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RFK Jr.’s Push to Curb Antidepressants Has Shaken Psychiatry

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RFK Jr.’s Push to Curb Antidepressants Has Shaken Psychiatry

Most years, when thousands of psychiatrists gather for the annual meeting of the American Psychiatric Association, they walk past a scattering of protesters. There are Scientologists with megaphones; Falun Gong groups doing their exercises; and, often, former patients, saying they have been harmed by medications or electroconvulsive therapy.

This year, though, the profession is facing criticism from the highest levels of the federal government. The American Psychiatric Association gathered just 10 days after Health Secretary Robert F. Kennedy Jr. announced a set of policies to encourage doctors to deprescribe, or assist patients in stopping, the most widely prescribed class of antidepressants.

A current of anxiety ran through the meeting, held here this week. Many physicians in the crowd said they worried that Mr. Kennedy’s statements would prompt people to refuse medications, or to quit them and relapse. The plenary session erupted in applause when Dr. Marketa Wills, the organization’s chief executive, declared, “We will never support governmental interference in the practice of medicine.”

“We are standing tall for evidence-based care,” she continued. “We are standing tall against stigma, oversimplification, and anything that would move patients further away from the care that they need.”

But there were also signs that the field’s leaders are engaging, albeit cautiously, with Mr. Kennedy’s effort to curb overprescribing. Numerous sessions offered training in helping patients taper off medications. In July, the association’s president will take part in a panel convened by the Department of Health and Human Services to develop clinical guidance on tapering antidepressants.

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In an interview, Dr. Wills said she had been “encouraged” by the invitation to participate in the panel, and she credited the administration with “putting mental health front and center.”

“It feels like the beginning of a conversation, one that we welcome,” Dr. Wills said. She added, “It would be odd to have that conversation without psychiatrists at the table.”

Outside in the corridors, some rank-and-file attendees were less diplomatic.

Many providers took issue with Mr. Kennedy’s negative characterization of selective serotonin reuptake inhibitors, or S.S.R.I. s, the most widely prescribed class of psychiatric medications. Clinical trials have found that most patients’ depressive symptoms improved with S.S.R.I.s, and they are considered safe enough to be prescribed by general practitioners.

A 2026 study found that 16.6 percent of U.S. adults, or roughly one in six, reported currently taking an antidepressant.

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“He just doesn’t like S.S.R.I.s,” said Dr. Sung Hyon, a psychiatrist from Pasadena, referring to Mr. Kennedy. Dr. Hyon said S.S.R.I.s had been “foundational” in his practice — “boring drugs that are well established, have good safety evidence and have zero chance to cause addiction.” He called them “God’s gift to psychiatry.”

And patients know it, he added. “So many millions” of Americans already take S.S.R.I.s, he said, and the vast majority are fully aware of their downside, like sexual side effects and withdrawal symptoms.

“And they say, ‘You know what? It’s worth it,’” Dr. Hyon said. “Because there are so many of them, it would be a pretty big political firestorm if he really tried to restrict access. And there is very, very little medical evidence to do so.”

Dr. Marketa Wills, the American Psychiatric Association’s chief executive, said she was encouraged that she was invited to take part in a panel developing guidance on how to taper antidepressants.Credit…Arturo Holmes/Getty Images for ESSENCE

Mr. Kennedy has long signaled that curbing the use of psychiatric drugs was a goal of his. Earlier this month he began taking steps in that direction, announcing guidelines and regulatory changes meant to provide an incentive for clinicians to help patients taper off psychiatric medications. The steps would not affect patients’ access to antidepressants.

Andrew Nixon, a spokesman for the Department of Health and Human Services, said the agency had had no discussions about banning S.S.R.I.s., “and any claims suggesting otherwise are false.” The aim of the new initiative, he said, is to “promote appropriate psychiatric prescribing and drive deprescribing when clinically indicated.”

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Some psychiatrists said they worried that Mr. Kennedy’s deprescribing initiative was the beginning of a wider effort that might, in later stages, discredit psychiatry more broadly and restrict access to care.

“I think it is actually putting more questions in people’s minds about whether psychiatric treatment is safe or effective,” said Dr. Eric Rafla-Yuan, who chairs the A.P.A.’s caucus on the social determinants of health. “The data has not changed on S.S.R.I.s. It’s the narrative that has changed.”

He said the A.P.A. should be pushing back forcefully against Mr. Kennedy’s claims about psychiatric treatments, and should steer clear of seeming to endorse any part of the initiative.

“It’s a fine line between having a seat at the table and being used as a tool to legitimize their agenda,” he said.

At the same time, deprescribing seemed, at the meeting, to be on everyone’s lips. A new book, “Stahl’s Deprescriber’s Guide,” was selling like hot cakes in the exhibition hall. There were panels titled, “Deprescribing Antipsychotics,” “The Much Too Medicated Patient” and “Stimulants for A.D.H.D.: Did We Get It Wrong?”

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Dr. Chris Aiken, who delivered an address about multidrug cocktails, said a generational change is moving through the psychiatric association, as a younger cohort of physicians, in their 30s and 40s, take a more prominent role.

Millennials were part of the first generation to be prescribed stimulants and antidepressants as children and teens, he said, and physicians in that group are more conscious of poor outcomes years later. “Meds are not the answer, and they have seen this in their own lives,” he said.

Some senior physicians had a similar message.

“If I have any regrets about my recommendations as a physician, it’s about the medications that I did not withdraw sooner,” said Dr. Ronald Winchel, an assistant clinical professor of psychiatry at Columbia University’s medical school, at one panel.

Books on display at the American Psychiatric Association meeting in San Francisco this month.Credit…Ellen Barry/The New York Times

He said a number of concerns had prevented him from doing so: Sometimes, patients were taking multiple medications and it was difficult to say which was effective. Sometimes, patients were doing well, and he was afraid of setting them back. And there was a dearth of research on how patients do after they quit medications.

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“The fear of withdrawing medications has really complicated our work,” he said.

Dr. Winchel compared this year’s churning discussion to a watershed moment in the A.P.A.’s history: In 1973, sustained pressure from protesters caused the organization to reverse its century-old position and declare that homosexuality was not a mental disorder.

“Instead of getting into a defensive crouch, they looked at themselves and they made progress,” Dr. Winchel said. The same kind of advancement, he added, could result from a rigorous discussion about prescribing practices. “If some of this agitation is coming from outside,” he said, “what is wrong with that?”

In his presentation, Dr. Aiken urged colleagues not to dismiss the stories Mr. Kennedy has highlighted of patients who have encountered serious difficulties quitting antidepressants.

“I don’t really know how common it is, but I do know that when it does happen, it can be quite severe,” he said. “It may be rare, but let’s take it seriously, because it can really burn people when it happens.”

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Others said working with Mr. Kennedy around mental health policies was a matter of simple pragmatism.

“There’s definitely a need for us to be talking to the people who are making decisions,” said Dr. Hammad Khan of Sacramento. “We can’t let Joe Rogan decide what the F.D.A. approves or doesn’t approve.”

Dr. Awais Aftab, the author of “Psychiatry at the Margins,” a popular mental health Substack, said he expects the H.H.S. effort to focus on raising awareness about tapering off medications. There are few pathways for the government to reduce the prescription of drugs like S.S.R.I.s, which have gone through F.D.A.-approval pathways and are widely used by the public, he said.

He described “a sense of alarm” among psychiatrists at the virulent critique of the field coming from Mr. Kennedy’s circle. Psychiatry, he said, has been late to acknowledge the complaints of patients like Laura Delano, an author and activist, who say they were overmedicated as children or teenagers and got little support from doctors when they wanted to reduce or stop the drugs.

“The mainstream psychiatric community has been fairly insulated, and suddenly they are hearing now about this issue,” said Dr. Aftab, a psychiatrist at Case Western Reserve University.

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He added that he believes that the use of antidepressants in the United States may have reached a natural limit. “The demand is going to, at some point, go into an equilibrium with the reality of the lack of effectiveness and the reality of the tolerability issue,” he said.

But the experience of some other countries suggests that the demand for antidepressants may continue to rise, even amid warnings about overprescribing.

In 2017, Britain commissioned a major report on overprescribing and then followed up with a series of reforms, including updating clinical guidelines to require regular prescribing reviews and instituting a national audit program to monitor drug use.

But a study of prescribing in Britain found that the use of antidepressants continued its steady rise through 2023, the last year for which data was available. In contrast, recent years have seen a decline in the use of anxiety medications and hypnotics, which were also the subject of updated clinical guidelines.

The study’s authors said the rise was most likely driven by patient demand, reductions in stigma and the lower cost of antidepressant medications available in generic form.

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Many psychiatrists at the conference in San Francisco said that they routinely urge patients to try therapy as an alternative or a complement to medications, but that many patients have no access to that care, because their insurance will not pay for it.

Dr. Michael Bostwick, a suicide researcher and professor of psychiatry at Mayo Medical School, in Rochester. Minn., said it remained unclear what alternative treatments Mr. Kennedy is recommending to patients who quit antidepressants.

“Toward what end?” he said. “Is he going to put more resources toward therapists? Is he going to tell us to eat more red meat, or work out more, or take psychedelics, like the president has advocated? There is no alternative plan.”

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Some experts say they’ve never seen bees swarm so early — and that’s concerning

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Some experts say they’ve never seen bees swarm so early — and that’s concerning

Spring is when honeybees are bringing in food, the hive is healthy and growing, and they simply … run out of space. That’s when they decide to split their overcrowded hives and send half swarming off in search of greener pastures.

But Southern California beekeepers saw that happen unusually early this year, which left many of them scrambling.

“Never before have I seen so many bees swarm in late February and March,” said Daniel Barkanov, a beekeeper with Bee Specialist who works primarily in the San Gabriel Valley. “Usually that happens between May and June,” he said.

“The shift this year was quite, quite dramatic in many areas, especially in Central and Southern California,” said Mateo Kaiser, a beekeeper and managing director at Swarmed, a network of 10,000 beekeepers focused on monitoring and safe hive relocation.

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Beekeepers typically try to guide swarming so their their colonies can grow. They divide their own hives at the start of swarming season to prevent bees from flying off, and pick up unwanted ones that land in people’s attics and walls.

But this year, many were caught unprepared.

“They were scrambling to even just have the materials ready to catch the bees and get them into beehives,” Kaiser said.

Climate change is one likely culprit for the early takeoff.

“There’s substantive evidence that climate change alters bee reproductive cycles and colony dynamics,” said Boris Baer, co-director of the Center for Integrative Bee Research at UC Riverside.

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Some beekeepers and scientists think the warm winter in the West and early flowering season this year led bees to go into their high-activity mode early, leading to earlier swarms.

That can pose a problem if they then run into food shortages with an unexpected cold snap or dry spring, like the one now in the West.

“If you give bees a kind of early signal here, like that spring has started, it’s warm, they jump into action,” Baer said. “Then you have drought, or you don’t have the normal amount of resources they can rely on, and the bees can run out of food during a very critical time of the year.”

Some bees are on the move at other times of year, but true swarm season kicks off when numbers cross a threshold after a period of warm, spring “growing degree days,” a term used by farmers to predict the growth of plants and insects.

Kaiser dated the start of Los Angeles County’s swarm season to March 12 this year, the earliest in the last five and probably the last 10 years. It’s also more than a month earlier than last year.

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Barkanov thinks that one reason, besides the warm winter and spring, could be that the bees didn’t swarm enough last season. Air pollution and habitat loss are known to affect them, and last year was particularly difficult for hives here, with beekeepers reporting slow bee activity and losses from the January fires.

He said he was prepared for early swarms this year, but what he observed then was unexpected — a pause. “It doesn’t make sense why they started swarming, then stopped this year,” he said. “Bees are really, really confused on what’s going on.”

Many are reporting fewer bees on the move overall, which could mean fewer colonies are growing and splitting off this year in search of more space and food.

That could be a sign of poor health, said Barbara Baer-Imhoof, Baer’s co-director. “At this time of year, bees should be bringing in a lot of food, but we’ve been having to feed our bees constantly, throughout winter up until now,” she said.

U.S. honeybee declines have been making headlines since the early 2000s. Last year saw the largest die-off in recorded history, with beekeepers losing over 60% of their hives. Pesticides and environmental factors such as climate change and urban sprawl are known stressors. Research also links last year’s massive colony collapses to parasitic varroa mites that feed on bee larvae and transfer viruses to hives.

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A shorter winter and earlier swarm can make bees more vulnerable to these pests.

Typically, bees stop laying eggs during the winter, or at least slow down activity, which represses mite activity. But warmer winters and “the spring season starting earlier means the mites have more prime time to reproduce and grow up in the colony,” Kaiser said.

San Fernando Valley-based beekeeper Nicole Palladino, who runs the relocation service Bee Catchers Inc, said she isn’t particularly concerned by a March start to swarming season.

“I think the bee population looks a lot better than it did last year,” she said. “Seeing the early swarm showed that a lot of the bees that we saw after the fires maybe became more stable and got stronger later in the season.

“If we were fully in peak swarm in January, that would terrify me,” she added.

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Elina L. Niño, an apiculture professor at UC Davis, said many factors can contribute to earlier-than-usual swarm reports, as well as reports of fewer swarms, and an annual beekeeper survey out later in the year will provide a clearer picture of how the last year’s conditions have affected bees.

Kaiser agreed, but he said the survey will come out too late in the season for beekeepers to address shifts in swarming behavior and monitor for mites. “We chose to alert beekeepers to this now, and to have them keep an eye on this behavior,” he said.

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Caltech could lose control of JPL for the first time

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Caltech could lose control of JPL for the first time

The contract for management and operation of NASA’s Jet Propulsion Laboratory will be opened up to a competitive bidding process for the first time in its history, the space agency announced on Friday.

The action forces Caltech to compete for control of the La Cañada Flintridge institution it has managed since NASA’s inception in 1958.

“The rapid growth of the U.S. space economy indicates there may now be a viable competitive market for programmatic and institutional elements,” NASA said in a statement. “This decision is part of a broader governmentwide and agency effort to find efficiencies, strengthen performance, and drive mission outcomes faster and more affordably.”

In a joint statement, Caltech President Thomas F. Rosenbaum and JPL Director Dave Gallagher said that the announcement came as “no surprise” and that it already had a team in place “to ensure we are positioned for success” in the bidding process.

“Over the course of our nearly seven-decade-long partnership with NASA, Caltech and JPL have led humanity’s exploration and understanding of the universe — and our place within it,” the Pasadena university said. “The ambitions ahead — no less bold than those we have already realized— are ones we are fully prepared to meet.”

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The competition for the contract is part of a slate of changes NASA Administrator Jared Isaacman announced on Friday, including a massive reorganization of the space agency intended “to concentrate resources towards the highest priority objectives in the National Space Policy and liberate the best and brightest from needless bureaucracy and obstacles that impede progress,” Isaacman wrote in a letter to the agency’s roughly 18,000 employees.

JPL was founded by Caltech researchers in 1936, and became part of NASA when the space agency was formed in 1958. Its current 10-year contract with NASA, which is valued at up to $30 billion, runs through Sept. 30, 2028.

Times staff writer Noah Haggerty contributed to this report.

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Feds declare Eaton fire was a cleanup success. Their testing shows otherwise

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Feds declare Eaton fire was a cleanup success. Their testing shows otherwise

Despite finding nearly one in five homes had excessive levels of lead, the U.S. Environmental Protection Agency this week claimed that recent soil testing in Altadena proved that expedited federal cleanup efforts had effectively removed toxic ash and debris from homes destroyed by the deadly Eaton fire.

Earlier this year, the EPA announced it would perform a limited soil sampling at 100 destroyed homes across the burn zone in order to verify that contractors had thoroughly mitigated toxic substances. In a recent news release, the EPA said that testing revealed median lead concentrations below federal standards, and “confirmed that cleanup methods successfully addressed contamination and verified cleanup protocols.”

The EPA soil sampling comes amid mounting pressure from residents and environmentalists who claim that a hasty federal cleanup effort had left behind or spread hazardous fire debris. Internal government reports also raised questions about the thoroughness of the cleanup.

The EPA did not release its report to the public, but it said 95 of 100 soil samples collected near the surface of the home’s building footprint were below the federal lead screening level.

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“I think for the folks in Altadena who maybe had some concerns about the adequacy of the work that was performed by the federal government in removing ash and debris — I think they should feel confident that those areas of their property are safe to use now,” said Mike Montgomery, EPA Superfund and emergency management director.

In announcing its findings, the EPA cited federal lead standards only, and not California’s more stringent thresholds. Of the 100 homes sampled, 17 had lead levels above 80 milligrams per kilogram, California’s benchmark for residential properties. The highest concentration of lead was 705 milligrams per kilogram — nearly nine times higher than the state standard and triple the federal threshold, according to a copy of the report that was reviewed by The Times.

The results unnerved some Altadena residents, who see more and more fire-destroyed homes being rebuilt. Joy Chen, executive director of Eaton Fire Survivors Network, called on federal officials to release the full report and provide additional resources to address elevated contamination.

“From the beginning, people have been very worried that they [federal workers] did not thoroughly clear these sites. Now 16 months later, people are taking it upon themselves to test or bioremediate to ensure it’s safe to rebuild. Most of us don’t have the resources to make those decisions,” Chen said.

“It would’ve been much easier if homes had been cleared to safe levels the first time around.”

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EPA officials said the agency had notified Altadena property owners of their soil test results and encouraged them to review local public health guidance. Montgomery said EPA officials would proactively reach out to property owners whose lots had lead levels above the federal benchmark of 200 milligrams per kilogram.

Federal disaster officials say that some toxic substances within the burn zone could have been deposited there long before the fire — the result perhaps of decades of burning leaded gasoline or lead paint.

The Federal Emergency Management Agency had refused repeatedly to pay for post-cleanup soil testing and broke from long-standing California fire recovery protocols that are intended to protect returning residents from toxic substances. FEMA, along with the U.S. Army Corps of Engineers and the EPA, had touted the fire recovery as the fastest in modern history.

Disaster crews removed millions of tons of fire debris from nearly 9,700 properties affected by the Eaton and Palisades fires in roughly eight months.

But hundreds of disaster victims had complained about substandard work from federal cleanup workers, and internal government reports said crews had left debris behind and, in at least one instance, dumped ash on a neighbor’s property.

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In January — shortly after the one-year anniversary of the fires — the EPA announced that it would perform soil testing for lead at 100 randomly-selected homes that were destroyed in the Eaton fire and later cleared of debris by federal contractors. The announcement followed months of criticism that federal cleanup workers had mishandled debris — including dumping fire debris and contaminated pool water on neighboring properties.

The Los Angeles Times collected soil samples in March 2025 and published the first evidence that already-remediated home sites retained elevated levels of toxic substances. Los Angeles County, UCLA, USC and several other organizations launched their own soil testing efforts, and all found elevated levels of lead at homes that had already been remediated by federal cleanup crews.

Lead is a potent neurotoxin that can stunt the brain development and lead to behavioral issues in young children that inhale or ingest it. When the Eaton fire burned through Altadena’s historic neighborhoods, it destroyed many homes that were coated in toxic lead paint. Plumes of smoke and ash then deposited the heavy metal across the burn zone.

Dr. Nichole Quick, chief medical advisor for the Los Angeles County Department of Public Health, encouraged property owners to seek further testing if they have concerns about contamination, including free testing services provided by local universities.

Quick said residents can take steps to limit their exposure, such as washing dusty equipment and keeping cleaning floors and other surfaces clean.

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“Guidance is really geared towards how you interrupt that ingestion exposure, so we’re talking about a high-risk group, our kids with developing brains, pregnant women,” Quick said. “Kids also happen to be the ones that crawl around on all sorts of stuff and hands directly into mouth, so a lot of what we’re talking about is stopping that sort of exposure.”

Environmental experts quickly questioned the EPA’s soil sampling approach, which drastically differed from soil testing procedures from California environmental agencies. Andrew Whelton, a Purdue University researcher who has studied environmental risk following disaster, said the EPA sampling — which only tested one mixed sample — would likely mask heavily polluted areas of the home. The agency also only tested for lead — one of 17 toxic metals typically tested for following wildfires.

“It’s apples and oranges,” Whelton said. “They [the EPA] only looked for lead and didn’t look for hot spots. The approach that EPA differs from everything that California has done for fire cleanup for the last 15 years.

“My advice to property owners who haven’t tested soil or are adjacent to the fire area is conduct soil testing as it has always been done.”

The EPA and L.A. County health department are expected to discuss the soil testing results at the Altadena town council meeting on June 16.

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