Daniel Cerda, DNP

Doctor of Nursing Practice. Product of and contributor to the University of Texas System- UT Austin, UT San Antonio, and UT Health Houston

[Daniel Cerda, DNP @DCerdaRN]

@BasedMikeLee Clowns. All of you.

[Matthew Yglesias @mattyglesias]

Musk became Donald Trump's #1 political donor, assumed a high-profile role early in his administration, and in that role inflicted incredible harm on some of the most vulnerable people in the world while failing to achieve any of his stated goals.

https://t.co/mObo8uRpER

[Cathy Young 🇺🇸🇺🇦🇮🇱 @CathyYoung63]

I apologize for the language, but JESUS EFFING CHRIST. Evil. Pure fucking evil. Burn in hell, you unspeakable bastards

[Team Talarico @TeamTalaricoHQ]

We agree.

[Anthony Slater @anthonyVslater]

Here is two minutes of an extremely emotional Victor Wembanyama celebrating the aftermath of a conference finals elimination of the Thunder. Advances to his first Finals five months after his 22nd birthday.

[Barstool Sports @barstoolsports]

SPURS. KNICKS. NBA FINALS.

LOOK AT WHAT IT MEANS TO WEMBY!

[Dave Hale - Concerned Republican @CountryFirstRep]

It is legitimately a tragedy that the 250th anniversary of this country's birth will be presided over by a president who is EVERYTHING the founders warned us against -- a partisan demagogue who fundamentally loathes the separation of powers and denies election results he dislikes

[Tyler Black, MD @tylerblack32]

Re: Trump's bruising

I obviously cannot diagnose someone online and I am a psychiatrist so my diagnosis might not be the best but I would really put good money on him regularly needing IV diuretics for his pretty obvious congestive heart failure, leading to the bruising we see.

[Om Prakash, MD @ompsychiatrist]

Depression is not “just sadness.”

A huge @WPA_Psychiatry World Psychiatry Journal review of 268 cohort studies found depression linked with nearly double the risk of premature death and almost 10× higher suicide risk.

Important detail: antidepressant treatment was associated with about 20% lower overall mortality, and ECT with about 30% lower mortality.

So before we casually say “avoid treatment,” remember: Untreated depression has risks too.

[Senator John Cornyn @JohnCornyn]

An old, but apt fable:

A scorpion wants to cross a river but cannot swim, so it asks a frog to carry it across. The frog hesitates, afraid that the scorpion might sting it, but the scorpion promises not to, pointing out that it would drown if it killed the frog in the middle of the river. The frog considers this argument sensible and agrees to transport the scorpion. Midway across the river, the scorpion stings the frog anyway, dooming them both. The dying frog asks the scorpion why it stung despite knowing the consequence, to which the scorpion replies: "I am sorry, but I couldn't help myself. It's my character." @Wikipedia

[Jay Nordlinger @jaynordlinger]

The Paxton victory in Texas has resurfaced the issue of character. I think young people would be shocked at how much emphasis Republicans and conservatives once placed on character: character in office, character in society. Personal responsibility. Etc. It wasn't that long ago!

[LanaQuest aka RosaSparks @LqLana]

Hey MAGA Texans.

Let me introduce you to Adam Hoffman. He raped his son’s best friend from the age of six years old to nine years old. For three years this man raped a little boy.

Paxton made sure his buddy only got a 60 day sentence. Oh wait it gets better, he didn't even serve the full sixty days.

Wait wait, it's gets even better. He doesn't have to register as a sex offender and his record has been wiped clean.

MAGA maniacs want women to go to prison for miscarriages but are cool with pedophiles going free.

Ken Paxton is a disgusting criminal, that's why Trump endorsed him.

Make sure you have a plan to vote. @jamestalarico is what Texas needs. Not more of the Epstein Class.
#DemsUnited

[Chris Dell 🧪 @MaddJournalist]

I’ve played, coached, reffed & covered basketball for 30+ years. I’m also NOT a Spurs fan. What OKC has done — building half their strategy to manipulate the refs on every possession — is a disgrace to the game and awful to watch. This is Harden on steroids. Fans deserve better.

[James Talarico @jamestalarico]

Ken Paxton just gave an Epstein-style deal to a pedophile.

Paxton released Adam Hoffman — an admitted child rapist — back on our streets after Paxton’s rich lawyer friend got involved.

The Epstein Class has no place in Texas. Ken Paxton has no place in the US Senate.

[Team Talarico @TeamTalaricoHQ]

NEW AD: Meet Ken Paxton — the most corrupt politician in America.

He’s gotten away with it for years.

That ends this November.

[Team Talarico @TeamTalaricoHQ]

This is Ken Paxton's mugshot.

He was indicted on 3 felony counts for investment fraud.

He was reported to the FBI by his own staff for bribery.

He was impeached by his own party for corruption.

Now he’s the Republican nominee for US Senate in Texas.

Together we will stop him.

[Aaron Rupar @atrupar]

Dr. Jonathan Reiner: "The president has severe daytime somnolence. He falls asleep very often. He's fallen asleep in the Oval Office on multiple occasions with people talking to him in the cabinet room, and I was concerned yesterday that he might have fallen asleep at Arlington National Cemetery during Memorial Day observances. Chronic insomnia is a severe illness. It can result in an increase in risk of dementia, decrease in cognitive effects in older people."

[Om Prakash, MD @ompsychiatrist]

Dr. Moncrieff, your post is sparking a vital debate, but as a psychiatrist seeing patients climb out of severe depression every single week, I can’t stay silent on the one-sided narrative.

Here’s my perspective point by point:
1. On harms like severe withdrawal and PSSD: Withdrawal is real and can be tough. We urgently need better & slower tapering protocols. PSSD is a rare but acknowledged risk, and we discuss it openly in consent. With careful, patient-led tapering, the vast majority stop without lasting issues.

2. On effectiveness (“not very effective at best”): Large meta-analyses (Cipriani Lancet 2018 and later network studies) show clear & meaningful benefits over placebo for moderate-to-severe depression i.e. real symptom relief, fewer relapses and better daily functioning for many. They shine brightest alongside with therapy.

3. On not targeting an underlying biological abnormality: The old “chemical imbalance” line is a strawman we’ve moved past. Depression involves complex biology involving genetics, stress responses, inflammation and neuroplasticity. Antidepressants help modulate those pathways, much like treatments for other multifactorial conditions.

4. On growing patient voices describing treatment as misleading or disabling: Every voice matters, especially the painful ones. In clinic, however, the majority of patients report getting their lives back i.e. work, relationships & hope. Untreated depression carries its own heavy costs. Online spaces can sometimes amplify one side.

5. On working together to help the harmed and prevent more harm: I am 100% with you on better surveillance, tapering clinics and more research into alternatives. Real collaboration would be powerful. At the same time, broad discouragement risks leaving many who could benefit stuck in suffering.

Thank you for kind attention
@joannamoncrieff

[Om Prakash, MD @ompsychiatrist]

As an Indian psychiatrist in clinical practice, I see patients battling real mental illnesses every single day i.e. severe depression, schizophrenia, bipolar disorder, anxiety disorders that cause deep suffering and completely disrupt their daily lives. We diagnose strictly by ICD criteria: clear symptoms plus significant distress or disability. Never just for general life dissatisfaction.

When meds are needed, they’re backed by decades of solid RCTs, and we always combine them with therapy, lifestyle changes, and support.

Psychiatry is real medicine. Let’s judge it by science and actual patient recovery, not assumptions.

[Awais Aftab @awaisaftab]

When patients ask, “What disorder do I really ‘have’?” the honest answer is usually more interesting and messier than a single label. I wrote for the @nytimes on what I wish people understood about diagnoses and the nature of mental health problems.

https://t.co/ua2g6PzeAZ