Cognitive Axis

@GrantHBrennerMD Thank you for sharing Dr. Brenner. I have reposted to help spread the information and research.

Pleased our recent piece in Psychiatry Research — "Is it time for AI to take a leading role in Mass Trauma Mental Health Response?" — is now live, with co-authors Sander Koyfman, MD and Rahul Mehendale. The paper grows out of our "AI to the Rescue" panel at the inaugural PreAct Mass Trauma conference (June 2025). Rather than rehearsing whether AI belongs in disaster mental health — it is already there — we ask how to deploy it responsibly, in a harm-reduction rather than abstinence frame. We cover: — The AI Safety Levels for Mental Health (ASL-MH) framework: a six-tier, use-case-oriented schema for graduated risk governance, from informational tools (ASL-MH 2) through autonomous therapeutic agents (ASL-MH 5) to experimental superalignment (ASL-MH 6). — "AI-made disasters" as a necessary third category alongside natural and human-made, grounded in emerging evidence of AI-associated psychosis, suicidality, and ethical failures in LLM-based mental health interactions. — Application across the four MARCCD phases — Anticipation, Impact, Adaptation, and Growth & Recovery — with concrete mental health use cases at each stage. — Recommendations spanning research, governance, training/literacy, and equity. Given the fragility of voluntary industry safety commitments and the nascent FDA regulatory pathway, we argue domain-specific governance cannot wait for industry consensus. Grateful to the PreAct organizers and to colleagues pushing this conversation forward. Link in comments. sciencedirect.com/science/articl… #DisasterPsychiatry #AISafety #MentalHealth #ASLMH #MARCCD

If you're wondering why I share what I can to help neurodivergent women become wiser and more emotionally intelligent as it relates to males, it's because they are a vulnerable population that can be easily manipulated. I have a firm belief that as humans, we have an obligation to protect the most vulnerable among us. When I first met neurodivergent women who I considered friends, I noticed they were constantly being manipulated, conned, and lied to. Miranda is actually the one that taught me that neurodivergent women are easily manipulated. So from that conversation I immediately went to work in my brain about how I might be able to give them tools that they can use to protect themselves from such men. This was when "Behaviors Always Tell The Truth" was developed and shared with my friends I cared about and writers eventually began writing about it. Behaviors are the highest objective truth we can see with our own eyes and are the highest objective truth about another human being that doesn't require deep analysis like words do once the pattern has been noticed.

Second Woman: Notice I did not reply when she tried to continue the conversation.

I'm going to share how I respond to random women that pop into my DMs. I'm only going to share the conversation and not the pictures or their identities. The only reason why I respond at all is in case the one I seek tries to reach out to me in the way that is comfortable to her as a neurodivergent woman. As soon as I realize it's not her, I bring the conversation to a respectful end. Each phase of the brief conversations will be in separate posts under this tweet. When you see me respond that my heart belongs to someone else that is also with the understanding that she doesn't or might not feel the same and I accept that. For me, I can't just easily move on as if I don't feel anything that was true. Nor do I want to, keeping the respectful boundary in place with her as I proceed through life. I'm sharing this for transparency since this is a dynamic I frequently see women expressing concerns about on this platform. This is what character, integrity, and transparency looks like. For you neurodivergent women especially (and all women), you should expect your partner to do the same without you asking. If he doesn't, dump the bum.

Preface: I'm not sure yet and this will not be validated science. A side project I'm working on in my spare time: The Theory: There might be a backdoor way for a Narcissist to heal and overcome not only the trauma or suffering that caused the development of narcissism, but also to completely eradicate the narcissism. A brief introduction: I began with this theory because narcissists refuse to face themselves because it threatens their ego and the fraudulent identities they've built their entire lives around. It has been claimed by one very influential PhD level researcher, professor, and psychologist that less than 5% of narcissists ever make any improvement on any metric related to their narcissism their entire lives. I began to think that since narcissists fear looking inward and at their own mirror, then we must focus on a different path or development of a new protocol that actually might help a narcissist improve towards healing and possibly even completely overcome the narcissism that has destroyed their lives. I'm still working on the science of this and I have not perfected a solution I am comfortable sharing yet, but I think I'm close. So stay tuned. When I get it right, I'll share it, but you'll have to understand this will not have gone through rigorous scientific studies and review. We don't have that kind of time for some of you. Yes, I'm speaking directly to those who stalked me and continue to stalk me.

There is one poignant question I ask every person I interview. The question: “What moves you?” Purpose: Left open ended intentionally allowing the person complete freedom to go in any direction they choose. I can tell by their answer how authentic, genuine, and honest they are. This question also works very early on in dating. An honest person with integrity will answer deeply with profound meaning to them. A person you can’t trust will answer surface level with no depth. If this happens, you should walk away and never date or speak to this person again beyond telling them it’s not a good match for you. Do NOT Trust Anyone Who Says This | Chase Hughes youtube.com/shorts/cypNcGO… via @YouTube

8 Signs You Were Never Meant for This World | Carl Jung Original youtube.com/shorts/YPTjgqP… via @YouTube

Yes, it absolutely does matter to me how this turns out, but I would never in a million years attempt to overstep, manipulate, or rob you of your sovereignty and autonomy to get the desired outcome. Respecting a woman, especially a neurodivergent woman who is vulnerable to begin with, is at the core of who I am and my values. The negative behaviors I described above is exactly why I taught you: "Behaviors Always Tell The Truth" No matter what happens, I want you to always hold that phrase close to your heart and let it protect you. A healthy relationship begins with honoring her, respecting her, and nurturing her specific needs the way she needs them, not the way the man wants to nurture them. Why? Because a neurodivergent woman has specific ways that her needs, need to be met. Any man with character and integrity, the two most important qualities in a man to be attracted to, will take the time to learn this about you as an individual autonomous woman. Then he will consistently deliver what you need and you won't have to ask. An emotionally intelligent man will sense many things that maybe you don't even realize yourself, and he'll just give them to you without you ever asking. He will do this so consistently that the woman that once needed constant reassurance, will have witnessed his honesty and consistency over a long period of time and you will feel totally safe and secure with him and the need for reassurance will fade away slowly. He'll volunteer his passcode to his phone without you asking. The same with his computer and email. He will have nothing to hide so what would he care? Of course, this comes when the relationship has progressed and it's clear that both have committed to each other and realize there is long-term potential. My own texts also sync to my IMac so when I'm away from our home doing whatever which you would know about, you'll see in real time the text messages sent and received. If there is a work cell, due to the sensitive nature of my work, that will be harder to give 100% access to, but we can figure out how to get you access in a way that makes you feel safe and secure without compromising confidential information. I'm just using this as an example with my life, but it should apply universally. For me, I could never send or receive any non work related texts or emails to or from my work phone and computer as it's closely monitored for security even in the private sector with biotechnology or pharmaceutical companies. I would get terminated for using a work phone or computer for personal messages. What I'm saying is the man will do everything possible for you to feel safe and secure. That is foundational and remains consistent throughout the relationship. Now having taught you all this, he knows how to have fun and even spontaneous in many different ways including intimacy. He will love to see you happy and content so he will do everything he can to consistently create an environment of safety that allows you to be safe and happy without worrying. When you find someone like that, you can trust him after you've verified his patterns over a long period of time. If you want to marry, he's the one you want. It's a rare man, but they are out there so be patient and wait for him. Kick the bums to the curb immediately when they don't have these character traits and nurturing qualities that come natural to them. You'll see it immediately in their behavior patterns and let his behaviors give you the truth. With you, I've always from day #1 admired your inner beauty more than I ever did your outer beauty. The inner is what pulled at me and I'll never forget that. I'm going to keep the article I wrote to you pinned to my profile as a reminder of how you should always be respected and treated. You are so much more than your outer beauty and body. You're very intelligent with a full and graceful heart. Any man worth anything will treat you exactly the way I describe in that article and in this tweet. I will always be rooting for your growth and for you to win in life. I will also be rooting for you to realize that you do not need to allow yourself to be used. You deserve the best type of man and should never consider settling for anything less. I've given you as much of myself as I can and you will be the one the receives the special spiritual parts of me when I pass. I've already decided that. I want you to have it and this will be my greatest service to you through love. Know that no matter what happens, I will always be in your corner from now until the day I die. No matter what you go through, mistakes made, or what you experience, as your friend if that is all it is, I'll always be by your side protecting you as best as I can. I respect you as a woman. Choosing you fully was a conscious choice. It's a choice I will not make again in this lifetime. It took me over 10 years to find you and nobody could ever compare to you. I believe in you and I'm so proud of what you hold inside you! Become the best version of yourself wether I'm by your side or not. ❤️ I don't care how much time passes, if you ever change your mind, just reach out to me. Or, if you just need the friendship, that is fine as well. You mean everything to me now and until I take my last breath.

I just came across your account today, but I'm sorry you've had to deal with such people. I think this kind of behavior is especially common on this platform because accounts can use a pseudonym and never be held accountable in real life. It's sad. In my own case, the attacks weren't based on science. They were personal because I was teaching vulnerable neurodivergent women how not to be manipulated by men or into the sex industry. I taught them one simple and easy to remember phrase that is objective and the highest truth that we as humans can verify with our own eyes and doesn't need to be analyzed like words which can be shaped. It's about behavior pattern recognition. The Phrase: "Behaviors always tell the truth"

Aggressive strangers get blocked on first instance. Happy to entertain disagreement and dialogue but not unsolicated attacks. Use some civility and basic human decency, please.

@APA I'll share a post that includes a case study that I just shared on @PsyPost . Warning, it's critical of the APA's guidelines for treating depression. x.com/CogAxis/status…

When it comes to sharing psychology content online, high-value insights beat big budget production. Dr. Ali Mattu breaks down what he learned launching his YouTube channel and offers advice on how to begin. Check out the full conversation: at.apa.org/975eef

I'm personally disappointed in the American Psychological Associations guidelines for treating depression. The reality is we each have a specific physiology. You can't ethically treat depression with uniform guidelines. The patients suffer with this approach. It all boils down to each individuals biochemistry. Maybe it is Serotonin. Maybe it's just Dopamine Maybe it's just Norepinephrine. Clinicians can of course deviate from the guidelines like they should, but if they do and something goes wrong, regardless of causality, the clinician is subject to serious legal litigation. So clinicians are mostly forced to conform to the guidelines that are myopic at best. You cannot adequately treat someone with depression without understanding their specific physiology and needs. Case Study: A patient suffered sexual abuse at a young age beginning before 5 years old and ending at 14 years old. The patients stress hormones skyrocketed at the onset of the abuse. Of course outside of their awareness and understanding because of their age. Their baseline norepinephrine needs have significantly elevated. So as they proceed into adult life they are chronically depressed. The memories of the abuse are repressed and they are successful professionally and have a good marriage and kids which for most people creates happiness. But this case study patient remains depressed. Goes to a clinician and is diagnosed with depression and given an SSRI. The SSRI is prescribed because the guidelines demand it, not because the patient needed it. So they fail the SSRI, but keep taking it. Next appointment the clinician tries another SSRI and the pattern continues. This particular patient is failed in every way by our entire system. An SSRI or SNRI fails because these medications will not raise the patients norepinephrine needs high enough to meet their individual baseline needs. They need something stronger like a stimulant. Oh, but those are addictive and prescribing habits as well as prescription fills are highly monitored and cross referenced through multiple systems. So what happens? The patient has lost faith in the medical system and they start self medicating with alcohol or other drugs. Now to be fair there are not tests available to understand a patients baseline Serotonin, Dopamine, or Norepinephrine needs. However, a very good clinician that is very thorough in examining the patients behavior patterns, should be able to narrow down what part of the patient's biochemistry is causing the behaviors. From a clinical perspective, this is where the failure of our entire system is failing patients. This is precisely why mental health problems are skyrocketing and patient's are not improving. It's a total failure of the entire system.

Patients who believe their depression stems from a chemical imbalance tend to take antidepressants twice as long and are less likely to attempt quitting, suggesting that biological messaging heavily influences long-term drug reliance. dlvr.it/TS6kbQ

I completely agree. I've experienced Jung's individuation process and completely changed my life ending generations of trauma and dysfunction. The increased intuitive and perception abilities makes it very difficult because one is able to see the illusions and conformity of others just to belong or fit in. Individuated people also read micro expressions and see patterns that are not visible to most people due to the differences in consciousness. All this makes it very hard for someone with a shred of character and integrity to tolerate these environments. Which, of course is isolating. Jung warns about the dangers of this isolation.

Very intelligent people - in my clinical experience which means it is a pre-selected group - often report feeling lonely. They live in a differerent reality in many ways - and it also depends on what their intelligence is like - a reality which is often depopulated of people with whom they can fully relate. It's harder for people of average or high intelligence to understand or accept this, in my experience. Thus it is also experienced as an empathic failure when therapists assert that it should not or does not matter. The other factors are important. So how does one who feels isolated due to intelligence "find their people"? How resourceful are there? And so on. And the stimga toward intelligence seems higher nowadays.

@RossBrian30643 @MattHayesCFB I agree. I also think the national championship should be held on a Saturday. It seems the NFL is the barrier to this, but it wouldn't be hard for the NFL to make an adjustment to their schedule that would make it work.

@MattHayesCFB National Semifinals should always be on Jan 1 with a permanent location for one of those games at the Rose Bowl College football forms its own version of the Final Four on New Year’s Day National Title game 7-10 days later

“The playoff will kill the bowls” There’s always money in the banana stand.

I could get on board with this or something similar. Give those 8-4 or 9-3 teams a way to play in via rounds 1 & 2 or something of the sort. They would have almost no shot at winning a natty, but at least the game is interesting and there is something very serious on the line worth playing for.

@MattHayesCFB The bowls are dead. Teams best players don’t play in them and attendance is bad. 24 team playoff with all games at home sites instead of the natty finishes it off

Yup. Exponentially more revenue to capture with the playoff vs the traditional bowls. Of course, Wall Street saw this and drove the change from the outset. There are pros and cons of course to this change as there is with almost any significant change in a business model. I think a 6-6 or 7-6 team hasn't earned an extra game. But that's just my opinion. I think most people agree except for those bored on those December and January days with nothing to do.