The Evidence-Based Mind of Psychiatry on Display
The writings of Pies and his colleagues, I believe, provide a compelling case study of cognitive dissonance. Cognitive dissonance arises when people are presented with information that creates conflicted psychological states, challenging some belief they hold dear, and people typically resolve dissonant states by sifting through information in ways that protect their self-esteem and their financial interests. It is easy to see that process operating here.
Review Links Antipsychotics with Risk for Heart Attacks
A systematic review published this week in the British Journal of Clinical Pharmacology found that patients taking antipsychotic drugs were at nearly twice the risk...
Daughter of a Psychiatrist
Here I was, 15 years old and already in a long-term treatment facility. I was, on paper: crazy! This entire time, all the adults in my life had been speaking for me. I never felt like I was any of the things they said, but I went along with it. What else could I have done? Every time I rebelled, it only confirmed to my mother what she thought of me.
Olanzapine Can Cause Serious Skin Reaction, FDA Warns
The US FDA has issued a new warning for the atypical antipsychotic Olanzapine, also known by the brand names Zyprexa and Symbyax. The agency...
“FDA Rejects Creepy Abilify Surveillance Pill”
The FDA has rejected the drug/device combination designed to monitor patient adherence with Abilify from Otsuka Pharmaceutical and Proteus Digital Health. Just last week...
FDA Warns About New Impulse-Control Problems Associated With Abilify
Yesterday, the US Food and Drug Administration (FDA) released a warning that the antipsychotic drug aripiprazole or Abilify is associated with compulsive and uncontrollable...
“What Drug Ads Don’t Say”
For the New York Times, Cornell psychiatrist Richard Friedman proposes new regulations to make direct-to-consumer drug ads reveal the relative price and effectiveness information that...
Unhelpful Utterances: 6 Comments We Should No Longer Hear From Mental Health Professionals
Professionals are paid to share their wisdom with those who are, typically, less informed. But, when dealing with mental health professionals in the psychiatric arena, it is wise to retain a degree of skepticism about the words spoken by the doctors and nurses commissioned to help reduce human misery and suffering.
“B.C. Care Homes Provide Antidepressants Without Diagnoses”
New data reveals that the majority of care homes in British Columbia, Canada are giving out prescriptions for antidepressants and antipsychotics without a diagnosis....
“Antipsychotics May Boost Early Death Risk in Parkinson’s”
As we have reported at MIA, new research indicates that Parkinson's disease patients who are given antipsychotics to treat dementia and psychosis may be...
Antipsychotics Increase Mortality Risk in Patients with Parkinson’s Disease
A new study in JAMA Neurology finds that the use of antipsychotic drugs more than doubled the risk of death in patients with Parkinson’s...
Dr. Pies and Dr. Frances Make a Compelling Case that Their Profession is Doing...
Over the past two months, Ronald Pies and Allen Frances, in response to a post I had written, wrote several blogs that were meant to serve as an “evidence-based” defense of the long-term use of antipsychotics. As I read their pieces, I initially focused on that core argument they were presenting, but second time through, the aha moment arrived for me. Their blogs, when carefully parsed, make a compelling case that their profession, in their use of antipsychotics as a treatment for multiple psychotic disorders, has done great harm, and continues to do so today.
Life, Unarmed
When I was born, everyone was expecting me to have arms. The doctor's mind raced; how am I going to tell this mother and the father that their son has hands but not arms? If he's missing so much in his extremities, mustn’t he also be missing a mind? My mom looked into my eyes and knew - in a way that only mothers know - that I had a mind, and spirit.
“‘They’re Waking Up’: Reducing Drugs for Dementia Patients Yields Dramatic Results”
Canada's Global News reports that "A couple of years after a national initiative began to reduce the use of anti-psychotic medication, some people are...
“Psychiatrist Gets 9 Months for Accepting Kickbacks from Drug Firm”
Chicago Psychiatrist Michael Reinstein received a sentence of nine months in prison for taking an estimated $600,000 in kickbacks from pharmaceutical companies in exchange...
New Study Examines Successful Discontinuation of Antipsychotics
A new study to be published in the next issue of Schizophrenia Research examines patients suffering from a first-episode of psychosis who stop taking any antipsychotic drugs. The researchers attempt to identify variables that can serve as predictors of the successful discontinuation of antipsychotics. They find, for example, that those who discontinue the drugs have, on average, the same outcomes as those who stay on them, and that those who have better social integration are more likely to discontinue without relapse.
New Research into Antipsychotic Discontinuation And Reduction: the RADAR programme
For a long time I have felt that there just isn’t a good enough and long enough study on the pros and cons of long-term antipsychotic treatment versus reduction and discontinuation in people who have psychotic disorders, including those who are classified as having schizophrenia. Moreover, there are increasing reasons to be worried about the effects of long-term treatment with antipsychotics. I put this case to the UK’s National Institute of Health Research recently, and proposed that they fund a trial to assess the long-term outcomes of a gradual programme of antipsychotic reduction compared with standard ‘maintenance treatment.’ The NIHR agreed that this was an important issue, and that a new trial was urgently needed. The RADAR (Research into Antipsychotic Discontinuation And Reduction) study officially started in January 2016.
Testifying in Vermont: Forced Drugs
Vermont Governor Shumlin recently suggested a change to state law that would accelerate the process under which a person could be forced to take antipsychotic drugs against her will. The House Human Services Committee reviewed this proposal and I was asked to testify. What follows are my comments.
“Antipsychotic Linked to GI Side Effects”
A new study found that patients treated with the antipsychotic clozapine experienced gastrointestinal side-effects. “The study findings may help explain morbidity and mortality from...
“Protect California Foster Youth from Dangerous Psychiatric Drugs”
The Santa Cruz Sentinel reports on legislation being passed in California to go after physicians who overprescribe psychiatric drugs to foster youth. The proposed legislation also targets government agencies that fail to offer nondrug alternative therapies to help foster youth recover from traumatic childhoods.
Family Oriented, Home-Based Treatment Best for Youth with Symptoms of Psychosis
A pathbreaking new study out of Finland suggests that early intervention programs for youth experiencing psychotic-like symptoms may see the greatest improvement when treatment works within the home rather than in a hospital setting. The research, to be published in next month’s issue of Psychiatry Research, found greater improvement in functioning, depression, and hopelessness among teens in a new need-adapted Family and Community oriented Integrative Treatment Model (FCTM) program.
“New Plan to Treat Schizophrenia Is Worth Added Cost, Study Says”
Benedict Carey of the New York Times reports on the success of new schizophrenia and psychosis programs that provide family counseling and job and...
“Survivors Push for Withdrawal Hotline and Change”
“Two Scots whose lives have been ravaged by prescription drugs are battling for recognition of the devastating withdrawal issues as well as proper support for victims,”...
“Is It Her Hormones?” A Case of Psychiatry Missing the Mark
The case of “Beth” depicts, almost innocently, the trials and tribulations of a well-adjusted, talented 15-year-old who developed depression, paranoia, panic attacks, and self-injurious and homicidal behavior, and “bipolar disorder” after being prescribed antidepressants, and then antipsychotics. After Beth decided - on her own - to discontinue psychotropic medications in favor of hormone therapy, she remained free of psychiatric symptoms.
Researchers Call for Reappraisal of Adverse Mental Effects of Antipsychotics, NIDS
In a study published yesterday, researchers from the Nippon Medical School in Tokyo bring attention to a condition known as neuroleptic-induced deficit syndrome (NIDS)...