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@DrFulli @AllenFrancesMD Yes, we know. I've got 6,000 naturalistic case histories of adverse effects of psychotropics right here. I know more about adverse effects of psychotropics than I ever cared to. Being prescribed isn't a shield for a drug. survivingantidepressants.org/forum/3-introd…
@DrFulli @AllenFrancesMD Not joining handwaving over esketamine because it's so dangerous, though I abhor the dishonesty & hype. I counsel people with akathisia, movement disorders, suicidality induced by prescribed #psychiatric drugs every damn day. A psychotropic is a psychotropic. They all ruin lives.
@DrFulli @AllenFrancesMD I just had to review and document the suicides of 2 of my site members who could not stand their post-acute withdrawal syndrome #PAWS from #antidepressants any more. One was a woman with PSSD sexual dysfunction for 38 months. She was 21. Started sertraline at age 17. /1
@DrFulli @AllenFrancesMD What 16 months on sertraline & 38 months of #PAWS & #PSSD did: ""To be honest, now I’m in absolute hell. I don’t see much hope in this situation anymore. It’s been 3+ years & I’m still in pretty much the same situation. I don’t know how much longer I’ll be here honestly" /2
@DrFulli @AllenFrancesMD The next day she killed herself. So don't kvetch to me about the dangers of esketamine. It's just more of the same. If it's not the drug that gets you, it's the clinical error. survivingantidepressants.org/topic/15325-po…
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I'm in a particularly bad mood about the delusions of #psychiatry having spent the last week analyzing the case histories of 70 people with #antidepressant post-acute withdrawal syndrome #PAWS: duration 5-166 months, median 29.5 months. Lots of #psychiatrists involved. /1
5/70 reported recovered, 2 reported suicides. One suicide, better after 69 months of #PAWS, had an adverse reaction to an antibiotic that threw her back into the depths of withdrawal. The other, a 21-year-old woman, because of 38 months of post-SSRI sexual dysfunction #PSSD. /2
The 63 for whom I do not have reports of recovery from antidepressant post-acute withdrawal syndrome #PAWS or suicide have mostly been lost to follow-up. After years of reporting grueling symptoms, they didn't come back to tell us how they were doing. I hope they did recover.
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@dianamswancutt @shayla__love Truly excellent article, Shayla.

I know you couldn't cover everything -- @angpeacock1111 represents the epidemic of misdiagnosis & overprescribing affecting millions of people. Issues around psychosis are fascinating to academics, but there's a larger public health issue..../1
@dianamswancutt @shayla__love @angpeacock1111 Please consider another in-depth article on the patient movement represented in Medicating Normal. It is huge. There is a large peer support underground helping people deprescribe themselves -- they can't find doctors who know how to taper. Millions are looking for this help. /2
@dianamswancutt @shayla__love @angpeacock1111 Millions have been misdiagnosed & overprescribed. GPs mostly do this, but #psychiatry ignores it.

This is a patient movement that is not academic anti- or critical psychiatry, but very angry with #psychiatry for not stepping up for patient safety in #psychiatric treatment. /3
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@DBDouble @f_hieronymus @awaisaftab @rcpsych I took it as "contend" but @f_hieronymus does not seem to be aware that while #antidepressant withdrawal problems are well-documented, this awareness has not translated to clinical practice for 60 years. What is the nature of the barrier? This is the epistemiological question.
@DBDouble @f_hieronymus @awaisaftab @rcpsych First, late '80s-early '90s, new #antidepressants were held not to have a withdrawal syndrome (despite known pharmacological principles of psychotropics & appearance in clinical trials).

Then, starting with Schatzberg et al., 1997, withdrawal syndrome was held to be trivial /1
@DBDouble @f_hieronymus @awaisaftab @rcpsych Schatzberg et al., 1997 claimed #antidepressants "discontinuation" symptoms were mild, transitory, lasting only a few weeks, barely needing tapering. This held sway to the present day (despite decades of many, many patient complaints of more severe problems). /2
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