Category: For Providers

According our country’s cultural delusions, social institutions take care of people and deliver social justice based on a persons’ merits. Institutions for education, law, health, religion, athletic achievement, arts, recreation, work, transportation, housing, and social entitlements are often thought to be entities that people can trust to learn from and get the support they need […]

Fawning, saying yes sir, or shining it on is such an important skill in enduring life, especially during a break from reality. It is a skill I struggled with during times of mental health crisis prior to my break. Indeed, I have had to get pretty good at this fawning skill to survive. Prior to […]

I have come to believe that one can learn more about on the ground social realities from personal stories than the news media or researched academic books. In fact, one could take this argument farther and suggest sometimes true reality may be more hidden in fiction or comedic insights than it is in the cultural […]

When a person has a break from reality, others often feel a sense of urgency. Most people think that if this does not get treated with antipsychotic medication immediately, grave and progressive brain damage will ensue. Friends and loved ones may fear that this is the beginning of degenerative process that will leave the person […]

A Definition of Psychosis that Includes Internal Processes: I believe there are fundamental ways that the inaccurate social definition of psychosis and schizophrenia lead to mistreatment in mental health institutions. The historical definition of psychosis in all the Diagnostic Statistical Manuals is: hallucinations, delusions, and disorganized thinking. In master’s level training I never got more […]

PART ONE–Introduction:  Perhaps it can seem daunting to agree with some of the radical conspiracies that get tossed around during extreme states of psychosis. When people experience what I prefer to term a special message emergency, sharing their stories becomes very important. However, it can be hard for supporters to truly believe that the resulting […]

While treating voices as though they are real things may seem like a revolutionary step for a mental health clinician to take, I feel it can only be a small piece of the picture for some of us. Sometimes hearing voices is just the tip of the ice burg. Ultimately the clinician needs to understand […]

When in the throes of what is commonly termed a “psychotic break,” people often become focused on good and evil causing interpersonal friction. Whether you are a parent, therapist, spouse, or a friend or colleague this can translate in you being viewed as evil. Perhaps, this projection is not a comfortable feeling for a supporter […]

In my experience, people who survive psychosis are very diverse! There are many routes to recovery and many different tools used along the way to get there. Indeed, recovery looks very different for one person than it does for another. For forty years, most everywhere in America there has been one treatment option that is […]

Therapists and peer supporters learn not to impose their beliefs on the people they help as part of their cultural competence training. Why, then, do so many people who suffer from psychosis flagrantly have beliefs imposed on them in treatment? A huge part of knowing how to provide treatment that does not impose beliefs involves […]

Stories related to psychosis can be intense, and can lead to traumatic recall when a sufferer retells them and does not feel contained or believed within the relationship. Perhaps this is the reason many therapists, family members, and psychiatric wards learn to shut down the telling of the story. Shutting down stories can be seen […]

I contend that the trendy depicton of psychosis as a thought disorder misleads the public and can lead to misunderstandings that sabotage treatment efforts. I am writing to suggest that psychosis should not be defined as the result of spewing distorted thoughts that need to be corrected, but is actually the result of uncanny perception […]

No, I still don’t believe schizophrenia is an illness! Many would say I still demonstrate poor insight into my illness for the declaration. That’s okay with me. I received the diagnosis from a pony-tailed man wearing rodeo work boots with a decorative slab of leather along the base of his lace. He walked with a […]

When you think a person has a delusional idea, it is so important to remember that they often have amassed a significant amount of evidence to convince them they are correct. They likely know what they used to think, it is just that what they currently think seems to be more accurate. In fact, we […]

Sometimes I think therapy practitioners and mental health administrators don’t really think about what they are doing when they adhere to industry standards in trying to promote mental health for those marginalized in the mental health system. Whether working in the mental health system, administering mental health programs, or working out of their own psychotherapy […]

I have found that artful self-disclosure is a needed skill for cross-cultural work in psychotherapy. I am writing to assert and justify the use of self-disclosure particularly for people who experience “psychosis” in which complex cultural barriers appear to be present. Historically, it has seemed that many in the psychotherapy establishment have tended to emphasize […]

We all know that ending a secreted abuse and getting public support is an important element of healing. Indeed, it is nice when society comes to the rescue as they did to victims when the world trade towers fell. When victims sense they are supported there is more opportunity for resilience, heroism, and healing. But […]

I have not found that book learning and on-the-job-training gave me the tools I needed to understand and help people. Instead I have had to use experience, curiosity, and following my own spirit or moral compass. Now, I think this is largely because I didn’t understand the realities of black market America with compassion. Without […]

Early in my career as a social worker, I couldn’t even see the phenomenon of mental health warehousing let alone know how address the issue in a relationship. My college texts had promoted the mainstream eugenic presumptions associated with mental illness. I didn’t know what was needed to recover from things like psychosis, personality disorders, […]

In Madness and Civilization, philosopher Michel Foucault has predicted a proliferation of madness as disparities increase and modern society advances. Indeed, with psychopharmacology industry booming, rates of addiction, fueled by the opioid epidemic, skyrocketing, terrorism wars raging abroad, ongoing drug wars afflicting low income neighborhoods, escalation in homeless encampments in major cities, and a rise […]