This talk was first given at a Medicating Normal Meeting for mental health staff in Lexington Kentucky organized by Geoff Wilson and a few days later in May at the invitation of Don Marks to a group of clinical psychologists in Kean University New Jersey. I'm hoping it will lead to feedback from both groups and others. It is twinned with Truth, Trust and Health also given … [Read more...] about The Fantasies of Psychopharmacology
Taper
Challenging My Doctor to Disclose
This recently published US strategy on Suicide Prevention epitomizes all that is going wrong in medicine today. It is stuffed full of references to Shared Decision Making, Informed Consent and Lived Experience. Stuffed full of token words, window-dressing, tick-boxing. It will increase rather than reduce suicide rates. It is clear that the people behind this, and … [Read more...] about Challenging My Doctor to Disclose
Deprescribing – Where does Responsibility Lie?
This post follows on from last weeks Potentially Inappropriate Deprescribing and has links to this weeks The Creation Narrative and God Complex. It brings up a painfully tricky point. Reducing Medication Burdens is perhaps the most important task in medicine today. Many well-meaning folk are aware of and raising the profile of this need and attempting to work out how to go … [Read more...] about Deprescribing – Where does Responsibility Lie?
Potentially Inappropriate Deprescribing – PID
This post is linked to An Archipelago of Realities on DH.org. The link may not be clear when you start reading Archipelago but half way down it will be apparent. What is being said on Archipelago about SSRIs applies just as much to benzodiazepines here. Geriatric medicine came into being in the 1980s and with it a new word – polypharmacy – a phenomenon particularly … [Read more...] about Potentially Inappropriate Deprescribing – PID