Tuesday, November 9, 2010

Why Psychiatry is Irrelevant, Part III

Yesterday, I listed many biological causes for depression and anxiety. Almost all people have struggled with one or more biological weakness; many struggle with multiple biological causes, enough to cause significant depressive symptoms. For some, the body fights the mind and even the soul.

Today, I will be listing several existential causes of depression. These are almost utterly ignored by psychiatry (and, to my dismay, even many psychologists), although they have been the cause of many of the deepest depressions throughout the millennia.

Existential or psycho-spiritual crises/questions:


• “Meaning of Life” questions: searching for a reason for being or existing without resolution

• The question of the existence of God

• If God exists, is He good?

• How do we explain evil? If I do evil, does that mean I am evil?

• Boredom (nothing meaningful to do/experience)

• Guilt/shame: inadequacy

• Human Mortality versus Immortality

• Am I finite or infinite?

• Is life pointless if death is the end of existence?

• Why must we die?

• Is there an afterlife?

• If there is a Heaven and Hell, will I go to Hell?

• Can I have assurance that I will go to Heaven?

There are those who seem to go throughout life unaware of existential questions and crises or appear comfortable without resolving these questions. But to the existentially sensitive, the answers to these questions are more precious than air. Even one unanswered existential question can reduce even the stoutest soul to a dark puddle and shrivel even the hardiest mind into a bundle of frayed nerves.

Tomorrow, another sphere sufficient to produce deep depression or anxiety.

Why Psychiatry is Irrelevant, Part II

As promised, I will now begin listing the near infinite number of reasons why a person could become depressed--reasons that not only do not require a medical view of depression, but make the whole "broken brain" model defunct and irrelevant.

I will begin with biological problems. Note that most of these problems are not genetically based, but are environmentally caused. Often, these biological "insults" create a biochemical or structural problem in the brain, but this is qualitatively different than what psychiatry says is the foundational cause of most depression.

Biological causes of depression:

  • Alcohol use/abuse
  • Illicit drug use (e.g., cocaine, opiates, MDMA, hallucinogenics)
  • Prescription medication (opiates, drugs prescribed for chemotherapy)
  • Drugs marketed as "antidepressants", such as SSRI's (Prozac, Zoloft, Paxil, Lexapro, etc.), often from direct use of the drug but also from withdrawing from the drug
  • Stimulants, such as Concerta, Vyvanse, Adderall, Strattera (yes, Strattera is a stimulant)
  • Neuroleptics (especially from their common horrific side effects)
  • Countless treatments for neurological disorders (e.g., ECT)
  • Environmental Toxins (household chemical agents, toxins in water, air, fertilizers)
  • Insufficient exercise
  • Poor diet (not only imbalanced diet, but preservatives and fake ingredients)
  • Food allergies/sensitivities
  • Poor sleep (one of the most underappreciated factors for emotional/cognitive dysfunction)
  • Brain injury
  • Chronic and/or debilitating disease
  • Chronic and/or debilitating pain
  • Physical disability
  • Bad weather or insufficient sunlight
  • Lack of fresh, clean air

I realize that this list is nowhere near exhaustive. I am certain that scientists will discover many other environmental toxins that mess up our emotional systems. But for now, ask yourself if you have escaped all of these. Almost no one has. Is each of these enough to trigger depression? For some people, yes.

I can't tell you how many children have been cured of phony-baloney disorders by correcting one or more of these biological problems. One adolescent I recently treated was diagnosed with ADHD and depression by a local expert psychiatrist. His parents refused to put the child on medication; they had a hunch that something was wrong with the diagnosis. They brought their son to me for a second opinion. I discovered in about 15 seconds that his sleep was woefully insufficient. We made improving his sleep the number one priority. In three weeks, his sleep had improved. Within days, his ADHD symptoms were gone, his depression lifted, and he described being a new person. All because one sphere of biological functioning was awry. That is how sensitive we are to disregulation.

Tomorrow, I will unleash the second list of reasons why people become depressed and anxious. I'm just getting started.

Until then, sleep well, eat well, and don't eat paint chips.

Monday, November 8, 2010

Why Psychiatry is Irrelevant

Modern psychiatry’s greatest weakness is not its particulars. It isn’t that it has failed thus far to find the Holy Grail: the perfect pill or surgery that can fix human suffering without doing great harm to the human person or its systems. No, the greatest weakness of medicine’s weakest specialty is in its foundational principles and presuppositions.

Psychiatry is a hopeless profession because its philosophy is fatally flawed. Because its foundation is antithetical to good science and its naturalistic worldview precludes a supernatural (i.e., spiritual) view of the human person, it has become increasingly irrelevant. The emperor is naked, and fewer and fewer people are bothering to notice.

The primary debate is between psychiatry’s medical model and a humane, psycho-spiritual model of mental illness. What this debate boils down to is the question, “Why do people suffer problems such as depression (the most common ‘ailment’ treated by psychiatrists)?” Is the depressed person doomed to suffer the consequences of a broken brain unless and until psychiatry corrects whatever biological, chemical, or electrical error exists? Or, is it possible to tell every person what they desperately want to hear: “After understanding your life, your history, your beliefs, your struggles, your environment, and your world, I can understand why you would be depressed.” I have never met a person in my professional or personal life, where, after having gotten to know them well enough, I have not been able to validate their misery as comprehensible, meaningful, purposeful, and redeemable.

There is no shortage of reasons for a person being depressed or anxious. One need not look to psychiatry’s biochemical bogeyman for an answer.

Beginning tomorrow, I will begin unleashing a torrent of alternative causes of depression. By the time I am done, it will be clear that psychiatry’s view of depression—that one is born with a biological predisposition to an illness that causes the symptoms of depression—will seem hopelessly irrelevant and, frankly, silly.

Friday, October 22, 2010

911, What’s Your Parenting Emergency?

There is a great story about a 10-year-old boy from the Chicago suburbs (no, it wasn’t my kid) who was complaining about the dinner his father had made for him. The father didn’t appreciate the complaints and, thank goodness, wasn’t budging on the boy’s demands to make him an alternative meal. The boy threw a tantrum. Surprise, surprise.

In response, the father said something like, “You know what? Call 911 if you think that you have a disagreement with me and you’re right. Call them, let them come over here and see who’s right.” And the child did just that.

Apparently, the boy dialed 911, but then when the operator answered, the boy chickened out and hung up. Per policy, the 911 operator called the home. The father explained, “He thinks that is just a joke this 911. I’m telling him that is not a joke and we have to impose some rules in the house and the have to follow the rules.”

A police officer was dispatched to the residence, where the cop advised both the child and father on the proper use of the 911 system.

First, I’d like to award the dad here with a Parent in Charge certificate. Way to go not giving in to your child’s entitled attitude. He should be thankful he has edible food three times a day.

Second, I’d like to encourage parents not to suggest their child call 911. Great idea and I understand the impulse, but a Parent in Charge doesn’t need the police to come help deal with his 10-year-old’s temper tantrums.

Third, I’d like to remind parents that Junior will not starve to death if he misses dinner. If he doesn’t like what you’ve made, he doesn’t have to eat it. No skin off your nose. Now, this is provided you have never won the Worst Cook of the Year Award and aren’t trying to feed your child arsenic pie or some whacky exotic food that most billy goats would reject. Sure, it’s good to expand your child’s culinary horizons, but don’t make your kid a guinea pig.

If you disagree with me, please don’t call 911. They might see my cooking, which is bad enough to put me behind bars.

Monday, August 23, 2010

Back to School! Yea and Ugh!

Today is the first day of school for my two elder children; the youngest begins Kindergarten this Thursday. For about a week, our family has been preparing for this eventuality: daydreaming, shopping (and returning), some worrying, and reviewing expectations. For many families, the back to school season can bring a great deal of stress and hand-wringing. For the next few entries, I will be examining some of the most important conflicts and stresses and offer a few suggestions to help smooth the bumpy road into the school year. For now, I will review two of the most important.


As I have previously written, I am convinced that the most important factor for your child is achieving sufficient sleep. Imagine trying to drive your car to work with one wheel missing. You could possibly make it, but it wouldn’t be pretty. You wouldn’t be able to respond to emergency situations or maneuver deftly. It’s the same with sleep. Get your child back on a sound sleep schedule ASAP! One recommendation: do not fall into the habit of allowing your child to stay up later because he or she is older. If you do that, he or she will be up until midnight or later by the time high school starts.


Second, I know that homework brings a number of stresses and conflicts into many families. In order to lessen the chaos, it is absolutely crucial that parents discuss homework expectations with the child’s teacher. Find out the following:

1. What are the goals for homework: Learning? Mastering? Practicing?
2. How long should the homework take? What if my child takes significantly longer?
3. Is homework to be done independently or am I expected to help?
4. What are the consequences for not doing (or incomplete) homework?
5. What if my child does not understand the homework? Should I leave it for the following day, try to teach my child the concepts in my own way, call the teacher, do the homework for my child?
6. What should I do if the child completes the homework, but it is fundamentally incorrect or sloppy? Should I even be checking?
7. What if my child has after school activities one or two nights a week that make it impossible to get the homework done without stealing crucial sleep hours?


Discover these and you will be able to build a healthy homework relationship with your child.


Feel free to offer me suggestions of back-to-school conflicts and stressors; I’ll weigh in on as many as I can in the following weeks.

Tuesday, August 10, 2010

Top Ten Lies and Politically Correct Episodes in Children’s Literature

10. In Dr. Seuss’s anti-capitalist, pro-environmental classic The Lorax, the greedy truffula-hacker and thneed-maker never plants another tree. He simply rapes the environment until there is nothing left, leaving the reader to perceive corporations as motivated by nothing but unmitigated evil. But even the dopiest capitalist knows to replenish the natural resources that feed his industry. Besides, if he really were that greedy, he would have enslaved the pesky Lorax.

9. Roald Dahl would have us believe that Willy Wonka rescued the Oompa-Loompas from their remote island in the Pacific. This is clearly a front. A recent discovery—made from a joint British-American document gained by a Freedom of Information request—is that the British Academy of Dentists kidnapped the Oompa-Loompas and sold them to Wonka, knowing that his candy empire would keep dentists fully employed for decades. An Oliver Stone film on this heinous example of industrial slavery is in the works.

8. Most younger parents have read Shinta Cho’s chilling and most academic work, The Gas We Pass: the Story of Farts. Much of the book is accurate, until it makes the patently false claim that eating vegetables does not cause gas, while meat causes near apocalyptic flatulence. Recently, independent journalists discovered that Shinta Cho is a jumbled name: Tina Hochs, a founding member of PETA and longtime proponent of forced veganism. As of yet, it is unclear whether her book’s falsehoods spring more from self-delusion or outright deception.

7. Speaking of PETA, there is no way Curious George could have existed in public without their members becoming apoplectic; the museum would have been shut down by demonstrations. (By the way, there is also no way the man in the yellow hat isn’t gay; no one else would dress like that in New York.)

6. Dr. Seuss wasn’t completely left-wing; he was alternately disgusted and confused by the vegetarian movement. Green Eggs and Ham was his most admittedly biased work, written to counteract the movement’s influence. It strangely shows a sublimely joyful carnivore convincing an anonymous man that he should eat meat. In reality, normal people have to be convinced not to eat meat.

5. Calvin and Hobbes creator Bill Watterson did not willingly retire his monumentally successful comic in 1995. He was forced by the pharmaceutical/newspaper complex to quit because he refused to depict Calvin, a six-year-old “poster child for ADHD”, taking Ritalin or another psychostimulant. Officials were frightened that other parents might begin to view childhood as normal, which would have severely squashed profits. Watterson flirted with the idea, creating several unpublished strips that show Calvin under the influence of stimulants, but he determined that no one would enjoy reading a comic about a boy doing homework who has no creativity or personality.

4. I hate to pick on Dr. Seuss, but any normal parent who reads The Cat in the Hat notices the oddity of two young children staying home alone for the entire day. What kind of father would depict two children attempting to cope with a home intruder, where the fish has more brains than the children? Besides, parents know that the Department of Child and Family Services would have been there in an instant (although the cat seems to possess the intellect of most DCFS workers, so maybe the cat worked for them, disqualifying this one as an outright lie).

3. Max, the boy in Maurice Sendak’s Where the Wild Things Are, would never be sent to his room without dinner. Such a draconian punishment would never be enforced by an American parent. In reality, whatever the boy did would be excused, or at most, his punishment would be that he couldn’t play his Wii for the rest of the day (although permissive parents would consider even that to be child abuse).

2. Readers of The Giving Tree are supposed to feel warm and grateful to the “tree” in their lives—those who willingly sacrificed for their good. But if my kid were as snotty and selfish as the boy in that book, I would have dropped a limb on his head and said, “Maybe if you had asked nice, you little brat..!” The End. Now that would be a good story.

And the biggest lie in children’s literature:

1. A Charlie Brown Christmas was severely edited, omitting crucial details. Notice, for example, that the play the children rehearse is never put on for the public. This is due to Linus’s egregious violation of the separation of church and state, when he actually explains the Christmas story according to sacred scripture—in a public building! Network officials edited out the sequence where Peppermint Patty alerts public officials of this over-step, who then shut down the entire production. The children are forced to huddle together outside in a private area, where they appear free—for the time being—to sing a Christmas hymn.

Wednesday, August 4, 2010

More Evidence that Regular Sleep is Supremely Valuable

A brand new study concluded that making up for repeated nights of poor sleep cannot be done in just a night or two.

Researchers found that after five days—an average school or work week—of insufficient sleep, a 10-hour night of sleep only recovered a small amount of the “sleep deficit.” Participants continued to exhibit poor attention, limited memory retention, delayed reaction times, and marked difficulty in regulating emotions. These findings bolster the growing consensus that people can accumulate a “sleep debt” if they regularly go without proper sleep, even if they attempt to make up for it on weekends.

Study researcher David Dinges said, "Lifestyles that involve chronic sleep restriction during the workweek and during days off work may result in continuing buildup of sleep pressure and in an increased likelihood of loss of alertness and increased errors."

This is particularly important for parents during the month of August—when children tend to continue summer sleep schedules. With the school year rapidly approaching, it would be wise for parents to begin re-regulating their child’s sleep schedule. It is impossible to transition Junior to sleeping from 9-7, for example, if he has been sleeping from 11-9 all summer. It will take a couple weeks, with bedtimes incrementally backing up to the earlier time.

During the school year, it is imperative that parents prioritize their child’s sleep, since almost every cognitive function requires adequate sleep and deficiencies cannot easily be remedied by sleeping in during the weekend.

Start now; have a sleep schedule. Encourage healthy sleep hygiene, so that your child develops patterns that will be habitual by the time school starts. You will lessen the stressful transition—although I can’t promise you will get rid of that stress altogether. That’s a bit above my pay grade.