I’m flying to Seattle to see my kids and someone allowed me to cut ahead of them when two lines for boarding were merging. Big and little kind acts make the world go round!

8 Nov 2025 -- Good explainer from TIME. Money quote from Chase Strangio: "What these Executive Orders do is open the door to sex-based policing that cannot be enforced without subjecting everyone to some sort of scrutiny & invasive process that will harm us all.” @rikiwilchins.bsky.social

8 years ago my daughter was bitten by a copperhead. She received excellent care from the medical toxicologist at a local hospital and bounced back quickly. So, after the initial fear and worry was passed, learning about and observing the medical care was totally cool!

Inclusive sex education acknowledges the existence of all identities, cis, trans, and intersex/children with differences of sex development. It’s practical and shouldn’t be political.

My employer New York Public Radio just announced that it is offering @onthemedia.bsky.social, @radiolab.bsky.social, and other programs to at-risk public radio stations for free! More info: current.org/2025/09/wnyc...

Using LLMs in this context essentially guarantees that existing biases are maintained and reflected consistently. There’s no longer a way to seek out a “good doctor” if they’re all flattened into using the same poisoned data sets. There is no argument in favor of the ethics of any of this.

“And what of the writers, the thinkers, and the pundits who cannot separate the great crime of Kirk’s death from the malignancy of his public life?”

The big problem is that a large swath of America had never heard of Kirk until yesterday. Every piece in major media about him is an introduction for many, and so conferring the sense of sainthood on him in the long run creates permission for the dangerous response I fear is coming.

With all the acetaminophen and autism discussion these days, it is important to remember that diversity in a community is a gift, and that includes neurodiversity. This beautiful article in August @jaacapjournals.bsky.social says it all. www.jaacap.org/article/S089...

OK, @bebeneuwirth.bsky.social, this is perfect…

6 Sep 25 -- Conservative 1st Circuit Court rebuffs Trump appeal of ruling against its policy of putting only bio sex on passports, saying it failed to "engage meaningfully” w/ finding that it was was motivated by “unconstitutional animus toward transgender Americans." @rikiwilchins.bsky.social

Visibility Brigade Bucks County PA STRIKES AGAIN! 🔥 FIRE RFK! 💙Save the CDC! #FireJFKjrNOW

@guster.bsky.social is a band I’ll see over and over again. And all my kids love them too— parenting win 🏅 🎶🎤❤️

One of the first things you learn about trans competent primary care is how many of us routinely develop PVD, UTIs, and kidney stones from avoiding or not having access to bathrooms. As a fun bonus, the disinfo machine then uses this high prevalence to make mendacious claims about HRT.

It’s mind boggling how many additional people this administration is killing. “I have been in this business for over 50 years on the front lines of public health…And I can say unequivocally that this was the most dangerous public health decision I have ever seen made by a government body.”

3 Aug 25 - New study shows vast "over-representation of trans boys" turns out to be vast _under-representation_ of trans girls bec. they: a) come out ~10 years later; b) start puberty later; & c) delay transitioning longer because of deep social animus towards AMAB femininity. tinyurl.com/yrwvmxws

It has been the honor of my life to serve as Commissioner of BLS alongside the many dedicated civil servants tasked with measuring a vast and dynamic economy. It is vital and important work and I thank them for their service to this nation.

This violates R.I. Gen. Laws § 11‑24‑2.3 on its face which provides protections for gender identity in public accommodations in Rhode Island. Brown University is openly admitting it will brazenly violate Rhode Island state law. I expect lawsuits will follow.

My alma mater is not perfect but I've mostly been proud of them for 48 years Not tonight - this is shameful

NEW: i spoke to nine (!) scientists across several disciplines whose work was cited in the new Department of Energy report that downplays the severity of climate change. all of them say their work was misrepresented, cherry picked, and/or lacked context —

Penn’s acquiescence to the Trump Admin last week is troubling. It condones scapegoating, revisionism, & transphobia. It also condones an interpretation of biological sex that flies in the face of current biological science. Here, @amandastherrien.bsky.social discusses the actual biological truth.

NYT 2 Jul 25 -- NYT, which has done more than any other outlet to make US uninhabitable for trans teens & end their medical care, runs op-id hand-wringing over the resulting huge increase in trans teen suicide & self-harm. Like “being tortured in my body" said one. @rikiwilchins.bsky.social

“Some proclaim that psychiatric treatments are the reason for the public’s worsening mental health. But this statement erroneously collapses a complex situation involving worsening mental health, nihilism, and despair in modern society into an antipsychiatry slogan.”

Everyone who follows me should call their Senator this morning to urge them to vote in favor of Wyden’s point of order and remove the Medicaid funding ban for transgender care from Trump’s horror bill.

I'm sure the parents of trans kids will take great comfort knowing we can't say if a ban on their health care will kill their child--their child will merely wish they were dead

Guardian 28 Jun 25 -- Defying strongman Viktor Orban's and his govt's ban on Pride, 200k queer Hungarians take to Budapest's streets and march in defiance, far outstripping earlier estimates of 40k. Love is love, y'all. @rikiwilchins.bsky.social

Like the Supreme Court, I closed up my computer today for a much needed vacation. Unlike the Supreme Court, I did not spend my work hours this year obliterating the rights of a tiny fraction of the population that is just trying to exist.

This was not a full-page ad I was expecting to see in the Sunday NYTimes today

Glutamatergics like amantadine and memantine may help #OCD, but memantine failed in this new RCT: pubmed.ncbi.nlm.nih.gov/40457233#OCD There now are 2 positive and 3 negative RCTs of memantine in OCD, all small, and all from Iran. #psychiatry #pmhnp

My good friend from high school, Sarah, paints rocks for pride in exchange for donations to @trevorproject.bsky.social. She let me know mine would be a bit late but I think it arrived at the perfect time. My dear trans friends and loved ones — you matter, you matter, you matter. #ProtectTransKids

I find that time and content are both frequently problematic in the populations I work with. “Although we agree that content matters as much—or perhaps more—than duration on devices, time spent using digital media is not without cost insofar as it displaces time spent in the real world.”

Excellent news! I’m following @erininthemorning.com to hear when and whether it becomes safe for trans folks to submit for passport updates. This can be risky since you have to pay a fee and send in important documents that could be held indefinitely. 🙏🤞❤️ 🎉

One way in psychiatry we test if something has an innate / genetic basis is with “twin studies” - comparing monozygotic (MZ) and dizygotic (DZ) twins. If MZ are more likely to be concordant than DZ, it suggests an innate / genetic basis This is the case for gender incongruence🧵

1/3 Two excellent @jaacapjournals.bsky.social articles discussed at June’s journal club 1. Innovative front-loading therapeutic program & post-discharge app to prevent rehospitalization and suicide attempts 2. Secrets to efficacy in parenting programs #psychiatry #pmhnp #medsky

Antidepressants differ if we look at individual symptoms rather than total scores on rating scales ▪ Bupropion better for low energy, oversleeping, high appetite ▪ Mirtazapine better for insomnia, appetite loss From re-analysis of STAR*D and CO-MED: pubmed.ncbi.nlm.nih.gov/40449742 #psychiatry

It was a good day in Philly! #nokings @indivisiblephl.bsky.social

There are nearly 100,000 people at the rally in Philadelphia. #NoKings

Despite warnings from the law enforcement not to attend today’s No Kings rally after this mornings shooting of Minnesota lawmakers with the killer on the lose, the No Kings Rally is happening at the Minnesota State Capitol in St. Paul.

This wins the prize for best sign at a Philly rally @ @maddow.msnbc.com

this is the New York Times both-sidesing actual science. "pro-vaccine groups" as in SCIENTISTS and DOCTORS

When I’m working with caregivers who have concerns about their child’s mood and behavior, often when I probe deeper, screen time is a significant factor in what’s going on at home.

Opponents of transgender rights have claimed not enough research exists on care for trans kids. “However, results from our exhaustive literature searches have led us to the opposite conclusion,” the report commissioned by Utah Republicans states. www.advocate.com/news/utah-go...

A happy little long-term project I finished up last week. Thanks to corabelleandbree.etsy.com for the pattern! #crochet

Are your senators on this list? Don’t let them hear the end of it. #ProtectTransKids

Happy Mother’s Day!

1. I reach a lot of readers from a big variety of political backgrounds... and one of the most common points of contention I see centers around transgender sports bans. In my latest story, I make the moderate case against such bans. Subscribe to support my journalism.

April 2025 Book Releases Recap! Here are the books about autism or with Autistic main characters, written by Autistic authors, published in April! 🧵 #AutismBooks #AutisticAuthor #Autism #Autistic #ActuallyAutistic #BookSky

Ok this is pretty cool. Teen Vogue just published an excerpt from my Copaganda book today! www.teenvogue.com/story/copaga...

I love this!! www.theguardian.com/us-news/2025...