@psychunseen: "...if the goal of anti-psychiatry is to get #psychiatrists to listen...this is better done within a therapeutic relationship, not in a picket line at the American Psychiatric Association annual meeting or on social media" apparently refers to me personally. /1
I thought it stood out as particularly illogical in his most recent screed psychologytoday.com/us/blog/psych-…

Who pickets the APA other than Scientology?
Then I recalled I had attended an APA meeting where there were pickets. I did not do any picketing myself, but I was invited to speak outside:

/3
It was in 2013. I was in my 9th year of post-acute withdrawal syndrome, dating from 2004, when my withdrawal from 10mg paroxetine was botched by @UCSFPsychiatry, which did not recognize my severe withdrawal symptoms. /4
Although I was shaky, I pulled myself together for some meetings with #psychiatrists attending the annual meeting. At this one, I attended a session of the APA Radical Psychiatry Caucus, which wants to hear from patient advocates. radicalcaucus.com /5
I've attended several APA annual meetings in San Francisco. In 2019, I met with @wendyburn, Swapnil Gupta, Tamar Lavy, other Radical Caucusites, and these authors:

Batelaan, et al. “Risk of Relapse after #Antidepressant Discontinuation....” BMJ (2017). doi.org/10.1136/bmj.j3… /6
If you watch the Youtube video, you will hear that I am speaking only about the dangers of too-fast tapering.

Ironically, I was in a long-term "therapeutic relationship" with maybe the best #psychiatrist in the universe at that time. /7
This #psychiatrist never diagnosed me with anything but #antidepressant post-acute withdrawal syndrome #PAWS. He said he had seen it before in his patients.

He was an excellent doctor, kindly there for me through the cardiac procedure I had 5 weeks after that event in 2013. /8
I'll be forever grateful to him.

(Coincidentally, I corresponded with @dawso007 about my cardiac condition. He told me it was incurable. George, see Steven Hao at CPMC. He pronounced me cured.)

medpagetoday.com/resource-cente… /9
I had been referred to my #psychiatrist by Drs. Owen Wolkowitz & Tom Neylan at UCSF. Both of them should be familiar to @psychunseen

ucsf.edu/news/2007/03/3… /10
I had been hunting for a doctor to help me for 4 years. I pretty much went through the #psychiatry faculty roster at UCSF. I probably contacted 30 of them. No one knew anything. psychiatry.ucsf.edu/faculty /11
I had many good talks with my #psychiatrist, who generously provided his insights into neuropsychiatry & supported me in becoming a subject matter expert on #psychiatric drug tapering & withdrawal syndrome. He's too busy with patients to publish.

We're colleagues now. /12
If this gets too anti-science or anti-psychiatry, please let me know.
So, Joe, your insinuation that I, personally, need a "therapeutic relationship" with a #psychiatrist because I "attempt to find meaning in identity as an injured party" based on a 2013 video is not only a classic ad hominem but possibly defamatory. /14 medpagetoday.com/psychiatry/gen…
Strongly recommend you consider writing an article about how the derogation of patients asserting injury from #psychiatric treatment as "anti-psychiatry", "anti-science", or like "anti-vaxxers" may not be appropriate, especially coming from "mental health professionals". /15
Addendum: Deepest apologies for overlooking that at the 2019 APA meeting, I also met the fabulous @sandysteingard. Some months later, I had the pleasure of meeting her partner, G. Scott Waterman at another meeting in Sweden. psychiatrictimes.com/authors/g-scot…

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More from @Altostrata

Apr 15
FACT: “Chemical imbalance” or "neurotransmitter deficiency theory" was deployed by pharmaceutical companies to advertise their #psychiatric psychotropics. Never been scientifically proven, debunked many years ago, still circulating as rumor 20+ years later.
See sources below. /1
Read 8 tweets
Mar 24
@_pem_pem Why this is nonsensical: "Jeffrey Lieberman, a professor of #psychiatry at Columbia University...“The problems that they’ve been criticized for have more to do [with] the way they’re used by doctors & the heterogeneity of the condition that they’re indicated for.” /1
@_pem_pem What Lieberman is saying is that if #antidepressants were prescribed to a population for which they are known to work well, they would have a much better track record. This is true, because it is a tautology. /2
@_pem_pem The reasoning is circular, if #antidepressants were prescribed for those people for whom the drugs worked, they would work. /3
Read 38 tweets
Jan 28
Monoamine hypothesis aka "chemical imbalance" & other synonyms, arose circa 1965, but was known to only #psychiatrists, who were unhappily prescribing TCAs and MAOIs to a niche market. Patients hated the many adverse effects of the drugs. /1
Until mid-1990s, monoamine hypothesis (aka "chemical imbalance", "serotonin deficiency" etc.) was not circulating as a "folk model", not in medicine or in the general public. 1990 is ~center of this chart, when #psychiatrists, many paid by pharma, started churning out papers. /2
As a meme or "folk model", monoamine hypothesis (aka "chemical imbalance", "serotonin deficiency", "neurohormone imbalance", etc.) was diligently planted by dozens of #psychiatrists -- not a few -- many paid by pharma. Not something that arose organically out of nowhere. /3
Read 15 tweets
Jan 1
Lewis, et al. respond to letters to the NEJM editor, demonstrating they do not understand basic concepts of #antidepressant withdrawal @ANTLERtrial

Maintenance or Discontinuation of Antidepressants in Primary Care | NEJM nejm.org/doi/full/10.10…
@ANTLERtrial Some in non-discontinuation group were taking their drugs inconsistently. Lewis, et al. missed potential withdrawal symptoms in that group: "but participants reported some new & worsening symptoms while continuing to take #antidepressants"
@ANTLERtrial Lewis, et al. claim "an increase in depressive symptoms might lead to an increase in “new & worsening” symptoms that are recorded as withdrawal symptoms" EXCEPT they also recorded physical withdrawal symptoms, failed to identify who had both, & did not exclude them from "relapse"
Read 4 tweets
Nov 4, 2021
@sanilrege @markhoro @SenadHasanagic1 Not at all, Sanil. Among my site members, many people come off #antidepressants & other drugs with slight or no withdrawal symptoms except an emotional anesthesia, which they may describe as depression, anhedonia, various kinds of malaise, even "relapse" but.... /1
@sanilrege @markhoro @SenadHasanagic1 ....it's a "relapse" unlike anything they've experienced before. While they may use #psychiatry's vocabulary, because that's all they've got, this emotional anesthesia is actually a result of long-term psychotropic exposure, not "relapse"..../2
@sanilrege @markhoro @SenadHasanagic1 Post-drug emotional anesthesia is well known among those who have gone off psychotropics classified as addictive & considered a feature of those protracted withdrawal syndromes. There is no reason to think chronic #psychiatric psychotropics are exempt..../3
Read 10 tweets
Oct 6, 2021
With all due respect to the fine @awaisaftab, these are the varieties of #antidepressant withdrawal syndrome:

1) WS with only physical, no emotional symptoms
2) WS with both physical & emotional symptoms
3) WS with only emotional symptoms
4) WS manifested as emotional anesthesia
@awaisaftab Of the above, types 1 & 2 are WS, not "relapse", even if "depression" is present. Emotions such as those that compose "depression" do not exist apart from experience. Emotional reaction to feeling neurobiologically out of control should not be diagnosed as "depression".
@awaisaftab Type 3 may include the waves of intense anxiety, fear, & "black holes" characteristic of WS. Characterized by intense sensations with interludes of relative calm. Typically, these very gradually abate over months.
Read 14 tweets

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