Non-drug Approaches

We poison ever growing numbers of children with chemicals known to cause aggression and suicidality. We routinely drug children with these so they’ll sit still and be quiet in classrooms. Now, we drug babies for crying and 3 year olds for acting frightened while locked away from their families in day care centers. Those unsuccessful in school environments are incarcerated. It 's a well-worn path.

Is poetry the way to truly understand madness? Do rituals and music -- such as Ireland's tradition of keening -- have the power to heal emotional suffering? Susan McKeown, Grammy award-winning singer/songwriter and folklorist, supported her partner through an extreme state. She began a journey to uncover intergenerational trauma in her family and in the history of her native Ireland, and was inspired to set poems about madness to music.

When plans for the DSM-5 were first announced about ten years ago, most folks’ reaction was “Why?”. Many of us asked that same question several times as the publication date for the new tome kept on getting pushed back. Finally, the curtain enshrouding the DSM-5 Task Force and its several committees began to part and proposed revisions/additions began to appear on its website. To our dismay, we found our question answered.

Hope heals. Thousand of years of experience and, more recently, numerous hope studies, prove this to be true. Yet hope is still a 4-letter word in many mental health settings. How can we build a bridge to hope from hope-stealing physical and emotional pain, hopeless diagnoses and prognoses, and hope-numbing side effects?

Recently, two more waves of criticism have broken onto the beach of opinion concerning mental health services and practice. Allen Frances has mourned approval of DSM-5 in his Psychology Today blog and the British Journal of Psychiatry has published a paper by members of the UK Critical Psychiatry Network. What is notable about both of these is that they give further voice to criticism of conventional mental health services by those who have spent years providing and researching them.

Yes, a psychiatric diagnosis can be a dangerous thing to have. But, these days, so is having any medical diagnosis. The names and words of the diagnoses themselves are not so much to blame for the harm. Rather, the harm comes through the ways the diagnoses are created and how they are used.

In my recent Alternatives keynote I talked about mental health issues and our unjust prisons, including the shameful racism of the criminal justice system...

In "The Order of Things", Michel Foucault, the great French philosopher cites a ‘certain Chinese encyclopedia’ that notes ‘animals are divided into: (a) belonging to the Emperor, (b) embalmed, (c) tame, (d) suckling pigs, (e) sirens, (f) fabulous, (g) stray dogs, (h) included in the present classification, (i) frenzied, (j) innumerable, (k) drawn with a very fine camelhair brush, (l) et cetera, (m) having just broken the water pitcher, (n) that from a long way off look like flies’.

There's a widespread belief in psychiatric and mental health circles that human experience can be reduced to the biology of brain chemistry -- the "medical model." But this is just the tip of the iceberg: our whole society is in the grips of a faddish pseudo-science of "neuromarketing," "neuropolitics" "neurotheology," and 'neuroeconomics."

My sabattical of last winter has spun off a second one. I remain uncertain of my role as a physician in a society which values pills over personal growth and change. Last summer, unplugging my life from the “American dream” seemed in order. It’s not easy to make changes with chains and weights in place. It’s not easy to think, decide and move with the financial shackles that are the bones of everyday life.

The practice of medicine in our country is being swallowed whole by a snake. The snake started with the poor, the black, the brown; the already disenfranchised of the deep south and inner cities many years ago. It was an easy sell to the better-off taxpayers. Who wants to give up money to take care of poor people?

How did the APA talk go? Overall a success-- the audio went viral on the internet, and the talk itself was so crowded we had to move to a larger room -- more than 70 psychiatrists and behavioral healthcare professionals attended. Afterwards many stepped up to shake my hand and congratulate me: I was told by two people I was a gift to the conference, asked to present at a Grand Rounds, encouraged to do a TED talk, thanked for my compassionate response to a question about forced treatment, and invited to do more trainings in the future. I even met several psychiatrists who are Madness Radio listeners. Psychiatry is clearly not a monolithic profession and many in it are beginning to think differently.

Video games provide an example of an idealized relationship; in which authority is ever-attentive, un-preoccupied, and in which consequences are immediate and consistent, without prejudice or grudge. How understandable that in our relatively imperfect world, with unpredictable relationships, in which the hope of achievement and mastery is elusive or non-existent, children fall into behavior that appears to be unhealthy in comparison.

Psychology Today offers a psychoanalytic perspective on childhood bipolar disorder that finds trauma at the root, a view that sees Beyond Meds as extending beyond the diagnoses...

The fundamental importance of connection to a child helps us to understand the use of "Time-Outs" which, used improperly, can be like pouring gas on a fire in a situation that is already not working; causing a distressed child to go further awry and potentially contributing to symptomatology that puts them at risk of being identified as ADHD, anxious, or bipolar.

How does a straightforward, common-sense idea - guaranteeing the elemental pleasures of fresh air and access to nature to those in inpatient and residential psychiatric/mental health facilities – repeatedly fail on a policy level?

Using data from the National Comorbidity Survey, researchers found that individuals with a psychotic disorder who had lost a child had a significantly later...

Researchers from Spain, Belgium and the Netherlands find, in a study of 226 monozygotic twins, that where there is a correlation between childhood adversity...

What do you when medications for your emotional problems become worse than the problems themselves? Laura Delano went to a psychiatrist at age 18, and for the next decade was prescribed nineteen different psychiatric drugs. After devastating physical and emotional effects, she began a journey to become medication free -- and re-discover who she is.

An opinion article by a survivor of forced hospitalization writes in The Irish Times argues that the 30% reduction in involuntary detentions in Ireland...

Psychiatrist Pat Bracken speaks on the current "crisis of legitimacy in psychiatry," and the growth of the international "service user" movement at the Forum...

Gianna Kali reviews the Adverse Childhood Experiences (ACE) study, "one of the largest investigations ever conducted to assess associations between childhood maltreatment and later-life...

An international team of researchers (including Irving Kirsch) found in a review "of 62 pivotal antidepressant trials consisting of data from 13,802 depressed patients"...

Time magazine reviews the evidence on exercise for depression, finding that exercise alters brain chemistry such that the brain shows less stress in response...

As the schizophrenia/psychosis recovery research continues to emerge, we discover increasing evidence that psychosis is not caused by a disease of the brain, but...