|
Lewis Mehl-Madrona: Suicide Prevention -- Does it Work?
Are psychiatric services successful in preventing suicide or do we actually cause more suicides than would otherwise happen. We create a culture of helplessness in which people expect rescue and do not believe they are in control of their actions. They can attempt suicide thinking they will be saved, but can miscalculate and accidentally die. An Australian man stopped 160 suicides by giving people breakfast. Is this better? 1  |
 Lewis Mehl-Madrona: Working to Recover, or Adjusting to Illness? Existing research is pessimistic about the value of our currently dominant biomedical paradigm for treating mental illness. Long-term antipsychotic use appears to make people worse rather than better. While the research continues to accumulate, practice does not change. Doctors continue to practice as if psychosis comes from lack of medication. People recover without medications. How do we reconcile these two models? 1 |
Lewis Mehl-Madrona: Defining Coyote Psychotherapy
In the recent meetings of the Institute for Psychiatric Services in San Francisco, Barbara Mainguy and I presented material on how we work with psychosis. We are exploring what it is that we do, and we know that it is inspired by indigenous elders, that it is centered on the body, which registers our traumas and stresses, that we are wedded to the idea of story occurring in a social context so that we are embedded with others. 1 |
|
Lewis Mehl-Madrona: How we treat is more important than the treatment!
The way we relate to people is more important than what we do in both medicine and psychiatry. Randomized, clinical trials of the drug, citalopram, for geriatric depression, for example, showed that where a patient got treated mattered more than what drug they received. The response rate to citalopram varied from 16% to 82% among 15 hospitals. The time is nigh to improve the human elements in what we do be more helpful. 2 |
Lewis Mehl-Madrona: To Do and Not To Be
I reflect upon the importance of doing, what is called behavioral activation. In order to change, we need to do things differently, and not just think about doing things differently. Unfortunately, conventional medicine has supported a narrative which tells us that we do not have to make an effort to change our behavior, so people who are depressed or anxious don't believe they need to do anything. We need to change this. |
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: Day 4 of the Australian Journey 2012
Day 4 of the Australian Journey finds us in Warburton with Auntie Jennie, an aboriginal elder from Queensland. I discuss the workshop we did together and explore further the concepts that integrate indigenous theories of mind and mental health with the Hearing Voices movement, showing that its founders were thinking indigenously as they approached voices, which appears much more effective than the biomedical approach. |
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: Imaging and doing are not as different as they sound
Contemporary neuroscience has shown us that imagining an act and performing an act are virtually the same. We can strength our muscles almost as much by imagining exercising as by exercising. If mind is so powerful, why aren't we harnessing it for the good. I fear that mostly we allow it to run for the bad, imagining ourselves in any number of dire straights and illnesses, instead of imagining ourselves hale as we should. 1 |
|
Lewis Mehl-Madrona: Clinic Restructuring
I work part-time in a community mental health center in New York. Recently New York's Office of Mental Health has restructured clinical services. I write about what that has meant for quality of care, which inevitably goes down. I argue that this is inevitable in a "fee-for-service" system. I argue that the alternative is to pay physicians to care for panels of people and to do the best job as they see fit for these people. |
Lewis Mehl-Madrona: What we can learn from Tucson and why not to overreact!
The recent tragedy in Tucson has led some commentators to demand more inpatient beds, easier commitment laws, and forced treatment with medication. I argue that none of this would have stopped Mr. Loughner, since he had not come to anyone's attention yet. We need to refrain from overreacting and further stigmatizing the mentally ill, who are, by and large, not violent, and we need to think about ways to reach out more. 1 |
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 |
|
Lewis Mehl-Madrona: Reflections on the American Psychiaatric Association's annual meeting
This past week we attended the annual meeting of the American Psychiatric Association in New Orleans, Louisiana. The high point was the amazing food that New Orleans offers. Besides that, we dialogue about the myths that psychiatry has created that now need to be changed. These myths include the idea that a perfect pill exists to make people feel "normal" and that a pill exists that can change unpleasant affect in happiness |
Peter R. Breggin, M.D.: Learn to Help Children Without Psychiatric Drugs
There is one week to go before the best conference in the world about psychiatry, mental health, and the well-being of our families and children. Experts from around the world will explain how the psychiatric diagnosing and drugging of our children does more harm than good, and present far better alternatives based on sound psychological, moral, and educational principles. |
|
Articles For Tag "Psychiatry" |
|
