Oftentimes, patients do not come to therapy to change. Not really.
They say and think they want to change. It soon becomes evident they want to continue being exactly the person they have been, and living life in the same self-defeating ways—but feel better doing it.
Real psychotherapy begins with helping the person to understand not only intellectually, but to truly take to heart, that what they want is impossible.
In other words, the real work of therapy may begin with crushing disappointment, as the patient struggles to reconcile with the painful truth: neither the therapist nor anyone else has the power to give them what they want.
To feel different, they must become different. And there is no bypass around that psychological work.
Paradoxically, it is this terrible disappointment that opens the door to realistic hope.
Sadly, for every therapist who understands this and is prepared to join the patient in doing the difficult work, there are many more “therapists” happy to bolster the patient's illusion that they can can feel different without becoming different, and therapy can work by magic.
Choose wisely.
Had a wonderful talk with @JonathanShedler to discuss the challenges of finding qualified therapists, the division between practitioners and researchers in the field, the lack of public understanding about legitimate therapy credentials, and the danger of the trend towards brief, "evidence-based" therapies that ignore the time and relationship required for true psychological change. #WalkInsWelcome
ChatGPT just made a diagnosis that 17 doctors over 3 years couldn't make!
A tired mom with a child with a rare disease started entering his symptoms into ChatGPT, which gave a diagnosis for this patient.
She took that information to a neurosurgeon who confirmed the correct diagnosis. This shows the power and the potential of AI, but of course there's still so much work that needs to be done.
These exact algorithms are being utilized by @EveryCure to unlock the full potential of existing medicines, to find treatments for diseases that don't have any.
What do you think are some potential upsides and risks of using generative AI in medicine? #MedTwitter