“It’s an outrage!”

It is now more than 3 years since I heard the above presentation at this Continuing Medical Education (CME) event: Dr Christmas considered the over- and under- prescribing of antidepressants … Continue reading “It’s an outrage!”

From the individual to the Institution

This is a film that considers morality and seeks to include the landscapes of all. The interviewee at the end of this film, talking about morality of public duty, is … Continue reading From the individual to the Institution

Tapering SSRI treatment to mitigate withdrawal symptoms

This Personal View by Mark Abie Horowitz and David Taylor has been published in this month’s Lancet. I have written to the authors to thank them for providing this sensible … Continue reading Tapering SSRI treatment to mitigate withdrawal symptoms

Psychiatry in Fabula

Over 6 years ago there was a head-to-head debate published in the BMJ on antidepressant prescribing. It so happened that this was between two Scottish NHS doctors: Professor Ian C … Continue reading Psychiatry in Fabula

‘The over-certain doctor insists’

I have been trying to trace this old book but it seems to have gone out of print. I am not even sure that it exists. I hope that this … Continue reading ‘The over-certain doctor insists’

What duration of treatment with antidepressants is ‘appropriate’?

Very sadly, the lead author of this letter, Professor Ian C Reid, died less than 6 months after it was published. I knew Ian Reid well as we both trained … Continue reading What duration of treatment with antidepressants is ‘appropriate’?

“Chemical Imbalance”

When I was started on an SSRI antidepressant in 1998 for anxiety I was told by my doctor that this would correct a “chemical imbalance” in my brain.  As a … Continue reading “Chemical Imbalance”

A blot, a stain, or perhaps something worse?

In my dictionary I find this definition of ‘blot’: On learning that GSK will resume paying doctors to promote its drugs after a “policy U turn”, Fiona Godlee, Editor in … Continue reading A blot, a stain, or perhaps something worse?

Conflicts of Interest Questioned in Review of Prescribed Drug Dependence

I was recently interviewed to be part of this MIA podcast that considered financial conflicts of interest in relation to British Psychiatry and in particular in relation to expert contributions … Continue reading Conflicts of Interest Questioned in Review of Prescribed Drug Dependence

“Objectivity” does not come in a title

On the 17 July 2018 Professor Roy Perlis shared the publication of this paper in which he was lead author: Professor Perlis who is Director, Center for Experimental Drugs and … Continue reading “Objectivity” does not come in a title

‘Long term antidepressant use linked to ________________’

Have I Got News for You is a topical comedy panel show featuring Ian Hislop and Paul Merton and has been regularly broadcast since 1990. It takes a satirical approach … Continue reading ‘Long term antidepressant use linked to ________________’

My mind’s full of things nobody else thinks about

British Psychiatry still teaches young doctors to divide the subjective from the objective. I am of the view that this is not just unrealistic but that it is harmful to … Continue reading My mind’s full of things nobody else thinks about