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#depression used loosely describes radically different symptoms requiring different responses: 1)normal#sadness &#grief- no treatment 2)milder depressions- watchful waiting/#psychotherapy 3)severe depressions are like "brain disease"/dont respond to therapy/do need med/ECThttps://twitter.com/DrBradleyBoivin/status/1224711944524922880 …Prikaži ovu nitHvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
This is extremely misleading- no one size fits all.
#Psychotherapy or watchful waiting is 1st line for milder/transient#depression. But meds or ECT are needed for severe depression..https://twitter.com/TeresaPHlthRes/status/1224820754786766850 …Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
If the
#coronavirus epidemic were killing 40,000 Americans every yr, we'd all demand a total national commitment to reducing the tragedy of all those deaths. Well folks, our#gunviolence epidemic is killing 40,000 every yr & we're doing squat to solve it.https://www.npr.org/2020/02/04/802336681/nearly-700-people-die-from-gun-violence-each-week-in-the-u-s-a-memorial-honors-t …Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
Absurd media lack of proportion in hysterical reporting re Democrats' screw up in Iowa caucus. How does their trivial delay in having results compare to Trump's colossal screw up of US democracy/world climate?https://www.cnn.com/2020/02/04/politics/election-2020-iowa-caucuses-democrats-donald-trump/index.html …
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People from other
#cultures are routinely misdiagnosed#psychotic for having voices/visual hallucinations that make perfect sense within their cultural context. Misdiagnosis also frequent in people with hallucinations due to deep#grief over loss of departed loved ones.https://twitter.com/Richard_E_Watts/status/1224713776538308609 …Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
This picture of Baby Trump makes me want to vomit on so many different levels.https://www.theguardian.com/environment/2020/feb/04/donald-trump-jr-trophy-hunting-auction-nevada-aoe?CMP=Share_AndroidApp_Tweet …
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In my experience, psychiatric over-diagnosis is most common when the patient's life stresses & cultural differences are not taken into account. Clinicians should always beware of their own cultural biases & ignorance.https://twitter.com/AtashaJordan/status/1224545120986464256 …
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Allen Frances proslijedio/la je Tweet
"To mislabel grief as a mental disorder reduces the dignity of the life lost and of the survivors’ reactions to its loss... Most people will recover just fine after the loss, without medical meddling and pill popping."-
@AllenFrancesMDpic.twitter.com/KwYfutwutd
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Most "Awareness" weeks are a shabby sham invented by drug companies to peddle pills. But increasing awareness of & treatment for
#EatingDisorders is crucial. Cause misery/dysfunction/illness/death. And many people are more ashamed discussing their eating than sexual problems.https://twitter.com/IRPlawyer/status/1224364905806974976 …Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
Allen Frances proslijedio/la je Tweet
I think its absolutely crucial
#DBT continue to grow in its indications & increase in its flexibility. Psychoanalysis got frozen in time because Freud's followers were far too worshipful.@DrLinehan followers should be inspired by her but not scared to develop DBT even furtherhttps://twitter.com/AllenFrancesMD/status/1218963749740003328 …Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
Allen Frances proslijedio/la je Tweet
. Not "innocent" but more clinically sophisticated time. You endorsed Goldfried & Davison's 1976 "Clinical Behavior Therapy" saying it could help one to be "a complete therapist" You & I wrote about transdiagnostic case formulation, mediators & moderators .https://twitter.com/AllenFrancesMD/status/1224311779502673921 …
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Allen Frances proslijedio/la je Tweet
There's pervasive media bias toward hyping treatment benefits while neglecting negative results & harms. Big part of this is reliance on experts with financial &/or intellectual conflicts of interest. Att'n journalists: Use this list 100 independent experts to correct imbalancehttps://twitter.com/garyschwitzer/status/1177189641218330625 …
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Allen Frances proslijedio/la je Tweet
Clin Psych Controversies I would add: 1)inventing new terms for old concepts 2)developing another school of therapy 3)whether research being done is relevant for practice 4)how to train therapists 5)whether ESTs work for everyone 6)confusing ESTs with EBPhttps://twitter.com/AllenFrancesMD/status/1224323923371651072 …
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Cheery
@NIMHDirector once again completely misses the point. He/his agency are pretty useless unless they face fact that 600,000 patients are jailed or homeless. Balance your research budget away from narrow brain/gene agenda. Do more to really ensure better care in real world.https://twitter.com/NIMHDirector/status/1224331732368773122 …Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
Clin Psych Controversies: 1)
#psychotherapy vs meds? 2)is CBT best bec "evidenced based"? 3)active ingredient- relationship vs technique? 4)harm/benefit of manuals? 5) role brief therapy? 6)most studies dont replicate 7)torture sins 8)fake stars- Zimbardo/Rosenhan/Seligman/Milgramhttps://twitter.com/DrWinarick/status/1224320943708872704 …Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
We wrote "Differential Therapeutics: The Art & Science of Treatment Selection" 40 yrs ago- an innocent age when psych evaluation was careful/treatment selection still mattered. Soon after, the aggressive/misleading marketing of new SSRIs reduced evals to "Blah/Blah/Blah/Prozac"https://twitter.com/gikkos1/status/1224245491300519936 …
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CONSIDER THIS: Hospice patients not only die much more comfortably, they actually also live a bit longer. Palliative care beats heroic care on all dimensions: lifespan/humanity/cost/family closeness. Always ask for hospice consult before accepting invasive end of life treatmenthttps://twitter.com/stmorecowbell/status/1224155260790476802 …
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Modern medicine has sold the lie that we can cheat death. "Heroic" measures often shorten life/make its end lonely/miserable. Epictetus "I cannot escape death- but at least I can escape the fear of it." Seneca "The wise man will live as long as he ought- not as long as he can."https://twitter.com/barttels2/status/1224139754205110272 …
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In 19th century, death was almost always at home surrounded by loving family. In 21st century, death is almost always lonely- in impersonal hospitals surrounded by strangers/invaded by tubes. Technology replaced humanity. Hippocrates “Cure sometimes/treat often/comfort always"https://twitter.com/barttels2/status/1224109617564635136 …
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I wonder if Trump's America will respond as well as China if we are hit by the
#coronavirus pandemic?https://twitter.com/CorpusRen/status/1223496767066402816 …Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi
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Me again: She was actually just doing the typical black girl weave pat. She told me her scalp itches 
