Mourning: Death, Loss, Trauma, & Psychotherapy – The Universal Agent for Recovery and Change
There are no set rules for grief. It takes however long it takes, sometimes years, sometimes more. Grieving operates on its own time. The very idea that the DSM-5 gives a two-week grace period before diagnosing a ‘biological depression’ is obscene on the face of it, never mind the handing out of Prozac. Other psychiatrists would like to push the window all the way to three or even four weeks. How compassionate. There is no place for antidepressants, ever
Psychiatry: We Need a Truth and Reconciliation Commission in Mental Health
My name is Leah Harris and I'm a survivor. I am a survivor of psychiatric abuse and trauma. My parents died largely as a result of terrible psychiatric practice. Psychiatric practice that took them when they were young adults and struggling with experiences they didn’t understand. Experiences that were labeled as schizophrenia. Bipolar disorder. My parents were turned from people into permanent patients. They suffered the indignities of forced treatment. Seclusion and restraint. Forced electroshock. Involuntary outpatient commitment. And a shocking amount of disabling heavy-duty psychiatric drugs. And they died young, from a combination of the toxic effects of overmedication, and broken spirits.
Social Services and Psychiatry
The controversy surrounding Justina Pelletier and her family has expanded its scope in recent months, and has now become a general public scrutiny of Massachusetts’s Department of Children and Families. I think there’s a very real risk of confusing some issues here. Every state in the US has a social services department, one of whose statutory responsibilities is to investigate reports of abuse and/or neglect. The system isn’t perfect. But this I do know: the spotlight has been taken off psychiatry. This is critical, because without the “diagnosis” of somatic symptom disorder and the subsequent allegation of medical child abuse, none of what’s happened to Justina and her parents could even have gotten off the ground.
My Reply to Pete Earley: Do I Have Blood On My Hands?
Since I spoke at NAMI’s national convention last month, the writer Pete Earley has invited people who listened to my talk to send him their reports of the event. Earley wrote a book titled Crazy, which was both about his son’s struggles with mental illness and the criminalization of the mentally ill, and in his book and other writings, he has told of his frustration with laws that prevented his son from being forcibly medicated. Yesterday, on his website, he published a letter from a mom who attended my talk with her adult son, and she told of how, after returning from the meeting, her son apparently abruptly stopped taking his medication and has now gone missing.
Me, My Brain, and Baked Beans
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.
Do the Math
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.
A Reflection on Mothers, Children, and Mental Illness
I woke up this morning and there it was again, "I Am Adam Lanza's Mother." This essay is all over the internet, written by a woman who is using her personal story about experiences with her “mentally ill” son, whom she is “terrified of,” to appeal for more dialogue on the issue of mental health. As I write this, her son's picture has been viewed by over a million people. They have read her accounts of what may be some of these young man’s most painful childhood memories.
There’s No Duct Tape for Benzo Withdrawal
It’s stunning what a quarter milligram of a benzodiazepine can do to the body. I’ve been detoxing off a high dose of benzodiazepines since September of 2011. The first few months were a failure. But this past May, I found my expert and thought I had the formula. Things were going well for detoxing off a substance many deem more addictive that heroin. That is, I realized, until they weren’t.
Studies of Reared-Apart (Separated) Twins: Facts and Fallacies
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.
Psychiatry and the Problem of the Medical Model – Part 1
The mental health industry has a lot to answer. The psychologization of everyday life has eroded the range of human experience seen as normal, disempowered people to manage their own life challenges, professionalized helping relationships and undermined the already decaying support structures through which people found meaning and connection, stigmatized people through psychiatric labeling, led to iatrogenic misery from harmful treatments and traumatized already vulnerable individuals through excessively coercive practices.
The End of Psychiatry
People are very confused about what psychiatry is. Psychiatry is a bit confused. Collapsing psychiatry into neurology would be clearer. If you want an evaluation to understand possible medical causes of your problem go to the nerve doctor. If you want to know if there is a pill for you, go to the nerve doctor. If you want to understand your experience as a human and the nature of your suffering, leave medicine out of it.
Are We at a Tipping Point?
Just this week, a report written by a task force advising on new dietary guidelines commissioned by the US departments of Health and Human Service and Agriculture recognized the importance of nutrition in mental health outcomes for the first time. Is the public ready to accept the importance of nutrition for mental health?
From Compliance to Activism: A Mother’s Journey
Through years of turmoil and confusion, Cindi Fisher’s enduring love for her involuntarily committed son gradually changed her from compliant mom to mental health civil rights activist. That’s when authorities banned her from even contacting her son. But could she be a bellwether of a coming nation-wide wave of protestors?
Unwarranted Criticism of “Psychiatry Gone Astray”
On 6 January 2014, I published the article “Psychiatry Gone Astray” in a major Danish newspaper (Politiken), which started an important debate about the use and abuse of psychiatric drugs. Numerous articles followed, some written by psychiatrists who agreed with my views. For more than a month, there wasn’t a single day without discussion of these issues on radio, TV or in newspapers, and there were also debates at departments of psychiatry. People in Norway and Sweden have thanked me for having started the discussion, saying that it’s impossible to have such public debates about psychiatry in their country, and I have received hundreds of emails from patients that have confirmed with their own stories that what I wrote in my article is true.
Why I Became a Critical Psychiatrist
The talk explains my own evolution as a psychiatrist and addresses the development of the Critical Psychiatry Network. I focus on three main areas: psychiatric diagnosis, the influence of the commercial forces of the pharmaceutical industry on medicine in general and psychiatry in particular, and the evolution of the use of neuroleptic drugs (in that order).
What the Government Knows About Suicide and Depression That We Are Not Being Told
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.
The Triumph of Bad Science
If we want to understand how our society may end up deluded about the merits of psychiatric medications, we can look at the research...
The Wind Never Lies
When I was young I believed the world spoke to me. Lightning split across the sky to the pulse of my thoughts. Rings around...
Letter to the Mother of a “Schizophrenic”: We Must Do Better Than Forced Treatment...
Again and again I am told the ‘severely mentally ill’ are impaired and incapable, not quite human. I am told the “high utilizers” and “frequent flyers” burden services because they are different than the rest of us. And when I finally do meet the people carrying that terrible, stigmatizing label of schizophrenia, what do I find? I find – a human being. A human who responds to the same listening and curiosity that I, or anyone, responds to. I find a human who is above all terrified, absolutely terrified, by some horrible trauma we may not see or understand.
Stimulants and Food
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.
The Problem of Blame
On January 27 I posted a blog, Maternal Attachment in Infancy and Adult Mental Health, on my website Behaviorism and Mental Health. In this article I reviewed a longitudinal study by Fan et al. The main finding of the study was: “Infants who experience unsupportive maternal behavior at 8 months have an increased risk for developing psychological sequelae later in life.”
Article on “Rethinking Criminal Responsibility”
My law review article entitled "Rethinking criminal responsibility from a critical disability perspective: The abolition of insanity/incapacity acquittals and unfitness to plead, and beyond" has been published in Griffith Law Review. The article attempts to find a way to deal with concerns for a degree of toleration towards socially disruptive behavior that may be criminalized, without making some people categorically and legally irresponsible as happens with the insanity defense.
The Media Missed the Story: Civil Rights and the Helping Families in Mental Health...
There’s a fierce debate brewing on Capitol Hill over two competing bills that seek to overhaul our nation’s mental health system. Rep. Ron Barber (D-AZ), a survivor of Jared Loughner’s 2011 mass shooting, has proposed the Strengthening Mental Health in Our Communities Act of 2014, a bill that would provide additional funding for the Substance Abuse and Mental Health Administration (SAMHSA). Barber’s legislation specifically targets at-risk populations who may be underserved − young people, seniors, veterans, and Native American communities − and seeks to provide patient-driven treatment before the illness becomes unmanageable.
May the ‘Force’ NEVER EVER Be With You! The Case for Abolition
A growing body of evidence indicates that forced “treatment” in today’s mental health system, including all forms of forced hospitalization and forced drugging, may actually cause FAR more harm than good. Recent published studies and articles point towards evidence of physical and psychological harm that, in some cases, may contribute to more suicidality and patient deaths, as well as overall worse outcomes in a person’s state of recovery.
On Becoming Critical
In order for you to understand where I am coming from, you probably need to know a bit about how I got here. Throughout my psychiatric training I had always, in the back of mind, this question: What is the difference between my suffering and those of my patients? How come they get all this treatment and I got none? Why do they have a ‘brain disease’ (there was a time when I tentatively believed in this sort of thing), whilst I, who was at times symptomatically severe enough to warrant medication, have no brain disease? The answer seems plain to me now. I had suffered exactly in the same way as many of the people I see every day do, but I had been lucky enough to avoid labeling and drugging.