The Silent Patient by Alex Michaelides

I picked up this book because when I saw the cover, it haunted me. It’s just a simple washed out picture of a woman, but the one strip of paper ripped in front of her mouth left me with an eerie feeling that I wanted to go away but at the same time craved to feel more of. I had to include a picture, maybe you will feel what I felt when you see the artwork. I hoped that I would find a worthy story inside that gave me the same feeling as the cover.

It’s a very mysterious tale that begins with a diary entry, which leads you to expect more entries, but then the next chapter is from the point of view of someone else. You learn about the woman in the diary through the eyes of her psychotherapist for a while before you get to read from her point of view again. It goes back and forth a little bit, not in an irritating way, but in a way that makes you want to get to the next part so you can unravel the mystery. I read this in three days because I couldn’t wait to see what was going on. I did figure out what was happening a little while before it was revealed, which disappointed me a bit, not because I figured it out, but because I really enjoy being surprised and I don’t think of myself as someone who is good at piecing clues together. Maybe I am just getting better at it because I have been reading much more frequently lately. 

I do recommend this book. It was an easy read, but it kept you thinking and it made you want to stay up late in an attempt to try to finish it before going to sleep.

Quiet: The Power of Introverts in a World That Can’t Stop Talking by Susan Cain

I think I picked this book up at just the right moment in my life. The things I do in the next few weeks have the potential to change the next few years of my life for the better or worse and I feel like some of the theories I have read in this book might be able to help me. I was recently laid off, and like most people that lose their jobs unexpectedly I didn’t know what to do for a few days. The author posed some questions that I believe by answering will help me figure out what I need to do. 

I found myself relating to so many stories chronicled by the author of people she had met and interviewed. I had so many aha moments, I put post-it notes on several pages of passages I wanted to read again and philosophical questions I wanted to go back and try to answer about myself. Chapter three in particular was when I first made a huge connection to this book. It made me realize why I hated school so much, working in groups, open concept layouts, lack of privacy, introverts hate these things, they can’t concentrate and they don’t produce their best work under these circumstances. I can recall many times in my life when I was required to work with a group for a project, and I always felt that I could have done something better on my own. Or other times when I was in a classroom trying to get a head start on my homework but really wishing I could just leave then and there and do it in my bedroom. 

I think I could read this book several more times and mark several more spots that I want to go back to and reflect on. I feel like this is a book that I am going to revisit many times in my life, especially when I feel like I need to try and learn something about myself or when I feel like I need to accept who I am. I cannot recommend this book enough for anyone who is an introvert or for anyone who wants some insight into the life of an introvert.

Running with Scissors by Augusten Burroughs

One of my favorite authors is Augusten Burroughs. I was fairly young the first time I read his memoir, Running with Scissors, and after finishing it I knew I had to read more of his books. I have a small collection of them, and a few more that I still need to add. It has been a long time since I read one of his books, so I thought it was time to re-read and write about his first autobiographical work.

The chapters aren’t numbered, they all have unique titles. Being a child was very different when Augusten grew up, that being the late 1960s into the 1970s. You were only required to go to school until the age of 16, it was easy to skip class, and everything seemed to be a lot less strict than it is now. Today, you absolutely would not see a 13 year old boy on a public transport bus by himself and think, oh, that’s normal, and this is probably the least concerning thing about Augustens childhood. It is incredible that child services or the police were never called on behalf of the author, because so many unusual and alarming things happened to Augusten that I find it hard to believe that no one ever noticed. 

This memoir is full of strange and distrubed characters, from the author’s alcoholic father, to his mothers mad psychiatrist. If you enjoy a crude writing style, he’s a very honest writer; nothing is sugar coated, and don’t mind if things get a little gross, definitely read this. After finishing it, you will absolutely be interested in reading the rest of Burroughs novels.

Toxic Psychiatry by Peter R. Breggin, M.D. – Part 5: Chapter 16 and final thoughts

Toxic Psychiatry concludes with a chapter that gives us what we need, a run down of the alternatives to medication. Most options that do not involve a psychiatrist, pills, and psychiatric facilities, are less expensive for the patient and less damaging for their mind. If a person in need says the wrong thing to their psychiatrist, that doctor can make a claim that they should be in an institution. Getting in is easy, getting out is hard. This fear, the fear of saying the wrong thing, leads to dishonesty between professional and patient. And when a patient doesn’t feel comfortable saying something to the person who is supposed to be helping them, this may prevent them from discovering the root of their problems. Psychologists, counselors, therapists, and many other professionals, are trained to listen to the individual. Psychiatrists are trained to diagnose and prescribe. If you don’t want to see any of those professionals, there are places you can go where there are no doctors, just others like yourself and volunteers who are there to listen. This chapter mentions a few places like this, and they all seem rather affordable. The author also mentions an option that is probably often overlooked, self help. 

After reading this book for a second time, I can still say that it is one of the best I have ever read. It is incredibly informative, explains things of a medical nature in a way that a person without that type of education can understand, and gives excellent real life examples. I would recommend this book to anyone who is considering seeking out help for mental health issues. I would hope that after reading this book, anyone who had previously considered going to see a psychiatrist, because the profession seems prestigious or because they want the quick fix that pills supposedly can bring, would reconsider. I think if more of the population read this book, we could be on our way to breaking down the profession of psychiatry as a whole, like Dr. Breggin makes mention of in the final chapter.

Toxic Psychiatry by Peter R. Breggin, M.D. – Part 4: Chapter 12 through Chapter 15

The first half of Part 4 focuses on children with behavioral problems, starting with how parents are sometimes quick to place the blame on the child and a biological cause, rather than place blame on what is more likely the cause of the problems, the parents themselves, school environment, family issues, various forms of abuse, and neglect. Parents don’t want to believe or even consider that the reason their child is acting up might be because something that is happening, or not happening, at home or within the extended family. A great deal of behavioral issues in children can be explained as a response to poor or neglectful parenting, unclear boundaries, lack of appropriate discipline, and abuse (sexual, emotional, or physical). When psychiatry says that the troubled child is acting out because of a biological issue, they not only keep the child from getting the help they need, but they make an excuse to pump them full of dangerous medications.

Following this, the next chapter discusses medication and hospitalization for children with behavioral problems. The people who suffer the most from institutionalization are probably children, given that they have little to no rights once they are inside. Adult patients in institutions barely have rights once they are committed, a child who doesn’t even know what rights are and is used to deferring to the authority of an adult does not know how to stand up for themself or understand that what is being done to them may be very wrong. There are some very interesting comments about the wonder drug for hyperactive children, Ritalin, one being that it is used for attention deficit disorder (ADD) and hyperactivity for children in schools, but used to silence children in institutions. When asked, most children that are put on medication state that they do not like taking it, that it makes them feel weird. But most professionals don’t care what the children think, they just want to see that the drugs are having the desired effect.

Chapter 14 gives an account of the psychiatric experiences faced by women over the course of history. A lot of it has to do with women living in a society built by men, where they have been told that they need to be a certain way to fit in, and struggling against what society has told them they must be like. This is the basis of why women are more likely to become depressed at some point during their lives than men. I was also startled when I read that it is still possible today, and also common, for a man to force his female romantic partner into an institution as a means of controlling them or getting rid of them. And that in some states, rape is not considered rape if the abuse was comitted by the woman’s husband. The author makes some great suggestions for further reading about these issues and the topic of feminism if you are interested in learning more.

The final chapter in Part 4 informs us about the nefarious relationship between pharmaceutical companies and the American Psychiatric Association (APA). The APA accepts financial donations from certain pharmaceutical companies as a means of supporting their struggling organization. At their conferences, these companies give presentations promoting their drugs while also providing detailed pamphlets and giveaways. On top of this, several pharmaceutical companies pay individual psychiatrists to promote their drugs and prescribe them to patients. You would think that this would be a conflict of interest, the fact that doctors are prescribing drugs to their patients because they are being paid to do so, not because they genuinely believe that that specific medication is what is best for the individual. But when asked, most psychiatrists will not consider it a problem. If you want to know more about the alarming business deals between big pharmaceutical companies and the profession of psychiatry, then this chapter is a must read.