Anonymous Psychologist

[Anonymous Psychologist @anonpsyk]

@memnosoncos @AllenFrancesMD This is so true. I don't understand why people want to be therapists without ever having been to one.

[Anonymous Psychologist @anonpsyk]

@terryca53306307 She should not be going off it cold turkey! If she demands it, the prescriber should prescribe lower doses.

[Dr. Josef @DrJosefWD]

People ask why I left conventional psychiatry. This clip is the honest answer.

In my training, I entered medicine in the age of mass prescribing. Four patients an hour. Panels of 500 or more per doctor. At that scale you cannot understand anyone's life. It is impossible. So the system does the only thing it can do at that speed: diagnose by checklist, prescribe, next patient.

And nobody ever said the quiet part out loud. Nobody in my training acknowledged that we were offering pills because pills were all the system had time for. Instead we were handed a story that made it feel like good medicine: these drugs fix a chemical imbalance. Low serotonin, magic bullet, done.

Here's what I actually watched happen. Someone starts on 5mg of Lexapro, disappears for six months, comes back tolerant. The dose goes up. A few years later they're maxed out, so a second drug gets added. Then a third. I had panels full of people on four or five psychiatric medications, years deep in the system, and the cumulative side effects were outweighing any benefit. These were not people who were thriving. They were blunted, medicated, and slowly getting worse, while the root causes of their suffering went completely unaddressed.

That's not why I became a doctor. It's why I do what I do now.

[Anonymous Psychologist @anonpsyk]

@KyleKulinski They didn't die of measles.

[Anonymous Psychologist @anonpsyk]

This is the company https://t.co/rZJzzdrwWk

[Anonymous Psychologist @anonpsyk]

Cognitive behavioral therapy, delivered by AI chatbots, is being supported by the FDA for Medicare beneficiaries in a pilot program called TEMPO. The company is Limbic, Inc. and their product, "Unpacked," will also conduct intake evaluations. https://t.co/35OS43Z0b9

[Anonymous Psychologist @anonpsyk]

@DoctorPerin What is the proof for this?

[Medicating Normal @MedicatingNorm1]

"The history of the newer antidepressant drugs is a remarkable demonstration of how fraud in the randomised trials and financial corruption have killed patients. For almost 40 years, the psychiatric leaders have denied that antidepressants increase suicides despite overwhelming evidence that this is correct."

#MentalHealthAwareness #antidepressants #SuicidePrevention

https://t.co/r6kBbOMWSV

[Anonymous Psychologist @anonpsyk]

It depends on the training program. Most people getting out of grad school, especially master's degree programs, have minimal experience, and most likely were taught the most basic approaches, such as cognitive behavioral therapy. There are other approaches that are more complex to learn and are more comprehensive in their ability to help people if done properly.

[Anonymous Psychologist @anonpsyk]

@LisaRayxx https://t.co/tlJo0unkU3

[Anonymous Psychologist @anonpsyk]

@DawnsMission What are they doing? Making $$.

[Anonymous Psychologist @anonpsyk]

@TakeThiamine Great book!

[Anonymous Psychologist @anonpsyk]

Just heard from some new clients that the first couples therapist they went to told the husband to stop talking to the wife for a month (in an individual session with the husband). WTF? The wife had no idea why the husband wasn't talking to her. How is this therapeutic?

[Anonymous Psychologist @anonpsyk]

@DrMcFillin This has been going on for years. During my pre-doctoral internship (way back in 91-92) I had way more clinical training and supervision than any of the other interns. Supervision for master's level therapists seems especially lax.

[Anonymous Psychologist @anonpsyk]

@ValerieAnne1970 People seem to love taking pills. They want a magic bullet. They don't want to feel their feelings. They don't want to explore underlying causes. They want a quick fix. That's what a pill represents to them.

[Anonymous Psychologist @anonpsyk]

@DoctorPerin We "learn" to be anxious, mostly from our parents.

[Anonymous Psychologist @anonpsyk]

@DrJosefWD I had a 80 something year old client who was weaning off of Xanax. I don't know if she ever got completely off it, but she found that Lavela (a specially formulated lavender oil for oral use) helped her. Yet psychotherapy did more for her than any drug or supplement ever had.

[Anonymous Psychologist @anonpsyk]

@ValerieAnne1970 People seem to love taking pills. They want a magic bullet. They don't want to feel their feelings. They don't want to explore underlying causes. They want a quick fix. That's what a pill represents to them.

[Anonymous Psychologist @anonpsyk]

What I'm seeing in online therapist groups about the Lindsay Clancy case is scary. There is a lot of vitriol towards her. Hardly anyone seems to think the 30 drug polypharmacy cocktail could have effected her negatively in any way.

[Anonymous Psychologist @anonpsyk]

@TakeThiamine I was told that a nurse practitioner in my state gets paid $1280 by Medicaid for an initial med evaluation of 60 minutes! 10 minute med checks are paid at the rate of $144! for comparison, as a psychologist I get paid by a major insurer $140 for an initial evaluation.