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"Patients with mental disorders deserve better."

National Institute of Mental Health director Thomas Insell reports that NIMH will phase out its reliance on the Diagnostic and Statistical Manual of Mental Disorders (DSM), in favor of a revamped psychiatric diagnostic system based on "genetics, imaging, cognitive science, and other levels of information to lay the foundation for a new classification system." [more inside]
posted by overeducated_alligator on May 4, 2013 - 104 comments

 

America's mental health care crisis

Schizophrenic. Killer. My Cousin. "It's insanity to kill your father with a kitchen knife. It's also insanity to close hospitals, fire therapists, and leave families to face mental illness on their own." [Via]
posted by homunculus on Apr 29, 2013 - 25 comments

"New diagnoses are more dangerous than new drugs"

On December 2, the American Psychiatric Association's board of trustees voted on the latest revisions to the Diagnostic and Statistical Manual of Mental Disorders, to be published as the fifth edition (DSM-5) in May 2013. The results of the vote have not been released publicly, and some have questioned the limited press coverage of decisions that will affect people worldwide who receive psychiatric diagnoses. Dr. Allen Francis, chair of the DSM-IV revision committee, says that the board "has given its final approval to a deeply flawed DSM 5". (The title of this post is also drawn from this link.) [more inside]
posted by catlet on Dec 9, 2012 - 61 comments

Rise of the Aspies

Is Everyone on the Spectrum? "In the nineties, clinicians began reconceptualizing autism from a singular disorder to a cluster of related conditions on a spectrum of severity; as the criteria broadened to encompass less acutely impaired people—such as the more verbal group diagnosed with Asperger’s—prevalence rose dramatically. Before 1980, one in 2,000 children was thought to be autistic. By 2007, the Centers for Disease Control were reporting that one in 152 American children had an autism-spectrum disorder. Two years later, the CDC updated the ratio to one in 110. This past March, the CDC revised the number upward again, to one in 88 (one in 54, if you just count boys, who are five times as likely to have one as girls). A South Korean study from last year put the number even higher, at one in 38. And in New Jersey, according to the latest numbers, an improbable one in 29 boys is on the spectrum."
posted by bookman117 on Nov 8, 2012 - 66 comments

Death on the Path to Enlightenment

"Every year thousands of westerners flock to India to meditate, practice yoga, and seek spiritual transcendence. Some find what they're looking for. Others give up and go home. A few become so consumed by their quest for godliness that it kills them."
posted by Lorin on Oct 18, 2012 - 63 comments

HBO's "In Treatment"

In Treatment was an HBO series that ran three seasons from 2008 through 2010. Adapated - often word-for-word - from the Israeli drama BeTipul, it depicted the weekly sessions of a psychologist (Emmy-nominated Gabriel Byrne) with his patients (including Debra Winger, Emmy-nominated Hope Davis, and, in her first American role, Mia Wasikowska) and with his own therapist (Emmy-winning Dianne Wiest). The filming of the series placed extraordinary demands on Byrne - which are well described in this interview with showrunner Warren Leight. (h/t: MCMikeNamara) You can watch its entire first episode here. (possible spoilers throughout)
posted by Egg Shen on Oct 15, 2012 - 24 comments

A Boy's Own Broadmoor

Growing up on the grounds of a notorious high security psychiatric hospital.
posted by Chrysostom on Sep 27, 2012 - 25 comments

"Beyond the Brain"

"Beyond the Brain" In the 1990s, scientists declared that schizophrenia and other psychiatric illnesses were pure brain disorders that would eventually yield to drugs. Now they are recognizing that social factors are among the causes, and must be part of the cure.
posted by St. Alia of the Bunnies on Sep 20, 2012 - 28 comments

Living With Voices

A new way to deal with disturbing voices offers hope for those with other forms of psychosis.
Hans used to be overwhelmed by the voices. He heard them for hours, yelling at him, cursing him, telling him he should be dragged off into the forest and tortured and left to die. The most difficult things to grasp about the voices people with psychotic illness hear are how loud and insistent they are, and how hard it is to function in a world where no one else can hear them. It’s not like wearing an iPod. It’s like being surrounded by a gang of bullies. You feel horrible, crazy, because the voices are real to no one else, yet also strangely special, and they wrap you like a cocoon. Hans found it impossible to concentrate on everyday things. He sat in his room and hid. But then the voices went away for good.

posted by Joe in Australia on Aug 14, 2012 - 79 comments

Pioneer or Profiteer? Daniel Amen and the use of SPECT imaging in clinical psychiatry

Daniel Amen and the use of SPECT imaging in clinical psychiatry. Daniel Amen's clinics grossed $20 million last year, using SPECT imaging to tailor psychiatric treatments to individuals. The psychiatric establishment is skeptical: "'In my opinion, what he's doing is the modern equivalent of phrenology,' says Jeffrey Lieberman, APA president-elect, author of the textbook “Psychiatry” and chairman of Psychiatry at Columbia University College of Physicians and Surgeons."
posted by OmieWise on Aug 11, 2012 - 42 comments

“The symptom that bothers me the most is the one I can’t even begin to describe.”

Culture, delusions, and the early treatment of schizophrenia.
Greg Downey: Living in the prodrome, part 1, part 2. [more inside]
posted by nangar on Jul 28, 2012 - 20 comments

Body Integrity Identity Disorder

Body Integrity Identity Disorder is when a subject feels that he or she would be happier living as an amputee. This raises several questions: should amputation be offered as a treatment to people suffering from Body Integrity Identity Disorder? Or, should the alien limb be integrated into the body image? To what extent is the disorder psychological or neurological? Regardless, further research is needed. That said, in talking about newly categorized disorders such as BIID, do we spread "semantic contagion"? [previously]
posted by Sticherbeast on Jul 19, 2012 - 49 comments

Managing, or Failing to Manage, an Epidemic of Mental Illness

There is a critical shortage of acute mental health services throughout the nation that is making it increasingly difficult for people who don't meet standards for "imminent danger" to receive adequate care. Barring a dramatic change in the systems that provide care, what alternatives are there for seriously mentally ill people? Incarceration has often become a form of care provision, but behavioral courts are an emerging alternative. (Previously.) [more inside]
posted by liketitanic on Jun 23, 2012 - 18 comments

Early-onset MDD* blood biomarker pilot study.

A pilot study testing for statistically significant blood biomarkers found in early-onset MDD: "Discovery of blood transcriptomic markers for depression in animal models and pilot validation in subjects with early-onset major depression" [PDF], published by the online, open source journal Translational Psychiatry**, April 2012, Volume 2. [more inside]
posted by simulacra on Apr 18, 2012 - 22 comments

Falling STAR*D?

Falling STAR*D?: It is common practice for psychiatrists to switch depressive patients between different antidepressants if their current drug does not evince a symptomatic response. Despite clinical wisdom supporting this, little empirical, controlled evidence exists to direct “switching” protocols (e.g. if a patient with Z characteristics is on drug X, is it usually better to switch to drug A, B, or C? Will switching help at all?) in the psychopharmacological treatment of depression. The NIMH-funded STAR*D (Sequenced Alternatives to Relieve Depression) study aimed to address these questions of treatment direction in a very large (n>4000), “real-world” sample using a multi-phase treatment plan with different drugs (and cognitive therapy) at every step to maximize chances of eventual remission. Overall, the NIMH reported that about 67% of patients eventually achieved remission, with few differences in effectiveness between different types of treatment at each step. However, researchers and commentators have raised concerns regarding inconsistent reporting of outcomes, after-the-fact changes in study design and analysis, and other issues that may have inflated, partially invalidated, or misrepresented widely reported treatment outcomes. These inequities may also have implications for the secondary moderator analyses (i.e. does trait A predict switching to X or Y is better?) that were a major reason for the study. [more inside]
posted by Keter on Jan 14, 2012 - 12 comments

81 words

Being gay was considered a mental disorder by psychiatry - until 1973 - when the battle lines were drawn. Reporter Alix Spiegel continues the gripping story that spurred a radical rethink. It's the story of a closeted cartel of powerful, gay psychiatrists; of confrontations with angry activists; a shrink dressed in a Nixon mask, and a pivotal encounter in a Hawaiian bar. [more inside]
posted by infinite intimation on Dec 24, 2011 - 28 comments

People keep calling me Five Alive

In DSM 5- 'Living Document' or 'Dead on Arrival', Allen Frances, chair of the DSM-IV development committee details some of the problems with the DSM-5 development process and alludes to some of the current controversies. The post is part of his ongoing series DSM-5 In Distress. [more inside]
posted by OmieWise on Dec 2, 2011 - 37 comments

“I found myself wishing more and more that I too could have been — could be — your patient.”

"Sybil Exposed": Memory, Lies and Therapy. Debbie Nathan's new book explains why "Sybil" probably did not have multiple personalities [nytimes link]. Did Dr. Cornelia Wilbur inadvertently create the condition she had intended to treat?
posted by Sticherbeast on Oct 18, 2011 - 38 comments

That’s your belief, sir.

Two men say they're Jesus, one of them must be wrong. "In 1959, Dr Milton Rokeach, a social psychologist, received a research grant to bring together three psychotic, institutionalised patients at Ypsilanti State Hospital in Michigan." All three believed that they were Jesus, and the doctor believed he should play god.
posted by bitmage on Sep 23, 2011 - 84 comments

The Brain on Trial.

The Brain on Trial. Advances in brain science are calling into question the volition behind many criminal acts. A leading neuroscientist describes how the foundations of our criminal-justice system are beginning to crumble, and proposes a new way forward for law and order.
"We may someday find that many types of bad behavior have a basic biological explanation—as has happened with schizophrenia, epilepsy, depression, and mania."
[more inside]
posted by Eideteker on Jul 15, 2011 - 99 comments

You all need to have your heads examined

The epidemic of mental illness plaguing the Americans and the overmedication of psychiatric patients are in part artifacts of the diagnostic method. [more inside]
posted by hat_eater on Jun 22, 2011 - 50 comments

Are psychoactive drugs fueling an epidemic of mental illness?

Is the contemporary epidemic of mental illness fueled by useless or even harmful anti-depressants and other psychoactive drugs? A review of books by Irving Kirsch, Robert Whitaker, and Daniel Carlat, notes that per Kirsch, "[a]n active placebo is one that itself produces side effects...there was no difference between the antidepressant and the active placebo" (new research claims very severe cases are different). Whitaker argues that psychoactive drugs may actively "disturb neurotransmitter function" and cause mental illnesses which a mounting cascade of drugs are then needed to manage. (previously, previously)
posted by shivohum on Jun 6, 2011 - 113 comments

The Amoral Maze

Jon Ronson - How to spot a psychopath
posted by Artw on May 21, 2011 - 151 comments

The Exact Opposite of Countercultural

The Prozac, Paxil, Zoloft, Wellbutrin, Celexa, Effexor, Valium, Klonopin, Ativan, Restoril, Xanax, Adderall, Ritalin, Haldol, Risperdal, Seroquel, Ambien, Lunesta, Elavil, Trazodone War New York Magazine's Jennifer Senior writes on prescription drug (ab)use among soldiers and veterans of Iraq and Afghanistan. [more inside]
posted by l33tpolicywonk on Feb 15, 2011 - 50 comments

Diagnosing Darth

The Dark Side is like using drugs. "It feels really good when you use it, it alters your consciousness and you know you shouldn’t do it." A psychiatrist diagnoses Anakin Skywalker.
posted by Chocolate Pickle on Jun 4, 2010 - 22 comments

DSM-5

At midnight tonight, the American Psychiatric Association (APA) released a proposed draft of the new Diagnostic and Statistical Manual of Mental Disorders (DSM-5). [more inside]
posted by emilyd22222 on Feb 9, 2010 - 58 comments

Aaron Beck & Cognitive Therapy

The psychoanalytic mystique was overwhelming. It was a little bit like the evangelical movement.” How Aaron Beck and Cognitive Behavioral Therapy helped increase empiricism in psychotherapy.
posted by Non Prosequitur on Oct 9, 2009 - 53 comments

The Jet-Propelled Couch

In 1954, Harper's Magazine ran a story called the Jet-Propelled Couch (Part 2) about a government scientist who was forced to go into to treatment. His problem? He lived half his life on another planet:
“As I read about the adventures of Kirk Allen in these books the conviction began to grow on me that the stories were not only true to the very last detail but that they were about me. In some weird and inexplicable way I knew that what I was reading was my biography. Nothing in these books was unfamiliar to me: I recognized everything–the scenes, the people, the furnishings of rooms, the events, even the words that were spoken. My everyday life began to recede at this point. In fact, it became fiction–and, as it did, the books became my reality.”
Ever since the story was published, sci-fi fans have attempted to discover who Kirk Allen really was. One theory is that it was cleverly disguised Cordwainer Smith, others think there may have been a government physicist named John Carter, and some think he might have been more than one patient. Either way, it's a great story. [via] [more inside]
posted by empath on Sep 21, 2009 - 28 comments

NICU PTSD

About three months after her son's birth, Ms. Roscoe asked to see a psychiatrist. She was given a diagnosis of post-traumatic stress disorder, or P.T.S.D. — a mental illness more often associated with surviving war, car accidents and assaults, but now being recognized in parents of premature infants in prolonged intensive care. (nyt)
posted by swift on Aug 25, 2009 - 19 comments

Placebos

Placebos Are Getting More Effective. Drugmakers Are Desperate to Know Why.
posted by homunculus on Aug 25, 2009 - 106 comments

Thud, empty, hollow.

Revisiting Dr. Rosenhan. Between 1969 and 1972, seven friends embarked on what became known as the Rosenhan Experiment, posing as patients in a dozen psychiatric hospitals. While the medical staff diagnosed the poseurs as 'schizophrenic', their fellow patients quickly caught on to their ruse. The resulting paper, On Being Sane in Insane Places, became an instant classic.
posted by grounded on Jul 26, 2009 - 49 comments

A perfect storm of stupid

Sarah Palin understands the importance of religion in politics. That's why the Political Action Committee preparing for her 2012 presidential bid is being run by John Coale - an OT-VII Scientologist. [more inside]
posted by Joe Beese on Mar 26, 2009 - 75 comments

Cross-cultural psychiatry

West treats East. "To help traumatized Tibetan monks, doctors in Boston turn to cross-cultural medicine." [Via]
posted by homunculus on Mar 14, 2009 - 16 comments

Neuroses of the Rich and Famous

Psychotherapy in the Age of Obscene Wealth
posted by Weebot on Jul 9, 2008 - 67 comments

Lost Souls

According to a new report, children in Sweden are becoming increasingly concerned by their parents' internet habits. "This summer she has been sitting up all day and all night and she forgets what's important to me. And when she's not at the computer she's like a lost soul. She just looks straight ahead and says nothing. I'm not doing so well." Dr Jerald Block from Oregon Health and Science University in Portland is pushing for internet addiction (and its three subtypes: excessive gaming, sexual preoccupations and e-mail/text messaging) to be included as a common disorder in the next update of the DSM (DSM-V). "The relationship is with the computer. It becomes a significant other to them. They exhaust emotions that they could experience in the real world on the computer... It's much more acceptable for kids to talk about game use, whereas adults keep it a secret. Rather than having sex, or arguing with their wife or husband, or feeding their children, these adults are playing games..."
posted by chuckdarwin on Jun 26, 2008 - 66 comments

Well, they're great big brown pills, and they look like M&Ms. They don't melt in your mouth, and they won't melt in your hand.

The Bonkers Institute presents The Nearly Genuine and Truly Marvelous Psychoneuropharmacological Mental Medicine Show, a gallery of modern and vintage psychiatric drug advertising. [more inside]
posted by jtron on May 26, 2008 - 7 comments

Ibn Rushid Psychiatric Hospital

Decline of an Iraqi Hospital: War Takes Toll on Baghdad Psychiatric Hospital. [Via Mind Hacks]
posted by homunculus on May 22, 2008 - 6 comments

Mental Illness Might Be Caused By Microbes

Are you batshitinsane? Viruses and/or bacteria may be the cause.
posted by amyms on Apr 19, 2008 - 17 comments

Coming of Age on Antidepressants

Who Are We? Coming of Age on Antidepressants. [Via Mind Hacks.] [more inside]
posted by homunculus on Apr 16, 2008 - 49 comments

Anti-depressants, Serotonin and Depression

"Researchers found that failing to publish negative findings inflated the reported effectiveness of all 12 of the antidepressants studied." See also: Serotonin and Depression: A Disconnect between the Advertisements and the Scientific Literature. [more inside]
posted by OmieWise on Jan 17, 2008 - 137 comments

Seven Interview with Foster Children

I took my video camera to a Foster Care Alumni meeting and asked seven foster kids to tell me about there experiences in Child Protective Services while wards of the state: Tristen, Andrew, Kyle, Aisha, Elnita, Ashley, Joshua. [more inside]
posted by chunking express on Dec 29, 2007 - 22 comments

The Model of a Psychopharmacologist

I Am the Very Model of a Psychopharmacologist. [Via Omni Brain.]
posted by homunculus on Nov 19, 2007 - 33 comments

It is no small labor to rescue all mankind, every mother's son

The MacArthur Foundation awarded its "genius" grants yesterday. Among the winners was Jonathan Shay, a a VA psychiatrist whose midlife discovery of the Homeric epics inspired him to use their depictions of soldier bonding and cohesion, leadership, trust and betrayal, and terror and rage to treat the psychological disorders and transition difficulties of combat veterans. NPR interview.
posted by Miko on Sep 26, 2007 - 17 comments

Bizarre Experiments

They don't smoke marijuana in Muskogee, but my fellow Okies have given LSD to their elephants, all in the name of SCIENCE! — The Top 20 Most Bizarre Experiments of All Time [more inside]
posted by Brittanie on Sep 19, 2007 - 42 comments

Psychiatry in pictures

Psychiatry in Pictures is a monthly feature of The British Journal of Psychiatry which often demonstrates art created by the psychopathologically afflicted. Other installments include portraits of important figures in the history of psychiatry, paintings drawn during art therapy, and photographs of (quite inhumane) psychiatric treatments.
posted by charmston on Jul 18, 2007 - 15 comments

"Do you hear voices?" "Doesn't everyone?"

INTERVOICE (International Network for Training, Education and Research into Hearing Voices) "offers information, publications, research, and good practice on hearing voices and other key issues." Voice hearing is surprisingly common, even normal. Many people find it a pleasurable and positive experience. Find everything from stencil graffiti to a recent New York Times magazine article on the work of the Hearing Voices Movement. (w i k i s)
posted by srs on Mar 29, 2007 - 20 comments

Primum non nocere

Rebecca Riley died of a drug overdose in December. The police charged her parents with murder, alleging that they poisoned her with an overdose of clonidine. What's clonidine? A drug used to treat hyperactivity. You see, Rebecca was diagnosed with attention deficit hyperactivity disorder (ADHD) and was prescribed clonidine. She was also diagnosed with bipolar disorder and put on valproic acid and Seroquel. Rebecca was diagnosed with both disorders by a psychiatrist when she was 2 1/2 years old. She died when she was 4 years old. Some in the psychiatric community are outraged.
posted by Pastabagel on Feb 26, 2007 - 84 comments

The Art of Psychiatry

Dictionary of Disorder - shaping the DSM
posted by Gyan on Jan 13, 2007 - 13 comments

Stephen Fry and Bipolar Disorder

The Secret Life of the Manic Depressive Is the recently aired work of Stephen Fry. [1][2] a well know english comedian diagnosed as manic-depressive.Now also know as bipolar disorder manic-depression is a class of mood disorders in which the person experiences clinical depression and/or mania, hypomania, and/or mixed states; a rollercoaster of highs and lows.Fry's work and personal involvment help shine a spotlight on a condition obscured by the stigma associated with mental disorders.
posted by elpapacito on Oct 5, 2006 - 27 comments

Is Medicalization Aversion Disorder a real disease?

Psychiatry by Prescription - Do psychotropic drugs blur the boundaries between illness and health?
posted by Gyan on Aug 26, 2006 - 39 comments

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