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One cannot be with other individuals without encountering their belief systems at some point. My work with individuals in locked in patient units, mental health clinics and the Los Angeles Jails has brought me into close contact with people who had diverse belief systems, some of which were cultural and life-long, others were trauma-induced or influenced by drugs and alcohol. These experiences taught me to approach belief systems without prejudice and with open receptivity to their meaning and importance to the person.

Our newest conference this coming April in Michigan is the high point of a transition that my wife Ginger and I have been making for several years. The origins of the change go much further into the past to sixty-one years ago in 1954 when I was an eighteen-year-old college freshman at Harvard and a friend invited me to join him as a volunteer on the wards of Metropolitan State Hospital. I was majoring in American History and Literature, with little thought of becoming a psychologist and no thought whatsoever of being a medical doctor and a psychiatrist.

I imagined a world in which anyone can hit a button on their phone and be connected with a compassionate and empathetic listener, 24/7. So in 2019, I founded Peer Collective. Today, there are 30 peer counselors on the platform offering 30-minute counseling sessions for just $14.

Are those diagnosed with “mental illness” more dangerous than other people? Or have we evolved to sense danger from anything that we believe to be different or "strange"?

I think it is indeed true that many people go to psychiatrists specifically to get drugs. This is because it is widely known that psychiatrists will prescribe psychiatric drugs readily. In fact, since about 1980 or so, they really don't do much of anything else. For most psychiatrists, a "patient" returning at regular intervals for "med-checks" and refills is the ideal scenario. Within the psychiatric community, there is, I think, a great deal more concern expressed about non-compliant "patients" than there is about those who adhere faithfully to the prescription and keep coming back for more.

From Aeon: Peer support provides a cathartic space for refuge that transcends the constraints of expert-delivered formal services in favor of a more equitable relationship.

On November 16, 1989 in El Salvador, liberation psychologist Ignacio Martin-Baró was murdered by a Salvadoran government’s “counter-insurgency unit” created at the U.S. Army’s School of the Americas. This year, 25 years after his assassination, peace and justice activists around the world will honor Martin-Baró. Embarrassingly, the vast majority of U.S. psychologists and psychiatrists know nothing about Martin-Baró and liberation psychology. Why would mainstream mental health institutions keep U.S. psychologists and psychiatrists and the general public ignorant of the life and work of Martin-Baró?

In a First Opinion piece for STAT, Michael First argues that a digital DSM should allow updates between editions. The American Psychiatric Association (APA)...

I graduated in 1987 with a Bachelor of Science in Psychology. The attitude of my professors in the Psych Department was that the science of Psychology was coming to an end. The mysteries of the mind had been unraveled through the new neuroscience, and all that was left was some mopping up. It all seemed very convincing, and I believed it myself for many years.

Mickey studied how the intimacy between leading academic psychiatrists and the pharmaceutical companies had impacted our profession. His blog was a treasure trove of analysis and information. Mickey did some heavy lifting, and for that we are all indebted.

Someone in one of my healing groups asked me the below question, as I've been rapidly getting healthier and people are noticing: "Monica what do you think has been helping you the most to get better?" I figured I'd answer by putting this post together for her and my readers here and on Beyond Meds. The bottom line is that everything I do is important. Yup, again, Everything matters.

For weeks I had been trying to get released from the psychiatric ward, and none of my arguments, compliance, or attempted air of normality had made an impression on the barely-visible ward psychiatrist. I had, I was told, made a very serious suicide attempt and this was a predictor of future attempts. They would let me know when they thought I was sufficiently remorseful and stabilized to be released.

The debate between the majority and dissent shows how distorted and destructive the stereotypes of madness are as they have passed down through the law. But there are also winds of change coming from tensions inherent in the insanity defense itself, and we should take this opportunity to develop some sensible policies.

What follows is my attempt to report on the Pre-Seminar program from the 17th International Conference on the Treatment of Psychosis.

I got a call from a colleague – someone with whom I’ve worked fairly closely over these past six years. The problem was the typical reaction one can expect when you bring together people in clinical and a variety of other roles who have been indoctrinated to think that medication is the way, and you offer clear and direct challenges to their belief system. Many people (most, even) responded well to the workshop. Some did not.

The prescribing of stimulants to preschoolers diagnosed with ADHD is on the rise, which is said to be an "evidence-based" practice. A review of that "evidence base" reveals that claims that ADHD is characterized by genetic and brain abnormalities are belied by the data, and that the NIMH trial of methylphenidate in this age group told of long-term harm.

For the past four years, I have been deconstructing my views of my profession. My focus has been primarily in two areas: the efficacy and safety of the drugs I prescribe and the so-called “alternative” approaches (in this I include many things such as Open Dialogue, Hearing Voices groups, and Intentional Peer Support to name a few). I have shared much of this in the blogs I wrote during this time. I am also interested in how we can improve and reform the public mental health system since this is not only where I work but where most people seek services and help. I wonder where – if anywhere – psychiatrists fit in to a reformed system.

The World Health Organization newly published guidance for community mental health urges an end to forced treatment and the adoption of person-centered and rights-based services.

Direct access to care in safe locations is key in reducing healthcare costs and increasing quality of life for homeless populations.

Norwegian, Australian and U.K. researchers find, in a study of 13,436 community members, linked with official records of sickness absence from work (SA), that...

MIA’s Peter Simons interviews Laysha Ostrow about her mental health research and consulting company, the inclusion of peer specialists in mental health care, and her personal experience with the mental health system.

Two years ago, when I first felt the dizzy confusion of benzo disability, I talked about it openly. I remember discussing it briefly with an older friend who found my plight strangely fascinating. He asked if I remembered Quaaludes, a sedative-hypnotic that was all the rage in the 1960s and ‘70s. “We called them ‘Stumble Biscuits,’” he told me, “because you’d stumble down the street and hit one car and then stumble over and hit something else and it was just happy and goofy. It’s too bad they took them off the market. Those things were great.”

When we look closely at the current mainstream diagnostic and support system for so-called mental disorders today, the utter absurdity of it quickly becomes apparent. We have a system composed of literally hundreds of discrete “mental disorders” (those listed in the DSM), all of which are believed to be the direct result of soon to be discovered brain diseases, in spite of the fact no reliable biomarkers have yet been found for any of them after a century of intense searching, a fact acknowledged just last month by the current designer-in-chief of this system himself.

Leading psychiatrists appear unfazed that their theories and treatments are repeatedly proven to be scientifically invalid and discarded.

Harvard University provides this primer on basic statistics; helpful for anyone trying to parse daunting research studies. Article →