mental health, psychiatry, and friends 💊 🩺

Have you heard? No one wants to hear about your mental health anymore, if they ever did. It’s passé. It’s cringe. It’s a sign of a cultural decay which you, the individual, are responsible for upholding. We can all un-diagnose ourselves and breathe a sigh of relief that the powers that be have decided it’s over.

The same is true for any assumption that holds the mind or its pathologies to be inexplicable in some fundamental sense: it can only lead to extremely bad explanations. We have no choice but to treat mental illness as unknown but knowable .

Also, psychedelics have a fundamental discordance with allopathic research which can never be overcome. The placebo problem is unsolvable. And these medicines are customarily adjacent to non-directive therapy, and ongoing integration. We'll never be able to quantify those things in a trial format the same we we can for a blood pressure pill.... See more

The search for root causes often means a life event that has triggered the mental disorder. When I hear people talk about root causes, it usually means they are not happy with a biological explanation and want something more psychological, more meaningful, more profound.

In clinical practice, this is tricky though - we can rarely, if ever, put our... See more

1. Some therapists have an overly reductive understanding of psychiatric diagnosis. They seem to think a diagnosis of mental disorder necessarily implies there is some intrinsic brain abnormality. They think if someone’s symptoms can be explained with reference to a history of abuse or trauma, then a diagnosis doesn’t apply to them. The logic is so

... See more

With that investigative spirit, Halsted had embarked on experiments with cocaine—then touted as a wonder drug—with a group of colleagues in 1884. Submitting themselves as test subjects, they explored the drug's pain-numbing abilities by injecting it into their peripheral nerves. In doing so, they would advance the concept of local anesthetic, a... See more

At the core of it seems to be a belief that you - the patient, the self-healer, the consumer - are not the problem, and everyone else is toxic, or a narcissist, or an abuser. You are just vibrating at a higher frequency than they are. Everyone is out to get you. Crucially, the customer is always right.

There is only so much powerlessness, so much indignity in the mounting pressure that people can tolerate, and God, family values, or appeals to a mythical utopian past quite frankly are not going to change a single concrete thing for them. Resorting to the dopamine rush of endless scrolling, or to the sticking-plaster medical intervention of SSRIs,... See more

IFS illuminates the mind's landscape as a mosaic of distinct parts, each with its own voice, identity, and role to play. This concept resonates with our daily experiences; we often catch ourselves saying, "A part of me wants this, but another part of me wants that." Addiction can amplify this internal dialogue, making it feel like an alien force... See more