Psychiatric Doctor Quotes

Why do I take a blade and slash my arms? Why do I drink myself into a stupor? Why do I swallow bottles of pills and end up in A&E having my stomach pumped? Am I seeking attention? Showing off? The pain of the cuts releases the mental pain of the memories, but the pain of healing lasts weeks. After every self-harming or overdosing incident I run the risk of being sectioned and returned to a psychiatric institution, a harrowing prospect I would not recommend to anyone. So, why do I do it? I don't. If I had power over the alters, I'd stop them. I don't have that power. When they are out, they're out. I experience blank spells and lose time, consciousness, dignity. If I, Alice Jamieson, wanted attention, I would have completed my PhD and started to climb the academic career ladder. Flaunting the label 'doctor' is more attention-grabbing that lying drained of hope in hospital with steri-strips up your arms and the vile taste of liquid charcoal absorbing the chemicals in your stomach. In most things we do, we anticipate some reward or payment. We study for status and to get better jobs; we work for money; our children are little mirrors of our social standing; the charity donation and trip to Oxfam make us feel good. Every kindness carries the potential gift of a responding kindness: you reap what you sow. There is no advantage in my harming myself; no reason for me to invent delusional memories of incest and ritual abuse. There is nothing to be gained in an A&E department.

The fatal weakness of most psychiatric historiographies lies in the historians' failure to give sufficient weight to the role of coercion in psychiatry and to acknowledge that mad-doctoring had nothing to do with healing.

The wilderness once offered men a plausible way of life," the doctor said. "Now it functions as a psychiatric refuge. Soon there will be no wilderness." He sipped at his bourbon and ice. "Soon there will be no place to go. Then the madness becomes universal." Another thought. "And the universe goes mad.

Recovery on the med model requires you to be obedient, like a child," she explains. "You are obedient to your doctors, you are compliant with your therapist, and you take your meds. There's no striving toward greater intellectual concerns.

Likewise, if Kafka wants to express the absurd, he will make use of consistency. You know the story of the crazy man who was fishing in a bathtub. A doctor with ideas as to psychiatric treatments asked him 'if they were biting', to which he received the harsh reply: 'Of course not, you fool, since this is a bathtub.' That story belongs to the baroque type. But in it can be grasped quite clearly to what a degree the absurd effect is linked to an excess of logic. Kafka's world is in truth an indescribable universe in which man allows himself the tormenting luxury of fishing in a bathtub, knowing that nothing can come of it.

Although it is important to be able to recognise and disclose symptom of physical illnesses or injury, you need to be more careful about revealing psychiatric symptoms. Unless you know that your doctor understands trauma symptoms, including dissociation, you are wise not to reveal too much. Too many medical professionals, including psychiatrists, believe that hearing voices is a sign of schizophrenia, that mood swings mean bipolar disorder which has to be medicated, and that depression requires electro-convulsive therapy if medication does not relieve it sufficiently. The “medical model” simply does not work for dissociation, and many treatments can do more harm than good... You do not have to tell someone everything just because he is she is a doctor. However, if you have a therapist, even a psychiatrist, who does understand, you need to encourage your parts to be honest with that person. Then you can get appropriate help.

It is no coincidence then that doctors and patients and the entire Lyme community report—anecdotally, of course, as there is still a frustrating scarcity of good data on anything Lyme-related—that women suffer the most from Lyme. They tend to advance into chronic and late-stage forms of the illness most because often it's checked for last, as doctors often treat them as psychiatric cases first. The nebulous symptoms plus the fracturing of articulacy and cognitive fog can cause any Lyme patient to simply appear mentally ill and mentally ill only. This is why we hear that young women—again, anecdotally—are dying of Lyme the fastest. This is also why we hear that chronic illness is a women's burden. Women simply aren't allowed to be physically sick until they are mentally sick, too, and then it is by some miracle or accident that the two can be separated for proper diagnosis. In the end, every Lyme patient has some psychiatric diagnosis, too, if anything because of the hell it takes getting to a diagnosis.

Fracturing of the psyche is said to be conducive to creating the phenomenon that has been termed sleeper assassins. According to such theories, the first psychiatrists employed to master mind control studied mental patients who had been diagnosed with Multiple Personality Disorder, which medical science has since renamed Dissociative Identity Disorder. Many of those psychiatrists are said to have been Paperclip Nazi doctors who were brought to the US after conducting radical psychiatric experiments on patients during the Holocaust – the same doctors whose victims not only included Jews, Gyspies, political agitators and homosexuals, but also the mentally ill.

Classifying depression as an illness serves the psychiatric community and pharmaceutical corporations well; it also soothes the frightened, guilty, indifferent, busy, sadistic, and unschooled. To understand depression as a call for life-changes is not profitable. Stagnation is not a medical term. The 17.5 million Americans diagnosed as suffering a major depression in 1997 were mostly damned. (Psychobiological examinations confuse cause and symptom.) Deficient serotonergic functioning, ventral prefrontal cerebral cortex, dis-inhibition of impulsive-aggressive behavior, blah blah blah: the medical lexicon boils emotion from human being. Go take a drug, the doctor says. Pain is a biochemical phenomenon. Erase all memory.

The uncomfortable, as well as the miraculous, fact about the human mind is how it varies from individual to individual. The process of treatment can therefore be long and complicated. Finding the right balance of drugs, whether lithium salts, anti-psychotics, SSRIs or other kinds of treatment can be a very hit or miss heuristic process requiring great patience and classy, caring doctoring. Some patients would rather reject the chemical path and look for ways of using diet, exercise and talk-therapy. For some the condition is so bad that ECT is indicated. One of my best friends regularly goes to a clinic for doses of electroconvulsive therapy, a treatment looked on by many as a kind of horrific torture that isn’t even understood by those who administer it. This friend of mine is just about one of the most intelligent people I have ever met and she says, “I know. It ought to be wrong. But it works. It makes me feel better. I sometimes forget my own name, but it makes me happier. It’s the only thing that works.” For her. Lord knows, I’m not a doctor, and I don’t understand the brain or the mind anything like enough to presume to judge or know better than any other semi-informed individual, but if it works for her…. well then, it works for her. Which is not to say that it will work for you, for me or for others.

The brain-disease model takes control over people’s fate out of their own hands and puts doctors and insurance companies in charge of fixing their problems. Over the past three decades psychiatric medications have become a mainstay in our culture, with dubious consequences. Consider the case of antidepressants. If they were indeed as effective as we have been led to believe, depression should by now have become a minor issue in our society. Instead, even as antidepressant use continues to increase, it has not made a dent in hospital admissions for depression. The number of people treated for depression has tripled over the past two decades, and one in ten Americans now take antidepressants.24

Meanwhile the doctor was saying, “The reason there are so many people on the river these days is because there are too many people everywhere else.” Bonnie shivered, slipping into the crook of his left arm. “Why don’t we build a fire?” she said. “The wilderness once offered men a plausible way of life,” the doctor said. “Now it functions as a psychiatric refuge. Soon there will be no wilderness.” He sipped at his bourbon and ice. “Soon there will be no place to go. Then the madness becomes universal.” Another thought. “And the universe goes mad.” “We

We got through it. Haven made excuses for me to friends, and made an appointment with a terrific doctor, who put me on Effexor, 150 milligrams a day, enough to get my brain straightened out.

It is clear that we cannot distinguish the sane from the insane in psychiatric hospitals. The hospital itself imposes a special environment in which the meanings of behavior can easily be misunderstood. The consequences to patients hospitalized in such an environment-the powerlessness, depersonalization, segregation, mortification, and self-labeling-seem undoubtedly countertherapeutic.

just begged the question: If it took so long for one of the best hospitals in the world to get to this step, how many other people were going untreated, diagnosed with a mental illness or condemned to a life in a nursing home or a psychiatric ward? CHAPTER 30 RHUBARB By my twenty-fifth day in the hospital, two days after the biopsy, with a preliminary diagnosis in sight, my doctors thought it was a good time to officially assess my cognitive skills to record a baseline.

And at times I murmured the token phrase to the doctor, ‘When can I go home?’ knowing that home was the place where I least desired to be. There they would watch me for signs of abnormality, like ferrets around a rabbit burrow waiting for the rabbit to appear.

he and his fellow psychologists in training were entering the locked ward at the psychiatric hospital, the chief of psychiatry asked how many of them had ever been on the other side of the door. “The people in there are not nearly as scary as you might imagine,” the doctor

The brain-disease model takes control over people’s fate out of their own hands and puts doctors and insurance companies in charge of fixing their problems. Over the past three decades psychiatric medications have become a mainstay in our culture, with dubious consequences.

Women can get depressed before their period, but PMS is not just depression. Yet PMS is often considered by medical doctors and pharmaceutical companies to be a psychiatric condition suitable for treatment with selective serotonin reuptake inhibitors such as fluoxetine (Prozac, Serafem). But

Internal medicine doctors know the functions of the kidneys. They don’t confuse protective defenses such as cough and pain with diseases such as pneumonia and cancer. Psychiatrists lack a similar framework for the utility of stress, sleep, anxiety, and mood, so psychiatric diagnostic categories remain confusing and crude.

The three books were The Emperor’s New Drugs: Exploding the Antidepressant Myth by Irving Kirsch; Anatomy of an Epidemic: Magic Bullets, Psychiatric Drugs, and the Astonishing Rise of Mental Illness in America by Robert Whitaker; and Unhinged: The Trouble with Psychiatry—A Doctor’s Revelations About a Profession in Crisis by Daniel Carlat.

The Tuskeegee Syphilis Study is relevant to mind control in several ways. It establishes that a large network of doctors and organizations were willing to participate in, fund and condone grossly unethical medical experimentation into the 1970’s. This is the general setting for psychiatric participation in mind control and creation of the Manchurian Candidate.

For nearly a hundred years, psychiatry has been striving to apply medical model thinking to psychiatric disorders. In this model, the symptoms besieging patients are sorted into specific disease entities and the causes then identified and removed. For doctors of internal medicine, this works. In the case of diabetes mellitus, for example, the symptoms of urinary frequency, fatigue, and confusion often lead to suspicion of the underlying cause, which is confirmed by blood sugar monitoring and then treated by insulin replacement. But psychiatric symptoms are much harder to sort into diagnoses. People with depression sometimes become paranoid. People with schizophrenia sometimes become depressed. Some people who hear voices have no other symptoms whatsoever, and others who hear voices also fall victim to terrible mood swings. Thus far, the hope that psychiatry would be able to identify homogeneous disease states, uncover the biological underpinnings, and remedy them has been largely a barren one. Kappler's symptoms, however, evolved when the hope for psychiatry's becoming a true medical specialty was bright to the point of being blinding. Over the years he would collect over a dozen diagnoses and cavalierly take a myriad of medicines, but no one would be able to bring him close to confronting the past he had disowned, to stand a chance of making peace with it and, ultimately, overcoming it. (46)

In psychiatry, patients don't produce information as easily as they do in other medical settings. Most patients with physical disorders are frightened by their pain and eager to give information about it. Psychiatric patients have a very different relationship to their symptoms and don't always want to answer questions. Gertrude's patient probably found his rituals deeply embarrassing. He probably wanted the help, but he also probably wanted to tell this stranger as little as possible to get it. The paranoid patient, who has an unrealistic fixed belief that people are out to get him, may not feel, at the time, that it is of any relevance to the doctor that there is a conspiracy of aliens against him. The manic-depressive patient, whose judgment is usually quite poor during periods of illness, may take a dislike to the doctor and say that she has been behaving perfectly normally. Interviewing a psychiatric patient can be like trying to catch fish with your hands.

There is no specific test for multiple sclerosis.  Its early symptoms - fatigue, loss of sensation, weakness and visual changes - are frequently misdiagnosed as psychoneurosis or an even more severe psychiatric disorder, such as hysteria, particularly in women. When doctors could find no organic cause for [Jacqueline Du Pré's] complaints, they prescribed a year's rest, and referred her to a psychiatrist... When she consulted a doctor in Australia about her tenacious fatigue and occasional double vision in her right eye, he dismissed her symptoms as "adolescent trauma" and suggested she take up a relaxing hobby.

Had it been uttered by a patient to a doctor in the mid-twentieth century, the doctor would almost certainly have responded that the patient had a psychiatric problem and that his mind needed to be treated so as to bring its feelings into line with his physical body. Today, the doctor is more likely to respond that the problem is such that the patient’s body needs to be brought into alignment with those inner feelings. Indeed, were a doctor to respond in the earlier fashion today, he might well find himself subject to legal action. What has changed in our society and in the social imaginary to bring this new situation about?

We will revisit the effects of sleep loss on emotional stability and other brain functions in later chapters when we discuss the real-life consequences of sleep loss in society, education, and the workplace. The findings justify our questioning of whether or not sleep-deprived doctors can make emotionally rational decisions and judgments; under-slept military personnel should have their fingers on the triggers of weaponry; overworked bankers and stock traders can make rational, non-risky financial decisions when investing the public’s hard-earned retirement funds; and if teenagers should be battling against impossibly early start times during a developmental phase of life when they are most vulnerable to developing psychiatric disorders.

In California, there was Atascadero State Hospital, constructed in 1954 at the cost to taxpayers of over $10 million (almost $110 million in today’s money). Atascadero was a maximum-security psychiatric prison on the central coast where mentally disordered male lawbreakers [including homosexuals] from all over California were incarcerated. Inmates were treated at Atascadero by a variety of methods, including electroconvulsive therapy; lobotomy; sterilization, and hormone injections. Anectine was used often for ‘behavior modification.’ It was a muscle relaxant, which gave the person to whom it was administered the sensation of choking or drowning, while he received the message from the doctor that if he didn’t change his behavior he would die (10).

While all of us dread being blamed, we all would wish to be more responsible—that is, to have the ability to respond with awareness to the circumstances of our lives rather than just reacting. We want to be the authoritative person in our own lives: in charge, able to make the authentic decisions that affect us. There is no true responsibility without awareness. One of the weaknesses of the Western medical approach is that we have made the physician the only authority, with the patient too often a mere recipient of the treatment or cure. People are deprived of the opportunity to become truly responsible. None of us are to be blamed if we succumb to illness and death. Any one of us might succumb at any time, but the more we can learn about ourselves, the less prone we are to become passive victims. Mind and body links have to be seen not only for our understanding of illness but also for our understanding of health. Dr. Robert Maunder, on the psychiatric faculty of the University of Toronto, has written about the mindbody interface in disease. “Trying to identify and to answer the question of stress,” he said to me in an interview, “is more likely to lead to health than ignoring the question.” In healing, every bit of information, every piece of the truth, may be crucial. If a link exists between emotions and physiology, not to inform people of it will deprive them of a powerful tool. And here we confront the inadequacy of language. Even to speak about links between mind and body is to imply that two discrete entities are somehow connected to each other. Yet in life there is no such separation; there is no body that is not mind, no mind that is not body. The word mindbody has been suggested to convey the real state of things. Not even in the West is mind-body thinking completely new. In one of Plato’s dialogues, Socrates quotes a Thracian doctor’s criticism of his Greek colleagues: “This is the reason why the cure of so many diseases is unknown to the physicians of Hellas; they are ignorant of the whole. For this is the great error of our day in the treatment of the human body, that physicians separate the mind from the body.” You cannot split mind from body, said Socrates—nearly two and a half millennia before the advent of psychoneuroimmunoendocrinology!

It is necessary to make this point in answer to the `iatrogenic' theory that the unveiling of repressed memories in MPD sufferers, paranoids and schizophrenics can be created in analysis; a fabrication of the doctor—patient relationship. According to Dr Ross, this theory, a sort of psychiatric ping-pong 'has never been stated in print in a complete and clearly argued way'. My case endorses Dr Ross's assertions. My memories were coming back to me in fragments and flashbacks long before I began therapy. Indications of that abuse, ritual or otherwise, can be found in my medical records and in notebooks and poems dating back before Adele Armstrong and Jo Lewin entered my life. There have been a number of cases in recent years where the police have charged groups of people with subjecting children to so-called satanic or ritual abuse in paedophile rings. Few cases result in a conviction. But that is not proof that the abuse didn't take place, and the police must have been very certain of the evidence to have brought the cases to court in the first place. The abuse happens. I know it happens. Girls in psychiatric units don't always talk to the shrinks, but they need to talk and they talk to each other. As a child I had been taken to see Dr Bradshaw on countless occasions; it was in his surgery that Billy had first discovered Lego. As I was growing up, I also saw Dr Robinson, the marathon runner. Now that I was living back at home, he was again my GP. When Mother bravely told him I was undergoing treatment for MPD/DID as a result of childhood sexual abuse, he buried his head in hands and wept. (Alice refers to her constant infections as a child, which were never recognised as caused by sexual abuse)

The way we define their problems, our diagnosis, will determine how we approach their care. Such patients typically receive five or six different unrelated diagnoses in the course of their psychiatric treatment. If their doctors focus on their mood swings, they will be defined as bipolar and prescribed lithium or valproate. If the professionals are most impressed with their despair, they will be told they are suffering from major depression and given antidepressants. If the doctors focus on their restlessness and lack of attention, they may be categorized as ADHD and treated with Ritalin or other stimulants. And if the clinic staff happens to take a trauma history, and the patient actually volunteers the relevant information, he or she might receive the diagnosis of PTSD. None of the diagnoses will be completely off the mark, and none of them will begin to meaningfully describe who these patients are and what they suffer from.

If it were true that the unconscious consists of nothing but contents accidentally deprived of consciousness but otherwise indistinguishable from the conscious material, then one could identify the ego more or less with the totality of the psyche. But actually the situation is not quite so simple. Both theories are based mainly on observations in the field of neurosis. Neither Janet nor Freud had any specifically psychiatric experience. If they had, they would surely have been struck by the fact that the unconscious displays contents that are utterly different from conscious ones, so strange, indeed, that nobody can understand them, neither the patient himself nor his doctors. The patient is inundated by a flood of thoughts that are as strange to him as they are to a normal person. That is why we call him “crazy”: we cannot understand his ideas. We understand something only if we have the necessary premises for doing so. But here the premises are just as remote from our consciousness as they were from the mind of the patient before he went mad. Otherwise he would never have become insane.

I've just been certified as a shaman, or sha-woman, if you please," Dr. Tuttle said. "You can hop up on the table if you prefer not to stand. You look worse for wear. Is that the expression?" I leaned carefully against the bookshelf. "What do you use the massage table for?" I heard myself ask. "Mystical recalibrations, mostly. I use copper dowels to locate lugubriations in the subtle body field. It's an ancient form of healing—locating and then surgically removing cancerous energies." "I see." "And by surgery I mean metaphysical. Like magnet sucking. I can show you the magnet machine if you're interested. Small enough to fit in a handbag. Costs a pretty penny, although it's very useful. Very. Not so much for insomniacs, but for compulsive gamblers and Peeping Toms—adrenaline junkies, in other words. New York City is full of those types, so I foresee myself getting busier this year. But don't worry. I'm not abandoning my psychiatric clients. There are only a few of you anyway. Hence my new certification. Costly, but worth it. Sit on it," she insisted, so I did, grappling with the edge of the cool pleather of the massage table to hoist myself up. My legs swung like a kid's at the doctor's.

COULD IT BE B12 DEFICIENCY? The neurological symptoms of B12 deficiency that occur in young and middle-aged people are very similar to those in older people. They include the following: • Numbness, tingling, or burning sensations of the hands, feet, extremities, or truncal area, often misdiagnosed as diabetic neuropathy or chronic inflammatory demyelinating polyneuropathy (CIDP) • Tremor, often misdiagnosed as essential tremor or pre-Parkinson’s disease • Muscle weakness, paresthesias, and paralysis, sometimes attributed to Guillain-Barré syndrome • Pain, fatigue, and debility, often labeled as “chronic fatigue syndrome” • “Shaky leg” syndrome (leg trembling) • Confusion and mental fogginess, often misdiagnosed as early-onset dementia • Unsteadiness, dizziness, and paresthesias, often misdiagnosed as multiple sclerosis • Weakness of extremities, clumsiness, muscle cramps, twitching, or foot drop, often misdiagnosed as amyotrophic lateral sclerosis (ALS) • Psychiatric symptoms, such as depression or psychosis (covered in greater length in the next chapter) • Visual disturbances, vision loss, or blindness In contrast, a doctor ignorant about the effects of B12 deficiency can destroy a patient’s life. The

Shortly after I returned home from the Ukraine, I became severely ill with what doctors believed was a parasite. I couldn’t hold my food down and lost a lot of weight. Different doctors kept prescribing me antibiotics, but none of them seemed to help. For a couple of months, I was poked and tested in a variety of ways, only to have more questions surface than answers. Then I was sent to an ear, nose, and throat doctor for an evaluation. I was sitting in a waiting room with a bunch of toddlers, when my name was called. By the time I got into the examination room I knew I’d had enough. “Hey, I’m outta here,” I told the doctor. “I’ll take my chance with the resurrection.” Well, a couple of weeks later, my insurance agent called me. He was one of my lifelong friends and sounded concerned. “Hey, Jase,” he said. “Your insurance company wants you to see a psychiatrist.” Apparently, the ear, nose, and throat doctor recommended I undergo a full psychiatric evaluation based on my refusal to be examined, along with my speech on the resurrection! Apparently, he thought I was crazy. I convinced my buddy that I didn’t need a psychiatrist and eventually got over my illness. I would later read a passage of scripture in the Bible that caused me to smile in reflection on the entire ordeal. Second Corinthians 5:13 says: “If we are out of our mind, as some say, it is for God; if we are in our right mind, it is for you.

Our patients predict the culture by living out consciously what the masses of people are able to keep unconscious for the time being. The neurotic is cast by destiny into a Cassandra role. In vain does Cassandra, sitting on the steps of the palace at Mycenae when Agamemnon brings her back from Troy, cry, “Oh for the nightingale’s pure song and a fate like hers!” She knows, in her ill-starred life, that “the pain flooding the song of sorrow is [hers] alone,” and that she must predict the doom she sees will occur there. The Mycenaeans speak of her as mad, but they also believe she does speak the truth, and that she has a special power to anticipate events. Today, the person with psychological problems bears the burdens of the conflicts of the times in his blood, and is fated to predict in his actions and struggles the issues which will later erupt on all sides in the society. The first and clearest demonstration of this thesis is seen in the sexual problems which Freud found in his Victorian patients in the two decades before World War I. These sexual topics‒even down to the words‒were entirely denied and repressed by the accepted society at the time. But the problems burst violently forth into endemic form two decades later after World War II. In the 1920's, everybody was preoccupied with sex and its functions. Not by the furthest stretch of the imagination can anyone argue that Freud "caused" this emergence. He rather reflected and interpreted, through the data revealed by his patients, the underlying conflicts of the society, which the “normal” members could and did succeed in repressing for the time being. Neurotic problems are the language of the unconscious emerging into social awareness. A second, more minor example is seen in the great amount of hostility which was found in patients in the 1930's. This was written about by Horney, among others, and it emerged more broadly and openly as a conscious phenomenon in our society a decade later. A third major example may be seen in the problem of anxiety. In the late 1930's and early 1940's, some therapists, including myself, were impressed by the fact that in many of our patients anxiety was appearing not merely as a symptom of repression or pathology, but as a generalized character state. My research on anxiety, and that of Hobart Mowrer and others, began in the early 1940's. In those days very little concern had been shown in this country for anxiety other than as a symptom of pathology. I recall arguing in the late 1940's, in my doctoral orals, for the concept of normal anxiety, and my professors heard me with respectful silence but with considerable frowning. Predictive as the artists are, the poet W. H. Auden published his Age of Anxiety in 1947, and just after that Bernstein wrote his symphony on that theme. Camus was then writing (1947) about this “century of fear,” and Kafka already had created powerful vignettes of the coming age of anxiety in his novels, most of them as yet untranslated. The formulations of the scientific establishment, as is normal, lagged behind what our patients were trying to tell us. Thus, at the annual convention of the American Psychopathological Association in 1949 on the theme “Anxiety,” the concept of normal anxiety, presented in a paper by me, was still denied by most of the psychiatrists and psychologists present. But in the 1950's a radical change became evident; everyone was talking about anxiety and there were conferences on the problem on every hand. Now the concept of "normal" anxiety gradually became accepted in the psychiatric literature. Everybody, normal as well as neurotic, seemed aware that he was living in the “age of anxiety.” What had been presented by the artists and had appeared in our patients in the late 30's and 40's was now endemic in the land.

To become a fad, a psychiatric diagnosis requires 3 preconditions: a pressing need, an engaging story, and influential prophets. The pressing need arises from the fact that disturbed and disturbing kids are very often encountered in clinical, school, and correctional settings. They suffered and cause suffering to those around them—making themselves noticeable to families, doctors, and teachers. Everyone feels enormous pressure to do something. Previous diagnoses (especially conduct or oppositional disorder) provided little hope and no call to action. In contrast, a diagnosis or childhood Bipolar Disorder creates a justification for medication and for expanded school services. The medications have broad and nonspecific effects that are often helpful in reducing anger, even if the diagnosis is inaccurate.

In the past (and often still), parents would take their female-identified male child to doctor after doctor, only to be told the child needed intensive therapy or should be delivered to a psychiatric hospital.

There will be no funeral homes, no hospitals, no abortion clinics, no divorce courts, no brothels, no bankruptcy courts, no psychiatric wards, and no treatment centers. There will be no pornography, dial-a-porn, no teen suicide, no AIDS, no cancer, no talks shows, no rape, no missing children . . . no drug problems, no drive-by shootings, no racial tension, and no prejudice. There will be no misunderstandings, no injustice, no depression, no hurtful words, no gossip, no hurt feelings, no worry, no emptiness, and no child abuse. There will be no wars, no financial worries, no emotional heartaches, no physical pain, no spiritual flatness, no relational divisions, no murders, and no casseroles. There will be no tears, no suffering, no separations, no starvation, no arguments, no accidents, no emergency departments, no doctors, no nurses, no heart monitors, no rust, no perplexing questions, no false teachers, no financial shortages, no hurricanes, no bad habits, no decay, and no locks. We will never need to confess sin. Never need to apologize again. Never need to straighten out a strained relationship. Never have to resist Satan again. Never have to resist temptation. Never!

Psychiatrists should take the lead in expressing caution about solving emotional angst by taking a pill. Doctors of the soul will distinguish between the proper use of medication for treating psychiatric disorders and the inappropriate desire to cure social and existential pain with a pill.

A more horrifying Russian chekist was the semi-qualified doctor and virtuoso pianist Mikhail Kedrov, who would slaughter schoolchildren and army officers in northern Russia with such ruthlessness that he had to be taken into psychiatric care. Kedrov’s consort Revekka Maizel personally shot a hundred White officers and bourgeois and then drowned another 500 on a barge.

Foucault’s conceptualization of genealogy, which is largely about uncovering subjugated, disqualified knowledge. Foucault identifies two elements within this term. First, it is the buried histories that have been subsumed by “formal systemization.”1 It is these excavated “blocks of historical knowledges” that have been obscured that he terms subjugated knowledges. The second meaning of subjugated knowledges, besides being buried, is forms of knowing that had been disqualified, considered nonsensical or nonscientific. It is “the knowledge of the psychiatrized, the patient, the nurse, the doctor, that is parallel to, marginal to, medical knowledge, the knowledge of the delinquent, what I would call, if you like, what people know.”2 By stating that it is the knowledge of what people know, Foucault is not referring to the taken for granted or dominant form of knowledge circulating but localized, particular, specific knowledges, what we might also call marginalized, experiential, or embodied knowledge.

Inspire TMS Denver was founded by Sam Clinch, a board-certified Psychiatrist with over 10 years’ experience. He was recognized by his peers as a 5280 Top Doctor in Psychiatry for 2020 and is a member of the American / Colorado Psychiatric Associations. He oversees all care at Inspire TMS Denver and provides psychiatric evaluation and treatment specializing in rTMS (repetitive transcranial magnetic stimulation) which is a safe, painless, FDA-cleared alternative to medication.

At present, psychiatry is ruled by the biomedical model, which attributes all disturbed mental and emotional function to imbalances in brain chemistry, treatable with drugs. If this were the whole story, psychiatric drugs would be much more effective than they are. Pharmaceutical companies exaggerate their benefits and downplay their risks in marketing them to both doctors and the public.

Yet the minute the doctors discovered my issues were neurological—after I had spent weeks living with a psychiatric diagnosis—the quality of care improved. Sympathy and understanding replaced the largely distant attitude that had defined my treatment, as if a mental illness were my fault, whereas a physical illness was something unearned, something “real.

After conducting numerous studies of medications for PTSD, I have come to realize that psychiatric medications have a serious downside, as they may deflect attention from dealing with the underlying issues. The brain-disease model takes control over people’s fate out of their own hands and puts doctors and insurance companies in charge of fixing their problems. Over the past three decades psychiatric medications have become a mainstay in our culture, with dubious consequences. Consider the case of antidepressants. If they were indeed as effective as we have been led to believe, depression should by now have become a minor issue in our society. Instead, even as antidepressant use continues to increase, it has not made a dent in hospital admissions for depression.

. . . psychological distress is often associated with rashes, hives, psoriasis, acne, impotence, coughing, as well as diarrhea, constipation, stomach pain, and low and high blood pressure. Gastrointestinal symptoms are so common in mental illnesses that some doctors call the intestines a 'second brain.' Stress can also lead to non-epileptic seizures, tremor, visual impairment, back pain, and gait abnormalities. In fact, the majority of people in the United States and the UK with common mental illnesses, such as anxiety disorder and depression, do not present with psychological complaints. They go to their primary care physicians who attempt to treat bodily symptoms and likely never find out if the patient is anxious or depressed unless the patient describes his problems as at least partially psychological. All symptoms, including psychological ones, have a biological component, even if they originate from environmental stressors; and, conversely, many biological phenomena have a psychological component. We need only think about something as simple as blushing, which most people will agree is caused by an uncomfortable social interaction, or sometimes just the fantasy about such an interaction. Embarrassment triggers a reaction in which chemicals and hormones come into play to dilate our veins, bring blood to the surface of the skin, and cool the body. Our heart rate increases too. Moreover, scientists have repeatedly demonstrated that psychiatric conditions, and stressors in general, are a significant risk factor for a variety of different medical illnesses.

Even though I never found that antidepressants solved all my problems, they did help some. And even if it is a placebo, the fact that these drugs can make things easier, well, I have to at least give them credit for that. So I don’t feel like it is harmful or wrong or anything to experiment with psychiatric drugs—under a doctor’s supervision, of course.

etc. In the APA program abstract Dr. Jaeger wrote, “Regardless of the initial diagnosis, patients who underwent brain SPECT prior to, or during, psychiatric hospitalization had markedly shorter stays than controls. As demonstrated by this clinical database (two thousand patients), brain SPECT may lead to more effective, shorter, safer, and less expensive diagnostic and treatment modes in children and adolescents with suspected neuropsychiatric illness.” His experience completely dovetailed with mine. I wondered, “How can we not look at the brain?” Cardiologists look at the heart, orthopedic doctors have X-rays to examine bones, gastroenterologists look at the gut, pulmonologists look at the lungs, every other medical specialist looks at the particular organ they treat. And, we deal with the most complicated organ in the body. How can we treat it without having any information on how it functions? Psychiatrists are the only medical specialists who never look at the organ we treat!

We are not alone. But we desperately need one another. We need to share our stories. We need comradery and a unified movement. As many of us have found out the hard way, none of us can fix these diseases alone. None of us, rich or poor, can insulate and protect our family members from psychiatric disorders. I’ve met billionaires who are helpless to get their ill children out of jail. I’ve met the most powerful public health officials who have helplessly watched their siblings die on the streets. The richest among us can’t buy medicines that don’t exist; the cleverest person can’t find a bed in a hospital that lies in ruins; the smartest doctor can’t unravel the riddle of these poorly understood brain diseases. We can only solve this together, as an outspoken, unified, undeterred, and unashamed community.

Given the wealth of evidence that trauma can be forgotten and resurface years later, why did nearly one hundred reputable memory scientists from several different countries throw the weight of their reputations behind the appeal to overturn Father Shanley’s conviction, claiming that “repressed memories” were based on “junk science”? Because memory loss and delayed recall of traumatic experiences had never been documented in the laboratory, some cognitive scientists adamantly denied that these phenomena existed23 or that retrieved traumatic memories could be accurate.24 However, what doctors encounter in emergency rooms, on psychiatric wards, and on the battlefield is necessarily quite different from what scientists observe in their safe and well-organized laboratories.

I’m not interested in psychiatry as a career. Definitely not.” I would take anything else. Surgery, internal medicine, OB/GYN. I’ll even be that kind of doctor who does nothing but look at rectums all day, because that’s an important job and I could do that. But I can’t treat people with psychiatric disorders. It’s the one thing I’ll never do. “I

From the outset, Freeman played down the risks, so determined was he to succeed. He was on a mission to make lobotomy the go-to operation for the treatment of seriously ill psychiatric patients.

Treatments for psychiatric disorders were crude and ineffective.

Of their first twenty patients, seventeen were female. This bias would continue for decades, with doctors across the country and internationally lobotomizing women disproportionately, at a rate estimated variously to be between 60 and 84 percent,16 even though men slightly outnumbered women as patients in America’s psychiatric hospitals.

So now I am the doctor in charge of Bellevue’s psychiatric emergency room, also known as CPEP (pronounced “See-Pep,” the Comprehensive Psychiatric Emergency Program). I run two fifteen-hour overnight shifts on Saturday and Sunday nights. They call me “the weekend attending.” It feels just like rock-and-roll psychiatry to me. This is my Saturday night gig.

Disease mongering cannot occur in a vacuum—it requires that the drug companies engage the active collaboration of the doctors who write the prescriptions, the patients who ask for them, the researchers who invent the new mental disorders, the consumer groups that advocate for more treatment, and the media and Internet that spread the word.

I have come to realize that psychiatric medications have a serious downside, as they may deflect attention from dealing with the underlying issues. The brain-disease model takes control over people’s fate out of their own hands and puts doctors and insurance companies in charge of fixing their problems.

One of his first steps was to invite Fredric Wertham to his office for an interview that lasted from 5:00 p.m. until midnight. It wasn’t long before Leibowitz—imagining himself as a jury member listening to “the erudite doctor”—concluded that twelve ordinary men would be utterly “bewildered by the technical terminology of the psychiatrist” and view the concept of “catathymic crisis” as “nothing but psychiatric double talk.” Indeed, just a few years earlier, Wertham’s testimony as an expert witness had failed to save the life of Albert Fish, a man so extravagantly deranged that even some jurors who voted for his conviction believed he was insane. By the time their lengthy conference was over, Leibowitz, despite his high regard for “the sincere and capable doctor,” had eliminated him as a possible defense witness.2

In “Is Drug Research Trustworthy?” Charles Seife ferrets out doctors’ financial ties to pharma companies; in “Studying Drugs in All the Wrong People,” Gabriella Rosen breaks down why drug trials for psychiatric medications might be doing more harm than good to the people that need these

While all of us dread being blamed, we all would wish to be more responsible—that is, to have the ability to respond with awareness to the circumstances of our lives rather than just reacting. We want to be the authoritative person in our own lives: in charge, able to make the authentic decisions that affect us. There is no true responsibility without awareness. One of the weaknesses of the Western medical approach is that we have made the physician the only authority, with the patient too often a mere recipient of the treatment or cure. People are deprived of the opportunity to become truly responsible. None of us are to be blamed if we succumb to illness and death. Any one of us might succumb at any time, but the more we can learn about ourselves, the less prone we are to become passive victims. Mind and body links have to be seen not only for our understanding of illness but also for our understanding of health. Dr. Robert Maunder, on the psychiatric faculty of the University of Toronto, has written about the mindbody interface in disease. “Trying to identify and to answer the question of stress,” he said to me in an interview, “is more likely to lead to health than ignoring the question.” In healing, every bit of information, every piece of the truth, may be crucial. If a link exists between emotions and physiology, not to inform people of it will deprive them of a powerful tool. And here we confront the inadequacy of language. Even to speak about links between mind and body is to imply that two discrete entities are somehow connected to each other. Yet in life there is no such separation; there is no body that is not mind, no mind that is not body. The word mindbody has been suggested to convey the real state of things. Not even in the West is mind-body thinking completely new. In one of Plato’s dialogues, Socrates quotes a Thracian doctor’s criticism of his Greek colleagues: “This is the reason why the cure of so many diseases is unknown to the physicians of Hellas; they are ignorant of the whole. For this is the great error of our day in the treatment of the human body, that physicians separate the mind from the body.” You cannot split mind from body, said Socrates—nearly two and a half millennia before the advent of psychoneuroimmunoendocrinology!

Types of Degrees for Professionals When you begin to investigate therapists, you will probably see a wide array of initials following their names. That alphabet soup indicates academic degrees, licenses, and/or certifications. Remember that just because the professional has a lot of impressive degrees, that doesn’t mean that he or she is the right therapist for you. The most important thing is to feel completely comfortable with the person so you can speak honestly about your feelings. If you are uncomfortable or intimidated, your time with the therapist will not be effective. When finding a therapist, you should look for one with a master’s degree or a doctorate in a mental-health field. This shows that he or she has had advanced training in dealing with psychological problems. Therapists’ academic degrees include: M.D. (Doctor of Medicine): This means that the doctor received his or her medical degree and has had four years of clinical residency. M.D.s can prescribe medication. Ph.D. (Doctor of Philosophy) and Psy.D. (Doctor of Psychology): These professionals have had four to six years of graduate study. They frequently work in businesses, schools, mental-health centers, and hospitals. M.A. (Master of Arts degree in psychology): An M.A. is basically a counseling degree. Therapists with this degree emphasize clinical experience and psychotherapy. M.S. (Master of Science degree in psychology): Professionals with this degree are more inclined toward research and usually have a specific area of focus. Ed.D. (Doctor of Education): This degree indicates a background in education, child development, and general psychology. M.S.W. (Master of Social Work): An M.S.W. is a social-work degree that prepares an individual to diagnose and treat psychological problems and provide mental health resources. Psychiatric social workers make up the single largest group of mental health professionals. In addition to the various degrees therapists may hold, there are also a number of licenses that may be obtained. These include: M.F.C.C.: Marriage, Family, and Child Counselor M.F.T. Marriage and Family Therapist L.C.S.W.: Licensed Clinical Social Worker L.I.S.W.: Licensed Independent Social Worker L.S.W.: Licensed Social Worker

When I started school, I began to see less of her. More and more, I noticed my father encouraging me to spend time with the Hudsons, old family friends. Then when I was nine, he finally sent Camilla away. I don’t even remember saying goodbye to her, and I never visited her. My father thought it best that I didn’t. She’d cracked and lost her mind, he’d said. But he’d reassured me that the doctors at her psychiatric hospital were some of the best in the world. Truth be told, I didn’t ever feel the urge to track her down. After she moved out, I thought

Cruz appeared to be a law-abiding citizen on his eighteenth birthday, giving him the right to buy a gun. But there was another way for the authorities to prohibit him from doing so. If Cruz had been involuntarily institutionalized under Florida’s Baker Act, then he would have undergone intensive psychiatric evaluation. If a psychiatrist had deemed Cruz to be a danger to himself or others, that doctor could have recommended that a judge adjudicate Cruz as mentally defective and unfit to own a firearm.

Antidepressants on the other hand are widely seen as being medically prescribed substances. The consequences for the medical profession if – or more accurately, when – their true drug dependency potential is widely realised is potentially catastrophic, raising serious concerns about the legitimacy of psychiatric drug prescribing and the dubious prescribing practices of doctors in relation to the prescribing of psychiatric substances.

A natural hierarchy arose in the hospital, guided by both our own sense of functionality and the level of functionality perceived by the doctors, nurses, and social workers who treated us. Depressives, who constituted most of the ward’s population, sat at the top of the chain, even if they were receiving electroconvulsive therapy. Because we were in the Yale Psychiatric Institute (now the Yale New Haven Psychiatric Hospital), many of those hospitalized were Yalies, and therefore considered bright people who’d simply wound up in bad situations. We had already proved ourselves capable of being high-functioning, and thus contained potential if only we could be steered onto the right track. In the middle of the hierarchy were those with anorexia and bipolar disorder. I was in this group, and was perhaps even ranked as highly as the depressives, because I came from Yale. The patients with schizophrenia landed at the bottom—excluded from group therapy, seen as lunatic and raving, and incapable of fitting into the requirements of normalcy.

I didn’t think her behavior was that of one suffering from a psychiatric illness.” At most, said her doctor, she showed “eccentricity and neurotic behavior”—not exactly distinguishing characteristics in New York City.

Pope was only 26 years years old and now he’s dead and there’s nothing any of us can do about it. All he did was break his fucking foot, he wasn’t supposed to die when we left him in Dallas. He was supposed to have surgery, get his cast, and be back out on the road with us by summer. It was the insurance-provided assisted living doctors that killed him. They told him he was schizophrenic. Started feeding him psychiatric drugs. They over-medicated him. Too many pills. His bbody couldn’t take it. He wasn’t crazy. He just wasn’t meant for Texas. They won’t release any of his records to us, only to family. Pope didn’t have much family left, just his older brother and grandmother. He told us all his parents were dead. It wasn’t until after Pope died we found out his father was still alive. None of them are going to chase this. I feel responsible. We left him. It wasn’t supposed to be a big deal. It was just a broken foot, a busted ankle. Heather had been talking to him while he was in the hospital. He told him to come stay with us. He was incoherent whenever I’d hear from him. It was like you could tell the drugs were kicking in. I was too self-obsessed to care, too focused on my failing career. Too busy being full of shit and uninspired. To fucking original. So fucking wasted. It’s a rare thing to meet someone out on the road that you connect with. It’s such a rare and beautiful thing to find a true friend out there on the road. I failed him. Pope, I’m sorry, so very sorry.

One study, for instance, compared written clinical observations made on patients shortly before they committed suicide with clinical observations made on patients of comparable ages and diagnoses who did not commit suicide. Counterintuitively, those who killed themselves had been assessed by their doctors as calmer and “in better spirits” than those who did not. In fact, nearly one-third of hospitalized psychiatric patients “look normal” to their doctors, family members, or friends in the minutes or hours just before suicide.

We need either to get the primary care doctors out of psychiatry or to teach them how to do it and give them sufficient time to do it properly.

Blaming the shootings on the doctors or lack of money doesn’t wash, of course. It’s a ridiculous rationalization, or just crazy. Holmes admits that Drs. Fenton and Feinstein offered to see him regardless of insurance and that he had plenty of money and additional support from his parents. Bob and Arlene had told him clearly that money was no problem when it came to getting psychiatric help.

According to the forensic psychiatrist Robert Simon, the author of Bad Men Do What Good Men Dream, the following statements are true: "Psychiatrists have long known that the most dangerous time is during the first visit with an unknown patient. According to an American Psychiatric Association Task Force Report, 40% of psychiatrists are assaulted during their careers. Nearly three-fourths of assaults against all physicians occurred during the first meeting of doctor and patient.

...I'd learned right away, a psychiatric diagnosis like schizophrenia is a hypothesis. There is no test to prove you have schizophrenia. The best doctor on earth cannot 'see' schizophrenia in your blood, in your hair, in your piss, in your genes.