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Index
Cover Page
Title Page
Copyright Page
A Warning Concerning the Use of Psychiatric Drugs
Introductions to the New Edition: Scientific Confirmations of the First Edition
The FDA Finally Recognizes Antidepressant-Induced Suicidality
Confirming Over-Stimulation
Antidepressant-Induced Suicidality in Adults
The FDA Resists the Facts
Antidepressant Withdrawal Acknowledged
Do Antidepressants Have Any Positive Effects?
New FDA Disclosures about Stimulant Drugs for Treating ADHD in Children
A New Concept: Spellbound by Psychiatric Drugs
The Internet and Drug Information
The Drug Industry Exposed and Re-Exposed
Drugs for Schizophrenia, Depression, and Bipolar Disorder—A Bust
Medications and Prescribers Out of Control
Conclusion
Introduction: What Is Your Ultimate Resource?
Our Final Resort
Resort to Drugs
Seeking Relief
What Suffering Tells Us
The New Ultimate Resource
What Do We Really Know About How Our Brains Work?
The Science Behind Psychiatric Drugs
Are There Biochemical Imbalances?
What Do We Really Know About Psychiatric Drugs and the Brain?
What If We Treated Our Computers the Way We Treat the Brain?
What This Viewpoint Does to Us
Herbal and “Natural” Remedies
1: Psychiatric Drugs— Much Easier to Start Than to Stop
A Few Minutes That Can Become a Lifetime
Reasons to Stop Taking Psychiatric Drugs
How This Book Can Help
More Reasons to Stop Taking Drugs
If Someone You Care About Is Taking Psychiatric Drugs
An Independent Decision
2: The Limits of Psychiatric Drugs
How We Learn What Drugs Do
How Current Drugs Affect Animals and People
Can We Test for Biochemical Imbalances?
Causing, Not Curing, Biochemical Imbalances
More Flaws in the Myth of Biochemical Imbalances
Anesthesia of the Soul
What Does “Improvement” Mean in the Context of Psychiatric Drugs?
The Limits of Psychiatric Drugs in General
Conclusion
3: Your Drug May Be Your Problem— But You May Be the Last to Know
The Variability of Individual Responses to Drugs
“Creeping” Adverse Effects
The Risk of Permanent Brain Dysfunction Caused by Psychiatric Drugs
Physicians Urge Long-Term Use Without Justification
The Special Danger of Psychiatric Drugs
Adverse Effects on How You Think, Feel, and Act
You May Be the Last to Know
4: Adverse Effects of Specific Psychiatric Drugs
Growing Recognition of the Dangers of Psychiatric Drugs
Drug-Induced Toxic Psychosis and Toxic Delirium
Drug-Induced Mania
Children at Grave Risk for Antidepressant-Induced Mania
Estimated Rates for Drug-Induced Mental and Neurological Disorders
Adverse Effects Caused by Specific Psychiatric Drugs
Tardive Dyskinesia Caused by Antipsychotics
Neuroleptic Malignant Syndrome
Antipsychotic Withdrawal Psychoses
Other Harmful Antipsychotic Effects
Medications Used to Treat Drug-Induced Abnormal Movements
Psychiatric Drugs During Pregnancy and Nursing
5: Personal and Psychological Reasons for Not Using Psychiatric Drugs
A Natural Aversion to Taking Mood-Altering Drugs
Other Common Concerns About Taking Psychiatric Drugs
Convincing You That You’re “Mentally Ill”
Defining Intense or Painful Emotions as Illness
How Psychiatry Takes Advantage
Good Therapy Versus Psychiatric Diagnosis and Medication
Maintaining Your Mental Faculties
Being in Touch with Your Feelings
The Placebo Effect
Psychological Dependence on Drugs, Doctors, and Medical Solutions to Personal Problems
Learning to Live Without Drugs
6: Why Doctors Tell Their Patients So Little
Encouraged Not to Tell
Where Was the FDA?
Getting Information to You
FDA Approval Does Not Mean That a Drug Is Safe or Even Highly Effective
Whose Risk and Whose Benefit?
Serious Dangers Can Surface for the First Time After Years of Use
Recognizing the Limits of FDA Approval
How Adverse Effects Go Unreported
No Guarantee of Long-Term Safety
The Media
What Do Doctors Know?
Doctors’ Attitudes Toward Informing Patients
7: Plan Your Drug Withdrawal
Decide for Yourself
Try to Get Help from an Experienced Clinician
How May a Clinician Help?
Informing Your Doctor of Your Intentions
Stay in Charge of the Withdrawal
The Best and the Worst to Expect from Your Doctor
Set Up a Support Network
How a Friend Can Help
Support Networks on the Internet
Know What Coming Off Psychiatric Drugs Might Entail
Anticipate Withdrawal Reactions
Understand What Influences the Ease of Withdrawal
Facing the Fear of Withdrawal
8: How to Stop Taking Psychiatric Drugs
Gradual Withdrawal Is Its Own Protection
Why Gradual Withdrawal Is Better Than Sudden Withdrawal
Remove Drugs One at a Time
Which Drug Should Be Stopped First?
Special Considerations During Withdrawal
How Fast Should You Withdraw?
How to Divide Individual Doses
9: Withdrawal Reactions from Psychiatric Drugs
Beware Illicit Use
Your Doctor May Not Know
When Am I Having a Withdrawal Reaction?
Denial of Withdrawal Reactions
Defining Physical Dependence
Withdrawal Reactions Can Cause “Significant Distress”
“Withdrawal” or “Discontinuation”?
Benzodiazepine Withdrawal Reactions
Antidepressant Withdrawal Reactions
Atypical Antidepressant Withdrawal Reactions
Stimulant Withdrawal Reactions
Lithium and Anticonvulsant Withdrawal Reactions
Antipsychotic or Neuroleptic Withdrawal Reactions
Antiparkinsonian Withdrawal Reactions
How Gradual Is “Gradual Withdrawal”?
Overview of Psychiatric Drug Withdrawal Reactions
10: Withdrawing Your Child from Psychiatric Drugs
Special Precautions
Your Child’s Previous Experience with Withdrawal
Rebound and Withdrawal Effects
Identifying the Source of Potential Problems
Focusing on Problems in the Family
Withdrawing from Multiple Drugs or Multiple Daily Doses
When to Start Withdrawal
11: Understanding Your Therapist’s Fears About Nonuse of Drugs
When Your Therapist Says You Need Drugs
Therapists Are People, Too
So Many Kinds of Therapy
What to Do When the Therapy Is Failing
What Do We Have Faith In?
Therapists Are Losing Faith in Themselves
The Exaggerated Fear of Lawsuits
Faith in Ourselves Versus Faith in Medication
Understanding Your Therapist’s Fears
Personalities and Power
12: Guidelines for Therapists Who Do Not Advocate the Use of Psychiatric Drugs
Suggested Guidelines
Stand Up and Be Counted
13: Psychological Principles for Helping Yourself and Others Without Resort to Psychiatric Medications
Appendix A: Psychiatric Medications in Common Use
I: Antidepressants1
II: Stimulants
III: Tranquilizers and Sleeping Pills6
IV: Antipsychotic Drugs (Neuroleptics)
V. Lithium and Other Drugs Used as “Mood Stabilizers”
Appendix B: About the Authors
Appendix C: The International Center for the Study of Psychiatry and Psychology
Appendix D: The Alliance for Human Research Protection
Notes
New Introduction by Peter Breggin
New Introduction by David Cohen
Chapter 1
Chapter 2
Chapter 3
Chapter 4
Chapter 5
Chapter 6
Chapter 7
Chapter 8
Chapter 9
Chapter 10
Chapter 11
Chapter 12
Chapter 13
Bibliography
Index
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