6 Comments
Aug 26, 2023Liked by Awais Aftab

Thank you for your response to Peter Sterling, who I doubt has spent a lot of time with persons living with serious psychiatric illnesses. Wouldn't it be great if we had better treatments, or if society was more willing to gently accommodate the behavioral symptoms of persons with psychotic disorders like my daughter rather than tolerating homelessness and incarceration? Maybe Sterling has a solution he hasn't yet revealed to us.

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Aug 26, 2023Liked by Awais Aftab

Thanks but commenting as a professional not a patient - been a practising pychiatrist with special interest in psychotherapy for 30 years. Personally I didn't take any psychiatry meds as I didn't need them, therapy was OK done as training but didn't change my issues. I now run a private practice for ADHD which is one of the most sought after in UK and the difference in efficacy for the patients is mind blowing. After a little while using an intervention which actually works it is really really obvious that all the psychiatric treatments I thought were effective for so long really aren't. It won't sound true to you I realise....but yes moving into ADHD psychiatry has worked wonderfully for me as a doctor and I really wish you could experience the incredible results in your practice too

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Thanks for clarifying. I misunderstood and mistakenly thought you were talking about your own treatment (but the general point stands, I think)

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Thank you. This is important.

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I read the article after your commentary and as a psychiatrist for 30 years I have to agree with Sterling's views that generally psychiatry and psychotherapy are pretty ineffective. Mind you I only realised this after moving into ADHD - the stunning results and long term effectiveness of this treatment really unmasked how ineffective previous treatments actually were. I have always thought the dopamine and serotonin hypotheses are unconvincing....and having realised that half or more of all side effects are actually the same as the physical symptoms of anxiety.....I have to ask cui bono, and it doesn't appear to be the patients.....but really clearly psychiatrists, psychologists and anyone who works in fortress mental health.

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It’s clear from what you describe that antidepressants/psychotherapy weren’t the right fit for you. You needed treatment for ADHD and when you received it, it worked wonderfully. Antidepressants don’t have the same magnitude of effect as stimulants but they do work quite well for a subset of patients. And at the very least, your case shows one instance of “mucking with the brain” (your ADHD treatment) that had good results.

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