Just thank you. I hope that your article will be specifically useful to a patient I am trying to help at present. On the verge of undergoing electroconvulsive therapy because she has been on a medication treadmill for twenty years and the psychiatrists automatically step up intervention when the patient is “not responding” to medications rather than entertain the possibility that the progressive dysfunction is heavily iatrogenic in origin and not a sign of any kind of progressive mental illness at all. As a fellow Canadian I am so profoundly frustrated with the fact that clinically proven psychotherapeutic interventions for many facets of trauma, PTSD, entrenched grieving and/or depression (CBT, DBT, ERP, EMDR…), that can realize vastly improved quality of life and soul-reinforcing levels of independence, are unavailable to patients who cannot afford treatment — but we are more than happy to support, via MSP, drugging them to permanent disability. I am not suggesting that psychotherapeutic treatment modalities are any kind of panacea, nor that during acute phases of a mental health crisis the risk/benefits of applying psychoactive drugs (for short periods of time) might not be entirely necessary, but the default of getting patients on these drugs and then just adding drugs in succession is doing far more harm than good. I’m merely a patient advocate, and so have no traction within the system. And it is especially disheartening to try to help patients dealing with mental health crises because they are often indoctrinated to mistrust their own instincts. I will be printing out your piece because it shows that instincts are always relevant — especially for those who are told that their instincts are suspect.