs save lives. It's about telling the stories that aren't being told. That's why psychiatric drugs saved my life after they destroyed my health and nearly killed me. They gave me something I care about and am passionate about writing about. They gave me a pathway to bring healing to others.

Philosophers Question the Separation of Medicine and Culture

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Radically questioning the distinction between the objectivity of science and the subjectivity of culture can give way to powerful biocultural methods of healing.
metacognitive

Metacognitive Training (MCT): A New Treatment Approach for Delusions

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Since psychosis does not occur instantaneously and suddenly, but is often preceded by a gradual change in the appraisal of one’s cognitions and social environment, empowering metacognitive competence may act prophylactically to prevent or hinder a psychotic breakdown.

How Victimization Affects Political Engagement in Adolescence

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Study examines relationships between experiences of victimization, beliefs in government, and political participation among 12th grade students

Bright Light Therapy More Effective Than Medication Alone for Bipolar Depression

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A new randomized, double-blind, placebo-controlled trial has found bright light therapy to be a powerful intervention that could provide an alternative to medication for people with “bipolar depression.”
CVS

Your Pharmacist is Tattling On You!

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A CVS pharmacy recently sent me a standardized form by fax with a dire warning about one of my patients. The form was called “MEDICATION NONADHERENCE THERAPY ADVISORY” and it said: “A review of your patient’s retail and mail prescription history indicates that the patient has not obtained his or her first refill.”

Parental Conflict Changes Emotion Recognition in Children, Study Finds

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Study suggests interparental conflict causes lasting damage in the way children are able to recognize and process emotions.
road

Enjoying the Road Less Traveled

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The people that my son and I continued to consult with over the years didn't talk of mental illness as a brain disease, a chemical imbalance, or a problem with one's genes. Depending on the therapy, they spoke in terms of restoring life force energy, changing cellular vibration, learning to listen and understand, and building a self.

Jeffrey Michael Friedman: Trauma and Forced Psychiatric Treatment

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An interview with Jeffrey Michael Friedman, clinical social worker and activist in the psychiatric survivors movement who provides trauma-informed therapy to victims of abuse and violence, including those who have survived abuses within the mental health system.
The Other Mrs. Smith

Book Review: The Other Mrs. Smith by Bonnie Burstow

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In The Other Mrs. Smith, Dr. Burstow chose to use the fiction format, presumably because she felt it was the best way for readers to understand what it is like to experience electroshock and deal with the aftermath of massive memory loss. In this she succeeds spectacularly.

Study Finds Connection Between Trauma and Psychosis in Children

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Researchers connect the impact of early trauma to the development of psychosis in children as young as 7 years old.