
Mike Tims
2.6K posts

Mike Tims
@Mike_Tims
ADHD entrepreneur Founder/CEO, publisher. journalist. Care leaver made good, and devoted father. Passionate advocate and fundraiser for SEN/vulnerable children.



This is what Cluster B narcissism looks like btw - invading personal space to assert dominance - passive-aggressive insults draped in compassion - overly-poetic, performative, “spiritual” language in an attempt to take the moral high ground






Dear Dr Roger @DrMcFillin, let me explain how this actually plays out in my hospital. Me or my team member sit with each patient for a full, interview, often an hour or more. We go through their story, symptoms, trauma & family context. Do a mental status exam and basic labs to rule out medical causes like thyroid issues or anemia. We don’t order brain scans for every case of depression not because the brain isn’t involved, but because scans are not diagnostic at an individual level. That is true across much of medicine. Across research studies, we do consistently see changes: hippocampal volume loss, overactive amygdala & disrupted circuits. There is also a clear genetic signal. For many patients, life stress doesn’t just “feel bad”, it alters how the brain functions. In my hospital, I have seen people who were barely holding on, some actively suicidal, gradually recover with the right combination of therapy, support, medication & ECT. Telling someone in that state to “just awaken” may sound appealing, but it does not help the person sitting in front of you in crisis. If that same mother walked into your office, overwhelmed, hopeless, thinking about ending her life, what would you offer her, concretely, in that moment?













