@KemtrupTweets @jaketempchin @awaisaftab @Dr_psychiatry I I think perhaps two things would fix this quagmire we find ourselves in fairly rapidly.

1) I propose we ditch the non sequiter approach; i.e., the routine response that goes something like: “medicine can't find it ergo it's psychiatic” which is both illogical on it's face
1/
@KemtrupTweets @jaketempchin @awaisaftab @Dr_psychiatry and invalidating.

Medicine has limits in what its capable of identifying at and given point in time based on research, technology, imagination, politics, racism, sexism scientific dognaism...etc I mean the ills that ail us are always the “isms” which if I'm honest here,
2/
@KemtrupTweets @jaketempchin @awaisaftab @Dr_psychiatry will always point the finger back at the clinician for insecurity on their end.

The absence of something known, or medically idenifiable does not mean it's in your head. Moreover this experience is also hugely skewed towards women, girls and POC patients which also happens
3/
@KemtrupTweets @jaketempchin @awaisaftab @Dr_psychiatry to be the very folks least taken up via research as participants because “hormonal cycles are too confounding” (see Ben Goldacre plus too many to name) and minority research which is POORLY FUNDED TO SAY THE LEAST because it's not generally generalizable (see NIH/NIMH report
4/
@KemtrupTweets @jaketempchin @awaisaftab @Dr_psychiatry on funding distribution: essentially stuck for decades in the same place with the only real increase belonging to WW who went from 16% in the 90s to 33% White women in 2020, 6% Hispanic and 3% Af-Am which tells the tale).

When looked at that way, the impact of the above
5/
@KemtrupTweets @jaketempchin @awaisaftab @Dr_psychiatry approach dismisses THE VAST MAJORITY OF THE PATIENT POPULATION DRIP BY DROP (with the exception of Veterans who are equally dismissed as it's "all PTSD but opps we didn't know about Blast, opps we didn't know about agent orange, opps we didn't know about burn pits, opps
6/
@KemtrupTweets @jaketempchin @awaisaftab @Dr_psychiatry we didn't know about GWS, opps we didn't know protective ear wear distributed to SM between 2002-2010 was faulty opps it's blast or chemical exposure induced mitochondrial, or channelopathy etc).

2) THE RETURN OF HUMILITY! It should be routine practice to say “We don't
7/
@KemtrupTweets @jaketempchin @awaisaftab @Dr_psychiatry know what this is. We will continue to look into genetic testing, rare diseases (all told the majority of illnesses fall into this category), environmental causes, past medical records for what may have been overlooked, or unintelligible to our understanding at that time etc

8/
@KemtrupTweets @jaketempchin @awaisaftab @Dr_psychiatry (and then follow the hell up).

In the meantime let's treat any emerging psychiatric symptoms and/or get you the behavioral health supports needed until we do identify the condition and/or any causes.
It should be ok that we don't know every thing.

I don't trust doctors
9/
@KemtrupTweets @jaketempchin @awaisaftab @Dr_psychiatry who can't say that including this may be idiopathic and we may or may not have a name for it however, with in a reasonable degree of certainty and safety we can conservatively attempt to reduce some of your pain &/or distressing symptoms.

There is no harm in that approach.
10/
@KemtrupTweets @jaketempchin @awaisaftab @Dr_psychiatry The defensive medical approach doesn't work, but man O man does humility work every time & that's what earns a patient's trust which is the better part of treatment compliance any way you slice it.

Im of the opinion having been on both sides of the desk and on both sides of
11/
@KemtrupTweets @jaketempchin @awaisaftab @Dr_psychiatry this conversation and that's in addition to having to diagnose my daughters rare disease and then go find a physican capable of doing the same (a love shout out to Dr. Kamal Chemali & PA Grace at Sentara Hospital's NeuroCardiology Unit) b/c Docs kept dismissing the idea that
12/
@KemtrupTweets @jaketempchin @awaisaftab @Dr_psychiatry her symptoms and multiple conditions were linked together via an underlying molecular dysfunction and psychotherapists kept telling her it was PTSD and depression (no depression came after the disabling conditions, and no it's not PTSD that's tachycardia (mumbling you idiot
13/
@KemtrupTweets @jaketempchin @awaisaftab @Dr_psychiatry all the way thru the conversation because now as her mother I am enraged) and tho her physical symptoms presented as psychiatric they were masqueraders (ask me how many times I had to explain what that meant to both physicians and psych docs alike). No this was a MEDICAL
14/
@KemtrupTweets @jaketempchin @awaisaftab @Dr_psychiatry CONDITION presenting as psych disorder (as so many do. This was the prodromaI canary in the coal mine or sequelae fall out resulting lung disease due to the dust kicked back once the coal mine collapsed) and I would know, I'm her mother! And an educated
15/
@KemtrupTweets @jaketempchin @awaisaftab @Dr_psychiatry one at that (did me no good).

Fortunately however we were able to avert an involuntary MH inpatient admit while 3000 miles away after a psych doc who just didn't get it had her wisked away for an emergency admit claiming my daughter was at risk for self harm but who at

16/
@KemtrupTweets @jaketempchin @awaisaftab @Dr_psychiatry the same time could not come up with one statement shed made that verified that assessment.

It was only because the savvy intake fellow (a post doc fellow mind you) took my call and put me on speaker phone while interviewing my daughter & listened to her, listened to me
17/
@KemtrupTweets @jaketempchin @awaisaftab @Dr_psychiatry and then point blank said "well shes not suicidal and not apathetic shes in pain and unable to function and I've no idea why they sent you here for am emergency admit ---but I'm not admitting you; this is a medical problem that has yet to be identified and I'm sending
18/
@KemtrupTweets @jaketempchin @awaisaftab @Dr_psychiatry you back to the dorm!" I was never so greatful that someone actually listened and got it before in my life.

So as a mother, a patient and Neuropsychologist who's all too often found what others just didnt look for, I've something to say about this. And my biggest
19/
@KemtrupTweets @jaketempchin @awaisaftab @Dr_psychiatry worry is that all those behind me who don't have the knowledge base I do, do not have the words to put together in such a way as to make themselves heard at your level or who might be judged rational enough to be taken seriously as they are now screaming because you couldn't
20/
@KemtrupTweets @jaketempchin @awaisaftab @Dr_psychiatry hear them the first second and third time and that this will be the reason they are, in the vast majority dismissed and ever this cycle will continue.

Unfortunately when patient's get to the level of screaming their reserves are tapped and they are all too often at
21/
@KemtrupTweets @jaketempchin @awaisaftab @Dr_psychiatry that point dismissed as crazy angry hysterical folks/patients, are flagged for disruptive behaviors and/or seen as MALINGERING and up to no good.

When did we become so evasive, defensive, hard of hearing and when did we become so certain of ourselves such that we feel
22/
@KemtrupTweets @jaketempchin @awaisaftab @Dr_psychiatry safe in the knowledge weve acquired that we can do afford to dismiss folks as being this or that instead of listening. I know patients regularly mis identify symptoms ("Doc I've got a memory problem" after testing, I say Mr. ABC your memory is stellar, the deficiency lies
23/
@KemtrupTweets @jaketempchin @awaisaftab @Dr_psychiatry with your attention) that doesn't make them suspect or "kno-nothings" and every one tries to piece together what makes sense given what they know or can find out!

How in the hell did that become such a threat? We are entrusted with the health and well being of other
24/
@KemtrupTweets @jaketempchin @awaisaftab @Dr_psychiatry human beings... It is a huge responsibility we accept in the name of doing no harm....so huge that anyone not also deeply humbled by it (because you know we will never perfectly live up to the task or cure every one nor should we) should be examining themselves at the very
25/
@KemtrupTweets @jaketempchin @awaisaftab @Dr_psychiatry least for burn out, and/or the creeping anger of helplessness in the face of an endless supply of truly complicated complex patients and conditions and at worst having entered the wrong field for the wrong reasons. IMHO, We first need to clean up and clean house
26/
End

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with kateneuropsych Dr. Kate Shaw MA/MS/PsyD Auntie Fa

kateneuropsych Dr. Kate Shaw MA/MS/PsyD Auntie Fa Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @kateneuropsych

11 Oct
@Numbers28 They are FED by the millions they are supposedly manipulating. Without those viewers choosing from an array of options just exactly from whom and from where they get their info NONE OF THAT CRAP WHOULD BE AIRED! (I'm not mad at you George)

Why is it that you are
1/
@Numbers28 treated like your old enough to vote and held accountable for that but not like you are old enough to discern fact from hate or fact from fiction.

That's an all too convenient narrative for White folks that lets them OFF THE HOOK FOR GENERATING THE AD MONEY TO KEEP MISINFO
2/
@Numbers28 ON THE AIR BECAUSE THATS THE INFO THAT SUPPORTS THEIR under the table round the bush, back of the garbage and thru the sewer White Supremacist ideas feelings hatreds and fears and rewards them for it.

Why is it we think they don't know this already and theyve just
3/
Read 9 tweets
11 Oct
@Backstorymom1 “Unimaginable, unfathomable,”“unconscionable,” “inexcusable,” & “insane” noted a pastor.

But Juvenile Judge Davenport says of her work, “I’m here on God’s mission,” this is not a job."

It's always the same w/White Supremacy (ists) they've a mission from God.
1/4
@Backstorymom1 DO YOU HAVE ANY IDEA WHAT THE DSM CALLS FOR WHEN SOMEONE ACTS IN INHUMAN WAYS CLAIMIMG THEYVE A MISSION FROM GOD
1) CRIMINAL
2) PSYCHOTIC

Either way these folks, your White family members, ARE INSANE & certainly no one that should be holding office or giving orders and yet
2/4
@Backstorymom1 y'all supposedly "sane" White adults continue to follow those orders & then have the nerve to wonder why White Supremacy prevails while y'all claim "NOT ME". And, to go along w/it, wash your hands of it and act like ignoring it isnt contributory to it's maintainance is a lie.
3/4
Read 5 tweets
11 Oct
“Unimaginable, unfathomable,”“unconscionable,” “inexcusable,” & “insane” noted a pastor.

But Juvenile Judge Davenport says of her work, “I’m here on God’s mission,” this is not a job."

It's always the same w/White Supremacy (ists) they've a mission from God.
1/4
DO YOU HAVE ANY IDEA WHAT THE DSM CALLS FOR WHEN SOMEONE ACTS IN INHUMAN WAYS CLAIMIMG THEYVE A MISSION FROM GOD
1) CRIMINAL
2) PSYCHOTIC

Either way these folks your White family members ARE INSANE & certainly no one that should be holding office or giving orders and yet
2/4
supposedly y'all "sane" White adults continue to follow those orders and then have the nerve to wonder why White Supremacy prevails and claim NOT ME. To go along with it, wash your hands of it and act like ignoring it isnt contributory to it's maintainance.
3/4
Read 4 tweets
5 Oct
As a Genocide scholar & White Supremacy researcher THERES NO CONTENTION: COVID SPREAD, ILLNESS & DEATHS were deliberate, targeted & w/foreknowledge ESTABLISHING INTENT
meeting criteria for both t/UN definition of Crimes Against Humanity (see UN Geneva Conventions) & Genocide
1/
(see UN Genocide Conventions) & as the US is signatory to both, t/US is & should be held ACCOUNTABLE FOR ITS
ACTIONS in part & in while

2) As a Genocide researcher trackin W. Supremacy I can tell you Hitler comparisons are NOT EXAGGERATED. That you need it to look t/same
2/
to see t/same dynamics at work is your myopia & doesn't = we're exaggerating.

3)To say all this doesn't diminish t/Holocaust one bit but what, you're saying we have to wait for it 2B that bad to make historical comparisons based on patterns?

THATS LITERALLY SILENCING TRUTH!
3/
Read 6 tweets
5 Oct
THERES NO CONTENTION:
Yes COVID ILLNESS & DEATHS WERE TARGETED meeting UN definitions for both Crimes Against Humanity (see UN Geneva Conventions) & Genocide w/foreknowledge ESTABLISHING INTENT (see UN Genocide Conventions) & as signatory to both, T/US IS ACCOUNTABLE FOR ITS
1/
ACTIONS IN WHOLE & IN PART!

As a Genocide researcher trackin W. Supremacy I can tell you Hitler comparisons are NOT EXAGGERATED. That you need it to look t/same to see t/same dynamics at work is your myopia & doesn't = we're exaggerating.

2/
To say all this doesn't diminish the Holocaust one bit but what, you're saying we have to wait for it to be that bad to make historical comparisons based on patterns?

THATS LITERALLY SILENCING TRUTH! And ignoring events ONGOING & in progress

I'm not waiting for the end
3/
Read 4 tweets
28 Sep
@DearSplenda @Karnythia This is very much how White Supremacy and right White Christianity interfaced starting in the 90s. They slowly interfaced with let leche league, attachment style parenting and everything alternative in predominantly WW suburban spaces. I not only watched it in real time but as
1/
@DearSplenda @Karnythia a White Supremacy researcher but TRACKED IT. It was DELIBERATE strategy after Ruby Ridge, WACO and Oklahoma City as White Supremacist groups began a strategy of disappearing and integrating into the White Riech Christian groups to marry have kids and re-image,
2/
@DearSplenda @Karnythia re-language White Supremacy into a White socially acceptable package. They homeschooled their kids who went off to collage and VWELLA , you've now got tech savvy educated preppie looking polite White society acceptable young people operatives intentionally raised to convince
3/
Read 13 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!

Follow Us on Twitter!

:(