Op-Eds

Since a Food and Drug Administration (FDA) advisory committee, on June 4, recommended approval of flibanserin (AddyiTM) in June, there have been numerous editorials and news stories about the controversies surrounding the first “pink Viagra” to hit the market. We have sought to understand the process and financial incentives that led the advisory committee to recommend its approval, with Sprout Pharmaceuticals prepared to market it as a treatment for a new disorder in DSM 5: Female sexual interest/arousal disorder.

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.

I’ve come to realize that the very good intentions of Congressman Murphy to fix an obviously not-working mental health prevention, intervention, and treatment “system” has caused him to be swarmed by a flock of flatterers flogging fraudulent “facts.” Thus, at the behest of my colleague, I wrote a letter to Congressman Murphy, who is obviously a leader for issues of mental health. My letter was delivered to him personally, and I share much of it here. The more I thought about the pickle the Congressman is in—surrounded by people either flattering him or yelling at him—the more compassion I have for him as a human trying thread his way through the siren songs.

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.

by Chaya Grossberg July 25, 2012 He also told me the shrinks were changing around his drugs and adding more.  They added an antidepressant or two to the Lithium and increased doses and eventually he seemed to have very little life left in him.  Our phone calls became trying for he was so down, practically dead sounding a lot of the time, and I felt unable to do anything or say anything to make a difference.  To even try felt futile and I wondered if talking to me at all was becoming the burden of yet another person he couldn't connect with. In the early years, he liked to think of us as being in the same boat, both mentally ill, since I'd also had a meltdown and I also am extremely sensitive and go through extreme states.  But as the years went by, especially towards the end, I seemed to be in the ever growing “other” camp in his eyes, which meant I was yet another person who didn't get what it was like to be him. And at that point I can confirm I did not, and perhaps did not want to.

Sometimes as a journalist one thing leads to another and you suddenly find yourself going down a dark rabbit hole that you hadn’t planned to visit. That’s what happened to me recently when I was writing a piece about how the Veterans Administration’s mental health system and the military in general were failing women in need of care following sexual assault. Retaliation is rampant in the military against those who tell the truth about what happens to victims of abuse, with pseudo-psychiatric diagnoses like “Borderline Personality Disorder” often used to damage or end a victim’s career.

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.

In a recent commentary, University of Toronto historian Edward Shorter laments the efforts of people like myself in states like Texas who have successfully put limits on shocking children in order to induce grand mal convulsions. His argument is that we who have fought against this are denying children a benevolent medical treatment. In order to understand why Shorter’s plea to use electroshock on children is so egregious, we need to know what it does to children’s brains, which means a look at the science.

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.

Much has been written lately about an "epidemic" of opioid overdose deaths, in some cases advocating for a blanket reduction in the availability of prescription opioids. Regrettably, many readers will not penetrate beneath the sensational headlines to grapple with the complicated realities of this issue. Few who aren't themselves in pain may realize what harm such articles are doing to tens of millions of people.

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?

Driving to work in my car this morning I was struck by a sudden thought; the problem with mental illness is not that people have it but it’s that they BELIEVE they do.

I am a mother of a son who was given a diagnosis of schizophrenia in December 2003, a son who is doing well today...

Our children are not safe. Not because of terrorists, but because it is becoming dangerous to advocate for their medical care without fear of losing them. A new charge, "Medical Child Abuse,” is now used by hospitals to remove inconvenient parents from the role of advocating for their children.

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.

In psychiatric hospitals we have set up the same environment as the Stanford Prison Experiment, but without a professor watching who has the authority to shut it down when things go horribly wrong. As a patient, there wasn’t any protection from the inescapable abuse of limitless power.

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.

Anoiksis (the Dutch association of and for people with a psychotic vulnerability) has introduced a new name for the disease schizophrenia: Psychosis Susceptibility Syndrome (PSS). Together with the old name, its attached prejudices, misleading significance and stigma can be thrown overboard.

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."

Since the time of Freud, the field of psychotherapy has assumed that modalities and techniques were the instruments of change in psychotherapy. But the evidence is mounting that modalities and techniques have relatively little to do with effectiveness; evidence shows that it is the human elements of psychotherapy that are the most potent agents of healing

As a former practicing clinical psychologist, I find Congressman and psychologist Tim Murphy's actions deplorable, a disgrace to the profession, a violation of the ethical principles that guide psychologists in their duties, and an attempt to use his credentials as a psychologist to manipulate the public and Congress to believe obviously false statements. As a result of becoming increasingly concerned about Congressman Tim Murphy's false, public statements conflating mental illness with violence, I contacted the Pennsylvania Psychology Licensing Board and formally requested the implementation of a State ethics investigation of Representative Tim Murphy, Ph.D. I invite you to do the same by emailing the PA board at [email protected]

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.

Over 100 million people in the US suffer from chronic pain – defined as pain lasting longer than 12 weeks. Up to 80% of those sufferers are women, many of whom report having been repeatedly brushed off or referred out by medical doctors who could find no discrete medical cause for the symptoms they reported. Some patients report an even harsher finding by their doctors: “To the best of my ability to determine, your pain is not medical in origin. I believe you need to be evaluated by a psychiatrist or psychologist who is qualified in psychosomatic issues.”

We are, more and more, as individuals with “mental health diagnoses,” living in a reality of senselessness, absurdity and and arbitrary outcomes. While I often believe that our movement simply calls itself a movement, but does not really move at all, it is in fact possible today to say that we are part of a post-Justina movement. The attention to her case highlights both the senselessness and the absurdity, but perhaps not the arbitrary nature of how the system functions for those it impacts.

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