Mark Mullen

Almost without fail, after I share my BPD recovery story, strangers slide into my DMs to inform me I'm actually autistic. They never keyboard diagnose me with anything else. But they never tell me what criteria they're using to make this determination. It's almost like they think autism is a catch-all diagnosis. Where they got that idea, I haven't the foggiest.

A lot of people are mistakingly diagnosing personality pathology as Autism and anyone who has spent time in autism communities see them come in and wreck absolute havoc 😵

I think most clinicians would agree that the session itself needs to remain a protected human space. Where things get interesting is outside the room — many clients leave with meaningful insight but struggle to retain or apply it without some kind of structure between sessions. The question may not be whether AI belongs in therapy, but whether it can responsibly support adherence to therapist-guided practices once the session ends.

I recently come across a lively discussion among psychiatrists prompted by an article related to over-diagnosis of ADHD in children & adolescents. It was interesting as it revealed a range of views held by practicing psychiatrists & what concerns they have. (1/6)

My two cents on how to find a great therapist/coach: 1. Find one that makes a huge difference in the first session. 2. Don't stop looking until you find one who does that.