Okay, I know I’m going to sound like an asshole to those who really believe in the organized scam called psychiatry. I’m not trying to be an ass, but I’ve been beat down repeatedly by these treatments and I am really frustrated by it, especially recently. I should be clear from the start that I think psychology is a valid social science, but it is just not one that can be used at the current time for a basis for medicine.
My first ‘beef’ with psychiatry is the practice of biological psychiatry (or the use of psychopharmaceuticals or neurological surgery or procedures to treat a psychiatric condition). Probably the greatest abuse is the prescription of drugs. Every time I have been ‘treated’ by a psychiatrist I have been prescribed a different type of drug under the guise that it would correct some type of chemical imbalance. I was always curious how the psychiatrist knew I had a chemical imbalance before he prescribed me drugs that would radically alter my brain chemistry. Nobody ever took a measurement of my brain chemistry. Apparently most of the time I must have been low/high in serotonin in various places (or maybe it was norepinephrene or acetylcholine or who knows). In any case various toxic drugs (Paxil being the worst) were prescribed and the doses increased and increased and increased until something plausibly was supposed to happen to me. It didn’t. Heck, even multiple drugs of the same class (which is trying to have the same effect) were prescribed in the magical hope than one would have some effect. It didn’t.
Why didn’t it? It is because the psychiatrist didn’t know what or if there was a brain chemistry problem, nor whether his current alterations would defeat a future treatment. He didn’t know my brain chemistry. He guessed that adding something like a SSRI or a tricyclic or a benzo or an antipsychotic would be beneficial even though all of these chemicals treat your entire brain, not just the ‘disfunctioning and chemically imbalanced parts’. Does this sound like the balancing of the humours to anyone? It should, because it is almost exactly the same. The only difference is that instead of hearsay and superstition we have ‘clinical experience’ and flawed medication studies.
Flawed medication studies? Everyone claims this, right? And they’ve all been debunked, right? Sure, but here are two points that nobody ever discusses: 1) all of these studies are simple correlations, and 2) important populations are always excluded. Part 1 is important because an extreme example of an effective treatment for depression by psychiatric correlations would be a lobotomy. Why--because it correlates with less extreme depressive symptoms. So do things like ECT (which may cause brain damage) and many psychiatric drugs that turn people into zombies. Basically, once you let simple correlation to be enough for your treatment plan you can get away with anything. If people fake feeling better, then that correlates with an effective treatment (and I have faked feeling better more than once to prevent yet another boost in drugs or a threat to be locked up in the mental hospital). Part 2 is important because the ‘standard of treatment’ for extremely depressed or psychotic individuals is to lock them up in the mental hospital and play with drugs until they pretend they’re better. It is considered unethical to let the people who could benefit the most from a new anti-depressant or anti-psychotic to participate in a drug trial (some good lectures on this issue here and here). Only people who are moderately depressed get in the anti-depressant trials, for example. There is actually no basis whatsoever for the belief, even by correlation, that psychiatric drugs will help a suicidal person. The ‘belief’ in psychiatry is that these drugs have a moderate benefit for moderately depressed people (implied by the correlation test), thus they must have a major effect on severely depressed people. But it is only a belief, and it is compounded with the fact that many people will pretend to be better to get out of the mental hospital (where the suicidal are thrown, as one example).
I’ve ranted for a little while on the issues of medications. Surely there must be a proper way that medications can be tested and administered, right? Yes, you need know the actual reason for a disorder with an individual. Is it really a chemical imbalance? Then what is exactly the proper balance for each part of the brain? And what are exactly the effects (short term and long term) of these chemicals being used on non-disordered parts of the brain? If it is genetic, then how does the ‘faulty’ phenotype produce a disordered individual, and how exactly would drugs correct this? If it is due to environmental conditions, then how does the interaction of the brain itself create this disorder, specifically? And how will these drugs specifically correct this? There probably won’t be answers to these questions for another century or more. Most real medicine can answer similar questions relative to that field. Psychiatry cannot.
My second ‘beef’ with psychiatry is the belief that psychiatrists and therapists understand suicide and know how to prevent it. Marsha Linehan and Barbara Stanley (in the above videos) are some of the few psychologists that have a clue. Most psychiatrists and therapists consider it to be an extreme and irrational response to very powerful emotional distress. Wrong! They also think the best way to deal with it is to lock a person up and then drug them until they pretend to no longer be distressed. Wrong again! As is pointed out in the videos, there is no evidence that mental hospitalization reduces the suicide rate. Suicide and suicide attempts are a method of problem solving. While powerful emotional distress is often a precursor, a person who is trying to attempt suicide is typically calm (I know). It is because the solution has been presented, hell is going to be over, the pain will stop, etc. It isn’t irrational; it is simply an extreme method of solving these problems given our mental states. Mental hospitalization is often the goal for a suicide attempt, or for friends to care, or to have people at least acknowledge your existence. Again, it is solving problems.
Suicide contracts and threats of being thrown in the mental hospital if I don’t comply with toxic medication demands did nothing to prevent me from trying to ‘solve’ my problems with an extreme method. In many cases I think these methods amplify suicidal intent considering most hospitals will boot you out after the minimum observation period due to crowding issues (which makes you feel even more worthless).
I have more issues with psychiatry, but I’ve written enough for now.