Healing
Our Path from Mental Illness to Mental Health
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Narrated by:
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Thomas Insel MD
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By:
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Thomas Insel MD
About this listen
A bold, expert, and actionable map for the reinvention of America’s broken mental health care system.
As director of the National Institute of Mental Health, Dr. Thomas Insel was giving a presentation when the father of a boy with schizophrenia yelled from the back of the room, “Our house is on fire and you’re telling me about the chemistry of the paint! What are you doing to put out the fire?” Dr. Insel knew in his heart that the answer was not nearly enough. The gargantuan American mental health industry was not healing millions who were desperately in need. He left his position atop the mental health research world to investigate all that was broken - and what a better path to mental health might look like.
In the United States, we have treatments that work, but our system fails at every stage to deliver care well. Even before COVID, mental illness was claiming a life every 11 minutes by suicide. Quality of care varies widely, and much of the field lacks accountability. We focus on drug therapies for symptom reduction rather than on plans for long-term recovery. Care is often unaffordable and unavailable, particularly for those who need it most and are homeless or incarcerated. Where was the justice for the millions of Americans suffering from mental illness? Who was helping their families?
But Dr. Insel also found that we do have approaches that work, both in the US and globally. Mental illnesses are medical problems, but he discovers that the cures for the crisis are not just medical, but social. This path to healing, built upon what he calls the three Ps (people, place, and purpose), is more straightforward than we might imagine. Dr. Insel offers a comprehensive plan for our failing system and for families trying to discern the way forward.
The fruit of a lifetime of expertise and a global quest for answers, Healing is a hopeful, actionable account and achievable vision for us all in this time of mental health crisis.
This audiobook includes a downloadable PDF that contains charts and graphs.
PLEASE NOTE: When you purchase this title, the accompanying PDF will be available in your Audible Library along with the audio.
©2022 Thomas Insel (P)2022 Penguin AudioListeners also enjoyed...
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Critic reviews
“The outcomes for people treated for serious mental illness are often poor.... Why? A psychiatrist and neuroscientist who headed the National Institute of Mental Health in 2002-15 and has since returned to the private sector, Dr. Insel is well-positioned to answer the question...traveling widely to identify the crisis of care and look for solutions. Healing is the product of this odyssey—and a compelling summary of all that he learned along the way.”—Sally Satel, The Wall Street Journal
“[Insel’s] recollections give depth and provide a human face to the problems he articulates and offer hints at possible solutions.... Like a good doctor, Insel identifies symptoms and prescribes solutions to the problems that plague the country’s mental health infrastructure...our country’s soul is in a decidedly bad place. Healing suggests a path toward a better one.”—Benjamin F. Miller, Science
“Insel’s reflective and heartfelt book is an important contribution to the ongoing debate about how to address the current crisis that prevents so many Americans saddled with a serious mental illness from rebuilding their lives.”—Joshua C. Kendall, Undark
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E. Fuller Torrey's audiobook provides an inside perspective on the birth of the federal mental health program. On staff at the National Institute of Mental Health when the program was being developed and implemented, Torrey draws on his own first-hand account of the creation and launch of the program, extensive research, one-on-one interviews with people involved, and recently unearthed audiotapes of interviews with major figures involved in the legislation. As such, this book provides historical material previously unavailable to the public.
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Devastating analysis on US mental health policy!
- By Kevin on 07-13-14
By: E. Fuller Torrey
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The Problem of Alzheimer's
- How Science, Culture, and Politics Turned a Rare Disease into a Crisis and What We Can Do About It
- By: Jason Karlawish
- Narrated by: Jason Karlawish, Jonathan Todd Ross
- Length: 13 hrs and 41 mins
- Unabridged
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In 2020, an estimated 5.8 million Americans had Alzheimer’s, and more than half a million died because of the disease and its devastating complications. Sixteen million caregivers are responsible for paying as much as half of the $226 billion annual costs of their care. As more people live beyond their 70s and 80s, the number of patients will rise to an estimated 13.8 million by 2025. Part case studies, part meditation on the past, present and future of the disease, The Problem of Alzheimer's traces Alzheimer’s from its beginnings to its recognition as a crisis.
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A must read
- By kara kuntz on 05-20-21
By: Jason Karlawish
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Overcoming Opioid Addiction
- The Authoritative Medical Guide for Patients, Families, Doctors, and Therapists
- By: Adam Bisaga MD, Karen Chernyaev - contributor
- Narrated by: Liz Maxwell
- Length: 9 hrs and 51 mins
- Unabridged
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Drug overdoses are now the leading cause of death for Americans under the age of 50, claiming more lives than the AIDS epidemic did at its peak. Opioid abuse accounts for two-thirds of these overdoses, with over 100 Americans dying from opioid overdoses every day. Now Overcoming Opioid Addiction provides a comprehensive medical guide for opioid use disorder (OUD) sufferers, their loved ones, clinicians, and other professionals. Here is expertly presented, urgently needed information and guidance
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Authoritative, compassionate guidance
- By Amazon Customer on 05-20-18
By: Adam Bisaga MD, and others
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Crazy Like Us
- The Globalization of the American Psyche
- By: Ethan Watters
- Narrated by: Patrick Lawlor
- Length: 8 hrs and 57 mins
- Unabridged
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America has been the world leader in generating new mental health treatments and modern theories of the human psyche. We export our psychopharmaceuticals packaged with the certainty that our biomedical knowledge will relieve the suffering and stigma of mental illness. We categorize disorders, thereby defining mental illness and health, and then parade these seemingly scientific certainties in front of the world.
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He is a reporter...
- By Briana on 05-07-18
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One Nation Under Therapy
- How the Helping Culture is Eroding Self-Reliance
- By: Christina Hoff Sommers, Sally Satel
- Narrated by: Dianna Dorman
- Length: 8 hrs and 30 mins
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Americans have traditionally placed great value on self-reliance and fortitude. Recent decades, however, have seen the rise of a therapeutic ethic that views Americans as emotionally underdeveloped, requiring the ministrations of mental-health professionals to cope with life's vicissitudes. Today, having a book for every ailment, a counselor for every crisis, a lawsuit for every grievance, and a TV show for every problem degrades one's native ability to cope with life's challenges.
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If you want another perspective
- By Kurt on 03-07-09
By: Christina Hoff Sommers, and others
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Epic Measures
- One Doctor. Seven Billion Patients.
- By: Jeremy N. Smith
- Narrated by: Patrick Lawlor
- Length: 10 hrs and 12 mins
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Moneyball meets medicine in this remarkable chronicle of one of the greatest scientific quests of our time - the groundbreaking program to answer the most essential question for humanity: How do we live and die? - and the visionary mastermind behind it.
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Fabulously insightful read!
- By Dr. Jack E. Fincham on 10-08-15
By: Jeremy N. Smith
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Unbroken Brain
- A Revolutionary New Way of Understanding Addiction
- By: Maia Szalavitz
- Narrated by: Marisa Vitali
- Length: 12 hrs and 35 mins
- Unabridged
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Challenging both the idea of the addict's "broken brain" and the notion of a simple "addictive personality", Unbroken Brain offers a radical and groundbreaking new perspective, arguing that addiction is a learning disorder, and shows how seeing the condition this way can untangle our current debates over treatment, prevention, and policy.
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Not what I expected
- By Jennifer Sader on 08-28-16
By: Maia Szalavitz
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Desperate Remedies
- Psychiatry’s Turbulent Quest to Cure Mental Illness
- By: Andrew Scull
- Narrated by: Jonathan Keeble
- Length: 18 hrs and 38 mins
- Unabridged
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For more than two hundred years, disturbances of the mind—the sorts of things that were once called "madness"—have been studied and treated by the medical profession. Mental illness, some insist, is a disease like any other, whose origins can be identified and from which one can be cured. But is this true? In this masterful account of America's quest to understand and treat everything from anxiety to psychosis, one of the most provocative thinkers writing about psychiatry today sheds light on its tumultuous past.
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A Great History but I Have One Big Reservation
- By Jeffrey Scot Minch on 08-02-22
By: Andrew Scull
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Suspicious Minds
- How Culture Shapes Madness
- By: Joel Gold, Ian Gold
- Narrated by: Joel Gold, Ian Gold
- Length: 9 hrs and 51 mins
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Mr. A. was admitted to Dr. Joel Gold’s inpatient unit at Bellevue Hospital in 2002. He was, he said, being filmed constantly, and his life was being broadcast around the world "like The Truman Show" - the 1998 film depicting a man who is unknowingly living out his life as the star of a popular soap opera. Over the next few years, Gold saw a number of patients suffering from what he and his brother, Dr. Ian Gold, began calling the "Truman Show Delusion," launching them on a quest to understand the nature of this particular phenomenon and the nature of madness itself.
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Intriguing
- By L. K. on 04-18-16
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How Healing Works
- Get Well and Stay Well Using Your Hidden Power to Heal
- By: Wayne Jonas MD
- Narrated by: Ray Porter
- Length: 11 hrs and 28 mins
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Drawing on 40 years of research and patient care, Dr. Wayne Jonas explains how 80 percent of healing occurs organically and how to activate the healing process. In How Healing Works, Dr. Wayne Jonas lays out a revolutionary new way to approach injury, illness, and wellness. Dr. Jonas explains the biology of healing and the science behind the discovery that 80 percent of healing can be attributed to the mind-body connection and other naturally occurring processes. Jonas details how the healing process works and what we can do to facilitate our own innate ability to heal.
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AWESOME !
- By Paula on 08-06-18
By: Wayne Jonas MD
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The Book of Woe
- The DSM and the Unmaking of Psychiatry
- By: Gary Greenberg
- Narrated by: David Drummond
- Length: 14 hrs
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For more than two years, author and psychotherapist Gary Greenberg has embedded himself in the war that broke out over the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (the DSM) - the American Psychiatric Association's (APA) compendium of mental illnesses and what Greenberg calls "the book of woe". Since its debut in 1952, the book has been frequently revised, and with each revision, the "official" view on which psychological problems constitute mental illness has changed.
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Disappointment
- By NYNM on 06-03-13
By: Gary Greenberg
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The Depths
- The Evolutionary Origins of the Depression Epidemic
- By: Jonathan Rottenberg
- Narrated by: Walter Dixon
- Length: 4 hrs and 27 mins
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Nearly every depressed person is assured by doctors, well-meaning friends and family, the media, and ubiquitous advertisements that the underlying problem is a chemical imbalance. Such a simple defect should be fixable, yet despite all of the resources that have been devoted to finding a pharmacological solution, depression remains stubbornly widespread. Why are we losing this fight?
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Great read for understanding
- By Adam on 02-04-15
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Recover to Live
- Kick Any Habit, Manage Any Addiction: Your Self-Treatment Guide to Alcohol, Drugs, Eating Disorders, Gambling, Hoarding, Smoking, Sex, and Porn
- By: Christopher Kennedy Lawford
- Narrated by: Seth Michael Donsky
- Length: 13 hrs and 42 mins
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From New York Times bestselling author of Symptoms of Withdrawal and Moments of Clarity Christopher Kennedy Lawford comes a book that will save lives. For most of his early life, Christopher Kennedy Lawford battled life-threatening drug and alcohol addictions. Now in recovery for more than 25 years, he works to effect change and raise global awareness of addiction in nonprofit, private, and government circles, serving as the goodwill ambassador for drug dependence treatment and care for the United Nations.
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I didn't know I was a workaholic
- By wh on 06-17-13
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Doing Harm
- By: Maya Dusenbery
- Narrated by: Dara Rosenberg
- Length: 13 hrs and 33 mins
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Editor of the award-winning site Feministing.com, Maya Dusenbery brings together scientific and sociological research, interviews with experts within and outside the medical establishment, and personal stories from women across the country to provide the first comprehensive, accessible look at how sexism in medicine harms women today.
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One of the most important books ever written
- By Dresden on 03-18-18
By: Maya Dusenbery
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Counterclockwise
- Mindful Health and the Power of Possibility
- By: Ellen J. Langer
- Narrated by: Sandra Burr
- Length: 7 hrs and 10 mins
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If we could turn back the clock psychologically, could we also turn it back physically? For more than 30 years, award-winning social psychologist Ellen Langer has studied this provocative question, and now has a conclusive answer: opening our minds to what's possible, instead of clinging to accepted notions about what's not, can lead to better health at any age.
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Surprisingly disappointing
- By Stephen on 06-23-09
By: Ellen J. Langer
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What listeners say about Healing
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- Amazon Customer
- 10-15-22
Great insights and historical context
I really enjoyed all of the context that Dr. Insel provides to illustrate how the mental health care system has become what it is. He outlines several aspects or challenges of our current system, such as medication efficacy, therapy, bed shortages, insurance, care models etc. His insight into these topics is greatly appreciated. I am a psychiatric resident and am very glad to have read this book as it helped me to better concetualize many of my own concerns with our care system. It also gave me hope that we can make progress towards a solution.
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- Joann Landstrom
- 08-12-24
the hope
such an important topic. We in the US are experiencing so much suffering and there are pathways to improve our care. we need to institute systems to take care of all of our nation.
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- Amazon Customer
- 09-17-22
Outstanding analysis and roadmap forward for mental health systems improvement
Great historical context for how we got here and have great personal stories to illustrate the voice of so many with serious mental illness and their families. Not only that, real solutions that I know will work if we have the political will to care!
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- Kamee
- 11-24-23
Absolutely beautiful, HOPE
Dr. Insel’s book is not only informative and insightful, he offers actual solutions to bring about hope and healing. I have used his teachings in my Practice. I am grateful for this book and highly encourage anyone who wants to be a part of the social change on mental illness/health to listen carefully to the insights of his teachings.
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- SL
- 06-24-22
Wide Ranging Insights from a Psychiatric Pioneer
This illuminating book by the former Director of NIMH is a superb overview of what “ails” the American mental healthcare system - hardly a “system”, because it is so fragmented - and a set of “prescriptions” for improving it. Dr Insel shares his vast fund of knowledge and experience, weaving together the history of mental healthcare policies, the history of major psychiatric and psychological theories and practice patterns, numerous stories of individual patients, and examples of best practices that deserve close attention from health system leaders and government officials; yet all the while he maintains a humble tone, demonstrating a consistent willingness to update his thinking and set aside his own past convictions. It is clear that Dr Insel has had a lifelong interest to raise mental health care standards and accountability to be comparable to medical conditions such as heart disease or pediatric cancer. The book further benefits from his sharing about being California’s mental health czar for a year. During that time he learned from the homeless, skid row psychiatrists, law enforcement, and many others. Dr Insel’s many faceted background in psychoanalysis, clinical research, the neurobiology of attachment, administration, technology, being a parent of two children with mental health challenges, all combined with a keen eye and the warmth of a caring clinician, make this book a gem and must-read for anyone who cares about advancing the future of mental health. Make sure to listen or read through to the end; I personally found the FutureProof program for youth mental health promotion in Australia to be particularly inspiring. Thank you Dr Insel!
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2 people found this helpful
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- MCM
- 07-01-22
Forward-looking. Hopeful. Helpful.
For families of loved ones in the throes of mental illnesses, Dr Inslee is a credible prophet of hope. For other fellow citizens, please don't wait till mental illness breaks your heart. Join the fight to support practical changes that can save and change lives.
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1 person found this helpful
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- Mark S
- 03-04-22
This book is a Game Changer
Dr. Insel's book is a game changer. In it he combines his expertise, personal lived experience, powerful stories, and the breadth of the history of mental health care and couples all that with a vision of the future of care in a compelling narrative that gives hope and a new paradigm of the need for the 3 P's: People (connection) Place (safety/shelter) and Purpose. It should be read by anyone in the field or anyone needing support for mental health--which means everyone!
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- LaurenGym
- 07-08-23
For everyone (mental health experience or none at all)
This book makes sense of many things that felt hopeless otherwise. I will be recommending to everyone I know. It changed my outlook on healthcare and our potential.
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- jim
- 11-23-23
Eye-opening for the late person
For quite some time, it has been plainly obvious to anyone in the United States, that there is a serious mental health problem. But for us who are not in the mental health profession, we know little about the cause of this growing problem and even less about the solution. This book examines the issue from numerous important perspectives and helps the reader understand there are solutions. In this book there is also a strong notion that every one of us can do something to help the mental health crisis in our communities. This book is laden with a hopeful tone. The ideas in this book can be the genesis of a movement that will greatly help our struggling family members and neighbors.
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- Kevin
- 02-28-22
Insightful, thoughtful, and actionable
I work in mental health housing and often wondered why the mental health system seems so unsystematic. This book provided helpful historical context as well as great ideas for a way forward. I'm going to re-read it immediately.
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2 people found this helpful