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Felipe Alexandre
392 posts
Felipe Alexandre
@felipeXaccount
Jersey City psychotherapist in Private Practice. Brazilian Jiu-Jitsu hobbyist. Exploring topics in personal development, philosophy, lifestyles, and more. ☯
Jersey City, NJ Katılım Şubat 2022
384 Takip Edilen211 Takipçiler
@FreudandBeyond @JonathanShedler He should star in it too.
Jersey City, NJ 🇺🇸 English
‘In Treatment’ (Seasons 1-3) is such a brilliant psychotherapy show. Why can’t someone make another like it!? I vote @JonathanShedler to produce!
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@DrAnnieHickox @JRBneuropsiq Awesome. Thanks very much.
Jersey City, NJ 🇺🇸 English
@felipeXaccount @JRBneuropsiq It’s in his book, The Medical Model in Mental Health.
amzn.eu/d/01nVJSBM
English
Critics of psychiatry should at least bother to read the DSM if they are going to say "there is no biomarker for any DSM category". It's factually wrong, even if everybody repeats it 😉
Dr. Roger McFillin@DrMcFillin
The frame is wrong, and the stakes are too high to let it stand. There is no biomarker for depression, bipolar, ADHD, or any DSM category. No scan, no blood test, no genetic test diagnoses any of it. Real brain diseases have identifiable pathology. Hippocampal changes and amygdala activity show up in meditators, musicians, grieving widows, and trauma survivors. The brain changes in response to experience. That is not disease. That is being human. All of us. But why let a good story get in the way truth? The genetic story collapses under any scrutiny. Decades of GWAS research produced no depression gene, no schizophrenia gene, no anxiety gene. Polygenic scores explain trivial variance. Yet patients are still told their suffering is hereditary and permanent. That is a lie with the worst of consequences. The chemical imbalance story was marketing, not science. Thirty years of patients were deceived to move product. The harm is documented. SSRIs cause emotional blunting, persistent sexual dysfunction, severe withdrawal, and FDA-acknowledged suicidality. Antipsychotics shrink the brain. ECT damages memory. Harrow's long-term data and WHO outcome studies show patients off drugs recover better. Hospitals do not follow people long enough to see it. What else do we need at this point? The most ethical and innovative neuroscientists are clear: our knowledge of the brain is in its infancy. Psychiatric care espouses otherwise. It repeats lies to justify treatments that continue to harm. What would happen to you? Your profession? Your livelihood if you had to face this reality? Live not by lies. Truth-telling is the beginning of real medicine.
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@DrAnnieHickox @JRBneuropsiq Is this chapter easily available somewhere?
Jersey City, NJ 🇺🇸 English
@JRBneuropsiq It is interesting how those who constantly emphasise social causes of distress are so avid that there must be biomarkers..it’s almost as though they’ve never read Samei Huda’s chapter on social causes of mental illness.
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@DoctorPerin On the topic of suicide prevention...
x.com/i/status/20362…
Felipe Alexandre@felipeXaccount
Jersey City, NJ 🇺🇸 English
You can't grow rice faster by tugging at the shoots.
— Old Taoist parable
Jersey City, NJ 🇺🇸 English
Sigmund Freud called it the "narcissism of small differences," our tendency to fixate on minor, trivial differences with our neighboring communities to assert our own unique identity and superiority.
Freud first wrote about this in 1917. Some things don't change.
GIF
Jersey City, NJ 🇺🇸 English
@DoctorPerin @VirgilMSW Lately, I've been wondering if human programming is a better name for them.
Jersey City, NJ 🇺🇸 English
@VirgilMSW Skill based therapies is a great way to describe it
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How do modern therapy approaches fail smart and/or successful people?
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“We sit in a sacred vault, completely isolated from the rest of the world and all other intrusions, accompanied only by those who have lost hope, who live with excruciating agony.”
— Jeffrey Kottler, On Becoming a Therapist
Jersey City, NJ 🇺🇸 English
The definition of therapy has changed. What was once psychotherapy, which played out over the course of time, covering a host of variables that required a highly skilled and attuned clinician will become a skills-training cram session. Soon enough, it’ll likely shift to classroom-style formats for small groups.
Jersey City, NJ 🇺🇸 English
Insurance companies say yes, and will begin offering less mental health coverage
Dr. Carl Hindy@DrCarlHindy
Hmmmm. I’m not skeptical, I’m sad about this: “Can a single therapy session make a difference? Experts say yes, with the right mindset” apnews.com/article/single…
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Albert Ellis believed you don't get miserable. You make yourself miserable. That's either the most annoying or most liberating thing you'll hear today.
New piece on Substack.
open.substack.com/pub/felipesale…
Jersey City, NJ 🇺🇸 English
@DoctorPerin Almost 5 years for me after spending nearly 15 years in sales and supply chain.
Side note: You'd be surprised how applicable the sales book Never Split the Difference by Christopher Voss is to the counseling profession. It's a very fun read, for anyone willing to check it out.
Jersey City, NJ 🇺🇸 English
I started seeing patients a little over 12 years ago and I am starting to get the hang of it
Alex Hormozi@AlexHormozi
To become great, you gotta be bad for a very long time.
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@GrantHBrennerMD @JonathanShedler Yes, I agree. Although I think the “agenda” is advertised if the clinician practices psychotherapy. It should be discussed before an agreement is made to work together. That way both parties are in agreement from the beginning.
Elizabeth, NJ 🇺🇸 English
@JonathanShedler I tend to hold this value system, though some might say that this "Your job is to help your patients know themselves more fully so they can become more whole and live life more freely—on their terms, not yours" is something like an agenda.
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Felipe Alexandre retweetledi
As a therapist, your job is not to push an agenda on patients, create converts to your worldview, persuade, dissuade, approve, disapprove, affirm or disaffirm.
Your job is to help your patients know themselves more fully so they can become more whole and live life more freely—on their terms, not yours.
In other words: Psychotherapy is meant to expand the patient’s sense of personal agency. Not the therapist’s.
In your therapist role, it is also not your job to recruit supporters, disciples, fans, followers, groupies, or devotees. Those things are incompatible with doing psychotherapy.
The goal is for your patients to get well—then finish with you and go on to live their lives.
It’s not about us. It’s never about us. It’s about the patient.
The therapist’s needs are met through the fee and protected via the therapy frame. The rest must be 💯 about the patient
When that’s understood, everything changes.
“We refuse most emphatically to turn a patient who puts himself into our hands in search of help into private property, to decide his fate for him, to force our own ideals upon him, and with the pride of a Creator to form him in our own image and see that it is good.”
—S. Freud
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Contrary to popular belief, there are heaps of you attractive, successful, hilarious, compassionate, and driven humans on Twitter. I am looking forward to meeting more of you.
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@DoctorPerin There is a comfort that comes from not adhering to the etiquettes of polite society. The brutality is just an added benefit.
Jersey City, NJ 🇺🇸 English
People who are brutally honest generally enjoy the brutality more than the honesty
Natural Philosophy@Naturalphilosy
“All cruel people describe themselves as paragons of frankness!” — Tennessee Williams
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REBT isn't a theory I find complete enough to build a practice around. But I also won't pretend it has nothing to offer.
Once you learn Ellis's ABC model that shows how a person's beliefs sit between what happens to them and how they respond, you start noticing it everywhere, regardless of what kind of work you do.
Thank you for that one, Albert Ellis.
Jersey City, NJ 🇺🇸 English
@readswithravi The Mastery of Self by Don Miguel Ruiz
Bayonne, NJ 🇺🇸 English
What’s one book you wish you could read again for the first time?
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