"Everyone always has sound, rational reasons for caving to intimidation. They’re protecting their reputation, their job, their family, their institution, their investments—the number of reasons... compounds until fighting back can feel like a fool’s errand." www.theatlantic.com/ideas/archiv...

The psychiatric dimension of a family tragedy and why it requires subjective investigation... real-psychiatry.blogspot.com/2025/10/nobo...

Trump is literally destroying the White House. After promising that his absurd $250M ballroom wouldn't interfere with the existing structure, he lied and is destroying the White House. Wealth & income inequality is at record highs in America, but glad we're spending $250M on a vanity project.

Generating good anonymous genograms that don't require a lot of labeling. This software does a good job. gdpsychtech.blogspot.com/2025/10/geno...

For more information about the Friday night massacre at CDC, I wrote up an analysis of who got terminated and what that means for public health. Grateful to @saveamericamvmt.bsky.social for supporting and amplifying. We are in really terrible trouble. rasmussenretorts.substack.com/p/the-death-...

New graphic on test/criteria on autism prevalence. See reference 4 in graphics credit. I am working on an update. real-psychiatry.blogspot.com/2025/09/the-...

The UpToDate antidepressant transition tool: they have always had a solid chapter on this topic - now they have a tool. I review it in this blog post: real-psychiatry.blogspot.com/2025/10/upto...

Not a feminist but here are the facts I have see and have lived them... real-psychiatry.blogspot.com/2025/10/why-...

How politics has the opposite effect of psychotherapy... real-psychiatry.blogspot.com/2025/10/how-...

Just a reminder that the last two government shutdowns happened under President Trump, with Republicans in control of both chambers. These people cannot govern, and they need Democrats to bail them out.

My take on the Trump-Kennedy press conference on autism. A few detailed comments on what they said at the very end. More detailed scientific discussion to come - the focus here was epidemiology and rhetoric: real-psychiatry.blogspot.com/2025/09/the-...

A comprehensive analysis of combined stormwater overflow (CSO) discharges to coastal waters and data communications by a UK water company between 2021 and 2023 @envsci.rsc.org pubs.rsc.org/en/content/a...

Yesterday I listened to an endless stream of commentary on political divisiveness in the US up to and including Civil War! To quell the mass hysteria I have a simple 5-point primer on how to nip it in the bud. real-psychiatry.blogspot.com/2025/09/a-pr...

Solid essay on the issue. www.psychiatrictimes.com/view/no-anti...

He's right, and it's not just Brazil. Around the world, at least 31 democratic leaders who committed similar crimes have been jailed or banned from office since 2010. The failure to hold Trump accountable in the US was a unique and systemic failure of our institutions and political culture.

Recognizing and neutralizing projection is the uniting factor we all need in American politics. It is not the only thing but it is free and most mature adults can do it. real-psychiatry.blogspot.com/2025/09/proj...

What Nobel Prize doesn't Trump deserve? How about one that he knows absolutely nothing about?

Well he already has the blade and we need to take it away from him. And don't forget only about 1/3 of the people voted for him. 1/3 stayed away from the polls. This is why democracy stops working.

Labor Day greetings.... real-psychiatry.blogspot.com/2025/09/the-...

Had planned to list all of my firearm related posts but decided to keep it simple. real-psychiatry.blogspot.com/2025/08/lett...

What's wrong with RFK's ideas about "SSRIs and some of the other psychiatric drugs" causing violence and researching that? The data is already out there: real-psychiatry.blogspot.com/2023/03/like...

Are vaccines safe? Let’s ask a guy who has put live animals in a blender to make food for his hawks and injects an illicit tanning drug that the pharmaceutical industry chose not to try to take to market for humans because it caused sexual aggression in rodents.

The sabotage of American medical science by Trump and RFK Jr. is the equivalent of mass murder.

Yes, the stakes here are large. Very large.

Hard to believe I have to say existential threats are important - but in the US we have a spin machine suggesting they are not. That climate change will just result in more beachfront property... real-psychiatry.blogspot.com/2025/08/exis...

☝️please share @tylerblack.bsky.social @jonathanstea.bsky.social @jrbneuropsiq.bsky.social @profrobhoward.bsky.social @drhowardliu.bsky.social @dranniehickox.bsky.social @psychologistsny.bsky.social @awaisaftab.bsky.social @paulsummergrad.bsky.social @gdspeedskates.bsky.social

Does lithium deficiency cause Alzheimer's Disease? Can it be corrected by replacing lithium as a micronutrient? People seem to be acting like both of those statements are true. real-psychiatry.blogspot.com/2025/08/lith...

A first-rate review of MASH (fatty liver disease) @nejm.org www.nejm.org/doi/full/10....

An overview of a new book on psychotherapy, how psychotherapy is learned, and its place in psychiatry. real-psychiatry.blogspot.com/2025/08/a-ne...

Or - How To Be An Acute Care Psychiatrist. It may be surprising to learn that it has nothing to do with the DSM - but very much to do with how all physicians are trained. real-psychiatry.blogspot.com/2025/08/an-m...

A further discussion of the reality of homelessness, mental illness, and substance use as a public health problem rather than a political one. real-psychiatry.blogspot.com/2025/07/more...

A serious attempt at solving the problem or more rhetoric? real-psychiatry.blogspot.com/2025/07/the-...

h/t to Dr. Kendler for the original paper. real-psychiatry.blogspot.com/2025/07/meta...

WTF??? #NOKINGS #NOICE #NOFASCISTS #NOPEDOPHILES #DEFENDDEMOCRACY #EMPATHY #TOLERANCE #HUMANITY #dueprocessforall #RESIST #GOODTROUBLE

Fear and loathing with prepubertal sleep arousal disorders... real-psychiatry.blogspot.com/2025/07/the-...

Trump finds new ways to embarrass himself every day.

the reason that Trump has chosen South Sudan, Libya, and El Salvador is not in spite of their human rights record but because of them. he wants the people he targets to suffer indescribably horrific deaths.

Fascism Justice

A few comments about clinical trials compared with clinical practice. real-psychiatry.blogspot.com/2025/06/clin...

“Today, the threat is to birthright citizenship. Tomorrow, a different administration may try to seize firearms from lawabiding citizens or prevent people of certain faiths from gathering to worship.” “Rather than stand firm, the Court gives way,” she wrote. https://trib.al/GaP26Gk

Add "hostile empathy" to the growing list of terms that should never be used in psychiatry. real-psychiatry.blogspot.com/2025/06/what...

👇👇

Jon Stewart made a good point about this the other night. The same political party that promotes gun extremism has a much lower threshold when it comes to other issues where "one death is too many." In the case of guns - not so much. real-psychiatry.blogspot.com/2025/06/pedi...

US Veterans peacefully protesting Trump’s military birthday parade arrested at Capitol Hill. This is the moment a 80+ year old US veteran is taken away in handcuffs for practicing his 1st Amendment right. #3E #NoKings #NoKingsProtests (🎥 @gregjstoker.bsky.social )

Pretty obvious but good to hear it from a pro.

As a four-decade veteran of the daily journalism business, let me tell you: Every competent political reporter in this country knows that Trump is trying to establish a dictatorship. The industry's shame is that so few journalists will say so, and the ones who do lose their jobs.