Psychiatrist. Researcher. Writer.
The greatest threat to
#MentalHealth
is collapsing
#PlanetaryHealth
.
Tweet≠medical advice.
Follow/RT/like≠endorsement.
If you are (a parent or a clinician of) a
#highschool
student with a
#504Plan
now transitioning to
#college
, you may want to learn about the accommodations colleges offer and the application process. Here is my recent post about it.
#parenting
#school
@anneapplebaum
As a psychiatrist, I have to say that the problem is not people with mental illness. The problem is that these people are ruthlessly manipulated by cynical politicians who would rather exploit their mental issues than help solve them.
@PSzubartowicz
Symetryzm to jeden z przejawow stanu psychicznego, ktory opisala Hannah Arendt:
"Idealnym poddanym totalitarnej wladzy nie jest przekonany nazista lub przekonany komunista, ale ludzie ktorzy utracili zdolnosc rozrozniania faktow of fikcji, prawdy od falszu."
@Hokibil
@mattmfm
@BrianSimsPA
@ThomasJTobin1
In seminaries a course in Ancient Philosophy is mandatory. Refreshing Socrates' "triple-filter test" would make a lot of sense for the Reverend. According to Socrates, before you say something, ask yourself these 3 simple questions:
Is it true?
Is it good?
Is it necessary?
For my Polish followers:
Profesor Tadeusz Gadacz zrywa współpracę z Instytutem Myśli Józefa Tischnera.
Ważne oświadczenie, szczególnie dla byłych uczniów ks. Józefa Tischnera. W pełni solidaryzuję się z jego autorem.
#Tischner
#Gadacz
#Stawrowski
The former chief prosecutor of United Nations war crimes tribunals for the former Yugoslavia and Rwanda has called for an international arrest warrant to be issued for Russian President Vladimir Putin.
#PutinWarCrimes
#PutinWarCriminal
The worst psychotic disorders in teenage males I have seen in my career as a psychiatrist were in the context of intense cannabis use. Cannabis use and the developing brain do not go well together.
A 29-year-old Dutch woman, Zoraya ter Beek, died by euthanasia for depression, anxiety, trauma, and unspecified personality disorder - all treatable conditions.
This is the time for psychiatry and society to pause and rethink... everything.
"I witnessed the rise of Nazism firsthand.. Just as America was there for me and people like me, we must now be there for America. Ours is the land of opportunity. We must now rebuild and protect it against the current fascism that threatens it."
"Americans want... more economic security. The oligarchy wants them to be insecure, which will only stoke more anger... If those reforms are stymied, that anger could threaten everything in coming years: our economy, our democracy, our future." -
@RBReich
Jako psychiatra dzieci i mlodziezy, pracujacy w kraju, gdzie rodziny maja wiecej broni palnej niz sluzby mundurowe, chce z cala moca stwierdzic, ze ogolna dostepnosc broni palnej odbiera dzieciom dziecinstwo. Rzecznik powinien bronic praw dzieci do dziecinstwa bez broni palnej.
Rzecznik praw dziecka
@RPDPawlak
: "wiek 15 lat jest optymalny, żeby zaznajomić dziecko z bronią, nie musi to być od razu broń ostra, ale w sytuacji kryzysowej nie możemy być pacyfistami"
"They’re infected, not by COVID but by narcissism that refuses..to consider..risks & costs they’re imposing on others.. It’s been near the core of the American personality since before the founding of the nation-a stubborn, selfish individualism"-
@RBReich
@Anna_Mierzynska
@Bart_Wielinski
Jesli wsrod "ośmiu umundurowanych mężczyzn przy dwóch rozebranych do naga chłopcach" nie znalazl sie zaden funkcjonariusz, ktory by probowal powstrzymac to grupowe znecanie sie, to jest to strukturalny problem. Policja we Wroclawiu zagraza bezpieczenstwu publicznemu.
Asian-American doctor: "I got messages... telling me to go back to my own country. I have friends & colleagues who are Asian-American doctors & nurses. Patients are spitting on them."
Today, President Trump again called
#COVID19
a "kung-flu."
@JuliaDavisNews
As an academic psychiatrist who studied the topic, Russia, including Soviet Russia, has a history of using "mental illness" to justify the oppression of other nations and the marginalization of internal dissidents. Recent statements are yet another example
Meanwhile in Russia: genocidal denials of the Ukrainian identity from the host and his guest. They claim that Ukrainians are just mentally ill Russians, whom they will "cure" once Russia wins. They propose destroying all Holodomor memorials. They discuss killing Americans. Watch:
Linking CEOs' salaries to the price of their company’s shares of stock made the salaries explode. It "encouraged executives to do all sorts of..things to increase their stock prices, such as cutting workers’ pay & benefits & moving jobs overseas"-
@RBReich
Call me
#antipsychiatry
if you want, but I cannot respect fellow psychiatrist colleagues prescribing 8-10 psychotropic meds (including 2 antipsychotics) to a child with
#autism
for acting out at school that doesn't follow its own IEP. Treat the
#school
, not the kids.
Why is Xanax still prescribed?
"After 4 weeks,
#Xanax
was outperforming placebo... At..8 weeks, there was no difference...between Xanax and placebo... after 14 weeks...placebo outperformed Xanax.. Pharma.. company
#Upjohn
, only published the 4-week data"
About 1.1 million people perished in the
#Auschwitz
Concentration Camp. Many of them were not survived by any family members, as whole families lost their lives in Auschwitz.
@AuschwitzMuseum
preserves the memories of those who perished.
Will you follow
@AuschwitzMuseum
?
19 December 1941 | A Hungarian Jewish girl Marta Weisz was born in Sárköz. During the war, she lived in Szatmárnémeti.
On 31 May 1944, she was killed in a gas chamber of Auschwitz II-Birkenau.
She was 2,5 years old.
(Photo:
@yadvashem
)
@sikorskiradek
@SlawomirZagors2
Anne zasluzyla na Order Ksieznej Olgii jak malo kto. Po jej wykladzie na temat Wielkiego Glodu na
@UMich
w 2019, szedlem przez campus z dwiema starszymi panmi z Ukrainy. Z placzem i wdziecznoscia mowily, jak wazna byla dla nich ksiazka
@anneapplebaum
.
"People are always asking me where I find hope, and I tell them... — I don't believe in hope, but I don't believe in hopelessness. I believe in the truth and in doing the right thing because it's the right thing to do..."-
@sarahkendzior
I’m a climate scientist. Don’t Look Up captures the madness I see every day
"There may only be five years before the Amazon rainforest and a large Antarctic ice sheet pass irreversible tipping points."
5 years
#ClimateActionNow
@wsamraz
Krytyka
@PresidentWalesa
za koszulke z
#Konstytucja
jest nie na miejscu takze z innego powodu. Prezydent George HW Bush uzywal stroju (skarpetek) do wyrazania pogladow! Takie skarpetki mial na pogrzebie swojej zony, by zwrocic uwage na jej wysilki w propagowaniu czytania ksiazek.
@PSzubartowicz
Kazde wzmianka przez media o sedzim Tulei powinna byc przypomnieniem, ze sedzia jest przesladowany za orzeczenie, w którym nakazał ponowne śledztwo w sprawie sfalszowanego głosowania PiS nad budżetem w Sali Kolumnowej. Jednym z tych, ktorzy dopisali sie do listy byl Ziobro.
@medit8now
@gtconway3d
History teaches that when a senate declares a ruler to be above the law, it does not end well for a senate.
The Roman senators were the first to learn this lesson.
@Anna_Mierzynska
@oko_press
"Mariusz Kamiński usłyszał wyrok 3 lat pozbawienia wolności... Zlecił czynności operacyjno-rozpoznawcze w celu uzyskania i utrwalenia dowodów przestępstwa. Dla wielu z tych czynności brakowało jednak uzasadnienia faktycznego i prawnego."
American far-right has been funding anti-government protests in Canada. American right-wing media have been igniting these protests.
Now, US far-right politicians call for violence in Canada.
My solidarity with the democratic government in 🇨🇦, and the people of Canada. ❤️🇨🇦
This must stop.
Trump said, “if Democrats want to fight for democracy abroad, “they should start with the democracy that is under threat right next door, a place called Canada.”
This is about our natural resources and
@JoeBiden
must speak up
#Canada
@aliciaandrz
Yes. One child psychiatrist once said, "The role of a child throughout development is to learn not to need their parent(s). The role of a parent is to accept it." Children are usually good teachers and guide us through this process.
Angela Merkel's research experience, her Ph.D. in quantum chemistry, are paying off and saving lives.
And many PhDs keep worrying that there is no life outside academia. Outside academia, there is life & also you can save other lives!
via
@Walrathis
@danibostick
@kylegriffin1
We are at the point described by Arendt in 'The Origins of Totalitarianism': "In an ever-changing, incomprehensible world the masses had reached the point where they would, at the same time, believe everything & nothing, think that everything was possible & that nothing was true"
"My first concern is that the hearings are being used for reputational rehab for..members of the criminal elite who enabled Trump. Corrupt Trump administration officials like Bill Barr are being portrayed not as accomplices but as witnesses"-
@sarahkendzior
As a psychiatrist & neuroscientist who has studied the 'limbic system' for over 20 years, I have mixed feelings about this 'targetted' ad I have been getting. Invoking anatomical terms (or rather anatomy-based concepts) doesn't mean that we have a better understanding of trauma.
High potency
#cannabis
doubled the risk of
#psychosis
in this large study of UK teens, while low-potency was safer:
But most of today's
#marijuana
is high-potency
More updates in Carlat
#Psychiatry
News
"
#GlobalWarming
is driving leafy tropical canopies close to temperatures where they can no longer transform sunlight and CO2 into energy, threatening total
#collapse
if the thermometer keeps climbing, according to ... the study published in Nature"
These psychiatrists should leave the profession.
“I’m seeing euthanasia as..option brought to the table..by psychiatrists..especially in..young people with psychiatric disorders, where the healthcare professional seems to give up on them more easily...”
Because "Here, right matters"
Because Black Lives Matter
Because families belong together
Because women's rights are human rights
Because climate change is real
Because science matters
Because healthcare is a human right
Because education matters
Because love is never wrong
❤️🇺🇸
The book arrived today. I've been teaching deprescribing for over a decade. All clinicians who are licensed to prescribe psychotropic medications should know how to safely deprescribe them.
@markhoro
and
@DavidTa23968240
have done very thorough work- congrats!👏👏👏
A must-read!
@Podolyak_M
@Tulilam
@Thomas_Geisel
"But perhaps the most striking and frightening aspect of the German flight from reality is the habit of treating facts as though they were mere opinions." -
Hanna Arendt, The Aftermath of Nazi Rule - Report from Germany.
Ex-mayor of Düsseldorf
@Thomas_Geisel
questions 🇷🇺 war crimes and asks if one can trust the news from 🇺🇦. I think Mr. Geisel can come and personally ask questions to a man who lost his family in Odesa (photo), parents of a raped girl from Bucha or refugees from Mariupol 1/2
"It is an ETHICAL IMPERATIVE to consider the circumstances under which traumatic memories are recalled, whether in the course of therapy ..or public testimonies. RECALLING TRAUMA may be a part of the HEALING process or may lead to RE-TRAUMATIZATION.."
@janevandis
Many active politicians perceive their job as cheerleading.
"Obama and..Axelrod have been..lamenting climate inaction.. When they were in a position to limit future damage from climate change, they chose not..and..expanded fossil fuel production"
A top female tennis player opens up about the premenstrual syndrome
#PMS
affecting her performance.
As a psychiatrist, regularly seeing patients with PMS & premenstrual dysphoric disorder
#PMDD
, I commend & respect
@iga_swiatek
. It's time to talk about it
Fellow child psychiatrist colleagues, when evaluating a patient, please ask, "Does your parent often raise their voice at you?"
"Adults shouting at children can be as harmful as sexual or physical abuse, study finds"
@anita_fogler
@donaldtusk
Donald Tusk decyzją pójścia do studia TVP pokazał odwagę i dał przykład. Wkrótce każda i każdy z nas może znaleźć się w sytuacji podobnego wyboru: albo skonfrontujemy się twarzą w twarz z aparatem władzy PiS, albo stracimy szansę zmiany. On tę probę wygrał. Odwaga się udziela.
To be a child and adolescent psychiatrist, understanding psychopathology and psychiatry is not enough. One has to understand development. Nobody who understands development would diagnose BPD in teens.
My view:
Borderline Personality Disorder should never be diagnosed in teenagers.
Easily confused with typical teenage rebelling/family issues/substance abuse/identity concerns.
BPD requires long track record & carefully ruling out all other conceivable causes.
Great article:
@glennkirschner2
People typically commit crimes in broad daylight when they fear no consequences. The public should be worried about why this politician fears no consequences.
"Between stimulus and response, there is a space. In that space is our power to choose our response."
- Viktor Frankl
#Therapy
is about finding this space and growing it.
It is worth a read what this psychiatrist is sharing. Psychiatry, led by American academic psychiatry, is increasingly becoming a corporate endeavor with a focus on products to market and sell. Never mind the quality of these products. Psychiatry's soul-searching is overdue.
I've been practicing psychiatry for 38 years. I love my job, my peers, and my patients. But I've come to the conclusion that I'm participating in the biggest intellectual scam of this era. We claim to be a science, but have no understanding how thought or behavior is generated./1
@JoyceWhiteVance
The public destruction of truth is intentional & methodical:
"The totalitarian mass leaders based their propaganda on the correct psychological assumption that.. one could make people believe the most fantastic statements..."
- Hannah Arendt in 'The Origins of Totalitarianism'
@washingtonpost
We are at the point described by Arendt in 'The Origins of Totalitarianism': "In an ever-changing, incomprehensible world the masses had reached the point where they would, at the same time, believe everything & nothing, think that everything was possible & that nothing was true"
This leading AI expert says she was fired by Google for exposing racial bias in artificial intelligence.
Dr.
@timnitGebru
was part of only 1.6% of Black women employed at Google.
"It is truly mind-boggling how many election-denying psychopaths have a path to victory in these races... This is not a drill. Fascism is here. Fascism has momentum... It is going to get worse... In power..they will...further their reach" -
@gaslitnation
Editorial Boards:
The Washington Post: Impeach
Los Angeles Times: Impeach
Boston Globe: Impeach
Orlando Sentinel: Impeach
Philadelphia Inquirer: Impeach
USA Today: Impeach
The journalistic juices are now flowing, with the editorial pages of The Washington Post, Los Angeles Times, Boston Globe, Orlando Sentinel, Philadelphia Inquirer, and USA Today all calling for impeachment of President Trump
@Anna_Mierzynska
@synczeslawa
Jako profesor psychiatrii, prosze profesora socjologii, Ireneusza Krzeminskiego o powstrzymanie sie od stawiania diagnoz chorob umyslowych osobom publicznym. Szkodzi to przede wszystkim pacjentom, a profesorowi i jego dyscyplinie nie przysparza autorytetu
@SylwiaSpurek
@wsamraz
Medialne „diagnozowanie" prowadzi do trywializacji zaburzeń i niepełnosprawności. Kondycja, która jest powodem cierpienia dotkniętej osoby i najbliższych staje się środkiem walki politycznej, okazją do chwilowej sławy lub pretekstem do rozrywki medialnej.
@MartaHabior
Brak zaloby i udawanie, ze nic sie nie stalo, kiedy na kowid zmarlo sto tysiecy osob - rodzicow, rodzenstwa, przyjaciol, sasiadow, kolezanek i kolegow z pracy, to przekraczanie pewnej granicy. Dla tego pokolenia juz nieodwracalne przekraczanie. Utracona wrazliwosci nie wroci.
Pope Francis recalls seeing a psychiatrist four decades ago in Argentina:
"It helped me locate myself and learn to manage my anxiety and avoid being rushed when making decisions... I am extremely grateful..."
@PSzubartowicz
Brytyjski historyk Alan Bulock o odmowie niemieckich komunistow zawiazania koalicji z politycznym centrum przeciw NSDAP: "[The Communists] openly announced that they would prefer to see the Nazis in power rather than lift a finger to save the republic" (Hitler:A Study in Tyranny)
Viktor Frankl, in 1940 joined the only hospital in Vienna still admitting Jews, spent three years as a prisoner in Nazi concentration camps:
“Don't aim at success... Listen to what your conscience commands you to do and go on to carry it out to the best of your knowledge."
As a child & adolescent psychiatrist, students'
#mentalhealth
will not benefit from adding additional
#DBT
-based or
#mindfulness
classes. It would benefit from reducing academic load and changing focus from academics only to overall growth and development, including academics.
New publication alert 🚨 🚨 🚨 deterioration in MH outcomes following delivery of DBT-based universal intervention in
#schools
. Enthusiasm for DBT-based programs in schools currently miles ahead of the research evidence!
#DBT
#MentalHealthAwareness
This is war. The hybrid war.
Deutsche Welle: "Cambridge Analytica, collaborating with a software company, has created a platform for US churches that targets the poor, the addicted and the disabled — to radicalize them for far-right politics."
Lech Walesa, in response to my question about what courage meant to him: [Courage is] "to believe in and to persevere".
And added on a lighter note: "In my life, I've only feared God..a little bit. And my wife."
It's easier to be courageous when you know and accept your fears😉
"We have been trying to tell the world for 22 years...who Vladimir Putin was. And it wasn't...a secret. One of the first things Vladimir Putin did when he came to power in the year 2000 was to reinstate the Stalin-era Soviet national anthem." -
@vkaramurza
In 2018, Salesforce CEO Marc Benioff and his wife Lynne Benioff buy Time from Meredith Corp.
In June 2021, Marc Benioff reveals that he is an investor in Elon Musk’s SpaceX.
In December 2021, Time names Elon Musk "2021 Person of the Year".
As a child psychiatrist, I too often see children diagnosed with
#autism
being forced to abruptly leave their comfort zone. A better strategy is to let the child stay in their comfort zone and support them in gradually expanding it at their own pace.
If your autistic child is trying to make friends but having a hard time with it don't put them in social skills training class. Help them find a group linked to their interests and passions. That can lead to real and lasting connections.
This is the reality we live in. If we are to change it, we have to acknowledge its existence first.
"Donald Trump’s re-election campaign poses the greatest threat to American democracy since World War II."
- New York Times Editorial Board
@ricenola1
@Michal_Bilewicz
@ElbietaKrgiel
@oloziolo
Ciekawe, ze pani Kinga Duda zwrocila sie do osob wykluczanych ("nikt nie powinien sie bac"), a nie do wykluczajacych ("nikt nie powinien straszyc i wykluczac"). To tak, jakby uwazala, ze lekarstwem na strach przed skutkami homofobii i nienawisci jest leczenie tego strachu.
The Ministry of Defense of Ukraine announced that the Ukrainian military would release captured Russian POWs under one condition: a POW's mother has to come to Kiev and take her child from captivity in person.
The New European's Person of the Year 2021 is Richard Ratcliffe, indefatigable husband of Iranian hostage Nazanin Zaghari-Ratcliffe.
"For those human qualities - bravery, loyalty, integrity, intelligence, sacrifice..."
The ad is misleading. No psychotropic agent has over 90% efficacy in reducing depressive symptoms.
Medications should not be advertised like gardening tools, cleaning supplies, or politicians. Especially, not by licensed healthcare professionals. Medical ethics applies.
@MaxBoot
@DrWinarick
"To sin by silence when they should protest makes cowards of men."
- Abraham Lincoln (1809 - 1865), 16th President of the United States
@Tamara10612
@JudgesSsp
@KozminskiUni
PiS zabiera sie za uniwersytety. Jedne niszczy od wewnatrz, obsadzajac je swoimi nominatami, ktorzy zwalniaja niepokornych. Inne ulegaja politycznym i ekonomicznym naciskom z zewnatrz. To jest haniebne, krotkowzroczne i zdradza misje uniwersytetow.
“Here we have people using tools of brand-building to build the brand of an accused criminal and that is taking us places that are very different.”
Is there a safe return from these "places that are very different"?
As a child psychiatrist, I routinely ask families whether screaming is frequent and normalized in their homes.
Being a behavioral neuroscientist has taught me that exposure to screaming triggers a cascade of physiological responses that, in most cases, make things worse.
Incredibly powerful, and sad, article about a daughter who inherited her father’s propensity for screaming at his children.
Very interesting to read how she learned to change this intergenerational pattern.
@TheCut
Inheriting My Father’s Rage
@SchwertnerPL
@Tulilam
Jako psychiatra, leczący zarówno dzieci, jak i dorosłych, mogę dodać, że państwo, które tnie wydatki na psychiatrię dziecięcą, będzie miało w dłuższej perspektywie znacznie wyższe wydatki na psychiatrię dorosłych. I nie tylko na psychiatrię.
Teaching prescribing psychotropic medications without teaching how to safely deprescribe them is like teaching a pilot to take off and fly without teaching them to safely land.
Glad that
@ABCaustralia
is highlighting the issues that people are having when they stop psychiatric drugs - hopefully clinicians will take deprescribing as seriously as prescribing.
A new meta-analysis found that
#placebo
is most effective in "major depressive disorder..., followed by..generalized anxiety disorder, panic disorder, ADHD, PTSD, social phobia, mania, and OCD... while patients with schizophrenia benefited the least".
"Fear contagion is an evolutionarily old phenomenon...Like other animals, people are also sensitive to panic or fear expressed by our kin." - my latest for
@ConversationUS
Special thanks to
@MaggieConvo
for her editorial help!
#CoronavirusPandemic
Administrators in our department routinely call psychiatrists "prescribers". This week, a psychiatrist faculty colleague introduced other psychiatrists as "prescribers" to psychiatry residents joining our team.
Do we want young psychiatrists to think they are just "prescribers"?
"The secret of happiness is: Find something more important than you are and dedicate your life to it."
RIP Daniel Dennett (March 28, 1942 - April 19, 2024)
"Older leadership in the Republican Party..are enacting the agenda..set by younger members & their far-right politics.. On the Democratic side, you have older leadership that is..stonewalling the priorities..of its younger & lefter generation"-
@rtraister
@maddow
Better Paris than Kansas.
These were the news in 12/2017:
"France’s president awards millions of euros to 18 American scientists to relocate in effort to counter Donald Trump on the climate change front."