In the Zone

[In the Zone @tsigward]

@AhmadRehanKhan Its arrogance. They should have consulted with the other providers and someone with more experience with these situations. They were lazy.

[In the Zone @tsigward]

@m_aadil @AhmadRehanKhan It's laziness and arrogance.

[In the Zone @tsigward]

@Shruti_0810 AI

[In the Zone @tsigward]

@DrChloe_ Very much enjoyed your insights on this podcast!

[In the Zone @tsigward]

@DrCamiloOrtiz Glad I am not the only psychologist that thinks this way. APA has been ideologically captured for some time.

[Dr. Matthew M. Wielicki @MatthewWielicki]

The warming we have seen in the 26 years from 1998-2024 is equivalent to what we saw ~80 years ago (from 1916-1942). This one makes the cult real mad so share it widely.

[In the Zone @tsigward]

@ClinicalReality Okay, what is the mechanism for SSRIs "treating" these apparent biological conditions? Nobody knows because we cannot find biomarkers in the brain. Maybe in some cases blunting affect in these conditions makes people feel better. See Joanna Moncrieff's "drug-centered model."

[In the Zone @tsigward]

@ClinicalReality Now try ADHD

[sami timimi @stimimi]

There is no biological difference that can be used to differentiate people with an ADHD diagnosis from those without it. There are no characteristic genetic, brain or chemical differentiators between those with or without an ADHD diagnosis.

[sami timimi @stimimi]

@penelopepriest There is no 'ADHD' specific treatments. Stimulants (mainly amphetamines) work on anyone to alter their mental state - which is why people take them recreationally. The whole thing is a dangerous fraud

[sami timimi @stimimi]

With ADHD genetics, the scientific cupboard is empty, and the null hypothesis stands: there is no characteristic identifiable genetic abnormality/ profile associated with ADHD

[In the Zone @tsigward]

@DoctorPerin @Schwettynerd Imaging shows ADHD is associated with distributed, developmentally dynamic differences in brain structure and function not dysfunction. These differences are probabilistic, small, and overlap heavily with typical development and other conditions. Imaging evidence for ADHD is weak

[In the Zone @tsigward]

@DementiaLeague I have seen the devastating effects when professionals who should know better are cavalier in offering this option without ensuring they are adequately prepared for the potential results.

[In the Zone @tsigward]

@DementiaLeague I have worked with patients and families experiencing the ravages of this disease for 30 years. It insults me to be told that I am treating them as ignorant and stupid. Yes give them the choice but educate them carefully about the potential consequences .

[In the Zone @tsigward]

@DementiaLeague I had a patient see me today who had been told she was APOE positive and therefore that she had Alzheimer’s by a neurologist. She became depressed, attempted suicide and was hospitalized. Results of her neuropsych evaluation were intact.

[In the Zone @tsigward]

@newstart_2024 There has never been a consistent biomarker found on imaging or elsewhere for supposed ADHD. In addition, the youngest children in a class, born in the last 2 months before the cutoff date for the next grade account for 80% of those diagnosed.

[In the Zone @tsigward]

@DementiaLeague Yes, education and careful consideration regarding the potential benefits and consequences of knowing your status is vitally important. With no currently known viable medical treatments I only suggest it in the context of a broader neuropsych eval.

[In the Zone @tsigward]

@DementiaLeague I have patients who have found out that they were genetic APOE e4 carriers and developed notable anxiety and depression as a result.

[In the Zone @tsigward]

@DementiaLeague What is the benefit?