BTW if I sound cynical it's because I am both a victim of "treatment" and a success story. The later was a side effect...
Luckily, there are previous editions of the DSM that are far less influenced. Note that I'm not a mental health professional by any means, but even after the DSM-V was published they taught us medical students with DSM-IV-TR.
So, now to the bottom line: EMDR ameliorates symptoms of traumatic anxiety better than doing nothing and probably better than talking to a supportive listener. Yet not a shred of good evidence exists that EMDR is superior to exposure-based treatments that behavior and cognitive-behavior therapists have been administering routinely for decades. Paraphrasing British writer and critic Samuel Johnson, Harvard University psychologist Richard McNally nicely summed up the case for EMDR: “What is effective in EMDR is not new, and what is new is not effective.”
Please name the concrete study and whether it could be reproduced.
At the very least it's a profitable venture for the therapist, well north of $100 per session, IIRC.
@AllenFrancesMD Feb 7
Diagnoses should almost always be written in pencil:
1)Patients are usually seen on their worst
day- seem sicker than they really are
2)Takes time to know patient/social context
3)Role of substances/meds?
4)Course as important as symptoms
5)Diagnoses=hypotheses, not proven facts
Then I went to see who this PsychCentral.com piece is written by: Allen Frances too.
Psychiatry is so close to a breakthrough. The "medication management" paradigm of that the mental health industry has used for the past 50+ years are the chains that hold them back.
And what is the paradigm to replace it? The old psychoanalytic stuff? CBT?
The biology is very complicated and there are all kinds of feedback mechanisms at play, this is true. What is hard to see for me is what is cause and what is effect, and what that means for treatment.
Let's say you have a patient who is moderately depressed, overweight, w/insulin resistance (metabolic syndrome)... I imagine a very common presentation.
All of these things cause each other. The patient might have started overeating because they lost their wife a few years ago, and never really adjusted - but what can you do for them now?
They might have also gotten depressed because of hormonal imbalances that caused them to be less active and gain weight, but now there's a huge pile of problems to untangle, including NEW hormonal imbalances.
It's true that throwing a Prozac and Ambien Rx at them doesn't solve very much. You can't medicate away overeating and bariatric surgery isn't really that much better.
It would also be GREAT if we could get everybody to exercise, since it treats damn near everything including depression and insomnia pretty well. But doctors have been telling their patients to exercise along with the mass media and everybody in the world for a long time, and it just doesn't work. Might as well tell someone who is depressed to cheer up.
It really is a privileged position to be able to take a sabbatical, focus on your health, have a team of doctors and therapists work with you to handle the issues, mental and physical, that have arisen.
It's no wonder there's been a search for a magic bullet prescription; that's the kind of thing there could be broad access to.
Not exactly - the "symptoms" you mention feed into a destructive feedback loop, but there are always causes behind the patient's presentation.
The effigy of Ancel Keys should be ritually burned by every graduating class of medical students, so they are reminded of all the harm their predecessors have done through their gullibility.