1/ I've searched for psychiatrists who are experts in both pharmacology and therapy to see if I can find any. Many psychiatrists' therapy training is limited to psychoanalytic and only by being analyzed themselves. It seems to rot their understanding of brains.
2/ I am greatly disappointed in child psychiatrists who treat audiences like children, including psychologists. Without a basis, they insist they are "literally the expert" when they actually know little about meds or therapy.
3/ I watched citizen-scientists from the chronic fatigue community try to correct psychiatrists about the safety and efficacy of harmful cognitive behavioral therapy for their condition and saw the psychiatrists respond like assholes.
4/ I have learned a lot from psychiatrists like Don Klein, Mickey Nardo, and Barney Carroll about the futility of psychotherapy for unmedicated patients in an psychotic episode. The strength of evidence is indisputable.

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More from @CoyneoftheRealm

Aug 17
1/ The author of this blog has zero background in either biological psychiatry or RCTs. He claims that calling people anti-psychiatrists is "sophistry..as disingenuous as it is increasingly popular...and subtly abusive." He associates with people who call psychiatrists Nazis. Image
2/ We should not be confused by his foppish pomposity (See, I cannot even fake his ridiculous prose) because he has thuggish anti-Semitic trolls as enforcers. madintheuk.com/2022/08/anti-p…
3/ In turgid prose, this author avoids confronting head-to-head comparisons like this. …mcoyneakacoyneoftherealm.substack.com/p/ouch-when-ru…
Read 4 tweets
Aug 14
1/ Oddly, We turned the "a mother's intuition" idea into a successful NCI grant application years ago. We hypothesized that owners' ratings of canine pain would be equal or better than lab technician ratings. We were funded to do a noninferiority trial.
2/ A couple of our papers later, clever activists convinced FDA that owners did not have to give their pets with cancer to vet schools in order for the pets to receive experimental drugs because...
3/ Owners knew their pets better and were more sensitive in their ratings of dog pain. Dogs, of course, cannot readily be trained to complete subjective self-report measures.
Read 6 tweets
Aug 11
1/ If @jamesheathers can get confused by the efforts by Joanna Moncrieff that Serotonin Theory is Dead, there is little hope for anyone else. James is one of the original skeptical data detectives
2/ I gathered examples of Systematic Umbrella Reviews and Moncrieff's Molecular Psychiatry article looks nothing like any of them. …mcoyneakacoyneoftherealm.substack.com/p/is-moncrieff…
3/ I checked altmetrics for the Molecular Psychiatry article that broke records. I suspect the over 500,000 views reflect access by intelligent people accessing it for its scientific value and found evidence of that Image
Read 10 tweets
Jul 22
1/ My inaugural article on @SubstackInc was only an 8-minute read but covered lots of ground. Here are 5 takeaways about censorship if you are a writer or reader of stories on @Medium …mcoyneakacoyneoftherealm.substack.com/p/coyneakacoyn…
2/ When many of us started paying for Medium, there was no talk of a Trust & Safety team with sole authority and final decisions about whether articles will be removed. Few are aware even today, a year after the Trust and Safety team was implemented by stealth.
3/ The censorship of my article occurred for reasons that would be considered inane and offensive to intelligent writers and readers. Yet the Trust & Safety team did not provide a serious basis for appeal and no one but me and a raging hateful troll knew my article was censored.
Read 6 tweets
Jul 20
!/ Debriefing of my encounter with @BecauseIMatter who insists "I’ll always listen & learn from those who’ve come before me but I have specific reasons for why I do things for our community. Don't assume it’s for attention, likes or followers." She is a paid rep for #BigPharma
2/ Her "Rookie of the Year Winner" is not on Tedtalks but the kind of thing this for-profit company congratulates itself for passing out to those who team up with it
3/ The 2 founders of this company, Tim and Oliver, came over from #BigPharma GlaxoSmithKline [hiss, villain] and congratulate themselves on their brilliant idea to make money partnering patients and 'those working on a book' with #BigPharma wants patients groups to said.
Read 5 tweets

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