On Balaji Motamarri’s Directions

©2018 Romesh Senewiratne-Alagartatnam (MD)

I am writing this to express my strongest condemnation of the thinking and actions of Dr Balaji Motamarri towards me at the Princess Alexandra (PA) Hospital and Metro South Addiction and Mental Health Services (MSAMHS) of which he is the director.

I have never met Dr Motamarri, and he has refused to speak to me, even on the phone, but I have been subjected to abusive diagnosis and treatment by a series of psychiatrists at the PA Hospital and its outpatient clinics since 2002, when I was locked up 5 times under the authority of Dr Paul Schneider, who continues to work as a senior psychiatrist at the hospital to this day. Schneider was acting on the wishes of my father, Dr Brian Senewiratne, who was a long-time consultant at the same hospital and a colleague of his. My father was also a long-time propagandist and lobbyist for the Tamil Tigers (LTTE) travelling the world campaigning for the Tamil Tigers to be de-banned. He claimed that the Tigers were “freedom fighters” rather than terrorists and argued, citing the example of the Irish Republican Army (IRA), that a “guerrilla army using guerrilla tactics on guerrilla soil” could never be defeated, though the fight may go on for hundreds of years.

My father began getting me locked up in 1995, when I first publicly criticised him. A man who hold grudges, he has had me locked up numerous times since then, prevented me from earning my living as doctor, and tried to discredit me by claiming that I was “in and out of mental hospitals” (which was true, but mainly because of his insistence that I had a “serious psychotic disorder” that required “assertive treatment”). To run salt into my wounds, my father presents himself as a champion of human rights and the rights of the oppressed.

Balaji Motamarri, my father and I all have Linkedin and Facebook accounts. What I know about Dr Motamarri comes from what he has made publicly available about himself and his qualifications, rather than personal discussions with him. I have seen him once, when he was pointed out by nursing staff one weekend, when I had been locked up again in 2016. It was a weekend and he was the on-call psychiatrist for the PA. I had been locked up for more than a week and wanted to go home. I wanted to see him so that he could see for himself that I was of sound mind. He didn’t even acknowledge my presence and ignored me completely. I have not seen him since, though the Nigerian psychiatrist who had got me locked up (again on the wishes of my father) kept me locked up for a few more days, and tried to convince me that I had “paranoid schizophrenia”. I pointed out that my long-standing claims that my father was a supporter and lobbyist for the LTTE was not paranoid, it was factual. She ordered that I be injected with the antipsychotic drug paliperidone and placed on an Involuntary Treatment Order (ITO) to enable easier return to the hospital if I become “unwell” again or refuse (the abusive) “treatment”.

Balaji Motamarri’s Linkedin page indicates that he speaks Hindi and Telugu and graduated in medicine at the Andhra Medical College in 1987. His Linkedin page says he has been a psychiatrist in Australia and “Clinical Director, Psychosis Academic Clinical Unit” for 19 years and 8 months (since Oct 1998). Below this it states that he has been ‘Clincal [sic] Director” of MSAMHS since 2012. Since he has been the clinical director of the “Psychosis Academic Clinical Unit” I have been locked up and injected on more than 20 occasions, always at the PA Hospital (one of several hospitals on Brisbane’s south-side that comes under the authority of the MSAMHS).

Despite graduating (in India) some years after I graduated at the University of Queensland, Balaji Motamarri’s Linkedin and Facebook pages do not suggest that he is computer literate. He also has an almost complete absence of academic publications to his name, yet he is supposedly the clinical director of the “Psychosis Academic Clinical Unit”.  As testament to his carelessness, even when confronted with the relatively simple task of listing his experience for Linkedin he made several typographical errors (in addition to ‘clincal’ instead of clinical): He says he is now (since October 2016) the Executive Director of “Clincial Services” of “Metrosouth Mental Health Services”. He hasn’t even got his own title right. This is the “Executive Director of the Metro South Addiction and Mental Health Services (MSAMHS)”.

Balaji Motamarri has 161 Linkedin contacts, including 14 mutual contacts with me. I have about 3500 contacts, including psychologists and psychiatrists from many countries, including India. I also have contacts relevant to my other areas of interest – neuroscience, medicine, meditation, music, human rights, law, Buddhism, journalism and politics. I have posted links to my music and publications on my Linkedin page, which are available to be read by my peers, including Balaji Motamarri. I have sent him a contact request but he hasn’t accepted it yet.

The University of Queensland lists one and only one publication co-authored by Balaji Motamarri. From 2012, and published in “Current Medical Research and Opinion” it is titled “Practical guidelines on the use of paliperidone palmitate on the treatment of schizophrenia”. PubMed lists 3 other papers for which he was a co-author, all published in Australian psychiatry newsletters and all promoting long-acting injectables, like paliperidone. Since I was locked up at the PA in 2012 I have been injected monthly with paliperidone on the orders of a series of psychiatrists answering to Balaji Motamarri. They started off by saying I had schizophrenia, then revised it to “psychotic disorder – not otherwise specified” before changing back to schizophrenia. My protestations that I have never had hallucinations, am motivated and sociable with a stable mood, am well-organized, rational and logical and am obviously of sound mind has fallen on deaf ears. The psychiatrists have consistently taken the side of my father against me and declared me to be “psychotic” and “delusional” to believe that he was maliciously motivated towards me, and that he was a propagandist and lobbyist for the LTTE.

Balaji Motamarri’s Facebook page provides a window into his social life in 2010. There are only 2 postings, from 26 December 2009 “Merry Christmas to all” and from 25 January 2010, when he has posted on his wall what he intended as a personal message to his friend Manju:

“Hi Manju. My apologies for not replying earlier. As you can understand we are ‘recovering’ from our trip – the trip of ‘Telengana Bandhs’. Hyderabad has become a city of uncertain nightmares. And to add to the issue, our daughter’s school is starting in 2 days time and you know the dramas associated with this – just imagine ‘school after 10 weeks on holidays’ – what a nightmare to the parents.”

Balaji Motamarri seems to be feeling sorry for himself because his daughter has to go back to school after 10 weeks of holiday (which he claims he needs to recover from) and this is a “nightmare to the parents”. I have never had nightmares about my daughters going to school, but I have had many nightmares about being locked up by Balaji Motamarri’s unit. In these nightmares I am trying to prove my sanity but am interminably kept waiting. Sometimes I am assaulted by men with needles. Sometimes I am looking for my bed but am faced with endless corridors. My most consistent nightmare is being kept waiting in the confines of the PA Hospital. I am also uncertain about what he meant my Hyderabad becoming a “city of uncertain nightmares”. I am certain about my nightmares. They are very vivid.

Balaji Motamarri has only 182 Facebook friends, and hasn’t made any new ones in recent years. However, when he first filled in the questionnaire for Facebook he enthusiastically listed the Indian educational establishments he studied at. His Intro lists:

Works at MSAMHS

Worked at CNAHS

Studied psychiatry at PGIMER Chandigarh

Studied MBBS at Andhra Medical College, Visakhapatman, India

He also includes three high schools, including one in Chennai, where he matriculated in 1979 (before starting medicine in 1981).

 

Everybody should be treated with respect, but seniority is an important concept in society and in the medical and academic hierarchies. One is expected to respect ones seniors, as one is expected to respect ones elders. This has a long tradition in the West as well as the East (including India). The MSAHMS boasts that it provides “respect” as ones of its core values. I matriculated in 1978, winning the Tyrwitt Cup for best academic student at the Church of England Grammar School in Brisbane. I was working as a young doctor looking after desperately sick children and at the Royal Children’s Hospital and Prince Charles Hospital when Balaji Motamarri was still a medical student in India. While Motamarri was studying to become a psychiatrist I was looking after a community of 1000 mainly elderly patients, including many with complex illnesses (including mental health problems) as a family doctor in Melbourne. I have researched and lectured on mind-body medicine at Swinburne University in Melbourne, and my lectures can be viewed on YouTube, if Balaji Motomarri and his staff are interested to see what my state of mind was like in 2001 (when I was first misdiagnosed as having schizophrenia). They can even see the interview I gave in 1998 when I discussed my research into the pineal gland with Micheal Adami and the documentaries I have made about eugenics, psychiatry and AIDS (the theories that were diagnosed as ‘delusional’ by the psychiatrists in Melbourne).

I think I am owed the respect of a phone call with him to explain how and why his hospital is misguided to force a disease label and anti-psychotic drugs on me. I am also owed an apology for being locked up for raising uncomfortable truths and being denied my freedom of speech and my physical freedom. I am owed an apology, too, for being poisoned with drugs that have harmed my health and brought me no benefit, as well as putting me at risk of a range of iatrogenic adverse effects. At least I don’t have the added trauma of believing that I have an incurable brain disease.

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.

Reality TV (protest song)

 

The ‘Green Guide’ told us to watch the TV

It claimed that we would finally see reality.

Under the impression that truth is not a digression

I had to ask the question

As to why the strange things I saw that night

Were advertised as real and right

So I waited for the commercial break

To lose my concentration

As my attention wandered away

From the packet filled with cornflakes on the screen

To reality as it has been

From the cornflakes on the screen

To reality as it has been

 

So I looked out of my window

And saw that things were good –

The tree that I had planted

Was still standing where it should;

I thought it seemed real enough

I didn’t need to check

I saw a purple flower

But in the shade it looked black.

 

Then I looked up at the sky

Where the moon had been last night

The moon had gone and in its place

Was a glowing ball of light

A glowing ball of light

 

“Could this be real?” I wondered

As I looked on with delight

As the cotton clouds changed shape

To form a white dove bird in flight

But I knew that it was only a cloud I knew it was the sky

I didn’t wave my arms about

Thinking that I could fly!

 

I didn’t watch the box that night

To tell me what is wrong and what is right

But ‘reality’ blazed its bizarre beams

Into other minds and other brains

And I wonder how many were sane

With ‘reality TV’ in their brains

I wonder how many were sane

With ‘reality TV’ in their brains.

 

(words and music by Romesh Senewiratne-Alagaratnam, copyright 2004)

With One Voice “Peace” (protest song)

words and music by Romesh Senewiratne-Alagaratnam Arya Chakravarti, 2004

recorded in 2006

 

WITH ONE VOICE ‘PEACE’

 

Looking at the sunshine

But kept in the dark

The weatherman said it would be fine

Another glossy, casual remark

‘Cause a new war looms and we’ve seen it all before

A new war looms and we’ve seen it all before

 

The TV talks up the conflict again

It showed the friendly soldiers and some were weeping

It slowed the lonely viewers already sleeping

Said the special correspondent ‘the soldiers are despondent’

This time the administration has acted without consent

And its time to voice some real dissent

 

‘Cause a new war looms and we’ve seen it all before

A new war looms and we’ve seen it all before

 

No longer hypnotised by lies

The masses mobilized

To stop the growth of arms in the skies

The masses have been mobilized

 

They dance and march and wave placards

The poets and the singing bards

They say with one voice “No War!”

They say with one voice “Peace!”

They say with one voice “Peace!”

 

Retrospective Diagnosis (protest song)

I ask as I read

Your diagnoses of the dead

Of the madness of artists

And the ravings of poets –

Do you consider what’s said?

Do you think ANY poet sane?

How can you understand such a brain

When you treat metaphor with disdain?

 

I ask as I read

When you speak of Van Gogh

Diagnoses are made

And his brilliance fades –

Viewed as a freak

Diseased imagination

That glorified sunflowers

And saw beauty in the mundane

 

I ask as I read

The criteria you make

To call artists mad

Synonymous with bad

Prejudiced rules

Constructed by fools

With stupid textbooks

Created by crooks

With hidden agendas

Arrogant and friendless

 

Do you consider any poet “chemically balanced”?

Do you consider any artist “appropriately behaved”?

Or are poetry and art the very diseases

That you would rid the human race of?

The human race, tired of running

Round in circles

Driven ever faster, the human race

Sick of competing and climbing the ladder

Deeper into the sewer Of greedy profiteering

Relentless careering

Artists exploited, poets tortured

The victims cry out, but fear to be clear

They speak in metaphor

To hide their horror

They have seen the world as poets

As sensitive people

Not “schizophrenics”.

 

(words and music by Romesh Senewiratne-Alagaratnam Arya Chakravarti, 1999)

Guitars, bass and vocals by Romesh)