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Tyler Black, MD Profile picture
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19 May, 4 tweets, 2 min read
Child psychiatrists take a lot of flak due to poor public stigma. It may surprise many that one of my commonly "prescribed" things from the Emergency Dept are:

a) schools to give academic grace to kids struggling with health (spare block, homework forgiveness, accommodations)
b) parents to give adolescents privacy, improve their autonomy, and offer open-ended help without dictating how that help should occur
c) schools, parents, and systems to accommodate disabilities and neuro-atypicality rather than trying to "fix" the kid
None of these things require medication. Just my time, effort, and advocacy. This is what child psychiatrists do.

#choosepsychiatry #psychtwitter

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More from @tylerblack32

Tyler Black, MD Profile picture
18 May
1/ *** Thread: ***
Pseudo-experts mangling child suicide data for political purposes.
************
This thread has statistics, but it also calls out shitty people & shitty behaviour.

Stats now. Drama at #13.
2/ There is a CDC report out that again is being misunderstood and manipulated by wannabe-epidemiologists to advance their political agenda. I refer to this report:

cdc.gov/mmwr/volumes/7…
3/ It uses the National Syndromic Surveillance Program, a program monitoring about 71% of the Emergency Departments in the US.

It shows the drastic change of ED presentations during the pandemic. I've highlighted kids 0-18:
Read 27 tweets
Tyler Black, MD Profile picture
18 May
In the past 5 years, the suicide rate for California kids under the age of 18 has been:

2015: 2.0 (🔼15%)
2016: 2.5 (🔼27%)
2017: 2.5 (🔽1%)
2018: 2.4 (🔽5%)
2019: 2.1 (🔽9%)
2020: (if the 136 is true): 2.6 (🔼24%)

Understanding statistics is crucial before you interpret them.
In the past 20 years, the suicide rate in this age bracket has increased more than 24% 4 times:

2004 (34%)
2009 (26%)
2013 (29%)
and 2016 (27%)

In none of those times was COVID/lockdowns to blame.
In short, though every child suicide is a tragedy, this is not a "tsunami" or even an anomalous increase in suicides. This is the 5th time in 20 years its happened.
Read 4 tweets
Tyler Black, MD Profile picture
16 May
2.7 hours from my balcony with my new #takahashi telescope and @QHYCCD camera :) I'm astounded at the difference in sharpness and quality!

This is Bode's Nebula M81 (I've posted before): to the top right is the Cigar Galaxy.

Details below!
Before (DSLR setup After (new setup,
6 hours of light!) 3 hours of light!)
Before (DSLR setup After (new setup,
6 hours of light!) 3 hours of light!)
Read 4 tweets
Tyler Black, MD Profile picture
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
Tyler Black, MD Profile picture
30 Apr
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.
Read 4 tweets
Tyler Black, MD Profile picture
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

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