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Quotes About Psychiatry

American psychiatry has told the public a false story over the past thirty years.
~ Robert Whitaker
The theories that patients with depression lack serotonin and that patients with schizophrenia have too much dopamine have long been refuted. The truth is just the opposite. There is no chemical imbalance to begin with, but when treating mental illness with drugs, we create a chemical imbalance.
~ Robert Whitaker
Should they remain on the drugs for years, they are at high risk of becoming chronically depressed. They may also develop—as the American Psychiatric Association warns in one of its textbooks—an "apathy syndrome," which "is characterized by a loss of motivation, increased passivity, and often feelings of lethargy and 'flatness.
~ Robert Whitaker
Yet, fueled by pharmaceutical advertisements, the belief lived on, and it caused Irish psychiatrist David Healy, who has written a number of books on the history of psychiatry, to quip in 2005 that this theory needed to be put into the medical dustbin, where other such discredited theories can be found. "The serotonin theory of depression," he wrote, with evident exasperation, "is comparable to the masturbatory theory of insanity.
~ Robert Whitaker
Prior to treatment, patients diagnosed with schizophrenia, depression, and other psychiatric disorders do not suffer from any known "chemical imbalance." However, once a person is put on a psychiatric medication, which, in one manner or another, throws a wrench into the usual mechanics of a neuronal pathway, his or her brain begins to function, as Hyman observed, abnormally.
~ Robert Whitaker
With psychiatric medications, you solve one problem for a period of time, but the next thing you know you end up with two problems. The treatment turns a period of crisis into a chronic mental illness. - Amy Upham
~ Robert Whitaker
Rather than fix chemical imbalances in the brain, the drugs creat them.
~ Robert Whitaker
And what science had revealed was this: Prior to treatment, patients diagnosed with schizophrenia, depression, and other psychiatric disorders do not suffer from any known "chemical imbalance". However, once a person is put on a psychiatric medication, which, in one manner or another, throws a wrench into the usual mechanics of a neuronal pathway, his or her brain begins to function, as Hyman observed, abnormally.
~ Robert Whitaker
Prior to being medicated, a depressed person has no known chemical imbalance.
~ Robert Whitaker
Wallace Laboratories hired Salvador Dalí to help stoke Miltown fever, paying the great artist $35,000 to create an exhibit at an AMA convention that was meant to capture the magic of this new drug.
~ Robert Whitaker
Today, according to the NIMH, bipolar illness affects one in every forty adults in the United States, and so, before we review the outcomes literature for this disorder, we need to try to understand this astonishing increase in its prevalence.9 Although the quick-and-easy explanation is that psychiatry has greatly expanded the diagnostic boundaries, that is only part of the story. Psychotropic drugs—both legal and illegal—have helped fuel the bipolar boom.
~ Robert Whitaker
There are just too many school-age kids, mostly boys, being prescribed speed to make them easier to corral.
~ Robin Cook
Every child in the world imagines that its phantasy world is unique to itself. Psychiatry knows that the joys and terrors of private phantasies are a common heritage shared by all mankind. Fears, guilts, terrors, and shames could be interchanged, from one man to the next, and none would notice the difference.
~ Alfred Bester
Every child in the world imagines that its phantasy world is unique to itself. Psychiatry knows that the joys and terrors of private phantasies are a common heritage shared by all mankind. Our fears, guilts, terrors and shames could be interchanged, from one man to the next, and none would notice the difference. The therapy department at Combined Hospital had recorded thousands of emotional tapes and boiled them down to one all-inclusive all-terrifying performance in Nightmare Theatre.
~ Alfred Bester
He says the pills he's got her on will keep her from sinking too low. How low is too low, Roy thinks, and when can you tell?
~ Alice Munro
Mental disorders should be diagnosed only when the presentation is clear-cut, severe, and clearly not going away on its own. The best way to deal with the everyday problems of living is to solve them directly or to wait them out, not to medicalize them with a psychiatric diagnosis or treat them with a pill.
~ Allen Frances
D]iagnosis needed to rest in order to let research catch up. It made no sense to keep rearranging the furniture of descriptive psychiatry, creating new diagnoses or altering the thresholds of existing ones, based only on the whims of the experts who happened to be in the room. [...] Changes in diagnoses should be few and far between until we gained much deeper understanding of what causes the mental disorders and how best to define and treat them.
~ Allen Frances
There is no definition of a mental disorder. It's bullshit. I mean, you just can't define it.
~ Allen Frances
Psychiatric disorder consists of symptoms and behaviors that are not self-correcting - a breakdown in the normal homeostatic healing process. Diagnostic inflation occurs when we confuse the typical perturbations that are part of everyone's life with true psychiatric disorder[.]
~ Allen Frances
For now, it would be a better bet to retain diagnostic categories in psychiatry but to make assessment more nuanced by adding transdiagnostic measures.
~ Joel Paris
Psychiatrists have enough work to do without expanding the boundaries of the disorders into the world of the "worried well" or of people going through a "bad patch.
~ Joel Paris
Diagnostic fads simply relabel patients that psychiatrists have always seen.
~ Joel Paris
Psychiatric diagnosis is at best a common language, and current categories should not be treated as "real.
~ Joel Paris
Scientists measure the depth of someone's depression using something named the Hamilton scale, which was invented by a scientist named Max Hamilton in 1959. The Hamilton scale ranges from 0 (where you're skipping along merrily) to 51 (where you're jumping in front of trains). To give you a yardstick: you can get a six-point leap in your Hamilton score if you improve your sleeping patterns
~ Johann Hari