The All of Thine That Cannot Die: Farewell to Two Friends In memory of Dan J. Stein and Lisa Wallace www.psychiatrymargins.com/p/the-all-of...

Though I think I’m a little late to the party, I had to share this book. Some of the best writing I’ve read in years. Come for the analysis of AI agency, stay for what it reveals about human consciousness and spirituality.

In my practice, I ask: - How often do you spend time with friends in-person outside of school? - What activities do you do with other people that are just for fun? I am often shocked by how little time kids are spending with this vital part of healthy development.

Here at AACAP 2025. Excited to present with some incredible colleagues on the evidence we’re building in the treatment of pediatric catatonia in ASD.

Thought-provoking as always. My main question mirrors the post-script. Is there anything we can do with nosology or language in ASD that would *guarantee* benefit for autistic people and maintain an honest recognition of the complex truths scientists know (and don’t) about the autism spectrum?

“Boredom proneness overlaps with inattention and impulsivity but does not capture hyperactivity, working memory deficits, or problems with planning and organization.” Excellent article. An example of this distinction: the higher risk of car accidents is probably not due to boredom proneness alone.

An interesting look at integrating several emerging heuristic models in psychiatry. With some discussion of what it would really take to create a paradigm shift.

This is excellent work. Exactly the type of research that can help us resolve the tense debates around the diagnosis, epidemiology, and nosology of catatonia. Spoiler: presentations change fast, even within 24 hours!

The RFK Jr + MAHA alliance may very well ensure that the psychiatric harm movement is eventually remembered not for saving lives from medical overreach, but for wrecking public health in America. The irony of this outcome will not be lost on observers and future commentators.

Recent articles about the use of AI in psychotherapy make me feel the way an older generation of psychiatrists must have felt watching the interpersonal aspects of their practice being discarded with applause from the business world and media.

This post made me think of the many times I’ve heard a patient describe their past treatment with misleading metaphorical language, oftentimes inherited from a physician. It’s humbling to remember that our metaphors are carried outside our offices and may shape self understanding for a lifetime.

Robert F. Kennedy calls autism an epidemic and treats it like a crisis. But the Trump administration has cut autism-related research by 26 percent since he took office. www.reuters.com/business/hea...

Thanks to @autismsciencefd.bsky.social for giving me some time to talk about how catatonia is diagnosed in autism. Some really excellent questions at the end. Enjoyed being with you all!

I’ve been searching for “the point” behind the MAHA movement and RFK’s policies. All the doctors I know feel like it’s headed for disaster. So why does it have so much steam? Some recent pieces have made it clearer to me: (1/6)

If psychiatrists want an effective collective response to the administration’s approach to psychiatric medications, it’s going to take clear-eyed communication like this.

Many major autism advocacy organizations representing a huge variety of viewpoints (sometimes starkly opposing one another) released this joint statement. Their points: 1. Vaccines do not cause autism 2. Autistic individuals deserve respect and support 3. Evidence-based policy is essential

This is the language of eugenics. Autistic lives are inherently valuable.

The Administration for Community Living, housed in HHS, is shutting down. I spoke to disability experts for @motherjones.com about questions they have for what’s next, the services ACL provides, and how this move may lead to more folks being institutionalized. www.motherjones.com/politics/202...

One way the mainstream "over" (or "under") diagnosis discourse is misleading is the assumption there is some natural, correct number of neurodivergent people. But there is no natural number, as disability is relationally, materially, and socially produced.

“The psychiatrist, scrolling through the criticism on their phone, can sigh, close the app, and move on with their evening, while the harmed patient sits, eyes wet, waiting for a response, feeling alone and terrified by the world’s indifference to their suffering.”

Fantastic presentation by @jrbneuropsiq.bsky.social www.youtube.com/watch?v=Pl-J...

RFK and friends would have us believe medicine (especially psychiatry) is ruining our country. He would like to return to a golden age before all this. As this article brilliantly illuminates, there is no such time. Reactionary voices have been blaming medicine for “moral decline” for centuries.

What a piece. This manages to both review a book and paint a picture of the type of psychiatry I think is worth practicing— one that asks deep questions about agency and iatrogenic harm while remaining committed to understanding that patients’ positive experiences with medications are not illusory.

🧵 It’s certainly not typical to find an article about anti NMDA receptor encephalitis or #catatonia in People magazine, but I was pleasantly surprised to find this important read raising awareness of both topics. people.com/man-29-ends-...

"More people died from homelessness than homicide in Nashville this year.” A friend shared this photo from yesterday's memorial at Riverfront Park.

"When I identify my suffering as illness-like, I wish to lay claim to a caring interpersonal relationship, instead of one which negates my experience and my deliberations on my experience by telling me that I have misunderstood the nature of my suffering." @zsuzsannachappell.bsky.social's paper/

An incredible, devastating piece of journalism. How could anyone rebuild trust in health care after a family or community experiences something like this?

A little hope for your day: In group therapy with teens these past few weeks, I noticed the kids are consistently rejecting stigma against mental illness. It feels really different than even a decade ago.

Who has written a good history of the medical assistance in dying as a medical-legal phenomenon?

The Routledge Handbook of Philosophy of Delusion edited by @emas-b.bsky.social w/ chapters by @lisabortolotti.bsky.social @rritunnano.bsky.social @matthewbroome.bsky.social @philcorlett.bsky.social and one by me on Delusions and Conspiracy Theories is out now! www.routledge.com/The-Routledg...

Here is the link to the Philosophy of Psychiatry starter pack. go.bsky.app/GaNgDHt

#psychsky Any recommendations for primers on the history of diagnostic classification systems in psychiatry? I am working on creating a short lecture series on the history and philosophy of psychiatry for psych residents and fellows. Will be asking for advice as things develop!

Let’s get a starter pack going for academic psychiatry!

My cat is completely convinced that whether she gets her dinner early, on time, or late is determined by the strength of her campaigning, when in reality it is determined by economic factors far beyond her comprehension. In this way we are not so different.

The Medical Model of Psychopathology “[The term] “medical model” has become a slogan for use in public debate than a term of precision for furthering intellectual discussion or scientific discovery.” Gerald Klerman, 1977 *new post* www.psychiatrymargins.com/p/the-medica...

Day 1 on this app! Looking forward to connecting with familiar faces in a new space.