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How I Developed a Critical Perspective on Psychiatry

Mad in America

I can think of many examples throughout my early career where I saw many people admitted to psychiatric wards having suffered an adverse life event, recent or past trauma, only to leave with prescriptions for multiple drugs to treat their new presumed diagnoses. I have seen this merry-go-round all too often.

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Much of U.S. Healthcare Is Broken: How to Fix It (Chapter 2, Part 7)

Mad in America

Healthcare is Broken: How to Fix It. The patient self-administers the esketamine nasal spray under the supervision of a healthcare provider in a certified doctor’s office or clinic. In addition, patients must be monitored by a healthcare provider for at least two hours after drug administration.

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The Trauma Craze: How the Expansion of Trauma Diagnoses Fueled Victimhood Culture

Mad in America

For months, the GP had focused on an alleged traumatic event causing her significant psychological distress. They could not recall any traumatic event, confirming instead a stable and nurturing home life. There have also been notable shifts in the types of traumatic events leading to PTSD.

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Much of U.S. Healthcare Is Broken: How to Fix It (Chapter 2, Part 2)

Mad in America

Healthcare is Broken: How to Fix It. An effect size is a statistical term reflecting (in healthcare) the power of any treatment versus placebo, and the larger the effect size, the more effective the treatment. In this blog, he addresses the scientific literature on antidepressant efficacy and FDA approval.

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Much of U.S. Healthcare Is Broken: How to Fix It (Chapter 2, Part 1)

Mad in America

Healthcare is Broken: How to Fix It. Therapists have known that some people are more prone to episodes of depression because of self-defeating attitudes (such as perfectionistic tendencies) that need modification through psychotherapy or behavioral treatment. In this blog, he begins a discussion on depression and antidepressant drugs.

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The Challenge of Presenting Antidepressant Risks and Benefits

Mad in America

In a study of patients with migraine headache, patients were aware that they might receive a placebo or an anti-migraine medication called Maxalt. This obviously leads to errors when the event is striking and dramatic (e.g. Here, the balancing act is self-preservation, if you will, versus patient autonomy. Maybe three.

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RADAR and the Dignity of Risk-Taking

Mad in America

The deinstitutionalization era marked a shift toward community-based mental health care, highlighting the importance of individual choice and self-determination. Here, we would like to extend the responsibility of healthcare professionals to include the risk of staying on medication.