Non-drug Approaches

Experiencing emotional pain is a necessary part of life. Emotional pain often contains valuable lessons to help us on our journeys. We need to make sure we are not numbing our hearts to those that are hurting. We need to de-stigmatize the struggles, joys and pains that come with being human. We need to not just mindlessly pursue happiness - though we might think of that as an inalienable right - and avoid pain. We need to do the only thing that brings true joy: embrace all of life and each other, as we experience together all that makes us human.

Recent meta-analyses of antidepressant clinical trials have revealed that up to 82% of the effects associated with the drugs may be attributed to placebo and non-medication factors. A new study examined the attitudes of psychiatrists toward these non-pharmacologic factors and found a large discrepancy between their beliefs and the empirical evidence.

In the context of the Silicon Valley suicides, one mother offers her story about her daughter. “It’s my premise that not only the culture of Silicon Valley, but also, almost more importantly, the nature of the remedies that are being proposed in the name of mental health counseling, are to blame in these deaths.”

“Published in the journal PLoS ONE, a new set of studies suggests that compassion—and intentionally cultivating it through training—may lead us to do more to help the wronged than to punish the wrongdoer. Researchers found compassion may also impact the extent to which people punish the transgressor.”

For the Critical Psychiatry blog, Duncan Double writes that psychological formulation and psychosocial assessment may provide a way forward to a “new psychiatry” that moves on from modern concepts of mental illness as chemical imbalance or some other abnormality of the brain.

"What was going on inside Turning Point was an experiment: a community-based treatment center designed to serve low-income African-Americans. After a few bumpy early...

“Therapists and other people who help victims of trauma can become traumatized themselves.” Aaron Reuben writes in The Atlantic. “Hearing stories of suffering, in other words, can generate more suffering.”

"The holiday season can be a very stressful time, so think about giving directions, asking someone if they need help, or holding that elevator...

Hugh Middleton, MD, Associate Professor at the School of Sociology and Social Policy, University of Nottingham, and NHS Consultant Psychiatrist, Nottinghamshire Healthcare NHS Trust has written an interesting and worthwhile book, “Psychiatry Reconsidered, From Medical Treatment to Supportive Understanding.” Dr. Middleton is co-founder of the Critical Psychiatry Network and this book could serve as the foundational textbook for our field. As his academic appointment would suggest, he has a decidedly social perspective on the kinds of problems that bring many people to a psychiatrist’s attention, but in this book he offers eloquent discussions of many perspectives that inform our field. It is remarkable that in this 200 page text, he is able to cover so many topics – diagnosis, pharmacotherapy, schools of psychotherapy - with such clarity.

In Scientific American, Kasley Killam presents insights from research on “post-traumatic growth,” highlighting the importance of finding meaning or underlying significance in our struggles and misery. “The psychiatrist and Holocaust survivor Viktor Frankl wrote extensively about this process after observing that his fellow inmates in concentration camps were more likely to survive the horrific conditions if they held on to a sense of meaning.”

An analysis of medical records in the UK reveals that the use of certain antidepressants for depression is linked to a heightened risk for mania and bipolar disorder. The research, published this week in BMJ Open, found the strongest effect for serotonin reuptake inhibitors (SSRIs) and the antidepressant venlafaxine.

A new study demonstrates that the practice of mindfulness may ease pain in a way that is mechanistically distinct from the placebo effect. Research, published in the Journal of Neuroscience, found that mindfulness meditation not only outperformed placebo and fake meditation for pain relief but that it also activated different brain regions than the placebo treatments.

A former pharma executive has broken ranks with the industry in a new book by reporting how multiple psychiatrists, schools, and his desperate hopes pressed him to allow higher and higher doses of antipsychotic medications. The result: his 15-year-old son's death from Seroquel.

In “When Phrenology Was Used in Court,” Geoffrey S. Holtzman writes for Slate about the spurious use of brain science in legal cases. In the 1800’s the “science of phrenology” promised to reveal criminal psychological traits by measuring the skull and today defense teams still employ neurogenetic explanations for their client’s violent behavior.

Critical psychiatry researcher, anthropologist and NYU professor Helena Hansen writes: “Opioid maintenance acts as a kind of pharmaceutical prosthesis which promises to return white ‘addicts’ to regaining their status as full human persons and middle-class consumers. Meanwhile, black and brown users are not deemed as persons to be rescued, but rather dangerous subjects to be pharmaceutically contained within the public discipline of the state.”

“If language is inherently unstable, then how can we hope to diagnose illness accurately?” asks psychiatrist Mark Salter in an article for iai news. “Naming things, abstract or concrete, is a form of categorization,” but, he adds, “it is important to remember that our categories say more about the categorizer than the categorized.”

Speaking on the Essential Pittsburgh radio show, psychologist Brent Dean Robbins, former president of the Society for Humanistic Psychology, discusses how fear drives us toward irrational policies in the wake of terror attacks. He also offers commentary on the Murphy Bill, which he criticizes for unfairly scapegoating those diagnosed with mental illnesses.

In a major study, published yesterday in JAMA Pediatrics, the use of SSRI antidepressants during pregnancy was found to increase the risk of autism spectrum disorder (ASD) by 87-percent. Previous studies reveal that more than 13-percent of women currently use SSRI antidepressants during pregnancy.

“Some autistic adults have spent much of their lives with the wrong diagnosis, consigned to psychiatric institutions or drugged for disorders they never had,” Jessica Wright writes in The Atlantic.

Psychologist William Copeland writes for Mental Health Recovery that “bullying can occur at any age and the effects of which remain harmful long after the behavior has been endured.” “We, as a society, are just beginning to understand and come to terms with the havoc that bullying wreaks on the emotional lives of its victims.

A new study in JAMA reveals that, on average, 25% of beginning physicians meet the diagnostic criteria for major depression. In an accompanying editorial, Dr. Thomas Schwenk, added: "Everybody asks me, because of some of my prior studies, should we have more intense work in diagnosing depression in students? Of course, the answer is 'yes,' but how do you go about that without further stigmatizing them, further labeling them, further singling them out to even greater stigma? It's not just an issue of, 'Let's make better diagnoses and let's provide better treatment'; it’s more complicated than that."

Citing a 43 percent jump since 2003, researchers estimate that 5.8 million school-aged children and teens in the US now have an ADHD diagnosis, a staggering 12 percent of this population. The new NIH-funded analysis also found that the percentage of girls diagnosed with ADHD was up 55% and that the percentage of Hispanic children diagnosed shot up 83% over the same timeframe.

A new study, published this week in BMJ, found no major differences in the effectiveness of cognitive behavioral therapy (CBT) and antidepressants. When the researchers compared previous studies, they found no major differences in relapse rates or level of treatment response between those taking antidepressants and those undergoing CBT.

A new pro-recovery manualized intervention – called the REFOCUS intervention – has been developed and will now be evaluated in a multisite randomized control trials. The strengths-based intervention, which focuses on promoting relationships, is outlined in the latest issue of the British Journal of Psychiatry.

Philip Chism, who at 14-years-old brutally assaulted and murdered his teacher at Danvers high school in Massachusetts, has attempted to mount an insanity defense by producing brain scans that his expert witnesses have connected to schizophrenia. The judge has dismissed this evidence, however. “The inference the jury was asked to draw was that the volumetric value of the brain [is] consistent with schizophrenia is that the defendant has schizophrenia,” he said. “That is simply an impermissible inference for the jury to draw.”