Lewis Mehl-Madrona: Health Care Costs and Schizophrenia I reflect on the cost of care for people who are diagnosed with schizophrenia. I muse about a moving lecture by Eleanor Longdon, PhD, who was once a schizophrenic and now is a clinical psychologist. She spoke about her own process at the Hearing Voices Conference in Melbourne, Australia. Eleanor echoed my observations, that the way we manage people who hear voices and suffer this kind of distress is costly and ineffective. 1 

Lewis Mehl-Madrona: Nanglyala Mental Health Center I write about the composite mental health center I have created in previous essays which comes from my and others' experiences working in mental health in New York State. I call it Nanglyala Mental Health Center, in honor of the Russian word for Valhalla, which one can't use, for it actually exists. I propose a thought experiment in changing the culture at NMHC, which I hope someone somewhere will be inspired to do.

Lewis Mehl-Madrona: Psychiatrists in Community Mental Health This article explores the role of the psychiatrist in community mental health. I find myself working in this setting and realizing that almost everyone sees my role as the writing of prescriptions. Medication has become the core of community mental health with twice monthly, 25 minute "therapy" visits. I ask how psychiatrists working in such settings can push back. How can we reclaim psychiatry as the medicine of the soul? 1