Patrick K. Hales™ Profile picture
USAF Veteran | BIOLOGICAL REALITY ♂️ | Transformed Former Trans Person | Truth & Reality | 🟢⚪️🟣 - Ally/Friend | Political Critic | small 'r' republican
May 16 6 tweets 4 min read
People fail to understand this...

You really do not get a choice in how trauma conditions your nervous system, especially in infancy or early development. Trauma becomes interwoven with formational identity, attachment, threat perception, and survival adaptation. It becomes instinctive self-preservation.

Being abused is not a choice, and no one truly knows how they would respond under those conditions.

So when people reduce trauma responses to simplistic statements about “choice” while someone is functioning in survival mode with hypervigilance, dissociation, conditioned fear responses, or maladaptive coping mechanisms, they are fundamentally misunderstanding trauma psychology.

A key mechanism here is neuroplasticity. Neuroplasticity is the brain’s ability to change and reorganize itself based on experience. A simple way to understand it is this: your brain is not a fixed machine, it is more like a system of pathways that gets reshaped by what you repeatedly think, feel, and experience. The more something happens, the easier it becomes for the brain to do it again.

In childhood, especially, the brain is extremely “plastic,” meaning it changes quickly and efficiently in response to the environment. This is how we learn language, emotional regulation, social behavior, and safety cues. The brain learns patterns of danger just as efficiently as it learns patterns of safety.

When someone grows up in a safe environment, their brain strengthens pathways related to trust, calm response, and flexible problem-solving. When someone grows up in chronic threat, neglect, or abuse, the brain strengthens pathways related to scanning for danger, anticipating harm, reacting quickly, shutting down emotions, or dissociating. These are not random or chosen behaviors; they are the result of the brain repeatedly reinforcing whatever responses increase survival in that environment.

This is what neuroplasticity does: it reinforces what is used most. It does not judge whether the pattern is “healthy” or “unhealthy,” it only adapts to what is necessary for survival at the time.

So when trauma is prolonged or begins early in life, the brain does not just “remember” it as a story. It builds the nervous system around it. That is why certain emotional reactions, body responses, or coping strategies can feel automatic—they are deeply trained neural pathways.

Importantly, neuroplasticity does not stop in adulthood. It continues throughout life, which is why change and recovery are possible. But it also means early adaptations do not simply disappear on command; they have to be slowly rewired through new experiences that repeatedly signal safety over time.

In other words, the same mechanism that allows humans to learn and grow is also what encodes survival adaptations under trauma.

In other words, you are trivializing an extraordinarily complex psychological issue you are not remotely equipped to speak on with certainty. Questions would serve you better than slogans.

You also cannot collapse an argument into slogans that fit your belief; it is disingenuous and misses the nuance. It becomes harmful because it strips away context that is essential to understanding behavior in a psychologically informed way. When empathy is selectively applied only after judgment is delivered, it loses coherence. Saying you are sorry for what someone went through and then immediately dismissing the implications of that experience only communicates that the story matters less than being right in the moment. It is meant to close the conversation because you feel you are justified, and being right becomes more important than understanding the person in front of you.

And let me make this explicitly clear: explaining trauma is not the same thing as excusing behavior.

Understanding causation, conditioning, and trauma adaptation is not absolution. It is simply psychological reality, it is well-supported within trauma research, developmental psychology, and neurobiology.Image We absolutely need better professional rigor in mental health care.

We don't have enough good ones such as @KnownHeretic, @TruthAgape, and others, plus including organizations like @genspect, @segm_ebm, and @againstgrmrs.
Mar 9 7 tweets 7 min read
In the practice of transgender care, there is a honeymoon phase where everything looks peachy-keen-and-sweet... You feel good, you believe it's working, you even believe in what it does for you... This is called a "placebo effect."

You even get elated and sexually aroused... The "Euphoria Boner" effect until you eventually cannot be erect anymore, produce sperm, or have intercourse with someone else intimately.

You'll get beautiful plump breasts, usually a B-cup... They'll be tender, nipples erect until you need a mammogram where your breast tissue is smashed between two plates to see if you have breast cancer, lumpomas, cysts, or some other medical issue.

But do doctors or medical staff tell you this? Maybe a small few. I know that I wasn't ever told. Then there are these risks also:

Negative side effects associated with feminizing HRT using Estradiol, anti-androgens such as Spironolactone or Cyproterone Acetate, and progestogens such as Progesterone:

Venous thromboembolism — blood clot forming in a vein that can travel to the lungs.

Increased stroke risk — higher chance of a clot or bleed interrupting blood flow to the brain.

Increased cardiovascular disease risk — elevated likelihood of heart-related illness such as heart attack.

Hypertriglyceridemia — abnormally high triglyceride (fat) levels in the blood.

Hypertension — chronically elevated blood pressure.

Weight gain — increase in overall body weight.

Fluid retention / edema — excess fluid accumulating in tissues causing swelling.

Elevated liver enzymes — lab markers indicating liver irritation or stress.

Hepatic dysfunction — impaired liver function.

Gallbladder disease — gallstones or inflammation of the gallbladder.

Insulin resistance — reduced ability of cells to respond to insulin, raising blood sugar risk.

Electrolyte imbalance — abnormal levels of salts like potassium or sodium in the blood.

Hyperkalemia — dangerously high potassium levels (often linked to spironolactone).

Dehydration — excessive loss of body fluids.

Hypotension — abnormally low blood pressure.

Frequent urination — increased need to urinate due to diuretic effects.

Hyperprolactinemia — elevated prolactin hormone levels in the blood.

Prolactinoma (rare) — benign tumor of the pituitary gland producing prolactin.

Possible increased breast cancer risk — elevated likelihood of malignant breast tissue growth.

Breast pain or tenderness — soreness or sensitivity in breast tissue.

Breast cysts / benign breast disease — non-cancerous lumps or fluid-filled sacs in the breast.

Emotional lability — rapid or exaggerated mood changes.

Depression — persistent low mood and reduced interest or pleasure.

Anxiety changes — worsening or fluctuation in anxiety symptoms.

Irritability — increased tendency toward agitation or frustration.

Fatigue — persistent tiredness or low energy.

Sedation / drowsiness — increased sleepiness (often associated with progesterone).

Cognitive slowing / “brain fog” — reduced mental clarity, focus, or processing speed.

Migraines or worsening headaches — severe recurrent headaches or increased headache frequency.

Sleep disturbances — insomnia or altered sleep patterns.

Infertility / permanent sterility — inability to produce viable sperm.

Testicular atrophy — shrinking of the testicles due to suppressed function.

Erectile dysfunction — inability to achieve or maintain an erection.

Loss of libido — reduced sexual desire.

Reduced ejaculate volume — decreased amount of semen during ejaculation.

Decreased sperm production (azoospermia possible) — reduced or absent sperm in semen.

Sexual dysfunction (e.g., anorgasmia) — difficulty achieving orgasm or reduced sexual sensation.

Decreased muscle mass and strength — loss of muscle size and physical power.

Increased body fat percentage — greater proportion of body fat relative to lean mass.

Reduced physical endurance — decreased stamina during physical activity.

Reduced bone density — thinning of bones increasing fracture risk if hormones are imbalanced.

Increased appetite — stronger hunger signals (reported with progesterone).

Night sweats — excessive sweating during sleep.

Dizziness / orthostatic symptoms — lightheadedness when standing due to blood pressure changes.

Meningioma risk (with certain progestins) — increased chance of a usually benign tumor of the brain’s protective membranes.
Sep 11, 2025 7 tweets 1 min read
Democrats created the monsters who are harming people, radicalizing them through psychological manipulation using fear that they are susceptible to.

Look at the words democrats use to instill fear in people.
/1
Here are some of the terms they use over and over again:

Threat to democracy
Attack on democracy
Our democracy is at stake
Authoritarian
Dictator / would be a dictator
Fascism
Extremists / MAGA extremists / radical extremists
Dangerous precedent
Crisis
Existential threat
/2
Mar 10, 2023 11 tweets 4 min read
🧵
@elonmusk has a furry infestation that is hurting the bottom line of Twitter if he doesn't address the NAFO problem. The fact they are acting as a moderating force to quell and silence what they believe is the opposition is a blight on Free Speech Absolutism.

@TwitterSupport With a force of more than 100k worldwide, they have amassed enough power to become a cyber-terrorist organization like Antifa with absolutely no central control.

This group only believes in their Free Speech and actively works in-force to silence those who speak out against /2
Mar 8, 2023 6 tweets 1 min read
President Clinton: "The plan is not -- is tough. It is fair. It will put police on the street and criminals in jail. It lets law-abiding citizens know that we are working to give them the safety they deserve." ~Bill Clinton, 1994, Crime Bill Speech House approves crime Bill, 285-141.