Maria Bogdanos

Meta-analysis of Transdiagnostic Cognitive Behavioral Therapy reveals promise for treatment of emotional disorders in adolescents journals.lww.com/hrpjournal/ful…

@helin_drsaga Extremely common. We do well as a society not pathologizing neuro-psych mechanisms but to understand them.

Vanilla Sky is more than a thriller about identity and technology but it’s actually a portrait of a man who has never learned to let anything hurt him. David Aames arrives on screen moving fast, collecting admiration, and keeping the emotional temperature low enough that nothing can really get in. He is charming in the way that functions as armor. The success, the ease, the rotating cast of women who want him, none of it is incidental. What the film traces, quietly and then all at once, is what happens when that architecture collapses. The accident is the inciting event, but the real crisis is what the accident exposes that David cannot mourn. He does not have the internal equipment for it, at least not yet, so when his face and his image and his certainty about who he is get taken from him simultaneously, his mind does the only thing it knows how to do it constructs a better story. One where the loss did not quite happen and the old order has been more or less restored. This is not weakness in the ordinary sense. It is a mind working very hard to protect a self that was never built to tolerate imperfection. He’s split his world in two. For instance, Sophia is the dream, and Julie is the nightmare. It’s a classic move to avoid the hard work of intimacy. If he doesn't let those two worlds collide, he never has to grow up, but he also ends up stuck in a room by himself. What makes the film work is that it does not treat any of this as pathology to be explained away. It treats it as a human predicament. The longing underneath all of David’s maneuvering is not complicated. He wants to be known without being diminished. He wants to love without losing control of himself. He wants to find out whether there is a version of him worth loving that does not have to be perfect. Everyone feels that way sometimes and it’s not just a vanity thing. What makes the movie interesting is how it shows the total mess you make when you keep avoiding yourself.

Salience Network disruption is very common in mental illness and can be recalibrated with simultaneously applying several interventions including cognitive reframing, creating an observer mindset (pause to reflect not react), and affect labeling. Ideally before it progresses.

If most current mental health labels involve disruptions in the triple network model (SN, DMN & CEN) then why not treat the initial state before it progresses? Diagnostics assessing attention issues & emotional dysregulation to recalibrate the system. We are testing too late.

@cptsdfoundation I think we are learning that traumatic events disrupt the Salience Network and it can be recalibrated through interventions like CBT & mindfulness awareness to bring back the balance to the Default Mode Network & Central Executive Network.

The paradox of trauma is that it has both the power to destroy and the power to transform and resurrect. #MentalHealth #CPTSDRecovery #betterthoughts #mentalhealthawareness

@melinda_esen Beautiful, wise & true.🌷

Gösterme arzusu ile paylaşma arzusu aynı şey değildir. Gösterme arzusu asimetriktir, sahipliğin bilinirliğine ve özgünlüğün performatifliğine odaklanır, değerli olana sahip olmanın defansif sunumudur. Oysa paylaşımda odak, özneler arasındaki ilişki ve ilişkilenmedir. Paylaşımda, paylaşımdan doğan duygu birliği gözetildiği için muhatabın duyguları da dikkate alınır, buna özen gösterilir. Paylaşma, kendini açmayı ve belirli ölçüde savunmasızlığı talep eder. Bağ da böyle kurulur ki insanın yabancılaşmasının ve yalnızlaşmasının üstesinden gelmeye olanak sağlamasının nedeni de budur. İnsanlar olarak durmaksızın paylaşıyoruz. Yalnızca sosyal medyayı kastetmiyorum. Tür olarak, yaşamda paylaşarak var oluyoruz. Paylaşmayı gerçekten önemsiyor, onu kurumsallaştırıyor, çeşitlendiriyor ve paylaşmaya, neredeyse bir susuzluğun ardından olduğu gibi ihtiyaç duyuyoruz. Öyle ki paylaşımda bulunmamak, social sin. Ama tüm bu telaşımızın kaynağı, gerçekten paylaşma mı yoksa gösterme arzusu mu? Paylaşımı ilkelendiren ve onu salt gösterme arzusundan ayıran şey her zaman açık değil. Ruhumuzun bu hantal ve ilkel yönünü kendi lehimize yeniden yorumlamadığımızdan nasıl emin olabiliriz bilmiyorum. Elbette, öyle görünüyor ki, gösterme arzusu bir egoizm içeriyorken, paylaşma bu temel ilkel güdünün tersine yürüme cesareti talep ediyor. Bilemiyorum, belki de mesele bir ya da ya değil, bir hem hem meselesidir, denilebilir. Anlıyorum. Ama demek istediğim, gösterme arzusunu bir duygusal ihmal belirtisi, paylaşma arzusunu ise toplumsal bir borç ve insani bir ihtiyaç gibi görünüyor bana. Tüm bu tabloda ise, nihayetinde, kendimi şöyle teselli ediyorum; erdemler birlikte var olur, özen, şefkat ve savunmasızlık cesareti paylaşımı, gösterme arzusundan korur, en azından korumalı.

Emotionality, dramatic responses, exaggeration or externalization of emotion, hyper-reactivity, etc. are symptoms of suppression. A person is substituting contrived or defensive reactions instead of feeling & processing their real emotions. Usually without their awareness.

@sanilrege Wonderful 🌟

@MariaBogdanos Underrecognized intervention Did a video on this youtu.be/h7cEnI3atFE?si…

Affect Labeling turns down the volume in the amygdala & engages executive function. hbs.edu/ris/Publicatio…

@helin_drsaga Thank you for answering my question with thoughtful & skilled analysis. Yes I agree music, books, etc. are healing agents for those who engage, especially with emotive self-reflection.

Thank you for the kind words and for sharing that insight and observation.. I do think music is actually a pretty good intervention for many and I see it more commonly in decades past of adolescence would look at certain bands or music as some sort of therapy I guess you could say. I always found great literature and music to be insightful about the human condition

@helin_drsaga I have a question: Why do many 70s band covers have this same composition? As if looking into a mirror?

@helin_drsaga Excellent analysis as always. 🌷 It was interesting to watch the James Taylor documentary where he shares about his addiction and how music helped to heal himself as well as others. It’s good to be less “baited” by idealization of youth and see that these covers were just image.

Interesting question! When I look at those seventies album covers it reminds me how much we humans yearn for that moment of being seen and the marketing folks back then understood this. This kind of direct eye contact on the cover pulls the listener in as if to say here I am and I see you too turning the album itself into a silent sales pitch that promises an intimate relationship with the music and the people who made it. And you can see the defense of idealization where the imagined bond with the fan or the viewer gets lifted up into something pure and immediate almost magical in its closeness. That stare exploits our hardwired response to eye contact it triggers trust and emotional pull faster than any slogan could making the record feel personal and essential so fans do not just buy the music they buy the feeling of being chosen. It is the same impulse we see today in selfies where people turn the camera on themselves and stare right into it hoping for that spark of validation only now the marketers have turned it into an even sharper tool with algorithms rewarding the gaze that soothes our fear of going unnoticed. In both eras the strategy works because it meets us right at that soft spot between wanting to connect and fearing we will not be met.

and is it related to the concept of selfies? “please see me?”

Temporal pathways between alexithymia, psychological distress, and pain: An autoregressive mediation analysis. psycnet.apa.org/record/2027-47…

1/ The Concept of Kindling  Following trauma, the brain’s stress systems become dysregulated, creating heightened fear conditioning where even neutral stimuli become associated with threat. Kindling is the process where increasingly lower-severity stimuli begin to elicit significant negative emotional or physiological responses over time. This explains why patients often react strongly to seemingly minor cues.

@proud_penelope @FeistyKittyPie 🌟

🧵 I think therapy gets devalued in these ways, by people in the field and outside it, because the skill involved is often “invisible” to the naked eye. If the average person was a fly on the wall for a portion of a therapy session with a skilled therapist, they may not “see”

@NovickCindy A worthwhile 🧵. 🥰

Just a few cozy all cotton and cotton flannel bed quilts and sham I made this winter. There is something special about my fam sleeping underneath them. 🪡🧵 #madewithlove

By using ultrasound to modulate the amygdala in healthy adults, researchers have confirmed the essential importance of this brain structure in both learning and extinguishing threat responses. scim.ag/4swfP2r

Nuanced analysis youtu.be/-AvODpgp8OQ?si…

The brain relies on predictive processing. youtu.be/Vi9Opuvwk4s?si…