As someone who is critical of psychiatry yet can still acknowledge its benefits and who supports reform, here are ten ironies within psychiatry that, once noticed, are difficult to ignore:
1. Those whom the profession long dismissed as “fringe extremists” and “anti psychiatry” were, in reality, mostly patients bearing the brunt of iatrogenic harm. Today, these voices, grounded in lived experience, mechanistic pharmacology and mounting evidence, have become some of the most coherent and influential in the discourse. Meanwhile, the genuine ideological extremists are increasingly those who continue to defend an outdated “safe and effective” biological psychiatry with reflexive certainty. They are anti-patient.
2. Drugs promoted for decades as correcting a mythical “chemical imbalance” have instead induced genuine chemical changes across bodily systems, frequently leaving patients in states of dysregulation more severe and persistent than their pre treatment condition.
3. Clinicians who spent years minimising withdrawal syndromes, pathologising patient testimony and accusing critics of bias are now quietly positioning themselves as pioneers of deprescribing. The very architects and defenders of the problem are rebranding themselves as its enlightened reformers.
4. A medical discipline that claims to combat stigma has generated one of the most insidious modern stigmas by transforming previously healthy individuals into lifelong psychiatric patients through iatrogenic dependence, then retroactively framing their drug induced suffering as evidence of an underlying “chronic brain disease.”
5. Self proclaimed experts in suicide prevention publicly question the necessity of black box warnings on SSRIs, while simultaneously appearing to misunderstand or trivialise akathisia, one of the most consistently documented pharmacologically induced pathways to acute suicidality and agitation.
6. A field that repeatedly invokes the mantle of “evidence based medicine” has relied for decades on short term, industry dominated trials while marginalising long term observational data and patient reported outcomes that challenged the dominant paradigm.
7. Psychiatry insists it is a legitimate medical specialty equivalent to cardiology or oncology, yet it reacts with disproportionate hostility when subjected to the same standards of rigorous post marketing surveillance, long term harm assessment and transparent risk benefit analysis expected in other branches of medicine.
8. The profession that most vocally claims to treat “brain diseases” becomes most defensive and dismissive precisely when patients report clear brain/neurological injury resulting from its pharmacological interventions.
9. Concepts like “insight” and “denial” are central to psychiatric diagnostics, yet the field itself displays profound institutional denial regarding the scale of iatrogenic harm and the limitations of its core disease model.
10. Psychiatry champions the biopsychosocial model in theory, while operating almost exclusively within a reductionist biomedical framework in practice, then expresses bewilderment when patients and critics point out the resulting epistemic distortions.
so sad to learn that survivor pioneer researcher and activist Diana Rose died yesterday.
a great loss, love to you and those close to you Diana RIP xxx
“AND YOU STILL DARE TO OPEN YOUR MOUTH…”
Sasha Legerman: This is too accurate not to share.
This Australian’s response to Trump’s rant that “NATO does nothing for America” is absolutely devastating:
“Mate. You run a country where 600,000 homeless people will sleep on the streets tonight.
A country where 40% of adults can’t cover a $400 emergency without borrowing money.
A country where insulin costs more than a car payment, and people ration it just to stay alive.
A country where medical debt is the number one cause of bankruptcy.
A country where women die in hospital parking lots because doctors are too afraid of abortion laws to treat miscarriages.
You imprison more of your own citizens than any country on Earth.
More than China. More than Russia. More than North Korea.
In the land of the free, 2 million people sit in cages, and a quarter of them haven’t even been convicted of anything.
They’re simply too poor to afford bail.
Your life expectancy is declining. You’re the only developed nation where that’s happening.
Your infant mortality rate is worse than Cuba’s.
Your children practice active shooter drills between math and English classes while you sell defense stocks to your friends.
Your minimum wage hasn’t changed in 15 years.
Your teachers work two jobs, your veterans sleep under bridges, and you just spent a trillion dollars flattening a country that never attacked you.
And now a convicted criminal — found liable for sexual abuse, defending a pedophile, sleeping with a porn star, and running the biggest dumpster-fire campaign since the Taliban — is thanking you for yet another disaster.
And you call Greenland badly governed?
Greenland has universal healthcare. Free education. One of the lowest incarceration rates in the world.
Nobody there goes bankrupt because they got sick. Nobody dies in a waiting room because insurance refused treatment.
‘NATO wasn’t there when we needed them.’
When exactly was that, champ?
September 11?
Because NATO invoked Article 5 for the first and only time in history FOR YOU.
Soldiers from dozens of countries deployed, fought, bled, and died in Afghanistan FOR YOU.
Australia wasn’t even in NATO, and we still showed up. For twenty years.
And then you left at 2 a.m. without telling anyone and left everybody else to clean up the mess.
You don’t care that a great nation is being terrorized by your friend, and you haven’t shown it a single ounce of sympathy.
So maybe before calling other countries badly governed, take a look at your own backyard, you aluminum siding salesman with a spray tan.
The only thing badly managed in this picture is your damn mouth.
And you still dare to lecture the rest of the world?”
@hundredfamilies No, VC was very unwell but still managed to upstage & outsmart the ‘MH staff’ because they lacked professional curiosity and thus exposed that they didn’t really give a damn whilst cut and pasting a ‘care’ or ‘risk management’ plan - until now that their careers are on the line.
“ Miss B said staff did not ask for her consent to be remotely monitored, there was no information on the ward about it, and when she asked staff to turn the system off in her room, her request was refused.”
https://t.co/CCk1OqJu3z
Now up on YouTube, the BBC Look East piece on a patient who had Oxevision used against her will - the parliamentary health ombudsman found failings and awarded compensation https://t.co/3L6PESEDf6
Flying Scotsman train service to regain London departure after 15-year gap
https://t.co/cILYptKY4v
The historic Edinburgh–London service will once again leave the capital, with a new 10:30am departure from King’s Cross restoring a lon…
https://t.co/cILYptKY4v
The White House deleted this embarrassing video. So whatever you do- * DON'T REPOST IT. * Donald wouldn't like it if you hit "repost."
Trump: We can't take care of daycare. We're a big country. We're fighting wars. It's not possible for us to take care of daycare, Medicaid, Medicare, all these things.