Reflections on Being a Therapist

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Three-and-a-half years ago I quit my career as a psychotherapist. I’d done it for ten years in New York City and had given it my all. It was a career that chose me, loudly, when I was 27 years old. I learned a huge amount from it and I believe I was helpful to a lot of people. It also represented a vital stage in my life. But then the time came to leave. That also came as a sort of revelation.

Does the Psychiatric Diagnosis Process Qualify as a Degradation Ceremony?

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Sociologist Harold Garfinkel, in his landmark article "Conditions For a Successful Degradation Ceremony" wrote that "Degradation ceremonies are those concerned with the alteration of total...

Psychiatric Times Offers “Discontinuing Medications: When, Why, and How-to”

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Psychiatric Times is offering an online continuing medical education (CME) course designed to "present information on why a patient might decide to discontinue psychotropics...

The Temptation of Certainty: David Foster Wallace, Suicide and Psychiatric Drug Withdrawal

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While increasing numbers of Americans are being prescribed antidepressants, the Centers for Disease Control reports that suicide rates increased 28% from 1999 to 2010. Trained professionals remain unable to predict who is at risk. Their guess is as good as chance.

Parents’ Goals Affect Choice of Medication vs. Behavior Therapy

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Researchers find that parents who are focused on their child's academic achievement are twice as likely to start the child on ADHD medications as...

The Brain that Changes Itself: How Breakthroughs in Neuroplasticity Can De-Pathologize Mental Health

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Norman Doidge is a curious psychiatrist. He wanted to know how neuroplasticity could serve his practice and he sets out in his book, The Brain That Changes Itself, to interview and understand the work of leading neuroscientists who are using the natural neuroplasticity of the brain to heal everything from long-time post-injury paralysis to successfully managing OCD and anxiety.

Appeals Court States Psychiatrists May Commit Medicaid Fraud by Prescribing Drugs Off-Label

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The Seventh Circuit Court of Appeals yesterday rejected a lower court's dismissal of  Watson v. King-Vassel, saying that a jury is in fact sufficiently able...

A Journey Into Madness and Back Again: Part 1

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During the past 29 years I have been diagnosed with anxiety, depression, PTSD, Biploar II and complex PTSD. I have tried numerous drug combinations and have been through ECT several times. None of this helped me. My road to recovery started when I decided to rebel against conventional psychiatry.

Changing Minds About Voices: Action Over Words

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Sometimes the best way to make real change is just to do the work. Sometimes the talk is the work and it can be hard to separate out the two. However, in a growing number of instances, it’s hard to miss the futility of the talking and how tied up we can get in our own virtual war of words. Stepping away can be liberating. Sometimes, while everyone else is wrapped up in the talking, you can get an awful lot done.

What Is the Emergency?

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Secret court proceedings against someone certainly justifies the feeling that people are out to get them. Expressing this sentiment is characterized as paranoia. If people felt they had a fair legal process they are likely to be less upset.

Chinese Medicine for Emotional Healing

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Chinese medicine offers one proven path to emotional balance and harmony for many people who struggle with anxiety or depression. Many people who receive treatment from a licensed acupuncturist experience significant benefit, and don’t need to take psychiatric drugs.

Is Depression Unhappiness?

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We have good reason to despair, to feel anguish, and pain. We have a planet that we are poisoning. We have people populating the planet who like to harm one another. We have families who, in their own pain and trauma, pass on that pain and trauma to their children. We face tragedies of all kinds just by being alive. Being human is DIFFICULT. It’s also the most amazing adventure and it can be very very painful to wake up to just how amazing and outrageous this life we’ve been given is. It’s no small task for any of us.

Turmeric as Effective as Prozac, With no Side-Effects

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A randomized, controlled study by the Department of Pharmacology of Government Medical College in Bhavnagar, Gujarat, India found that in a study of 60...

Badgers Included

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."

Can Psychiatry “Re-Engage” with Pharma?

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On August 1, Jeffrey Lieberman the current President of the American Psychiatric Association wrote an open letter to Psychiatry News asking whether is was time for psychiatry to "re-engage with pharma." Dr. Lieberman’s essay seems short on acknowledging any personal or collective responsibility for the problems that arose in our profession's interactions with the pharmaceutical industry.

Why the Rise of Mental Illness? Pathologizing Normal, Adverse Drug Effects, and a Peculiar...

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In just two decades, pointing out the pseudoscience of the DSM has gone from being an “extremist slur of radical anti-psychiatrists” to a mainstream proposition from the former chairs of both the DSM-3 and DSM-4 taskforces and the director of NIMH. In addition to the pathologizing of normal behaviors, another explanation for the epidemic — the adverse effects of psychiatric medications — is also evolving from radical to mainstream, thanks primarily to the efforts of Robert Whitaker and his book Anatomy of an Epidemic. While diagnostic expansionism and Big Pharma certainly deserve a large share of the blame for this epidemic, there is another reason.

Providing Sanctuary

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In these days with limited access to mental health facilities, and when in-patient or out patient treatment might be focused on invasive treatments and not on recovery, you may be tempted to "provide sanctuary" for a friend or family member who is experiencing serious mental health challenges. Many of you have probably already done this.

My Reply to Pete Earley: Do I Have Blood On My Hands?

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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.

Harm Reduction & the Elephant in the Room: End DSM Dependency

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If you’ve been paying attention the last two years, you’ve seen the new DSM-5, as well as its predecessors, taking a beating from a variety of critics pre- and post-publication. Most have begun by noting the lack of construct validity of DSM’s diagnoses, dating from the landmark DSM-IIIR in 1987. Given the absence of scientific evidence to support their existence, these diagnoses were less likely to represent the neurobiological phenomena claimed by the DSMs’ several authors than to be products of their collective imaginations.

Haloperidol is Neurotoxic

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This is the headline of an editorial in the most recent edition of Current Psychiatry. It is written by a prominent psychiatric researcher. Read more on why I am not so comfortable with his suggested solution.

Harrow + Wunderink + Open Dialogue = An Evidence-based Mandate for A New Standard...

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In the wake of the new study by Dutch researcher Lex Wunderink, it is time for psychiatry to do the right thing and acknowledge that, if it wants to do best by its patients, it must change its protocols for using antipsychotics. The current standard of care, which—in practice—involves continual use of antipsychotics for all patients diagnosed with a psychotic disorder, clearly reduces the opportunity for long-term functional recovery.

NAMI and Robert Whitaker

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Fireworks and heated debate were expected by many when Robert Whitaker recently addressed a group at the National Alliance on Mental Illness (NAMI) annual convention in San Antonio, Texas. So why was Whitaker invited to the national NAMI convention and how did it turn out?

Diagnosis: Without Shoes

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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 Shoes Keep on Dropping… What Next?

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If your government espouses freedom for all but abuses citizens of its own as well other countries, its pronouncements are pure propaganda. This article seeks to help readers make the connection between the public and secret behaviors of the U.S. government as it continues to oppress those individuals within its reach that occupy a politically marginalized status; including, of course, persons who are survivors and/or users of psychiatric services.

Discrimination in Higher Education: Users & Survivors in Academia Speak Out

Users & Survivors in Academia (USA) is a support, advocacy, and resource-sharing group for graduate students (both master’s and doctoral) with psychiatric disabilities or current/past experience in the behavioral health system. USA started primarily for us to reach our peers across the country and engage in mutual support and advocacy around issues we face in higher education settings. Over the past year, USA has grown to 30 members in states across the country, and has quickly evolved into a forum to organize individual and systems advocacy, and support one another in self-advocacy in our own academic institutions.