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In February, the American Society of Clinical Psychopharmacology (ASCP) issued a series of recommendations on psychotropic drug deprescribing.1 Derived from a Delphi survey completed by a 45-member international task force, the recommendations purport to offer guidance to clinicians on when and how psychiatric drugs should be deprescribed. Consensus was deemed to have been ac...


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“I opened myself to the gentle indifference of the world. Finding it so much like myself—so like a brother, really—I felt that I had been happy and that I was happy again.”
—Albert Camus, L’Etranger (The Stranger)

A pervasive feature of psychiatry ideology is an impoverished perspective, one which pat...


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On my chest, over my right pectoral, I have a tattoo. It isn’t a ribbon for recovery. It isn’t a semicolon, though I’ve got a few of those in other places. It’s the pagan symbol of Mephistopheles — the mark Faust signed with when he made his deal.

I have other tattoos from the schizoaffective years — the dates when I was discharged from the hospital, a night sky coveri...


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Having worked in mental health for well over a decade, there is a pattern that becomes increasingly difficult to ignore. A wide range of social and interpersonal difficulties are now being understood through the lens of autism spectrum disorder (ASD). In many cases this is appropriate and reflects a broadening of clinical awareness. However, it also reflects a shift in how di...


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“The thought that I might kill myself formed in my mind coolly as a tree or a flower.”
― Sylvia Plath, The Bell Jar

And with leather straps they cinched
me to the gurney, hefted me
into the mouth of the ambulance,
and I lay there in my paper gown
watching the slow traffic—
those glinting schools of homebound
fish—while at m...


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