Where should folks turn if they want mental health support for depression *right now* and aren't in crisis?
Traditional talk therapy often has long waitlists
The therapy apps you've heard about promising quick access to treatment have lots of problems
What I recommend 🧵
Adults Part I
Program: Deprexis
Content: 10 self-guided, internet-based modules (most grounded in evidence-based approaches)
Cost: ~1-2 sessions of therapy ($280)
Evidence: Solid meta-analytic evidence across >10 RCTs journals.plos.org/plosone/articl…
Link: orexo-store-2.mybigcommerce.com
Adults Part II
Program: MoodGYM
Content: 5 self-guided, internet-based modules (all grounded in CBT-based approaches)
Cost: <1 session of therapy ($27)
Evidence: Somewhat shaky meta-analytic evidence across >10 RCTs researchgate.net/profile/Conal-…
Link: moodgym.com.au
Adolescents Part I
Program: Project YES
Content: 3 single session intervention modules (All grounded in evidence-based strategies)
Cost: Free
Evidence: Both modules tested reduced depression vs. placebo in ~2,500 person RCT psyarxiv.com/ved4p/
Link: schleiderlab.org/yes.html
Adolescents Part I Contd
More evidence: mental.jmir.org/2020/6/e20513/
Languages: English and Spanish
Conflict of Interest: I'm part of the research team that developed the Project YES interventions/have access to the anonymous data/think the folks on the team are great
Everyone Part I
Program: One Mind PysberGuide
Content: Reviews of most avaialbe mental health support apps (If you want a non Deprexis/MoodGYM/Project YES self-guided option)
Cost: Free
Link: onemindpsyberguide.org
Shout out to: @steveschueller
Everyone Part II
Program: @therapy4theppl
Content: Directory of free and low cost therapy (including research studies that might be able to enroll you more quickly than other kinds of treatment)
Cost: Free
Link: therapy4thepeople.org
Shout out to: @ashleyscastro
I hope these resources are useful for at least some folks!
I'm very pro folks getting talk therapy, and most folks have to wait a long time before they can get that kind of help
I hope these alternatives can at the very least be useful to folks while they wait
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If we prioritized improving patients' and trainees' lives clinical psych's structures would look entirely different
A part touched on but (understandably!) not emphasized in this piece: There's vanishingly little evidence our training improves clinical outcomes for patients
🧵
Multiple studies with thousands of patients (though only 23-39 supervisors each!) show that supervisors share less than 1% of the variance in patient outcome
And that's just correlation, the causal estimate could be much smaller
Still responding to folks re: my transition to data science post! I'll get to everyone, promise!
Given the interest I thought people might want to know the (almost all free/low cost!) resources I used to train myself for a data science role
A (hopefully helpful) 🧵
R, Part I
My first real #rstats learning experience was using swirl. I loved that I could use it inside of R (rather than having to go back and forth between the resource and the RStudio console)
A cliche rec, but it's cliche for a reason. R for Data Science by @hadleywickham & @StatGarrett transitioned me from "kind of messing around" to "wow, I did that cool thing" in R. It's absolutely a steal that it's available for free
Trying to balance:
- Having genuine empathy for people who are staring down the barrel of their life's work not replicating
- Not reinforcing power structures and practices that led to a world where those barrels are all too common
Hearing @minzlicht talk about this on the "Replication Crisis Gets Personal" @fourbeerspod episode brought home to me how lucky I am to be early in my career now as opposed to 20 or even 10 years ago
But his example* reminds me people in power have a choice when confronted with a much messier literature than initially described
They can double down, or they can engage meaningfully with a more complicated world
*And many others, my mentions aren't ever comprehensive!
New preprint from @JSchleiderPhD & me: Emotion and anxiety mindsets share little unique variance with internalizing problems in adults once you account for hopelessness (Ns = 200, 430)
Open code & data + interpretations in this thread!