psychiatry

The cruelty intrinsic to the workhouse system was excused by the need to discourage idleness, much as the malice intrinsic to the mental hospital system has been excused by the need to provide treatment.

You have to figure that there is something seriously wrong with somebody who wants to enter a profession that deals with whether people are screwing enough. Dealing with spirits, spooks, and demons almost seemed normal.

Theirs was the eternal youth of an alternating self, a youth with the constant although unfulfilled promise of growing up

_all that goes under the name of science is not necessarily scientific, and that all that goes under the name of health-care will not necessarily care for your health.

Calling it lunacy makes it easier to explain away the things we don't understand.

A more fundamental problem with labelling human distress and deviance as mental disorder is that it reduces a complex, important, and distinct part of human life to nothing more than a biological illness or defect, not to be processed or understood, or in some cases even embraced, but to be __reated_ and __ured_ by any means possible__ften with drugs that may be doing much more harm than good. This biological reductiveness, along with the stigma that it attracts, shapes the person__ interpretation and experience of his distress or deviance, and, ultimately, his relation to himself, to others, and to the world. Moreover, to call out every difference and deviance as mental disorder is also to circumscribe normality and define sanity, not as tranquillity or possibility, which are the products of the wisdom that is being denied, but as conformity, placidity, and a kind of mediocrity.

On having a backup plan: "Always a good plan anytime you want to follow your dream - I love writing, acting, and psychiatry - there are crazy people everywhere which means I can take my career anywhere my dream needs to go.

Sometimes I get so sad that it jest sounds good.

They safely cured the world of sadness, wiser the Pfizer for it?

Standing on the edge with my patients _ abiding with them _ means that I must harbor a true awareness that I, too, could lose my child through the play of circumstance over which I have no control. I could lose my home, my financial security, my safety. I could lose my mind. Any of us could.

Repression. Her therapist, Dr. Solomon, loved the word. He'd say it slowly, letting it roll off his tongue. Sometimes he'd add a chin stroke for good measure. He always looked pleased when he did this, like he'd discovered the Caramilk secret or something.

Although it is important to be able to recognise and disclose symptom of physical illnesses or injury, you need to be more careful about revealing psychiatric symptoms. Unless you know that your doctor understands trauma symptoms, including dissociation, you are wise not to reveal too much. Too many medical professionals, including psychiatrists, believe that hearing_voices_is a sign of schizophrenia, that mood swings mean_bipolar_disorder which has to be_medicated, and that depression requires electro-convulsive therapy if medication does not relieve it sufficiently. The __edical model_ simply does not work for dissociation, and many treatments can do more harm than good... You do not have to tell someone everything just because he is she is a doctor. However, if you have a therapist, even a psychiatrist, who does understand, you need to encourage your parts to be honest with that person. Then you can get appropriate help.

The irony of seeking a shrink: they are successful in shrinking your brain but unfortunately they also make your wallet shrink.

The irony of taking Anti Depressants: you take them to feel good but they also make you feel bad or worse because you worry about your purse.

_it seemed to Kirsch that the most reliable guide to the mental landscape of a patient was the patient himself. He was better placed to explain his behaviour and his experiences than anyone else. Yet wherever Kirsch went, the patient was the very last person anyone thought to consult. Because, of course, the patient was insane.

As it stands, the diagnostic criteria for depression are so loose that two people with absolutely no symptoms in common can both end up with the same unitary diagnosis of depression. For this reason especially, the concept of depression as a mental disorder has been charged with being little more than a socially constructed dustbin for all manner of human suffering.

Nostalgia was diagnosed [as a medical illness] at a time when art and science had not yet entirely severed their umbilical ties and when the mind and body internal and external well-being were treated together...Our progeny well might poeticize depression and see it as a global atmospheric condition, immune to treatment with Prozac.

Consciousness returns to its own dark thoughts and bad memories as reliably as kids to their own scabs, and maybe it's not so difficult to understand why. The mind doesn't like unresolved issues. Except that moods don't get resolved, they get forgotten _ but just try forgetting the free-fall through depression's vacuum in a hurry. Worse than that, depression isn't just a memory, it's a state of mind. If you remember it, you're in it.