Jenn

@volkava85 @DoritoBoland85 @pride_husky @psypharmacopeia This is not at all what I am telling them. But we do BA in parts. You’re simplifying it into Do/Do Not when the expectations can vary, as can the means and the most appropriate place to start. You’re using clinical terms without clinical application.

@emptycalzone @DoritoBoland85 @pride_husky @psypharmacopeia Learned Helplessness is a clinical term, not an insult. Your nuance is just a shield for passivity. If you’re advising patients to wait for motivation that depression has biologically deleted, you aren’t practicing therapy; you’re practicing clinical negligence.

Yeah, this whole “depressed people just need to exercise” thing just needs to die. Like right now I’m literally a psychiatrist on a Marine Corps base. You don’t think I treat depression? Do you think my Marine patients don’t exercise?

@volkava85 @DoritoBoland85 @pride_husky @psypharmacopeia Stop calling it learned helplessness! That is such a dismissive and demoralizing way to frame anhedonia and the struggle to integrate behavioral activation. No one is justifying passivity, that’s a conculsion you drew. I’m asking for the framing of this to have more nuance.

@emptycalzone @DoritoBoland85 @pride_husky @psypharmacopeia Fun fact, You're being pedantic. No one said BA isn't a process, but using pacing to justify passivity is a clinical failure. Waiting for motivation is contraindicated and fuels the depressive cycle. Stop using credentials to enable learned helplessness.

@volkava85 @DoritoBoland85 @pride_husky @psypharmacopeia So…fun fact, I’m a practicing therapist. I know this. But you cannot just make yourself do it. Behavioral activation is done in steps, and it’s often a gradual process that has setbacks. Just saying to get up and do stuff is not an accurate portrayal of BA and how it works

@emptycalzone @DoritoBoland85 @pride_husky @psypharmacopeia Behavioral Activation is literally the clinical treatment for anhedonia. It’s not about forcing a feeling; it’s about using action to jumpstart the reward system. Calling a proven psychological concept insulting doesn’t change the fact that waiting for motivation fuels the cycle

@volkava85 @DoritoBoland85 @pride_husky @psypharmacopeia Anhedonia is a complete loss of interest in doing things and it’s one of the most debilitating symptoms of depression. You can’t just force yourself out of it and calling it learned helplessness is ignorant and insulting.

@DoritoBoland85 @pride_husky @psypharmacopeia That is advocating for the maintenance of the disease, what you just said is the perfect example of learned helplessness. Anhedonia is the reason to move, not the excuse to stop. Action precedes motivation.

The erosion of DAS at Disney Parks is a stain on the brand.

@drjenwolkin His administration doesn’t believe our degrees qualify as professional anymore, so it looks a little bleak.

Does this include making really good therapy accessible to ALL???

@RonDeSantis Ron, you went to Harvard and Yale. What are you doing.

The ivermectin bill was passed by Republicans in the Florida Senate but then killed by Republicans in the Florida House. I was ready to sign it.

My coworker microwaves fish every single day, the entire floor knows it, and the entire floor hates it, but nobody has said anything because nobody wants to be the one who speaks up. Well last week, I did. I knocked on her office door and, as kindly as I could, told her that the smell from the fish was traveling across the entire floor and making it difficult for people to eat at their desks. She looked at me as if I had insulted her entire family, she said she had dietary restrictions and that this was what she could eat, she also pointed out that she had been doing this for two years and no one had ever said anything. I told her I understood and wasn’t trying to make her feel bad, i just wanted her to be aware of how far the smell was spreading. She went to HR. HR called me in and said a complaint had been filed against me for creating a hostile environment. I am someone who politely mentioned a fish smell. The floor is on my side. HR appears to be on hers. And now I’m sitting here, genuinely unsure how I became the villain in a story about microwaved fish. Was I wrong to say something, or is this one of those situations where someone had to?

@AlobhaPatrick @tylerblack32 This would mean actually paying therapists (the ones who would be providing the long term care) what they’re worth, reclassifying the degree as professional, and investing money into mental health care. It’s not going to happen.

@tylerblack32 I guess it depends upon how we define mass. Maybe 20% of people on meds +/- 5 %?? There’s a really strong likelihood it will not happen en masse, but gradually pick up over time.

Mass psych med deprescribing is going to be interesting. I bet: 1. More people get better long term, no longer numbed by their meds. 2. More people are miserable for a long time because they now have to fully grasp that they have to DO MORE and take more responsibility for their lives. 3. A small segment will get worse because they legitimately need the meds to stabilize while doing psychosocial rehabilitation

@be_like_ice Tea tree oil. Jesus Christ, it’s intolerable

What smell do you find impossible to tolerate with ADHD or autism, even if others don't seem bothered by it?

@lmbrendle @EllenBarryNYT The insurance companies are the primary barrier for access to therapy. Unfortunately, this won’t remove those barriers. Moreover, this will likely create more suicidality and we need more clinicians equipped to deal with that.

in dbt we learn that both can be true, and i think overall distrust in the administration personally clouds my ability to accept an action as positive. though it's interesting the push for tx without medication. curious what this does for accessibility to talk therapy, which imo would be the first step

As usual, the reader comments on this report about RFK Jr's push to help Americans wean off SSRIs are worth spending time with, both those that say SSRIs were lifesaving & those saying withdrawing from them was awful. nytimes.com/2026/05/04/sci…

As a therapist, this makes my skin crawl. This man is breathtakingly ignorant about science, medicine, mental illness, and how many lives are saved by these medications.

@LarryFishburger That’s my unproblematic streamer man. Gonna miss him when he shuffles off to the home. 🥹

The only two mentions of him you’ll find and it’s for his retirement. A nearly 20 year career zero drama and ego. Just a good dude who loves gaming. MY MF GOAT 🥹

@ChilledChaos Thank you for all you’ve given to your community! I’m going to miss you, but I’m so happy that you’re off to new adventures. I’m sure it’s a little painful seeing the sadness, but grief is a good thing—it means that you and what you brought to your fans meant something.

The amount of messages of love I have gotten over the last 24 hours has me so overwhelmed (in a good way) I am so happy that you guys were able to make friends, have an outlet, or just laugh at our shenanigans over the years Thank you again so much

@kelcegrahahm @LiLa__lee18 I go with friends often and we do not interact with children. We mind our business and enjoy the food and drinks. Stop making it out like that’s weird or we’re somehow oppressing your kids.

@emptycalzone @LiLa__lee18 I go to the parks? My kids are around them?

It’s no secret I love Disney. That being said, I really don’t understand why adults who enjoy Disney get so much ridicule. Is there an age cutoff for having fun? Once I hit adulthood was I supposed to hate rides and amusement parks? Do most people realize that many of the rides are thrill rides and not geared towards small children? I had a blast at Disney as a child, as a mother with my children, and now as an adult. For the people who care so deeply about this, why? It’s harmless fun.

@PNW_working_mom @emzanotti Maybe there shouldn’t be a “target.” Maybe we should leave people alone if they aren’t harming anyone.

@emzanotti But like….this whole Disney adult thing is overdone. It’s FINE for adults to go to Disney and enjoy. Hello…there’s alcohol. I love Disneyland & would go without my kids 😂. It’s the creepy Disney weirdos who own every Disney shirt ever made/hug the characters are the target.

While I do blame Disney adults for the increase in “premium pricing” Disney has institute for “extra experiences”across the parks, I haven’t found them to be problematic while *in* the parks. Disney influencers, however, are the WORST.

@JonasKimm @andrew95249 @JosephKahn I go regularly because I’m a local. This is not true. It is mostly children in these lines, with adults sprinkled in. This dystopian image you’ve created of adults actively oppressing children at Disney is a fantasy.

@andrew95249 @JosephKahn Are you kidding me? Sure there are families but there are a lot of Disney adults with no kids. It’s probably close to 50-50.

The average family of four pays $1000 a day at Disneyland, and spends most of their time waiting in lines behind Disney adults and couples. My solution to the low birth rate problem is to tier Disney pricing to penalize these DINKS creating supply and demand problems at the parks. Dual Income No Kids couples are a drain on society, absorbing resources and producing a net loss when they die off. In the meantime they clog up the Pirates line with their sad adult mouse ears, eating $15 churros, forcing 8 year olds to wait for an experience that is designed for them. Triple the ticket price for them since they have so much expendable income, and bring down the cost for families. Let them subsidize the people that are doing their part to continue the human race. DINKS should not be at Disneyland just like they shouldn't be at elementary schools or Billie Eilish concerts. They should stay in their designated world of wine bars and film festivals. Introduce family surge pricing. The more families show up, the more expensive it is for Dinks to enter. Once this program is successful, tax DINKS on everything else that should prioritize families like Cheesecake Factory until they have kids for discounts and tax breaks. Tax the billionaires? No, tax the DINKS.

@danadibs @zoeyzoyce @beatrixsamus Disney adults are an outlet for your own misery and you should examine why people minding their own business bother you so much

@zoeyzoyce @beatrixsamus I stand by my statement. Disney adults are weird and I'm in the majority of thinking that.

Why are Disney parks the only ones that adults get shamed for liking? I’ve never heard anyone getting made fun of for going to Dollywood or Seaworld or Six Flags. I have only gone as a kid, or with my own kids, but I’m doing my first adult girls trip soon and it’s a great vacation spot so what’s the deal with the hate?

@AmeliaHammy @LiLa__lee18 Who cares!!!

@LiLa__lee18 Yeah. And we’re talking adults who decorate their homes in Disney. Custom Disney cars. Tattoos, clothing. Vacation nowhere else. It’s their entire personality. They’re not ok.

@kelcegrahahm @LiLa__lee18 Why do you care? Why does it matter?

@LiLa__lee18 That’s fair. My point mainly goes to thirty something’s going with other thirty something. Not something that bonded a family. I wouldn’t be against going with my mother. I would be against going with a group of my friends however.