Op-Eds

This article is about my testimony at the Massachusetts State House hearings on September 10, 2013 supporting legal reform of rights of patients in mental hospitals in Massachusetts. The state Legislature’s Committee on Mental Health & Substance Abuse heard testimony on a proposed bill, House Bill #1806, guaranteeing patients in mental hospitals the right to get outside for fresh air breaks every day, and in the same bill is a proposal to put “teeth” into a weak existing law by strengthening enforcement powers to protect rights already granted people in hospitals. These rights may be unique to Massachusetts. It was hard to get them.

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.

Consider what would happen if people in the United States were able to bring about greater income equality, akin to Japan’s.  The rate of mental disorders would drop by half.  Life expectancy, even of the upper middle class, would increase.  There would be more trust, fewer homicides and fewer prisoners.  These are some of the well documented effects of increasing income equality, as the social scientists Roger Wilkinson and Kate Pickett explain in their book The Spirit Level, and on their website, equalitytrust.org.

Just as the American Psychiatric Association's (APA) long-delayed DSM5 was about to launch, the director of NIMH, Dr Thomas Insel, provoked a flurry of acrimony when he mentioned in his blog that his organisation intended to move away from the ideas behind DSM: “Patients with mental disorders deserve better... NIMH will be re-orienting its research away from DSM categories... we will be supporting research projects that look across current categories – or sub-divide current categories – to begin to develop a better system”. It now seems Insel's comments had more to do with NIMH funding needs than points of principle.

Six years ago a new neighbor moved into the house across the street. Paul Ellis was his name and we gradually moved from a nodding acquaintance to long conversations about philosophy and then to walking our dogs together. Then one autumn evening Paul told me that he had spent seven years in a forensic psychiatric hospital for killing his father in a substance-induced psychosis.

Psychiatric diagnoses are ballooning in scope and in numbers, many have dramatic and life-changing consequences, reliability levels are poor, co-morbidity levels are high, and the validity of many are doubtful. Despite all this, they have escaped any kind of regulation. It's time for that to change.

I do not claim to know how to heal the wounds from the tragedy that occurred in Newtown on December 14th, 2012. Nor do I claim to know how to prevent future tragedies of this sort. The intent of this post is to oppose ineffective and inhumane practices, prompted by reactions to the events in Newtown and other communities, that are falsely thought to be effective.

Outpatient commitment laws, passed by a number of states, permit forced commitment to ‎treatment of those whom a psychiatrist, psychologist, or mental ‎health official deems in need of treatment. The majority of this “treatment,” while not ‎specifically written in the law, results in coercive tactics to pressure agreement to take ‎pharmaceutical preparations of limited-to-no effectiveness but - as shown in early research - with ‎massive effects on cognitive functions and subsequent decision-making ability, not to ‎mention a long-term or lifelong diminished quality of life and ability to function as a productive ‎member of society.

As a psychiatric survivor who has personally experienced severe psychosis, my criticisms focus on the relative lack of attention to what psychiatric drugs actually are, and on the uncertain, contested nature of the supposed target of these drugs: “schizophrenia.” I will elaborate on each of these points with references, as well as highlighting alternative approaches to helping psychotic people.

Now that biological psychiatry has been discredited, I am championing a pro-suffering cultural shift. It is time to stop pretending that, with the assistance of hoped-for medical "miracles," we can eliminate everything we are afraid of. It is time that we get over ourselves and appreciate that a full existence as humans is fleeting and full of pain, suffering . . . and beauty.

In a nutshell, I switched coasts and moved from Philadelphia to attend CIIS in San Francisco, because I couldn’t tell my story. In Philly I was known for my role as Storytelling Training Trainer, in which I facilitated a workshop to help people share their stories of mental health and substance abuse recovery. But I never felt I could tell my own real story, because the culture there wouldn’t allow it. The culture allowed me to be a person diagnosed with bipolar with psychotic episodes, who was living a meaningful life, but it did not allow me to be a person who is undergoing a very profound developmental process where my psyche was perceiving and processing my universe in ways that were shifting my paradigm of the potential of what reality can be, which for me, is a very spiritual process, and my true story.

An open letter launched on World Mental Health Day, supported by people with lived experience, friends, family members, workers and researchers, calls on Rethink Mental Illness, one of the major English mental health charities, to co-create a new conversation about the diagnosis “schizophrenia.”

People are encouraged to visit their GP for help with all manner of symptoms — many of which may originate in conditions of stress and distress encountered in our lives and may actually be self-limiting given time, appropriate support and perhaps some change in circumstances.

The killing of 20 children and six adults in Newtown has triggered a search for some way of preventing these kinds of tragedies.  The...

Throughout California, the nation, and the world, peer specialists provide services to individuals with mental health challenges. In California, over 6,000 peer specialists are employed. In 2007, the Centers for Medicare & Medicaid Services guided states to create peer certifications. Since then, more than 30 states have created statewide peer certifications, and if Senator Leno’s Senate Bill 614 goes through, so will California

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.

The story of "Mrs. Frisby and the Rats of NIMH" has a great deal of personal significance to me because it was the last book I can remember reading to my three young daughters before taking Prozac. These memories have taken on a newer and more relevant meaning since Gary Greenberg invoked the title of that children's book in his excellent article for the New Yorker, "The Rats of NIMH," following Thomas Insel's blog, "Transforming Diagnosis," in which for a brief moment, the director of the NIMH disavowed psychiatry's bible, the "DSM-5."

The Sandy Hook Advisory Commission (SHAC) and the State Child Advocate's office still have produced no reports, and the deadlines continually come and go, with virtually no interest on the part of Governor Malloy or Connecticut state lawmakers. What is of interest, though, is the complete run-around and disconnect by those involved in producing the reports.

In 2015 I completed a qualitative research study exploring the interrelationship between psychiatric medication and spirituality. The key finding was that people were engaging spiritually with their prescriptions in ways that significantly impacted the course and outcome of recovery.

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...

What do we mean when we say someone has a mental illness? If we are to take the phrase literally, we mean that someone’s...

Thanks for everyone who supports the peaceful protest of the American Psychiatric Association Annual Meeting in New York City on May 4, 2014. There are too many wonderful people to mention here! Thanks to the millions of people all over the world who want real change in the mental health system.

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.

Researchers are constantly hunting for chemical variations in people with emotional problems. But even if chemical differences are someday found, why would we assume that these chemical processes cause abnormal behaviors or moods, as opposed to being mere correlates of them at the chemical level?

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.