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Unhinged: The Trouble with Psychiatry - A Doctor's Revelations about a Profession in Crisis Hardcover – May 18, 2010


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Unhinged: The Trouble with Psychiatry - A Doctor's Revelations about a Profession in Crisis + Anatomy of an Epidemic: Magic Bullets, Psychiatric Drugs, and the Astonishing Rise of Mental Illness in America + The Emperor's New Drugs: Exploding the Antidepressant Myth
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Product Details

  • Hardcover: 272 pages
  • Publisher: Free Press; 1 edition (May 18, 2010)
  • Language: English
  • ISBN-10: 9781416590798
  • ISBN-13: 978-1416590798
  • ASIN: 141659079X
  • Product Dimensions: 9.3 x 6.3 x 1 inches
  • Shipping Weight: 15.5 ounces (View shipping rates and policies)
  • Average Customer Review: 4.1 out of 5 stars  See all reviews (38 customer reviews)
  • Amazon Best Sellers Rank: #84,987 in Books (See Top 100 in Books)

Editorial Reviews

Review

"Unhinged is a searingly honest and articulate account of modern psychiatry's failure to think outside the box of psychopharmacology in treating patients." (Alison Bass, author of Side Effects: A Prosecutor, a Whistleblower and a Bestselling Antidepressant on Trial,winner of the NASW Science in Society Award for 2009)

“A psychiatrist looks deeply into the mirror and takes stock of his profession and what it has become. Whether you are a patient, student, trainee, clinician, or “KOL” (key opinion leader”), this frank and insightful book will definitely make you think.” (Erick Turner, M.D., Department of Psychiatry and Center for Ethics in Health Care, Oregon Health & Science University)

"Unhinged provides crucial insights for anyone who cares about the future of Psychiatry. Must reading for psychiatrists and patients alike." (Keith Ablow, MD, author of Living the Truth)

"Terrific book, terrific insights! Daniel Carlat is the kind of psychiatrist we wish we all had." (Manny Alvarez, MD, Senior Managing Health Editor at Fox News Channel)

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Customer Reviews

Dr. Carlat offer his readers an intimate look into Psychiatry as a profession.
T. Tran
From 1994 to 2003, children and adolescent treated for bipolar disorder rose by 8,000%!
Gaetan Lion
If you have ever gone to a psychiatrist or thinking of going to one, read this book.
Lucas Alvarez

Most Helpful Customer Reviews

80 of 86 people found the following review helpful By Gaetan Lion on November 22, 2010
Format: Hardcover
This is essentially a whistle blower reporting on the corruption of psychiatry by Big Pharma. Dr. Carlat went to UCSF med school in 1985 as psychiatry was rapidly transiting to psychopharmacology. He is practicing at Massachussetts General Hospital (MGH) where many of the key drug trials had taken place and where faculty members had received millions from Big Pharma to conduct such trials. He also used to accept Big Pharma's money ($30,000 in total, a very small amount relative to others) to lecture to pitch its drugs until his conscience regained the better of him. Thus, he had a front seat and was an active participant in psychiatry's' corruption. His confession is very insightful.

Carlat feels that psychiatry is in a state of crisis, as it has lost much credibility with the public. He mentions a recent Gallup poll that uncovered that only 38% of Americans trust psychiatrists, on par with chiropractors (36%) and even bankers (37%) and way below regular physicians (69%). There are several themes to Carlat's analysis of psychiatry devolution.

First, psychiatrists have given up on understanding their patients. They don't do psychotherapy anymore. They essentially just prescribe drugs (mainly anti-depressants). They now call themselves psychopharmacologists instead of psychotherapists. For psychotherapy, you have to go to a psychologist (who got a graduate degree in psychology, but did not go to med school, and is not allowed to prescribe drugs).

Second, psychiatrists overdiagnose their patients. Way too many children are overdiagnosed with ADHD and even bipolar disorder (the latter being often meaningless for young children). From 1994 to 2003, children and adolescent treated for bipolar disorder rose by 8,000%! The majority of cases are misdiagnosed.
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61 of 69 people found the following review helpful By Bret A. Moore on May 24, 2010
Format: Hardcover
Dan Carlat's Unhinged: The Trouble with Psychiatry is a brutally honest account of the gaps in understanding psychiatric illnesses, the relative lack of knowledge about the actions and effects of psychiatric medications, and the importance of psychotherapy. This book should be required reading for all psychiatry residents and psychiatry faculty and on the bookshelves of both early and late career psychiatrists. It is also a must read for clinical psychologists training to prescribe. Prescribing and Medical Psychologists do not want to make the same mistakes that lead psychiatry to where it is today.

Bret A. Moore, Psy.D., ABPP
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26 of 28 people found the following review helpful By Steve Clancy on August 16, 2010
Format: Hardcover Verified Purchase
The spotty record of the efficacy for psychotropics comes as no surprise, I have seen this on a daily basis for 20 years. But, the degree of deceit and fraudulent behavior by pharmaceuticals was astounding (why I should be so astounded is beyond me). This is a well written book, readable, sensible and helpful. His recommended solution to the problems with psychiatry are totally sensible, although its not likely at this time I would want to go back for the training needed.
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13 of 14 people found the following review helpful By J. Davis on August 6, 2010
Format: Hardcover
Something is rotten in the state of psychiatry today, and Daniel Carlat shows you, with brutal honesty, what the problem is. He shows the influence of the drug companies over doctors--even over himself at one point, which I give him credit for admitting. Several big names in psychiatry--including Daniel Amen--are shown to be quacks. Studies funded by drug companies turn out to be--shockingly!--biased and unreliable. Yes, as many reviewers have pointed out, drug company influence over doctors is hardly breaking news, but sometimes an important message needs to be repeated over and over again. At the end of this book, you'll like Dr.Carlat, but you may be weary of that Paxil pill your doctor just prescribed. If you're a mental health professional or patient, you need to read this delightful book.
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81 of 107 people found the following review helpful By Phil Ochs Fan Club on July 16, 2010
Format: Hardcover
Unhinged is the politically correct criticism of psychiatry that is safe enough to get Carlat interviews on mass media including NPR but which says nothing that will truly upset establishment psychiatry. Everything Carlat says here has been reported for a decade in the corporate media. Yes, psychiatrists are bribed by drug companies to push drugs - old news! Yes, most psychiatrists are nothing but drug pushers who farm out psychotherapy - old news! Yes, as Carlat quite timidly implies, psychiatry has little hard science to back up its biochemical claims - again old news.

Want to read the kind of critique of psychiatry that is BIG NEWS? Read investigative reporter Robert Whitaker's Anatomy of an Epidemic: Magic Bullets, Psychiatric Drugs, and the Astonishing Rise of Mental Illness in America (Crown Publishers, April 2010). It is the most important book on psychiatric treatment in a generation. Whitaker, as a reporter for the Boston Globe, won a George Polk Award for medical writing and was a finalist for a Pulitzer Prize. Whitaker is in the tradition of Michael Pollan, Eric Schlosser, and other investigative reporters who get taken seriously. A decade from now, nobody will remember Unhinged, but Whitaker's Anatomy of an Epidemic may do what Rachel Carson's Silent Spring was able to do - wake up an entire nation to the dangers of the arrogance of another chemical industry.
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14 of 17 people found the following review helpful By Rufus on August 3, 2010
Format: Hardcover
While I appreciate Dr Carlat's book, and feel that it effectively covers what he wanted to say, I was particularly interested in the chapters "The Hired Guns" and "A Frenzy of Diagnosis" because of my own vocation. For the past 23 years I have worked in the field of Substance Abuse Treatment and for the past 13 years as a Director of 3 private oupatient programs. Nothing in this book is new stuff but most it is not talked about enough. Because I always see the back side and the negative impact of mis-diagnosis and overzealous pharmacological treatment, several things frustrated me as I read this book. I often wonder if any physician or therapist who is quick to catagorize a child or adolescent bipolar or ADHD ever considers the psychological impact this label can have on this young person's life going forward. Additionally, I wonder the if this unrgency to diagnose, label, and to treat with medication is ever considered an impediment to a patient's ability to deal effectively with life's day to day problems. I know Dr Carlat acknowledges this, and that he is advocating psychotherapy, but mostly with concurrent use of what is perceived in my field to be dangerous addictive medications. Early in his book he describes a client who retreats from his depression into alcohol and drug abuse. My question in cases like this is "how often would an individual like this be assessed for genetic pre-dispostion to alcoholism?", and if that be the case "how much would it affect the prescribed treatment?" I understand that I am taking the purpose of this book off topic but in my field prescription drug addiction, particularly opiods and benzodiazapines, is epidemic and the majority of the dealers are not on the streets but in physicians offices. And even more discouraging is that because of the reasons Dr Carlat describes in his book, this epidemic is being funded by all of us through our health care industry.
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