a lot of therapy outcomes research out there. a small amount (5%) of ppl "deteriorate," but nobody asking anymore IF therapy works--evidence of efficacy is overwhelming. the right Qs are WHY does it work and why outcomes haven't improved in the last 30 yrs.
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Do these studies control for self-selection, survivorship bias, and most importantly, variance in provider quality? I’m sure therapy works — under lab trial conditions holding provider quality at a high standard. Not so sure about Podunk U. strip-mall therapy world.
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heey Venkat, just read your Atlantic article on mobilising for climate change being analogous to WW2’s mobilisations. Brilliant - but it’s from a few years ago. How have your views changed? Also, any reading recos?
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Long story
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Trying to get sufficient care for someone with acute mental health needs is absurdly, crushingly difficult.
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I agree. Tons of mediocrity out there. No way to know who is going to really help you. Best one can do is get a personal reference and even then......what is the measure of a “good” therapist?
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In education, there is a well known result where the personal attention and accountability surrounding a study improves results, no matter what the intervention is. I think something similar happens in mental health. Also, perverse incentives are pervasive.
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This is a very good point. So many people automatically assume that seeking treatment is necessarily a productive and beneficial use of time and money and repeat that saying without thinking about how the process works in more detail.
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This tweet is irresponsible. I have known several people with serious mental health disorders over the years (schizophrenia and bi-polar). The ones who got treatment are at the top of their fields, have wonderful relationships. The ones who didn't started screaming like animals.
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Sharing a personal opinion is irresponsible?

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