08/17/2026
๐ง๐ต๐ฒ ๐๐ถ๐ป๐ฑ๐๐ฎ๐ ๐๐น๐ฎ๐ป๐ฐ๐ ๐ฐ๐ฎ๐๐ฒ ๐ถ๐ ๐ป๐ผ๐ ๐ฎ๐ป ๐ผ๐๐๐น๐ถ๐ฒ๐ฟ. ๐๐ ๐ถ๐ ๐ฎ ๐๐ถ๐ป๐ฑ๐ผ๐ ๐ถ๐ป๐๐ผ ๐ต๐ผ๐ ๐ฝ๐๐๐ฐ๐ต๐ถ๐ฎ๐๐ฟ๐ ๐ฎ๐ฐ๐๐๐ฎ๐น๐น๐ ๐ผ๐ฝ๐ฒ๐ฟ๐ฎ๐๐ฒ๐.
Psychiatrists are now downplaying the polypharmacy of the ๐ญ๐ฏ ๐ฑ๐ถ๐ณ๐ณ๐ฒ๐ฟ๐ฒ๐ป๐ ๐ฝ๐๐๐ฐ๐ต๐ถ๐ฎ๐๐ฟ๐ถ๐ฐ ๐ฑ๐ฟ๐๐ด๐ ๐ฝ๐ฟ๐ฒ๐๐ฐ๐ฟ๐ถ๐ฏ๐ฒ๐ฑ ๐๐ผ ๐๐ถ๐ป๐ฑ๐๐ฎ๐ ๐๐น๐ฎ๐ป๐ฐ๐ ๐ถ๐ป ๐ท๐๐๐ ๐ณ๐ผ๐๐ฟ ๐บ๐ผ๐ป๐๐ต๐, ๐ฐ๐น๐ฎ๐ถ๐บ๐ถ๐ป๐ด ๐บ๐ผ๐๐ ๐๐ฒ๐ฟ๐ฒ โ๐น๐ผ๐-๐ฑ๐ผ๐๐ฒโ ๐ฎ๐ป๐ฑ ๐ฟ๐ฎ๐ฟ๐ฒ๐น๐ ๐๐ฎ๐ธ๐ฒ๐ป ๐ฎ๐น๐น ๐ฎ๐ ๐ผ๐ป๐ฐ๐ฒ. This is an attempt to blunt the publicโs reaction to the sheer number of drugs she was given once that information became public. ๐ง๐ต๐ฒ ๐ฑ๐ฒ๐ณ๐ฒ๐ป๐๐ฒ ๐ถ๐ ๐๐๐ฝ๐ถ๐ฐ๐ฎ๐น ๐ผ๐ณ ๐บ๐ฎ๐ถ๐ป๐๐๐ฟ๐ฒ๐ฎ๐บ ๐ฝ๐๐๐ฐ๐ต๐ถ๐ฎ๐๐ฟ๐: ignore the FDA-documented psychological and physical effects of these drugs and the professionโs own minimal standardsโstandards it routinely fails to meet.
๐๐ผ๐ฟ ๐ฒ๐
๐ฎ๐บ๐ฝ๐น๐ฒ, the 2026 American Society of Clinical Psychopharmacology (ASCP) task forceโone of the main U.S. organizations psychiatrists are supposed to rely on for the practice of psychopharmacologyโstates clinicians should begin with monotherapy and that โevery time you add a medication, you should stop a medication.โ Even Stahlโs Prescriberโs Guideโa practical handbook doctors are supposed to use to switch psychiatric drugsโrequires accounting for residual activity and half-lives. That means the doctor must factor in how much of the old drug is still affecting the brain so the patient is not exposed to overlapping or conflicting drug effects, unexpected side effects, or withdrawal while the new drug is being introduced.
๐ง๐ต๐ฒ๐๐ฒ ๐ฎ๐ฟ๐ฒ ๐๐ต๐ฒ ๐น๐ผ๐ ๐ฏ๐ฎ๐ฟ๐ ๐ฝ๐๐๐ฐ๐ต๐ถ๐ฎ๐๐ฟ๐ ๐๐ฒ๐๐ ๐ณ๐ผ๐ฟ ๐ถ๐๐๐ฒ๐น๐ณ. ๐๐ป ๐๐ต๐ฒ ๐๐น๐ฎ๐ป๐ฐ๐ ๐ฐ๐ฎ๐๐ฒ, ๐ฒ๐๐ฒ๐ป ๐๐ต๐ฒ๐๐ฒ ๐น๐ผ๐๐ฒ๐๐ ๐ผ๐ณ ๐ฏ๐ฎ๐ฟ๐ ๐๐ฒ๐ฟ๐ฒ ๐ถ๐ด๐ป๐ผ๐ฟ๐ฒ๐ฑ.
๐๐๐ฟ๐ฟ๐ฒ๐ป๐ ๐๐๐ ๐น๐ฎ๐ฏ๐ฒ๐น๐ถ๐ป๐ด ๐ฎ๐ป๐ฑ ๐ฐ๐น๐ถ๐ป๐ถ๐ฐ๐ฎ๐น ๐ด๐๐ถ๐ฑ๐ฒ๐น๐ถ๐ป๐ฒ๐ ๐ต๐ฎ๐๐ฒ ๐น๐ผ๐ป๐ด ๐ฟ๐ฒ๐ฐ๐ผ๐ด๐ป๐ถ๐๐ฒ๐ฑ ๐๐ต๐ฎ๐ ๐ฒ๐๐ฒ๐ป ๐น๐ผ๐-๐ฑ๐ผ๐๐ฒ ๐ฝ๐๐๐ฐ๐ต๐ถ๐ฎ๐๐ฟ๐ถ๐ฐ ๐ฑ๐ฟ๐๐ด๐ ๐ฐ๐ฎ๐ป ๐ฟ๐ฒ๐พ๐๐ถ๐ฟ๐ฒ ๐๐ฒ๐ฒ๐ธ๐โ๐ผ๐ฟ ๐น๐ผ๐ป๐ด๐ฒ๐ฟโ๐๐ผ ๐๐ฎ๐ฝ๐ฒ๐ฟ ๐ฎ๐ป๐ฑ ๐ฐ๐น๐ฒ๐ฎ๐ฟ, ๐น๐ฒ๐ฎ๐๐ถ๐ป๐ด ๐ฟ๐ฒ๐๐ถ๐ฑ๐๐ฎ๐น ๐ฒ๐ณ๐ณ๐ฒ๐ฐ๐๐ ๐๐ต๐ฎ๐ ๐ฐ๐ผ๐ป๐๐ถ๐ป๐๐ฒ ๐๐ผ ๐ฎ๐ฐ๐ ๐ผ๐ป ๐๐ต๐ฒ ๐ฏ๐ฟ๐ฎ๐ถ๐ป. In reality, โweeksโ is often not long enough. The fact that HHS and SAMHSA are now developing new clinical guidance and training on tapering and deprescribing only confirms what has been known for years: residual effects from these drugs can persist well beyond a few weeks, and current practice has failed to account for it.
With current FDA labeling and clinical guidelines, fluoxetineโs active metabolite can persist for weeks. Short-half-life agents such as paroxetine and venlafaxine are well-known for producing anxiety, irritability, and insomnia during withdrawal. Benzodiazepines can trigger rebound anxiety or paradoxical excitation. SSRIs themselves can cause activation, heightened anxiety, insomnia, emotional blunting, or intrusive thoughts.
When these drugs are piled on in quick succession by multiple uncoordinated prescribersโsertraline, fluoxetine, mirtazapine, trazodone, zolpidem, lorazepam, clonazepam, diazepam, quetiapine, lamotrigine, and othersโ๐ป๐ผ ๐ฐ๐น๐ถ๐ป๐ถ๐ฐ๐ถ๐ฎ๐ป ๐ฐ๐ฎ๐ป ๐ฑ๐ถ๐๐๐ถ๐ป๐ด๐๐ถ๐๐ต ๐ฑ๐ฟ๐๐ด ๐๐ถ๐ฑ๐ฒ ๐ฒ๐ณ๐ณ๐ฒ๐ฐ๐๐, ๐ฟ๐ฒ๐๐ถ๐ฑ๐๐ฎ๐น ๐ฒ๐ณ๐ณ๐ฒ๐ฐ๐๐, ๐๐ถ๐๐ต๐ฑ๐ฟ๐ฎ๐๐ฎ๐น, ๐ถ๐ป๐๐ฒ๐ฟ๐ฎ๐ฐ๐๐ถ๐ผ๐ป๐, ๐ผ๐ฟ ๐๐ต๐ฒ ๐๐ป๐ฑ๐ฒ๐ฟ๐น๐๐ถ๐ป๐ด ๐ฐ๐ผ๐ป๐ฑ๐ถ๐๐ถ๐ผ๐ป. The patientโs condition deteriorated under this uncontrolled pattern of one psychiatric drug being piled on after another.
๐ช๐ต๐ฎ๐ ๐๐ต๐ถ๐ ๐ฝ๐๐ฏ๐น๐ถ๐ฐ ๐๐ฟ๐ถ๐ฎ๐น ๐ต๐ฎ๐ ๐ฒ๐
๐ฝ๐ผ๐๐ฒ๐ฑ ๐ถ๐ ๐ต๐ผ๐ ๐ถ๐ด๐ป๐ผ๐ฟ๐ฎ๐ป๐ ๐บ๐ฎ๐ถ๐ป๐๐๐ฟ๐ฒ๐ฎ๐บ ๐ฝ๐๐๐ฐ๐ต๐ถ๐ฎ๐๐ฟ๐ถ๐๐๐ ๐ฎ๐ฟ๐ฒ ๐ผ๐ณ ๐๐ต๐ฎ๐ ๐ต๐ฎ๐ ๐ฎ๐น๐ฟ๐ฒ๐ฎ๐ฑ๐ ๐ฏ๐ฒ๐ฒ๐ป ๐ฝ๐๐ฏ๐น๐ถ๐ฐ๐น๐ ๐ฝ๐ฟ๐ผ๐๐ฒ๐ป ๐ผ๐ฟ ๐ฑ๐ถ๐๐ฝ๐ฟ๐ผ๐๐ฒ๐ป. Dr. Sejal Shah, presented as an โexpertโ as an Associate Chief at a Harvard-affiliated hospital, explained SSRIs as correcting a โlack of serotoninโ in the brainโthe debunked chemical imbalance myth that mainstream psychiatry claims to have stopped using decades ago. Yet this Harvard psychiatrist apparently didnโt get the memo.
Or ๐ฝ๐๐๐ฐ๐ต๐ถ๐ฎ๐๐ฟ๐ถ๐๐ ๐๐ฒ๐ป๐ป๐ถ๐ณ๐ฒ๐ฟ ๐ง๐๐ณ๐๐, who claimed the FDAโs black-box warning on antidepressants causing suicidal ideation applied only to children. The actual FDA warning covers adults through age 24. And as common sense would dictate, there is no scientific basis for claiming the risk vanishes the day after a patientโs 24th birthday.
๐ฃ๐๐๐ฐ๐ต๐ถ๐ฎ๐๐ฟ๐ถ๐ฐ ๐ป๐๐ฟ๐๐ฒ ๐ฝ๐ฟ๐ฎ๐ฐ๐๐ถ๐๐ถ๐ผ๐ป๐ฒ๐ฟ ๐ฅ๐ฒ๐ฏ๐ฒ๐ฐ๐ฐ๐ฎ ๐๐ผ๐น๐น๐ผ๐๐๐ฎ responded to Clancyโs extreme reaction to Zoloftโ48 hours without sleepโby declaring it โunusualโ and evidence of possible bipolar disorder, then prescribing the antipsychotic Seroquel. This was not clinical science. It is the same pharmaceutical marketing script engineered in the early 2000s: reframe SSRI-induced agitation and sleeplessness as โunmasked bipolarโ so another profitable drug class can be added. Internal Lilly materials trained sales representatives in exactly this diagnostic switch. The company later paid $1.415 billion to settle charges that included illegal off-label promotion of Zyprexa for such uses.
This trial is showing the public that the emperorโpsychiatryโhas no clothes.
Behind the titles, Harvard affiliations, and talk of chemical imbalances and โunmasked bipolarโ sits a profession that runs on behavioral checklists, not science. It shows little interest in ruling out real physical causesโsuch as thyroid problems in the postpartum periodโbefore prescribing psychiatric drugs. Side effects are rebranded as new disorders and used to justify the next prescription. Drugs are piled on with no reliable way to know what remains in the patientโs system, no required training in how to take people off them safely, and no accountability when the resulting deterioration is labeled a new โmental illness.โ This is not an unusual case.
๐ง๐ต๐ถ๐ ๐ถ๐ ๐บ๐ฎ๐ถ๐ป๐๐๐ฟ๐ฒ๐ฎ๐บ ๐ฝ๐๐๐ฐ๐ต๐ถ๐ฎ๐๐ฟ๐ ๐ถ๐ป ๐ฒ๐๐ฒ๐ฟ๐ ๐ฑ๐ฎ๐ ๐ฝ๐ฟ๐ฎ๐ฐ๐๐ถ๐ฐ๐ฒ: ๐ป๐ผ ๐บ๐ฒ๐ฑ๐ถ๐ฐ๐ฎ๐น ๐๐ผ๐ฟ๐ธ๐๐ฝ๐ ๐ณ๐ผ๐ฟ ๐๐ป๐ฑ๐ฒ๐ฟ๐น๐๐ถ๐ป๐ด ๐ฝ๐ต๐๐๐ถ๐ฐ๐ฎ๐น ๐ฐ๐ผ๐ป๐ฑ๐ถ๐๐ถ๐ผ๐ป๐โ๐ท๐๐๐ ๐น๐ฎ๐ฏ๐ฒ๐น, ๐ฑ๐ฟ๐๐ด, ๐ฎ๐ป๐ฑ ๐๐ต๐ฒ๐ป ๐ฏ๐น๐ฎ๐บ๐ฒ ๐๐ต๐ฒ ๐ฑ๐ฎ๐บ๐ฎ๐ด๐ฒ ๐ณ๐ฟ๐ผ๐บ ๐๐ต๐ฒ ๐ฑ๐ฟ๐๐ด๐ ๐ผ๐ป ๐๐ต๐ฒ ๐ฝ๐ฎ๐๐ถ๐ฒ๐ป๐โ๐ โ๐ฑ๐ถ๐๐ฒ๐ฎ๐๐ฒ.โโ