Joanna Moncrieff
@joannamoncrieff.bsky.social
đ€ 665
đ„ 9
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Critical psychiatrist, professor at University College London and author. Views are my own.
pinned post!
Good to be up on bsky. Following the storm of interest provoked by our 2022 review, I am pleased to announce the publication of my book telling the story of the serotonin theory of depression from the beginning to recent challenges. Due out Jan 2025. To pre-order
lnk.to/chemicallyim...
11 months ago
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Looking forward to taking part in the HTLGI festival in Kenwood House, London, Sept 20-21st. The line up of amazing scientists, thinkers & political figures including Brain Cox, Roger Penrose, Alastair Campbell, Diane Abbott etc. Tickets
howthelightgetsin.org/festivals/lo...
about 2 months ago
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Blog on the longstanding tendency to play down the dependence-inducing effects of psychiatric drugs, now playing out in two reviews that minimise antidepressant withdrawal effects based on flawed studies of short-term users
www.psychologytoday.com/us/blog/chem...
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Antidepressant Withdrawal: Nothing to Worry About?
Recent reviews claim antidepressant withdrawal is clinically insignificant, but they are based on flawed and short-term studies. Minimizing withdrawal problems is worrying.
https://www.psychologytoday.com/us/blog/chemically-imbalanced/202508/antidepressant-withdrawal-nothing-to-worry-about
about 2 months ago
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reposted by
Joanna Moncrieff
Martin Plöderl
3 months ago
When Dr. Roussos-Ross pointed out the dangers of untreated depression, she left out the fact that antidepressants (ADs) have modest efficacy (as later pointed out by
@joannamoncrieff.bsky.social
). Bc of the side effects, ADs are associated with a problematic harm-benefit ratio for the majority.
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reposted by
Joanna Moncrieff
Martin Plöderl
2 months ago
Excellent summary of the ongoing controversy about antidepressant withdrawal issues by
@joannamoncrieff.bsky.social
www.psychologytoday.com/us/blog/chem...
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Antidepressant Withdrawal: Nothing to Worry About?
Recent reviews claim antidepressant withdrawal is clinically insignificant, but they are based on flawed and short-term studies. Minimizing withdrawal problems is worrying.
https://www.psychologytoday.com/us/blog/chemically-imbalanced/202508/antidepressant-withdrawal-nothing-to-worry-about
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I was honoured to take part in the FDA's panel on the risks of SSRIs in pregnancy yesterday along with other experts
@fda.gov
. This is a huge issue with so many young women taking these drugs. I hope the UK and other countries will listen to the evidence presented
www.youtube.com/watch?v=2Nha...
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FDA Expert Panel on Selective Serotonin Reuptake Inhibitors (SSRIs) and Pregnancy
YouTube video by U.S. Food and Drug Administration
https://www.youtube.com/watch?v=2Nha1Zh63SA
3 months ago
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It is worrying that leading psychiatrists have quoted the Henssler review regardless of these limitations (and the more recent Kalfas review) to reassure the public and called on the Royal College of Psychiatrists to weaken its advice on stopping antidepressants 4/n
3 months ago
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Only 5 studies in the Henssler AD withdrawal review (not 18 as claimed) used a relevant measure of withdrawal. These find 55% of people reported withdrawal symptoms after stopping antidepressant 3/n
3 months ago
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The vast majority of included studies in the Henssler AD withdrawal review were not designed to measure withdrawal and only recorded it incidentally among spontaneously reported âadverse eventsâ. This is no basis for estimating prevalence 2/n
3 months ago
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Remember the 2024 Henssler review claiming only 1 in 6 have antidepressant withdrawal symptoms & 1 in 30 severe symptoms? Here we show it was based on highly unreliable data & can't be used to assess withdrawal effects
@ploederl.bsky.social
@markhoro.bsky.social
1/n
www.cambridge.org/core/journal...
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Evidence on antidepressant withdrawal: an appraisal and reanalysis of a recent systematic review | Psychological Medicine | Cambridge Core
Evidence on antidepressant withdrawal: an appraisal and reanalysis of a recent systematic review - Volume 55
https://www.cambridge.org/core/journals/psychological-medicine/article/evidence-on-antidepressant-withdrawal-an-appraisal-and-reanalysis-of-a-recent-systematic-review/1E02C154EE580CA43F0EE86492B3A0E7
3 months ago
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'Psychiatrists have been accused of downplaying the risks of antidepressant withdrawal in a new study'
www.thecanary.co/global/world...
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Big pharma-funded psychiatrists 'cosplaying science' in misleading antidepressant withdrawal study
The paper claims, with confidence, that withdrawal symptoms from antidepressants are minimal and easily managed. Not true.
https://www.thecanary.co/global/world-analysis/2025/07/13/antidepressant-withdrawal-study/#google_vignette
3 months ago
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Our rapid response in the BMJ highlights how the recent antidepressant withdrawal review confirms withdrawal effects with SSRIs and SNRIs but underestimates their significance due to relying on short-term trials and other methodological problems
@ploederl.bsky.social
www.bmj.com/content/390/...
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Review underestimates antidepressant withdrawal effects
https://www.bmj.com/content/390/bmj.r1432/rr-3
3 months ago
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reposted by
Joanna Moncrieff
Martin Plöderl
3 months ago
Our rapid response to a summary of the new problematic antidepressant withdrawal study has been published, together with other interesting and important ones (e.g., by
@markhoro.bsky.social
).
@joannamoncrieff.bsky.social
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https://www.bmj.com/content/390/bmj.r1432/rapid-responses
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Useful thread on this study
add a skeleton here at some point
3 months ago
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Useful thread critiquing the recent review of antidepressant withdrawal
add a skeleton here at some point
3 months ago
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reposted by
Joanna Moncrieff
Martin Plöderl
3 months ago
Occurrence of a discontinuation syndrome in the 5-8 day discontinuation period, defined by Rosenbaum et al. as 4+ withdrawal symptoms: 60% sertraline, 66%paroxetine, and 14% fluoxetine (which can serve as control group). This conforms the ca. 50% occurrence, which was dismissed by Hayes đ€
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reposted by
Joanna Moncrieff
Martin Plöderl
3 months ago
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reposted by
Joanna Moncrieff
Martin Plöderl
3 months ago
Also note that the SMD's for individual SSRI/SNRI's ranged between 0.39 and 0.68. In the study of Rosenbaum, where patients were on antidepressants much longer (average ca. 11 months), the increase in DESS symptoms after stopping meds was 6 and 8 for sertraline and paroxetine, respectively.
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reposted by
Joanna Moncrieff
Martin Plöderl
3 months ago
Besides the double standards, the main problem is that the result from the main analysis is based on short-term trials (ca 8w) except one 26w agomelatine trial. Not much withdrawal can be expected but was nonetheless observed - concerning! Most are on ADs much longer. Absurd conclusions!
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Thread on our response to Ghaemi and how Ghaemi's article became more hostile and pejorative after peer review
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4 months ago
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I'm looking forward to talking about Chemically Imbalanced in Harrogate at
#BerwinsSalonNorth
tomorrow evening. Tickets available here:
harrogateinternationalfestivals.com/event/berwin...
@harrogatefestivals.bsky.social
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Sound Connections | Harrogate International Festivals
Book tickets for Sound Connections with Harrogate International Festivals online today!
https://harrogateinternationalfestivals.com/event/berwins-salon-north-june-2025/
4 months ago
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reposted by
Joanna Moncrieff
Angela Welz
4 months ago
Thereâs no strong evidence of a chemical imbalance behind depression, yet antidepressants are still pushed to serve pharma profits and uphold psychiatryâs medical image.
@joannamoncrieff.bsky.social
's compelling interview.
www.youtube.com/watch?v=zcBu...
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This Psychiatrist Says Chemical Imbalance is a LIE
YouTube video by Dr. Josef
https://www.youtube.com/watch?v=zcBul7NfFiQ
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reposted by
Joanna Moncrieff
Mad in America
4 months ago
Liberation Psychology Gains Ground in a Fractured World As crises of displacement and inequality intensify, more scholars are turning to Liberation Psychologyâs commitment to structural change. By Micah Ingle, PhD
www.madinamerica.com/2025/06/libe...
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Liberation Psychology Gains Ground in a Fractured World
As crises of displacement and inequality intensify, more scholars are turning to Liberation Psychologyâs commitment to structural change.
https://www.madinamerica.com/2025/06/liberation-psychology-gains-ground-in-a-fractured-world/
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I am looking forward to giving the Sowerby anniversary public lecture at the Philosophy and Medicine conference in London next Tuesday 3rd June at 4pm. The event is open to everyone, please come along.
www.tickettailor.com/events/sower...
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Select tickets â Sowerby Project 10 Year Anniversary Public Lecture: Joanna Moncrieff â Kingâs College London, Lecture Theatre 1 Bush House, Strand
We are delighted to be welcoming renowned British Psychiatrist Joanna Moncrieff at Kingâs College London on the 3rd June where...
https://www.tickettailor.com/events/sowerbyproject/1706396
5 months ago
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This data suggests use of antidepressants may be decreasing a bit in the US - not before time!
psychiatryonline.org/doi/10.1176/...
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Psychotherapy Trends in the United States | American Journal of Psychiatry
Objective: The authors investigated recent national trends in outpatient mental health care and psychotherapy. Method: Service data from four representative surveys of the U.S. household population, t...
https://psychiatryonline.org/doi/10.1176/appi.ajp.20240492
5 months ago
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I enjoyed my trip to the How The Light Gets In festival in Hay. My talk was packed out and there were was a good discussion. The festival was a great combination of serious debate and fun
5 months ago
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reposted by
Joanna Moncrieff
Harrogate International Festivals
5 months ago
Thought-provoking piece from our next Salon speaker
@joannamoncrieff.bsky.social
Â
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Opinion: Are mental health conditions overdiagnosed in the UK?
Professor Joanna Moncrieff (UCL Psychiatry) argues in The Conversation that a mental health diagnosis is just a label â and usually an unhelpful one.
https://www.ucl.ac.uk/news/2025/mar/opinion-are-mental-health-conditions-overdiagnosed-uk
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reposted by
Joanna Moncrieff
Steve Moskal
5 months ago
#biorisks
- SSRIâs are *not âselectiveâ, as they affect serotonin used throughout the whole nervous system and where it is used through the metabolic system. Biological system wide mind-body effects. This has been known by pharma research since mid-1950âs
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reposted by
Joanna Moncrieff
UCL News
5 months ago
People who have been taking antidepressants for more than two years are more likely to experience withdrawal symptoms compared to short-term users when they come off the medication, finds a new study led by Dr Mark Horowitz and Prof
@joannamoncrieff.bsky.social
@uclpsychiatry.bsky.social
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Antidepressant withdrawal symptoms more common among long-term users
People who have been taking antidepressants for more than two years are substantially more likely to experience withdrawal symptoms compared to short-term users when they come off the medication, find...
https://www.ucl.ac.uk/news/2025/may/antidepressant-withdrawal-symptoms-more-common-among-long-term-users
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I enjoyed speaking to Jeannette Hyde in this podcast. We cover the lack of studies on exactly what SSRIs do to the brain, emotional numbing and weight gain, and how exercise and social prescribing fit in
thegutmakeover.substack.com/p/research-s...
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"Research shows that most anti-depressants make people gain at least some weight"
Dr Joanna Moncrieff, psychiatrist and author of 'Chemically Imbalanced' in conversation with The Gut Makeover
https://thegutmakeover.substack.com/p/research-shows-that-most-anti-depressants
5 months ago
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I am excited to be appearing at the How The Light Gets In festival at Hay this weekend with other stellar guests including
@yanisvaroufakis.bsky.social
,
@jeremycorbyn.bsky.social
,
@slavojiek.bsky.social
,
@sapinker.bsky.social
and others. Tickets here:
howthelightgetsin.org/festivals/ha...
5 months ago
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reposted by
Joanna Moncrieff
The Medical Journal of Australia
5 months ago
đ NEW in the Medical Journal of Australia Antidepressant prescribing in Australian primary care: time to reevaluate âïž Katharine A Wallis, Anna King and Joanna Moncrieff
buff.ly/6KQAiTe
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reposted by
Joanna Moncrieff
The Syllabus
5 months ago
This podcast critiques the dominant disease-based model of psychiatry, arguing that psychiatric diagnoses and treatmentsâespecially the serotonin imbalance theoryâlack scientific basis and have caused widespread harm. With
@joannamoncrieff.bsky.social
on
@mad-in-america.bsky.social
buff.ly/cGvS8tu
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Chemically Imbalanced: Joanna Moncrieff on the Making and Unmaking of the Serotonin Myth
Joanna Moncrieff joins Robert Whitaker to talk about her latest book, titled Chemically Imbalanced: The Making and Unmaking of the Serotonin Myth. They discuss the serotonin story and the fact thatâŠ
https://www.madinamerica.com/2025/04/chemically-imbalanced-joanna-moncrieff-making-unmaking-serotonin-myth
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If you are in or around London next Wed, come along to my talk at 6.15pm at the Reconnect Club hosted by the inspiring
@joetudor.bsky.social
.
www.eventbrite.co.uk/e/chemically...
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Chemically Imbalanced: The Making and Unmaking of the Serotonin Myth
Are we chemically imbalanced? Professor Joanna Moncrieff unpacks the view that depression is caused by an imbalance of serotonin.
https://www.eventbrite.co.uk/e/chemically-imbalanced-the-making-and-unmaking-of-the-serotonin-myth-tickets-1305160122059?aff=oddtdtcreator
5 months ago
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reposted by
Joanna Moncrieff
AmazzoneFuriosa đŠ đșđŠ
5 months ago
"Yet, there is evidence from primary care that people are prescribed antidepressants when clinical guideline criteria are not met, more commonly women", write Katharine Wallis,
@annaking1.bsky.social
and
@joannamoncrieff.bsky.social
#Psysky
#madsky
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This is probably the best estimate we have for this condition so far
add a skeleton here at some point
5 months ago
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This paper is important. It suggests 13.2% of people experience post antidepressant sexual dysfunction (vs 0.9% for other drugs). The survey focused on other things so not likely to have attracted an unusually badly affected sample. Needs publicising
pubmed.ncbi.nlm.nih.gov/39302425/
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Frequency of self-reported persistent post-treatment genital hypoesthesia among past antidepressant users: a cross-sectional survey of sexual and gender minority youth in Canada and the US - PubMed
Antidepressant discontinuation is strongly associated with PPTGH in the US and Canada where SSRI/SNRI medications account for 80% of antidepressant prescriptions. We call for standardized internationa...
https://pubmed.ncbi.nlm.nih.gov/39302425/
5 months ago
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If you are in or around Swindon tomorrow, do come along to hear me talk about my new book, Chemically Imbalanced, at the Swindon literary festival
trafalgartickets.com/swindon-arts...
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Book Joanna Moncrieff - Swindon Festival Of Literature tickets | Swindon Arts Centre
Book your tickets to Joanna Moncrieff - Swindon Festival Of Literature at Swindon Arts Centre at the official Trafalgar Tickets, Swindon Arts Centre box office.
https://trafalgartickets.com/swindon-arts-centre/en-GB/event/other/swindon-festival-of-literature-joanna-moncrieff-tickets
5 months ago
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I am looking forward to speaking about Chemically Imbalanced at my first book festival next week in Swindon. Tickets available here.
trafalgartickets.com/swindon-arts...
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Book Joanna Moncrieff - Swindon Festival Of Literature tickets | Swindon Arts Centre
Book your tickets to Joanna Moncrieff - Swindon Festival Of Literature at Swindon Arts Centre at the official Trafalgar Tickets, Swindon Arts Centre box office.
https://trafalgartickets.com/swindon-arts-centre/en-GB/event/other/swindon-festival-of-literature-joanna-moncrieff-tickets
5 months ago
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Looking forward to this event
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5 months ago
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reposted by
Joanna Moncrieff
Martin Plöderl
5 months ago
Interesting interview with
@joannamoncrieff.bsky.social
about her new book, the history of how we thought of depression in the past and now, and problems in current psychiatric practice
www.madinamerica.com/2025/04/chem...
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Chemically Imbalanced: Joanna Moncrieff on the Making and Unmaking of the Serotonin Myth
Joanna Moncrieff joins Robert Whitaker to talk about her latest book, titled Chemically Imbalanced: The Making and Unmaking of the Serotonin Myth. They discuss the serotonin story and the fact that th...
https://www.madinamerica.com/2025/04/chemically-imbalanced-joanna-moncrieff-making-unmaking-serotonin-myth/
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I really enjoyed this wide ranging conversation with Robert Whitaker about the state of psychiatry, past and present. I hope listeners will too!
www.youtube.com/watch?v=6AXH...
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Chemically Imbalanced: Joanna Moncrieff on the Making and Unmaking of the Serotonin Myth
YouTube video by Mad in America
https://www.youtube.com/watch?v=6AXHCB9aHik
5 months ago
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A study showing the dismal results of antidepressants. 'Millions of Americans are experiencing the side effects of antidepressants without improvement, trying multiple drugs, and becoming labelled as âtreatment resistantâ when the drugs donât work'
www.madinamerica.com/2025/04/half...
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Half of Those Who Take Antidepressants Are Labeled âTreatment Resistantâ
Millions of people are trying multiple antidepressant drugs without success, and psychiatry labels them âtreatment resistant.â
https://www.madinamerica.com/2025/04/half-of-those-who-take-antidepressants-are-labeled-treatment-resistant/
5 months ago
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If anyone is reconsidering taking antidepressants after watching my
@channel4news.bsky.social
#WaysToChangeTheWorld
podcast, this blog may be useful
joannamoncrieff.com/2022/07/24/h...
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How to take the news that depression has not been shown to be caused by a chemical imbalance
Summary TL;DR For decades people have been told that depression is caused by a serotonin deficiency. This was the rationale behind the introduction of the SSRI (Selective Serotonin Reuptake InhibitâŠ
https://joannamoncrieff.com/2022/07/24/how-to-take-the-news-that-depression-has-not-been-shown-to-be-caused-by-a-chemical-imbalance/
6 months ago
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You can now listen to my
@channel4news.bsky.social
#WaysToChangeTheWorld
podcast on Spotify
open.spotify.com/episode/60dX...
and
[email protected]
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âAntidepressants are like alcohol or cannabisâ | Joanna Moncrieff
Ways to Change the World · Episode
https://open.spotify.com/episode/60dXzazuDtCbJs47YKMiKg
6 months ago
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Glad to see this
@channel4news.bsky.social
podcast has sparked debate - as I have always said, I have no problem with people wanting to take antidepressants, but I want people to be properly informed about the evidence including on their harmful effects
www.youtube.com/watch?v=BR_S...
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'Antidepressants are like alcohol or cannabis' | Joanna Moncrieff
YouTube video by Channel 4 News
https://www.youtube.com/watch?v=BR_SWJFVHwA
6 months ago
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The idea that depression is in the brain stops us fixing the social problems that cause it in the first place. Honoured to be interviewed by
@krishgm.bsky.social
on
#WaysToChangeTheWorld
. A tough conversation.
#ChemicallyImbalanced
#depression
www.youtube.com/watch?v=BR_S...
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'Antidepressants are like alcohol or cannabis' | Joanna Moncrieff
YouTube video by Channel 4 News
https://www.youtube.com/watch?v=BR_SWJFVHwA&list=PLXjqQf1xYLQ5q7sTlD7K66f5xgXAqR_rZ&index=2
6 months ago
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Great essay on how 'mental disorders' are problems of personal and social relations and systems not of individuals
www.psychologytoday.com/us/blog/from...
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Relational Minds: Diagnosis and the Fallacy of Internalism
In this guest post, James Barnes argues that psychiatric diagnosis rests on a basic category error, one that doesn't acknowledge the relational dynamics of psychological distress.
https://www.psychologytoday.com/us/blog/from-freud-to-fluoxetine/202504/relational-minds-diagnosis-and-the-fallacy-of-internalism
6 months ago
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My conversation with Dr Louise Bundock for Medicating Normal can now be viewed here. We discuss why the chemical imbalance myth got established and what its consequences have been, among other topics
www.youtube.com/watch?v=kh0Y...
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A Convo w/ Joanna Moncrieff: "Chemically Imbalanced The Making & Unmaking of the Serotonin Myth"
YouTube video by Medicating Normal
https://www.youtube.com/watch?v=kh0YIycFBVQ
6 months ago
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This important article highlights research that undermines the concept of ADHD as a neurodevelopmental disorder. It suggests ADHD symptoms are common and fluctuating personality traits & that stimulants do not improve performance
www.nytimes.com/2025/04/13/m...
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Have We Been Thinking About A.D.H.D. All Wrong? (Gift Article)
With diagnoses at a record high, some experts have begun to question our assumptions about the condition â and how to treat it.
https://www.nytimes.com/2025/04/13/magazine/adhd-medication-treatment-research.html?unlocked_article_code=1._k4.J8Al.QzArsASuGOsP&smid=em-share
6 months ago
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RADAR trial data showed people recover to their baseline levels of function and symptoms after a relapse, suggesting the hypothesis that relapse is toxic to the brain is incorrect 1/2
www.cambridge.org/core/journal...
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The association between relapse and the outcome of schizophrenia and recurrent psychotic disorders | The British Journal of Psychiatry | Cambridge Core
The association between relapse and the outcome of schizophrenia and recurrent psychotic disorders
https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/association-between-relapse-and-the-outcome-of-schizophrenia-and-recurrent-psychotic-disorders/67906FF3C0FFC61979508B74F20905E5
6 months ago
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