𝒮𝒶𝓂 𝐿𝒾𝑒𝒷𝓁𝒾𝒸𝒽

Ahead of the launch of the DSM-5-TR it seems we're gonna be getting much more ignorance and much less bliss for quite some time... overland.org.au/previous-issue…

It boggles my mind how anyone doing psychotherapy can float off into guru land or feel consistently amazing about their work. Maybe some are legit supershrinks. But as long as one is in supervision or consultation, exposing your work to criticism, this work is so humbling.

@TweetATherapist There is a very telling part of the article, in which a “mainstream” psychologist says “Part of the process of recovering from an eating disorder is to separate yourself from the disorder, but not like that” - There is no substance to the “not like that”… it’s all “like that”

PARTS LANGUAGE ISN’T EXCLUSIVE TO IFS. PARTS LANGUAGE ISN’T EXCLUSIVE TO IFS. PARTS LANGUAGE ISN’T EXCLUSIVE TO IFS. PARTS LANGUAGE ISN’T EXCLUSIVE TO IFS. PARTS LANGUAGE ISN’T EXCLUSIVE TO IFS. PARTS LANGUAGE ISN’T EXCLUSIVE TO IFS. PARTS LANGUAGE ISN’T EXCLUSIVE TO IFS. PARTS!!

Psychiatrist: inhibit your serotonin reuptake!

So close!!!

@Dooobeedoozy @therealRYC @AdamUrato1 These are certainly as confounded as the schizophrenia study. Plenty of face validity though to the notion that an SSRI has an effect on foetal development, and if that is considered alongside a lack of demonstrable benefit for SSRIs then hard to argue for them.

@therealRYC @AdamUrato1 SSRIs exposure during pregnancy absolute effect the fetus. Again, you’re being gullibly or perhaps deliberately disingenuous

🚨 Neurons from patients with schizophrenia are electrically distinct How do we know this? » Take skin cells from patients → turn them into stem cells → differentiate into neurons → stimulate → record electrical activity Distinguishable from controls with 95% accuracy 🤯

the commercial use of the C-SSRS, and her family owns stock in Bristol-Myers Squibb. More of the same.... researchgate.net/publication/46…

Maria A Oquendo, the new Chair of DSM-6 (yes it's coming) has received unrestricted educational grants and/or lecture fees form AstraZeneca, Bristol-Myers Squibb, Eli Lilly, Janssen, Otsuka, Pfizer, Sanofi-Aventis, and Shire. She receives royalties from the commercial use of....

This is totally incorrect. Among the many false claims here, the Coupland study from 2011 found both an increase in all cause mortality and suicidality in adults aged 65+, not a decrease as claimed. pmc.ncbi.nlm.nih.gov/articles/PMC31…

@NeuroAnaTody @psychgeist52 I’m positing this as a good outcome.

@LieblichSam @psychgeist52 We’ve had a variant of that in the NHS. “Nope, it looks like childhood trauma, bye now!” End of contact with mental health services.

Imagine you pay your $2000 and the psychiatrist says “Congratulations! You don’t have ADHD! Everything’s gonna be fine.”

@NYschoolSecrets Yes!

@LieblichSam Isn't that good news? Imagine you paying $2000 and the oncologist says, "Congratulations, you don't have cancer." Wouldn't you be thrilled?

Very funny to call consciousness a “problem”. Whether easy or hard.

Stark fact from new paper: “Countries permitting assisted dying for mental disorder as the sole underlying condition find that" Borderline Personality Disorder is a common reason to request end of life. pubmed.ncbi.nlm.nih.gov/40211336 Canada is about to adopt that permissive policy.

@MarkLRuffalo What does “and back again” mean in this case?

When I was in my very early 20s and in analysis the first time, long before I had decided to become a therapist, long before I knew anything about psychotherapy (let alone psychoanalysis), I fell, for a time, into a common pattern and phase of many patients and analysands. 🧵

RADAR trial data showed people recover to their baseline levels of function and symptoms after a relapse, suggesting the hypothesis that relapse is toxic to the brain is incorrect 1/2 cambridge.org/core/journals/…

Researchers, if you’re comfortable with abuse, post that X issue “has never been studied before”. The online community will do your literature review for you

@Macbeth4183781 @JDaviesPhD I have a medical degree and agree with Dr Davies’ opinion

@JDaviesPhD Easy to see why the medical model is opposed by people without a medical degree, don't pretend this is about anything other than envy.

The dominance of the medical model in mental health provision has driven & exacerbated mental health disability by generating poor outcomes, low recovery rates & growing iatrogenic harm. This is why I'm bemused by disability activists who ardently support it....

@psypharmacopeia What do you mean by ‘anti-psychiatry’?

Anti-psychiatry has plenty of brilliant minds who can tear the field apart with philosophy, rhetoric, and clever arguments. But none of that survives a single shift in a psych ER.

There were so many examples of psychiatrists post-hoc rationalising their knowledge of AD inefficacy with pen to pad when I was in training it got to be very silly. This was before I started research in nosology but all that silliness was pointing in a certain direction already.

“It’s probably time doing the work but the drug is how we show the patient we’re taking them seriously”

Good to be reminded of this from time to time and to share widely with non-psychiatric colleagues. Rob Howard is hardly alone in this practice: when I was in training I would say the majority of my supervisors said something like this 🧵