Founded https://xitter.cf/t.co/LZKzf0qLE0 2011, 6K cases of withdrawal syndrome. Founded Psychotropic #Deprescribing Council 2023. Inventor of #Withdrawalology.
San Francisco, CA
Joined January 2011
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This video illustrates how too-fast psychotropic withdrawal has a domino effect throughout the nervous system and, consequently, many body systems: youtube.com/watch?v=7Nn7NZI_… It can take a while for all the dominoes to fall, explaining delayed withdrawal symptoms.
Where biological psychiatry research gets absurd: bipolar disorder in mice
nature.com/articles/s41398-0…
Kindly #deprescribe -- taper psychiatric drugs retweeted
‼️ Yes, that's right! You have to be brave to step away from the herd and stop being led if you have your own ideas and vision! Women especially get left behind: their ideas either never materialize or are taken by and/or given to someone else to execute.
👩🔬 I learned the hard way: if you want to get great things done, do it yourself and get like-minded, hard-working colleagues to do it with you! 🫂🚀
#WomenInSTEM #WomenInMedicine #brainhealth
Kindly #deprescribe -- taper psychiatric drugs retweeted
An estimated 30–44 million Americans take SSRIs. Many for years (median duration 5 years; Ward et al., 2025).
Longer-term use is associated with a greater risk of severe and prolonged withdrawal (Horowitz et al., 2025).
With Tens of millions taking SSRIs and ZERO standardized, evidence-based safe off-ramp, even a small percentage experiencing severe withdrawal/ withdrawal injury upon attempting to stop could mean hundreds of thousands, if not millions, of people affected.
Kindly #deprescribe -- taper psychiatric drugs retweeted
I am officially free from SSRIs. I was put on them as a young teenager, just starting my life out. Like many people in my generation, I was on them for more than a decade.
I successfully tapered from 125mg to nothing. No more zoloft.
Hey, psychiatry, don't prescribe lorazepam with risperidone, it's duplicative in effect and a dumb idea overall.
unavailable
Risperidone, which is stupefying, controls aggression in *everyone*. It's widely prescribed as a "chemical cosh" to adults in prisons & nursing homes. Like other antipsychotics, it induces health problems that shorten lifespans.
This is a rarity: A year long placebo-controlled trial.
And while it concludes that risperidone is effective for aggression in childhood ADHD, I'm not sure it's the best option. Find out why:
psych-partners.com/risperido…
Psychiatry discovers that "night owls" with poor sleep habits have a type of "atypical depression" that responds better to improved sleep habits than to antidepressants.
No matter the situation, psychiatry cannot admit that it's wrong.
Gift article. nytimes.com/2026/10/23/well/…
"You Can See Everything" is not about what A24's hype machine says it's about.
A general audience probably would be mystified by this film.
Kindly #deprescribe -- taper psychiatric drugs retweeted
Pediatric bipolar rates dropped nearly 90%. Great, but:
1. Where's the apology for those misdiagnosed and treated with antipsychotics? E.g., @LauraDelano
2. Does this show limits of the "medical model" in psychiatry? Re @SameiHuda
3. Does this reveal flaws in the diagnostic paradigm? Re @MarkLRuffalo (vs @psychgeist52)
The medical model and diagnoses can help, but we must acknowledge their limits.
Rates of #bipolar diagnosis in children rose 6-fold in US 2000-2010, but they've fallen 8-fold since 2013:
pubmed.ncbi.nlm.nih.gov/3921…
Why? New options in DSM-5 (eg, Disruptive Mood Dysregulation) and media attention (eg, Frontline's The Medicated Child).
Why should these cases of situational depression be called "treatment resistant"?
This Australian psychiatrist thinks the others -- the
"melancholic depression" cases -- have a biological basis. Psychiatry can't tell one from the other.
psychiatrictimes.com/view/ho…
If anything needs rethinking in psychiatry, it's "treatment resistance." Two of 9 articles in this issue are on this topic, one suggesting it be called "difficult to treat" instead. The antidepressant responders being the easy cases, everybody else being "difficult"?
🎃 The entire October issue of Psychiatric Times is now live on our website. Read it here: psychiatrictimes.com/journal…
Nobody knows anything.
Among patients with major depressive disorder, #MachineLearning predicted relapse with moderate accuracy, but the best model used only clinical relapse risk factors. Multimodal data did not improve prediction.
ja.ma/4yDTt1p
ALT A forest plot titled 'Forest Plot of Unimodal and Multimodal Model Performances' comparing mean balanced accuracy (SD) across unimodal and multimodal models, with data points ranging mostly between 0.5 and 0.7.
Kindly #deprescribe -- taper psychiatric drugs retweeted
Drawing on Ian Hacking’s concept of looping effects, this paper develops a conceptual framework for understanding how psychiatric categories may disseminate and become widely recognized disorder entities. tandfonline.com/doi/full/10.…
This seems obvious, but maybe not, given how pervasive it is that people with poor sleep habits attribute feeling lousy to mysterious psychiatric ailments that must be treated with psychiatric drugs.
True confessions: ADHD drugs & antidepressants can interfere with sleep.
These are universal drug effects, they affect everyone the same way. They do not act differently in "ADHD brains" or "depressed" brains.
gift article from The New York Times. nytimes.com/2026/10/20/well/…
