The Power Threat Meaning Framework

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The Power Threat Meaning Framework

The Power Threat Meaning Framework

@PTMFramework

A conceptual alternative to psychiatric diagnosis. https://t.co/kNh8aVUM8G

Katılım Şubat 2011
1.2K Takip Edilen31.2K Takipçiler
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Dr Joanna Moncrieff
Dr Joanna Moncrieff@joannamoncrieff·
Excellent piece in @nytimes. The 'core ideas [of the alliance] are that mainstream psychiatry is too quick to see normal human suffering as a disease, that its diagnostic labels often crush a patients identity and sense of agency and that psychotropics, for many, do more harm than good'. nytimes.com/2026/05/15/mag….
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ad4e
ad4e@dropthedisorder·
The ‘mental health crisis’ - what is really going on? Should we continue to label & medicate or do we need to start asking more fundamental questions about our rising levels of unhappiness and despair? @PTMFramework Don’t miss this! eventbrite.co.uk/e/198391291794…
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Dr Joanna Moncrieff
Dr Joanna Moncrieff@joannamoncrieff·
It would help if Tyler read my work before criticising it. Some of his points seem bordering on hysterical. I use the term 'disease'-targeting to refer to targeting the biological mechanisms that produce symptoms. No psychiatric drug has been shown to do this. Psychiatric drugs are psychoactive drugs in the sense of changing the normal state of our brain chemistry and activity. This is the sense in which they are similar to alcohol and other recreational drugs. A psychoactive drug doesn't have to have appealing effects that people crave. This is all explained in detail in many papers including this open access one: pmc.ncbi.nlm.nih.gov/articles/PMC69…
Tyler Black, MD@tylerblack32

OK @joannamoncrieff ,lets do this. POINT BY POINT 🔽🔽 /2

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Dr Joanna Moncrieff
Dr Joanna Moncrieff@joannamoncrieff·
Its easy and tempting to offer people a false hope, but is only harmful in the long-run.
Inner Compass Initiative@_innercompass

When you're in the depths of emotional suffering, the last thing you need is false promises. Yet the mental health industry has sold millions one story: that emotional pain is a chemical imbalance to be fixed with safe, effective drugs you’ll likely need for life. Nearly 50,000 Americans died by suicide in 2023—the highest number ever—while 65 million people, including four million children, take psychiatric drugs. We saw through the pain industry’s false promises. It’s time we see through these false promises, too. (Video: our founder, Laura Delano, at the MAHA Mental Health & Overmedicalization Summit, May 4, 2026)

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Dr Joanna Moncrieff
Dr Joanna Moncrieff@joannamoncrieff·
In response to the horror induced by my criticism of lithium, I would direct people to this blog that details the scientific evidence for my points. I also covered lithium in detail (including its history) in The Myth of the Chemical Cure. I will see if I can make the chapters available somewhere. joannamoncrieff.wordpress.com/2015/07/01/rea…
Dr Joanna Moncrieff@joannamoncrieff

Psychiatrists love lithium because it is believed to be a truly targeted treatment that justifies the whole edifice of medical diagnosis. It is nothing of the sort. It is a toxic substance that suppresses nervous system activity but is too toxic to be useful as a sedative. Its prophylactic properties have been exaggerated because it induces mania on withdrawal. Several studies show you have a higher risk of having an episode of bipolar disorder after stopping lithium than before starting it. And it does not prevent suicide, as we showed in our systematic review (Nabi et al, 2022) and has been confirmed by others. Lithium's toxicity and lack of utility was recognised back in the 1960s and 70s, but the allure of a supposedly specific treatment overcame any sensible discussion about it. cambridge.org/core/journals/…

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Carrie Clark
Carrie Clark@cwestonclark·
This essay is about the most wonderful thing that has ever happened to me. It’s about how I stopped believing that I was ‘mentally ill’. Link below 👇
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Dr Joanna Moncrieff
Dr Joanna Moncrieff@joannamoncrieff·
An elegant plea for unity in the debate about over-medicalisation: 'Emotional pain is not necessarily a failure of the body requiring correction. It is part of being alive.'
Laura Delano@LauraDelano

We have medicalized everyday life, and millions of people are living with the consequences. What we are facing is not a fringe issue and it is not confined to any one group. This medicalization crisis touches people across every background, every community, and every political belief. There are forces that benefit from keeping this conversation divided. They frame it as Patient vs Doctor, Science vs. Skepticism, Pro-medication vs. Anti-Medication, Right versus Left. That framing keeps us stuck. It turns a shared problem into opposing sides and prevents the kind of honest conversation this moment requires. This should not be a war. It should be a place where people can come together with humility, curiosity, and a willingness to listen. While we all have vastly different experiences with the benefits and harms of psychiatric diagnoses and medications, we have far more in common with one another than we are often led to believe. We owe it to the millions of Americans currently taking these medications to create reliable, accessible, safe pathways forward for those who want or need to come off them. We owe it to them to build what should have existed all along. We also owe it to our children to model a different way of understanding what it means to be human. Emotional pain is not necessarily a failure of the body requiring correction. It is part of being alive. And meaningful help can take many forms beyond a prescription. We are finally uniting around this simple truth. May we rise above the forces who seek to convince us we are each other’s enemies, and move forward, together, from a place of compassion and understanding.

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Laura Delano
Laura Delano@LauraDelano·
The @nytimes ran a piece this morning on the psychiatric profession’s effort to take control of the conversation around “deprescribing” as attention grows under Secretary Kennedy and MAHA. On its surface, the new ASCP guidance reflects the work of psychiatrists who, I have no doubt, care deeply about their patients and are genuinely trying to improve practice. But it’s also a long overdue acknowledgment of something patients themselves forced into the open years ago, after being told their withdrawal was “relapse” and kept on medications without meaningful review. So many of us were cycling through prescriptions without anyone seriously asking whether we still needed them, or how to safely come off. Now the field is stepping in to define deprescribing for itself, at the same moment political pressure is forcing the issue into the mainstream. I keep coming back to the way that slow tapering is framed as “unscientific” in this article, and the dangerous suggestion that some long half-life drugs like Prozac can be stopped abruptly because they “auto-taper.” That view does not reflect what many patients have lived through. It’s also not what’s reflected in the hyperbolic tapering methods patients developed on their own, after being left without clinical guidance and finding each other instead
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PSSD Network | Post-SSRI Sexual Dysfunction
PSSD Network | Post-SSRI Sexual Dysfunction@PSSDNetwork·
Vanderbilt senior Lauren Friedman (@lololizzle) recently spoke at the MAHA Mental Health & Overmedicalization Summit about living with Post-SSRI Sexual Dysfunction (PSSD). Her testimony highlighted the urgent need for recognition, research, and treatment for the condition.
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Sam Hall
Sam Hall@samhall404·
Whilst it’s encouraging to finally see the tide turning on the harms from antidepressants and psychiatry’s long standing institutional denial, we must not allow convenient amnesia to take hold. We owe it to those who never reached this moment of reluctant reckoning. I’ve personally lost three friends to suicide who stood with me during the worst of my acute antidepressant withdrawal. They understood the visceral terror, the neurological chaos, the relentless isolation and despair because they were living it too. Two of them took their own lives when the protracted symptoms became utterly unbearable after suffering from akathisia. A third ended his life after being repeatedly dismissed by his doctor. He was told there was “no evidence” for what he was experiencing and so he believed there was no realistic hope of recovery (there is!). These aren’t isolated incidents. There are thousands more just like them. These were not abstract statistics. They were real, vibrant human beings; sons, daughters, partners, parents and friends, whose profound iatrogenic suffering was minimised, psychologised and dismissed by the very professionals who prescribed the drugs and assured them they were “safe and effective.” We are dealing with real people’s lives here. Amid all the politics, petty spats, point scoring, and attempts to “own” one another (of which I’ve been guilty myself), we’ve lost sight of what actually matters: people are dying through suicide, being left disabled through adverse reactions/protracted withdrawal or having their lives altered by these drugs through conditions like PSSD and the systems that still refuse to acknowledge the damage. There is nothing more important than this. No academic debate, no professional reputation and no tribal victory is worth another lost life. If this turning tide is to mean anything at all, it cannot be another slick exercise in reputation management. It must begin and end with a ruthless focus on reducing further harm, properly honouring those we’ve lost and ensuring that patient testimony and the full pharmacological reality, not the ego, denial and institutional self preservation that got us here, finally drive clinical practice.
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Mark Horowitz @markhoro.bsky.social
Mark Horowitz @markhoro.bsky.social@markhoro·
Always gratifying to see someone who has criticised and dismissed your work then copy it (without attribution).
Tyler Black, MD@tylerblack32

I am creating a tapering / deprescribing guide online (will be free forever & collect no data). if you are a clinician or someone with interest in tapering generally, send me a DM and i'll include you on the beta. i never want anyone to have to pay someone for this information

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Keşfet

@nytimes @lololizzle @elonmusk @BarackObama @taylorswift13 @cristiano @BillGates @NASA