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When it comes to mental health we don’t know what we are doing...THANK YOU FOR THIS OPPORTUNITY…
BRYAN MCELROY 4 T H YEAR GP REGISTRAR SWGPT/ TRALEE CO. KERRY, IRELAND
HEARING VOICE GROUP FACILITATOR
1:1 HEARTMATH COACH
GRADUATE OF THE SCHOOL OF THE WORK OF BYRON KATIE
Where are we pointing people?
Diagnostic conundrums…‘Mental illness’----------?------Wellness
DSM V
• ‘ A group of people on the other side of the world who have made a list’
• 74% pharmaceutical company connections• Super imposed ideas
• ‘Patients’ Anxiety disorder
Depression
Implications…
• Diagnoses stick• Treatment regimes- - - self sustaining• Dominant force is about repeat
prescribing
What does the evidence point to?
• ‘Anti depressants’
• Published and unpublished data: Drug/placebo effects
• No evidence that they correct partially or wholly any underlying biological abnormality
1. Kirsch I, Deacon BJ, Huedo-Medina TB, Scoboria A, Moore TJ, et al. (2008) Initial Severity and Antidepressant Benefits: A Meta-Analysis of Data Submitted to the Food and Drug Administration. PLoS Med 5(2): e45. doi:10.1371/journal.pmed.005004522 Moncrieff, J., & Cohen, D. (2013). How do psychiatric drugs work? BMJ: British Medical Journal, 338, 1535–1537. doi:10.1136/bmj.b1963
Where does the evidence point to?
• Placebo effect- when the mind through
positive suggestion improves health
• Nocebo effect - when the mind through
negative suggestion damages health
Innocent misunderstanding
Public perception- assumption:
Source of happiness found outside ourselves (Thinking/feeling selves)
‘No tablet can ever give lasting peace of mind’
