Lisa Major MA PGDip MNCPS (Accred)

Excited to begin this unique training to enhance my clinical practice working with people impacted by narcissistic abuse. #narcissisticabuse

@hjluks The bigger picture involves looking at the balance of estrogen to progesterone in peri. Estrogen doesn’t just decline in peri, it becomes volatile. Rising & falling dramatically. Progesterone is just as important if not more so for metabolic health.

Perimenopause is not just a hormonal event. It's a metabolic one. Estrogen decline affects muscle, bone, tendons, cardiovascular capacity, and insulin sensitivity — often simultaneously. Most women aren't told this. Most training advice doesn't account for it. Here's what the evidence actually says. howardluksmd.substack.com/p/training-thr…

@drruthannharpur @isitsleepytime Same with hysteroscopies. Truly outrageous how women are treated.

@isitsleepytime Of course not, pain relief is not a core nor an essential aspect of maternity care. We have combs, water injections and hypnobirthing for that.

I’m pleased that there is a task force moving forward. But there’s a fairly key profession involved in maternity care that’s absent from this list. Surely there should be some involvement from OAA/ RCoA???

@iam_preethi Because £££. Bio identical P has same molecular structure as the P your body makes. You can’t patent a naturally occurring substance or its exact chemical structure. SSRIs & synthetic progestins are pushed over natural P. More profit for pharma whilst women suffer. Pure greed.

Millions of women are on SSRIs for anxiety. Nobody checked their progesterone levels first. After ovulation, your body converts progesterone into allopregnanolone, which is a neurosteroid that slows down neural firing in your brain (ie. calms you down). It enhances the same receptors that anti-anxiety medications like Xanax target. When progesterone is low or drops too fast, your brain produces less allopregnanolone and your neurons stay in a heightened state. This can lead to anxiety, irritability and insomnia in the second half of your cycle. The medical system already knows this mechanism exists. They developed an entire class of drugs based on it for postpartum depression. But for the millions of women with luteal phase anxiety, the default is still an SSRI. SSRIs have their place. But why aren't we checking hormones first?

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@JohnRadoux They’ve begun writing their own code to improve their function, the coders who built them becoming redundant. Sounds like AI has discovered how to self-actualise. Meanwhile, we continue to self-cannibalise. There’s a grim lesson in there somewhere.

Good to see so many on my feed are now as terrified and beguiled by AI as I am…

@drconnealymd Can you please tell this to every GP in the UK who is dishing out estrogen HRT like candy & limiting the amount of protective bio identical progesterone needed! Also, not enough of them understand that progestins & progesterone are two different things.

PR-positive cancer refers to a types of cancers where the tumor cells express progesterone receptors (PR). Many women are led to believe that the presence of these receptors means progesterone is causing their cancer. But this couldn’t be further from the truth. Tissue naturally expresses hormone receptors; their presence signifies relatively normal tissue function. In healthy tissue, estrogen naturally induces the expression of progesterone receptors. However, the presence of progesterone receptors without progesterone is harmful. If progesterone receptors are present but no progesterone is around, it’s a sign that estrogen is dominating without balance. These “empty” receptors show that the body is expecting progesterone to step in and calm things down. When it doesn’t, estrogen’s effects go unchecked, which can lead to inflammation, stress, and even tumor growth. Progesterone, when adequately present, has critical protective functions. It directs cells toward maturation and a state of quiescence, meaning the cells become more stable, less likely to divide uncontrollably, and less prone to tumor formation. Unfortunately, women diagnosed with PR-positive cancer are precisely those who most urgently need progesterone's protective effects. Restoring balanced progesterone levels helps re-establish hormonal equilibrium, counter estrogen dominance, and reduce the risks associated with continued unchecked cellular proliferation.

A common misconception when it comes to using progesterone, is that progestins are the same as progesterone. Progestins are synthetic compounds designed to mimic some actions of progesterone. Progesterone, by contrast, is a natural hormone with distinct and broader protective effects in the body. Micronized progesterone is a bioidentical hormone with a molecular structure identical to the endogenous progesterone produced by the ovary. Synthetic progestins have a different chemical structure from progesterone. They are made from various steroid “base” molecules, such as estrogen and testosterone. Progestins get their name because they’re designed to bind to the progesterone receptor, anything that does can technically be called a “progestin.” But binding alone doesn’t mean they act like real progesterone. In reality, synthetic progestins often trigger very different, and sometimes opposite, effects in the body. Incidentally, progestins often act more like estrogens, amplifying the harmful effects of estrogen and increasing the risk of cancer. Unfortunately, Progestins are often used interchangeably with progesterone, even in medical articles and mainstream media.

PTSD From Narcissistic Abuse: Why Standard Trauma Therapy Often Falls Short: Sentio Psychotherapy Practice® sentiopsychotherapypractice.co.uk/narcissistic-a…

The Thwarted Self: How Narcissistic Abuse Dismantles Congruence and Blocks Our Natural Drive Toward Growth. A Person-Centred Perspective. sentiopsychotherapypractice.co.uk/narcissistic-a…

Marriage-relationship paradoxes: #11 Vulnerability increases strength.

My personal truths as a clinical psychologist: #157 People need self-compassion to change. Harshness immobilizes; kindness mobilizes.

@BigolWave @MaxxMaxxing Why no? Estrogen dominant women benefit from taking very high doses of bio identical micronised progesterone. For perimenopause it’s the first hormone to nosedive. I’ve taken up to 900mg a day to tackle estrogen dominance.

@MaxxMaxxing No

Progesterone is basically the number one supplement I hear success stories about. Probably the one peaty intervention that most consistently changes people’s lives

@birdabo 😅

people forget u can build a whole website with just html. motherfuckingwebsite.com

Think it’s crucial people who enter the mental health profession especially those who do therapeutic work regularly, to read literature, take an interest in the arts, poetry, film, mythology, religion etc. human suffering is not something a therapeutic ‘modality’ fixes.

@exisdential Yep, it’s in my therapeutic contract. Protects their confidentiality out in the wild & sets boundaries inside & outside therapy. Also avoids any awkwardness!

Course I attended recently by an established psychotherapist,told me she tells clients/patients that if she sees them outside of therapy room, she won’t speak w them. Meaningful psychotherapy exists within the therapeutic frame. It’s not a ‘friendship’ in the conventional sense!

@proud_penelope 2/True congruence with erotic countertransference means processing it privately & in clinical supervision while staying genuinely present for the client’s needs.

@proud_penelope 1/This brings up thoughts for me on how congruence in the PCA is used as a justification for poor boundaries. Being congruent means being internally aware of your feelings as a therapist without denial. It does NOT mean always telling your client about them esp. EC.

I wrote my first Substack article, and I hope you all enjoy it! This is a reworking/rough summary of an article I wrote, cautioning against disclosures of erotic countertransference: @frannytalksfreud/note/p-176261523?r=d1bsa&utm_medium=ios&utm_source=notes-share-action" target="_blank" rel="nofollow noopener">substack.com/@frannytalksfr…

Today Bridget Phillipson announced that a new target will be set of 90% of 6-year-olds passing the phonics screening check at the end of Year 1. Currently 83% pass at the end of Year 1 and 89% at the end of Year 2. They also announce a new reading test for children in Year 8 at age 13. They say that this is because strong reading skills are the foundation for everything else in education. These measures will backfire, and here’s why. You can’t make children learn faster by setting more tests. You can’t help struggling readers by putting them under more pressure. You don’t allow teachers to teach better by making them teach to the test. We are already putting too much pressure on our very young children. There is no evidence that pushing academic skills on them earlier leads to later success. The result will be a narrowing of the curriculum, more anxiety about reading, and more children who start to see themselves as stupid and inadequate before they’ve even turned seven. How children think about learning is the real foundation for everything else. If they’ve decided that it’s boring and hard before they’re out of the Infants, then no one is a winner. Yes, reading is important. No, more testing and early pressure isn’t the way to raise standards. It will create more of the problems the government say they want to avoid. Our children need something better. tes.com/magazine/news/…

"Therapy was wonderful", the commercial declares: "I have all these tools now that can help me with my anxiety!"...... Consult the research or any seasoned professional & the facts are clear: 'acquiring tools' is largely irrelevant to achieving good outcomes in psychotherapy.

@RianKMD @DoctorPerin This is sadly a very misunderstood statement about the PCA.

@DoctorPerin Makes sense for brief supportive therapy. Anything with more depth requires entry into the soul, which is very difficult with unconditional regard and validation. To do so requires a therapist as skilled as Carl Rogers.

The chances of Rogerian psychotherapy being a waste of time goes up exponentially if your therapist isn’t Carl Rogers. I don’t know many approaches as misunderstood and poorly applied as that one. It can look like years of this: