Psychiatry and psychology are among the most corrupt and cutthroat industries I have had the displeasure of dealing with as a patient. In fact, the health industry in general has inflicted far more harm than good - physically and psychologically - but I will focus on mental health here.
I have been further traumatised by the way I have been treated and can relay numerous anecdotes about my experiences over the last twelve years that would make some people's jaws drop in astonishment.
As someone with conditions that cannot be cured or treated with a plethora of pills, CBT workbooks or positive thinking, I have been treated like a pariah. I have been told that I am non-compliant, refuse to engage, do not try hard enough and reject treatment. Some of my "favourite" quotes include "Why are you still here?" and "You are attention seeking and wasting resources."
In reality, I have tried everything reasonably accessible to me. I have tried every antidepressant I could get my hands on (often with harmful consequences and long-term side effects that I still live with to this day). In addition, I have tried CBT, DBT, counselling, psychotherapy and every talking therapy option offered by the healthcare services, along with any private alternatives I could afford over the years. I exhausted my savings on several psychiatrists and psychotherapists that have only made my situation far worse.
I never attended with the expectation I can be easily "fixed." I understood that effort, time and work was a requirement on my part. I tried my best to be open-minded and receptive.
Yet each time, I was also confronted with the same pseudoscientific drivel. That being deeply traumatised is a choice. Being immobilised by illness is a choice. Being suicidal is a choice. I just need to adopt a better mindset. I just need to make better decisions. I just need to choose recovery. This rhetoric seeped its way into every modality. Cognitive Behavioural Therapy was regarded as a panacea, despite its shoddy foundations and inefficacy - it was like being subjected to glorified gaslighting and brainwashing.
Challenging and criticising these methods was tantamount to heresy. How dare you claim that medication and therapy do not work for you? Don't you realise that you are the exception to the rule? Can't you see that it's all your fault? No-one ever admitted that the interventions offered were inadequate, that they could be obsolete, that they were ill-equipped to help me.
I was only diagnosed with PTSD a couple of years ago, despite clearly and persistently telling doctors that I have had Complex PTSD for many years and providing evidence of this by providing examples of the symptoms I experienced. I had to fight so incredibly hard for this diagnosis.
Psychiatrists and psychologists alike also pathologised me and diagnosed me with not only one, but nine personality disorders in a forty minute assessment. While I am not suggesting that there is anything wrong with having a PD (I suspect BPD is an accurate diagnosis based on my symptoms, but there is a significant overlap with my CPTSD) and I understand how debilitating they are, this plethora of hasty diagnoses have caused considerable harm. These conditions are still widely stigmatised, including by medical professionals, so my difficulties in getting appropriate treatment have only been exacerbated further by being diagnosed with multiple in such a short assessment. I have only very recently managed to appeal this and have some of these labels removed from my medical records, alongside the "mixed depression and anxiety" diagnosis I was given without my awareness.
I recently tried EMDR and was confronted with the exact same nonsense as all previous therapies - the therapist did not know the first thing about trauma, yet they muddled their way through another CBT-inspired script and were hailed as an "expert." When I raised concerns about their approach, I was reassured that he was very qualified and was a trauma "specialist." Would someone truly skilful blame their patient for being chronically ill and traumatised, and say "push through the pain and do it anyway" to someone immobilised by pain and flashbacks? His perspective was if I could only make some friends, get married and work full-time, everything would fall into place. I just need to push through my severe chronic pain, get over my physical and mental illnesses and get out into the world. It is absolutely absurd. I left sessions simultaneously crying with disappointment and laughing at the ridiculousness of it all.
The fact that it's socially acceptable for psychiatrists and therapists to blame their patient for their difficulties and place the onus entirely on patients to recover speaks volumes about psychiatry. Do we blame people with cancer for not being able to heal themselves? Do we blame people with asthma and tell them they are not trying hard enough to breathe air? Of course not. So why does the industry blame people with mental illnesses for not transforming into fully cured "normal" members of society after swallowing some pills and summoning some magical mind power that everyone else apparently possesses to simply become more positive?
I am not opposed to all mental health treatments. I am not opposed to all practitioners either. Despite my mainly negative experiences, I know people who have been greatly helped by various medications and modalities. I have encountered those who meant well but simply could not help, and I do not blame them at all.
However, I do reject an industry that routinely abuses, gaslights, lies to and neglects its patients. I reject an industry that often prescribes pills like Jelly Beans and then blames the patient if they do not work. I reject an industry that frequently peddles pseudoscience and prioritises the narcissistic pride of its practitioners over the welfare of their patients.
If you had a different experience to other members here, then that is valid and hearing various perspectives and experiences can be useful. However, you cannot and do not speak for me or for other members here. Those of us who have been catastrophically failed by those who are supposed to support us have every right to be angry, disappointed, devastated and to share our frustrations. For some of us, this is the only place we can share without being dismissed, invalidated or bombarded with replies insisting that we must be to blame for our experiences somehow because we are difficult, treatment-resistant or secretly do not want to get better.
I have realised from listening to others, reading their stories and conducting research that these are not isolated, individual, rare cases but rather indicative of entrenched, systemic issues. And I have a right to speak up. I will not be silent. Not anymore.