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We discuss the release of guidance which has been specifically written to support UK psychological therapists and their clients in having discussions about taking and withdrawing from psychiatric drugs. The guidance is a collaboration between psychologists, peer support specialists and psychiatrists and aims to provide important context and evidence-based support to psychological therapists.

Why is it that so many people, even some astute critics of the traditional mental health system who are happy to challenge the pathologizing of emotional distress generally, cling uncritically to the term and concept of “eating disorders”?

Both the idea that there are some characteristic brain-based abnormalities for those diagnosed with ADHD, and that the medications used have specific properties that target a disease process—like a chemical imbalance—are false.

We urge the BPS to consider the implications of proposals to grant psychologists prescribing rights. Specifically, we note that uncritical use of diagnostic language and assumptions in the field of mental health begs crucial questions about the nature of distress, while potentially contributing to the overuse and misuse of psychiatric drugs. We are also concerned about further restricting the right of service users to be offered a choice of understandings and approaches, especially in the field of mental health.

What follows is a doctor-patient interaction that I hope will become more commonplace across psychiatric outpatient clinics.