Behind Dr. Oz's Curtain

My son's pictures on the Dr. Oz Show, September 9, 2014

What’s Really “Nuts or Normal?”

“Pay no attention to that man behind the curtain.”—The Wizard of Oz, 1939

I don’t watch much television. In the aftermath of September 11, 2001, when I was shocked to see my then four-year old son crash his toy airplanes into towers built of blocks, I decided we didn’t need cable television and 24-hour news anymore. All the news was bad. And the rapidly expanding reality TV genre was worse. My children were raised on a media diet of PBS (delivered via old-fashioned rabbit ears) and DVD science documentaries we checked out from the library.

That being said, I’ve been on television more than some people, usually to talk about the increasingly desperate need to address the public health crisis of mental illness (one of my children has bipolar disorder). I’ve appeared on national media including the Today Show, Good Morning America, Anderson Cooper 360, Erin Burnett, and Al Jazeera America. I’ve done numerous local broadcast interviews, most recently in Bismarck, North Dakota and Cincinnati, Ohio.  

I was even fortunate to be a guest on the Dr. Oz show last year to talk about my book. Though I don't watch much television, I knew who he was, mostly from his syndicated column that appears on Sundays in my local newspaper. And while I was also vaguely aware of controversy about some of the weight loss methods promoted on his show, I didn’t understand why people wouldn’t just do their own research. There aren’t many times the word “always” is appropriate, but I think it’s fair to say that “Get Rich Quick” and “Lose Weight without Diet or Exercise” promises are almost always too good to be true.

I’m a bit puzzled by the credibility that people attach to television celebrities. The medium’s first duty is clearly to entertain; daytime television never even pretended that it had an obligation to educate.  What are your ethical obligations, then, if you’re a daytime television celebrity physician who calls himself “America’s Doctor”? How do you entertain your audience while also upholding your Hippocratic oath to protect the individual patient’s health and privacy?

In light of this flurry of Dr. Oz criticism, including calls for his resignation from the staff of Columbia University’s medical school, my fearless friend and fellow mental health advocate Janine Francolini of the Flawless Foundation has been quick to remind the public of the Dr. Oz show’s truly terrible 2012 series “Are You Normal or Nuts?” in which a panel of “top psychologists” evaluated audience members’ mental health concerns. 

This truly tasteless show echoed an equally tacky Reader’s Digest annual feature by the same name, which trivializes the tremendous suffering experienced by individuals diagnosed with serious mental illness and their families. For example, the 2013 "Normal or Nuts" article led with this charming introduction: “Calling all neurotics, paranoids, and phobics! Our panel of experts says you might not be as loony as you think in this fan-favorite feature.”

And people wonder why there’s still stigma attached to mental illness.

Like Janine, I want Dr. Oz to use his celebrity status to promote mental health. In my personal experience with him, that’s exactly what Dr. Oz did.

“I’m a dad, and this is important to me,” he told me before we began taping a segment discussing my experience as a parent of a child who has bipolar disorder. His approach to my family’s story was overwhelmingly positive, highlighting the tremendous gains my son has made since his diagnosis in May 2013. The audience applauded when I shared that my son has now written a book of his own, a science fiction novel where the Greek gods all have a mental illness that is actually a super power. This is what the correct diagnosis and treatment can mean to parents and children suffering with mental illness. It means hope.

Dr. Oz has tremendous power to shape public opinion about mental health and mental illness. How can we encourage him to use his power for good, like he did for me and my son? When it comes to mental illness, sadly, too many Americans are still like star-struck Dorothy, believing in the all-powerful image of Oz, not willing to look behind the curtain and acknowledge the truth.

I have an idea for this season’s “Are You Nuts or Normal?” producers. Dr. Oz invites panelists to rate people like Judge Michael Bohren, who refused to authorize medical treatment for 12-year old Morgan Geyser, diagnosed with paranoid schizophrenia and locked up away from her family and denied medical treatment for her brain disease for almost a year.

Nuts or normal?

Dr. Oz interviews the six police officers who tasered 130-pound Natasha McKenna, diagnosed with schizophrenia, and asks them to explain why she died in custody. 

Nuts or normal?

Finally, Dr. Oz presents British parliamentary candidate Chamali Fernando so that experts can discuss her suggestion that people with mental illness should wear color coded wristbands. 

Nuts or normal?

The way we fail to treat children and adults with mental illness in this country is what is really crazy. It’s also expensive, not only in financial terms, but also in lives lost, in dreams shattered. Dr. Oz could rebuild his credibility by focusing his attention on this public health crisis, by providing help—and hope—to millions who are suffering with serious mental illness. 

Maybe We All Need an Intervention

Dr. Phil’s #NickGordonIntervention highlights everything that’s wrong with how we view mental illness

I have to confess my shocking ignorance of popular culture: until I read this HuffPost article from Flawless Foundation director Janine Francolini calling out popular talk show host Dr. Phil, I had no idea who Nick Gordon was. And it doesn’t really matter who Nick Gordon is. What matters is the shocking and exploitative way a young man in mental health crisis was treated on national television, by a man who has tremendous power to shape public opinion about mental illness. 

I also have to confess that I have never seen Dr. Phil’s show, so I have not watched the infamous so-called “intervention.” But a friend of mine whose child was in crisis reached out to him seeking help for her out-of-control son. What she got instead was more of the same “shame and blame” that makes it so hard to parents of children who have mental illness to reach out and get the help they and their families desperately need. In one video clip I did see, my mom friend laughed nervously at her son’s explosive behavior. Dr. Phil chastised her, telling her that her cavalier attitude was contributing to her child’s problems. Newsflash, Dr. Phil: we laugh when our children lash out because we’re trying not to cry. And our children’s mental illness is not “our fault,” any more than a child’s cancer is the parents’ fault.

Dr. Phil McGraw describes himself on his website as “perhaps the most well-known mental health professional in the world.”  Since even I, a television-eschewing person who once thought that Anderson Cooper was a financial services firm, know who Dr. Phil is, I’d say that statement is quite probably true. I wish that Dr. Allen Frances or Dr. Jeffrey Lieberman or Dr. Paul Summergrad, all of whom are actual psychiatrists (unlike McGraw, whose Ph.D. is in clinical psychology) were the world's best known mental health professionals. The fact that these brilliant practitioners don’t have their own popular television talk shows speaks volumes about the problems with mental healthcare in America. As The Daily Beast’s Kevin Fallon aptly observed about McGraw’s show, “Such a crudely manufactured look at someone else’s pain is numbing where it is intended to be affecting.” 

Numbing. That is exactly the problem with mental health advocacy today. After Sandy Hook, the general public has become so numb to the horrific pain that people like Nick Gordon (and so many others) are experiencing that things like school shootings barely register anymore. When mental illness is nothing more than a spectacle for our entertainment, we become desensitized. We stop caring for those who need our care the most.

Maybe it’s time for society to have a collective intervention about the way we treat mental illness. Stop criminalizing people who are sick. Stop making suffering people into spectacles. Stop treating mental health differently than physical health.  Dr. Phil has famously said, “You either get it or you don’t.” I’m afraid when it comes to mental health and stigma, America’s best known mental health professional just does not get it.