Sunday, December 9, 2018

Comments by Jclaude

Showing 96 of 96 comments.

  • Of course, these findings may seem basic and no surprise at all for many here on MIA, but it is a major finding in the scientific (medical, psychological etc) community. That’s not a sad statement, it is an awakening jolt for many who continue to see psychosis as strictly biological, genetically determined and somehow only treatable with meds. I prefer to see this as a glass getting filled up rather than the opposite or as an almost empty statement. I may get laughed at by this optimism or attract cynicism and other angry responses but I still think it is a step in the good direction. Small and insignificant, as it may seem to some.

  • Of course the number is higher, much higher. But the good point of this study is that it reached the 1% mark point of serious events. And that without the presence of Gotzsche’s interference. In science, the 0,05 and 0,01 levels are deemed “significant”. So this is a huge victory. In happening at the very least because it will halt Ritalin prescribing, slow Concerta and the rest and lead to more research. Wait until the link is made with Gilles de la Tourette and other OCDs. I am so happy today reading this ! Guess I will have the energy to change my tires on my car in the end. Winter is closing in quickly up here in Qc.

  • Evidence based medicine is a technical term, somewhere between the latest “fad” and a revolution in the archaïc form of traditional medical practice, closer to hear-say transmitted, generation by generation of young god like figures by authoritarian toubibs. Science could be a very precious way to assess it’s actual merit, but big Pharma doesn’t appreciate anyone questioning it’s propaganda.

  • In a cense, you are right Someone else. But the Cochrane collaboration tried to bring science to medicine. And one of it’s founders and most vocal and respected critical thinkers just got chased out. It is a terrible tragedy. Medical Science, at it’s most rigorous level was fighting pharmaceutical corruption. The link up on top is good and very informative. Why downplay it ?

  • As a clinical psychologist very at ease with all sort of people, I salut this study. Yes, non pathological VH is very badly undertrood and stigmatized in the medical community. I am sad to have to discuss again and again with a young adult about his voice, only one word he fears people will discover make him feel very ashamed and embarrassed. Unaccepting for this meer obsessional idea of his, he stays at home, doesn’t have the courage to work and literally lives beside his life. I once told him hearing voices is a not so uncommon experience but he only seemed surprised. I will keep working hard for him to stop his antipsychotic drug (that seems ineffective anyhow) and get rid of his phobia ans fear others will guess his embarrassment. But, in the mean time, his very focalized or compartmentalized psychotic experience is not sufficient for him to be inapt. He is a fine person to talk to, intelligent, nice, spirit full and fun to hang around. But so lonely and a sad loss … We need to know more so as to accept a different way of being.

  • Coming from a man, and not a woman (I imagine it’s true, you are a guy) is even more inspiring. Had her kid been catalogued as “bi-word”would have benne probably very devastating. But “mommy nurse” was well attuned to the system and spared him that terrible ordeal.Your story is like a fable, with a good ending. Thanks. And it also says something terribly wrong with the word “bipolar”. Life can take a large variety of “wrong ways” and to put a name on only the variant (up and down) is so reductionist, Life has it’s ups and downS. I dont believe everybody is bipolar. But, for sure, everyone have theirs highs, and their lows. Mi bipolar experience was not between being depressed and hypomanic : it was between being full of enthusiasm and discouraged or apprehensive for the futur of life on earth, not only mine, but the one of my children and all their counterparts.

  • Can’t keep the pace and read all the comments, many I appreciate very much, by the way but thanks Chriss fir a very thoughtful article. Reminds me that bipolar disorder was once part of the “affective” disorders and now, as psychiatry is “full” biological, they deem it better to talk about the “mood disorders. And way back, there where many types of disorders that could look like bipolar but had different meanings and causative factors (for e., cyclothymia, brief psychotic disorders etc.). I’m still very ambivalent about reclaiming the term bipolar for many of the reasons others here argue against it and especially because it has acquired pejorative sub-meanings ant that can be very hazardous. Juste like we got ride of overused and insulting word like “idioty’ out of the medical jargon. I think bipolar has already done great harm and should be abandoned. It is way too tricky and conjures up way too many bad images. But if ever I meet again with a psychiatrist that seems to talk like Chriss, I will be delighted to use it. How many out there, 1 in 10 million ?

  • I felt like just ignoring all this, but it hurts and no, I wont elaborate. Not if I’m to feel my writing is not even worth reading (and being told that publicly) and then being told rude comments such as using “buzz words” and meaningless things. I am not english speaking of origin and to write 3 paragraphs cant take me a lot of time. Being answered I lost my time doesn’t give me a big incentive to pursue any form of discussion any further.

  • I hate to argue with you Alex (either cause I’m afraid to loose or, on the contrary, to win the argument and then deceive you) but.., You, and nobody will ever know for sure what drove you to think about suicide as the ultimate solution. I contemplated that, very long before i got personally involved with psychiatry. Suicide is an existential question or dilemma. “Will I wait until a sickness kills me, or any other cause, or should I take matters in my hands in times of great trouble or turmoil is a legitimate question. I am happy I decided “no way Hossai !” : life can be beautiful and full of wonderful things, so live it up to the end. Many people are not so fortunate thus. In the end, nobody can put the blame on any circumstances for envisioning to put an end to one’s life. There are so many other circumstances, conditions or, to put it in a scientific frame, “factors”. But, where I am in accord with you is my inclination for anarchy. Not a disturbed and chaotic one but, something like a “garden of Eden”. Without appels and snakes, if that’s the only problem. …

  • I just understood why you stated the thread was about ti disappear. It is pretty long, and has taken many directions … But I still want to comment on the following :
    “you can’t get rid of psychiatry without something to replace it with.” This implicitly accepts that psychiatry serves a useful function,…”

    I agree, there are at least two category of people who write here, moor likely a complex myriad of us in fact. And to only want to get rid of psychiatry is half the job. The void will surely get filled up by “alternatives”. Psychiatry has definitely à control function that serves courts, parents, teachers, employers, prison administrators, residencies and society at large. This means there is a “demand”, a huge one. And, a big part of that demand is by oppressors, opportunistic people or organisations that benefit with the actual situation. But that’s only my point of view. I am in the “reformist” camp. Radical, but not as radical as the abolitionists. After having worked 34 years as a psychologist, I can’t believe, or bear to even imagine it was all so vain. But I will admit, psychology is not the ultimate solution. Part of a bigger, much bigger change. I dont always like the word “spirituality”, but bringing back a little of that would also help a great deal. And the political arena is probably the most promising of all. And that : more and better justice, fighting poverty and human misery, saving our environment, ending wars and giving access to a better, at the very least à decent life, to everybody all over the planet is a very long journey. Worth it, but a bit idealistic I’m afraid.

  • I have just now understood that the “no ensalada? ,..” bit was in response to my “french fry” text. I haden’t had time to google translate all those foreign words. But I did recall my long ago Honduranian nieces laughing and calling me loco around the 1970s. So I figured out that one by myself. That’s my response to your last post. Now, I want to also respond to the one on June 21, 7 : 22 am that has no reply button to write just ender. Totally hilarious. I adore sarcasm and also all those good hints before I resume my psychological practice. And your suggestions are so spaced out. If I don’t actually want to work, I will follow them. Seem’s like a lot of fun ! But, more seriously, I actually contemplated going back on the market without renewing my licence and on a freelance “out of norms” fashion. Only one appointment per day, so as not to be rushed in any way. No records or files, home service etc. But then, a regular, well paid job came up. I do have to pay my debts so, it’s a hard choice to do but obligations command necessities (or the other way around).

  • So nice of you ! I’m honored. But, in french we would write “patati, patata”, or “poutine” or again just plain old “blablabla” which is international I guess. So let’s call us up one day : I’ll practice my english and you french. I try to write as much as I can but I still need to practice me talking. Funny thing is : I was once very fluent to conversing in english and lost it al,l for a couple of years. One day, while I was attending a conference I surprised my colleagues (and even myself) by talking like a real Englishman. So suddenly and spontaneously. But, I guess it was unimportant : I was probably in hypomania back then ! But so happy to recover my up to then, lost faculties … Crazy no ?

  • I reply to you as well as to Paula. I wont read that book cause I listened to too many soldier and veteran stories back in 2004. I side-witnessed so many atrocities that I was more and more against war, and the army and even nationalism. That’s not too good when your employer is “Veterans Affairs Canada”, a very federalist organisation. When I’d be coming back home after a day of hard work, and I would space out, dissociate and recall my own traumas. So I resigned, even if the permanent job “contest” was rigged in my favor (but that’s another story). Fact is : so many soldiers complained to me that they felt more harmed by “les Forces armée du Canada” than by their initial traumas, that is was very disturbing. I even had one veteran seen compensated up tu the heights of 90 % his salary for a minor trauma, so as to shut him up to cover up very worse traumas caused by the Canadian Army ! Shit !!! That was the drop that made my glass overflew. I thought of writing my “memoirs”, but didn’t have the guts of Paula. I was way too exhausted back then.

  • Paula, votre “french” est très bien. Moi, j’en profite habituellement, ici, pour pratiquer mon anglais. J’ai quand même passé la tranche de de 1 1/2 à 11 ans à Timmins, Ontario, alors je ne veux pas rouiller. La mémoire me revient plus je l’exerce. J’ai oeuvré avec les anciens combattants en 2004 (hôpital Ste-Anne de bellevue, unité de stress et blessures opérationnelles) et, à l’époque, je lisais compulsivement tout ce qui s’écrivait sur le TSPT et PTSD. Je crois vous avoir lue d’ailleurs quoique je confond probablement avec d’autres célèbres “Caplan” (dans le domaine des jeunes ou de la famille, je ne me souviens pas trop : peut-être êtes vous liés de sang ?). Toujours est-il que je vous trouve brillante, allumée et articulée. Bravo à vous. Et je vous remercie de m’avoir troublée : j’aime pas dormir …

  • Just noticed this in the latest edition of JAMA : “Use of prescription medications that have depression as a potential adverse effect was common and associated with greater likelihood of concurrent depression.” This kind of news, coming from a very conservative or established journal surprises me, in the good sense. For more info, check out https://jamanetwork.com/journals/jama/article-abstract/2684607. Seems some researchers are doing serious business.

  • OMG. I am so disenchanted, sad and Mad, up here in Canada ! For years I admired Allan Frances who was one of the main critics of the DSM fallacy. But now I hear about and read another side of the story. From Ms. Caplan who I did not know (thanks to streetphotobeing), another insider who quite convincingly gives me a cold shower. I will find difficult to read futur articles by Frances without feeling he may be a fraud, a traitor and somebody I put on a pedestal for way too long. But, I’ll get over it, someday, like so many other disillusions so far.

  • Is there really more to say ? I read enough to have a very clear idea of the harm that was inflicted on you. And,iftherereally is more to say, other than to get too explicit and just multiply examples of what is already very obvious, OMG,I can’t wait to read further … Thanks already for such a vibrant testimony.

  • Even if i’m in complete agreement with you, Ariana Moxie, does “knowing the downside” suffice when you read, as courageous and generous Kelli wrote so vividly “Once a child is in the system, if the parent disagrees with treatment, they are then given a diagnosis as well for thinking differently than the physician.” ? So revolting …

  • “patients adhere to their labels in order to evade personal responsibility in life.”
    I don’t know if this can be considered victim blaming. Maybe, but in my mind, taking total responsibility in life can be very hazardous and at times impossible to sustain. I guess it depends on one’s perspective. Be it objective and without pejorative assumptions or on moral grounds. I recall countless times i heard “critical parental or authority figures scolding and shaming weakened or vulnerable people by commanding to be “more” responsible.

  • Please, let’s calm down. I may have triggered this acrimony and I am sorry if it is the case. But, for a personal anecdote that sum’s up my thoughts, let me tel you all this. My wife who I love deeply has MS since the beginning of our romance in the early 80s. In the first manifestations of her ordeal, as a young and innocent psychologist, when seeing that she suddenly lost 90 % of her eyesight in one eye, I concluded she was a typical hysteric (conversion disorder). But, I was in love and thought at then: I’m a psychologist so I can cope with that. Then, I found out about MS, and I had a hard time coping. But, 34 years latter, we are still together and even more than ever. My concluding remark : I was a fool, instructed by my mentors to see histrionic conversion anywhere. Fad of my time. Now, I know better, but it took 15-20 years to sink into the shrink I am. I don’t want to be perfect anymore : just good enough.

  • And actually, my intention in doing these 3 last posts was to distract and diffuse the tension with a nice little post I found somewhere else. But, I forgot to post it when I got caught in replying … And now, I realize I can’t download my file. P. S. : I think I finally got a link for it. Try going to:
    https://www.facebook.com/CalmQuietCrazy/photos/a.352742124823863.78027.352740438157365/1629081567189906/?type=3

  • Sorry for being so abrasive, my tone could of been more courteous. O didn’t notice your post was referring to another one, I figured it was still on this subject. Of course, disease mongering is a terrible modern tragedy and anyone can be guilty for inventing new diseases. But then, I crossed so many “weird looking,walking, twitching” people in my professional as well as personal life, it seems very likely that TD is only the tip of the iceberg of an eventually long liste of permanent damage to the brain and SNS of many unfortunates. Just the fact that TD has been known for a long while and that it is still often denied says a lot about our willingness to recognize that variety of harm. So I still think it is a very delicate matter to dispute with someone that is convinced of presenting such a terrible condition. A bit like arguing with someone coming off meds that complains about brain zaps or such. Whatever, I present my sorrow for my acting out on you and send you my best regards. We are discussing very muddy water subjects and it’s easy to slip on a slippery stone, get mud on ourselves or event fall face fist in the poodle. We are only humans after all and at least, we are engaging in such challenging discussions.

  • Dr, please, Dr, a bit of delicacy before you use psychodynamic expressions. It was predictable and written in the sky your comments about regression, tardive akithisias, child-like regression and like would be offensive, and dismissing to Rasselas (and most likely others here). Maybe you had intended to provoque the discussion – you succeeded – but I’m afraid your excellent article lost a lot of credibility by reverting to psycho-bable simplistic like advancing (it all comes down to the mother-child relationship, or personality explains everything or even Biology is the best explanation for all MI !).

  • No, they don’t. But bad physical care, as well as bad public health in general also shorten’s lives. And also, psych drugs cause many other ailments that impede on longevity : liver problems, diabetes, heat failure, sudden death (also called ? I don’t remember, but I think it has something to do with synergetic serotonin failure or something) and sex drive halt and anhedonia, and also shakes, tremors, sever withdrawal reactions like “mind zaps”, and suicide, and sudden extreme violent outbursts, and the list goes on. As well as obesity, of course.

  • Three months ago, as I was getting really irritated by my doctors refusal to consider my plan to get back to work (2 years of sick leave and a mix of positive and negative medical or psychiatric expertises), my jaw fell when she commented : “I’m afraid you still seem irritable and that makes me think you are not quite apt ti go back to your job” ! I was not irritable, I was extremely irritated by her stubbornness, her persistant insistance I fly to file bankruptcy to get rid of my debts instead of considering me able to work and pay my ton of bills. She then really jammed my jaw, commenting the following”. And as far as I’m concerned, your debts could be the proof you are actually still bipolar. Honestly, I admit, I fantasized playing the sick role and acting like a real bipolar should : go out and party every day, make sick jukes, fool around for a while and juste have a hole lot of fun. WRF, I often felt guilty and shameful for just laughing and enjoying life once in a while. The sick identity was really getting on to me. Even when feeling high energy, doing my housework, shores and cooking was suspect. So, yes, Mr. Kelmenson, psychiatric diagnosis can bee very dehumanizing, invalidating and a very perverse mindset that taints every aspect of one’s existence. Even for the person diagnosed so, imagine how peers and other outsiders “read” emotions, behaviors and other signs of the alleged sickness afterward. I sometimes feel like a freak.

  • Obvious ! Depends on who considers the evidence. But I agree, it may not change much in termes of public health policies, work force and the like but it has the merit of building stronger data on the matter. And, the conclusion is not only about feeling terrified. It’s about not being able to work, in the 50th decade of life, a period of great competency and often with a lot of productive years ahead. It can be very tragic, I went through it and now what it is like, first hand …

  • Julie, I’ll get back to you in private on this issue. I worked 34 years as a clinical psychologist in the MH, addiction and Youth protection agencies and am totally flabbergasted about how my “peers” mistreated me, as ell as how my former employer deceived me, if not outright set me up to disgrace and dishonor. It all stated with my own family problems and, sadly, our distress transported in my wotkplace, the trigger that my bosses used to push me out the door, for very different issues. They had a good pretext. As a psychologist, my superiors had all the leverage needed to coerce me, bully me and do whatever they intended, pretexting the dangerousness of an unstable psy. So, I guess I was raped bu MH as well as my former employers. Sorry for my vulgarity, but I feel the need to scream out ” “They f…ed me up real nice”

  • OMG, Julie Greene. A very eloquent example of “group thought” pressure if ever I witnessed one. I gave group therapy for over 30 years and it is the hardest way of helping but, alas, also very popular. And, unexperienced therapists, of every horizon, often don’t event understand how a group therapy can harm, too enmeshed and zealous to give out a quick fix. Scapegoating, “parent blaming” and “society blaming”, among many other pitfalls, can just reinforce bad feelings, resentment and coming up with bad conclusions about the causes of everybody’ misery and ailment. I once saw a movie about a teen bootcamp and even if I’m well informed, I was positively impressed by the intense, unbearable pressure the group was putting on a rebellious young woman, that resulted in catharsis and spectacular releie. Of, course, movies often have good endings. But, in real life, things don’t always have such nice outcomes. To get back to the testimony of Sera Davidow, it all comes to the same thing : people, either peers in group therapy as well as “professional carers” all stereotypes, beliefs,¨group of origin” thinking and popular ways of construing reality that put people in categories that more often than not disqualify (or invalidate) their own perspective, which is a form of violation, dismissal of the persons effort to make cense of what actually happened, or is still happening. Peer pressure can be harmful, but in the context of group therapy, the adults in charge have a big part of responsibility for the harm. And, when all this is perpetuated by “professionals”, it is even more devastating and totally outrageous.

  • I finally took the tike. And I am disgusted. Thanks for a refresher on how I felt abused, degraded, non believed and gaslighted beyond my imagination. Hearing you made me go trough 2 years of almost hell. And I managed not to let them drug me. But my job, my relationships, my dignity was practically wrecked and torn to shreds. After 34 years as a psychologist, dedicated to my best to thousands, and just in to my sixties, I still don’t accept how I have been so mistreated !

  • Brett Deacon, I suggest respectfully you try harder to find common ground with Gerard. I don’t want to try to stump you or look superior, but his line of thought makes a lot on sense. Maybe he is a bit stringent with his “interpersonal origin” hypothesis, but still, given that perpective, the form pathology takes is less important than the initial causes. In that perspective, “Depression” becomes a global or generic term for a very large class of disorders of the self with as many root causes. And thus, therapy will be closer to retracing the persons personal and interpersonal story and then helping to sort things out. I don’t know if you agree or not, but I am pretty sure you apply, at least in part what I just wrote. And, if I am right, that points to some common ground between you too. Best regards.

  • I will admit I haven’t even taken time to listen yet (it will comme when I’ll do the dishes or some other duty of the sort) but still, I want to say thanks and bravo for such a demonstration. What caught my attention the mere title that “shocked” me. Because, just over 3 months after 2 years of being periodically coerced into tacking either Seroquel of Lithium for alleged bipolar disorder, I still get flashbacks of what I consider a PTSD linked to the terrible feelings I flet about being robbed of my dignity and attacked on my mental and physical integrity. Of course, people around me consider I react as a sissy because common sense says it was only good medical practice. I don’t see it that innocent and even benevolent way. I was scared like shit, panicky and mostly afraid the psychiatrists would go through with their threats of committing me into the psychiatric facilities where I worked part time during many years as a psychologist. Luckily, I was never hospitalized even thought I stood my ground and refused to submit. My story has a relatively happy ending but still, I feel a deep scar remains. On a more global aspect of all this, we must realize that “PTSD” has been arbitrarily restricted, with DSM revisions, to actual danger of death so as to not incriminate many other instances of trauma, namely coercition, professional abuse of every kind, institutional violence and other forms of abuse that are pervasive and left unchallenged. It is no coincidence that most DSM diagnosis expand ever more with each revision process (the criteria are less strict), but PTSD, for which medication has the least ground is shrinking.

  • Please do ! People aren’t listening because the subject matter is just too disturbing. To realize that medical and psychiatric “care” is so destructive commands a very drastic change. But most people prefer to trust the medical community and trick themselves into figuring : “Of course, their methods seem cruel, but we are not competent tu judge the work of our dedicated doctors and nurses’ …

  • Sadly, it could take many more studies, but maybe not if the information is shared in many ways, including social media. For my part, will do my share on the facebook pages I run for the french speaking community. Cultural and, ultimately, political change is often a long run, or marathon, in the face of economic forces that resist as long as many dollars are involved. Just consider how long it took to counter the cigarette lobbys, gun sellers, pesticide etc. But let’s not sink into apathy and helplessness. After all, most here are not on antidepressants (or, any more) !

  • Pretty compelling even thought the findings are correlational and thus, inconclusive in terms of causality. But still, this study challenges the medical community with a possibility that goes contrary to the common belief that antidepressants may have to be taken for life. This is not trivial but very critical. Doctors, psychiatrists, pharmacists and all other healers involved in prescribing will eventually have to face the fact that they could be doing harm. If more studies keep pointing in the same direction, it will gradually lead to a major change in prescribing habits. The prescriber will eventually have to “guess” on the best time frame for antidepressant use and also at what point the symptoms are either induced or not. That will be a very hard riddle … But then, by shifting the liability of prescribers in the direction of having to be prudent, they will have to change. I’m am very happy to see such research, independent of the industry and of a (very) long term prospective nature.

  • What I find so frustrating is the extent of blindness of the many people surrounding medicated people. So many red flags keep “popping up” but there is such strong resistance to even notice them, and make a tentative hypothesis about the likely possibility of a causal link. Of course, the prescribers are always afraid of liability issues and fear much more not giving the magic bullet rather than “soft” treatment but still. How can they not stay objective and genuinely caring and ? Like in the old metaphor, give à hammer to the worker and suddenly, everything looks like a nail … Thanks Dr Breggin for your courageous call for a more complete set of tools.

  • Your analysis is very compelling. And I don’t want anything to do with either flawed research, as a nicotine addicted person, or scientology or even anti-psychiatry hidden agendas. Let facts be facts and things will progress in the right direction. Pseudo-science, cajoling or false news wont. But I’m just speculating, of course …

  • Idem ! You took the words out of my mouth. I saw no reference and decide to browse all the comments before asking. It’s no being too academical to expect a link or at the very least a biographical not for reference. I’ll go further by, with all du respect to MIA, confiding that if I cite MIA too often, it will discredit my efforts to disseminate all our wisdom and common sense in social medias. MIA is decidedly on “one side of the fence” and I want people to hear what “non partisan” research and real-life studies have to say. I’m not trying to hide my allegiances, but I like to give out fist hand references so as to augment our audience.

  • A very good set of points “Slay” ! Only thing : some apparently say it is a disputable fact, turning it into fiction. It seems just as hard as to try to convince non believers about climate change. And on your point about supposedly educational public health campaigns, the latest I heard was about the so called “tide eating” challenges. Don’t know what US media say about this but here in Canada I have herd that the public health campaign actually fueled youth into doing such foolish things. Only one documented case had occurred before public authorities panicked and launched a rapid PR response. The figures of reported cases jacked up to close to 40 right after. Anybody knows you dont tel kids ” don’t do this or that” !

  • I don’t mean to argue, bcharris, but my knowledge of SSRIs is different. In fact opposite to your story but comes up to essentially the same end result. Of what I heard and read, SSRIs where stumbled on by accident, like many so called molecules and initially marketed as “potent” antidepressants. With time, doctors reported anecdotal evidence that it also seemed to relieve OCD Sx and sex overdrive. The funny part is that many spouses where delighted the SSRIs where having calming effects on their husbands harassing libido. My hypothesis is that by diminishing the sex drive of once depressed husbands who, in fact, where sexually frustrated, and thus depressed, sex drive decreased and, as a byproduct, frustration fell, and then greater couple harmony set in and depression then lifted off. I don’t know if my interpretation is mythical, wishful thinking or only plain “story filling”, but it certainly makes me smile.

  • Can I join you, littleturtle, (great nickname by the way) ? I also adore the expression “bio-bio-bio” event thought most psychiatrists here in Quebec pretend to embrace the bio-psycho-so called model, but in fact are definitively closer to bio-bio-bio ! Yeahhh, it’s stuck in my head and on my tongue, for good I feel.

  • Great article ! What else can I say ? Oh, yes, I cans also add that it stimulated a very fascinating string of comments. I’m trying very hard to go through all of the intelligent responses before I comment further but I’m a little overwhelmed. I dont mind being overwhelmed when the discussion is so captivating.

  • I greatly appreciate your reflexion on “iatrogenesis” and got a few thoughts afterward that make me feel cynical. If insurance and reimbursement agencies ever came to recognize the validity or the real existence of medical induced schizophrenia, bipolar disorders and many more, would they not be tempted to try to recover their previous “bad” investments ? To make things even clearer, imagine when the condition of a person worsens, lets say as an example, from a minor transient condition to a much more severe and chronic one, it is legitimate for those who pay for all this to conclude : we have been framed into having the obligation to spend a hell of a lot of money because on an initial misdiagnosis and, as a consequence, a wrong pharmacological treatment that will cost us a lot of bucks, for a long time again. And, since there is scientific evidence that should inform physicians and psychiatrists in order to prevent such errors, someone, somewhere should be liable and take responsibility for such damages. I hope my response is “understandable” and logical. If not, I could try again (I’m french-canadian and often have trouble being clear when writing in Shakespeare’s language). But I do think that the day the industry and stakeholders will “wake up”, the cascade of what is involved will be monumental, financially as well as in many other aspects.

  • Excellent news, event though it is “back to the writing board”.

    The laetest revision of DSM eliminated the psychological and social aspects of mental disorders. As many have predicted it would happen, Dr Francis, for one, given the strong loading of pharmaceutically delegated lobbyists.

    Prior versions of DSM where built around a “multi-axial” system of diagnosis. One of the 5 axes was “stress factors affecting medical and psychiatric condition”. That is now expurgated in the 5th editions. Favoring a strictly biological perspective on psychiatric illness.

    So, it’s a good thing that extreme stress and adverse childhood events come back to central stage. In the same vain, a McGill and Douglas team in Montreal studying a bank of donated “brains” for science have just found a lot of solid proof that adverse upbringing affects the structure of the brain.

    On day, the psychological and social causes of mental health and sickness will impose themselves to the scientific and medical authorities …

  • Please TirelessFighter3, stop being so mean and hostile. As a practicing psychologist since 1984, I find your words very harsh and hurtful. I’m not exaggerating when I say I devoted my hole career to trying, as I could, to do my best. I felt the pain, the anguish, the despair of thousands, or is it hundreds of thousands. I got home sometimes exhausted, numbed out and in a very bad mood after days of hard labour. I hava had many nights of nightmares, remorseful when in doubt but I never actually felt I was inducing helplessness or otherwise taking advantage of my patients, clients. Yes, it was my way of earning a living and yes, people came to me in trouble. But I was not there to take advantage of their situation, unless earning a living is what you consider taking advantage of people. I cared, I still do and I even put my head on the line on coming here in hopes of hearing consumers way of thinking and in order to de a better job. Getting told I’m in there just to do harm makes me feel very uncomfortable. I guess you have been similarly hurt and maybe even abused by the mental health system, but please, dont put everybody in the same basket. Regards.

  • What I make of your “consultation” with mental health specialists is that Skylar and Missy had a long and ruff dialogue about the necessity or even just the mere usefulness of having an expert opinion on a legitimate issue. Feeling “different”, reading all the scrap written on MPD, DID etc can leave anybody unsure and frightened at the tough of being sick in the head. And I do find that what you did was the reasonable thing to do, even though psychiatry is very often wrong and misinformed. It could of had had a very worst outcome. Luckily for you, it didn’t. In the end, I don’t see here any pleading. Just plain making a medical check up, and the kind of check up that took a lot of thinking through and courage.

  • Nice test I really appreciated even thought I was a bit reluctant at first.

    So seeking out validation, acceptance or some sort of comforting actually didn’t do you much harm in the end. No ? A scary journey, yes, but I am glad for both of you that for once the ever so widespread skepticism of the medical experts you met with played in your favor. I was nos so fortunate. In fact, after I did as you and consulted a psychiatrist in 2016 about my mood swings, my career was shattered and I am now still struggling to stay on my feet. To make a long story short, the psychiatrist concluded I was bipolar and without actually checking if, in fact, I was dysfunctional or dangerous or unfit to care for myself – what you refer to as severe enough to “meet the DSM criteria for “distress and/or dysfunction” -. Just the mere fact he had concluded I was bipolar and refused to take meds was enough for him to classify me as unfit to work and laking insight. Since then, I have met with 5 other professionals, 2 who considered me fit to get back on the pay roll and 3 the opposite. Even thought the last three document no evidence of mania, hypomania or depression in the last 18 months. And the last visit to my family physician left me totally in dismay. My doctor, for over 20 years, came to the conclusion “well, then maybe we can buy peace if you only accept a little dose of Seroquel”. For what reason ? With no symptoms to treat ? Why would I accept medication I fought for the last two years … Feeling neither “hyper” nor sadder than any average mid-life adult that was put in retirement way too early. But, like they say “that’s life”.

  • It’s always confusing to think of how our caretakers can hurt us so much. But “getting over it” is what maturing is all about. I don’t agree with the term “cure” in your otherwise mind opening text. I think we all have to come out of the shadows of the past. Others call this “individualizing” or becoming autonomous.

    And I think we should not lump together all therapists of every kind or approaches. Just as I don’t appreciate as a clinical psychologist, being confused with psychiatrists … You fell on a therapist full of prejudices and stereotypes. I would qualify this type of therapist as an immature novice.

  • Thanks for adopting a less abrasive ton in the end. But you know what ? If I had stood up more than I did, my career would of ended much quicker than after 28 years. I was often on the edge. And a bit more would of just put me on social insurance. I am often idealistic, but I still think I’m pragmatic. What is the sens of standing firm, if I loose my job, cannot try to help and protect any more, and after I’m gone, nothing changes anyway. I would like to paraphrase a well known humanistic psychiatrist, the founder of group therapy in America, who’s name I forgot. He was all against diagnosis and wrote “Never put diagnosis’s on people, except on the insurance form”. Not doing that, dismisses you very rapidly as incompetent. Part of the system and it’s lies, yes, bat that’s a fact. I will not regret that part for the rest of my life. Many other problems are even greater.

  • OMG, so true. À hell of a lot of “carers” just dont believe a single word and disqualify on the pretext of BPD. But the fact is many stories are way too hard to listen to. And, I’m sorry to say but in my experience, Schema therapy can’t handle the “hard” cases. My trainer just went “Idonow” with people who had very challenging lives … And expensive therapies are often for privileged people. The kind that are sometimes, not always, but more often than not, “easy cases”.

  • I initially skipped this article after having read very briefly my MIA newsletter. But, the seriousness of it all hit me when the news station (Radio Canada, which is the official Canadian federal news broadcaster) cheered and applauded a great medical breakthrough. To be honest, the paper ended on a precocious note. But the note was very short and gave no details. Something like a quick “some are afraid it will present ethical problems”, but what the heck ! It is a very sad state of affairs that we are willingly trying to fool people into being compliant. I am deeply disturbed by this new incursion in our rights and freedom. The only case I would find this “chip on the pill” gadget admissible would be with people with severe memory problems who forget everything, all the time like in, I think it was “Nemoy”, the little fish character’s girl friend – who I dont recall the name – Maybe I am a good candidate after all !

  • Holly smokes ! A roller coaster life I can partly relate to, having had “moderate” mood swings for most of my life. The thrill of hypomania has it’s terrible drawback : humiliation, shame, remorse, anxiety, feeling agitated and unable to feel calm, always in a rush or feeling like in an emergency. All this makes the “fun” part pale off or, seem way less attractive. But the “fucked” up part of your story is “how can a disinhibited person – induced by the drug – get out of such a vicious circle. Feeling uninhibited feels good and is addictive, of course. Same as “power trips”, seduction games, gambling, making a lot of money. I salute your moral cense and for having “woke up” from this form of chemical hypnosis that made you seem stronger than strong but eminently self destructive. Good for you !(and those around you, BTW)

  • I’ll play the devils advocate. You are totally right on this issue. A psychotherapist’s mission is to help an individual, nothing else. If your mom got over her depression, of course, she must have eventually relinquished her feelings of injustice. That doesn’t mean she stopped seing any injustice (that would be brainwashing) but only that she stopped taking it personally and feeling too hurt about this. When I think too hard or too long on many social inequities, corruption and like, I get depressed and sad. I must stop the endless thinking about this part of reality, so as not to become clinically depressed, or otherwise resentful and many other variants of being “unhappy”, socially estranged. So, in the end, yes, your mom was fortunate enough to fall on a therapist who cherished self-assertion. But that didn’t change what is fundamentally wrong, socially speaking. Psychotherapists dont change the wold, it’s not their function. That role falls on many other actors and strong willed social reformists.

  • J, you are so right. Many, way to many so called “clinicians” have a way to downgrade the people who where emotionally starved, uncared for, unprotected and even assaulted by their expected protectors (call them parents, teachers, trainers or doctors) and thus remain scared. Of course, they may act as if they need validation as a lovable person and may even provoque, challenge, test out the loyalty and sincereness of those around them. It’s not “perfect”, nor the “best” way to be, but it is an inevitable long term consequence of an unjust wold. And to put that on the victims fault, as a nuisance, is un-respectful, insensitive and cruel. But one way the mental health healers blame the victims for their scars. This way of treating people would be unacceptable if it was about peoples height, color of skin, IQ, religious upbringing or any personal characteristic we cannot change. Mind you, mentality, same as values and beliefs change with time, even in the psychiatric closed community. What once had a negative connotation eventually becomes less stigmatizing, and visa versa I guess. In the late 1800, a generalist tried to legitimatize a novel diagnosis in hopes of healing slaves who had the “bad” habit of trying to escape their predicament. I don’t recall the exact term but it suffices to illustrate how we can transform victims into sick people entirely responsible for their destiny.

  • Thank you for the kindest response I have since joining in ! Well I am part of the gang cause I was diagnosed bipolar 2 years ago and stiil feel the repercussions in my medical files everywhere. I can’t even hope for a new job ever since. 28 years without missing a day, never “decompensated”, never a disciplinary action and now, on the verge of 60, I am suddenly discovered by psychiatric supposedly carrers, as bipolar. Try finding a new employer at this “venerable” age ! And I am also mad, but I dont feel that urge to fight, or go on any ranks. I feel this discussion is hostile so I will leave it. I want to discuss with same minded damaged goods like me, who don’t want, so much, to pinpoint the system or some establishment scapegoats but who would rather want to understand things and try to change the way it works

  • I totally disagree here ! Just yesterday, I was listening to a talk show on the radio and I heard many testimonies to the contrary. Which reflect’s my 30 years of practice with a big bundle of victimes of many horizons. I supported incest, women and men victims alike, soldiers, harassed employees, fire-fighters, ex-policemen, even colleagues and so many more. How can you déclare such a thing ? Your own, most likely bad experiences for what I am deeply sorry, do not reflect the norm or standards. At least, I hope not.

  • I dont see any contradiction. Of course, every therapist, and every human as a matter of fact holds his doctrine. Depending on how you use that term. In my cense, it is not a 4 letter word. Everyone builds, cherishes, adopts, and works on his own partly shared and partly personal beliefs, theories and doctrines. I think it is Einstein who affirmed something about the interplay between experience, or observations and “Theory” Without one, we are blind and without the other, we are mad. I don’t recall the exact phrase and to be frank, my effort to try and translate is giving me a hard time. What I’m trying to get to is for 1. I don’t appreciate you despise professionals as if we all came out of the same doctrine and 2. I, as a psychotherapist, have also defended molested people in court, sometimes to an awful sweating point. But most of the time, I sat, listened, asked, probed, reflected, checked, thought out, rescheduled and hoped for the best. Not always successfully, but with all I had and all I could give. And I’m not neither a hero nor the only one …

  • You assume many things, without knowing. A bit like diagnosis do to people. In fact, I did lose my career, in February 2015, almost 2 years ago just for that : I stood up for ethical principals and got sent out for sick leave ever since. I am 3 months to my pension and now, I am now sick. Sick to my stomach. I wasn’t back then, but 22 months pf fighting, against medical and psychiatrical “wisekids” hit me very hard. No way as much as Kate, you maybe and many others, but I lived trough misdiagnosis, coercion, HR humiliation and like. Until I said a clear NO to things I was told to do, including diagnosis, I had a pretty successful profession, since 1984 in fact. Now, I am a halt.

  • I dont agree. If by therapy you mix in, without distinction, drug, talk, and conventional psychiatric therapy. I don’t think they are all the same. And, I, as a clinical psychological therapist for over 30 years, I have never discouraged anyone from prosecuting their aggressor, never ! And Yes, I had to put labels on people, but how the labels are used, or abused is not in my power.

  • I am deeply moved by your testimony and sorry for you in the name of my “fraternity”. I am a clinical psychologist and have fought all my career for recovery. But, big pharma and many forces work against us. To read that a person just asks to have somebody to talk to, a knowledgeable professional who will just take the time it needs to listen and help work trough, and can not find a helping and a healing ear devastates me. It just sounds so wrong …

  • “Drugs which leave devastation of the ability to contextualise memory.”

    Thank you so much for helping me make cense of Kat’s great lucidity that made me wonder, if not wander about the authenticity of her text. Reading her, I felt all along : this is a testimony of a recovered molested and re-traumatized person. But then, I would reflect to myself : “but how the hell cant she be still struggling with meds, mental health system and the rest ?” Of, course, people never entirely or totally from bruises and scars, as if nothing had ever happened, I know that and I dont expect Kat to forgive and forget, but still, I had trouble that she still has to struggle with those terrible symptoms, scars, that keep on haunting her.

  • Short and sweet ! Haha.

    I’ve been working with addicts for 30 something years and I never saw someone sign as “GettingOffTheDope” referring to Big pharma !

    But, in fact, they should be illegal if they where perceived as the way they are actually.

    What went wrong wit the the “war on drugs”, I wonder sometimes … Seems USA, and others, have just mis-identified the real enemy.

    Thanks for such a short but to the point post GOTP …

  • Absolutely right! In fact, “that’s the way, A hun, a hun, that’s the way” … corruption spreads. Just like cancer no ? And yes, it is very subtle, workers, bee them “professionals” have to put up with that pressure. Lucky you, even thou I wouldn’t have to have gone trough your harder times …But, at my time and place, I still had to pay the rent, bring in food, pay other bills. then the mortgage, tuition for my siblings, etc so, I guess I kinda put a lot, way too much in fact, water into my whine (is that expression comprehensible in english ? I wonder if it’s not just an idiom, the kind that is untranslatable ?). Kindest regards to you, a real CBT therapist.

  • Ron Unger, I feel shamed as you do. But I will admit to having often been tricked, “coerced” and persuades into serving the medical team more than patients in my 30 years of CBT practice. I hate to admit that YetanotherAccount is right about suspecting any therapist working within a mental health clinic. The biological twist is so prevalent and dominating, that most psychologists and even social workers, have to “join them cause we can’t beat them” ! Sad fact but raising conscience is no easy and quick process. I hope to live long enough to witness a real change …

  • Very interesting way to illustrate the pitfalls of DSM-mongering. My only reserve is that you illustrate “poor judgment”, more than misleading diagnosis. But then, DSM-4 expunged the axis system and so, “stress” became irrelevant. That was a big booboo ! It tends to pathologise everything that breathes or moves. Very sad thing in fact.

    DSM-4 gives mental health workers too much power. They (oh my God, I should write WE, since I am a clinical psychologist after all !), have legitimacy to transform normal experiences into mental disorders, based on their “best judgement” but the licence to practice doesn’t require a test for the quality of the mental workers judgement.

    I got a very good (or, bad in fact) taste of psychiatry’s way of treating people 18 months ago. Practicing since 1984, my family conflicts echoed in my workplace and I was mandated for a psychiatric evaluation. That was the beginning point in a spiral of professional catastrophes. I was then strongly urged to take either lithium or antipsychotics, menaced to be hospitalized, psychologically brutalized and robbed of my integrity. Now apt and fit to exercise again (since 3 months officially, but since at least 9 months in my mind …), I am reluctant to go back on my seat. I feel stigmatized, very badly. I sence I was broken somehow and I can’t say that to the different psychiatrists I met with because I know they will consider me as in MDD.

    The irony of my story is that I was traumatized. Not before, but after the diagnosis ! To make a long story short, I learnt, 4 months after the beginning of my sick leave – and at least 6 psychiatric assessments, that initially they suspected I was suicidal. Nobody had told me that to beginning with and I, innocently, was just complying with the pressure around me to reassure everyone. I felt a moral obligation to submit to all the hassle, thinking that if many people where concerned for my mental health, I couldn’t just keep on working and ignore their apparent empathy. In fact, I was never suicidal at all and I could of went to any judge to cancel the mental health obligatory assessment.

    Now, it has been over 18 months since my career has been interrupted, abruptly and, can I say cruelly. All this because the original psychiatrist, in my case, as in many too many, was biologically biased and determined to “unstigmatized” me. In so doing, he sanitized me, turning me into a bleached out, washed up ex-psychologist. At a time in my carrer, that I felt at last competent and in my best ! Life can be so full of scrap sometimes, sight …

    Signed : Mad in Canada !

  • I don’t usually like to call people “Dr” but you, Dr Breggin, have all the merit to put these two lettres before your name. I was deeply touched by this report, not only because of your rigorous work in the case at hand, but also, and mainly, for your intense emotional investment for an apparently meaningless case. Instead, you choose to defend a teen, one in many millions, that got in trouble, just so that she could get her say in court, eloquently and in a “savant” way ! Thank you for your humanity, and for standing up for what is left of it, thank you also for that kid, Michelle, who didn’t deserve all that cruel harassement. You are dear in my heart !