Messages to Kieran Kinsella, Executive Director of Metro South Addiction and Mental Health Services (MSAMHS)

  • Hi Kieran,
  • Thanks for connecting.
  • JUL 19View Romesh’s profile
  • Romesh Senewiratne-Alagaratnam 3:40 PM
  • Hi Kieran,
  • I am appealing to you for help and to ensure that I am not further harrassed and assaulted by the PA Hospital.
  • I will fill you in on some of the relevant details. I was first locked up at the PA under Dr Monica Des Arts and Dr Paul Schneider in 2002 on the instigation of my father Dr Brian Senewiratne, who was angry at my opposition to his medical and political actions. Medically I was opposed to his over-use of drugs and politically I was opposed to the Tamil Tigers (LTTE) and their efforts to divide Sri Lanka.
  • My father and family first got me locked up as a mental patient in 1995, when I was 34 years old and the director of my own medical practice in South Dandenong (Willow Lodge Medical Centre) where I had worked since moving to Melbourne from Brisbane in 1988. I graduated at the University of Queensland and did my hospital residency as well as two years as a paediatric registrar at the Royal Children’s Hospital before entering general practice. Prior to entering university I had been the top academic student (dux) of the Church of England Grammar School after we migrated from Sri Lanka in 1976. I had also been the top academic student at Trinity College, Kandy (Sri Lanka) and won many prizes and a scholarship at school.
  • According to Queensland law, people cannot legally have psychiatric treatment forced on them unless they have a mental illness that put themselves or the public at risk. This law is misused frequently with the claim that patients’ mental health will suffer if they don’t have drug treatment and they therefore place themselves at risk by refusing treatment. In addition, refusal to agree that you are mentally ill is regarded as “lack of insight” and evidence that the person is “ill”.
  • I am not mentally ill, and my 11,000+ connections on Linkedin indicate that I have a good professional network. I also have 3500 Facebook friends and YouTube and Scribd sites to which I upload my work.
  • A couple of weeks ago I was contacted by Rebecca Ibbotsen, the Psychosis Unit ‘team leader’ to tell me that I am not under Tarun Sehgal any more. This man had the temerity to ‘diagnose’ me as having ‘paranoid schizophrenia’ AND ‘personality disorders’ after two half-hour consultations three months apart and refused to read any of my work (which proves beyond reasonable doubt that I am not mentally ill).
  • I have been sterilized by the injections of Paliperidone which are now causing a peripheral neuropathy, slurring of my speech and hypersalivation. I complained to Sehgal and Dr Balaji Motamarri about this but the injection (which is not clinically justified in the first place) was not reduced let alone stopped, as it should be.
  • I left a message for you to call me to discuss this serious matter with me personally. My number is (07) 3277-2010
  • my email address is:
  • romeshsenewiratne@gmail.com
  • Thanks
  • Romesh Senewiratne-Alagaratnam
  • JUL 29View Romesh’s profile
  • Romesh Senewiratne-Alagaratnam 7:18 PM
  • Hi Kieran,
  • I was visited unannounced by the ‘case manager’ Nigel Lewin at my home and the headquarters of the Holistic University Network (HUN).
  • The HUN is a network of virtual universities that I began establishing in 2011 following the foundation of the Holistic University of Brisbane (HUB) in 2009, when I moved up to Brisbane from Melbourne.
  • I first met Ngel Lewin when he was working at the ‘Burke Street Clinic’ located next to the PA Hospital. His job was to inject patient after patient in the ‘treatment room’ under the orders of the psychiatrists and psychiatric registrars who precribed the depot injections. This was under the directorship of Dr Balaji Motamarri who was then the executive director of MSAHMS.
  • Nigel Lewin has been harassing me for years and comes to my house and leaves phone messages that I am to come to the ‘clinic’ for another injection. He calls himself a ‘clinical nurse’ and told me that he has a masters degree in tropical medicine as well as nursing qualifications but did not know what the amygdala is, and had not heard of Walter Cannon (the Harvard physiologist who coined the terms ‘fight and flight’ and ‘rest and digest’ to describe the functions of the sympathetic and parasympathetic branches of the autonomic nervous system). Yet he told me he was teaching nursing at several universities in Queensland before he started working for the PA Hospital (and later Metro South Hospital and Health Service).
  • Lewin had admitted to me in the past that I do not show signs of schizophrenia and today said he did not think I had a personality disorder. He says, though that this is because I am ‘under treatment’ (for what?)
  • The Indian psychiatrist Tarun Sehgal, who I have seen twice for a short period of time each time (in a small room with no windows) while he typed into a small DELL laptop on his desk rather than having a normal conversation with me, has written in a report to the Mental Health Review Tribunal (MHRT) that I have ‘paranoid schizophrenia’ as well as ‘specific personality disorders’. He refused to stop the dopamine-blocking drug despite the lack of clinical indication and the adverse affects I am suffering from. I know this because I trained in medicine at the University of Queensland, whereas Sehgal trained in an obscure medical school in Tamil Nadu (graduating many years after I did and without a comparable academic record),
  • The report the “psychosis team” submitted to the MHRT is full of false and misleading claims about me and amounts to a serious character assassination. It has been added to and embellished by serial psychiatrists and psychiatry registrars since 2011 and my repeated efforts to correct what is an official record about me have gone unheeded.
  • I told Lewin two months ago that I am claiming $2m compensation from him for his actions against me over the past 7 years and that it will go up by $1m for every subsequent injection I am given against my will and despite all the evidence I have provided of my sanity over the years.
  • I told him that I am now claiming $4m from him (he has injected me twice since I advised him of my intention to sue) and also claiming $4m from Tarun Sehgal as well as $5m from Dr Balaji Motamarri. This is in addition to my claims against the PA Hospital, Metro South Addiction and Mental Health Services (MSAMHS) and Metro South Hospital and Health Service (MSHHS).
  • I advised Lewin again that I do not want to be contacted by the PA Hospital, MSAHMS or MSHHS except through your lawyers MinterEllison.
  • Details of my claim can be found on the HUB Legal Department Facebook page:
  • https://www.facebook.com/HUBLegalDepartment
  • Thanks

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  • SEP 2View Romesh’s profile
  • Romesh Senewiratne-Alagaratnam 12:25 PM
  • Hi Kieran,
  • I have received two notes, one in the mail and one hand-delivered by a nurse by the name of Ian McKenzie. He said he had replaced Nigel Lewin as “my” case manager.
  • I am not a case but I have a case against the PA Hospital and Nigel Lewin. Details of my claims have been published and I am transparent in my actions.
  • McKenzie told me that another Indian psychiatrist by the name of Anup Joseph is now “my doctor”. I am not in need of a doctor and have a history of being disrespected, defamed and poisoned by a series of psychiatrists at the PA Hospital. I have also been locked up many times for refusing the abusive injections and refuting the negligent misdiagnosis of schizophrenia and was told that this would likely happen again if I do not attend the appointment with Joseph. I asked to speak to Anup Joseph on the phone but my request was refused.
  • This is high-handed abusive treatment, Kieran and I want it to stop. It is illegal to keep me on a treatment authority (TA) when I am in obviously good mental health and my postings on Linkedin, Facebook and YouTube prove this to have been the case for many years.
  • Please intervene in this serious matter and ensure that I am not persecuted and tortured further.
  • TODAYView Romesh’s profile
  • Romesh Senewiratne-Alagaratnam 11:30 AM
  • Hi Kieran,
  • 10 weeks ago I attended an appointment with Dr Anup Joseph who qualified in the Manipal University in India many years after I graduated in Medicine at the University of Queensland.
  • I attended the appointment under duress following messages from Ian McKenzie advising me that if I failed to attend the appointment police would be sent to my house to return me to the hospital by force.
  • Prior to seeing him I rang Anup Joseph who told me he couldn’t give me the time I needed and that he knew it was a “serious matter”. I objected that I was suffering from sciatica and did not want to drive because of the pain in my left leg and back. He was unconcerned and insisted that I come in and see him, which I did despite the pain and discomfort.
  • I told him about the adverse effects of slurred speech, anhedonia, drooling (hypersalivation), sterility (no ejaculate), and peripheral neuropathy and asked that the injections be ceased since it is patently obvious that I am in good mental health and do not suffer from schizophrenia or any other mental illness. I do not have a ‘personality disorder’ either as was claimed by Tarun Sehgal, the previous psychiatrist who also graduated in India many years before I graduated in Australia.
  • Throughout the ‘consultation’ Anup Joseph was reading the CIMHA entries rather than maintaining eye contact and concentrating on what I was saying. This is basic courtesy and essential to follow the complexities of my conversation and narrative. It is also essential for a proper mental health examination and evaluation. You cannot listen and read about something else at the same time. My ten year old daughter knows this.
  • During the 45-minute interview he asked me about my father and the Mafia after reading what was on the PA hospital’s report for the MHRT. This forced me into a discussion about my father and the Genovese Mafia rather than my work as I had intended. I had taken two of my works with me to show him, “Eugenics and Genocide in the Modern World” (2010) and ‘The Politics of Schizophrenia” (2001). He scan read the contents page of the latter and read part of the section on “aetiological theories of schizophrenia”. He didn’t even scan-read the rest of the 300-paged book. He didn’t look at “Eugenics and Genocide in the Modern World” and changed the topic when I tried to discuss its contents with him.
  • Anup Joseph told me he is a “nominal Catholic” and that he comes from Kerala in South India. It so happens that this is where the Varghese family is from. I went to medical school with Paul Varghese who has long been the Director of Geriatrics at the PA and was one of his wedding guests. I have visited their family home many times and had long discussions with the brothers’ late father, George, who was a lecturer at the University of Queensland.
  • In a profound betrayal of my friendship with the Varghese Family I was locked up at the PA Hospital under Daniel Varghese in 2009 and 2010 on the instigation of my father, Brian Senewiratne, who also knows the family. I was not mentally ill at the time as can be verified by looking at my YouTube site which dates back to 2008.
  • https://www.youtube.com/romeshsenewiratne
  • Much to my horror, Anup Joseph who, as I said, hadn’t been concentrating on my speech and eye movements (essential for understanding and effective communication), told me he was INCREASING the abusive injection back to 100 mg of Paliperidone, despite the side-effects I was suffering from and despite the fact that I clearly do not have schizophrenia. This drug is a treatment for schizophrenia whose efficacy has been demonstrated only on the basis of improved PANSS scores (Positive and Negative Syndrome Scale) The case manager Nigel Lewin who trained as a mental health nurse in Britain has admitted that I do not rate highly on a PANSS score and never have.
  • The one criterion I rate highly on is the scale on “poor insight and judgement”, which is defined as denial of mental illness. This is the basis of monstrous human rights abuses in the USA and around the world.
  • I have very good judgement. I am also reflective and self-critical but I don’t like being subjected to character assassination and defamation. I also don’t like being poisoned and regard these abusive injections as assault constituting Grievous Bodily Harm.
  • The increased dose that I was subjected to on the orders of Joseph made my slurring and drooling so bad that Nigel Lewin refused to inject me with the 100 mg injection again. He agreed, however to inject me with 75mg, though Joseph at first wanted to leave the higher dose as it was.
  • It is now 6 weeks since this injection and I am improving steadily in my health. The salivation has lessened, my speech is clearer and I have a little bit of ejaculate. The strength of my hands, which had decreased and my dexterity playing the piano have improved – though still far short of my ability when I am not being subjected to drugs that block dopamine receptors in the brain.
  • I agreed to see Anup Joseph again in two days time, and hope he will obey the law and revoke the illegal treatment authority (TA) that the hospital has been using against me.
  • Please ensure that my right to refuse is respected.
  • Yours truly
  • Romesh Senewiratne-Alagaratnam
  • romeshsenewiratne@gmail.com
  • Phone: 617- 3277 2010

Romesh Senewiratne-Alagaratnam Arya Chakravarti

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Romesh Senewiratne-Alagaratnam

Founder and Director at Holistic University Network (HUN)
Published • 1mo
I have an appointment to see Anup Joseph again in 2 days time and have sent Kieran Kinsella another message on Linkedin. hashtagpsychiatry hashtaghumanrights

Anup Joseph’s Crazy Opinion

The PA Hospital psychiatrist Anup Joseph accused me of “living in a shell” and told me he hoped that increasing the dose of the abusive paliperidone injections the hospital has me on would help me “think and see more clearly”.

This short-sighted man does not think and see clearly himself. I showed him one of my folders of original theoretical work on music and the brain and turned the pages for him.

He looked at it through his glasses before saying “I don’t think I would understand most of this” and that he is “not a music person”. He was kind to himself – it means that he does not appreciate music.

I looked up “living in a shell” on Google, having never heard the phrase before. It came up with “being in ones shell”, meaning shy. It gives the example, “Jim is extremely shy. If you try to get him to talk he immediately goes into his shell.”

I am sociable and a good conversationalist with a broad range of interests. I have just reached 12,500 connections on LinkedIn. Anup Joseph is not even on LinkedIn. I have uploaded over 200 videos to my YouTube site including my music and work on holistic health promotion. Anup Joseph is not on YouTube or even on Facebook.

I was only able to find one publication credited to Anup Joseph. This was a paper co-written with other Indian psychiatrists when he was working at Manipal in India where he graduated in 2003. This paper was a study of weight gain on the Eli Lilly ‘antipsychotic’ drug Zyprexa (olanzapine) and involved giving psychiatric patients CT scans to measure their intra-abdominal fat deposits. It is common knowledge that Zyprexa causes unhealthy weight gain and obesity as well as diabetes. I told him this and that exposing patients to CT scans would increase their risk of cancer. He defended his bad science saying it was up to the ethics committee and that they were the first to demonstrate weight gain from Zyprexa in South Asia.

I tried to speak to Anup Joseph and his boss Manaan Kar Ray on the phone but they refused. Anup Joseph lost his temper when I wouldn’t tell him how I got his number. He has poor temper control in addition to being criminally negligent and egregiously corrupt.

Tarun Sehgal’s Negligence

Tarun Sehgal’s additions to the Framing

©2019-04-11

Dr Romesh Senewiratne-Alagaratnam

I have met “Dr” Tarun Sehgal twice, a month apart. After the second visit on 18 February 2019, he amended a “clinical report” to the MHRT (Mental Health Review Tribunal) that the PA Hospital has been using to oppose my freedom since 2014.

The first amendment is to add to the “primary” diagnosis of “paranoid schizophrenia” two “secondary” diagnoses

  1. Mental and behavioural disorders due to use of cannabinoids, harmful use
  2. Other specific personality disorders

The second amendment is in the section titled “Brief History of Mental Illness” most of which has remained unchanged since 2014, when it was written by the psychiatrist Daniel Varghese who has since left the service. The framing and character-assassination by Daniel Varghese and his registrar David Nguyen has been retained (with spelling and grammatical errors as well as errors of fact) by a series of PA Hospital psychiatrists including Falih Al-Sudani, Justin O’Brien, Jumoke Banjo and Ghazala Watt.

Sehgal has added:

“Last medical review (Dr Tarun Sehgal, Cons) on 18th Feb 2019

He feels he is doing better with the reduction in the dose. He reported sedation from it lasting for the first 4-5 days each time after the depot.

He stated his achievement in terms of having – 10K ‘Linked-in’ connections, – 3.5K ‘Facebook’ friends and several followers on Youtube, Twitter and FB business site. He reported that has not being paid his royalties from APRA (Australian Performing Right Association) because he is a member of APRA. He has submitted around 80-100 songs to APRA and these are performance rights. You tube pays royalties to him but he is not getting from FB or google. He has lost about 5kg in weight. He is eating well and he is a good cook according to him. Sleep is good.

He has never ever had problem with sleep unless when he had viral meningitis at 23 yo. At present, no issues with his neighbours. The only problem is that “being harassed by this hospital”. No admission since Jan 2017. Denies any concerns at present. He reported that the main issue was that he went against his father and it caused the problem. He believed that his father was a key organiser/chair leader for Tamil Tigers. He opposed to Tamil Tigers and his father ‘discredited and dispossessed’ him. Since then his father caused the problem for him. He was a family doctor until 2003 but because of his father he has not been able to get back to same job.

The interview had themes around ongoing discussion on disagreements related to diagnosis, need to take medication, inappropriate treatment by psychiatric services including negligence by MH services. He did not talk about his cannabis use in the appointment. He admitted to ongoing cannabis use in his last appointment. “

The next section “Circumstances leading to the initiation of involuntary treatment” is retained unchanged since 2014.

Sehgal’s only other addition to the report (other than changing and adding “personality disorders” to the diagnosis of ‘paranoid schizophrenia’ on the opening page) is the section “Provide details of the current mental health assessment”:

MSE by Dr Tarun Sehgal (cons) 18/2/19

He presented with average personal hygiene, unshaven, appropriately dressed and rapport was difficult to establish. His speech was normal in tone, vol and rhythm. His mood was euthymic with mildly irritable affect. No delusional or perceptual abnormality reported. Cognitively – he was grossly intact. He lacks to have insight into his mental health condition and need to have treatment.”

It appears that Tarun Sehgal lacks insight into his lack of English literacy as well as psychiatric and medical knowledge. Paranoid schizophrenia, according to psychiatric texts, is a disease characterised by hallucinations and delusions, as well as other problems including flat affect, lack of motivation, lack of social skills, disorganization in thought and speech, superstitiousness and magical thinking. I have never had any of these problems and was well within my rights to debate them with the psychiatrist who was authorising drug treatments against my will under threat of being locked up again if I refuse.

In his “report” Sehgal has left out two important facts. These are that I lent him a copy of my 1997 book “Psychiatric Tales and Words About Life” to read and tried to discuss AIDS with him. His response to my asking him if he thought AIDS is man-made was to refuse to answer. When I pressed him on the matter he said he would be “naïve” to say what he thought. This is the first time anyone has responded in this way to this question, and I have asked it of many people, including the case managers Raghavan Raman and Nigel Lewin, both of who are qualified as nurses. Raghavan Raman said, unequivocally, “yes, it is”, while Lewin said, “it wouldn’t surprise me”.  I think Tarun Sehgal should blame himself if he had difficulty establishing rapport with me. I am very easy to talk to, but I don’t like being pathologised.

Mark Taylor Won’t Budge

I went to see Associate Professor Mark Taylor again today. I went prepared, but was disappointed in the result. Though not surprised.

It was I who made the appointment, on my last visit to the new Woolloongabba Community Health Service building, of which the second floor is fully occupied by the Metro South Addiction and Mental Health Services (MSAMHS), supposedly a “service” to the people of Brisbane. The 2nd floor operation is effectively an outpatient clinic of the Princess Alexandra (PA) Hospital, and most of the patients were previously inpatients in one of the locked wards in Building 19.

I have been locked up many times in Building 19, usually in ‘West Wing Ward’ but also in ‘East Wing Ward’ and the euphemistically-named ‘Acute Observation Area’ (AOA) also called the High Dependency Unit (HDU). This is a double-locked ward that holds about 10 patients and is a hellish place. I was locked up there for 2 weeks in 2011, which is when I met Raghavan ‘Raghy’ Raman, who has now been appointed my ‘Case Manager’, responsible for “monitoring” my mental state for MSAHMS and recording and reporting his observations. Raghy Raman sat in on my interview with Mark Taylor, though he wasn’t present when I was last injected. This was about two weeks ago and was done by a very nice student nurse, who was polite enough to offer her hand to be shaken at the end of our encounter.

The nurse was learning to give injections in what is called the “Treatment Room”. Music and art are not among the treatments, needless to say. It is a tiny room with a set of scales, two fridges and cupboards with boxes of pre-filled depot injections, each with the name of a reluctant “client”. They now call patients “clients” to their faces but patients are referred to in the PA Hospital literature as “consumers”.

A couple of years ago Nigel Lewin, the British case manager who has been replaced by Raghy, told me that he thought I would make a “great consumer advocate”. I told him my objections to this manifestation of the “consumer culture”. I am not a consumer of psychiatric “services” or drugs – they are being forced into me by injection against my will. I am a victim and a survivor and I am also an extremely patient patient. The term patient has a long history and the term describes the attitude necessary for those who sought “treatment”.

The student nurse was nervous, so I didn’t alarm her by telling her that it was an assault. I had already told Raghy Raman, Nigel Lewin and the other case managers that I was submitting myself to be what is a monthly assault because if I refuse I will be taken back to the hospital by police, held down by security guards and injected anyway. Then I would be locked up again. For this reason I have allowed them to assault me every month for the past two years.

When I checked in at the long desk at the MSAMHS to be injected I introduced myself by saying “I’m here to be assaulted again”. The guy at the desk laughed. I’ve known him for many years and he doesn’t think I’m mad (and has told me so). He told me that Raghy was away but I’d have my injection given by the “Injection Nurse”. This was a hideous, grim woman who spends her day injecting “client” after “client” with neurotoxic drugs ordered by the doctors. She does not believe in talking to the patients, doesn’t smile or tell you her full name. She wears rubber gloves and doesn’t shake people’s hands before injecting them. On the second visit – in front of the student nurse – she asked me a few questions about my mood, eating and sleeping and recorded down my complaint about side-effects.

The student nurse was completely different in her attitude. When I told them that I was writing a book about music and the brain she said “how exciting”. She asked me if it was OK if she gave the injection and that I could give her “tips”. I told her that it was important to let the alcohol dry after swabbing the skin. “That stops it stinging”. The older nurse said “I do that too”, but she lied – the last time, when it was she who injected me she said “I won’t keep you waiting, so let’s get on with it” and hurried through the injection. I pointedly told the student to inject slowly, because that caused less tissue damage. The student nurse thanked me for the tips and extended her hand when I was leaving. There is hope for the future of nursing. But better still if they were confident enough to publicly disagree with the doctors.

I prepared for the interview with Mark Taylor by bringing with me four folders of my work. I told him I had brought some of my work to show him and prove my sanity.

“Oh good,” he said, but carried on typing, while looking at the screen and not at the folders.

I put the first one on the desk. It was my work-in-progress on psychoimmunology which I said was my short-term project.

“There’s a lot of interest in that,” he said, but he didn’t look through the 40-pages I have written so far.

I then showed him my long-term project, a book titled “Music, Instincts and Health”, telling him that I had written 350 pages so far and also had folders of research from the Internet on the topic, as well as folders of original theoretical work. He glanced at the contents and returned to his typing.

I then showed him a folder for HUB Music, including promotions of my music on Soundcloud, YouTube and Facebook. He asked me what I meant by “my music”. I explained that I had been recording my musical compositions for 30 years and had posted it on the net over many years. I told him that, however, my most watched videos on YouTube were not my music but my documentaries on eugenics and AIDS.

“I didn’t know you had researched eugenics and AIDS” he said, to my surprise. Either he has a poor memory or a selective one. In 2001 he wrote in the notes of the Alfred Hospital that my beliefs about “the eugenics of AIDS” were delusional and indicative of psychosis. He also wrote, at this time, that before I became “psychotic” I had a “paranoid and narcissistic personality”. It was a thorough character-assassination. I reminded him of this the last time we met, which was about 6 weeks ago.

“I saw you only recently” he said “A month ago. Nothing has really changed”.

I showed my the fourth folder I had brought with me, which was my current networking on Linkedin, where I have almost 6000 professional contacts around the world, from a wide range of academic disciplines including medicine and mental health. He wasn’t interested. One of numerous Mark Taylors, his own Linkedin page has only 10 contacts and he is not active on it. He has not even updated his current employment or uploaded a photo of himself.

“How have you been in your mental health?” he asked. I told him again about the fact the the injection was sterilizing me, making me salivate and making me sleep in the day. “You told me that last time”. I objected that though I told him he hadn’t budged on lowering the drug.

I told him that I had been watching YouTube clips of psychiatrists who were much more critical of the overuse of psychiatric drugs than himself. “Oh good” he said again. I named Daniel Carlat (who he had not heard of). Pat McGorry (who he had), Sami Timimi (who he had heard of but dismissed as “radical” and mistakenly thought was a woman), and Robert Whitaker. He had heard of Robert Whitaker and I told him that he was one of my friends on Facebook. “He’s not a psychiatrist, though”, he said.

“I wanted to ask you that – how much time do you spend in front of your computer?”

I knew he was trying to pathologise my behaviour. I said I spend only a couple of hours a week on Facebook but more time on Linkedin and Youtube. He said he did not follow “social media” and asked me how well known I am.

“Are you say one of the five best known people in Brisbane?”

This was another trap. He was looking for grandiosity.

“Of course not”, I laughed. “Most people wouldn’t know me from a bar of soap”.

“Do you get the recognition you deserve?” he asked, looking for evidence of me being what psychiatrists call “entitled”.

“I’m not looking for recognition, but it is nice to be appreciated”.

Conveniently forgetting his character-assassination of me in 2001, and his role in having me falsely incarcerated, Taylor said “The doctors at CFOS say you have posted things that are defamatory about me”. He said he hadn’t seen them himself but that he had been told about it by CFOS – which he pronounced as “see-fos”. This is a new organization called the “Community Forensic Outreach Service” – which I have been told by Raghy Raman is part of the health department and not the court system, but that he couldn’t tell me more about it other than that I had been referred to CFOS because he felt obliged to “escalate the matter” of my posting material about the “Queensland Health staff” on what he calls “the social media”. He is furious that I posted footage of him assaulting me in my own home on YouTube.

It was Raghy who informed me, by email and phone, that I had been referred to CFOS. I wanted to know what powers this new body had over me, and asked him who they were. He said he didn’t know and the decision to “escalate the matter” of my refusing to take down the YouTube clips was made by the “team leader” a woman called Sharon Locke. I have spoken to Locke on the phone but never met her and have now been told that she is no longer the team leader. Mark Taylor said I had refused to meet CFOS when we had last met and I told him I was prepared to talk to them on the phone or communicate with them over the net but would not come in to be interviewed (and framed, though I didn’t use the term) in the Woolloongabba Community Health Centre.

I told Taylor that Professor Pat McGorry has said that the antipsychotic drugs used to be used at 10 times the necessary dose and now are used at 2 to 3 times the necessary dose. His retort was “did you know that Pat McGorry has accepted payments from many drug companies?” I said I did. “Do you think Ibuprofen (an anti-inlammatory and alalgesic drug that is available over the counter) is over-used?”

“I’m sure it is. Many drugs are over-prescribed. The drug companies’ primary motive is money. They bribe those doctors who are prepared to accept bribes.”

“You haven’t answered. Did you post defamatory things about me?” he persisted.

I answered that I had posted things about him on Facebook, Linkedin and YouTube and explained that I had discussed his links with the drug companies, pointing to a video of him presenting his conflict of interest at a lecture in Scotland some years ago. I called it “accepting bribes”. Some people might interpret that as defamatory.

“That was about 7 years ago, and I think it is a good thing to disclose information,” he said, then saying that it was a private lecture and should not have been posted (though he knew who it was). In this clip he says, in reference to a statement by one of his psychiatric colleagues that “when it comes to industry you are either abstinent or promiscuous – you can see on which side I fall”. He then showed a slide disclosing that he had accepted “fees and/or hospitality” from 5 different drug companies. His audience laughed, but it was posted on YouTube by an audience member who wasn’t amused.

Taylor asked me if I had ever accepted a sandwich from a drug company – “that’s included in hospitality”. He also challenged Pat McGorry’s assertion that Cognitive Behaviour Therapy (CBT) should be used ahead of drugs in the treatment of psychosis, saying that “the problem is that CBT doesn’t work in psychosis”. When I contested this he claimed that it has been proved by “Cochrane”, meaning the Cochrane Collaboration. I said that I had discussed this with Peter Gotszche, the Director of the Nordic Cochrane Collaboration, who had written books about the ineffectiveness and harmfulness of psychiatric drugs including dopamine blockers and SSRI antidepressants.

“What do you hope to achieve by blocking my dopamine receptors?” I asked.

“We want you to remain stable and not have mood fluctuations”. He raised the risk of suicide. I told him that I had never been suicidal, though I lied. I have entertained fleeting thoughts of suicide on two and only two occasions in my life. One was when I was 34 and locked up at the Royal Park Hospital in Melbourne and the other time was when I was 55 and locked up at the psychogeriatric Grevillea Ward of the Princess Alexandra Hospital. In both instances it was a response to being disbelieved, locked up and drugged.

Mark Taylor said he wanted me to be “stable” over time and that he would “think about” lowering the dose. He said he didn’t want to see me for 3 months and that our time had run out. In contrast, the private psychiatrist Frank New spent 3 hours with me before writing a 13-paged report stating that he was confident that I did not have a mental illness and why he formed this well-considered opinion. But that was many years ago and the PA Hospital has been reluctant to speak to any doctors who do not agree that I am mad.

Raghy Raman stayed silent throughout the interview until I raised the fact that it was he who reported that I had “elevated speech” to Ghazala Watt, resulting in Watt, who trained in Pakistan and Britain, to abusively increase the dose of Paliperidone (ironically called Invega) from 75 to 100 mg. Raghy flew into a rage. “Why do you keep going back to this, over and over?” he shouted. “I said you had elevated mood but I retracted it and apologised. But you keep on raising this over and over. I apologised! And what I said had nothing to do with you being injected. No! The doctors make their own decisions. It had nothing to do with me”.

I pointed out that Ghazala Watt had written to the Mental Health Review Tribunal that the injection was increased “because the treating team reported elevated speech” – and that the same report recorded the “treating team” as only Watt and Raghy Raman. I also pointed out that it was Raghy that was getting angry and not me and that I have a very stable mood. I told Taylor that I am not prone to depression but have been said to have an elevated mood at times.

He said he had observed that I was talkative and laughed a lot – he didn’t need to mention that these are “symptoms” of “hypomania”, mania and mood elevation. I explained that this was my personality – I have been like that since I was a child. Though I can be shy when I first meet people I enjoy conversations and laugh a lot in conversation.

Mark Taylor had to admit that Raghy was angry so he said “we’d better end the inteview now”. He stressed again that he didn’t want to see me for 3 months. In the meantime that’s 3 more injections, each at the cost of more that $400 to the taxpayer.

Taylor said I should consider what to say at the next Mental Health Review Tribunal (MHRT). I pointed out that claiming not to be ill is immediately interpeted as “lack of insight” and that the MHRT discharges less than 5% of patients and inevitably sides with the hospitals. Losing a MHRT hearing is just another trauma. Right now I can’t be bothered appealing.

Case against the Alfred Hospital

©2018 Dr Romesh Senewiratne-Alagaratnam

  1. Between 1999 and 2002 I was locked up and assaulted with injections of antipsychotic drugs several times at the Alfred Hospital (Prahran, Melbourne).
  2. I was not suffering from a diagnosable mental illness at the time but I was punitively diagnosed with several serious mental disorders including “schizo-affective disorder” by two psychiatrists (Kym Jenkins and Robert Shields), and “psychotic disorder (Schizomanic type) superimposed on narcissistic and paranoid personality disorder” by another (Mark Taylor).
  3. These disease labels seriously damaged my personal and professional reputation.
  4. Psychiatrists at the Alfred Hospital also contacted the Medical Board of Victoria claiming that I had “schizoaffective disorder”, in an effort to stop me from working as a doctor.
  5. The Director of Psychiatry at the Alfred (Dr Peter Doherty) also provided selected documents to the Medical Board of Queensland in 2002 in a further effort to stop me from working as a doctor.
  6. When I was locked up between 1999 and 2002 I provided ample evidence of my sanity in the form of my writings and publications but these were pathologised and misrepresented as “hypergraphia” and evidence of mental illness.
  7. My claim to be doing research on the brain was also described as a grandiose delusion.
  8. My concern about the Stolen Children, human rights abuses against Aboriginal people and the role of eugenics in causing genocide were misrepresented and presented as evidence of mental illness.
  9. My support of the allegation (first made by others) that HIV (Human Immunodeficiency Virus) was developed as a biological weapon was pathologised and referred to as further evidence of mental illness and “paranoid delusions”.
  • My concern that the medical system and government were dominated by Freemasons was pathologised by the psychiatrist Mark Taylor as evidence of mental illness.
  • My concern about the possible role of the Mossad and a cabal of Jewish psychiatrists in persecuting me and calling me mad/mentally ill was pathologised as evidence of paranoid delusions by psychiatrists at the Alfred (including Peter Braun and David Lowenstern who are Jewish).
  • My concern about the possible role of MI5 in my incarceration was likewise pathologised as evidence of mental illness and paranoid delusions by Mark Taylor and Kym Jenkins, who are both British; Kym Jenkins went on to become the President of the Royal Australian and New Zealand College of Psychiatrists (RANZCP); Mark Taylor moved to Scotland in 2002 but is now working in Brisbane and has been made my “treating psychiatrist” by Metro South and the Princess Alexandra (PA) Hospital.
  • My claim that my father was a supporter of terrorism for his support, propaganda and lobbying efforts for the Tamil Tigers (LTTE) was likewise pathologised as evidence of mental illness.
  1. The repeated false claims of my hostile father that I was “paranoid” and “psychotic” were uncritically acted upon by the hospital CATT team (Crisis and Assessment Team) without checking the veracity of his and my claims.
  2. During each admission my behaviour and observations of it were not consistent with the claims of the admitting doctors, but I was still held for several days in the LSA (Low Stimulus Area) and unnecessarily (and abusively) injected with short-acting Zuclopentixol Accuphase injections, which caused involuntary spasms in my back and legs as well as difficulty speaking (a single injection only on three of the admissions).
  3. Despite the fact that I have never suffered from hallucinations, I was recorded to have ‘thought disorder’ by some, but not other, psychiatrists.
  • My justified anger at being abducted from my home and locked up for no good reason was pathologised as an “irritable mood” and “hostility”.
  • My statement that I was talking legal action against the hospital for deprivation of my rights was pathologised as well, with records that I was “litigious”.
  • My 40-point Peace Plan for Timor was pathologised as an “extremely thought-disordered letter sent to Kofi Annan of the UN”; it was a list of proposals not a letter and was not sent anywhere (I gave a copy to the Jewish GP who had employed me to do sessions for him at what he called “Melbourne Wholistic Medicine”, Abraham “Abe” Mass – it was Mass who referred me to the Alfred Hospital on 16 September 1999 with the claim that I had “schizoaffective disorder”).
  1. The hospital recorded that Abraham Mass was my GP and not my colleague, though the psychiatrists referred to the fact that I had been referred in by a “GP colleague”.
  2. I stopped working for Mass at this stage and the hospital recorded that I was an “unemployed medical practitioner” qualifying that it was “as of last week”.
  • Mass attempted to change from being my employer to being my doctor after the first admission (which he arranged) though I had not and would not seek his medical advice.
  • On discharge from the Alfred Hospital I was ordered to attend Dr Peter Braun of the Waiora Clinic (an outpatient clinic of the Alfred); I confronted Braun with my suspicion that he was working for the Mossad, which he did not deny but wrote to the Mental Health Review Board that my concern that “doctors” work for the Mossad were evidence of mental illness and paranoia. Braun also confirmed during our discussions that the Israeli military had trained both sides in the war in Sri Lanka, but defended this action on their part.
  • In 2001, following another report about me my father (and a resultant admission), the decision was made to start me on injections of a depot antipsychotic – Zuclopenthixol (Clopixol) to be given every 2 weeks under as Community Treatment Order (CTO); this decision made me leave the State of Victoria and seek safety back in Queensland, where I went to school and graduated as a doctor, despite the fact that my father lives here; I hoped, at this stage, to convince him of my sanity.

    Particulars:

Admission from 16 September 1999 to 27 September 1999.

16.9.1999 – Referral by Abraham Mass of 257 Tucker Road, Ormond

Abducted by Ian Katz and Victoria Police from 149 Bambra Road, Caulfield and taken in handcuffs to the Alfred Hospital

House was rented from Avi Jawarowski via real estate agent Hiam Sharp of Caulfield. Avi Jawarowski’s brother Sol is a psychiatrist, who worked previously for the Alfred Hospital but has now returned to Israel. Avi Jawarowski who is a chemist is listed in the Burnet Institute Annual Report as a Senior Lecturer at the institute. The Burnet Institute is located at the Alfred Hospital and part of the Alfred Medical Research and Education Precinct (AMREP).

Katz wrote (in all capitals):

39 YO SINGLE UNEMPLOYED MEDICAL PRACTITIONER, ADM INVOL VIA ISCATT

BACKGROUND/

PSYCHOTIC DISORDER, VARIABLE DIAGNOSES (BIPOLAR, DELUSIONAL DISORDER ETC)

ADM (Admissions) X 5       1995 X 2

1998 X 3

HOPC (History of Presenting Complaint)

2-3/7 OF PARANOID IDEAS, IRRITABLE, LITIGIOUS, HYPER-GRAPHIA, GRANDIOSE

NON-COMPLIANT RECENTLY

ΨTRIST – DR PROCTOR

REFERRED VIA COLLEGUE GP

DR (Omits the name – Abraham Mass)

MSE/ HYPERAROUSED, IRRITABLE STOCKY MAN OF DARK COMPLEXION IRRITABLE, THOUGHT DISORDERED, GRANDIOSE, BIZARRE PERSECUTORY DELUSIONS OF POLITICAL/SCIENTIFIC THEMES, NO INSIGHT, PRESSURE OF SPEECH

ASST (Assessment)/

EXAC (Exacerbation) OF PSYCHOSIS

?SCHIZOAFFECTIVE

ADM INVOL (Admit Involuntarily)

MEDICAL BOARD INFORMED AS PER STAT LEGAL REQUIREMENT

I KATZ

Seen by Kym Jenkins (psychiatrist) who wrote:

STAT REVIEW

39 yo unemployed (as of this week) medical practitioner. Referred to CAT team by a medical colleague [again omits name]

Recommended under MH Act [by Ian Katz] because of grandiose and persecutory delusions

PΨHx (past psychiatric history) – delusional disorder/hypomania

MSE/

Well groomed

suspicious

hostile

verbally aggressive

speech pressured

some flight of ideas

Content of thought:

Delusional belief that he is persecuted by a Jewish mafia, British colonial regime

Belief that he is involved in research into the brain – grandiose delusions re this

Delusional belief that Alfred Hospital staff responsible for disseminating HIV to 3rd World, East Timor and sending letter to Kofi Annan at UN [This is a misrepresentation of my views and behaviour – I did not send a letter to Kofi Annan or anyone else – I was working on my 40-point Peace Plan for Timor but had not sent it to anyone; the reference to Alfred Hospital staff “disseminating” HIV to Third World countries this was a reference to my writings on the Burnet Institute which had recently relocated to the premises of the Alfred Hospital – details can be found in my book ‘Eugenics and Genocide in the Modern World’]

?disorders of perception

Insight: nil. Thinks he is in hospital as part of plot/persecution

Imp (Impression): psychotic episode hypomanic presentation

ΔΔ (differential diagnosis)

Schizoaffective disorder/Bipolar Affective Disorder

Plan/

Certification upheld

Patient informed of this & has “rights” leaflets

Very close observation LSA

At risk to others if absconds

Collateral Hx – Private Ψ

Length of psychosis

Past treatments and response

Medical Board to be informed

Commence antipsychotic Rx – rispiradone 2mg nocte

Needs full organic work up – admits to cannabis usage

Needs mood stabilizer ?not been on lithium

Kym Jenkins

 

17.9.1999

Seen again by Kym Jenkins while being kept in the “LSA”

She wrote:

Remains hostile, guarded ++, thought disordered, speech less pressured, totally insightless.

Believes there is a political plot against him and continues to have grandiose and persecutory delusions.

Stat dose 100 mg Zuclopenthixol (Acuphase)

Romesh would like a 2nd opinion.

 

 

 

 

 

20.9.1999

Seen again by Kym Jenkins with registrar Tejpal Singh

After the interview Jenkins wrote:

Romesh presents :- much less elevated

More pleasant

Not openly hostile

Speech not pressured

Thought stream slowed – no flight of ideas

Apologising for previous insulting behaviour on admission

Decrease in grandiose and persecutory ideation

Impression/    Hypomanic episode resolving

Plan/

Can be nursed in open ward

Needs close obs (absconding risk)

Continue rispiradone

Reassess MSE tomorrow – may be masking psychotic Sx [symptoms]

Discharge planning – will need assertive follow up to ensure compliance

Address issues re medical registration.

 

To be continued…..

High-handed treatment by the PA Hospital

I am angry. After giving him the benefit of the doubt, despite our history, Professor Mark Taylor has betrayed my trust in him and his considered judgement. I should have been more wary – in 2001 he wrote that I had a psychotic illness when I said (and wrote) that AIDS is man-made. At the time, he opined that before I became “ill” I had a paranoid, narcissistic personality disorder. This character assassination and drugging was at the Alfred Hospital in Melbourne and I had hoped that the last 17 years would have improved Mark Taylor’s judgement and medical practice. A competent psychiatrist can ascertain whether a person is mad or sane in a few minutes, and can do it over the phone.

Last week I received a note in the mail from Raghavan ‘Raghy’ Raman who has been appointed my “case manager” since the English nurse Nigel Lewin went on long-service leave a few months ago. Lewin had been injecting me on the orders of a succession of psychiatrists at the PA since 2012, when I was locked up for 2 months for maintaining that my father was a supporter of Tamil Tiger terrorism and had worked as a lobbyist of the organization. The hospital refused to look at the evidence that I provided of my claims and put me under the authority of an Indian Tamil psychiatrist many years my junior who is known to my father.

The note Raghy sent informed me that “my” injection will be due today but that he would be on leave for two weeks. I was asked to come in for the injection, to be given by one of the other 200 staff of the MSAMHS. I was given a number to ring – that of the “psychosis team”.

I rang the number and asked to speak to Balaji Motamarri, the long-time director of MSAMHS, who also qualified in India, before coming to Australia in 1998. “We don’t have a Dr Motamarri working here”. I said that he was the director of the organization and I was put through, instead to Sharon Locke, the “team leader”. I have spoken to this woman many times in the past, and expressed my objections to the PA Hospital’s negligent, high-handed treatment of its patients, including myself. She listens and notes things down, but says she can’t comment on matters that I need to “discuss with the doctor”, including my diagnosis and need for treatment.

When I met Mark Taylor after 17 years I had 24-hours notice to prepare. I had been phoned by Raghy Raman the day before to say that rather than Ghazala Watt, I would be seeing “Dr Taylor”. I told him that Mark Taylor had been responsible for locking me up in Melbourne in 2001, and was one of the psychiatrists I had named in the Statement of Claim I sent to the hospital, but was not accepted by the courts. The hospital psychiatrists referred to this as my being “litiginous” and further evidence that I was mentally ill.

In 2001 Mark Taylor wrote that I was deluded about “AIDS, eugenics etc” and misrepresented my statement to him that my father was a supporter of Tamil Tiger terrorism, and was trying to stop me from asking him what he knew about biological warfare. Taylor wrote that I believed that my father was spreading AIDS and that he is a “biological terrorist”. He wrote that these beliefs (about AIDS, eugenics and my father) were evidence of schizophrenia and recommended that I be injected with zuclopenthixol (Clopixol) against my will under a “Community Treatment Order” (CTO). I successfully appealed against the CTO was was released from forced treatment by the Alfred Hospital, but now Mark Taylor has turned up again, and has been given power over me.

I answered Mark Taylor’s questions about me honestly but did not get a chance to show him any of the evidence of my sanity that I had carefully packed in my briefcase to show him. The opportunity never arose, since he was sitting in front of the computer screen and typing my responses to his interrogation of me. He was particularly interested in my drug intake but also asked general questions about my health. I was relieved to speak to somebody who was fluent in English and encouraged by his assessment that I was “no longer” psychotic and his promise that would consider reducing the injections.

After I expressed my concerns to Sharon Locke last week, Mark Taylor phoned me back and asked how he could help me. This is a first from psychiatrists at the PA Hospital. I said he had said he would think about stopping or reducing the injection. He agreed he had done so, but wanted to be sure that I was “stable” fiirst. I assured them that I was, and the only problem I have is side-effects from the 100 mg of paliperidone that Ghazala Watt had insisted be injected into me when my father contacted the “service” complaining about me again.

Rather than assessing my mental state over the phone, Mark Taylor said he wanted to “check with your case manager Raghy”. This is ridiculous and negligent. I have already told Taylor how Raman, who is an Indian Tamil with poor English skills, thought that the Tamil Tigers were “activists” rather than terrorists, and was clearly sympathetic to the terrorist organzation I have long been opposed to and my father supported. Today I told Sharon Locke more disturbing facts about Raghy Raman that I had not shared before, since he asked me to keep his confidence. These related to his own medical problems, including the cause of his psoriasis and hypertension. He was blaming the antihypertensives he was on for worsening his psoriasis, but I suggested that maybe stress was a common factor in both. He agreed that he was stressed, but blamed his wife’s behaviour towards him as the cause of the stress, and that there was nothing he could do about it. He then told me he expected to commit suicide when he was forced by his age to retire. This man is not in a position to judge the sanity of me or anyone else.

The injections don’t need to be reduced, they need to be stopped. It is patently obvious that I don’t have schizophrenia, if the the term is to be understood by the contents of psychiatric texts.

Evidence against Princess Alexandra Hospital, Wooloongabba, Brisbane

via Threats by the PA Hospital

Old Wine in New Bottles – Remarketing ‘Depression’

Last year, I watched an interview on ABC News 24 informing us about a “new theory on the cause of depression”. This is that it is caused, not by a “chemical imbalance” but by inflammation in the nervous system (notably the brain). This is being presented as an alternative to the “serotonin theory of depression” that was used to justify the presciption of Selective Serotonin Reuptake Inhibitor (SSRI) drugs, beginning with Prozac in 1987.

I have been watching and analysing the changing hype for many years. When I worked as a family doctor, the drug companies were claiming that depression was caused by a chemical imbalance in the neurotransmitter noradrenaline, not the indole amine serotonin (5-hydroxytryptamine). This was because the market leaders in the “depression market” were the toxic and ineffective “tricyclic antidepressants” which were developed in the 1950s and were the mainstay of depression treatment till they were replaced by the SSRIs in the 1990s. Tricyclics were known to affect noradrenaline (norepinephrine) levels in the brain.

The psychiatrist interviewed by the Australian Broadcasting Corporation (ABC) defended the “chemical imbalance theory” that has been such a successful marketing catchphrase for the drug companies but admitted that the SSRI’s don’t work for everyone and that “we don’t know” why some people with depression have disordered serotonin metabolism and others don’t. As usual, she explained that they needed more money for research to get the answers.

Dr Liz Scott, for that was her name, also agreed that the new theory was plausible, pointing to the fact that stress affects the immune system. She didn’t explain how stress, which usually depresses the immune system, is responsible for this inflammation, or why there is no evidence of such inflammation in the brains of depressed people who commit suicide. At the same time it is known that chronic illness of many types causes unhappiness and “depression”, including viral, bacterial and fungal infections, kidney and heart disease, cancer and chronic arthritis. Forced psychiatric treatment (especially incarceration) is an important cause of stress that Dr Liz Scott did not mention, predictably. Many other things cause unhappiness, and unhappiness has long been termed “depression” by the medical treatment industry, rejecting the older term of melancholia (thought to be due to a preponderance of black bile, one of the four humours of Galenic medicine).

In the 1960s American “experimental psychologists” of the “Behaviorist School” did a series of cruel experiments on baby chimpanzees, which demonstrated, as if there was need for it, that primates (as well as cats, dogs and even rats) pine away and become morose and depressed when they are deliberately made lonely and deprived of social activity and the comfort of others. This was heralded as a “discovery”.

Prozac was released with much hype, including a flurry of books in the “popular science” press, especially by Rupert Murdoch’s Harper-Collins publishers. These promoted Prozac for a range of medical and psychiatric conditions beyond depression, and resulted in profits of 3 billion for Eli Lilly. The other major drug companies followed suit, releasing and marketing (including bribing doctors to prescribe) a growing range of alternative SSRIs.

Eli Lilly have a long history of research into psychedelic drugs and psychoactive drugs that affect the serotonin receptors and pathways in the brain. In the 1960s they bought the rights to LSD (or ‘acid’) from the Swiss company (Sandoz) that had developed it. It was known that LSD could cause “schizophrenia-like” psychotic episodes, according to the psychiatric terminology of the time. This terminology dates back to 1909, when the Swiss psychiatrist Eugen Bleuler coined the term “schizophrenia” and promoted its use for what his colleague Emil Kraepelin of the University of Heidelberg in Germany, known as the “Father of Psychiatric Classification”, had termed “dementia praecox” (adolescent dementia).

Bleuler argued that Kraepelin, in Germany was too pessimistic and that a third of his patients in the Swiss Burgholzli asylum recovered and were discharged from hospital. Kraepelin had taught, for many years, that any young person who “heard voices” was eventually destined to die of dementia (terminal mental degeneration) in a lunatic asylum.

German psychiatry became more brutal under the Nazis when patients with “schizophrenia”, “cyclical madness” (manic depression or bipolar disorder) and “personality disorder”, who had been populating the long-term mental asylum wards, were prescribed “euthanasia” – meaning “good” or “mercy killing”. Needless to say this included political enemies of the regime, since it has long been the case that enemies of the state or ruling regime get branded as mad. The same label of schizophrenia was also used in the Soviet Union to justify locking up and drugging, with chemical restraints, social and political dissidents.

In fact, chemicals do have a lot of effect on human thinking and behaviour, as the well-known effects of alcohol and drunkenness demonstates. To understand the hidden crime of “antipsychotic drugs”, and “antidepressants” one needs to know a few basics about catecholamine and indole amine neiurotransmitters and neurohormones.

Neurotransmitters are small molecules that bind to cell membranes of the nerve cells (neurones) in the brain and nervous system, stimulating or inhibiting “action potentials” or electrical impulses that pulse or vibrate in a constant, complex network through the nervous system. There are many different receptors for the same neurotransmitter – for example there are D1, D2, D3, D4 and D5 receptors in different parts of the brain. This results in the same chemical neurotransmitter having different effects depending on the type of receptor on the effector cell.

This science lies behind the efforts, over many decades, to find antipsychotic drugs that did not cause stiffness, dribbling and uncontrollable writhing movements of the face and limbs (Tardive Dyskinesia) which crippled so many of the long-term inmates of mental hospitals in the 1960s, 70s and 80s, when the main drugs that were used were Largactil (Thorazine), Haldol (haloperidol), Stelazine and Modecate. Thousands were crippled and still are, by these horrible drugs – both in the communist and the capitalist nations. The main “indications” were “schizophrenia”, “mania” and “schizoaffective disorder”, though they were also used as chemical restraints in elderly people diagnosed with dementia, a particularly cruel form of elder abuse that was prevalent in the more abusive nursing homes in Australia.

It is important to realise that the neurotransmitters in the brain are in constant dynamic flux. Every emotion or action results in chemical changes. When one listens to music the chemicals in the brain change. When one does for a walk, the chemicals change. When one gets excited, or relaxes, the chemical balance changes. Some neurotransmitters increase and some decrease in activity, made more complex by the fact that different cells have different neurotransmitter receptors, affecting how they respond to them. It been demonstrated that the successful completion of tasks results in measurable increase in serotonin levels.

Chemical imbalance theories make a lot of money for companies selling chemicals (drugs/medications). Millions of dollars are spent on promoting various chemical imbalance theories and the drugs that affect these chemicals. The dopamine theory of schizophrenia and the serotonin theory of depression were used to market dopamine-blocking “antipsychotic drugs” and SSRI “antidepressants” respectively. Despite numerous people demonstrating the fallacy of the different chemical imbalance theories, opponents are up against a multi-billion-dollar industry that is profit-driven and stands to profit from repeating the theories without mentioning the opposition to them.

Don’t believe the hype.

Debating Psychiatry with the PA Hospital

 

This is a debate from two years ago (February 2016) between me and Nigel Lewin, an English psychiatric nurse from the Princess Alexandra (PA) Hospital.

Nigel had been appointed my ‘case manager’ and I was being made a “medical case” and “mental case” by my medical colleagues at the hospital that empoyed my father from 1976, when my family migrated to Australia from Sri Lanka. I was 15 then and remember staying in a house on the grounds of the hospital when we first arrived. Later, I avoided the hospital where my father and sister worked, and had a poor opinion of it, reinforced by my father’s claims (for which he was eventually sacked) that the hospital was “in chaos”. This was in 2001 and he got me locked up at the “chaotic” hospital (in his own written opinion) in 2002. In fact, he got me locked up 5 times in 4 months, culminating in my rib and finger being broken by security guards and male “nurses” immobilising me so that I could be injected with a drug called Zuclopenthixol, a treatment for ‘schizophrenia’ and other ‘psychotic disorders’

I began my debate with Nigel by asking him what he thought about “Psychotic Disorder – Not Otherwise Specified”, the label the hospital was trying to pin on me at the time, after revising the diagnosis from one of schizophrenia. Now, under the treatment of Jumoke Banjo (from Nigeria) and Ghazala Watt (from Pakistan) the diagnosis has been changed back to “paranoid schizophrenia”. Nigel Lewin has now gone on long service leave and a new case manager, an Indian man by the name of Raghy Raman, has been appointed. Raghy has expressed the opinion that the leader of the Tamil Tigers, Vellupillai Prabakaran was an “activist” rather than a terrorist, and described me as having “elevated speech” when I debated with him about the Tamil Tigers. In response to this, the psychiatrist Ghazala Watt increased the dose of depot antipsychotic she has abusively ordered.

 

 

 

 

 

 

 

Psychoimmunology, the Nocebo Effect and Psychiatry

©2018 Romesh Senewiratne-Alagaratnam (MD)

In the 5th century BC, the Athenian general and historian Thucydides wrote about how people who lost hope after contracting the plague were more likely to die from the deadly disease. His was the first description of what is now called psychoimmunology – the effect of the mind on the immune system. Another common manifestation of psychoimmunology is the well-known placebo effect, where belief in a treatment results in greater efficacy of the treatment, even if there is no active ingredient in the said treatment. The nocebo effect is the opposite of the placebo effect – when negative effects of an inert treatment occur due to expectations of harm.

The immune system is always subconsciously active, fighting off potential infections and cancers. It can also be over-active, as in allergic reactions, or become misdirected against the body’s own tissues, causing a wide range of autoimmune diseases. It is a common observation that mental stress can aggravate allergies and autoimmune diseases as well as cause depressed immunity.

The term ‘psychoimmunology’ was coined by George Solomon at UCLA in 1964. In 1975 Robert Ader and Nicholas Cohen coined the term ‘psychoneuroimmunology’ (PNI), emphasising the role of the brain and nervous system (neuro) in the processes by which the mind influences the immune system. This was initially viewed with scepticism since medical orthodoxy taught that the immune system was independent of the nervous system (despite knowledge of the placebo effect). There was less focus on how the immune system affects the brain and mind, although at times it obviously does (such as various types of inflammation of the brain). One of Ader’s interesting experiments was one where he conditioned rats to become immunosuppressed by pairing an immunosuppressive drug with saccharin. He found that he was able to stimulate immunosuppression by merely exposing the rats to saccharin after they had been conditioned to link saccharin with the immunosuppressive effects of the drug Cytoxan.

The placebo effect, and its converse, known as the ‘nocebo effect’ illustrate the effect of the mind on the immune system. How these effects arise and what neurological and physiological processes underpin them are partly unanswered questions, but are likely to involve many parts of the brain, especially those areas that affect emotional reactions (such as the amygdala and nucleus accumbens) and the hypothalamus, which affects the endocrine system via the pituitary and pineal glands as well as the autonomic nervous system. The role of the endocrine system in these effects is emphasised by the new term “psychoneuroendoimmunology” (PNEI).

An interesting thing about the placebo effect is that it operates even when the subject knows that it is a placebo. It has also been found that the colour and size of placebo tablets have a bearing on their effectiveness. Red tablets have been found to be more energising, while blue tablets are more calming. This indicates the role of the visual system on the placebo effect. Effective placebos are not just tablets, however. Injections of saline and ‘sham’ surgery have also been shown to be effective placebos. It has also been found that placebos are effective even when the subject knows that they are placebos and have no active ingredients in them. However, belief that an active drug is in the placebo makes the effect more powerful.

The converse effect, the nocebo effect, is the phenomenon by which a drug or treatment that is expected to cause disease does so. For example people become immunosuppressed, nauseated and lose hair if they think the placebo drug they have been given is a cancer chemotherapy drug (and they have been warned about possible side-effects). This indicates the possible negative, as well as possible positive effects, of suggestions.

Studies have shown that depressed mood is associated with impaired immunity and that a good mood promotes health of the immune system. The problem is that improved mood, especially if sudden and accompanied by insights and reduced need for sleep, is liable to be pathologised as hypomania or mania (and ‘elevated’, rather than improved, mood) and treated by dopamine-blocking drugs and lithium, often after locking the person up (which predictably causes the mood to come down). To complicate matters further, it has been reliably reported that people in a good mood (and those who are mentally relaxed) require less sleep. It is also known that meditation can lead to both insights and less need for sleep.

It is generally accepted that the amygdala, an almond-shaped nucleus located deep in the temporal lobes, plays an important role in the placebo and nocebo effects. The amygdala is activated by fear, alarm and anger responses. These emotions activate the hypothalamus and the sympathetic nervous system causing what the Harvard physiologist Walter Cannon termed the “fight or flight reflex”. Activation of the amygdala causes a cascade of hormonal changes via the hypothalamic-pituitary-adrenal (HPA) axis, causing stimulation of the heart, bronchodilation in the lungs, sweating and diversion of the blood flow away from the gut and towards the muscles (in preparation for fight or flight). Though the sympathetic nervous system is known to be involved in “flight and fight” (fear and anger) responses, this branch of the autonomic nervous system is also involved in positive excitement and healthy activation. As well as this, it innervates the pineal gland, where it regulates the synthesis of melatonin from serotonin (during the night).

The body’s response to stress, both physical and mental, is to secrete the hormone cortisol (from the adrenal glands) under influence of adrenocorticotrophic hormone (ACTH) from the pituitary. The ACTH is secreted in response to corticotrophin-releasing hormone from the hypothalamus, a structure at the base of the brain that is neurally connected with the amygdala and other emotion-related parts of the brain. In addition, neuropeptides such as Substance P, which have pro-inflammatory effects, are secreted by the brain and by immune cells such as macrophages and other white cells. The cortisol affects white cells in complex ways, including increasing some populations and decreasing others, causing apoptosis of some cells and chemotaxis of others. It has a generally suppressive effect on the immune system, for which it is often used therapeutically.

While this stress response is essential for escaping from danger, it is thought that in modern society there is often a chronic overstimulation of the stress pathways, leading to increased illness from a range of stress-related maladies (including heart disease, hypertension, autoimmune disease, headaches, peptic ulceration and irritable bowel syndrome).

The sympathetic nervous system is counterbalanced by the parasympathetic nervous system (associated with “rest and digest” physiology according to Cannon). This branch of the autonomic nervous system is associated with a range of physiological activities associated with healing and regeneration. Many stress-reduction techniques (including biofeedback and meditation) aim to increase parasympathetic activity over sympathetic activity in the autonomic nervous system, with the objective of increasing healing and regeneration.

The possible role of the pineal has not been discussed much, but the pineal’s main hormone, melatonin, is known to have effects on the secretion of pituitary hormones, and is thought to have effects on the immune system. In addition, melatonin is known to be a powerful antioxidant. Antioxidants counter oxidative stress and have positive effects on the immune system (and ageing) as well as beneficial effects on the cardiovascular system and nervous system. It is known that conversion of serotonin to melatonin in the pineal (which occurs mainly at night) occurs under the influence of sympathetic activation and the SNS neurotransmitter noradrenaline (norepinephrine).

There has been considerable study on the effects of neurotransmitters and neurohormones, cytokines and endorphins on the immune system. These studies illustrate the complexity of the brain’s effects on the immune system (especially the activity of white blood cells or leukocytes) and the effects of the immune system on the brain and mind (in such diseases as Multiple Sclerosis, AIDS, Parkinson’s Disease and Alzheimer’s Disease). Though complex and incompletely understood, it is clear that loss of hope and pessimism have negative effects on the immune system, as well as other physiological systems.

 

Implications for Psychiatry

 

The detrimental effect of loss of hope, written about by Thucydides 2500 years ago, has serious implications for doctors, especially psychiatrists. Psychiatry is a notoriously pessimistic area of medicine. Hundreds of “mental disorders” have been named, all incurable according to psychiatric orthodoxy. If the signs and symptoms of the “disorder” are no longer evident, the patient is said to have gone into remission, rather than cured. Labels of “personality disorder”, once applied, are never removed and all personality disorders are, according to psychiatric orthodoxy, permanent. This can be expected to depress the mood and the immune system. In addition there is an increasing tendency to regard the normal as abnormal. Excitement, for example, is seen as hypomania and normal sadness as “depression”, while a range of New Age beliefs and alternative science (and political) beliefs are regarded as signs of “schizophrenia”. This leads to self-fulfilling prophesies and partly explains the appalling life expectancy of people once they have been given a label of schizophrenia or bipolar disorder.

In the case of bipolar disorder (manic depression) a single episode of mania or hypomania is taught in psychiatric texts to herald a life-long condition of “mood disorder” requiring long-term mood stabilizing drugs like lithium. These drugs have terrible side-effects and shorten the life, explaining why a diagnosis of bipolar disorder is accompanied by a ten to twenty year shorter lifespan, on average. A diagnosis of schizophrenia shortens the life by 15 to 20 years, on average, and again is treated with long-term antipsychotic drugs that are known to shorten the life and make people lethargic, obese and prone to diabetes and heart disease in addition to causing neurotoxicity in the form of Parkinson’s Syndrome and Tardive Dyskinesia (a permanent condition characterised by involuntary spasms, grimaces and writhing movements that is caused by antipsychotic drugs). Lithium is notorious for causing kidney and thyroid failure.

Though the suicide rate is much higher in people given these diagnoses, most of the morbidity and mortality is not due to suicide. Besides, self-harm and suicide can be partly attributed to the pessimistic diagnosis (resulting in loss of hope), and social stigmatization resulting in loneliness, poverty and other social problems. These commonly lead to loss of motivation and depression, with negative effects on the immune system. The main cause of the shortened life span when on antipsychotic drugs is due the long-term effect of blocking essential neurotransmitters, causing metabolic problems and heart disease. They can also cause irreversible brain damage in the form of cognitive decline, cerebral atrophy and tardive dyskinesia. Though they can be effective in treating hallucinations, they should not be used for behaviour control or as chemical restraints, as they frequently are, especially in the elderly. Delusions are better treated by debate than drugs. The diagnosis of delusions can also be problematic in that the belief system of the interviewer is pitted against, and assumed to be superior, to that of the patient.

To maximise the potential of the body’s own healing mechanisms, and those mediated by the mind, is imperative that people reject labels of incurable mental illness and realise that just because they have been mentally unhealthy in the past does not mean they need to be mentally unhealthy in the future. It is also imperative that doctors and other health workers realise that implanting pessimism in the minds of their patients is a recipe for inducing chronic illness.