LET'S TALK ABOUT PSYCHIATRY.

Let’s Talk about Psychiatry

Somebody needs to speak up for those who can't.

By Frances Harris

To begin with, to be fair to psychiatry, I would welcome input from psychiatrists who have met with better outcomes than those in this story. So far I haven't found many.

Some patients do make it through the mental health system in better shape than they started out, but (after sixteen years as a committed advocate) and from feedback and experience inside treating and supporting organisations, my optimism faded long ago. It is clear that when a person develops a mental illness, they instantly become - a remnant of humanity by default in mainstream medicine.  

It may come as a surprise to some practitioners that these people feel pain when they are hurt, they cry real tears just like the rest of us when they are in despair, and they are still loved by their families just the same as they have ever been. And yes! - It is easier to 'pull the wool over their eyes,' because they have a greater need to trust others than we do. My experience as an advocate in the Frankston Mental Health system has continuously been a shock and a real 'eye opener.' It seems that the mentally ill are dispensable, they can be duped, they can be legally harassed and if a few of them die or are harmed in the process, it seems so be it. But when you look a frightened parent in the eyes, as I have done and they tell you in a quivering voice, asking quietly - why is my son forced to have these dangerous injections, when there are life threatening side effects that can't be stopped? - It is an experience that will stay with me for a lifetime. It seems in Australia the Disability Standards don't apply to the mentally ill. 

When I recall, my whole being freezes with disgust and anger, because I know there are better more humane ways to treat these people. My own son is going through the same process, and the cruelty and contempt from treating psychiatrists is breathtaking. It is hard to say, but from my observations it seems some of the doctors, and some nurses have become so hardened they may even thrive on the suffering of others. These people, who luckily are in the minority, have the greatest capacity to do irreparable damage. They seem to have lost contact with their own humanity, and in my humble opinion, should be screened out. Clinical files are seen to be incomplete where there has been an adverse event and reports are often distorted and flawed. They operate without scrutiny because few people exactly know what they do, and cant readily find out. - Well, today I am challenging them.

When I tried to complain about Edward's treatment to the ward hierarchy at Frankston hospital mental health ward, I quickly found moves were made to get me out of the way with a 'mental health intervention.' That means they wanted to drag me in to be assessed by their psychiatrists and get me on pills. But luckily I have an impeccable, provable mental health record. It didn't succeed, and the guy who insisted I see their team of psychiatrists will never forget my response in a while.

The majority of the mentally ill are in no position to advocate on their own behalf, and they probably never will. They are easy targets for drug trials. That is another issue that should be raised - who is running the hospital? Is it the administration or is it the influence of drug companies calling the shots. I seriously wonder.

Most people or their relative will touch bases with a psychiatrist at some time in their life. Often they will unexpectedly and urgently need help, but from experiences with my son Edward, I advise those people to look carefully before you leap into the world of psychiatry and the push for psychotropic drugs. The assistance of a neurologist and a General Practitioner could sometimes be all you need. If you or a relative are involved in illicit or overused prescribed medications then I suggest you should read this message and its updates. The story will make you feel uncomfortable, perhaps make you cringe and possibly scare you, but it’s out there and won’t go away even if you shut down your computer for now.

The mental health system is like a quicksand bog that once in it a person rarely ever escapes its influence. Medication doses are usually on the incline and rarely, if ever do they come down.Containment of patients in this wide net is something sanctioned by law. They are easy pickings for experimentation of certain medications. To add to the morass, unfortunately there seems to be significant by-catch in that net, with misdiagnosis and the like. So does anyone wonder why the mentally ill run for their lives not wanting to come back, or go under trains, self harm or overdose? The mental health system has made their lives hell! From my vantage point, this is legalized torture. I see them broken, I see their pain. It's not hard to recognize the despair these people feel as they see their bodies tremor and maybe an arm doesn't work like it used to, then an ugly facial twitch has eventuated for a lifetime after the treatment. They can't think straight any more like they used to. Would anyone cope with that?

Imagine, you are put in a place where you are under such duress to accept injections that make you gasp for breath, sometimes collapse on the floor and for periods of time you are cut off from your loved ones and feel totally....totally alone. You hear your previously healthy organs may be failing. It would break anyone, let alone the already vulnerable. And as for the families who watch on helplessly, their distress levels escalate to life threatening proportions. How can they hope to cope when their loved one comes home. They are already too distressed to carry out a normal life. Unless you are the patient's advocate the hospital can exclude you, so anything can happen and you have no say. 

This is sanctioned cruelty, bringing to mind the words 'cruel and unusual punishment,' forbidden under the United Nations charter. 

Yes, cruel, stressful and confusing to families and patients. And, one must realize when behind locked doors, the psychiatrist is always right, or there can be consequences when your loved one is treated at the whim of that psychiatrist and the associates. They stick together and have long memories. Often that treating psychiatrist neither knows the patient, nor cares, knows little about allergy status nor special needs, nor barely reads the clinical file. and there is no other option offered.

At the beginning of a mental health event, the patient's diagnosis is often at the whim of the first psychiatrist encountered. Right or wrong that diagnosis is broadcast to the mental health system, and the Road Traffic Authority for life, and stays that way even if it is revised later. There is no exit from that treatment or diagnosis, whether reasonably or not, without the risk of having the driving licence suspended. On entering a hospital the patient will likely be forever treated according to the first diagnosis, even when a later preferred psychiatrist sees it differently.

In my son Edward’s case, when he enters the doors of Frankston hospital he must conform to the treatment of the first diagnosis, and when he walks outside the doors he reverts to the treatment of the second diagnosis. It has a real, 'Alice in Wonderland,' feel about it.

If a patient is not happy with the treatment of the treating psychiatrist and departs, then chooses another health professional, the initial psychiatrist has been known to send out an alert to all health facilities on a whim, that the patient is – non compliant with his medication, even though that psychiatrist is no longer the treating doctor. Health officials will respond. Non compliance can be reported without evidence from blood tests or interviews with friends and relatives, and even if the patient is on another prescribed medication at the time. There is no way to revoke that alert once it goes out.

Sanctioned treatment inflicted on mental health patients would by law, bring on a significant jail sentence if inflicted on an animal. The facts are that this system is so secretive that few interested people ever find out. The treatments effects are neatly kept under the radar, and queries are discouraged and deflected. Don't waste your time making a formal complaint to the hospital; they've got that well sewn up too.

Edward has been involved in the Frankston (Hospital) Mental Health System, Victoria, Australia; one of the country’s biggest mental health treatment centers, after many unhelpful years in the private sector.

It’s now time to open up to scrutiny a few of the darkest spaces residing in the mental health system in Astralia. I acknowledge the mental health service is only as good as funding from governments and the quality of its hired staff. Many want to do better, but are hampered by resources, while others don’t care what happens and duck for cover when questions are asked. The lives of the mentally ill are of no concern to them. The mental health service is secretive and protected, and anyone trying to get information is usually frustrated.

And essentially, for the unaware, there must be strong advocacy to ensure survival of you or your loved one.

Then in the background looms undeclared inducements offered by drug companies to psychiatrist, and clinics that can heavily influence the patient’s treatment. The truth is; a psychiatrist has, ‘next to no idea,’ what psychotropic medicines do to the human body. If there is hypersensitivity, or a slow absorption rate, chances are the life of that person will be at risk, because the system is geared to; ‘one size fits all.’  And mark my words, - few people care, least of all politicians, unless we make them. Rarely are blood tests done to check drug tolerances, screen for allergy, heart problems, or given blood tests for medication levels, serum levels to protect vital organs. Is it any wonder that the median lifespan of the mentally ill is fifty years. Unless the advocate brings these things to the attention of the treating psychiatrist, they are rarely addressed.

Some drugs don’t show up in a toxicity test. There are injections that have no antidote if something goes wrong, and these have a history of patients who periodically drop dead for no recognizable reason. The producing drug company has a vested interest in recommending the maximum dose for maximum profit. It is shown on the directions within the packaging.

We have tried the private system, the public system and – then successfully opted out of both after injury, such as coma, to successfully take the advice of our general practitioner. Then Edward was dragged back in to be put on a Community Treatment Order. When practitioners are asked for a reason, they can't exactly say why that is. 

I’m sure there are many fine, highly skilled, caring psychiatrists out there, but to date I have never met one in sixteen years, or heard of one, or been recommended to one by a wise professional. Three years ago when I asked staff in the Frankston hospital system and the Frankston clinic, ‘where can I find a good psychiatrist?’ I was told by those who know - 'there are none!'  Now, I hear since then there are three  more acceptable psychiatrists within driving distance down the peninsula, but it's like looking for a needle in a haystack..

The first real surprise  that came forward about psychiatrists is something that left me wondering. I always thought they would have undergone extensive years of training in say, toxicology, immunology, psychology, brain diagnostics, structure etc. ……… so maybe, highly skilled like a heart surgeon? The truth is; a psychiatrist is a General Practitioner who has been given - on the job training in a psychiatric facility, while doing some general study, then within two years – joins the field as a qualified psychiatrist. I think a chiropractor does more years of training.

So the difference between mainstream medicine and psychiatry is that doctors try to make every effort to save the patient when in danger. But the life of the patient with a mental illness who has potentially life threatening symptoms, the psychiatrist will remain fixated on suppressing breakthrough symptoms at any cost., even if treatment may end a life. Edward faced a life threatening condition that was dismissed by a psychiatrist at the hospital when diagnostic evidence was available. Luckily a second hospital picked it up.

Edward was diagnosed with a potential life-threatening heart condition at the second hospital, and I was told by a staff member on behalf of the Frankston clinic psychiatrist – ‘You are the only one who is worried about it!’ Now, I too have a similar condition, and when revealed to the hospital, all resources were employed to care for me. You can probably guess what I am thinking.

Is it any wonder that many with mental illness die slowly from the effects of anxiety and poor decision making, and there are others who leave the hospital so distressed from treatment and incarceration at Frankston Hospital they go straight to the train lines to take their own life, or jump from a high bridge, or overdose on anything that will numb the trauma of treatment followed by a bad life. The human costs of treatments versus the benefits are way out of proportion. Chances are the patient will need additional trauma treatment after discharge from hospital; - but that is unlikely to happen.

I will progressively roll out some more of the uneasy truths about psychiatry and mental health over time, and the never ending hamster wheel of prescribed drugs, perpetual medication, poor outcomes, and tragic lives. 

I have to ask myself; Is anyone out there in charge right now? I'm still looking for the evidence

Have a good week.