As we approach May 9th

Mother's Day is not a celebration for many people. Trauma, grief, disappointment, and anger are common emotions to feel for many.

Please don't go around asking casually how they celebrated Mother's Day.
I say this from professional experience: have worked with 100s of kids who were mistreated and abused by their mothers. Not "oh they had fights," abuse so horrific I can't bear to write it.
I say this from personal experience: I feel a zillion conflicted emotions when thinking about my own mother in this first may since she's passed away.
So my strongest advice: celebrate this day personally. If you have had a mother worth celebrating and want to share, share. But please don't go wishing those around you happy mother's days unless you know them really well.

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More from @tylerblack32

30 Apr
Medtwitter acting like [picture]. #cringe

I can get behind positive body and selfie stuff, I'm all for it. "I love this selfie" amen brother/sister preach!!

But "thirst trap"?? C'mon peeps. #BeBetter

Let's not add "photos to increase your sexual desire" to our memes. Buff dude posting with his hand pushing down his belt asking
I'm old, so maybe this generational.

I'm sex positive and hold nothing against sexual pictures generally or my beautiful inside and out colleagues.

I'm sure this tweet is going to catch me hell, but whatever. My principles are what they are. Have a good weekend everybody.
I thought some people approach this meme very innocently, posted amazing selfies, probably not thinking out their paricipation and who it would exclude or make feel bad.

I don't begrudge the creator who is funny AF

But no, this is not a good look for medtwitter.
Read 5 tweets
27 Apr
I mean, yes of course I hope these things can be helpful. On the other hand, to have someone so prominent in psychiatry to give such a generic list as if those things haven't been tried when meds and psychotherapy fail is... Disturbingly condescending and a bit ableist
When someone has depression that has resisted pharmacotherapy AND psychotherapy, a hard look should be given to:
* Reexamine diagnosis
* Examine therapy modalities and search for new strategies (med groups or therapy modalities)
* Consider combination treatments/ect
* Advocate for social + financial support for disabling symptoms
Read 5 tweets
16 Apr
1/ Thread: "Pseudo-profound headlines"

One of the worst examples of the media moral panic about suicides during the pandemic occurred when western media got a hold of Japanese suicide rates.
2/ @CNN @CBSNews wrote scary articles with scary headlines ... even my good friend and excellent writer @drjessigold wrote about as nuanced a piece about it one could do in Forbes (without getting a quote from me?!?!?!??!!), and look at the headline. Headline on CNN : "In Japan, more people died from suicCBS Headline:  Suicide claimed more Japanese lives in OctobeForbes headline: "Deaths By Suicide In Japan Surpassed
3/ I call this a "pseudoprofound headline." Automatically interesting, but fails with any scrutiny or thought. Dr. Gold's article goes into some of it with respect to the lack of data compared to real-time Japanese data, (now we know the US did NOT show this same effect), but...
Read 21 tweets
15 Apr
Total over-hyping of the evidence, which did not show superiority. Griffiths showing allegiance bias towards his own research passion, and not the nuance the science actually showed.

"In this small study, psychotherapy + either psilocybin or escitalopram had similar outcomes."
The researcher of the study (first author) here has retweeted this inaccurate summary of the science. As a phase 2 trial, it is not designed to test superiority to standard treatments.
This is why @sanilrege's comment couldn't be more prescient. We need larger studies done by independent (not biased) researchers. Allegiance and researcher bias is an issue here.

Read 5 tweets
13 Apr
Oh look, I recognize this data! Great publication showing what (if you followed me) you already know: suicide rates generally declined or stayed the same across the world in 2020. Mostly these countries are middle to high income.
Personally, it's a citable vindication of the work I did to independently collect the data myself:

docs.google.com/spreadsheets/d…

docs.google.com/spreadsheets/d…

docs.google.com/spreadsheets/d…

(I didn't have a team of 40+ researchers! Just me and spreadsheets!)
Because I'm still collecting the data, there is a stronger signal for increase in Asia (Phillipines, japan, some parts of China) than in the rest of the world.

Malawi had an unofficial report (a health official to a radio station) of a strong increase in suicides.
Read 5 tweets
13 Apr
1/ **thread: Mental Health and COVID**

Few things annoy me more than "experts" making claims and headline-horny academics publishing surveys about mental health and Covid-19 doing so with complete lack of nuance and scientific humility.
2/ Most of our studies show associations with "a cross section now" and some change to mental health (many worse, some better, some no change)
3/ Yet if a study shows a negative result, it's always "effects of lockdown restrictions" or "effects of school changes."

What about the effing effect of a WORLDWIDE PANDEMIC that's now claimed 3 million people (millions more seriously ill), entering its 16th month?
Read 7 tweets

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