Non-drug Approaches

As we approach world hearing voices day 2013 Karen and I are in Canada. We have just enjoyed running a preconference workshop for about 100 people in Winnipeg. I am sitting in my room before breakfast writing this piece and as I sit I am thinking back twenty-three years ago; I am in a psych unit in Manchester and I have a new support worker called Lindsay. By then I had been a psych patient for almost ten years and was fast approaching spending the rest of my life in the system. My support worker had convinced me to go to a new group that was starting in Manchester called a hearing voices group.

What does the new DSM-5 have in common with an Alfred Hitchcock mystery?  They both use a plot device, a “MacGuffin,” to drive the story. Hitchcock explained a MacGuffin as on the one hand “ridiculous”, “non-existent”, “empty” and inherently without meaning, and at the same time the central point around which the entire story turns.  Which narratives, and whose, are served by the "diagnosis MacGuffin”? Are there more socially desirable alternatives to replace this particular plot vehicle? 

Three-and-a-half years ago I quit my career as a psychotherapist. I’d done it for ten years in New York City and had given it my all. It was a career that chose me, loudly, when I was 27 years old. I learned a huge amount from it and I believe I was helpful to a lot of people. It also represented a vital stage in my life. But then the time came to leave. That also came as a sort of revelation.

I am alive today in the most intense, sometimes painful, always beautiful of ways, and one of the many reasons I credit for my life is this: I am a failed product of ‘Suicide Prevention.’ For this, I am eternally grateful. While this statement may sound like a confusing paradox, I’d like to explain what I mean.

In 2012, I found out that the ten biggest drug companies in the world commit repeated and serious crimes to such a degree that they fulfill the criteria for organised crime under US law. I also found out how huge the consequences of the crimes are. They involve colossal thefts of public monies and they contribute substantially to the fact that our drugs are the third leading cause of death after heart disease and cancer.

The idea of spending more time as a bureaucrat in the US Embassy in Iceland did not appeal to me. I longed for the freedom that academics have. While pursuing that dream I stumbled into the world of international media, “chemical imbalance”, book publishing and a greedy professor of psychiatry which was a prelude to my second annus horribilis.

What would happen if professionals opened their minds about the nature of madness?  What new possibilities might be created if they questioned labels such...

Sociologist Harold Garfinkel, in his landmark article "Conditions For a Successful Degradation Ceremony" wrote that "Degradation ceremonies are those concerned with the alteration of total...

In 1988, the introduction of Prozac was hailed as a breakthrough in the treatment of depression. A quarter of a century later, the prospect of a similar breakthrough in psychiatric medications seems remote. On August 19, 2013, the New York Times ran an article called, “A Dry Pipeline for Psychiatric Drugs".

This is a summary compiled by people in the mental health civil rights movement. Some of us call ourselves psychiatric survivors; those who have survived psychiatric treatment, not the “illness.” Many of us have found scientific evidence and our own personal experiences showing that emotional distress is not an illness. We have found recovery using a variety of approaches and methods, but here are several concepts of hope and empowerment repeated in many of our personal stories.

Jenna Fogle discusses her experience struggling with depression as a teenager, and the consequent harm done by psychiatric drug treatment.

Norman Doidge is a curious psychiatrist. He wanted to know how neuroplasticity could serve his practice and he sets out in his book, The Brain That Changes Itself, to interview and understand the work of leading neuroscientists who are using the natural neuroplasticity of the brain to heal everything from long-time post-injury paralysis to successfully managing OCD and anxiety.

When I teach workshops or lead discussions on coming off psychiatric drugs and alternatives, there are invariably parents present who are at loose ends. They want to know what to do for their children, how to help them best, and how it can be possible for their child to live without medication given all they have been through.

We are constantly hearing that ‘how we eat’ affects our health. The vast majority of studies showing the associations between diet and mental health have emerged in only the last decade, at best. So any professional who graduated over 10 years ago could potentially be completely unfamiliar with this body of research. We are encouraged by the number of professionals starting to pay attention to diet, but we have a long way to go.

I have facilitated support groups and worked one-on-one with those who hear voices for nearly 10 years.. The insights I've come to from my own experience have often facilitated understanding for others. Here is what I have learned from my experience of hearing voices.

Researchers from the Brown University School of Medicine, writing in Clinical Psychology Review November special issue on the future of evidence-based psychotherapy, report that psychotherapy...

While some will frame Eleanor Longden’s story, told in her awesome TED video (which has now been viewed about 1/2 million times!), as the triumph of an individual struggling against “mental illness,” I believe the story might better be seen as a refutation of the whole “illness of the mind” metaphor, and as an indication of a desperate need for a new paradigm.

Michael Wilusz discusses his experience struggling with emotional distress, the ensuing regimen of psychiatric drug treatment, and his process tapering off of the drugs.

An anti-anti-stigma campaign The whole anti-stigma campaign is something of a joke. Google the word “stigma,” see for yourself. Mental health labels are inherently stigmatizing,...

Amid concern about side effects as well as the growing off-label use of antipsychotics to treat violent and aggressive behavior, the inspector general's office...

I envision a world where there is no need for a mental health field/system because communities are strong and we have a holistic understanding...

MintPress reports that over half of America's foster children are on some form of psychiatric medication, and tells the story of some for whom...

Can withdrawal from psychiatric drugging be so terrible as to leave you with Post-Traumatic Stress Disorder (PTSD) — to somehow rearrange your psyche for the worse even once time and hard work have undone the damage caused by the chemicals? To so profoundly alter your core self that you acquire a new diagnosis meriting special considerations or further treatment in order to resume a normal life again? If the real definition of insanity is “repeating the same mistake over and over and expecting a different result,” then embracing a psychiatric diagnosis of PTSD as a result of psychiatric damage would surely make you “insane”.

The first time I heard someone labeled schizophrenic I was about 10 years old. A man was talking to himself and appeared to be house-less and perhaps on drugs. My mom, a very good teacher and explainer of things to me, said, “That man is schizophrenic. That means he can't tell the difference between what's inside of himself and what's outside.” In retrospect this seems like a relatively sophisticated and sensitive explanation; Falling in love, hearing music that enters our heart, having children/giving birth, connecting powerfully with another person in a meeting of the minds, feeling empathy, deeply caring about something, experiencing oneness with nature, are all examples of times when the line between inner and outer reality is blurred.

In just two decades, pointing out the pseudoscience of the DSM has gone from being an “extremist slur of radical anti-psychiatrists” to a mainstream proposition from the former chairs of both the DSM-3 and DSM-4 taskforces and the director of NIMH. In addition to the pathologizing of normal behaviors, another explanation for the epidemic — the adverse effects of psychiatric medications — is also evolving from radical to mainstream, thanks primarily to the efforts of Robert Whitaker and his book Anatomy of an Epidemic. While diagnostic expansionism and Big Pharma certainly deserve a large share of the blame for this epidemic, there is another reason.