#psychiatry

#psychiatry

The case comes after 200 psychiatrists threatened to resign in January, saying it was not about the money but being unable to continue working in a system causing them moral injury, knowing they were providing substandard care to their patients when one in three permanent psychiatrists positions were vacant. The doctors' union, the Australian Salaried Medical Officers' Federation (Asmof), representing the psychiatrists against NSW Health, argued the special levy was necessary to avoid the collapse of psychiatric care in the state.

I have sat with patients who tell me, " I hate these medications," and then, in the same breath, admit, " I am terrified of what happens if I stop them." Others describe a crushing sense of hopelessness, yet they still show up faithfully, week after week. These apparent contradictions are not signs of confusion or weakness. They are, in fact, the essence of being human.

My friend David Enoch, who has died aged 99, made his greatest mark as a campaigner for humane mental health care and was a founding fellow of the Royal College of Psychiatrists. In the 1960s he served as a medical adviser to Barbara Robb, the psychotherapist who exposed neglect and abuse in long-stay NHS psychiatric wards and, through her controversial book Sans Everything (1967), pushed for major reforms.

"Healing happens through mutual engagement, authentic connection, and repairing relational ruptures. This approach rejects the narrative of isolated minds and emphasizes relational processes."

Dr Trudi Seneviratne stated that the current bill undermines the role of psychiatrists, turning them into mere checkers of doctor conclusions instead of active care providers.

One prominent concern about contemporary psychiatry is that it pathologizes conditions that are normal parts of human experience, leading to a diagnosis of borderline personality disorder.

"It was when I started private sessions with my therapist rather than doing them through the charity I'd been using. When I entered his private space, it was...his bedroom. He then said to me, 'Hey, you can just get on my bed and sleep, and I can watch you for an hour.'"