Harm Reduction Guide to Coming Off Psychiatric Drugs and Withdrawal

ComingOffDrugsGuideCOVERBIGThe second edition of the excellent Harm Reduction Guide to Coming Off Psychiatric Drugs and Withdrawal is now available for free download or purchase.

‘The Icarus Project and Freedom Center’s 52-page illustrated guide gathers the best information we’ve come across and the most valuable lessons we’ve learned about reducing and coming off psychiatric medication.

Based in more than 10 years work in the peer support movement, this Guide is used internationally by individuals, families, professionals, and organizations, and is available a growing number of translations.

Includes info on mood stabilizers, anti-psychotics, anti-depressants, anti-anxiety drugs, risks, benefits, wellness tools, psychiatric drug withdrawal, information for people staying on their medications, detailed Resource section, and much more.

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‘Prison-Based Recovery Advocacy (The San Quentin Story)’ by Bill White

San Quentin ARC Group Counseling Image‘The stage is set for a recovery-focused advocacy and peer support movement within the U.S. prison system.

The mass incarceration of drug offenders in recent decades, the growth of prison-based addiction treatment, the growth and diversification of prison-based recovery mutual aid, increased disillusionment with incarceration as a policy strategy of addiction containment, and the rise of grassroots recovery community organizations in local U.S. communities have all been part of this incubation process.

There is a growing critical mass of people in correctional institutions who are initiating and sustaining addiction recovery and who are pursuing service to others as part of their recovery processes.  Leaders are rising to articulate ideas and launch programs that address the particular needs and aspirations of people seeking recovery within the shadow of the criminal justice system.

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‘A Different Kind of Evidence’ by Bill White

Addiction Journals Credit Wiley Asia BlogMore wisdom from Bill White.

‘Some years ago, a noted research scientist was invited to speak at a local community forum on the subject of addiction. The presentation to more than one hundred interested citizens consisted of a sweeping overview of modern scientific studies on addiction and its clinical treatment.

In the question and answer session that followed the presentation, a member of the audience posed a question about the effectiveness of recovery mutual aid groups like AA, NA, Women for Sobriety, and SMART Recovery.

The speaker responded that there had been few randomized trials comparing the differences in long-term recovery outcomes between these individuals who had achieved recovery with and without mutual aid participation.  The scientist declared that no definitive scientific evidence yet existed on the effectiveness of such groups.

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‘CRAZYWISE – Extended Trailer’ from Phil Borges

A 20-year fascination with shamanism leads filmmaker Phil Borges to question Western culture’s definition and treatment of severe mental disorders.

CRAZYWISE, a feature length documentary, centers around a young man struggling with his sanity, world renowned mental health professionals and a survivor-led movement… all challenging a mental health system in crisis.

’Self-Determination in Mental Health Recovery: Taking Back Our Lives (Part 2)’ by Mary Ellen Copeland

Unknown-7Breaking Down Barriers to Self-Determination
There are many assumptions about “mental illness” and mental health that must change, and are changing, that will facilitate the personal process of self-determination and taking back our lives.

When I first decided to reach out for help to deal with the difficult feelings I had been having all my life, I went through a lengthy questioning process (assessment) that had little or nothing to do with the way I was feeling.

I was given a diagnosis, told what that diagnosis would mean in terms of what I could expect in my life, and given medications that I was told I must take, probably for the rest of my life. Little attention was paid to my “out of control” lifestyle, my abusive relationship and my history of childhood sexual and emotional abuse and trauma.

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Western Massachusetts Recovery Learning Community: Hope & Healing Through Community

‘This 12 minute video about the Western Massachusetts Recovery Learning Community (RLC) introduces viewers to the RLC philosophy and provides a window into that community in all its diversity and vibrancy!

The Western Mass RLC supports individuals who have lived experience with trauma, extreme emotional states and/or mental health diagnoses in finding their own paths to recovery by offering trauma-sensitive peer supports and through the development of a regional peer network.

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Russell Brand: my life without drugs

26th Annual ARIA Awards 2012 - Award Winner PortraitsA great article in the Guardian by Russell Brand. He’s doing some great work.

Russell Brand has not used drugs for 10 years. He has a job, a house, a cat, good friends. But temptation is never far away. He wants to help other addicts, but first he wants us to feel compassion for those affected.

The last time I thought about taking heroin was yesterday. I had received “an inconvenient truth” from a beautiful woman. It wasn’t about climate change – I’m not that ecologically switched on – she told me she was pregnant and it wasn’t mine.

I had to take immediate action. I put Morrissey on in my car as an external conduit for the surging melancholy, and as I wound my way through the neurotic Hollywood hills, the narrow lanes and tight bends were a material echo of the synaptic tangle where my thoughts stalled and jammed.

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‘Peer Support in Mental Health: Exploitive, Transformative, or Both?’ by Larry Davidson

ldavidsonI am a great admirer of Larry Davidson’s work and writings. Three of his books are amongst my favourite reads in the mental health field – please see below. These books provide clear insights into the whys and hows of adopting recovery based care.

Here is Larry’s latest writing, which appeared on the Mad in America website.

‘The first time I tried to write about peer support – that emerging form of “service delivery” in which one person in recovery from what is described in the field as a “serious mental illness” offers support to another person who is in distress or struggling with a mental health condition – was in 1994. The manuscript was summarily rejected from an academic journal as representing what one of the reviewers described as “unsubstantiated rot.”

That same article was eventually published 5 years later (1), and used by the President’s New Freedom Commission on Mental Health to support its recommendation that peer supports be implemented across the country. (2) Now, more than a decade later and as peer support arrives at something of a crossroads, both of these reactions remain instructive.

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‘Gold standard addiction treatment’ by djmac

Arzt mit FlachmannHere’s an excellent blog on treatment from djmac.

Gold standard addiction treatment
Addiction to alcohol or other drugs is not easy to recover from. However there are many pathways to recovery, including through treatment. One group of patients does far better than most other groups. In fact their results are so impressive that many commentators have urged us to learn from what’s different about their treatment and follow-up to see if we can transfer learning and experience.

This group, claim researchers, sets the standard for addiction treatment. Indeed it represents gold standard addiction treatment. Who are this group? They are doctors.

In 2009, in the Journal of Substance Abuse Treatment, Robert DuPont and colleagues published a study that looked at how addicted doctors were cared for in the treatment system and also what their outcomes following treatment were.

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‘Experiencing Recovery – Part 8′ by William L. White: History of Recovery Support

Bill introduces about the various types of recovery support that have existed historically: natural support, limited generalist support within the community, peer recovery (mutual aid) and treatment. He then goes on to describe how things have been changing in recent years.

‘Recovery: What Do We Know and Where Might We Go?’ by David Best

Dr David Best of Monash University gives the Keynote Speech at the CSARS Conference at the University of Chester in 2014. Well worth watching, particularly as David is one of the world’s leading recovery researchers.

The talk ends after 65 minutes, after which there is a panel discussion.

CRAZYWISE: Rethinking Madness – A Documentary Film

There’s a great film coming to our screens next year. CRAZYWISE, directed by Phil Borges and Kevin Tomlinson, is a feature documentary exploring alternative treatments for mental illness.

You can learn more about the film and support its production – PLEASE do – by going to the film’s Kickstarter page. I’m really excited by the film. Here’s what is written by Phil and Kevin:

‘About the Film:
CRAZYWISE centers around Adam, 29, a former wakeboard champion who struggles with his sanity following a psychotic break. Desperate and feeling shame from being labeled with a potential lifelong disease, Adam embraces meditation.

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‘Recovering from Psychiatry – Tips and Some Hope For Those in Psychiatric Drug Withdrawal’ by Laura Delano

This video offers tips, suggestions, and hope for those in psychiatric drug withdrawal from ex-“Bipolar” patient and psychiatric liberation writer and activist, Laura Delano. An excellent video.

‘Lost lessons from an earlier era’ by Bill White

Lessons from an Earlier EraMy 2009 monograph outlined in considerable detail the history, theory and status of peer recovery support services (PRSS) in the United States.  In the years since the monograph’s publication, voluntary and paid recovery support services have dramatically increased in the US and internationally. 

Such growth has recently prompted me to reflect on the pre-professional days of addiction counseling in the United States (1965-1975) when people in recovery constituted the core workforce within newly arising addiction treatment programs. 

The current expansion of PRSS raised the following question:  What experiential lessons from this earlier era could inform the present implementation of PRSS?  Here are my top 20 answers.

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‘Family Recovery, Al-Anon & Altruism: in helping we are helped’ by DJ Mac

w600_c83da257562805a91d9b09b368a04f2ePeer support is of immense value in helping people find recovery from addiction and mental health problems. However, what is it about peer support that is so important? How does it work? Here, DJ Mac looks at a recent science paper focusing on this issue. 

‘“Giving implies to make the other person a giver also.” So said Eric Fromm whose quote starts this research paper which travels to the heart of mutual aid. The clear message? In helping other, we help ourselves. The recovery saying “We only keep what we have by giving it away” hits the mark in this respect.

The researchers in this Finnish study looked at communication and support in Al-Anon groups, a 12-step mutual aid network for family and friends of alcoholics. In Finland, 97% of Al-Anon members are female and three quarters are partners of alcoholics. They conducted the research through questionnaires (169) and 20 interviews. In the survey they focused on two questions:

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‘People with psych labels suffer discrimination: mental health professionals are often guilty of such prejudice’ by Monica Cassani

Epiphany - 2014-03-23_240560_sense-of-place.jpgExcellent posting from one of my favourite blogs.

‘People with psychiatric labels suffer discrimination that is not only demeaning but can also be dangerous.

A 2007 UK study by the Royal College of Psychiatrists revealed that prejudicial treatment of mentally ill patients extends to physical medical care; they receive poorer quality of care and doctors spend less time with them possibly leading to higher rates of death and preventable disease.

Though tragic, the more scandalous aspect of the phenomena is the fact that mental health professionals apply the same prejudices to those whom they attempt to treat. The worst thing someone in mental distress can experience is dehumanizing treatment from other human beings who are supposed to be caring for them.

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Daniel Mackler: Motivators for Growth

One of the best videos I’ve seen in a while. Starts with a bang! Ask those who are going through crisis what they really need for themselves. Found this video on the Mad in America website. Thanks, Daniel.

‘Therapist and folk artist Daniel Mackler discusses the major barriers to creating a more effective and compassionate psychiatric system, as well as the practice of Open Dialogue in Finland, and recognizing pain as a motivator for growth.

Daniel is a musician and documentary filmmaker responsible for such titles as:  Take These Broken Wings, Open Dialogue, Healing Homes, and Coming Off Psych Drugs. For more information please visit Daniel’s website wildtruth.net.

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Stuart Honor Talking at Recovery AM Conference

Start time of Stuart’s excellent talk (40 mins 20 secs)

In my humble opinion, Stuart Honor is one of the very special people in the UK addiction recovery field. Stuart has been doing research on recovery in communities for about a decade and has accumulated more data than anyone else in the UK. Stuart’s research addresses key recovery-related issues and he is never afraid to speak as he sees it… and challenge the system.

I remember years ago when Stuart first contacted me and invited me up to see The Breakfast Club he had set up in Halifax. I was really impressed by what I saw and by what Stuart was trying to develop – a genuine recovery community. You now know this place as The Basement Recovery Project, the CEO of whom is Michelle Foster. Stuart still plays a role.

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State of the New Recovery Advocacy Movement: Achievements, Part 3′ by Bill White

Unknown-1I continue Bill White’s list of achievements of the new recovery advocacy movement in the US.

Message Clarity. The data collection and analysis allowed us to formulate a clear set of messages that could be used by RCOs throughout the country and would be disseminated via “message training” that clarified the meaning of recovery and reality of long-term recovery in public communications.

A further critical step in that message clarity was the work of detailing how advocacy could be done in ways that were completely in alignment with the anonymity traditions of 12-Step recovery programs – a position recently reaffirmed via a widely disseminated communication from the General Service Office of Alcoholics Anonymous.

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‘Unraveling the Mystery of Personal and Family Recovery: An Interview with Stephanie Brown, PhD’ by Bill White (Part 5)

Unknown-1Bill White: Your work has enhanced understanding of the intergenerational nature of alcohol and other drug problems. Have you envisioned how such intergenerational cycles might finally be broken?

Stephanie Brown: I think we’ve started to name and describe what happens in addicted families across generations, which is helping us understand family addiction and the complexities of family recovery. And I think we are poised to move beyond our current focus on the genetic and neurobiological influence on intergenerational transmission of addiction to include exploration of the larger psychological and social processes involved.

We need more family research to understand the transmission process and the kinds of family and community support processes that can influence these cycles and positively disrupt them.

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