Rob Wipond
@robwipond
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Journalism. Author of Your Consent is Not Required: The Rise in Psychiatric Detentions, Forced Treatment, and Abusive Guardianships. Substack: https://t.co/4SMze6ZIHb
Joined August 2010
Rising detention rates. Locked hospitals, guards, physical & chemical restraints. Street sweeps, expanding interventions in schools, families, nursing homes, workplaces. Politics, lobbying, profits & fraud. Involuntary commitment: Helping or policing?
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A withdrawal study cannot be (secretively) based on trials where most people took ADs for only 8-12 weeks--that's inane. Authors subsidized by Pharma, this "study" would fail in a Science 101 class. @JAMAPsych should be embarrassed for publishing it. Nobody should support hiding.
Today we submitted a formal correction request to the editors of JAMA Psychiatry @JAMAPsych @dost_ongur in response to the recent Kalfas et al. review, which downplays the risks of antidepressant withdrawal by relying on short-term studies. Our letter outlines the dangerous
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RT @robwipond: Government Accountability Office is as conventionally minded about mental illness as they come--and even they've concluded t….
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S.Trice, New York Lawyers for Public Interest: “To protect civil rights and address racial disparities in implementation, mental health care and policy should shift toward culturally competent, community-based voluntary care that centers the lived experiences of those impacted.”.
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Government Accountability Office is as conventionally minded about mental illness as they come--and even they've concluded there's no good evidence outpatient forced treatment (AOT, CTOs) helps anyone.
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Wildflower Alliance has launched a podcast, and I'm one of the guests on the 1st ep., with survivor/whistleblower & peer worker John Trask, and Chris Hansen of Intentional Peer Support. Check out "Whistleblowing & Restraints at Worcester State Hospital"
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RT @robwipond: @homeless_new @ZohranKMamdani I nominate @homeless_new as an excellent potential consultant to @ZohranKMamdani on homelessne….
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It's noteworthy--and in some ways deeply disturbing--how much this psychiatrist and I agree on about the risks and harms of involuntary commitment and forced treatment. Read my thoughts at This also links to a video of our talk:
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Ironically, what's the most robust "positive" outcome for forced treatment for substance use? Studies show that "people stay in treatment programs longer". Yeah, if you're locked up and forced to stay there longer, you stay there longer!.
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Forced SUD treatment "has been linked to negative health outcomes. increased risk of overdose or death (Ledberg, 2022; Scarpa, 2023; Rafful, 2018; Werb, 2016). Overall, claims of. benefits are largely based on limited data, and. significant lack of high-quality research".
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Govts expanding forced treatment for substance use goes against recommendations of expert medical consensus eg For a concise overview of the evidence, see the Canadian Centre on Substance Use & Addiction:
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2/2 I & others warned about this when the 988 legislation came in, allowing states to levy special taxes to fund 988 lines but cutting out all other crisis lines. Warm lines can't join 988 when they won't trace calls and send out police. More community crisis lines will fall.
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Massive cuts could shut down many warmlines in California. Not affected?--the 988 hotline that traces calls, sends in police, gets people detained in psychiatric hospitals against their will. 1/2
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California bill puts the entire DSM into civil commitment criteria; states mull committing people for dementia; more commitments for drug users perplex experts; new analysis says antipsychotics don't work, plus much more in my latest news roundup.
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A psychiatrist steps up to openly & honestly discuss civil involuntary commitment with me publicly--many thanks to @taperclinic And the already hundreds of comments below the video, many from survivors, are must-read.
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Discussion of current US state laws for involuntarily committing people just because they're developing dementia. Are you aging? Look out.
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Psychiatrists attacked me for saying that their expanding definitions of mental disorders set more people up for involuntary commitment. Well, now this California bill would add the entire DSM, lock stock and barrel, as step one in its commitment criteria.
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This is where we are: A psychiatrist with 19k followers dismisses basically every major scientific review of the data, and does it with 'trust me, antipsychotics are like insulin for diabetes'. (Seriously? And btw <sigh> yes I've actually been in inpatient units.)
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Yet another study. The science has been clear for decades that antipsychotics don't actually work, even short term. So why are they the main form of forced psychiatric treatment? The drugs restrain pts & have a placebo effect on onlookers. (And most pts improve naturally.).
Antipsychotics Do Not Provide a Clinically Meaningful Benefit Over the Short-Term: A Review of the Evidence. An MIA Report by Robert Whitaker. 70 years of RCTs fail to provide evidence that antipsychotics have benefit for treating acute psychotic episodes.
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