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Thomas Insel, ‘The Nation’s Psychiatrist’, Losing Stocks, With Disappointment

The country’s mental health crisis, he said, “is not a research problem, it’s an implementation problem. Good treatments for serious illnesses like schizophrenia and bipolar disorder already exist, he said, and it’s not the job of scientists at NIMH to deliver services.

“It has nothing to do with what they do,” he said. “It’s ordering French food from an Italian restaurant.”

His comments, however, have ruffled some of the agencies he leads.

In an interview, Dr. Gordon, the current director of the NIMH, said Dr Insel failed to acknowledge “some really great things that have been done at NIMH” during his tenure or “the work The enormous impact that we continue to do in research has had a short-term impact on mental health care. ”

He gives examples of two new treatments developed on the basis of neurobiological research: ketamine for treatment-resistant depression and brexanolone for postpartum depression. He says the NIMH has also funded research that led to the treatments used today, such as A large-scale study established the effectiveness of comprehensive services for people experiencing the first episode of psychosis.

As for the big breakthroughs, he says, they take decades to realize. Dr. Gordon was in graduate school when scientists cloned the gene that causes Huntington’s disease, and only now, three decades later, has that work led to new, effective treatments. To project breakthrough treatments in the short term is “brave,” he said.

“Fixed treatments for autism, bipolar disorder and schizophrenia based on genetics” are not likely to succeed in the next five or 10 years, he said. But researchers have identified hundreds of genes involved and are “starting to understand the function of those genes in the context of the brain,” which, he said, could provide a pathway to new therapeutics. better law.

“Can this be the same courage?” he say. “I don’t use dates.”

As for Dr Insel, he now finds himself in a different role, no different from Al Gore, who, after serving as a senator and vice president, has reinvented himself as a truth-teller about Climate Change.

https://www.nytimes.com/2022/02/22/us/thomas-insel-book.html Thomas Insel, ‘The Nation’s Psychiatrist’, Losing Stocks, With Disappointment

Fry Electronics Team

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