Child's Play: Treating The Insanity of the Mental Health System

In today's mental health system there is a pattern ofwith 20 assorted diagnoses. She was given Risperdal
fraud and coercion that takes way the freedoms andas well as Ritalin. The mother reported that the child
dignity of children and their families. Children arehas tardive dyskinesia and was experiencing tremors.
receiving stigmatizing labels and being prescribedThe response was to eliminate Risperdal and replace it
psychotropic drugs with many untoward effects.with a different neuroleptic. This child is now
Psychiatrist Thomas Szasz, MD made the commentpermanently disfigured, and will probably never fully
that if an individual hit us with a blackjack and robbedrecover from the damage done in the name of 'help'.I
us of our dignity we would call them thugs, yetwas doing an observation of one of my clients in a
psychiatrists label and drug children and rob them ofschool setting when I took note of another child who
their dingity and nothing is said. All in the name of profit.began a conversation with me and in the process was
Rarely, if never are the families given informedshowing facial grimaces and constant repetitive blinking.
consent. Szasz has also stated, "From a sociologicalI pulled the teacher aside and asked her to examine
point of view, psychiatry is a secular institution tothe child for a minute and tell me if she witnessed
regulate domestic relations. From my point of view, it isanything out of the ordinary. "Well, he keeps making
child abuse." Families are provided with literature thatfaces and twitching." I asked her, "Why may that be?"
appears so matter of fact but is funded by the"Well, um, I do not know!". I asked her to see what
pharmaceutical companies and tainted with their bias.medication the child was taking and if it might be a 'blue
According to the Pughkeepsie Journal, the 'support' orpill'. She asked the child and indeed he was taking
should it be said front group for Children diagnosedAdderall, the cause of all his grimaces and contortion.
with Attention Deficit Hyperactivity Disorder receivedWhat a price to pay to get a child to 'function' in class!I
substantial funds from the pharmaceutical companies:was presented with a child who the teacher insisted
"CHADD received $315,000 from drug companies inwas ADHD. The school guidance counselor was called
the year ending June 2000, about 12 percent of itsin and told the mother, "without a doubt, he is ADHD
budget."Children are being beaten, improperlyand could benefit from Ritalin. It helps with academic
restrained, physically and sexually abused, andimprovement." I asked the school guidance counselor if
emotionally scarred in residential treatment programs.he had actually met the child or was going on reports.
Juvenile probation officials are failing to understand the"No, I have yet to meet him." I then asked him if he
emotional distress of our children, they are submittingcould name a study that proved that academic
to this "psychiatric Gestapo". Educators rather thanperformance could be enhanced and how he was so
finding new methods of shaping our children's learningsure of the ADHD diagnosis." He responded that he
are falling into the trap of psychiatric 'solutions' as well.knew of no such study and that such diagnosis was
Never could it be that a school has simply failed to helpbased on teacher reports. Where is the science in
a child learn, rather it is always the child denigrated andthat? I explained further that studies have actuallt
labeled as 'disordered'. There are loving and concernedshown that short term improvement in rote learning
parents, and there are others who lack love anddoes occur, but that no long term improvement has
compassion towards their children. There are lovingever been shown. The family sought a second opinion
and concerned parents who become duped by thefrom a different psychologist who stated he saw
'professionals'. Below are some actual stories ofnothing and sent the boy on his way. In this situation, I
experiences in my work as a therapist with children assaw that the child was bright and that he learned in a
well as one story submitted to me by a concernedway that the teacher just plainly was not providing.
and struggling parent. I share them to give someThis idea was reinforced when the following year with
perspective as to what is occurring.I share thisa different teacher his academic performance
scenario because sadly it is becoming a frighteningdramatically increased with no intervention.I worked
reality: A child is considered overly active and haswith a delightful 5 year old child. Prior to him being
behavioral issues at school. The school staff mayreferred to me, he had been on Risperdal. He had
recommend psychiatric intervention and even go asconvulsions in the classroom and was taken to the
far as to say that medication is necessary, evenemergency room. I happened to read the hospital
designating which one. The child sees the psychiatristreport and it was deemed that these convulsions
for a brief session- t is never examined if the child haswere a direct effect of the Risperdal. The mother was
any physical conditions, allergies, etc. Immediately theunfortunately an unconcerned parent, and there were
child is labeled and given a dose of psychostimulant.frequent calls made to Child protective Services
The child develops side effects such as weight loss,regarding abuse by herself and her paramour. I found it
insomnia, and possible tics. In order to counteract theimmensely difficult to work in the home with this
insomnia, a new drug such as Klonidine is added. Themother, and after seeing the child with brusing, I too
child develops emotional lability and has cryingcalled the Child Protective Services but each time they
episodes and manic behaviors. The psychiatrist is seenfound the cases unfounded. I would take the child into
again for a brief time, and on this visit its determinedthe community for my sessions. The mother had
that 'bipolar is emerging'. The child is then givendescribed him as a 'little brat', a 'monster', and a kid
Depakote or some other mood stablizer. The child'who didnt deserve sh-t'. She described all these
now must receive regular blood tests to insure thatnegative behaviors in the home and yet I never saw
liver toxicity does not arise. The child is not overlyone of them in his time with me. Occassionally he
active, he is quite docile, so it is reported thatwould have some difficulty in the classroom, but with
improvement has occurred. However, with thesome guidance and redirection, problems were always
combination of drugs, he develops some psychotic likeaverted. It broke my heart to see that within 5 minutes
symptoms where he feels something is crawling onof me dropping him off at home he would be in tears.
him and has some hallucinations. The psychiatrist isThe mother requested me to leave this case, and I
consulted again, and its determined that bipolar withreluctantly agreed and transferred it to a colleague and
psychotic features exists or maybe even the possibilityfriend. My colleague informed me that the paramour
of childhood schizophrenia. The child is then givenwas caught sexually abusing the child, and the child
Risperdal or another neuroleptic. Strangely, the childwas taken to foster care. I feel that foster care should
begins developing unusual jaw movements and musclecertainly be a last option, but here it was a blessing. I
rigidity. The parents are concerned and ask therecommended that at least one member of the
psychiatrist if this is medication related and if the child istherapeutic staff he was familiar with continue to work
overmedicated. The psychiatrist brushes off thewith him in the new setting and I offered to go and visit
question and prescribes Cogentin (used forhim to help with his adjustment. Though it will take
Parkinson's) to alleviate the neurological problems butsome time for him to adjust, I think it will be a fresh
fails to remove the offending agent. The child'snew start, as he is in a place where maybe for once
behavior becomes more unusual and bizarre leading tohe will receive love and compassion.TARDIVE
hospitalization where medications are raised andDYSKINESIAI was presented with a very difficult child
adjusted and new ones added. Then thewho had received multiple psychiatric diagnoses and
recommendation comes from the psychiatrist that itwho had been in residential mental health treatment for
would be better for the child to be moved to athe majority of his life. This child had been heavily
residential treatment facility. While in the residentialmedicated and was exhibiting slurred speech, poor
facility, the child is frequently restrained and is injured,motor coordination, inner feelings of agitation, and
he is placed with other children with serious emotionalunusual jaw motions and tics. The family was told of
and behaviorla distress. he is discharged home havingthe possibility of tardive dyskinesia. This also became a
absorbed alot of new negative behaviors from peers,concern of a psychologist who observed him.
lacking knowledge of the outside world, and with fewUnfortunately, the parents stated they were never
skills. So, once the child nears adulthood, it isgiven informed consent about potential side effects
recommended that he live in a group home where heand had never heard of the term 'tardive dyskinesia'.
can be cared for and the psychiatric regiment can beThis neurological problem is a significant problem
maintained. The child has been 'treated.'This is all basedaffecting individuals taking neuroleptic
on true incidents with names changed to preservemedications.HOUNDED FOR MY VIEWSI had
confidentiality.I worked with a teen who hadcontracted with a private agency as a therapist. The
experienced sexual trauma by a relative. The relativeclients I worked with had developmental challenges.
was arrested and sentenced. The teen was asked toThere was much progress made and one client's
attend the setencing hearing and prior began acting outparents gave me very positive feedback. However,
at school. She had an incident where she left thethe agency supervisor upon learning that my approach
classroom to de-escalate after an argument with awas to promote psychosocial alternatives as well as
teacher. She was restrained by a rather obese schoolto give parents informed consent, this became a point
staff. The teen explained to me that sher wasof contention. This resulted in their desire to try to
frustrated with the school because a number of boysterminate the contract, though nothing stipulated within
were exposing themselves to her and knew about herthe contract was ever violated. This shows intolerance
sexual trauma and that school staff did not respond.for anything but the pro-drugging stance as well as
She was charged with disorderly conduct and had tounwillingness to be open-minded to the fact that
appear before a juvenile judge. The judge was madeworkable alternatives do indeed exist. This shows the
aware of her sexual trauma and her need to be at thesad state of affairs of the current mental health
sentencing hearing. He locked her in juvenile detentionsystem.THE POSITIVE STORIES:* A four year old
for 10 days and said, 'we will transport her frompresented with speech difficulties and the expression
detention to the hearing." The teen ahd no previousof explosive behavior where he would when
juvenile arrests. In this situation, Attorney Jana Markusfrustrated hurl objects across room, have difficulties
was also became involved and after consulting withwith aggression towards peers and siblings, and
the District Attorney's office was able to secure herfrequently need redirection to remain on task. Over a
release and to encourage that she be recommendedperiod of one year, this child has now been discharged.
for homebound education. The school district hasThe child no longer has aggressive episodes, is being
agreed not without some contention, particularly tryingrecommended for discharge from early intervention
to continue to charge the teen with truancy for theservices, and is currently only requiring the aid of a
time between her leaving the school and obtaining thespeech therapist. The focus remained on providing this
recommendation of homebound education.I received achild and their family with opportunities for building
call from a mother who had a very young child whorelationship, developing adaptive responses to
was displaying some aggressive behaviors whichfrustration, and improving communication skills. This child
caused the day care to have the child removed untilwas never exposed to any psychotropic medication,
therapeutic services could be provided. The motherbut a responsible, compassionate, and dignified plan of
took the child to one agency and was told, "you betterpsychosocial action was provided. The TSS involved
medicate this child before he tries to kill someone." Thewith this child must be commended for her wonderful
mother was appalled. I later spoke to this mother bywork!*a 10 year old child presented with explosive
phone and explained my therapeutic approach. Sheepisodes in school as well as making various threats to
told me her situation and the response she hadpeers. The school and psychiatrist intially saw this as a
received. As I spoke with her at length, she said, "Youhopeless case requiring him to be placed in partial
really care about children." I appreciated this commenthospitalization. Dan Edmunds advocated heavily for this
but at the same time was saddened as I thought,child to remain in his present placement in school. He
shouldn't this be said about every person in the mentalreceives support of a TSS as well as occupational
health profession? What has gone wrong?A clienttherapy and with some bumps in the road has
who is a physician and his wife related that theyresponded well and has been able to be maintained
sought assistance with their child diagnosed withwithin the school environment with a great deal of
autism and wanted assistance in aiding him withsuccess.* a 5 year old who presented with risky and
communication skills. They saw a psychiatrist whodestructive behaviors and sevee problems in social
visited with them fr less than 10 minutes and beganskills in now building friendships and is praised by his
writing a script for antipsychotic medication. When theteacher with frequent awards for his conduct and
parents noted that they were not there foracademic performance. The family has gained a
medications, the psychiatrist became belligerent andgreater awareness of his difficulties and has been
asked, 'then what do you want and why are yousupportive. This child receives no psychotropic
here?"A staff of a agency working with mentallymedications but has benefited from a treatment plan
challenged adults related to me that the supervisorswhich entails the principles outlined in "Entering Their
insisted that a client in the residential program wasImaginative World".* a 13 year old boy whose mother
non-verbal and unable to communicate. This client waswas addicted to heroin and who lived in a chaotic
left frequently to sit and watch television for hours andenvironment experienced problems with truancy and
privided with no real attention or work on skillsaggression. For a period of 6 months, I developed a
development. The staff stated that she sought toplan to work on his ability to express his frustration
engage the client in dialogue and found that he wasmore effectively, helping him to realize his self worth
far from non-verbal and after some work was able toand his ability to assess himself and make appropriate
write his name and other words.In visiting an agencychoices. I examined his strengths and tried to help him
working with mentally challenged youth, I discoveredcapitalize on them. He made a difficult transition to
that many of these youth's needs were completelyfoster care, and I advocated he be placed in a home
ignored. I recall two incidents of seeing a young girlwhere he could attend a school he is familiar with.
seated in a chair, the staff gave her paper andSince this, his grades have been above average, he
markers, and she would sit in the same chair for hours.has made friendships, and no longer has the problems
Every visit she would be seated in the same spoutwith aggression. We had frequent, open, and honest
with no one providing attention. Staff would walk pastconversations about his pain and the difficulties he has
her and she would try to reach for them or hug them. Iexperienced. This 13 year old was discharged and
always made sure to stop and hug her and commentcontinues to progress successfully.Many children today
on her drawings. In addition, a young boy would pacewho show any type of inappropriate behaviors are
incessantly around the building, once again beingoften immediately being labeled as ADHD and being
provided no attention, and no real work being done toprescribed stimulant medications such as Ritalin,
aid this child in skill development."FAT ANDAdderall, or Dexedrine among others. First, ADHD is a
IGNORANT" I was presented with a child who wascomplete fraud. There is no test for ADHD and
having some serious behavioral issues at school. Ineurological testing shows these children to be
began to examine the situation and my assessmentperfectly normal. Dr. William Carey of Children's
was that this child was in conflict with his teacher andHospital in Philadelpha states, "common assumptions
this was the only cause for the behavioral issues. Thisabout ADHD include that it is clearly distinguishable
child had been previously placed on Ritalin which wasfrom normal behavior, constitutes a
actually cpurt ordered. The child had a very adverseneurodevelopmental (brain) disability, is relatively
reaction and fortunatelt was removed. As I haveuninfluenced by the environment (home, school)...all of
mentioned about the fraud of ADHD, this child I wasthese assumptions...must be challenged because of the
convinced had no brain disorder as the biologicallack of empirical support and the strength of contrary
psychiatrists would like us to think. This child wasevidence...what is now described in the US as ADHD is
actually quite bright and was on the borderline fora set of normal behavioral variations..This discrepancy
qualifying for MENSA. I began to look at the dynamicsleaves the validity (of ADHD) in doubt."The U.S.
at school, as it was only here that he posed a problem.National Institutes of Health Consensus Development
I learned as well that this child was witness to abuseConference on ADHD in 1998 reported, " we have do
and was suffering from Post Traumatic Stressnot have an independent, valid test for ADHD, and
Disorder. So, as I thought further I saw that the teacherthere are no data to indicate that ADHD is due to a
was only aggravating this by his actions. The teacherbrain malfunction...and finally, after years of clinical
showed hostility to this child and made him a target,research and experience with ADHD, our knowledge
even writing in a journal that the child was 'fat andabout the cause or causes of ADHD remains
ignorant." Was it any wonder that the child exhibitedspeculative." Further, Dr. Edward C. Hamlyn, a founding
behavioral issues in a classroom where he wasmember of the Royal College of General Practicioners
treated with no dignity? As I suspected, this child wasin 1998 stated, "ADHD is fraud intended to justify
moved to a different school environment where hestarting children on a life of drug addiction." The U.S.
excelled. The "ADHD" symptoms all disappeared, soSurgeon General Report declares, "the exact etiolgoy
much for theories about a brain disorder.I received aof ADHD is unknown." Lastly, Dr. Joe Kosterich,
call from a mother who explained to me that her childFederal Chair of the Australian Medical Association
was in a residential facility and only recently wasstates, " "The diagnosis of ADD is entirely subjective....
determined to have a diagnosis of PervasiveThere is no test. It is just down to interpretation.
Developmental Disorder after years of being labeled