Researchers Search for Subgroups Where Antidepressants Are More Effective
The researchers theorized that this increased effectiveness was due not to “antidepressant” properties, but rather to the drug’s side effects, which include insomnia, drowsiness, and nausea.
Reimagining Healthcare
The conventional Western classification systems of health conditions are based on flawed science shaped by reductionist, hierarchical, and profit-driven ideologies. THEN wants to create a new paradigm built upon principles drawn from systems science, the life course perspective, developmental neurobiology, and other evidence-informed studies.
Healing From Schizophrenia
My experience is that living in a psychosis forces your brain to "stretch" — you develop extra capacity to handle things. I was pretty much living a normal life, even working some of the time, while having all of my psychotic problems. After the psychoses faded away, I no longer needed to fight monsters, but I still had that extra capacity left. After 11 periods of psychosis, my brain has never worked as well as it does now.
Robert Whitaker Missed the Mark on Drugs and Disability: A Call for a Focus...
Robert Whitaker extended one of his core arguments from Anatomy of an Epidemic in a blog post last week. His argument revolves around the claim that psychiatric drugs are the principal cause of increasing psychiatric disability, as measured by U.S. social security disability claims. But does this really explain the rise in recipients of these SSI & SSDI benefits?
Traditional Healing and Psychosis vs. the Promises of Modern Science
As noted in Anatomy of an Epidemic, the prognosis for someone experiencing psychosis is far better in developing countries than in industrialized countries. Robert Whitaker and others posit that this is due to the treatment models used in the developing world, as well as to debility and chronicity caused by psychiatric drugs themselves. I think it's also important to explore traditional tribal and village based models of helping people experiencing psychosis and examine why they may be effective. Do these traditional societies know something we don't?
Brain Disease or Existential Crisis?
As the schizophrenia/psychosis recovery research continues to emerge, we discover increasing evidence that psychosis is not caused by a disease of the brain, but...
Researchers Test Harms and Benefits of Long Term Antipsychotic Use
Researchers from the City College of New York and Columbia University published a study this month testing the hypothesis that people diagnosed with schizophrenia treated long-term with antipsychotic drugs have worse outcomes than patients with no exposure to these drugs. They concluded that there is not a sufficient evidence base for the standard practice of long-term use of antipsychotic medications.
Effects of Exercise on Depression Underestimated, Review Finds
A new meta-analysis finds that the large antidepressant effects of exercise may have been underestimated in previous reviews. This latest report, published this month...
Long-term Usage of ADHD Drugs Linked to Growth Suppression
Findings suggest that treatment not only fails to reduce the severity of “ADHD” symptoms in adulthood but is associated with decreased height.
Mindfulness Pain Relief Distinct from Placebo Effect
A new study demonstrates that the practice of mindfulness may ease pain in a way that is mechanistically distinct from the placebo effect. Research, published in the Journal of Neuroscience, found that mindfulness meditation not only outperformed placebo and fake meditation for pain relief but that it also activated different brain regions than the placebo treatments.
Emphasis on Nutrition Needed to Reform Mental Health Treatments
Even thought current mental health treatments are “suboptimal,” there is a lack of attention paid to the preventative effects of diet and nutrition. Recent studies suggests that nutritional changes can influence the risk for mental health issues and that nutritional supplements, called nutraceuticals, can be prescribed for existing conditions.
Crash Course in Urban Shamanism
Shamans are the magician spirit healers in tribal, non-technological societies around the world. Anthropologists use the word “shamanism,” from the Tungus people of Siberia, to mean the commonalities between different traditions. Shamans find their calling through a life-threatening initiatory illness or crisis, go into visioning and trance to connect to other realities, shapeshift out of their regular identity to identify with animals, spirits, and even illnesses, and return to the ordinary world to share skills of healing and creativity. Living at the edge of society and defying conventional norms, conduct, and even gender, shamans are respected as a powerful community link to the divine.
Madness and the Family, Part III: Practical Methods for Transforming Troubled Family Systems
We are profoundly social beings living not as isolated individuals but as integral members of interdependent social systems—our nuclear family system, and the broader social systems of extended family, peers, our community and the broader society. Therefore, psychosis and other forms of human distress often deemed “mental illness” are best seen not so much as something intrinsically “wrong” or “diseased” within the particular individual who is most exhibiting that distress, but rather as systemic problems that are merely being channeled through this individual.
Responding to Madness With Loving Receptivity: a Practical Guide
In my last three blogs I posed the question- "If madness isn't what psychiatry says it is, then what is it?" Now I'm asking-...
“Mind Your Own Business”
Barbara Ehrenreich weighs in on mass-market mindfulness, Silicon Valley, Buddhism- sliced up and commodified.
Integrating Indigenous Healing Practices and Psychotherapy for Global Mental Health
As the Global Mental Health Movement attempts to address cross-cultural mental health disparities, a new article encourages integrating traditional healing practices with psychotherapy.
Study Explores Māori Community’s Multifaceted Understanding of “Psychosis”
A new study explores how “psychosis” and “schizophrenia” are viewed within the Māori community in New Zealand.
Meditation and Exercise Reduce Depression Symptoms 40%
A combination of exercise and meditation done twice a week over two months may reduce depression symptoms by 40 percent, according to a new study published open-access this month in Translational Psychiatry. Following the eight-week intervention, the student participants that had previously been diagnosed with major depressive disorder (MDD) reported significantly less symptoms and ruminative thoughts and students without any such diagnoses also showed remarkable improvements.
Inner Fire: Healing and Recovery Without Meds
For five years, I and others worked to create a residential healing community in Brookline, Vermont, where people could recover from debilitating and traumatic life experiences, which often lead to addiction and mental health challenges, without the use of psychotropic medications. We welcomed our first six seekers to a yearlong, therapeutic and farm-based, day program last September, and we now can report on what we have learned during this time.
New Data on the Adverse Effects of Meditation and Mindfulness
Study reports on the less-examined findings of difficult and painful meditation-related experiences.
Therapy Changes the Brain, Reduces Anxiety
After undergoing a nine-week cognitive behavioral therapy (CBT) treatment for social anxiety, patients show changes to both the physical structure of their brain and its activity, according to a new study published in Translational Psychiatry. The amygdala is most closely associated with the experience of fear and this study found that patients receiving CBT with reduced social anxiety had significant changes to this section of the brain.
A Biopsychosocial Model Beyond the Mind-Body Split
Can a renewed biopsychosocial approach, grounded in an updated philosophy, foster person-centered medicine, and psychiatry?
The New York Times Magazine Article on Antidepressants
In the Sunday New York Times Magazine, an article by Siddhartha Mukherjee entitled “Post-Prozac Nation” appeared. I eagerly read this article, wondering what position...
That Naughty Little Pill
When patients come to me with complaints of low libido, low or flat mood, weight gain, hair loss, and cloudy thinking, one of my first questions is “Are you on the Pill?”. When they come complaining about premenstrual irritability, insomnia, tearfulness, bloating, and breast tenderness, requesting that I sanction beginning a course of oral contraceptives and perhaps an antidepressant, the one-size-fits-all-cure-all of psychiatrists and gynecologists nationwide, my first comment is “There’s a better way.”
Therapy Recommended As First Line Treatment for Depression
Following an extensive systematic review of treatments for major depression, the American College of Physicians (ACP) issued a recommendation to clinicians suggesting cognitive behavioral therapy (CBT) as a first-line treatment for major depressive disorder along with second-generation antidepressants. The results of the review revealed that CBT and antidepressants have similar levels of effectiveness but that antidepressants present serious side-effects and higher relapse rates.