Psychiatric Answers
The place to get answers about mental health

Recent Postings
  Manuel Mota-Castillo,M.D.
This website is my contribution to clarify some of the confusions around the diagnoses and treatments of psychiatric illnesses. As the consultant at a general hospital I deal with the outcomes of diagnostic mistakes and/or faulty treatments. A few years ago I decide to practice inpatient psychiatry along with my academic involvement which was more attuned with my devotion for teaching. This setting it is also less painful than having to deal with daily desperate calls from parents whose children's behaviors were worsening despite "adequate treatments." Most of them have a common denominator: a diagnosis of bogus "co-morbidities" of ADHD with other conditions compounded by medication treatments that had the opposite outcome of the expected effect.
A 2007 Book:  “Protecting your Children from Bad Medicine: How the ADHD Diagnosis has been Abused" was out of print for several years but I decided to hear the advice of a colleague that suggested to reprint it. He said: “It I just fair to show that what is now broadly accepted by most colleagues was the reason for the virulent attacks you had to endure in Arizona, TN and Florida". Most recently an Ebook (see picture) was published on Amazon/Kindle and is available for a symbolic price of US$3.00. Anybody with a regular computer or a Smartphone can download it from
My goal is to open a dialogue with patients, their relatives as well as mental health practitioners on controversial topics such as bipolar disorder, ADHD, the so-called Treatment-Resistant Depression and the pseudo-diagnoses Oppositional-Defiant Disorder (ODD) and Conduct Disorder.
I want to answer questions to those who feel they are "talking to a wall" or that the psychiatric evaluation they had was equivalent to a "drive-through shopping", as one of my patient described her encounter with the doctor who diagnosed her daughter as "ODD, ADHD, Asperger Disorder and Bipolar".  Individuals diagnosing ADHD in the presence of a Pervasive Developmental Disorder (such as Asperger) is unjustifiable because these children have an obvious reason to be inattentive. Worse yet, the medications for ADHD will worsen the symptoms of Autistic Disorder, Asperger or any type of obsessive behavior.
They also can feel vindicated when told that "hyperness, inattention and impulsivity" are symptoms of bipolar disorder and several other illnesses and not exclusive features of ADHD, as the psychiatric establishment have failed to clarify.
By the same token, despite all the pressure posed by some of the pharmaceutical companies to validate a dangerous theory, antidepressive drugs DOES WORSEN the course of bipolar illness and could lead to suicide by triggering manic episodes, when prescribed to bipolar patients.  In other words, antidepressants DOES NOT CAUSE suicidal thoughts in patients with depression or anxiety, without bipolar disorder.
I welcome your questions but also you are invited to read some of the papers published in psychiatric journals, which are available in this website, because possibly you will find the answers to your concerns. Finally, if you really want to know more details about psychiatric treatments in children, please take a few minutes to read several of the papers already published and reproduced in this website. I do not make any measurable profit from this effort but spreading the truth gives me an enormous gratification that money can't buy.

The Debate Goes On
Nov 01, 2016
By Ronald W. Pies, MD
May 10, 2013
Mayo 7, 2013
April 14, 2013
By Seyyed Nassir Ghaemi, MD, MPH
March 13, 2013
By James Phelps, MD
Jan 17, 2013
By S. Nassir Ghaemi, MD, MPH
Dec 4, 2012
By Allen Frances, MD
Oct 5. 2012
June, 2012
By Stuart L Kaplan MD
February, 2012
By Stacy S. Drury, MD, PhD and Mary Margaret Gleason, MD
November 2011
By Allen Frances, MD

March 2011
By Henry A. Nasrallah, MD

March 8, 2011
By Désirée Lie, MD, MSED

February 2011
By Robert A. Kowatch, MD, PhD 
September 2010
By Rakesh Jain, MD, MPH

Opinions, Commentaries and Publications

Academic Papers published by the excellent psychiatrist Dr. Gustavo Vazquez
Childhood Conduct Disorder and Oppositional ... Defiant Disorder Are Common Manifestations of Bipolar Disorder.
Increase in Bipolar Diagnosis in Youth Prompts  Debates and Calls for Research.
ADHD: A Real Disease but a False Epidemic.
This video is a warning call to those affected by mental distress, directly or indirectly. I want to tell a truth that many people and organizations have kept hidden from the public: 8-9 persons diagnosed with ADHD actually have another condition.
Professor Ronald Pies' Selected Papers

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