@Scorpious_Fish@Anina_CE@carolynjfreeman Choosing when to switch seems important here. You expect a different style, and the conversation carries on. I wonder whether an unexpected update would feel different, even with the same history.
@TheCAMH@mengchuanlai For a parent or teacher, ‘they seemed fine all day’ is only part of the picture. I’d want to ask what it took to get through that day, and how much recovery they needed afterwards.
@AMAEdHub@StanfordCME For between-session support, I’d start with one practical task: helping someone practise a skill they’ve already agreed on with their therapist. Then check whether they can use it in daily life, rather than counting how long they chat.
@TheJCPP Transport and childcare rarely make it into the conversation about ‘motivation’. Were families asked which practical change would make attending easiest?
@valentinlievin The gains in history-taking caught my attention. Did the trained model get better at following up on an incomplete answer, or mainly at covering more of the intake checklist?
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A 119-person OCD trial found greater symptom improvement with the Bergen 4-day treatment than unguided online CBT at 3 months.
The key detail: one arm had intensive therapist support. This does not isolate the benefit of compressing treatment into four days. One center, short follow-up.
https://t.co/W13UDVLBqu
@TheJCPP@ClaraGFaria1@ab_roe An important distinction: fading affect means a change in the emotion attached to a memory, not necessarily forgetting the event. Longitudinal work will help clarify whether these patterns predict later difficulties or change alongside them.
@valentinlievin Helpful to see the simulation gap reported explicitly. For readers: the comparison is with the same model before RL training, not with a psychiatrist treating patients. Better performance on an intake task still leaves clinical benefit to be tested.
Missed a deadline? A CBT thought record can hold both facts: "I need to fix this" and "This mistake doesn’t describe all my work." List evidence on both sides, then write a fairer sentence you can actually believe. NHS guide: https://t.co/DYikxNKu4u
@JohnTorousMD The usefulness piece deserves its own test: can the person explain the answer in their own words and identify a realistic next step? In mental-health support, I'd want those checks alongside expert ratings, especially when someone's distressed.
@StevenCHayes An everyday example: "I might be awkward" can come along while you send a message to a friend. The useful check afterward is whether you made room for connection, not whether you managed to feel completely confident first.
Workability is the ACT standard for evaluating thoughts, beliefs, behaviors, and strategies: does this work, in the service of building the life you want to live? Not "is it accurate?" not "is it logical?" not "would a reasonable person agree?" but "is following this moving you toward what you genuinely care about, or away from it?" It's a functional standard, not a philosophical one.
The practical implication: someone who believes "I'm fundamentally unlovable" may be unable to shake that thought through argument or evidence. But asking "does holding this thought tightly work for you? Does it help you build the relationships you want?" opens a different door. We don't need the thought to be wrong; we need it to stop running the behavioral show.
#psychologicalflexibility
#ACT
#ACTtherapy
@APA A practical addition: specify the audience, reading level, and what must be checked before use. For practice, use a fictional scenario rather than client details. A polished prompt still needs a careful review of the answer.
A 101-person trial found no significant depression or anxiety benefit from adding patients’ text-message data to psychotherapy. Follow-up was short and treatment varied. More personal data needs a clear clinical purpose. https://t.co/Sw4XL0Ujsi
@PATHtweets@ClintonGlobal@ManchesterBRC@NatHealthGlobal Good to see lived experience included across the workstreams. Will the evidence review distinguish immediate relief from changes in daily functioning over time? Both matter, and a satisfying conversation alone may not tell us which one improved.
A new Consumer AI and Mental Wellbeing Commission will assess evidence and oversight for AI support. A useful question for any app: who checks whether it helps, who tracks harm, and what happens when the model changes? https://t.co/xBPjNMOFFl
@muhamadalyrifai The weekly coach feedback is an important detail. For digital CBT, how much benefit comes from flexible timing, daily practice, and human feedback? Which parts can be simplified without losing engagement? https://t.co/iTMDcpdeLp
@APA_Journals The next comparison I’d like to see is with another credible group programme offering the same amount of contact. Seven 2.5-hour sessions is substantial support; a waitlist comparison can’t tell us how much of the benefit was specific to ACT.