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Recent investigative findings have brought to light significant concerns regarding the approval and trial processes of mental health medications. Between 2013 and 2024, the U.S. Food and Drug Administration (FDA) approved 16 novel psychiatric drugs. However, the underlying clinical trials that supported these approvals show a mixed record of success and rigor. Out of 73 clinical trials for these drugs, approximately 62% were judged positive by the FDA, but some drugs were approved despite more failed or negative trials than successful ones. For instance, brexipiprazole, pimavanserin, and gepirone had fewer than half of their submitted efficacy trials deemed positive, with one even overturned by higher FDA leadership after initial rejection by medical reviewers. Notably, three drugs were approved based on a single pivotal trial, raising questions about the robustness of evidence required for market entry.
[1]Moreover, despite the ongoing intake of these medications by millions, the scientific understanding of how many psychiatric medications exert their effects remains limited. Most of the approved drugs operate through variations of mechanisms involving serotonin, dopamine, and norepinephrine systems, pathways known since psychiatric drug development began over half a century ago. There has been little advancement in fundamentally new mechanisms of action, although improvements in safety and tolerability have been made. This stagnation raises concerns about the innovation in psychiatric drug development when the efficacy and safety evidence supporting approval vary greatly and sometimes rely on unclear biological assumptions.[3]
[1]This situation prompts pressing questions: Why have so many mental health medications not gone through more rigorous and conclusive trials before approval? If the basic science behind these medications is not fully understood, how can we be certain that these drugs help patients in meaningful, long-term ways? Psychiatric disorders are complex illnesses with no validated biological biomarkers, making it difficult to measure treatment effects objectively. This scientific uncertainty may partially explain the reliance on clinical scales and the variability in trial outcomes.[1]
[3]Additionally, some critics argue that some clinical trials lack a true placebo group, as "placebo" groups often consist of patients withdrawn from other psychiatric medications, thus complicating interpretation of drug efficacy. Research on first-episode psychosis patients, for example, lacks placebo-controlled trials altogether, making it difficult to confirm short-term benefits conclusively.
[2]In summary, the recent disclosures about the variability and limitations in trials preceding FDA approval for mental health medications underscore an urgent need for greater transparency, rigorous scientific inquiry, and innovative approaches in psychiatric drug development. Until we clearly understand how these medications work and verify their benefits with solid evidence, patients and practitioners must ask: If these drugs were created with unknown science and incomplete trials, how exactly do they help? Why wasn't more stringent testing required before approval to ensure patient safety and effectiveness?
***
This essay aims to highlight the current concerns and calls for deeper investigation and clarity in the mental health medication approval process based on recent research and regulatory reviews. If you want, I can provide a detailed list of the specific drugs and trials mentioned in the latest studies. Would you like me to include that information?[2][3]
[1][1]( jamanetwork.com/journals/jaman… )
[2](johnhorgan.org/cross-check/the…)
[3](nature.com/articles/s41386-023…)
[4](skylandtrail.org/do-i-have-to-…)
[5]( sciencedirect.com/science/arti…)
[6](magazine.ucsf.edu/weight-loss-…)
[7](medicalrealities.com/mental-he… )
[8](nimh.nih.gov/health/topics/men…)
[9]( hcplive.com/view/5-fda-updates…)
[10]( scientificamerican.com/article… )
Do I Have to Take Medications to Manage My Mental Illness?
Questions and answers about psychiatric medications for mental illnesses like depression, bipolar, schizophrenia, and BPD.Shannon (Skyland Trail)
- Past week (50%, 1 vote)
- Past month (0%, 0 votes)
- Past year (0%, 0 votes)
- 1-5 years ago (0%, 0 votes)
- Over 5 years ago (0%, 0 votes)
- Over 10 years ago (50%, 1 vote)
Harsh, but pretty accurate... For me, the reaper ever lurks in a sun-bathed field I am mowing, or wherever my mind may wander... Relative contentment, if not happiness, always coupled with existential dread... Is death relief, or...? The clock keeps ticking...
Nobody knows for sure. People have their beliefs, but that's all they are, beliefs. All we know for sure, is we're no longer in this dimension when we are dead.
and then you sit there for years waiting for trumpets
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RE: bsky.app/profile/did:plc:qfpnj…
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Kotaku just posted:
Halloween: The Game Announced, Will Feature Multiplayer And Solo Story Mode
This new Halloween game is set to arrive on consoles and PC sometime in 2026
The post Halloween: The Game Announced, Will Feature Multiplayer And Solo Story Mode appeared first on Kotaku.
breitbart.com/entertainment/20…
Park Visitors May Face Prosecution After Helping Now-Fired Ranger Hang Transgender Flag in Yosemite
A Yosemite National Park ranger was fired after hanging a pride flag from El Capitan while some park visitors could face prosecution under protest restrictions that have been tightened under President Donald Trump.Breitbart News (Breitbart)
They k*lled him on Stream..
@LegalMindset https://www.youtube.com/watch?v=Nv8ze7-Fhcwhttps://kick.com/tectone | https://www.twitch.tv/tectone | https://twitter.com/TectoneJoin this ...YouTube
Mourinho's Fenerbahce draws with Benfica, Bodo/Glimt wins big in Champions League playoffs 1st legs
https://apnews.com/article/champions-league-mourinho-benfica-bodo-celtic-3ac5bb70cffeeb0ebeb04eeaf4c98265?utm_source=flipboard&utm_medium=activitypub
Posted into Sports @sports-AssociatedPress
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War of Accusations: Macron and Netanyahu Clash Over Palestinian State
President Emmanuel Macron earlier said that France will officially recognize a Palestinian state at a session of the UN General Assembly in New York in SeptemberSputnik International
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- 30 gigabytes of data/information - 100,000+ pages of evidence seized from Epstein’s homes, computers, safes.
- #Flight logs. visitor lists implicating elites.
- #FBI interviews w #victims & associates.
- #Banking #financial records tracing Epstein’s funding networks.
-Civil lawsuits, sealed depositions that name names. & yes, Trump’s name is all over them. #Jeffreyepstein #GhislaineMaxwell #sextrafficking #coverup
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Roger Roger - Airplane! (8/10) Movie CLIP (1980) HD
Airplane! movie clips: http://j.mp/1JagwTJBUY THE MOVIE: http://amzn.to/tk9JjsDon't miss the HOTTEST NEW TRAILERS: http://bit.ly/1u2y6prCLIP DESCRIPTION:As t...YouTube
OPA maintainers and Styra employees hired by Apple
Link: blog.openpolicyagent.org/note-…
Discussion: news.ycombinator.com/item?id=4…
Note from Teemu, Tim, and Torin to the Open Policy Agent community
Note from Teemu, Tim, and Torin to the Open Policy Agent community Today we’re excited to announce that the creators of Open Policy Agent (along with many team members from Styra) have joined Apple …Tim Hinrichs (Open Policy Agent)
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"We need to do all we can to fix this reading crisis that has unfortunately spread in recent years," eliminating sales tax on books would cost the state estimated 330 million kroner ($51 million) a year.
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I am late to the party, by around 40 years.
But I have recently delved into Terry Pratchett's Discworld and although I'm only 2 books into this 41 book epic, I feel this is becoming a new obsession.
The world building in these books is wonderful. And I've never sat and giggled to myself as much when reading. These books are weird and wonderful and very silly in the best way.
Can we please appreciate Josh Kirby's original artwork for the series and how sick his designs are. The attention to detail is 🔥
#discworld #terrypratchett #thelightfantastic #readersofmastodon #joshkirby
Gamespot just posted:
What Does Xbox's Future Look Like As This Generation Draws To A Close?
Xbox's Design Head posted on LinkedIn about the current generation of Xbox wrapping up. That could mean a lot of things, so we can't read much into it. Given the timing though, it makes sense that Microsoft is thinking about what's next. Here's what was said, and what's happening with Microsoft's gaming division these days, to help us make sense of the ...
gamespot.com/articles/what-doe…
What Does Xbox's Future Look Like As This Generation Draws To A Close?
It's time to think about what's next for Xbox. But don't worry about the Series X suddenly expiring, either.Eric Frederiksen (GameSpot)
I suppose it is finally time I posted, given that I have been floating around in the background of Mastodon like some sort of strange aetherial ghost.
I'm Holly. I work in Mental health.
Moving over to Mastodon feels like a form of self care. I will explain this more in another post.
I adore heavy music. Not always heavy in the traditional sense of the word, but anything that gives me goosebumps, whether instrumentally or lyrically profound.
I love black metal, death-metal, post-rock, post-metal, ambient, blackgaze.
In terms of gaming, I play on PS5. I am a lover of open world games, RPG's.
Currently playing Clair Obscure 🩶 (which is beautiful btw)
Google, sorry, but that Pixel event was a cringefest | TechCrunch
Google's Pixel event was awkward and forced, underselling the technology it had on display.Sarah Perez (TechCrunch)
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What Religion Never Told You About Its True History | Jordan Maxwell
What Religion Never Told You About Its True History | Jordan MaxwellDive deep into the hidden history of religion with Jordan Maxwell, as he uncovers the sup...YouTube
Gematsu just posted:
Indian action adventure game Son of Thanjai announced for PS5, Xbox Series, and PC
India-based developer Ayelet Studio has announced Son of Thanjai, an action adventure game set in …
gematsu.com/2025/08/indian-act…
Indian action adventure game Son of Thanjai announced for PS5, Xbox Series, and PC - Gematsu
India-based developer Ayelet Studio has announced Son of Thanjai, an action adventure game set in 11th century South India. It will launch for PlayStation 5…Sal Romano (Gematsu)
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I Ramosed this poll
You only get to deport one group. All of the problems they create go with them. The other group stays, along with all of the problems they create.
Who are you deporting?
- Mexicans (0%, 0 votes)
- Indians (dot) (100%, 8 votes)
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🎸 #NaData de hoje, mas em 1994, a banda punk Fugazi, de Washington, tocou no Aeroanta, em SP. Independentes a sério, rejeitavam as grandes gravadoras, e não faziam clips.
O cover anexo, dos alunos de uma escola de rock, foi aplaudido pela banda, e é do sucesso Waiting Room, que também tocou nesse show em SP (foi a 9ª do set list):
youtube.com/watch?v=aIZD9WFpWZ…
32 - Fugazi: Waiting Room
School of Rock Headliners & Junior Headliners Rocky River, Ohio perform at Whiskey Island in Cleveland, Ohio on August 4th 2018.YouTube
NASA a federal government instituition allowed people to have a relogious meeting club for many years where religious activities were done
One day the name of Jesus was named in a description of a meeting for the event on a particular day
As soon as the name of Jesus was in the meeting description NASA tried to ban the event which they allowed all along before
bitchute.com/video/uOwgOTM15wI…
Kikes want to convert people to be religious Noahides but be anti Jesus
Kikes do proselytize
NASA forbids the name of Jesus
This is actually a story from 2016 that I wanted to make sure people knew about. I can't even count the number of Christians that I have had using NASA as proof of space and the globe when presented with contradictory evidence from the Bible.Bitchute
İyi konuşacak kadar zekaya, susacak kadar da akla sahip olmamak büyük bir sefalettir.
La Bruyere
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Managers miffed at offshore sports betting on Little League World Series
https://apnews.com/article/little-league-world-series-gambling-betting-3c10299c2782c113cf90545a2d87faec?utm_source=flipboard&utm_medium=activitypub
Posted into Sports @sports-AssociatedPress
BRICS portal
BRICS is an informal group of states comprising the Federative Republic of Brazil, the Russian Federation, the Republic of India, the People's Republic of China and the Republic of South Africa.BRICS
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GamingBolt just posted:
Halloween is a New Asymmetrical Multiplayer Horror Game Based on the Classic 1978 Film
Along with 1-on-4 multiplayer, Halloween will also feature a single-player campaign giving players the perspective of Michael Myers.
Wiz likes this.
💫 The all-retro subathon returns, with Day 10!!
Today plants and pottery better be on guard: 'cause I'm playing The Legend of Zelda: A Link to the Past for the very first time! Hyah! Kablooie! 🗡️🧝
Streams up at 2et (~5hrs) 🐰💕 #vtuber #retrogaming
It's Zelda Time! I'm playing A Link to the Past for the first time even, on day 10(!!!) of the All-Retro Subathon!
🐰✨ twitch.tv/bunnyhearted/
vt.social/users/bunnyhearted/s…
BunnyHearted - Twitch
HYAH! Hyaaah! [SNES - Zelda: Link to the Past] All-Retro subathon, Day 10! ૮ ˶ᵔ ᵕ ᵔ˶ ა !retro !q&a // !bds 🏳️⚧️🍉✊Twitch
Εγώ στις διακοπές μου... Στο πράσινο νησί που έγινε μπλε... Όταν με ρωτούσαν άδολα δεξιούλιδες γνωστοί να τους πω τι έγινε στον #οπεκεπε
IGN just posted:
Spider-Verse Filmmakers Lord and Miller Are Making an Archie Comics Movie
Phil Lord and Christopher Miller, the famous filmmaking pair known for Cloudy With a Chance of Meatballs, The Lego Movie, 21 Jump Street, The Mitchells vs. the Machines, and the Spider-Verse films, are about to tackle a new, unexpected project. They're making a film based on Archie comics.
Gelbooru LinkSource
appleseed (appleseed art), delutaya, delruki, indie virtual youtuber, nike (company), bad id, bad pixiv id, highres, 1girl, diagonal bangs, earrings, fang, full body, gold earrings, green hair, hair ornament, hood, hoodie, jewelry, leggings, open mouth, r
Browse millions of anime, manga, videos, hentai, and video game themed images on Gelbooru. Discover art with detailed tags. Contains explicit hentai content.Gelbooru
Cruiserweight Jake Paul and lightweight Gervonta Davis announce they will fight on Nov. 14
https://apnews.com/article/jake-paul-gervonta-davis-wba-atlanta-a74a020d3a4d4010a53f5bdfe31aa90b?utm_source=flipboard&utm_medium=activitypub
Posted into Sports @sports-AssociatedPress
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If I play the game
1993 Myst by Cyan
using walkthrough videos or online instructions
then it will make me smarter than if I never played myst at all
- Strongly Agree (0%, 0 votes)
- Slightly Agree (50%, 1 vote)
- Slightly Disagree (0%, 0 votes)
- Strongly Disagree (50%, 1 vote)
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Kurginyan: Greatness of both Russia and USA is achieved in the same way
Kurginyan: Greatness of both Russia and USA is achieved in the same way Rossa Primavera News from RussiaAvis Krane (Rossa Primavera International News)
Israeli military considers recruitment in the U.S. amid significant soldier shortages.
Read more: disclose.tv/id/qebicoj8pn/
My comment: Hey american people give them the illegals and moslemic invaders..this will solve a lot problems for your country.
IGN just posted:
The Best Streaming Bundles in 2025
Looking to bundle your monthly streaming costs into one bill?
JEREMY WAS seven when he first went to boarding school, his expensive new grey shorts enveloping his skinny knees, a roll of comis for the journey smudging in his tight-clasped, birdboned little hand.
@HebrideanHecate (or anyone!) comis?
Nanook
in reply to Desiree4freedom🇺🇸 • •