Clinical Reality

Psychiatry Clinician | MSPAS| BA Psych| MPH | Clinical takes on anxiety, ADHD, trauma & attachment.
No fluff. Just patterns

[Clinical Reality @ClinicalReality]

I don’t know who needs to hear this, but the only person you should listen to about SSRIs or any other psychiatric medication is a psychiatrist.

Seeing far too much misinformation being shared on X by psychologists, therapists, and other randoms with no knowledge of psychopharmacology.

[Clinical Reality @ClinicalReality]

The most mentally healthy people protect their attention like it's oxygen.

[Clinical Reality @ClinicalReality]

A nervous system that never experiences boredom eventually forgets how to focus.

[Clinical Reality @ClinicalReality]

Severe depression makes even enjoyable things feel like cognitive work.

[Clinical Reality @ClinicalReality]

Anxiety is often the brain trying to solve problems that don’t exist yet.

[Clinical Reality @ClinicalReality]

Many people are mentally overwhelmed, not mentally broken.

[Clinical Reality @ClinicalReality]

One quiet issue in mental health discourse: explaining behavior isn’t the same as excusing it.

[Clinical Reality @ClinicalReality]

Depression doesn't just affect mood — it also shrinks the future in someone's mind.

[Clinical Reality @ClinicalReality]

Awareness is important, but the brain improves from behavior change, not vocabulary.

[Clinical Reality @ClinicalReality]

Some people are searching for the perfect diagnosis instead of building the right lifestyle for their brain.

[Clinical Reality @ClinicalReality]

The internet has made people fluent in mental health language and sometimes resistant to behavioral change.

[Clinical Reality @ClinicalReality]

@hospitalcelular And continues to be underrated!

[Clinical Reality @ClinicalReality]

Internet: “dopamine detox.”
Clinic: sleep, movement, sunlight.

[Clinical Reality @ClinicalReality]

Internet: burnout.
Clinic: 5 hours of sleep + constant stimulation.

[Clinical Reality @ClinicalReality]

Internet: SSRIs are poison.
Clinic: millions of people quietly functioning better because of them.

[Clinical Reality @ClinicalReality]

Internet: ADHD means you can't focus.
Clinic: ADHD often means you focus too much on the wrong thing.

[Clinical Reality @ClinicalReality]

Internet: SSRIs are poison.
Clinic: millions of people quietly functioning better because of them.

[Clinical Reality @ClinicalReality]

Internet: everyone has trauma.
Clinic: some people are chronically exhausted and overwhelmed.

[Clinical Reality @ClinicalReality]

Phones didn’t create ADHD, but they absolutely compete with attention in ways the brain never evolved for.

[Clinical Reality @ClinicalReality]

@ompsychiatrist @APApsychiatric Poor sleep, a lack of self care, poor nutrition/appetite, comorbid substance abuse within depressive episodes all contribute to the shorter lifespan.

[Clinical Reality @ClinicalReality]

The brain adapts to what you repeatedly do — if your day is mostly scrolling, distraction starts to feel normal