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6 Ways you’re wrecking your mental health

In recent years, the stigma surrounding mental health has started to lift, allowing us to finally have open conversations about our well-being. However mentally healthy you may be or think you are, it’s crucial that you do what you can to take care of yourself.

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Like physical health, we all have a state of mental health, with some people being deemed relatively healthy and others requiring professional help. In recent years, the stigma surrounding mental health has started to lift, allowing us to finally have open conversations about our well-being. However mentally healthy you may be or think you are, it’s crucial that you do what you can to take care of yourself.

Keeping that in mind, here are six mental health mistakes to avoid.

1. Lack Of Physical Activity

Everyone knows that exercise helps us to stay physically fit, but what many people don’t realize is that it can prevent stress and anxiety too. In fact, experts believe that a simple thirty-minute walk can have an effect, with more physical activities having a bigger and better outcome. Because of this, it’s vital that you make time to exercise for at least thirty minutes every single day.

2. Not Getting Enough Sleep

While it’s important to stay active, this doesn’t mean sacrificing sleep in the process. When you have a rough nights sleep, it can leave you feeling cranky, emotional, and stressed, and this will start to cause damage unless you get into a proper routine and stick to seven or eight hours a night. To help you ensure this, you should keep your room dark and cool, with no electronics.

While you should certainly distance yourself from people that make you feel bad, you shouldn’t isolate yourself from everyone you know.
PHOTO BY STOCKSNAP FROM PIXABAY.COM

3. Associating With Negative People

Regardless of the state of your mental health, associating with people that make you feel bad about yourself will always cause some damage. If the person making you feel this way is a family member or spouse, then you should consider family counseling and couples therapy retreats to deal with your issues. For those that aren’t family, you may want to distance yourself.

4. Isolating Yourself From Friends

While you should certainly distance yourself from people that make you feel bad, you shouldn’t isolate yourself from everyone you know. Even introverted people need social interaction now and then, or you’ll start to feel lonely, depressed, and may even develop social anxiety. If you start to spend lots of time alone, arrange to meet up with friends after work or give your mom a call.

5. Refusing To Get Help

No matter what people tell you, there’s nothing wrong with asking for help when you need it. In fact, that’s the very best thing you can do. With that in mind, it’s crucial that you speak to a doctor, counsellor, or therapist when you start to notice problems with your mental health. They’ll be able to offer advice on ways to boost your mental health, including possible treatment options.

6. Self-Medicating With Substances

Drinking, smoking, and taking drugs may offer a temporary release from your mental health issues, but they are far from a cure. In fact, all they’re ever going to do is make your problems worse, while adding an addiction to the mix. Instead of trying to handle things yourself, speak to a professional for support and advice on proper treatment methods.

Mental health is not something that should be taken lightly, so avoid making the mistakes listed above.

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Health & Wellness

Female to male trans adolescents report highest rate of attempted suicide at 50.8%

A study found that almost 14% of adolescents reported a previous suicide attempt, with disparities by gender identity in suicide attempts. Female to male adolescents reported the highest rate of attempted suicide (50.8%), followed by adolescents who identified as not exclusively male or female (41.8%).

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 Nearly 14% of adolescents reported a previous suicide attempt, with female to male adolescents reporting the highest rate of attempted suicide at 50.8%.

This is according to “Transgender Adolescent Suicide Behavior“, a study done by Russell B. Toomey, Amy K. Syvertsen and Maura Shramko, and released in Pediatrics. The study eyed to examine prevalence rates of suicide behavior across six gender identity groups: female; male; transgender, male to female; transgender, female to male; transgender, not exclusively male or female; and questioning. A secondary objective was to examine variability in the associations between key sociodemographic characteristics and suicide behavior across gender identity groups.

Data from the “Profiles of Student Life: Attitudes and Behaviors” survey (N = 120 617 adolescents; ages 11–19 years) were used to achieve the study objectives. Data were collected over a 36-month period: June 2012 to May 2015. A dichotomized self-reported lifetime suicide attempts (never versus ever) measure was used. Prevalence statistics were compared across gender identity groups, as were the associations between sociodemographic characteristics (i.e. age, parents’ highest level of education, urbanicity, sexual orientation, and race and/or ethnicity) and suicide behavior.

The study found that almost 14% of adolescents reported a previous suicide attempt, with disparities by gender identity in suicide attempts. Female to male adolescents reported the highest rate of attempted suicide (50.8%), followed by adolescents who identified as not exclusively male or female (41.8%), male to female adolescents (29.9%), questioning adolescents (27.9%), female adolescents (17.6%), and male adolescents (9.8%).

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Identifying as non-heterosexual exacerbated the risk for all adolescents except for those who did not exclusively identify as male or female (i.e. non-binary). For transgender adolescents, no other sociodemographic characteristic was associated with suicide attempts.

According to the researchers, “Suicide prevention efforts can be enhanced by attending to variability within transgender populations, particularly the heightened risk for female to male and non-binary transgender adolescents.”

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Health & Wellness

Trans-inclusive policies on college campuses improve the well-being of trans students

New report provides recommendations to institutions of higher education regarding the creation of trans-inclusive communities.

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report by the Williams Institute at UCLA School of Law finds that transgender-inclusive policies and support systems on college campuses provide transgender students a greater sense of belonging and more positive perceptions of the campus environment.

The report reviews previous research on the experiences of transgender students and presents new findings from interviews, surveys and focus groups conducted with transgender students.

“The majority of transgender students arrive at college having endured harassment and bullying in secondary school, which research shows have a negative impact on their academic performance and mental health. This cycle may be compounded by further adverse treatment and institutional invisibility at college,” said author Abbie E. Goldberg, former visiting scholar at the Williams Institute at UCLA School of Law. “However, through relatively small changes, faculty and administrators can make a world of difference in the lives of transgender young adults.”

The current research focused on the institutional structures and interpersonal interactions at colleges and universities that either enforce biases or serve as sources of support for transgender students. The report concludes with ten recommendations to institutions of higher education on how to create more transgender-inclusive campus communities.

Key recommendations include:

  • Colleges and universities should explicitly include gender identity and expression in their nondiscrimination policies.
  • College curricula should address gender identity and specifically transgender identities and experiences.
  • Students should be provided with education/training to enhance their understanding and acceptance of gender diversity.
  • Faculty/staff should be exposed to mandatory training on gender identity issues.
  • Students should be able to list their preferred name on campus records and alternatives to male/female should be provided.
  • All university literature and publications should use gender-inclusive language.
  • Gender-inclusive or single-stall restrooms should be readily available on campus.
  • Universities should provide trans-inclusive/trans-accommodating housing options.
  • Counseling and health services staff should receive training on trans-inclusive and trans-affirming practices and health insurance coverage should be inclusive of trans students.
  • Trans-specific spaces and/or groups should be created with sufficient resources to support programming and events.
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“A growing body of research indicates that gender, including gender identity, expression and gender norms, plays a key role in academic, health and economic outcomes,” said Kerith J. Conron, the Blachford-Cooper Distinguished Scholar and Research Director at the Williams Institute. “Colleges should engage students and faculty in conversations about gender and examine policies, including those related to information systems, through a comprehensive gender lens. This would have the potential to improve campus safety and promote academic success for all students.”

READ THE REPORT HERE.

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Health & Wellness

Report identifies unique challenges for LGBT community facing Alzheimer’s and other dementias

Despite recent advances in LGBT rights, LGBT older people are often marginalized and face discrimination. They are twice as likely to age without a spouse or partner, twice as likely to live alone and three to four times less likely to have children.

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LGBT and Dementia – a new issues brief developed by the Alzheimer’s Association and SAGE – outlines the unique issues that arise when Alzheimer’s disease, sexual orientation, and gender identification and expression intersect, allowing advocates and care providers to better meet the needs of LGBT elders and their caregivers facing dementia.

“Living with Alzheimer’s or another dementia is not easy for anyone,” said Sam Fazio, Ph.D., director of quality care and psychosocial research, Alzheimer’s Association. “But LGBT individuals can often face additional challenges that need to be considered and addressed to ensure this population gets respectful and competent care.”

It is estimated that there are 2.7 million LGBT people over age 50 living in the US alone, and that number is increasing rapidly as baby boomers age and more people self-identify as LGBT. New research presented at the 2018 Alzheimer’s Association International Conference found that about one in 13 lesbian, gay or bisexual (LGB) seniors in the US are living with dementia. Dementia rates for the LGB population are 7.4 percent, compared to about 10 percent for the general population.

“While the LGBT community faces similar health concerns as the general public, LGBT people who receive a dementia diagnosis and LGBT caregivers face uniquely challenging circumstances,” said SAGE CEO Michael Adams. “This brief shines a light on these challenges, so we can begin taking steps to address them and improve the care and support LGBT people receive.”

Despite recent advances in LGBT rights, LGBT older people are often marginalized and face discrimination. They are twice as likely to age without a spouse or partner, twice as likely to live alone and three to four times less likely to have children – greatly limiting their opportunities for support. There’s also a lack of transparency as 40 percent of LGBT older people in their 60s and 70s say their healthcare providers don’t know their sexual orientation.

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The brief identifies seven areas which can create unique or additional challenges for LGBT individuals living with dementia and their caregivers. They include:

  • Stigma
  • Social isolation
  • Poverty
  • Health disparities
  • Sexuality and sexual expression
  • Barriers to utilizing existing services
  • Living with HIV/AIDS

According to the brief, LGBT individuals may not reach out for services and support because they fear poor treatment due to their LGBT identity, because they fear the stigma of being diagnosed with dementia, or both. Several studies document that LGBT elders access essential services, including visiting nurses, food stamps, senior centers, and meal plans, much less frequently than the general aging population.

The Institute of Medicine identified the following pressing health issues for LGBT people: lower rates of accessing care (up to 30 percent); increased rates of depression; higher rates of obesity in the lesbian population; higher rates of alcohol and tobacco use; higher risk factors of cardiovascular disease for lesbians; and higher incidents of HIV/AIDS for gay and bisexual men. Risk factors for heart disease — including diabetes, tobacco use, high blood pressure and high cholesterol — are also risk factors for Alzheimer’s and stroke-related dementia.

Among the recommendations for organizations and service providers, the Alzheimer’s Association and SAGE suggest:

  • Expand your definition of family.
  • Educate yourself and your staff on LGBT cultural competency.
  • Find or create support groups specifically for LGBT people.
  • Partner with local LGBT community groups and political organizations.
  • Help LGBT people and their families with legal and financial planning.
READ:  LGBTQI youth have more than double the risk of homelessness compared to straight peers

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Health & Wellness

LGBQ adolescents at substantially greater risk for substance use, according to study

Almost 72% of LGBQ teens had tried alcohol in their lifetimes, as had 63% of heterosexual youth. With cigarettes, 47% of LGBQ youth said they had smoked at least once, as did 31% of heterosexual teens.

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Lesbian, gay, bisexual or questioning teens are at least twice as likely than their heterosexual peers to use illegal drugs like cocaine, ecstasy, heroin and methamphetamines. This is according to a US study, “Substance Use Among Lesbian, Gay, Bisexual, and Questioning Adolescents in the United States, 2015” by Theodore L. Caputi, Laramie R. Smith, Steffanie A. Strathdee and John W. Ayers; and published in the American Journal of Public Health (AJPH) this August.

This ought not to come as a surprise, with earlier researches suggesting that various stressors related to being closeted or coming out, and being rejected by family or friends could contribute to an increased risk of substance use among sexual minority teens.

For this study, the researchers looked at data from 14,703 high school students who were surveyed about their lifetime and prior-month use of 15 different substances, including illegal drugs, as well as tobacco, alcohol and prescription drugs that weren’t given to them by a physician.

Sadly, LGBQ teens were 12% more likely than other teens to report any substance use in their lifetimes and 27% more likely to report substance use in the previous month.

Other findings included:

  • LGBQ youth were more than three times more likely to try heroin or methamphetamines at least once, and more than twice as likely to try ecstasy or cocaine.
  • The vast majority of teens didn’t use illegal drugs, regardless of sexual orientation.
    For example, “only” 6.6% of LBGQ teens had used heroin in their lifetimes, compared with 1.3% of heterosexual youth. Also, 8.6% of LGBQ adolescents had used methamphetamines compared with 2.1% of other teens.
  • Marijuana was more commonly used at some point by half of LGBQ youth and almost 38% of other teens.
  • Teen drinking and smoking were more common. Almost 72% of LGBQ teens had tried alcohol in their lifetimes, as had 63% of heterosexual youth. With cigarettes, 47% of LGBQ youth said they had smoked at least once, as did 31% of heterosexual teens.
READ:  Even 'gayborhoods' are still home to subtle discrimination

Interviewed by Reuters Health, one of the study’s authors, John Ayers, was quoted as saying that stressors faced by LGBQ teens, such as stigma and isolation, “may make drugs foolishly appear attractive as a coping mechanism.”

Ayers quipped that “even experimentation with these harder drugs can derail a teen’s future.”

It is worth noting that the study wasn’t a controlled experiment designed to prove whether or sexual orientation might directly influence substance use or impact how much teens smoked, drank or did drugs.

All the same, the researchers of this study stressed that “policymakers should invest in prevention and early intervention resources to address substance use risks among LGBQ adolescents.”

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Health & Wellness

Gender-affirming hormone therapy impacts results of lab tests for trans patients

The fact that many medical protocols do not account for sex/gender incongruence is a significant barrier for transgender individuals seeking healthcare.

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Gender-affirming hormone therapy markedly impacts the results of common laboratory tests for transgender patients. This is according to a study that underscores the need for transgender-specific reference intervals to ensure this underserved population receives accurate diagnoses and effective treatments.

The fact that many medical protocols do not account for sex/gender incongruence is a significant barrier for transgender individuals seeking healthcare. In particular, for the nearly 50% of transgender individuals on hormone therapy, the medical field has yet to define reference intervals, which are the ranges of test result values observed in a healthy population that are used to determine whether individual lab results are normal or concerning.

Without tailored reference intervals, test results for transgender patients on hormone therapy could indicate an underlying condition but go unrecognized if they are considered normal for cisgender individuals (those whose gender matches their assigned-at-birth sex). Conversely, if lab results for transgender patients fall outside of cisgender reference intervals, they could trigger unnecessary follow-up work even if the results are actually normal.

To help build the case for developing transgender reference intervals, a research team led by Jeff SoRelle, MD, of University of Texas Southwestern Medical Center in Dallas, investigated whether transgender patients on hormone therapy exhibit altered results for laboratory tests ordered during yearly check-ups. The study authors recorded lab values for a complete blood count, comprehensive metabolic panel, and lipid tests in 264 healthy transgender patients undergoing hormone therapy in transgender clinics from 2007 to 2017. Of these patients, 133 were taking estradiol to transition from male to female, and 89 were taking testosterone to transition from female to male. The scientists also gathered lab results for 149 transgender patients not undergoing hormone therapy to serve as a point of comparison.

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From this, the researchers determined that both transgender women and men taking hormones displayed altered values for measures of red blood cell, kidney, and liver health. Transgender women taking hormones also had altered sodium, calcium, total protein, glucose, and platelet levels, while transgender men taking hormones displayed altered lipid values. Interpretation of these altered test results in the context of cisgender reference intervals could have serious consequences, from preventing diagnosis of anemia or kidney disease to affecting assessment of cardiovascular disease risk.

“Transgender patients will need their own reference ranges for several important parameters such as hemoglobin and creatinine,” said SoRelle. “It will also be important to determine whether proteins from cardiac muscle or the prostate, such as troponins or prostate specific antigen, are altered, too, which could affect diagnosis of heart attacks and prostate cancer.”

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Health & Wellness

Ban needed on ‘torturous’ electroconvulsive therapy

Electroshock’s brutal and sordid history ranges from its use to help slaughter pigs, to punishment, painful “aversion therapy” on homosexuals, inflicting brain damage on children and others, and to torture humans.

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Mental health watchdog Citizens Commission on Human Rights (CCHR) International announced that a ban of electroshock treatment — the practice of up to 460 volts of electricity to the brain to “treat mental disorder” — should be imminent in light of increasing reports of patients being damaged and deaths.

In Texas in the US, the only state to record deaths within 14 days of electroshock being administered, reported a death rate in recent years that represents an estimated 300 deaths nationally each year. The most frequent causes of death have been cardiac events and suicide, according to one study [1].

Electroshock’s brutal and sordid history ranges from its use to help slaughter pigs, to punishment, painful “aversion therapy” on homosexuals, inflicting brain damage on children and others, and to torture humans.

The US Food and Drug Administration (FDA) has never obtained a single clinical trial from the manufacturers of the electroshock devices proving their safety and efficacy. Under Section 516 of the Food, Drug and Cosmetics Act, the FDA has a duty to ban devices that present “substantial deception or unreasonable and substantial risk of illness or injury.” Electroshock, also called electroconvulsive therapy or ECT, can cause brain damage, long-term memory loss and death, constituting more than a “substantial risk” and is far from safe and effective, according to thousands of survivors’ complaints.[2] Ignoring these dangers, the FDA has instead limited bans under this Section to prohibiting the use of powdered gloves in medical or surgical procedures and prosthetic hair fiber implants that may trigger inflammation and hypersensitivity reactions, the latter, the FDA says, were misrepresented in marketing as “safe, effective and causing little or no discomfort.”

While the FDA allows the ECT device to remain on the market, it doesn’t regulate how it is used, giving psychiatrists a free-for-all to administer it to whomever they choose. This has meant that children younger than five and toddlers have been subjected to the violence of this shock procedure in at least five states that CCHR has established through Freedom of Information Act requests. Despite a report from the United Nations committee on Torture and Other Cruel Inhuman or Degrading Treatment or Punishment that warns electroshock without consent constitutes torture, ECT continues to be given to involuntary patients without consent.[3]

Pregnant women and their unborn babies are also not protected from ECT, despite the World Federation of Societies of Anesthesiology saying that ECT is “absolutely contraindicated” in pregnancy.[4] Researchers of Maine Medical Center have found brain damage in a baby whose mother had undergone ECT while pregnant.[5] The Journal of Maternal-Fetal & Neonatal Medicine also warns of potential spontaneous abortion, placental abruption, cardiac arrhythmias, fetal burn and intrauterine fetal death when a pregnant woman experiences general electrical shock.[6] Yet, the APA claims that it’s safe during all trimesters.[7]

Jan Eastgate, president of CCHR International, said: “Electroshock is mental euthanasia, with a long history of being used for torture and abuse. Electric shock eradicates memory. It should never be condoned or permitted because quite apart from its inhuman aspects, patients consider it bluntly criminal, especially when forced on them. Psychiatrists and the FDA pass off electric shock machines as wonderful, even though they can kill patients.” Sign CCHR’s Petition to Ban the Electroshock (ECT) Device.

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The impact of any electrical shock upon a body for any purpose is very dangerous. Researchers from the University of Montreal have shown that any electric shock above 120 volts can “cause neurologic and neuropsychological symptoms in humans. Following an electrical injury, some patients may show various emotional and behavioral aftereffects, such as memory loss and symptoms of depression.”[8] ECT uses up to 460 volts, deliberately inducing a grand mal seizure that the American Psychiatric Association (APA) says can last up to 30 minutes.

ECT: Slaughters Pigs and Tortures

ECT was invented in fascist Italy in 1937 by psychiatrist Ugo CerlettiDarius Rejali, author of Torture and Modernity, wrote of Cerletti “having killed a few dogs by experimentation” and then “discovered that Roman slaughterhouses used electrocution to slaughter pigs.” Cerletti “discovered that pigs could be shocked several times and would revive after a few minutes.” He then applied ECT to humans, his first victim screaming that it was “deadly.” “The torture and ‘treatments’ of the insane” historically has derived from the “application to animals in abattoirs,” Rejali stated.[9]

Cerletti’s device very rapidly pressed into political service, Rejali said. In August 2017, a paper published in History of Psychiatry documented how “The Nazi political and medical establishment” regarded ECT as a means “to empty psychiatric institutions, thereby relieving the state of the burden…” Psychiatrist Emil Gelny “added four extra electrodes to existing ECT machines, which were attached to patients’ wrists and ankles to deliver the lethal shocks after patients were knocked unconscious by the initial current applied to the head.”[10]

In the 1950s, the U.S. Central Intelligence Agency (CIA) expressed considerable interest in ECT devices. In 1951, Project Artichoke, then MK-ULTRA under Deputy CIA Director Richard Helms in 1953, aimed to control human behavior through hallucinogenic drugs and electroshock.[11] Dr. Ewen Cameron, the first president of the World Psychiatric Association, while professor of psychiatry at McGill University in Canada in the 1950s and 60s, developed his own version of shock treatment, using the UK Page-Russell electroshock device invented in 1948. Cameron called his shock technique “de-patterning” deliberately wiping out patient memories by the use of intensive ECT. The CIA funded his work.[12] He described the procedure on a patient to the 2nd World Congress of Psychiatry in 1957, stating: “There is complete amnesia for all events of his life.”[13]

Electroshock ‘took away her soul’

In 2017, 60 years after Cameron’s experiments left her mother damaged for life, Alison Steel obtained a $100,000settlement from the Canadian government over Cameron’s experiments. “She was never able to really function as a healthy human being because of what they did to her,” Steel stated. “Her emotions were stripped. It took away her soul.”[14]

Electroshock is also used for torture, including on prisoners of the French during the 1954-62 Algerian War.[15] Journalist Gordon Thomas reported that in 1961, Moroccan king Hassan II’s security service was fully staffed with doctors who supervised a wide range of tortures of political detainees using several Page-Russell electroshock machines.[16] Chinese dissidents and members of the religious group The Falun Gong are still subjected to electroshock and “other barbaric forms of torture designed by prison guards to humiliate and inflict maximum pain.”[17]

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Until 1973, when the APA de-classified homosexuality as a mental disorder, electroshock treatment was used in an effort to prevent or eliminate homosexual behavior.[18] Other forms of shock included jolts of electricity administered to the skin and body, sometimes directly to the genitals.[19] Voltage of such devices ranged anywhere from 150-200 volts and on children for behavioral control, 300-400 volts.[20] Allegations that psychiatrists and any others recommending ECT to treat the LGBT community today are homophobic and cruel, CCHR says.[21]

Brain Damage and Memory Loss

Yet the FDA and APA continue to ignore the perils of ECT.

  • In March 2016, a coroner from Sunderland County in the UK determined Elsie Tindle died after electroshock triggered an epileptic fit which caused irreparable brain damage.[22]
  • A 2012 study published in Proceedings of the National Academy of Sciences reported a considerable “decrease in functional connectivity” between the prefrontal lobes of the brain and other parts of the brain after ECT. The most extensive long-term follow-up study indicates that “most ECT patients will never recover from the damage in the form of persistent severe mental deficits.”[23]
  • Austin, Texas, psychologist John Breeding, who heads the Coalition for the Abolition of Electroshock, said, “The bottom line is that ECT ‘works’ to the extent that it damages and disables the brain.”[24] Breeding dispels psychiatric theories that the procedure is safer today than its “One Flew Over the Cuckoo’s Nest” days in the 60s. He says that ECT has more potential for harm than ever. Much higher voltages are employed in the modern procedure because muscle relaxants and anesthetics raise the seizure threshold, with more electricity required to produce a seizure. The greater heat and electricity themselves cause more brain cell death, he says. He concludes “Given what we know about the resulting brain damage, I think this is a form of assault…”[25]
  • Leading ECT researcher and advocate, psychologist Harold Sackeim admitted in an editorial in The Journal of ECT that “virtually all patients experience some degree of persistent and, likely, permanent retrograde amnesia.”[26] In a January 2007 study published in Neuropsychopharmacology, Sackeim and colleagues acknowledged that ECT may cause permanent amnesia and permanent deficits in cognitive abilities, which affect ability to function.[27]
  • In 2005, Santa Barbara Superior Court Judge Denise de Bellefeuille ruled that a psychiatrist and Santa Barbarapsychiatric facility deceived its patients by failing to tell them that ECT causes irreversible memory loss. The psychiatrist (who had performed shock treatment for over 20 years), admitted that neither he nor anyone else understands how shock treatment works, and that the consent form Johnson provided to patients was “decidedly misleading in a critical regard,” concerning the permanency of memory loss.[28]

Last year, psychologist John Read, professor of clinical psychology at the University of East London concluded from a comprehensive review of 91 studies on ECT that “Given the well-documented high risk of persistent memory dysfunction, the cost-benefit analysis for ECT remains so poor that its use cannot be scientifically, or ethically, justified.”[29]

Eastgate says, “To treat mental problems by electric shocks is brutality in the name of mental health care. The high death rate, severe memory loss and the brain atrophy and damage ECT causes warrants it being banned under existing FDA law.”

READ:  New study shows HIV-infected women not using statins as recommended

REFERENCES:

[1] “An Analysis of Reported Deaths Following Electroconvulsive Therapy in Texas, 1993-1998,” 1 Aug 2001https://ps.psychiatryonline.org/doi/10.1176/appi.ps.52.8.1095.

[2] Jonathan Emord & Associates, Citizens Petition filed with the FDA Commissioner, 14 Aug. 2016, pp. 14, 27 and 42, http://emord.com/blawg/wp-content/uploads/2016/08/1-ECT-Citizen-Petition.pdf.

[3] A/HRC/22/53, “Report of the Special Rapporteur on torture and other cruel, inhuman or degrading treatment or punishment, Juan E. Méndez,” United Nations, General Assembly, Human Rights Council, Twenty-second Session, Agenda Item 3, 1 Feb. 2013, p. 1, Summary.

[4] https://www.wfsahq.org/documents/306%20Anaesthesia%20for%20Electro-convulsive%20Therapy%20ECT.pdf.

[5] http://www.mindfreedom.org/kb/mental-health-abuse/electroshock/pregnancy-study, citing Jacquelyn BlackstoneMichael G. PinetteCamille SantarpioJoseph R. Wax, “Electroconvulsive Therapy in Pregnancy.” Obstetrics & Gynecology, 2007, American College of Obstetricians and Gynecologists, http://greenjournal.org/cgi/content/short/110/2/465.

[6] “Electric shock in pregnancy: a review,” The Journal of Maternal-Fetal & Neonatal Medicine, Vol. 29, 2014, Issue 2, http://www.tandfonline.com/doi/abs/10.3109/14767058.2014.1000295?journalCode=ijmf20.

[7] https://www.healthyplace.com/depression/articles/electroconvulsive-therapy-during-pregnancy.

[8] https://www.sciencedaily.com/releases/2008/05/080515113311.htmUniversity of Montreal. “Electric Shocks Can Cause Neurologic And Neuropsychological Symptoms.” ScienceDaily16 May 2008https://www.sciencedaily.com/releases/2008/05/080515113311.htm.

[9] Darius Rejali, “Electricity: The Global History Of A Torture Technology,” http://www.reed.edu/poli_sci/faculty/rejali/articles/History_of_Electric_Torture.htmlPetr Skrabanek, PhD., “Convulsive Therapy – A Critical Appraisal of its Origins and Value,” Irish f’.’lcdicaIJourIlo,, June 1986, Volume 79, No. 6.

[10] https://psmag.com/news/nazis-ruin-everything; G Gazdag, GS Ungvari, and H Czech, “Mass killing under the guise of ECT: the darkest chapter in the history of biological psychiatry,” History of Psychiatry, Sage Publications, 2017.

[11] Stephen Lendman, “Meet Maryam Ruhullah: A Victim of MK-ULTRA,” Countercurrents.org16 Feb. 2010https://www.countercurrents.org/lendman160210.htm.

[12] Leonard Roy Frank, “Electroshock: Death, Brain Damage, Memory Loss, and Brainwashing,” The Journal of Mind and Behaviour, Summer and Autumn 1990; Leonard Roy Frank, Editor, “The Electroshock Quotationary,” June 2006http://www.endofshock.com/102C_ECT.pdfhttp://www.brown.uk.com/brownlibrary/FRANK.htm.

[13] Op. cit.Leonard Roy Frank, “The Electroshock Quotationary.”

[14] https://stillnessinthestorm.com/2017/11/canadian-government-quietly-compensates-daughter-of-mkultra-victi/.

[15] Leonard Roy Frank, Editor, The History of Shock Treatment, 1978.

[16] Gordon ThomasJourney Into Madness, The True Story of Secret CIA Mind Control and Medical Abuse, (Bantam Books) 1989.

[17] https://www.news.com.au/world/asia/extreme-torture-inside-chinas-correctional-facilities/news-story/7e4a796bc1401d593f5cc58d7fd32ecb.

[18] Patrick Strudwick, “This Gay Man Was Given Repeated Electric Shocks By British Doctors to Make Him Straight,” Buzz Feed30 Sept 2017https://www.buzzfeed.com/patrickstrudwick/this-gay-man-was-given-repeated-electric-shocks-by-british?utm_term=.orlQxe4JR#.coV1dRZOn.

[19] https://www.huffingtonpost.com/jamie-scot/shock-the-gay-away-secrets-of-early-gay-aversion-therapy-revealed_b_3497435.htmlhttps://www.madinamerica.com/2014/09/fda-panel-rejects-aversive-therapy-shock-devices/https://www.masslive.com/news/index.ssf/2016/07/inside_judge_rotenberg_center.html.

[20] https://www.madinamerica.com/2014/09/fda-panel-rejects-aversive-therapy-shock-devices/https://books.google.com/books?id=qpcuDwAAQBAJ&pg=PT137&lpg=PT137&dq=aversion+therapy+electroshock+used+70+volts+of+electricity&source=bl&ots=3dqOdCCa7X&sig=-ddCLbjl6FUOI6LspJdjZEBm4-M&hl=en&sa=X&ved=2ahUKEwiawZX-p8fcAhWWFjQIHf8ACNk4ChDoATADegQIAxAB#v=onepage&q=aversion%20therapy%20electroshock%20used%2070%20volts%20of%20electricity&f=false.

[21] Emily Reynolds, “The cruel, dangerous reality of gay conversion therapy,” Wired7 July 2018https://www.wired.co.uk/article/what-is-gay-conversion-therapy.

[22] Petra Silfverskiold, “Electric shock therapy led to Sunderland patient having permanent fit,” Daily Mail (UK), 10 Mar. 2016http://www.sunderlandecho.com/news/local/all-news/electric-shock-therapy-led-to-sunderland-patient-having-permanent-fit-1-7786233.

[23] Peter Breggin, “New Study Confirms Electroshock (ECT) Causes Brain Damage,” Huffington Post, 9 Apr. 2012https://www.huffingtonpost.com/dr-peter-breggin/electroshock-treatment_b_1373619.html.

[24] John Breeding, Ph.D., “Electroshocking Children: Why It Should Be Stopped,” Mad in America11 Feb. 2014https://www.madinamerica.com/2014/02/electroshocking-children-stopped/.

[25] Op. cit.John Breeding, Ph.D., “Electroshocking Children: Why It Should Be Stopped”; John Breeding, Ph.D., “Chapter 9: Electroshock,” http://www.wildestcolts.com/psych_opp/d-electroshock/1-shock.html.

[26] IbidJohn Breeding, Ph.D., “Electroshocking Children: Why It Should Be Stopped.”

[27] Ibid., citing, Sackeim et al., “The Cognitive Effects of Electroconvulsive Therapy in Community Settings” Neuropsychopharmacology, Volume 32, Number 1, 2007.

[28] Charles D. Morgan, “Milestone case: Hospital ordered to cease shocking patients,” https://suemypsychiatrist.wordpress.com/category/ect/.

[29] John ReadChelsea Arnold, “Is Electroconvulsive Therapy for Depression More Effective Than Placebo? A Systematic Review of Studies Since 2009,” Ethical Human Psychology and Psychiatry Volume 19, Number 1, 2017, pp. 5-23(19), http://www.ingentaconnect.com/content/springer/ehpp/2017/00000019/00000001/art00002.

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