Study Shows Success With Reduced Antipsychotic Use

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People who reduced antipsychotic use by tapering were doing just as well after five years as those who continued using the drugs.
suicide silhouette

Deadly Serious: Talking Openly About Suicide

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The suicide crisis is real. The pain is real. The deaths are real. None of us can afford to stick our heads in the sand and pretend that this isn't happening. But the helplessness and confusion about what to do about it are also real. And that's why peer relationships and peer-developed modalities can be so helpful. Many of us have been there and are still alive to talk about it. We know what ways of relating gave us hope and helped us to continue on.
Robin Williams RIP

The Creativity and Suicide of Robin Williams: A Phenomenological Study

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My purpose in writing this case study is not to suggest that creativity is a mere byproduct of trauma, or to deny the role of so-called mental illness in suicide, but to situate these phenomena within the context of human lives. To render them humanly (rather than medically) intelligible. With his mind and body disintegrating, Robin Williams took his life to thwart the eradication of self.

Lack of Efficacy for Current Physical Activity Interventions in Persons Diagnosed with Severe Mental...

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Review finds a need for more rigorous research to increase physical activity in people diagnosed with a severe mental illness (SMI).
suicide attempter attempt survivor

Hegemonic Sanity and Suicide

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The “good” suicide attempt survivor wakes up in a hospital bed bathed in beautiful natural light, surrounded by the people who love them most, and they realize that their thinking was flawed and all those unsolvable problems can actually be solved if they are just compliant with medication and therapy. And then there's the “bad” suicide attempter who is angry that they lived, who challenges the status quo.

Valproate Linked to Decreased Brain Volume in Children Diagnosed with Bipolar Disorder

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Researchers find that valproate decreases brain volume in a region associated with emotion processing across all participants.
alternatives to suicide

Suicidal Tendencies, Part III: So, When Do I Get to Call the Cops?

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What if the key to saving someone is to admit you are powerless to save anyone at all? What would that beckon us to change? A few years ago, I spent a substantial amount of time talking with a man who entered my life because someone in the mental health system told him I might be the one who could save him (or at least, that’s how he heard it). His name was David.

Study Explores Pain Assessment for Medically Complex, Nonverbal Children

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To what extent are healthcare providers equipped to assess nuance in the experiences of pain among nonverbal children?

Researchers Can’t Predict Whether Childhood ADHD Will Impact Adult Functioning

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New research has found that a childhood ADHD diagnosis is not predictive of adult functioning in boys.

Study Reduces Over-prescription of Antipsychotics in Older Adults

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New intervention shows promise in reducing over-prescription of off-label antipsychotics in older adults.
moderator

Thar’s A New Sheriff in Town!

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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

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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.
scientism of childhood depression

The Scientism of Childhood and Adolescent Depression

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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

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Researchers detect discrepancies between the language used to describe lived experiences of mental health and the language used in modern screening tools.
healthy mania

In Defense of Healthy Mania

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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

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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

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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

Can Children Have Bipolar Disorder?

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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

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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?

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Research investigates clinicians’ perspectives on best care practices and the complicated realities of providing care in the face of agency limitations and mechanized interventions.
Dan Markingson

Ensuring Integrity of Studies: Analysis of the Dan Markingson Case

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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

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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

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Study of students without an ADHD diagnosis finds that stimulants (Adderall) have little impact on cognitive performance.
trauma and madness

Psychiatric Retraumatization: A Conversation About Trauma and Madness in Mental Health Services

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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

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Three out of four users of the sedative, zolpidem (brand name Ambien), do not follow FDA recommendations to reduce risk.