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There were days that I’d wake up and all I could do was cry for no particular reason, just another miserable day of withdrawal. However, the idea of taking photos would get me out of the house. Especially on those days, the absolutely only thing that would get me to move at all was the idea of taking photos. One particular day, I was just crying, crying, crying, and as soon as I got to a beautiful spot that I loved, I stopped crying, took photos, and felt at peace. I even found that the days I felt the worst were the days I took the best photos.

Do you still need your psychiatric diagnosis? The answer for practical purposes is probably ‘Yes.’ In the current system, diagnosis is essential for accessing services and benefits and, particularly in the USA, for covering your treatment costs. But do you need to believe in your diagnosis? Do you have to accept this particular attempt to explain your difficulties, and to take it on as part of your identity by becoming one of the ‘mentally ill’? since psychiatric diagnoses have been admitted to be non-valid even by the people who drew them up, professionals should not be offering people the ‘choice’ of describing their difficulties in diagnostic terms in the first place. That would still leave people with the right to adopt whatever explanation suits them as private individuals.

Depression during pregnancy is an important issue. Depression should not be ignored and depressed pregnant women deserve good treatment and care. Part of that good care, though, is providing them with full and correct information. I care for pregnant women taking antidepressants on a daily basis and too often they tell me that the only counseling they received about the medication was, “my doctor told me it’s safe in pregnancy.” This post will review the evidence in this area and address the counterarguments.

Fifteen years ago this month we were sitting together in the basement of Peter’s house. We had felt a sense of despair at the widespread misinformation and atrocious stereotypes that were dominating media coverage of mental health at the time. We felt that our profession had a responsibility to challenge these stereotypes, and that as psychologists we had something unique to contribute. That was the time when research into the psychology of psychosis was beginning to burgeon, and many of our findings challenged not only the stereotypes but – perhaps more significantly - much ‘accepted wisdom’ within mental health services as well.

It struck me that I ought to interview “experts in the critical psychology field.” I reached out and did just that. There was general agreement that most people held the following ten erroneous assumptions about “the state of mental health services.”

For the last month or so, Mad in America has been hard at work building a directory of “mental health” providers across North America (and eventually, we hope, the world) who will work with people wanting to come off psychotropic drugs.  I’ve been honored to have been tasked with the responsibility of building this directory, and I have to say, it’s been inspiring to talk to people all over the country who do this work, and who “get it”.

Being a woman of a certain age, I dutifully went in for a “routine” colonoscopy a few weeks ago. My doctor came to see me before the procedure. She spent about 5 minutes reviewing the procedure and asked me to sign the consent form. I was in the procedure room for about 10 minutes and then we were done. A few days ago, I got the bill. It got me to wondering about the reimbursement for the work I do.

The FDA recently approved lisdexamfetamine (LDF) for the treatment of the newly minted DSM-5 diagnosis of Binge Eating Disorder. This caused me some consternation and this blog will be as much about my reaction to this news as to the news itself.

Twin studies supply the most frequently cited evidence in favor of important genetic influences on human behavioral differences. In an extremely small yet influential handful of studies, twin pairs were said to have been reared apart in different families. Twin researchers and others view this occurrence as the ultimate test of the relative influences of nature (genes) and nurture (environment). According to this view all behavioral resemblance between reared-apart MZ twin pairs (known as “MZA” pairs) must be the result of their 100% genetic similarity, because such pairs share no environmental similarity. But, far from being separated at birth and reared apart in randomly selected homes representing the full range of potential behavior-influencing environments, and meeting each other for the first time when studied, most MZA pairs were only partially reared apart, and grew up in similar cultural and socioeconomic environments at the same time.

I'm old enough to remember a time when outpatient psychiatry was almost entirely a talking and listening profession. Depression was considered a fairly ordinary and understandable phenomenon – part of the human lot, so to speak - and remediation was conceptualized as being largely a matter of seeking support and solace from friends and loved ones, and of making positive changes in one's circumstances and lifestyle. In extreme cases, people did consult psychiatrists, but the purpose of these visits was to discuss issues and problems – not to obtain drugs.

Before Michael Pollan gained well-deserved respect and influence authoring five bestselling books about food, he got my attention in the late 1990s writing about American illegal-legal psychotropic drug hypocrisy. Then he stopped writing about it. If he had continued his assault on American drug hypocrisy, he likely would have been attacked by many psychiatric drug users, mistaking his confronting this hypocrisy as challenging their decision to choose psychiatric drugs.

For those who actually believe that psychological problems are on the rise, serious inquiries must ensue. Many have rightly raised concerns about iatrogenic culprits, including drug-induced effects, but this too seems to fall short of accounting for the meteoric rise. Except for those forced to take psychiatric drugs, I would suggest that most seek out drugs in the hope of relieving iniquities caused by factors such as those I discuss below; unfortunately, this may not only lead to avoiding addressing the real issues, but may even lead to further complications of the drugs. Given this, I present five areas for further discussion, which I believe are causal agents for the mental health crisis.

I know that this might sound odd coming from a critical psychiatrist, but I believe that psychiatry has a future. Furthermore, I maintain that a good deal of psychiatry as practised now is helpful and that many psychiatrists manage to play a positive and therapeutic role in the lives of their patients. However, I also believe that we are at our most helpful when we depart from the current biomedical ideology that has come to dominate in our profession. As a first step, we need to get beyond the reductionism that currently guides most psychiatric research and education.

Antidepressants may be effective over the short term, but research is showing that treatment resistant depression has risen dramatically in the past 30 years; evidence that the drugs may be inducing chronic depression.

The version of psychiatry that many professionals, politicians and laypeople would like to be true is that mental illnesses are specific brain disorders with specific drug treatments, to which they are very responsive if identified early. In reality, the way we categorise mental illnesses is arbitrary, and the diagnostic criteria are over inclusive. Whilst psychiatric drugs can be helpful, the dream of a quick fix by targeted drugs has become a nightmare where we often do more harm than good in the way we use drugs, e.g. against depression, schizophrenia and ADHD.

I’ve spent much of my professional life studying psychological aspects of mental health problems. Inevitably, this has also meant discussing the role of biology. That’s my academic day-job. But it’s not just academic for me. I’m probably not untypical of most people reading this; I can see clear examples of how my experiences may have affected my own mental health, but I can also see reasons to suspect biological, heritable, traits. As in all aspects of human behaviour, both nature and nurture are involved and they have been intimately entwined in a complex interactive dance throughout my childhood and adult life.

While I have lived just a few miles away from the Capitol for the last fifteen years, I have been unsure about getting involved in legislative advocacy. I’ve been intimidated by the complexity of the legislative process, and more inclined to leave it up to others who I perceive as having more experience than me. And honestly, I haven’t felt very hopeful about effecting change. My cynicism had turned to “learned helplessness.” And then along came a mental health bill so destructive, so regressive, that I had to step out of my uncomfortable comfort zone.

At the present time psychiatry, because of intense pressure from its critics, is retreating somewhat from the chemical imbalance theory. But instead of acknowledging that this notion was flawed, that they knew it was flawed, and that they promoted it for self-gain, they are claiming that they never really said it in the first place.

Part two of a Mad In America investigation into the expansion of psychological screening and electronic surveillance of children and youth. Experts point to mounting evidence that scientifically dubious mental health screening programs are just one part of an international governance shift towards creating all-pervasive surveillance systems for diagnosing 'pre-crime' and managing 'at-risk' children and youth. And not only is this not helping kids, critics argue, it’s demonstrably harming them.

Preface: Failing in my efforts to get this article published for the general public, apparently only here can I talk about a “cool subculture...

For nearly two decades, Big Pharma commercials have falsely told Americans that mental illness is associated with a chemical brain imbalance, but buried SAMHSA survey results tell us that depression and suicidality are associated with poverty, unemployment, and mass incarceration. And these results also point us to the reality that American society has now become so especially oppressive for young people that an embarrassingly large number of American teenagers and young adults are depressed and suicidal.

Yoga helped me explore and reconnect with the body I’d abandoned and abused for years. My pain and sadness had me living exclusively in my mind, my body nothing more than a battleground for my inner wars. Through yoga and meditation, I slowly began to love myself again, learning to treat myself with care and respect. I felt a greater sense of self-awareness, and a sense of connection to something greater. This was a drastic contrast to the days when I felt as if god had forgotten about me, or like I was a mistake not meant for this world.

So here we go again; another meeting with another young person who describes how he is in an acute crisis - you may call it - and is diagnosed and prescribed neuroleptics. He is told by the doctor that he suffers from a life-long illness and he will from now on be dependent on his “medication.” As long as people are met this way I see no alternative than showing that there are alternatives. If that means being "antipsychiatry," then I am more than happy to define myself and our work in that way.

Here’s a newsflash – the hope for a molecular-biochemical explanation for psychiatry is a false hope. Most of my field has come to expect and believe that we are on the verge of a new paradigm. This paradigm is based on the illusion that the workings of the brain on the molecular level has anything to do with psychiatric conditions. The proponents believe we are on the verge of proving that psychiatry is a brain disease no different from cancer or diabetes. But all that the research has come up with is - nothing.

There are various ways to analyze an institution like psychiatry. One of the most common is by mining examples. You might, for example, talk to few survivors who seem to embody what befalls most folk subject to psychiatric rule. Or, you might pen a stirring phenomenological account based on your own experiences. Here, I will introduce you to the bare beginnings of an inquiry—one that I found myself falling into but a couple of weeks back. The entry point is the arrival of a letter.