Andrew Parada

Staff Psychiatrist, The Institute of Living. Tweets are my own opinion, not med advice. He/Him/El.

[Governor Ned Lamont @GovNedLamont]

The dangerous executive order signed by President Trump lacks scientific backing, revives a discredited link between childhood vaccines and autism, and undermines public health objectives.

During the most recent legislative session, I proposed and ultimately signed into law a bill that strengthens the Connecticut Department of Public Health’s authority to set immunization standards grounded in peer-reviewed science and guided by the nation’s foremost medical bodies.

This executive order demonstrates why I pushed for this legislation: to ensure our public health policy is grounded in evidence, not at the mercy of political whims in Washington.

[Andrew Parada @AndrewXParada88]

@captgouda24 @GCerono @anjulipie I would prefer to pay higher premiums for better healthcare.

[Andrew Parada @AndrewXParada88]

@captgouda24 @anjulipie But...the doctors are right.

[Andrew Parada @AndrewXParada88]

@CartoonsHateHer There has been a lot more awareness of autism and its varied presentations, especially in women. Obviously I have not evaluated you but I wouldn’t have suspicion that you have autism. Some people are just odd and it doesn’t need to be classified as a disorder!

[Andrew Parada @AndrewXParada88]

@drannamedical @awaisaftab

[Javeed Sukhera MD PhD @javeedsukhera]

I am all for addressing the harms of overprescribing, overmedicalization, and SSRI overuse.

But there is one red line I think we need to call out.

If anyone suggests SSRI cause "mass shootings" they are explicitly and deliberately choosing to ignore reality.

(a thread)

[Kemtrup @KemtrupTweets]

I think the answer also deflates the question a bit

About 1/6 people are on SSRI’s. Stimulants are widely prescribed. Why?

A) In most cases people want them. B) Compared to meds in gen there are few cases of hard to bear side effects where pt says not worth it. When there are1/

[Andrew Parada @AndrewXParada88]

@Schwettynerd @tylerblack32 ADHD is actually not hard to diagnose if you can read screenings correctly and conduct a thorough clinical interview.

[Andrew Parada @AndrewXParada88]

@tylerblack32 @sanilrege @DrJosefWD A complete charlatan through and through. I am absolutely unsurprised by all of this.

[Andrew Parada @AndrewXParada88]

@sulmoney @Appyg99 Agreed. I think both doctors would do an excellent job with my child. No one would put themselves through that level of stress if they honestly didn’t care.

[Andrew Parada @AndrewXParada88]

@DoctorPerin Some of the reason I don’t feel as bad eating octopus vs other animals

[Andrew Parada @AndrewXParada88]

@constans @I_luv_ix @neerajadeshp There aren’t many high volume, high reimbursement procedures for kids. Additionally, kids who need this high level of care are oftentimes on or usually end up on Medicaid. A lot of financial incentives go into paying these people worse. It’s really sad.

[Jonathan Shedler @JonathanShedler]

As a therapist, your job is not to push an agenda on patients, create converts to your worldview, persuade, dissuade, approve, disapprove, affirm or disaffirm.

Your job is to help your patients know themselves more fully so they can become more whole and live life more freely—on their terms, not yours.

In other words: Psychotherapy is meant to expand the patient’s sense of personal agency. Not the therapist’s.

In your therapist role, it is also not your job to recruit supporters, disciples, fans, followers, groupies, or devotees. Those things are incompatible with doing psychotherapy.

The goal is for your patients to get well—then finish with you and go on to live their lives.

It’s not about us. It’s never about us. It’s about the patient.

The therapist’s needs are met through the fee and protected via the therapy frame. The rest must be 💯 about the patient

When that’s understood, everything changes.

“We refuse most emphatically to turn a patient who puts himself into our hands in search of help into private property, to decide his fate for him, to force our own ideals upon him, and with the pride of a Creator to form him in our own image and see that it is good.”
—S. Freud

[Andrew Parada @AndrewXParada88]

Such a wonderful article and it has reframed how I view some of my patients. Deep curiosity and humility from Dr. Aftab.

[Awais Aftab @awaisaftab]

What Do We Owe the Mystics?

Thoughts on Richard Saville-Smith’s (@DrAnamorphosis ) “How is it possible to persuade a psychiatrist that one is sane when in the midst of an overwhelming and ineffable experience of god?”

https://t.co/NABbYLGQwi

[Andrew Parada @AndrewXParada88]

@maxdubler @ZephyrTeachout Better knowledge and ability to advise pathents. Better able to communicate with providers when there is a logistical issue with meds. More respect of patient’s time. Better understanding of cost savings for patients.

[Andrew Parada @AndrewXParada88]

@awaisaftab One of the reasons I found David Mintz’s work an oasis in this desert of mental health care.

[Andrew Parada @AndrewXParada88]

@katrosenfield As a Connecticutian, I want this.

[Awais Aftab @awaisaftab]

Meaning, Medications, and Psychodynamic Psychopharmacology: Discussion with David Mintz

Exploring medication effects mediated symbolically

https://t.co/EQy73k8H6x

[Andrew Parada @AndrewXParada88]

@awaisaftab David Mintz, along with you Awais, are going to save our profession. I absolutely agree with a Before Mintz and After Mintz delineation. Without attending to our patients, we are nothing but pill pushers or worse, vending machines.

[Andrew Parada @AndrewXParada88]

@JonathanShedler This was definitely needed. I confess having significant anxiety whenever I enter that unknown space with a patient.