Mad In America

Mad In America Science, Psychiatry, and Social Justice
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http://madinamerica.com Keep comments civil. Honor differing viewpoints.

The site is designed to serve as a resource and a community for those interested in rethinking psychiatric care in the United States and abroad. We want to provide readers with news, personal stories, access to source documents, and the informed writings of bloggers that will further this enterprise. The bloggers on this site include people with lived experience, peer specialists, psychiatrists, p

sychologists, social workers, program managers, social activists, attorneys, and journalists. While their opinions naturally vary, they share a belief that our current system of psychiatric care needs to be vastly improved, and, many would argue, transformed. We welcome feedback and op-ed submissions from our readers.

–Robert Whitaker

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Community Standards

At Mad in America, we are committed to maintaining a space for dialogue about rethinking psychiatric care that is rich with a diversity of voices and experiences. For this reason, we have an in-depth comment moderation policy on our website (see here: https://www.madinamerica.com/posting-guidelines/). We realize that many conversations happen off our website and occur in comments on our page. Consistent with best practices for non-profit social media management, we are now actively extending our commitment to moderate discussion occurring on our page. This means that comments on Facebook posts by and on our page will now be deleted or hidden if they are not consistent with our posting guidelines. In particular, we will, to the best of our ability, remove all forms of hate speech that make disparaging assertions based on a person’s identities or occupation, and calls for violence against any people. *Comments violating hate speech policies will be immediately deleted and user may be banned.*

When commenting on Mad in America's page please keep these guidelines in mind. This includes refraining from posting personal attacks, threats, spamming, misrepresentations of oneself or others, illegal material, profanity, hate speech, disparaging assertions about a person’s character, discrimination based on a person’s identity or occupation, and calls for violence against any people. We ask for good faith and the benefit of the doubt in our effort to allow anybody who wants to join the dialogue to do so without fear of abuse. Please respond to and criticize ideas, not character. This website intentionally brings together individuals with varying backgrounds and values. We believe civil, inclusive dialogue to be crucial to finding solutions to our current paradigm of mental health care. Remain relevant to the present article/topic. Off-topic comments are disruptive and derail the discussion. These may be removed by the moderator. Please see https://www.madinamerica.com/posting-guidelines/ for all guidelines.

In our first   of 2026, Robert Whitaker answers questions from Mad in America readers. We discuss   diagnoses, withdrawa...
01/07/2026

In our first of 2026, Robert Whitaker answers questions from Mad in America readers. We discuss diagnoses, withdrawal and sexual dysfunction risks of antidepressants, the harms of , the rise of AI-generated misinformation and more.

In our first podcast of 2026, Robert Whitaker joins us to answer questions submitted by Mad in America readers and listeners. We discuss the validity of ADHD diagnoses, withdrawal and sexual dysfunction risks of SSRI antidepressants, the harms of electro-convulsive therapy (ECT), the rise of AI-gene...

To Be Agents of Our Own Treatment: Demedicalization at the Heart of the Inner Compass Initiative ConferenceBy Jennifer G...
01/06/2026

To Be Agents of Our Own Treatment: Demedicalization at the Heart of the Inner Compass Initiative Conference
By Jennifer Gaita Siciliano

We are fighting for transparency, accountable science, and the right of the common person to informed consent.

We are fighting for transparency, accountable science, and for the rights of the common people to receive informed consent.

Case Studies Contradict Accepted Wisdom About AI PsychosisBy Peter SimonsMany of those who experience AI psychosis have ...
01/05/2026

Case Studies Contradict Accepted Wisdom About AI Psychosis
By Peter Simons

Many of those who experience AI psychosis have no psychiatric diagnosis, but were experiencing social and environmental stressors, isolation, and lack of sleep.
https://www.madinamerica.com/2026/01/case-studies-contradict-accepted-wisdom-about-ai-psychosis/

More and more people have been experiencing psychosis induced by AI chatbot use. This is concerning since chatbot use is so prevalent, especially among young people and those who are in distress and vulnerable (one recent study found that about a quarter of young adults used chatbots specifically for mental health advice).

Reassuringly, psychiatry’s stance is that anyone who experiences this was already “prone to psychosis”—that the chatbot simply triggered delusions that would have been triggered some other way. Yet there is no evidence to support this explanation, and the case reports of those who have experienced AI psychosis tell a different story.

Clinicians treating these patients note that the risks are overwhelmingly social and environmental—contradicting the notion that this is caused by a supposed underlying genetic illness. For instance, psychiatrist Keith Sakata writes that the 12 patients he treated for AI-induced psychosis had a variety of different life stressors, including job loss, use of alcohol or stimulant drugs (like those for ADHD), lack of sleep, stress, depression, and isolation.

Many of those who experience AI psychosis have no psychiatric diagnosis, but were experiencing stressors, isolation, and lack of sleep.

Psychiatry’s Rightwing and Progressive Bigotries: How Each Enables the Megamachine by Bruce Levine, PhDIn the last centu...
01/03/2026

Psychiatry’s Rightwing and Progressive Bigotries: How Each Enables the Megamachine
by Bruce Levine, PhD

In the last century, whether the brand of the autonomy-stripping megamachine has been German N**i fascism, Soviet totalitarian communism, or U.S. corporate capitalism, psychiatry has been an enabler of the megamachine.

Whether in N**i fascism, Soviet totalitarian communism, or U.S. corporate capitalism, psychiatry has been an enabler of the megamachine.

Mad in America’s 10 Most Popular Articles in 2025A roundup of Mad in America's most read blogs and personal stories of 2...
12/31/2025

Mad in America’s 10 Most Popular Articles in 2025

A roundup of Mad in America's most read blogs and personal stories of 2025 as chosen by our readers.

A roundup of Mad in America's most read blogs and personal stories of 2025 as chosen by our readers.

In Defense of Instability in Mental Health Recoveryby Megan EvansLimiting someone’s dreams based on a professional opini...
12/30/2025

In Defense of Instability in Mental Health Recovery
by Megan Evans

Limiting someone’s dreams based on a professional opinion of what is possible for people with serious mental illnesses is misguided at best.

Limiting someone’s dreams based on a professional opinion of what is possible for people with serious mental illnesses is misguided at best.

Anti-inflammatory Drugs Fail for Depressionby Peter SimonsResponse and remission rates failed to beat placebo in a new H...
12/29/2025

Anti-inflammatory Drugs Fail for Depression
by Peter Simons

Response and remission rates failed to beat placebo in a new Harvard meta-analysis, throwing the inflammation hypothesis into question.
https://www.madinamerica.com/2025/12/anti-inflammatory-drugs-fail-for-depression/

The excited chatter about this hot new hypothesis has gotten far ahead of the actual evidence, which has been slow to arrive, and mixed when it does. For instance, in some studies (including STAR*D), those taking NSAIDs did worse—which contradicts this supposed effect.

Thus, it remains an open question whether anti-inflammatory drugs can actually be used to treat depression. Researchers have called for clinical trials of anti-inflammatory drugs, specifically focusing on people with markers of inflammation, to prove this effect.

And now we have such a study, led by Harvard researcher Naoise Mac Giollabhui and published in The American Journal of Psychiatry. In the analysis, the drugs failed to beat placebo for the two outcomes that matter most: response (how many people actually experienced improvement) and remission (how many people no longer met criteria for depression).

On average, two specific measures (anhedonia and depressive symptoms) were slightly reduced. But since response and remission rates didn’t beat placebo, these outcomes may be a statistical artifact or reflect study biases—which the researchers themselves acknowledge.

Response and remission rates failed to beat placebo in a new Harvard meta-analysis, throwing the inflammation hypothesis into question.

The Missing History of Children’s Mental Health in Oregonby Robert Nikkel, MSWIt seems fitting that this history of ment...
12/28/2025

The Missing History of Children’s Mental Health in Oregon
by Robert Nikkel, MSW

It seems fitting that this history of mental health ends with Oregon’s attempt to grapple with the needs of children and families.

It seems fitting that this history of mental health ends with Oregon’s attempt to grapple with the needs of children and families.

All in the Family: My Unlikely Connection To Nick, Rob and Michele Reinerby Issa Ibrahim I feel profound sadness for thi...
12/26/2025

All in the Family: My Unlikely Connection To Nick, Rob and Michele Reiner
by Issa Ibrahim

I feel profound sadness for this family and a great grief for the community of friends and colleagues of Rob Reiner and his wife Michele. As a certified paranoid schizophrenic formerly addicted to ma*****na, who inadvertently took my own mother’s life during a botched exorcism while going through my first major psychotic breakdown, I also feel a great deal of empathy toward Nick Reiner.

As a certified paranoid schizophrenic who inadvertently took my own mother’s life while going through my first major psychotic breakdown, I feel a great deal of empathy toward Nick Reiner.

This week’s Song of the Week is an interpretation of “Little Drummer Boy,” performed by Nik Strait. May all our readers ...
12/26/2025

This week’s Song of the Week is an interpretation of “Little Drummer Boy,” performed by Nik Strait.

May all our readers find some moments of comfort and peace this holiday season.

This week's Song of the Week is an interpretation of "Little Drummer Boy," performed by Nik Strait.

The Gentrification of Social Work: Why a “Political Mental Health” Must be Publicby Darragh SheehanIt's hypocrisy to spe...
12/24/2025

The Gentrification of Social Work: Why a “Political Mental Health” Must be Public
by Darragh Sheehan

It's hypocrisy to speak of equity and advocacy yet remain silent about the changes within that privilege affluent communities/professionals.

It's hypocrisy to speak of equity and advocacy yet remain silent about the changes within that privilege affluent communities/professionals.

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