According to the Sequenced Treatment Alternatives to Relieve Depression (STAR*D) study, an unbiased investigation funded by the National Institute of Mental Health, at standard doses of the most commonly used class of antidepressants (SSRIs), only 30 percent of people with severe depression achieve remission with the first medication prescribed. Switching to a new drug—and it...

In order to “graduate” from the outpatient psychiatric program of Laurel Hospital in Maryland, we had demonstrate a certain level of competence at assertion skills or confrontation. It’s no wonder why it took me three times longer to be discharged than the other patients. One day an older woman sat in the middle of the...