Treating Metabolic Conditions May Resolve Some Depressive Symptoms
New research suggests that treatable metabolic abnormalities underlie some treatment-resistant cases of depression—and treating the metabolic condition has the possibility of dramatically reducing depressive symptoms
Ruby Wax: From Shark Bait to the Doyenne of Disease
I ended 2016 as I started it: listening to a celebrity reducing the complex interplay between society and the psyche to a matter of simple biology. This deprives people of the opportunity to really understand their suffering and find meaning in it — and it undermines the case for prevention.
Healing Madness
After 35 years in medicine, and three years with the same large health care organization where I am now the Medical Director of Integrative Services, I have decided I must quit. I am not willing to be a part of any machine where I doubt in the benefit of what I am being asked to do, and fear it might even be making people sick.
MIA in the Year 2017
We have always conceived of Mad in America as a forum for a community to come together and “rethink” psychiatry and its current paradigm of care. This past year was our first operating as a 501c3, and the support we received from our readers and from charitable foundations has reinforced and strengthened this sense of our mission. As such, we thought it would be useful to briefly review how we expanded our operations in the past year, and detail our ambitions for 2017.
Length of Stay in Emergency Departments Longer for Mental Health Emergencies
Statewide study finds patients with mental health emergencies and who are uninsured face longer waits in emergency departments.
The NIMH in 2017: Looking for Love in All the Wrong Places
The official announcement of the NIMH's new director proudly proclaimed he had been studying things such as “the role of the hippocampus, a brain structure known to be important for memory and emotional processes associated with anxiety and depression.” Is there any evidence that anything will come of these theories — and the expenses demanded of such endeavors?
How Psychiatric Drugs Really Work
A case study of a former soldier illustrated that mefloquine can cause persisting brain injury with unrelenting, permanent emotional and cognitive problems. As my fellow psychiatrists commonly do, they diagnosed the former soldier with psychiatric disorders and treated him with multiple drugs, worsening his brain injury and overall mental condition.
Study Finds Phone Apps Effective for Reducing Mental Health Symptoms
Researchers found that participants using coach-assisted apps designed for depression and anxiety experienced symptom reductions in both conditions
The Biological Evidence for “Mental Illness”
Partners' comment in response to my Carrie Fisher article essentially consists of unsubstantiated assertions, non sequiturs, and appeals to psychiatric authority. Because it comes from, and presumably represents the views of, an extremely large psychiatric practice, it warrants a close look.
Importance of Physical Symptoms in Mental Health Evals
Researchers at Harvard Medical School highlight the need for mental health clinicians to explore the meaning of physical symptoms and pain
What We Are Talking About When We Talk About Community Mental Health
While I struggle with whether I can work in an ethical way when there are forces and perspectives prominent in our culture that are antithetical to mine, I have kept my day job as a psychiatrist in a community mental health center in Vermont. This is a reflection on that work and the value I observe in the efforts of my colleagues day in and day out.
Extended Leave
Without doubt, Extended Leave profoundly curtails one's freedoms and rights, and the threshold for what is deemed “unacceptable” behaviour is invariably lowered. My only crime was being offensive towards an ACT team member. It seems that the goal I am now reduced to fighting for is merely the right to be rude in my own home.
Pioneering New Zealand Antipsychotic Medication Study Focuses on Patient Experiences
Miriam Larsen-Barr's study is the largest to date on the subjective experiences of antipsychotic withdrawal, and the first to explore how people who have successfully stopped antipsychotics are able to maintain their well-being.
Time to ‘Drop the Disorder’
It was February 2016, the UK-EU referendum debate was beginning to warm up and my tolerance for absorbing toxic tweets and frustrating Facebook posts was dwindling fast. What then pushed me over the edge was yet another celebrity-inspired media frenzy about a psychiatric “illness.”
Carrie Fisher, Bipolar Disorder, and the Spread of False Information
As a child of the 80s, I had a childhood dream of growing up to be Princess Leia, and — of course — marrying Han Solo. What I did not dream of was fighting an empire that seems only to grow over time, and with no Harrison Ford by my side to make it all better. The death of Carrie Fisher is heartbreaking; the news coverage of her life and suffering is a tragedy.
Why I’m Not Celebrating Being PMDD-Free
I’m not celebrating because so many of my sisters are still stricken by this disease. They're remanded to the care of mental health professionals who ply them with therapy and scripts for SSRIs, SNRIs, and benzodiazepines, none of which offer long term relief from the horrors of PMDD.
Carrie Fisher: Bipolar Meds and Heart Disease
Carrie Fisher recently died of a heart attack at age 60. How likely was it that her heart attack was caused by her psych meds? Or that her psych meds increased her risk of death once the heart attack happened?
Once Upon a Time in Withdrawal
I’ve seen people put more research into how to cook a turkey at Christmas time than previous psychiatrists did for my health. From the DSM to the prescription pad, if it wasn’t there, it didn’t exist. It’s a very cut-and-dry, mix-and-match method to modern medicine that has harmed millions of people, and it nearly killed me.
Soldiers as Guinea Pigs: the Case of Mefloquine and Tafenoquine
Hundreds of Australian veterans have been diagnosed with serious neurological and psychiatric disorders, often mistaken for post-traumatic stress disorder, as a result of mefloquine, a neurotoxicant able to cause a “lasting or permanent” brain injury, and the experimental drug tafenoquine[.] Many maintain they were compelled to participate in trials of the drugs.
Starting the New Year with a Bang: A Medley of Antipsychiatry Resolutions
Every year at this time, from Canada to Ireland, from Turkey to South Africa, both determined and not-so-determined folk make a very unusual list, known traditionally as New Year's resolutions. What follows are antipsychiatry resolutions—ones that people may borrow from at will.
The Real “Mental Illness” Epidemic: Withdrawal from Antidepressants
If the incidence of mental illness has remained the same, but an ever-increasing percentage of the population takes psychiatric medications, then these drugs are being over-prescribed. Now there is an epidemic of people trying to stop SSRI antidepressants, and the effects can be crippling.
Prescribing Benzodiazepines As-Needed Leads to Abuse
A new study reported on in Medscape, examined risk factors for misuse of benzodiazepines (drugs such as Xanax, Ativan, and Klonopin). The researchers found that patients who had been prescribed the medication on an as-needed basis were more likely to end up abusing it than those who had been prescribed a standing dose.
Dialogue with a Psychiatrist
“You need to realise that what we see and hear in our madness might be very real!” I tell the psychiatrist. “It isn’t just delusions, hallucinations or nonexistent voices! What if it is indeed all real? And magic does exist?”
Industry Funded Trials Favor Drugs Over Psychotherapy
The researchers conclude that industry funding appears to bias studies towards pharmacotherapy over psychotherapy for the treatment of depression.
The Right to Refuse Psychiatric Treatment
It doesn’t have to be like this. Give us back our autonomy. Grant us the legal right to refuse psychiatric coercion based on our own preferences and experiences. It’s urgent. We don’t have another survivor to lose.