Dear Dr. Phil, Dr. Oz and Mr. Williams,
As you read this, you may be bracing yourselves for yet another attack and demand for a public apology for your recent ill-informed comments about people who live with mental health challenges. Gentleman, don’t, as I am not reaching out to you for that reason. I am writing to share all of the good that has happened since we launched this dialogue just a few days ago.Read More
On August 1, Jeffrey Lieberman, M.D., the current President of the American Psychiatric Association, wrote an open letter to Psychiatry News asking whether is was time for psychiatry to “re-engage with pharma”.
Dr. Lieberman asserts that although there are problems with the way the public perceives drug companies, he thinks it is time for psychiatry to re-evaluate its connections to the industry. He reports on a recent meeting of the American Psychiatric Foundation Corporate Advisory Council with representatives of 14 pharmaceutical companies.Read More
I asserted previously that the impression of short term efficacy tends to be inflated. What I mean by this is that there is a general sense – within my profession and among the general public – that neuroleptic drugs are very effective. They are after all what allowed us to shutter our state hospitals. The folk narrative is that the main problem is not that they do not work but that people do not take them reliably so we should therefore put our efforts into getting people to stay on them.Read More
I have recently put together a talk in which I summarize my current thinking on the optimal use of neuroleptic drugs, primarily focusing on the treatment of individuals who are experiencing psychotic symptoms. In order to foster conversation on this topic, I will be posting the content of this talk in a series of blogs.Read More
A long time ago in a galaxy far away, I was a nurse at in the neurosurgical unit at Boston’s famous Children’s Hospital. One afternoon, we received a semi-comatose patient named Charlie in our ICU. He was 15, and apparently a really good kid from a terrible neighborhood in Roxbury, a section of Boston next door to us. He and his best friend had found a gun in a trash can. They thought that they had checked the gun barrel for bullets and proceeded to play a game of Russian Roulette. The friend put the gun between his own eyebrows and pulled the trigger.Read More