Bob, you have really outdone yourself here. In my opinion, this is the single best piece of investigative journalism I have seen you write, and that is really saying something. Thank you for this incredible contribution. This article is so strongly supported by the publicly available evidence you report here that it seems impossible to critique. Instead, it will likely be ignored. Which brings me to Richard’s astute analysis. Richard, I agree with everything you said. It’s impossible to be deeply knowledgeable about this topic without being cynical. We all know what the media response to Bob’s report will be: nothing, despite the fact this story should be leading the national news. The question of how meaningful change can occur is a difficult one to answer. The mass media is incapable of reporting the truth due to conflicts of interest and has the power to set the narrative. My one hope is this – younger people in general are less inclined to trust the mainstream media and are more likely to be politically and socially liberal. Perhaps someday in the future the pendulum will swing in the direction of the truth because they will be less inclined to believe the steady diet of biased information provided by the mainstream media. But they are also heavily medicated and have grown up in a world where the biomedical model is an accepted reality. And in a twisted manner, the neoliberal worldview encourages labelling and medicalizing distress caused by social factors in the name of reducing “stigma.” Young socially liberal people might actually be more prone to support the biomedical model than older generations. I agree with you that more than anything else, progress depends on moving away from a virulent form of unfettered capitalism and a global financial system that enriches the wealthy and screws everyone else. Our politicians – mostly older rich privileged white men who are in the pocket of the capitalists – won’t be changing this system any time soon. But they won’t be in power much longer. Young people today face a world where wages have stagnated, inflation is out of control, home ownership and saving for the future are a pipe dream, and the opportunities their parents and grandparents took for granted no longer exist. In 1970, my parents bought a nice home for a price equal to 1 year of a public school teacher’s salary. That same house today would cost the equivalent of 8-10 year’s salary. Young people today don’t stand a fighting chance. A movement is growing in the background to change the system and young people are our best hope. This incidentally is why I support Bitcoin (and why El Salvador recently adopted it as legal tender). I’ve come to understand how what we use as money profoundly affects every aspect of society, including so-called “mental health.” See this resource: https://wtfhappenedin1971.com. Once we broke from the gold standard in 1971 and our money became unsound, everything that matters for the health of a society has gone rapidly downhill. Bob’s report shows how psychiatric “science” is a thinly veiled exercise in marketing – so thin they aren’t even really trying to hide it anymore. The practice of psychiatry and psychology, as James Davies so thoughtfully pointed out, involve medicalizing and controlling distress caused mostly by social factors in a manner that supports the capitalists’ desire to maintain the status quo that enriches them and screws everyone else. Universal healthcare and a living minimum wage would dramatically improve the lives of millions but would take money from the capitalists and their pawns who control the government. Better to frame socially caused distress as a medical illness within the individual and get “mental health professionals” to use their skills and pills to sedate people who are suffering due to the social conditions caused by toxic capitalism. This frees up Jeff Bezos to spend more money exploring new planets in his spaceship. We need a fundamental change from within psychology (psychiatry is incapable of meaningful change) as well as a change in our political and financial system. Bob’s report here shows, better than anything I have ever read on MIA, that modern psychiatry is rotten to the core – very much by choice – and should not be taken seriously by anybody.