Do Antidepressants Worsen the Long-term Course of Depression? Giovanni Fava Pushes the Debate Forward.
In 1994, Italy's Giovanna Fava, editor-in-chief of the journal Psychotherapy and Psychosomatics, wrote for the first time of his concern that "long-term use of...
Mental Health Survival Kit, Chapter 4: Withdrawing from Psychiatric Drugs (Part 1)
Very few doctors know anything about withdrawal and make horrible mistakes. If they taper at all, they do it far too quickly because the few guidelines that exist recommend far too quick tapering.
How Academic Psychiatry Minimized SSRI Withdrawal
If academic psychiatry is evidence-based, why did it take two decades to recognize SSRI withdrawal as widespread and chronic among patients?
Harrow + Wunderink + Open Dialogue = An Evidence-based Mandate for A New Standard...
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.
Benzodiazepine Use and Risk of Alzheimer’s Disease
If a person in mid-life is feeling anxious, or depressed, or can't sleep? No problem. No need to figure out the source of these concerns. No need to work towards solutions in the old time-honored way of our ancestors. Today, psychiatrists have pills. Pop a benzo! And by the way, you'll have a 40% increased risk of Alzheimer's Disease in your late sixties.
Holistic Approaches: A Proven Treatment for Psychotropic Drug Withdrawal
Published in the peer-reviewed journal Advances in Mind Body Medicine, this case series is the first of its kind to document the methodology employed in the successful discontinuation of a range of psychotropic medications, with holistic support interventions providing long-term mood support.
Coming Out: Iatrogenic Illness Awareness Month
Our main reason for beginning an awareness month is the need for recognition-- a yearning to make the word “iatrogenic” and its corresponding language available to our community, and to the greater public as a household name. We don’t have the luxury of raising money for research, racing for the cure, or ribbons. For that we would have to be on the map. Why is it that something this pervasive gets so little traction?
The Bitterest Pills: The Troubling Story of Antipsychotic Drugs
As I see it this website is about filling the gaping hole in the official literature on mental health problems and their treatment. Since these problems were declared to be diseases, ‘just like any other’, academic papers present them as if they were simply technical glitches in the way the brain or mind works. They can be identified by ticking a few boxes, and easily treated by tweaking the corresponding defect with a drug or a few sessions of quick-fix therapy. What it is like to experience these problems and their treatments is nowhere to be found. Yet in post after post on this site among others, we hear about the harm produced by drugs that are prescribed for mental health problems.
Learning About Psychiatric Drug Withdrawal
We held the first course ever on psychiatric drug withdrawal on 12 June 2017 in Copenhagen. The course was open to patients, relatives, psychologists, doctors and other social and healthcare workers, and 77 people participated.
Mental Health Survival Kit, Chapter 4: Withdrawing from Psychiatric Drugs (Part 6)
Peter Gøtzsche gives advice on what withdrawal symptoms may look like and explains the dangers of—and alternatives to—forced treatment.
Antidepressants and Pregnancy: Who Says They Are Safe?
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.
10 Things I Learned in 5 Years Consulting With People Coming Off Psych Drugs
It's been over 5 years since I started offering non-medical consultations to people in the process of coming off or hoping to come off psych drugs. I wanted to share here some things I have learned in this process. Despite how far we have come, we have a long way to go in the quest to liberate all who wish to be liberated from psychiatry.
It Gets Better: Neuropsych Doctor Confirms Psych Drug Iatrogenesis, PTSD, Brain Injury
To those who are still suffering, it gets better. Indeed, I do not consider myself ill anymore. I consider myself HEALING, which is a vibrant state of movement and change. My limitations do not mean that I am sick. Learning to make boundaries for my well-being has been one of the healthiest things I’ve learned to do. Deeply respecting the needs of this body/temple is one of the most wonderful achievements of WELLNESS.
Psychiatric Drug Withdrawal in Spain
My study, in which I slowly withdrew people from prescribed antipsychotics and antidepressants, found that it is possible to decrease both spending on psychiatric drugs and patients' chronic exposure to them. In general, the drug-reduction process was well-tolerated and well-accepted among those treated.
Online Experts on Withdrawal
Online communities are stepping in to help people facing withdrawal effects amass information and receive support for their withdrawal experiences.
Do Antipsychotics Worsen Long-term Schizophrenia Outcomes? Martin Harrow Explores the Question.
Martin Harrow and Thomas Jobe have a new article coming out in Schizophrenia Bulletin that I wish would be read by everyone in our society with an interest in “mental health.” Harrow and Jobe, who conducted the best study of long-term schizophrenia outcomes that has ever been done, do not present new data in this article, but rather discuss the central question raised by their research: Does long-term treatment of schizophrenia with antipsychotic medications facilitate recovery? Or does it hinder it?
What You Need to Know Before Starting a Drug for a Mental Health Problem
In a belated new-year blog, I thought it would be useful to set out what I think someone needs to think about if they are considering taking a drug for a mental health problem, especially if they think they might end up taking the drug for a long time. These are the questions you might want to ask your doctor if you take a ‘drug-centred’ approach to the use of drugs in mental health.
Mental Health Survival Kit, Chapter 4: Withdrawing from Psychiatric Drugs (Part 5)
Withdraw from psychiatric drugs at your own speed—according to what you feel. Don’t reduce again before you feel stabilised on the previous dose.
Things Your Doctor Should Tell You About Antidepressants
The conventional wisdom is that antidepressant medications are effective and safe. However, the scientific literature shows that the conventional wisdom is flawed. While all prescription medications have side effects, antidepressant medications appear to do more harm than good as treatments for depression.
Cold Turkey
The other day I talked to a friend who I hadn’t seen for quite a while. She told me that she had been prescribed Seroquel for sleep problems about a year ago. But when she started to read about it a couple months ago she got really nervous that it was causing her long term health complications and she stopped taking it - cold turkey - without tapering. I wondered about our conversation afterwards and thought about the countless amount of people who don’t tolerate their psychiatric meds and quit cold turkey.
Early Death Associated With Antipsychotics
There are a vast number of studies that document the diverse range of side effects caused by antipsychotic drugs. These adverse effects include brain...
Antidepressants, Pregnancy, and Autism: Really Time to Worry
On Monday April 14th, an important new study from Harrington et al was published in the journal Pediatrics (the official journal of the American Academy of Pediatrics.) The study was designed to examine prenatal use of selective serotonin reuptake inhibitors (SSRIs) and the risk of autism spectrum disorders (ASDs) and other developmental delays (DDs). Nine hundred sixty-six mother child pairs were studied and the researchers found that in boys, the association between maternal SSRI use in the first trimester and autism was very strong (OR 3.22). The association between third-trimester maternal SSRI use and developmental delay was even stronger, with an odds ratio of 4.98.
A Tale of Two Studies
With increasing evidence that psychiatric drugs do more harm than good over the long term, the field of psychiatry often seems focused on sifting through the mounds of research data it has collected, eager to at last sit up and cry, here’s a shiny speck of gold! Our drugs do work! One recently published study on withdrawal of antipsychotics tells of long-term benefits. A second tells of long-term harm. Which one is convincing?
How to Avoid Severe SSRI Withdrawal Symptoms?
After long-term use, most people are going to have serious symptoms when stopping SSRIs. Many people are going to have transient, mild to moderate difficulty and some are going to end up falling down the akathisia rabbit hole. That is a long, difficult drop.
The Taper
Part of what has scared me straight about ever starting a patient on an antidepressant (or antipsychotic or mood stabilizer) again is bearing witness to the incredible havoc that medication discontinuation can wreak. I am half way through the first e-course of its kind (on withdrawing from psych meds), and it has been incredibly well-received. There are so many people out there, disenfranchised by psychiatry, skeptical of its promises, and who want a better way, a more thoughtful assessment of them as whole persons. We seem to be onto something here, so let’s keep the dialogue flowing, keep our eyes wide open, and reform what psychiatry means, one patient at a time.