This brandism in psychotherapy twitter is awful. If you spend time tweeting that "x isn't real therapy" you are the problem.

Therapy is when a form of communication is used by a mental health professional to the betterment and improvement of quality or understanding of life.
There are people who due to neurodiversity, disability, history, or even preference who may prefer therapy via one modality over another.

Get over your effing selves and help your patients.
I've seen "short term isn't real therapy", "texting isn't real therapy", and "CBT isn't real therapy" in the past 3 days and they are coming from the same snooty mindset that gutted certain psychotherapies in the 70s.

Stop believing in your brand and learn multiple modalities.
When certain disorders or problems are targeted, there is excellent evidence for a number of modalities, and almost no evidence separating those modalities. The dynamic psychotherapists, cognitive behavior therapist, DBT therapists have not demonstrated any superiority whatsoever

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More from @tylerblack32

30 May
Great paper out of Ontario - showing a number of things.

* Drug overdoses went up significantly during the pandemic period

* Fentanyl overdoses went up very significantly (76% detected in deaths prior to the pandemic, 86% after)

/1
* the drug overdose increase was much worse for men than women

* it affected rural areas and urban centers alike

* improvements in drug overdose deaths in 2019 disappeared completely

/2 Image
Though I'm really not a fan of the younger age grouping (15-34) because it will be misintrepreted. I am quite certain that the rates of 15-19 year olds are 1-3% of the 20-34 group, and this subset should have been removed/isolated.
/3
Read 5 tweets
28 May
1/ Report analysis:
Adolescent Boys vs Girls during the Pandemic

A new article is out comparing Suicide Attempt frequency (12-18y) in Catalonia during the pandemic.

It's a succinct article that presents data from the population-level registry that was in place prior to COVID. Image
2/ Unfortunately (I really wish they would not do this), it only compares one pre-pandemic year to 2020-21, but this is also a very interesting study because, famously, Catalonia had a devastating early first wave, significant lockdown, then reopening of schools. Image
3/ What did they do?

They used the CSRC (a database of suicide attempts estbalished in a suicide prevention effort) to look at # of attempts in the year prior to, and the first year of, the pandemic.
Read 21 tweets
23 May
A lot of people found out that I block them very easily and quickly?

I block:
1) disrespect
2) anti-science, anti-psychiatry (not criticism, anti. Did a whole article on it.)
3) racism/bigotry/misogyny/transphobia/homophobia/ableism
4) shaming patients
5) my discretion

/1
I will quickly click on someone's timeline and read maybe 10 maybe 20 tweets. It's pretty obvious who they are by that point.

I even discuss the nuances of lived experience, blocking, etc, here: tylerblack.com/twitter

/2
I love debate, I love criticism. I myself criticize psychiatry a lot and beleive that criticism has proven to be necessary to good change in my field, medicine as a whole, and life.

But I'm also a 36-year online veteran. I can tell when you're there to pick fights/troll. /3
Read 4 tweets
23 May
Here, Nate, with his tremendous reach and followers, makes the common stigmatizing mistake of associating suicides with mental health. Many people with mental health problems don't die by suicide (99% plus!). Many people who die by suicide did not have MH problems (~50%)
/1
I missed due to an awful type of study called the psychological autopsy has established this untrue "fact" that most suicides are due to Mental Health problems.

As a suicideologist I can confidently say that this is a stigmatizing, narrow, and extremely evidence-free position./2
People in good mental health can die by suicide, and people with poor mental health can lead rich and amazing lives free of suicidality.

Please stop making this mistake, Nate, and anyone else who is reading this.
Read 5 tweets
19 May
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
Read 4 tweets
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

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