CLARIFICATION: [psychiatry] is a uniquely harmful pseudoscience that ruins many people’s lives which makes choosing to ignore the harm it’s capable of doing inexcusable.
The same kind of thing happened to me. Some psychiatrists were truly ignorant (which is no excuse), but I suspect more than one deliberately hid the truth to keep from being sued.
Hey, Kim, I forgot to mention that OCD is not a ‘disease’ or ‘disorder’ either; it is a series of behaviors usually set in motion from ‘latent anxiety’, or hidden fear, which btw is an emotion, AND EMOTION IS NOT A ‘DISEASE’ OR A ‘DISORDER’ —
Post-partum depression/psychosis is not a discrete biological illness; it is a state of mind that’s usually brought on by the sudden hormonal readjustment (shock, aftermath) of giving birth, a natural but sometimes hormonally traumatic experience. Which makes it not surprising that a hormonally based treatment relieves it. But this does not mean that Brexanalone is ‘treating a disease’. After all, birth-control pills prevent pregnancy, and pregnancy is not a disease.
…and repeatedly stuffing people (especially young children) with ‘psychiatric medications’ does NOT ‘treat’ anything; all these do is NUMB EMOTIONS that need to be processed.
Furthermore, your unwillingness to recognize the existence of meaningful financial incentives in the business of medicine (psychiatry in particular) indicates a disturbing amount of denial on your part.
I think it’s time you step outside your cognitive bubble.
Kim, the things you mention (neuroscience scans, genome studies, pharmacodynamics, kinetics, etc.,) do not “tell us what is happening in the brain”; these function only as Rorschach tests, meaning whatever happens to be on the mind of the viewer gets projected onto whatever is being viewed. And this is because there is no convincing evidence of a pathological process for any emotional/cognitive state of mind or ‘psychiatric condition’. Check out this blog now available on MIA: Researchers: Depression Is “A Normal Brain Responding to Stress or Adversity” by Peter Simons
And in case you didn’t know, dementia is not a ‘psychiatric condition’; it is a neurological one.
CORRECTION: Framing distressing thoughts, feelings and behaviors ‘psychiatrically’ more often than not causes people to distance themselves (out of fear) from people who’ve been diagnosed ‘psychiatrically’ (biologically rooted or not), people who otherwise would be seen as simply having a hard time.
So, unfortunately, the final upshot from framing psychological problems as ‘biologically rooted’ actually INCREASES stigma, an unintended but nevertheless devastating consequence for persons simply seeking help.
Most people fear (stigmatize) illness of any kind on some level because they don’t like being reminded of their own vulnerability. Therefore, framing people’s thoughts and feelings as ‘psychopathology’ (a medicalized concept) only serves to increase stigma which subsequently prompts people to distance themselves from something that causes them too much anxiety.
Indeed. It’s lip service, a way of appeasing patients in order to make a prescriber’s life easier, a clever way of trying to sound progressive in order to salvage their tarnished reputations. And the craziest thing about it is that doctors are specifically trained to skillfully persuade people to ‘take their medicine’. The whole idea is ridiculously performative because the last thing an MD is concerned with is the patient’s sense of self; what they’re most concerned with is following is standard protocols to avoid malpractice suits.
“Shared decision making” in ‘mental health’ is a joke.
It might sound good, but the fact is most people in professional roles aren’t willing to share their power as this is what defines them. And this is especially true when it comes to ‘antipsychotics’, or any other psychiatric ‘medication’ because most clinicians are trained to believe that psychiatric patients don’t know their own mind (‘lack insight’, ‘anosognosia’). Which is the reason why most clinicians subtly pressure (or even coerce) patients into complying with whatever makes the clinician feel safe.
A client’s sense of self usually fares no better because this too is under the influence of the harmful dynamics present in most psychotherapeutic relationships, dynamics characterized by a ‘power imbalance’ that (insidiously) undermines clients’ faith in themselves.
“If the late adolescence/early adulthood period is genuinely ‘critical’ and ‘sensitive’ for still developing brains, then it is precisely this which should make clinicians wary of biomedical interventions!”
This kind of critical thinking (not to mention common sense) is woefully absent in psychiatry. I don’t know why the obvious never occurs to most of them. Wait a minute! Yes I do! Their confirmation bias has them primed to see what they’re looking for, even if they’re not sure what it is they’re looking at, i.e. ‘schizophrenia’, or ‘depression’, or ‘bipolar’, or ‘anxiety disorder’, or any other ‘disorder’ they happen to think of…
Therefore, the last thing any medical doctor should do is reach for their prescription pad.
I think anyone who has the audacity to call themselves a healer of the mind, brain, soul, etc., is remarkably unaware (unconscious) of their own limitations (unhealed wounds).
They should ask themselves why they feel the need to see themselves as a healer, or more precisely, why they feel the need to have others see them as a healer.
In other words, most often in jobs like this it’s the wounded ego that’s in charge, not ‘the wounded healer’ they may (pretentiously) declare themselves to be.
‘Anitpsychotics’ interfere with the psyche’s ability to naturally restore itself, which can happen, given enough time and favorable circumstances.
Aggressively ‘treating’ psychotic episodes with neuroleptics for years (or any amount of time for that matter) assaults the human body, and mis-perceiving withdrawal effects as a ‘recurrance of the original illness’ is not just a mistake, it is a crime.
“Researchers have reported concerns that screening can lead to overdiagnosis and overtreatment and wastes the time and resources of both doctors and patients. In a study that found screening youth for depression led to more severe outcomes, the researchers note that screening may have an iatrogenic affect—worsening depression by making people focus on it.”
Bingo! This is the reason why the number of people being diagnosed with ‘mental illness’ has exploded, to the dertriment of themselves and society.
I had serious misgivings when I first heard of widespread screenings for ‘depression’ some thirty-odd years ago. I found myself hoping some influential person in psychiatry would come forward and issue warnings about what this could lead to: a massive iatrogenic effect. But instead what I feared would happen did happen, which is especiallly tragic for people too young and inexperienced to recognize the dynamics of situations like this; in other words, how their emotions are being used (pathologized) to promote The Sickness Industry more than anything else.
I feel the same way. A person’s emotional state is highly personal, therefore is someone’s personal property, something a stranger has no business knowing or asking about for any reason whatsoever. I don’t care who they are or what their purpose is.
It’s one of many micro-inequities perpetrated by the ‘mental health system’ that leaves a bad taste in my mouth.
It pisses me off the way psychiatry ducks responsibility for the proliferation of people needlessly prescribed psychiatric drugs because if there were no DSM (created by psychiatrists!) there’d be no way for physicians to legally prescribe psychiatric drugs.
Which means one thing: Psychiatry alone hold the keys to the Gates of Hell.
The reason for the disparity is obvious: people in ‘developed’ countries have more access (money) to pharmaceutical poisons, and pharmaceutical poisons can make you sick.
WTF is ‘screening for depression’??? Stupid checklists bankrolled by pharmaceutical companies administered by stupid people looking for more ‘clients’.
It does prove one thing, however: psychiatry is the apex of capitalism.
Speak for yourself. An apology from psychiatry isn’t enough if their “treatments” have harmed a person’s ability to provide for themselves financially.
Reading this aticle was so confusing it made me anxious. But here’s my take on it just the same:
Telling someone they have an “anxiety disorder” is just a fancy of way of saying something’s wrong with them for feeling anxious which often leads to feelings of shame. This often leads to more anxiety which often leads to more shame—so much so that people often find themselves saying “I AM anxious”, rather than “I FEEL anxious”.
AND WHO WANTS TO GO OUT FEELING LIKE THAT???
So, thanks to “psychiatry” we’ve got people stuck in one hell of an anxiety loop.
If Awais Aftab felt secure with the results of psychiatry’s genetic research, he wouldn’t bother reacting to articles in MIA that highlight the dubious nature of psychiatry’s genetic research results. It’s as simple as that, imo. The fact that Aftab does react imo suggests he harbors feelings of inadequacy around the subject, which is easy to understand considering how cobbled together, speculative and therefore essentially inconclusive the research results are.
Putting it more simply, Awais Aftab seems ‘triggered’ when reputable people like Robert Whitaker dare call out psychiatry’s dubious claims of genetic risk or causality regarding psychiatry’s equally dubious “DSM diagnoses”.
If Awais Aftab felt secure in the results of psychiatry’s genetic research, he wouldn’t bother reacting to articles in MIA that highlight the dubious nature of psychiatry’s genetic research results. It’s as simple as that. The fact that Awais does react suggests he harbors feelings of inadequacy around the subject, which is easy to understand considering how cobbled together (and ultimately speculative) the research results are.
In common parlance, Awais seems ‘triggered’ by certain people who dare call out psychiatry’s vacuous claims of genetic risk or causality. IMHO.
The only thing I learned from psychotherapy is how useless it is for me.
Sitting through psychotherapy left me with a nagging sense of cognitive dissonance that lingered for days. Talking myself into believing that therapists or psychiatrists have anything worthwhile to offer was not only exhausting but also took a huge toll on my relationship with myself since deep down I knew I was wasting my time with people I didn’t respect. In any case, having to constantly bite my tongue so as not to deflate a therapist’s or psychiatrist’s oversized ego was a huge turn-off, but it was something I learned I had to do because most of them couldn’t handle being contradicted.
I only have myself to blame for forcing myself to engage with people I considered incurably insecure overachievers unconsciously seeking validation from everyone they meet just because they have some stupid degree.
What’s the best qualification for anybody wanting to help others? A huge amount of humility and enough personal experience to know what the heck they’re talking about, two qualities I found sorely lacking in most of the people working in the “helping professions”.
Really good interview. I particularly appreciate the way Justin characterizes psychiatry’s use of the term “biopsychosocial” as “a wolf in sheep’s clothing”. I see this as lip service, a way of fooling people into thinking psychiatry has evolved when it clearly has not.
It’s almost comical how psy-professionals keep trying to prove that “psychotherapy” is better than psychiatric drugs when in reality it’s just the other side of the same dirty coin; its talky-talk spiel is just as gimmicky as psychiatry’s drugs.
Thank you for this article. The Power Threat Meaning Framework is a breath of fresh air that blows away the cobwebs of psychiatry’s hopelessly limiting “diagnostic” framework.
CLARIFICATION: Alan, what you say is a bit confusing to me because on one hand you seem to be saying that all someone needs are supportive relationships. This is true to a certain extent, but totally relying on others, friends or therapists, has the potential of leaving people in a precarious position if they don’t like therapy, can’t afford therapy, or have no close family or friends. Good relationships are important, but being your own best friend is more important, and in my experience, relying too much on others, therapeutically or otherwise can prevent that from happening.
Alan, I looked up Gabor Mate’s definition for trauma and this is what I found: “an inner injury, a lasting rupture or split with the self due to difficult or hurtful events”. I think this encompasses being hurt relationally, past or present.
I agree with you that medicalizing emotional distress is not a good thing. But unfortunately, most therapists are taught that emotional distress is a “disorder”, a “disease”, and that therapy is the only way to deal with it, which imo is limited view that harms those who don’t benefit from therapy.
But what you say is bit confusing to me because on one hand you seem to be saying all someone needs is supportive people, (which I agree with) while on the other hand you seem to be recommending therapy, which imo doesn’t make much sense since most therapists use the DSM and believe psychodynamics are critical, which is something I firmly disagree with.
But I agree that finding supportive people can be extremely helpful. However, I also think that relational problems are destined to repeat unless people get to know their own emotional history and triggers. Otherwise, people can find themselves in the same dysfunctional relationships.
It’s really important to learn to be your own best friend, and therapy isn’t necessary for that.
Learning how others affect you (“trauma”) is very important, but trauma has become a commodity; it need not be a medicalized, money-making opportunity for someone else (i.e., “therapy”).
“If one feels safe in another’s company and trusts someone completely, traumatic memories will most likely become available, and can be dealt with at that time. Otherwise, you don’t need to try to heal from trauma. More importantly, people who have been traumatized don’t need to “heal” from trauma in order to love oneself and life. They only require connection, support, solidarity and relationships with loving people who treat them well.”
YES!!! Medicalized relationships are a needless pain in the ass.
This is what’s wrong with the “mental health system”: it’s made by therapists for therapists where “patients” are seen as defective objects to be fixed with “success” measured by the therapist’s agenda. Totally arbitrary and totally nauseating.
Psychodynamic: this can be re-traumatizing.
Cognitive Behavioral Therapy: this can shut down people who need to be listened to.
Maybe all someone needs are people who help them feel safe to do what feels right TO THEM, instead of pressured to “do the work” just to please some agenda-possessed “therapist”.
I like this article. I think there’s a big difference between blaming parents and wanting them to understand and care about the harm they’ve done. And parents who genuinely regret the harm they’ve done deserve a second chance like anyone else. We are all human, and I don’t think holding grudges helps anyone.
Looks like psychiatry doesn’t know what the rest of us do: that more made-up “diagnoses” means more lifelong “patients”. So, forget the revolving door. It’s actually a merry-go-round that no one gets off, which (seems to me!) just the way psychiatry likes it.
Dear Essy,
I know how you feel. Pills didn’t help me either.
But self-therapy did help me. I found it by chance on YouTube from someone named Daniel Mackler. I think his approach can be very useful for people not getting what they need from our current mental health system. He’s a former therapist who’s very empathic because he’s aware of how ineffective its pills can be as well as how invalidating it is, especially for sensitive people.
Take good care, Essy. I hope you feel better soon,
Birdsong
IMHO, the problem with psy disciplines is that (most) of the people who work in them seem to think they know all the answers and that the fate of the world is in their hands alone. They need to examine their own motives more than anything else.
Lina, I appreciate your keenly perceptive analysis. I think so-called “victims” can damn well speak for themselves without “assistance” from chronic pathologizers.
Overprescribing is a problem in general medicine. Physicians too quickly write prescriptions for conditions that are not immediately life-threatening rather than suggest lifestyle changes.
“Some say if the DSM acknowledged Complex PTSD (usually from Developmental Trauma), it would be a thin volume.”
I think trauma experienced at any age can lead to significant problems.
“Many trauma experts recommend both top down (cognitive) and bottom-up (somatic) modalities. Unfortunately, few healthcare providers can offer the latter. It seems even fewer can be in their own bodies and emotions well enough to prevent them from thwarting their clients’ processes.'”
Somatic therapies helped me a great deal, but finding an affordable practitioner wasn’t easy. Talk therapy was re-traumatizing. Not only that, most of the talk therapists I knew were egotistical, which I think you have to be to want to be a therapist in the first place.
I grew up in an extremely stressful household where contempt and cruelty were the norm. There were also repeated instances of life-threatening violence as far back as I can remember, happening at a time before things of this nature were acknowledged, publicly or privately. My siblings and I never talked to each other about this nor (as far as I know) mention it to outsiders.
My nervous system is still in the process of calming down from this, and the psychiatric medications only added to my inability to relax. On top of all this, the main offender had the habit of playing loud rock music all day and late into the evening. Between that and the tv on almost constantly, I could never completely relax. My mind and body are still in the process of settling down from the horror of it all.
I think one of the main reasons a lot of people jump on the genetics bandwagon regarding “schizophrenia” and other so-called psychiatric diseases is because they are afraid of looking critically at their own lives and feelings. It’s too much for them. Their irrational fear explains why they react like the devil themselves and feel justified punishing people who make them uncomfortable.
Psychiatry is ââŚ.a presumed medical specialty that has no reputable theory about the alleged internal dysfunction that causes mental illness, that has no biomarkers with which to diagnose those illnesses, yet that has a long history of coercing people to act, think, and feel in accordance with an ill-defined and ever-changing set of moral standards.â
Psychiatry is nothing more than a medicalized game of Blind Manâs Bluff. And itâs guilty of Willful Blindness until it changes.
Psychiatry has become the polite term for drug dealing, because instead of advocating for healthier mindsets, behaviors, and lifestyles, they create drug addicts.
So why wouldnât they want their âpatientsâ addicted to their âtreatmentsâ when thatâs their business? Very paternalistic, i.e. âBig Daddy Knows Bestâ.
Generally, I like what Gabor Mate says. However, I always had the strange sense that heâs missing something, which always left me wondering: Does he not appreciate the way most people are forced to live?
I could never decide if he was being cowardly, or if it just never occurred to him how much deferential treatment he receives because he has âDr.â in front of his name.
I read your essay yesterday and Iâm in awe of it and you. Your insights and intelligence are AMAZING. I see it as a blueprint for the future.
And thank you, thank you, thank you Lisa, for being you, above all else.
I just took a look at âThe Illusion of Psychotherapyâ on Amazon and it sounds well worth reading as Epstein addresses the many social-relational causes of psychic distress.
I look forward to getting a copy once I find one less pricey.
CLARIFICATION: [psychiatry] is a uniquely harmful pseudoscience that ruins many people’s lives which makes choosing to ignore the harm it’s capable of doing inexcusable.
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The same kind of thing happened to me. Some psychiatrists were truly ignorant (which is no excuse), but I suspect more than one deliberately hid the truth to keep from being sued.
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Hey, Kim, I forgot to mention that OCD is not a ‘disease’ or ‘disorder’ either; it is a series of behaviors usually set in motion from ‘latent anxiety’, or hidden fear, which btw is an emotion, AND EMOTION IS NOT A ‘DISEASE’ OR A ‘DISORDER’ —
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Post-partum depression/psychosis is not a discrete biological illness; it is a state of mind that’s usually brought on by the sudden hormonal readjustment (shock, aftermath) of giving birth, a natural but sometimes hormonally traumatic experience. Which makes it not surprising that a hormonally based treatment relieves it. But this does not mean that Brexanalone is ‘treating a disease’. After all, birth-control pills prevent pregnancy, and pregnancy is not a disease.
Report comment
…and repeatedly stuffing people (especially young children) with ‘psychiatric medications’ does NOT ‘treat’ anything; all these do is NUMB EMOTIONS that need to be processed.
Furthermore, your unwillingness to recognize the existence of meaningful financial incentives in the business of medicine (psychiatry in particular) indicates a disturbing amount of denial on your part.
I think it’s time you step outside your cognitive bubble.
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Kim, the things you mention (neuroscience scans, genome studies, pharmacodynamics, kinetics, etc.,) do not “tell us what is happening in the brain”; these function only as Rorschach tests, meaning whatever happens to be on the mind of the viewer gets projected onto whatever is being viewed. And this is because there is no convincing evidence of a pathological process for any emotional/cognitive state of mind or ‘psychiatric condition’. Check out this blog now available on MIA: Researchers: Depression Is “A Normal Brain Responding to Stress or Adversity” by Peter Simons
And in case you didn’t know, dementia is not a ‘psychiatric condition’; it is a neurological one.
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Thank you! đ I enjoy reading your articles very much.
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“Neither an Eeyore nor a Tigger be.”
“The Overselling of Gratitude — Always being positive makes no more sense than always being negative”, by Alfie Kohn in Psychology Today
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Agree 100%
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The graphic for this article was very well chosen because unfortunately many people who ingest antipsychotics become shadows of themselves.
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CORRECTION: Framing distressing thoughts, feelings and behaviors ‘psychiatrically’ more often than not causes people to distance themselves (out of fear) from people who’ve been diagnosed ‘psychiatrically’ (biologically rooted or not), people who otherwise would be seen as simply having a hard time.
So, unfortunately, the final upshot from framing psychological problems as ‘biologically rooted’ actually INCREASES stigma, an unintended but nevertheless devastating consequence for persons simply seeking help.
Report comment
Most people fear (stigmatize) illness of any kind on some level because they don’t like being reminded of their own vulnerability. Therefore, framing people’s thoughts and feelings as ‘psychopathology’ (a medicalized concept) only serves to increase stigma which subsequently prompts people to distance themselves from something that causes them too much anxiety.
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I donate every month yet the same thing happens to me.
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Indeed. It’s lip service, a way of appeasing patients in order to make a prescriber’s life easier, a clever way of trying to sound progressive in order to salvage their tarnished reputations. And the craziest thing about it is that doctors are specifically trained to skillfully persuade people to ‘take their medicine’. The whole idea is ridiculously performative because the last thing an MD is concerned with is the patient’s sense of self; what they’re most concerned with is following is standard protocols to avoid malpractice suits.
Report comment
“Shared decision making” in ‘mental health’ is a joke.
It might sound good, but the fact is most people in professional roles aren’t willing to share their power as this is what defines them. And this is especially true when it comes to ‘antipsychotics’, or any other psychiatric ‘medication’ because most clinicians are trained to believe that psychiatric patients don’t know their own mind (‘lack insight’, ‘anosognosia’). Which is the reason why most clinicians subtly pressure (or even coerce) patients into complying with whatever makes the clinician feel safe.
A client’s sense of self usually fares no better because this too is under the influence of the harmful dynamics present in most psychotherapeutic relationships, dynamics characterized by a ‘power imbalance’ that (insidiously) undermines clients’ faith in themselves.
So, in effect, nothing really changes.
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“If the late adolescence/early adulthood period is genuinely ‘critical’ and ‘sensitive’ for still developing brains, then it is precisely this which should make clinicians wary of biomedical interventions!”
This kind of critical thinking (not to mention common sense) is woefully absent in psychiatry. I don’t know why the obvious never occurs to most of them. Wait a minute! Yes I do! Their confirmation bias has them primed to see what they’re looking for, even if they’re not sure what it is they’re looking at, i.e. ‘schizophrenia’, or ‘depression’, or ‘bipolar’, or ‘anxiety disorder’, or any other ‘disorder’ they happen to think of…
Therefore, the last thing any medical doctor should do is reach for their prescription pad.
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I think anyone who has the audacity to call themselves a healer of the mind, brain, soul, etc., is remarkably unaware (unconscious) of their own limitations (unhealed wounds).
They should ask themselves why they feel the need to see themselves as a healer, or more precisely, why they feel the need to have others see them as a healer.
In other words, most often in jobs like this it’s the wounded ego that’s in charge, not ‘the wounded healer’ they may (pretentiously) declare themselves to be.
IMHO.
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Awesome podcast. Informative, absorbing and uplifting.
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‘Anitpsychotics’ interfere with the psyche’s ability to naturally restore itself, which can happen, given enough time and favorable circumstances.
Aggressively ‘treating’ psychotic episodes with neuroleptics for years (or any amount of time for that matter) assaults the human body, and mis-perceiving withdrawal effects as a ‘recurrance of the original illness’ is not just a mistake, it is a crime.
Report comment
“Researchers have reported concerns that screening can lead to overdiagnosis and overtreatment and wastes the time and resources of both doctors and patients. In a study that found screening youth for depression led to more severe outcomes, the researchers note that screening may have an iatrogenic affect—worsening depression by making people focus on it.”
Bingo! This is the reason why the number of people being diagnosed with ‘mental illness’ has exploded, to the dertriment of themselves and society.
I had serious misgivings when I first heard of widespread screenings for ‘depression’ some thirty-odd years ago. I found myself hoping some influential person in psychiatry would come forward and issue warnings about what this could lead to: a massive iatrogenic effect. But instead what I feared would happen did happen, which is especiallly tragic for people too young and inexperienced to recognize the dynamics of situations like this; in other words, how their emotions are being used (pathologized) to promote The Sickness Industry more than anything else.
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I feel the same way. A person’s emotional state is highly personal, therefore is someone’s personal property, something a stranger has no business knowing or asking about for any reason whatsoever. I don’t care who they are or what their purpose is.
It’s one of many micro-inequities perpetrated by the ‘mental health system’ that leaves a bad taste in my mouth.
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It pisses me off the way psychiatry ducks responsibility for the proliferation of people needlessly prescribed psychiatric drugs because if there were no DSM (created by psychiatrists!) there’d be no way for physicians to legally prescribe psychiatric drugs.
Which means one thing: Psychiatry alone hold the keys to the Gates of Hell.
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The reason for the disparity is obvious: people in ‘developed’ countries have more access (money) to pharmaceutical poisons, and pharmaceutical poisons can make you sick.
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WTF is ‘screening for depression’??? Stupid checklists bankrolled by pharmaceutical companies administered by stupid people looking for more ‘clients’.
It does prove one thing, however: psychiatry is the apex of capitalism.
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Speak for yourself. An apology from psychiatry isn’t enough if their “treatments” have harmed a person’s ability to provide for themselves financially.
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Reading this aticle was so confusing it made me anxious. But here’s my take on it just the same:
Telling someone they have an “anxiety disorder” is just a fancy of way of saying something’s wrong with them for feeling anxious which often leads to feelings of shame. This often leads to more anxiety which often leads to more shame—so much so that people often find themselves saying “I AM anxious”, rather than “I FEEL anxious”.
AND WHO WANTS TO GO OUT FEELING LIKE THAT???
So, thanks to “psychiatry” we’ve got people stuck in one hell of an anxiety loop.
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If Awais Aftab felt secure with the results of psychiatry’s genetic research, he wouldn’t bother reacting to articles in MIA that highlight the dubious nature of psychiatry’s genetic research results. It’s as simple as that, imo. The fact that Aftab does react imo suggests he harbors feelings of inadequacy around the subject, which is easy to understand considering how cobbled together, speculative and therefore essentially inconclusive the research results are.
Putting it more simply, Awais Aftab seems ‘triggered’ when reputable people like Robert Whitaker dare call out psychiatry’s dubious claims of genetic risk or causality regarding psychiatry’s equally dubious “DSM diagnoses”.
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If Awais Aftab felt secure in the results of psychiatry’s genetic research, he wouldn’t bother reacting to articles in MIA that highlight the dubious nature of psychiatry’s genetic research results. It’s as simple as that. The fact that Awais does react suggests he harbors feelings of inadequacy around the subject, which is easy to understand considering how cobbled together (and ultimately speculative) the research results are.
In common parlance, Awais seems ‘triggered’ by certain people who dare call out psychiatry’s vacuous claims of genetic risk or causality. IMHO.
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Psychotherapy for me was the adverse event.
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How did this scapegoat experience traumatic invalidation? By seeing a psychiatrist and other “psy-professionals”.
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“The treatment process can often be uncomfortable for many patients as they often avoid experiences that have the potential to improve their lives.”
THAT is an arrogant statement.
I suggest the author put aside his therapist’s agenda and consider that maybe the “patient” knows best.
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The only thing I learned from psychotherapy is how useless it is for me.
Sitting through psychotherapy left me with a nagging sense of cognitive dissonance that lingered for days. Talking myself into believing that therapists or psychiatrists have anything worthwhile to offer was not only exhausting but also took a huge toll on my relationship with myself since deep down I knew I was wasting my time with people I didn’t respect. In any case, having to constantly bite my tongue so as not to deflate a therapist’s or psychiatrist’s oversized ego was a huge turn-off, but it was something I learned I had to do because most of them couldn’t handle being contradicted.
I only have myself to blame for forcing myself to engage with people I considered incurably insecure overachievers unconsciously seeking validation from everyone they meet just because they have some stupid degree.
What’s the best qualification for anybody wanting to help others? A huge amount of humility and enough personal experience to know what the heck they’re talking about, two qualities I found sorely lacking in most of the people working in the “helping professions”.
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Psychiatric drugs are radioactive imo and consequently should be treated as such.
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Psychiatric handbooks aren’t handbooks, they’re playbooks.
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Really good interview. I particularly appreciate the way Justin characterizes psychiatry’s use of the term “biopsychosocial” as “a wolf in sheep’s clothing”. I see this as lip service, a way of fooling people into thinking psychiatry has evolved when it clearly has not.
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It’s almost comical how psy-professionals keep trying to prove that “psychotherapy” is better than psychiatric drugs when in reality it’s just the other side of the same dirty coin; its talky-talk spiel is just as gimmicky as psychiatry’s drugs.
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I agree with Yeah-i-survived. The talking profession is systemized gaslighting.
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The current mental health system isn’t about helping people, it’s about exerting power over emotionally vulnerable people.
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I can understand that.
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I couldnât agree more.
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Thank you for this article. The Power Threat Meaning Framework is a breath of fresh air that blows away the cobwebs of psychiatry’s hopelessly limiting “diagnostic” framework.
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I’ll never understand people’s worship of “science”. It has no place in situations having to do with peoples’ subjective, (“nuanced”) experience.
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CLARIFICATION: Alan, what you say is a bit confusing to me because on one hand you seem to be saying that all someone needs are supportive relationships. This is true to a certain extent, but totally relying on others, friends or therapists, has the potential of leaving people in a precarious position if they don’t like therapy, can’t afford therapy, or have no close family or friends. Good relationships are important, but being your own best friend is more important, and in my experience, relying too much on others, therapeutically or otherwise can prevent that from happening.
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Alan, I looked up Gabor Mate’s definition for trauma and this is what I found: “an inner injury, a lasting rupture or split with the self due to difficult or hurtful events”. I think this encompasses being hurt relationally, past or present.
I agree with you that medicalizing emotional distress is not a good thing. But unfortunately, most therapists are taught that emotional distress is a “disorder”, a “disease”, and that therapy is the only way to deal with it, which imo is limited view that harms those who don’t benefit from therapy.
But what you say is bit confusing to me because on one hand you seem to be saying all someone needs is supportive people, (which I agree with) while on the other hand you seem to be recommending therapy, which imo doesn’t make much sense since most therapists use the DSM and believe psychodynamics are critical, which is something I firmly disagree with.
But I agree that finding supportive people can be extremely helpful. However, I also think that relational problems are destined to repeat unless people get to know their own emotional history and triggers. Otherwise, people can find themselves in the same dysfunctional relationships.
It’s really important to learn to be your own best friend, and therapy isn’t necessary for that.
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Donât forget ânuanceâ; itâs the professional obfuscatorsâ favorite word.
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Research like this makes me wonder about the researchers….
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I’m having a hard time understanding Alan’s dislike of Gabor Mate, who I think is on the right track…
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I disagree. There’s nothing sophisticated or complex about mistreating people, however subtle. It’s just plain rotten, in anyone’s language.
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âşď¸
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Learning how others affect you (“trauma”) is very important, but trauma has become a commodity; it need not be a medicalized, money-making opportunity for someone else (i.e., “therapy”).
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“If one feels safe in another’s company and trusts someone completely, traumatic memories will most likely become available, and can be dealt with at that time. Otherwise, you don’t need to try to heal from trauma. More importantly, people who have been traumatized don’t need to “heal” from trauma in order to love oneself and life. They only require connection, support, solidarity and relationships with loving people who treat them well.”
YES!!! Medicalized relationships are a needless pain in the ass.
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“In my opinion, to suggest that people can and should heal from trauma will end up doing more harm than good.”
It already has, imo.
The word “trauma” is now used to tell people how to live. It’s become a way to condemn people who don’t live up to your expectations.
Bad feelings need not be pathologized. It makes me feel bad about feeling bad.
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Thank you, Deepali, for sharing your moving story.
Girls and women are often pathologized for voicing their needs, even in so-called “progressive” cultures.
I’m delighted you found encouraging people that helped you find ways to live
that are meaningful to you.
“The power of women’s anger | Soroya Chemaly”, courtesy TED
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“…this is just from therapist perspective…”.
This is what’s wrong with the “mental health system”: it’s made by therapists for therapists where “patients” are seen as defective objects to be fixed with “success” measured by the therapist’s agenda. Totally arbitrary and totally nauseating.
Psychodynamic: this can be re-traumatizing.
Cognitive Behavioral Therapy: this can shut down people who need to be listened to.
Maybe all someone needs are people who help them feel safe to do what feels right TO THEM, instead of pressured to “do the work” just to please some agenda-possessed “therapist”.
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…although I strongly believe in holding psychiatry accountable for despicable harm it’s done and continues to do. It should never be let off the hook.
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And Essy, more than anything, please try not to get too discouraged, even though feeling better can be a long haul.
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I like this article. I think there’s a big difference between blaming parents and wanting them to understand and care about the harm they’ve done. And parents who genuinely regret the harm they’ve done deserve a second chance like anyone else. We are all human, and I don’t think holding grudges helps anyone.
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Looks like psychiatry doesn’t know what the rest of us do: that more made-up “diagnoses” means more lifelong “patients”. So, forget the revolving door. It’s actually a merry-go-round that no one gets off, which (seems to me!) just the way psychiatry likes it.
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Dear Essy,
I know how you feel. Pills didn’t help me either.
But self-therapy did help me. I found it by chance on YouTube from someone named Daniel Mackler. I think his approach can be very useful for people not getting what they need from our current mental health system. He’s a former therapist who’s very empathic because he’s aware of how ineffective its pills can be as well as how invalidating it is, especially for sensitive people.
Take good care, Essy. I hope you feel better soon,
Birdsong
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Lina is right.
IMHO, the problem with psy disciplines is that (most) of the people who work in them seem to think they know all the answers and that the fate of the world is in their hands alone. They need to examine their own motives more than anything else.
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Lina, I appreciate your keenly perceptive analysis. I think so-called “victims” can damn well speak for themselves without “assistance” from chronic pathologizers.
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Overprescribing is a problem in general medicine. Physicians too quickly write prescriptions for conditions that are not immediately life-threatening rather than suggest lifestyle changes.
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No need to apologize for the fact that a lot of what you write goes right over my head.
Here’s my take on the situation: the chump intentionally acted like a simon-pure asshole. End of story.
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Clarification: “JNANI: The Silent Sage of Arunachala – Ramana Maharshi”
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Agree 100%.
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CORRECTION: Universities teach a lot of things, but NOT what is truly important, WHICH MAKES THEM A WASTE OF MONEY.
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CORRECTION: Blasphemy is the word that best describes the DSM.
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They certainly aren’t merely the stuff of anyone’s imagination.
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Maybe TA needs to hear about this…
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John, science is great, but it’s no excuse for putting the cart before the horse.
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Prove it.
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The sooner the better, if you ask me.
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đ
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A Borderline Personality Disorder diagnosis is code for “I can’t stand this person so don’t take their concerns seriously”.
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Universities teach lots of things, except what is truly important.
On YouTube: “6 Ways To Be In Flow With Your Life – Lao Tsu(Taoism)”, courtesy Philosophies for Life
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I’m still waiting for your response.
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That doesn’t mean they aren’t also stupid.
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“Some say if the DSM acknowledged Complex PTSD (usually from Developmental Trauma), it would be a thin volume.”
I think trauma experienced at any age can lead to significant problems.
“Many trauma experts recommend both top down (cognitive) and bottom-up (somatic) modalities. Unfortunately, few healthcare providers can offer the latter. It seems even fewer can be in their own bodies and emotions well enough to prevent them from thwarting their clients’ processes.'”
Somatic therapies helped me a great deal, but finding an affordable practitioner wasn’t easy. Talk therapy was re-traumatizing. Not only that, most of the talk therapists I knew were egotistical, which I think you have to be to want to be a therapist in the first place.
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I relate to this comment.
I grew up in an extremely stressful household where contempt and cruelty were the norm. There were also repeated instances of life-threatening violence as far back as I can remember, happening at a time before things of this nature were acknowledged, publicly or privately. My siblings and I never talked to each other about this nor (as far as I know) mention it to outsiders.
My nervous system is still in the process of calming down from this, and the psychiatric medications only added to my inability to relax. On top of all this, the main offender had the habit of playing loud rock music all day and late into the evening. Between that and the tv on almost constantly, I could never completely relax. My mind and body are still in the process of settling down from the horror of it all.
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Clarification: How do you change a paradigm/culture that subtly encourages people to feel superior to the person next to them?
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Clarification: genes play a role in everything, but not a direct one in psychological distress.
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I liken psychiatric drugs to pesticides used in gardens or factory farms.
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I think one of the main reasons a lot of people jump on the genetics bandwagon regarding “schizophrenia” and other so-called psychiatric diseases is because they are afraid of looking critically at their own lives and feelings. It’s too much for them. Their irrational fear explains why they react like the devil themselves and feel justified punishing people who make them uncomfortable.
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Nothing’s more calming and spiritually restorative than the beauty and quiet of nature. It’s my favorite companion, day or night.
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Why not call it Psychiatric Projective Disorder, or âPPDâ?
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On YouTube: “Sri Ramana Maharshi — JNANI” courtesy Cinefx Productions
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Definition for Blind Manâs Bluff:
TAKING A CHANCE ON A SOMETHING WITHOUT RHYME OR REASON TO YOUR POSITION
Definition for Willful Blindness: intentionally keeping unaware of facts that would render liability or implication
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Psychiatry is ââŚ.a presumed medical specialty that has no reputable theory about the alleged internal dysfunction that causes mental illness, that has no biomarkers with which to diagnose those illnesses, yet that has a long history of coercing people to act, think, and feel in accordance with an ill-defined and ever-changing set of moral standards.â
Psychiatry is nothing more than a medicalized game of Blind Manâs Bluff. And itâs guilty of Willful Blindness until it changes.
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And hereâs where the âcureâ lies:
âDigging In the Dirtâ, by Peter Gabriel
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Psychiatry has become the polite term for drug dealing, because instead of advocating for healthier mindsets, behaviors, and lifestyles, they create drug addicts.
So why wouldnât they want their âpatientsâ addicted to their âtreatmentsâ when thatâs their business? Very paternalistic, i.e. âBig Daddy Knows Bestâ.
Itâs the new white collar crime.
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And hereâs a song that should be on everyoneâs playlist:
âTwistedâ, sung by Joni Mitchell
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Iâm dizzy with cognitive dissonance at the insanity of it allâŚ
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Definitely one of Class and privilege.
Generally, I like what Gabor Mate says. However, I always had the strange sense that heâs missing something, which always left me wondering: Does he not appreciate the way most people are forced to live?
I could never decide if he was being cowardly, or if it just never occurred to him how much deferential treatment he receives because he has âDr.â in front of his name.
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Your most welcome, Lisa.
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I read your essay yesterday and Iâm in awe of it and you. Your insights and intelligence are AMAZING. I see it as a blueprint for the future.
And thank you, thank you, thank you Lisa, for being you, above all else.
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Fascinating.
Brought to mind this classic music video from once upon a timeâŚ.
âShock The Monkeyâ, by Peter Gabriel
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What speaks to people is entirely personal, and often canât be anticipated. And Iâve no idea what âright-brain malenessâ means.
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Absolutely. But Iâm more committed to honoring the human being from which all art springs.
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Topher,
I just took a look at âThe Illusion of Psychotherapyâ on Amazon and it sounds well worth reading as Epstein addresses the many social-relational causes of psychic distress.
I look forward to getting a copy once I find one less pricey.
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And hereâs something NO ONE should miss:
âMay Cause Side Effectsâ, by Brooke Siem
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