psychotherapy underfunded by insurers

The Woeful Underfunding of Psychotherapy by Health Insurers

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Psychotherapy reimbursement rates have been in decline for decades, even though insurance premiums have risen sharply. This is mystifying given that the vast majority of people prefer psychotherapy over medications, science shows it rivals the benefits of medications, and it saves insurance carriers money.

Is Xanax Really the Bad Guy?

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While any effort to generate awareness and potentially curb the benzodiazepine epidemic is commendable, we have to ask ourselves, is Xanax just the scapegoat in this situation? Will legislative action and media attention for only one benzodiazepine out of so many make any difference?
cemetary angel

People Are Dying Prematurely Due to Polypharmacy

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Our son, Mark, is an example of the deadly effects of polypharmacy. He died at the young age of 46 and his death was caused by toxicity/cardiac failure from two of the five medications he was taking, at higher than recommended doses, as prescribed by his psychiatrist.

Forced Treatment Ineffective: Advocacy Essential

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Most Americans would agree that we have problem with mental health in this country, but what many do not know when they consider that people who are in distress are not getting the help they need is that hospitals in this country are not giving people a choice when they are in the most need. This is based on laws that currently exist in 45 US States, which allow individuals to be petitioned into an inpatient psychiatric unit against their will if they are deemed to be a “danger to themselves or others.” I have worked for 3.5 years as a Peer Support Specialist within my local public mental health system, where I see this happen to the individuals I serve, on a regular basis. I myself have been forced.
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.
survivor knowledge

Uncomfortable Relations: Reflections on Learning From Psychiatric Survivors

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I increasingly think we can only reach greater understanding by working through our own experiences first, and then, if we can, alongside survivors. That will help us become more open to survivor knowledge. For example, we may need to work through our own need for control and understanding. It’s helpful to consider our own reactions to distress or madness — in ourselves and others.

The Winding Road and the Importance of Going Sideways

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The winding path is very often the only path that a human being can follow. It has to become an acceptable path. We have to stop pushing young kids because WE want them to be somewhere without regard to what they are ready for.

“Prisons Without Bars” – Forced Institutionalization of People with Disabilities

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In the wake of deinstitutionalization, we no longer have the vast asylum system we once did. Instead, something more insidious has taken root — for-profit institutions that call themselves neurorehabilitation centers, group homes, and other official-sounding names.

The Evidence of Our Convictions

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We are an unlikely duo, sharing secrets only known to insiders, the inmates and staff of Bader 5, Boston Children's Hospital's adolescent psychiatric unit. I am the nurse who blew the whistle that no one heard in 2010, she is the teenager who was imprisoned on Bader 5 for nine months in 2013. We met for the first time on this past Thanksgiving Day at Yale New Haven Children's Hospital, where she has been a *medical* patient for the past nine weeks.
mental illness

Creating “Mental Illness” – An Interview with Christopher Lane

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The story behind how the ICD and the DSM came to include certain mental disorder descriptions is a fascinating one. Christopher Lane, a 2005 Guggenheim Fellow, wrote about these seminal events in Shyness: How Normal Behavior Became a Sickness. We discuss what led him to write this book a decade ago, and why the questions he posed are still relevant today.
ADHD school boy

ADHD: Disempowerment By Diagnosis

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Giving a diagnosis of ADHD can profoundly disempower students and lead to what psychologists call “learned helplessness.” Isn’t it time for those of us in education to reclaim our profession? Who are the teaching and learning experts? Doctors? Drug companies? We are! And if we don’t stand up—for our students—against disempowering diagnoses and harmful drugs, who will?

Don’t Harm Them Twice (Part II): What Can Be Done?

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When language has been ingrained in a culture for a long time, it takes a concerted effort to change it. How do we stop using the word “addiction” in relation to cases of iatrogenic benzo dependence? Here are a few suggestions.

The Power of Words: What the Wall Street Journal Didn’t Tell You

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Two weeks ago there was an editorial in the Wall Street Journal that basically eviscerated the Substance Abuse and Mental Health Services Agency (SAMHSA) while at the same time calling for support of HR 3717 – The Helping Families in Mental Health Crisis Act. HR 3717 has elements that we agree with as well as elements we don’t. In addition, there are elements that are just plain confusing to us. In this post I want to address three of the most popular sound bites (two of which found their way into the WSJ editorial) that continue to come up again and again.

The Downfall of Peer Support: Are You Kidding Me?

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In April of this year, Sera Davidow authored a blog titled “The Downfall of Peer Support: MHA & National Certification.” I do not agree with much of what she says in her blog, and as the vice president of Peer Advocacy, Supports and Services at Mental Health America I'd like to respond.

Soldiers as Guinea Pigs: the Case of Mefloquine and Tafenoquine

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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.

Don’t Harm Them Twice: When the Language Surrounding Benzodiazepines Adds Insult to Injury (Part...

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Language is important. And when language dictates specific treatment protocols, it should be used with extreme scrutiny. Using the wrong words can put vulnerable people at risk—not only to their sense of self-worth, their sense of self-knowledge, and they way they are treated, but also to their health.

“Active Minds” — What Conversation Are We Changing?

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Active Minds allows college students to start conversations on some of the most difficult struggles we face in life, but I urge the organization to lead the conversation away from bad science and towards the common struggles that we endure as human beings.

Voices in our Heads: The Prefrontal Cortex as Parasite

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As I considered the voice I heard talking to me in my own head, it occurred to me that what was happening was, more or less, a later development of the brain talking to a more basic and earlier level of consciousness, one which was not verbal itself and was, in fact, the actual seat and locus of my real awareness.

Response to “The End of Rethinking Psychiatry?”

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In his Mad in America blog post “The End of Rethinking Psychiatry?” Jonathan Keyes writes about the support group Rethinking Psychiatry and how Portland’s First Unitarian Church has withdrawn its assistance and asked the group to leave the church. Jon wasn’t told the full story by his colleagues at Rethinking Psychiatry, and he didn’t ask the church about it. Turns out First Unitarian wasn’t the first organization to cease support for Rethinking Psychiatry; my organization did as well - and here’s some background about our decision.
drug companies money

Taking Big Pharma to Court: Why Lawsuits Have Little Effect on Drug Companies

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2018 has already brought particular attention to the pharmaceutical industry’s “profit over patient” mentality, as drug manufacturers and distributors continue to be hit with civil cases throughout the country for their involvement in the opioid epidemic. But the sad fact is that these lawsuits are nothing new.

Researching the Link Between SSRIs and Violence

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In 2010, my 25-year old son was prescribed Prozac for depression. After a psychiatrist doubled his dose, my son became acutely psychotic and had to be admitted to the hospital. Over the next twelve months, during which time he was treated with antidepressants and neuroleptics, my son had five further psychotic experiences. I thought it might be that my son was having difficulty metabolising the drugs.

Why the Shades of Awakening Online Series Matters

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As all of you on Mad in America are aware, being labeled with a mental disorder can be devastating. However, for a few of us, we immediately recognized our “disorder” as a breakthrough – a re-ordering of the psyche, if you will. As it turns out, in most cases where this re-ordering takes place, there tends to be a very powerful “spiritual” component. Now, the word “spiritual” is a very broad term that is interpreted in many different ways, so let me be more specific.

How Canada’s Prisons Killed Ashley Smith: A National Crime and Shame

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Ashley Smith was a very troubled and rebellious teenager. By the time she was 13, she was getting into trouble in school. On one occasion, Ashley was charged with the crime - actually a childish prank - of “throwing crabapples at a postal worker.” Ashley was convicted and sentenced to detention in New Brunswick Youth Centre. Prison psychologists and psychiatrists labeled her defiant behavior a “mental health issue”; a thinly disguised term for “mental illness.” There is no record of any detention or prison staff or health professional trying to understand Ashley’s resistance to authority as youth rebellion.

The Right to Refuse Psychiatric Treatment

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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.

After Seroquel

The topic of this article is Seroquel withdrawal: the process of withdrawal and the consequences of having taken this particular chemical for over ten...