Paco

- Hola soy el psicólogo xx, experto en autismo, que usted le dice a mis pacientes que no son -1. No me cumplen criterios 2. No es neuropsicologo 3. Solo hizo un diplomado en la escuela de Tangamandapio 4. Les da los test para que los llenen en su casa 5. No me vuelva a marcar

Respecto al caso de Noelia resulta curioso algo En los cuidados paliativos siempre se ha contemplado la dimensión de la salud mental, pero en la salud mental nunca se ha contemplado la dimensión de los cuidados paliativos.

Estoy totalmente a favor de la libertad individual para decidir sobre la propia vida. Permitir la eutanasia es un derecho. Pero, cómo psicólogo, lo que ha pasado con Noelia me parece un asesinato. Evidentemente, padecía una depresión. Lo que lleva a dos conclusiones : - no tomó una decisión con todas sus facultades plenas - su situación, mental, no era definitiva, si no que podía haber cambiado con el tiempo.

The Brain doesn't divide itself into labels 🚨 We hear : ‘It’s BPD not ADHD’ OR ‘it's not BPD, its ASD’ This debate keeps amusing me. As though the brain expresses itself in labels. It doesn’t. We created labels because heuristics reduce cognitive load. They help us organise complexity. But that does not mean they always help us solve human problems better. When helping a person- 
1. we start with the described experience 2. translate it into phenomenology 3. connect it to models and known mechanisms 4. implement, test, and revise a plan. Neurodevelopment and personality development are linked and occurred as parellel processes. Neurodevelopment, as the word suggests, refers to the development of key neural systems during critical periods of life. Early in life, the brain is far more ‘limbic-dominant’, while the prefrontal cortex is still maturing. So what is being developed? 
Not just attention. Not just impulse control. Not just sensory processing. A major part of neurodevelopment is relational regulation. ✅ The developing brain is learning, through relationships: -Is the world safe? -Am I understood? -Are my emotions understood and responded to? - Can I trust other people? That is where neurodevelopment intersects with personality development. In one sense, personality is the relational expression of development over time. Just as prefrontal maturation helps the adolescent move from concrete to abstract thinking in school for maths it also helps them move from concrete social appraisals 
E..g “you upset me, therefore you are bad” 
 to more integrated ones: 
E.g “You frustrated me, but that does not define all of you.” That is also development. Different constructs BUT intricately linked The brain develops across systems: -arousal -attachment -salience -emotion regulation -cognition -self-other representation -social learning…. And from that, patterns emerge. Some of those patterns get called ADHD.
 Some ASD. 
Some BPD traits. 
Some trauma-related expressions and the list goes on.. The aim is to integrate not split

La psicología conductual y la psiquiatría farmacológica operan bajo la lógica del capitalismo: el síntoma es una falla que impide producir. Si dejas de estar triste para volver a trabajar, el sistema dice que estás "curado", aunque sigas siendo un extraño para ti mismo.