Jackie Rakov

Forensic & general psychiatrist. From fixated threat to psychotherapy. Retweets are not my opinion.

[Jackie Rakov @psychwrite]

For some light hearted fun, i.e. don’t at me… (not exhaustive, everyone is valued, etc)

#MetGala2022 attendees as #mentalhealth staff; a thread 🧵;

[Jackie Rakov @psychwrite]

A statement from mental health leaders on treatment gaps https://t.co/go5JbPXbvm

[Jackie Rakov @psychwrite]

The rise of psychotic homicide
https://t.co/LwzdZskqum #mentalhealth

[Jackie Rakov @psychwrite]

Would you like lives with that?
If rehabilitation means fewer people get hurt, I think we can all survive the disappointment of an offender’s life improving
A forensic psychiatrist asks some irritating questions about “tough on crime”.
https://t.co/mGwO5jew7j #vicpol #crime

[Jackie Rakov @psychwrite]

@_Zer0_C00L__ Thank you. Oh yeah, they’re all deserving of their own blogs. “I care for her very much”.
Hard to know how much time pressure I’m under seeing as jury about to enter fifth day deliberations…

[Jackie Rakov @psychwrite]

Expert Witness Testimony: Do as I say, not as I do... https://t.co/GXYhhk6sPg

[Jackie Rakov @psychwrite]

I hope you enjoy my latest essay
https://t.co/VkXtutY7pe

#lindsayclancy #psychtwitter

[Jackie Rakov @psychwrite]

So, what the heck is a forensic pyschiatrist?
https://t.co/LdYJQ2Fo5Y

[Jackie Rakov @psychwrite]

@DaveSharma Did the Nazis examine the Jews during Nuremberg?

[Jackie Rakov @psychwrite]

@LiangRhea CSG *is* a licensed security group. He’s not suggesting just arming Jewish civilians willy nilly, Rhea. A quick Google and you could have avoided a naive and widely experienced-as-offensive tweet.

[Jackie Rakov @psychwrite]

@LiangRhea I’m not suggesting a competition over which community has suffered more. The question is simple: if a school is repeatedly threatened, should parents ignore the risk, or should they take reasonable steps to protect their children?
Licensed security ≠ “more violence”.

[Jackie Rakov @psychwrite]

There’s something everyone needs to know.

You can’t all have ADHD.

#psychiatry

[Jackie Rakov @psychwrite]

@Democra23125849 @tigertuffmark I think it’s wise to be careful differentiating Muslim or Islamic, from Islamist! They are not the same.

[Jonathan Shedler @JonathanShedler]

The benefits of psychotherapy don’t come from self-disclosure. They come from working through inner obstacles (like shame and fear of judgment) to self-disclosure.

This work must happen in the therapy relationship. Take it outside the relationship and it’s no longer therapy.

Psychotherapy works because there is skin in the game. In all relationships, including psychotherapy, there is vulnerability and risk. You may feel shamed. You may be judged. You may be rejected.

Remove these risks and you remove the therapy. It becomes a meaningless illusion.

It’s the illusion that there is such a thing as connection without vulnerability. There isn’t. It’s the illusion of understanding, without risk of misunderstanding. It’s the illusion of facing emotional risks, without actual bravery.

It’s buying into a comforting lie.

Real psychotherapy is never a game of pretend. It’s never about comforting illusion in place of difficult truth. It’s about facing ourselves honestly, in a real relationship that comes with real risk.

This is how emotional change and growth happen.

The core defining feature of real psychotherapy is facing the truth, and telling the truth, and living the truth. Not living in illusion.

So many want a bypass. There is no bypass.

[Jonathan Shedler @JonathanShedler]

“Good psychotherapy creates the conditions for its own expiration because the patient will no longer need us. As Winnicott noted, ‘We all hope our patients will finish with us and forget us, and they will find living itself to be the therapy that makes sense.’”
—Nancy McWilliams

[Interesting things @awkwardgoogle]

The Ukrainian actress Tania Galakhova portrayed what it's like to live with depression 😢

[Glenn Sullivan @drglennsullivan]

Read along with my Intro to Psychotherapy students!

[Jonathan Shedler @JonathanShedler]

Some therapists speak of

trauma work / shadow work / family of origin work / dream work / parts work / attachment work / etc. etc.

as if they were separate things or special skill sets

Psychodynamic therapist don’t use these terms. Frankly, they sound silly to us. They’re the bread and butter of what we do, day in day out

We also have a special term for this kind of work. We call it “psychotherapy”

[Jackie Rakov @psychwrite]

@gayatri_d @Ahpra I think there should absolutely be scrutiny on prescribers. I had a doctor contact me about my own patient asking if I was “happy with” her proposed dose. She didn’t know he had major mental illness and was just happy to pull the trigger.

[Jackie Rakov @psychwrite]

https://t.co/VxQZY39U9e
@Ahpra warns against businesses that prioritize profits > patient welfare, particularly those prescribing a single class of drug w/o thorough assessments. A surge (18K users in ‘19 to >1M million by Jan ‘24) raised concerns re: de facto recreational market