Child Psychiatrist. Medical Team Lead @MCBH_together. I post about the future of mental health.

Monterey, CA
Joined March 2009
I published a GPT, “Psychotherapy Simulator”. It role-plays a patient scenario and provides feedback on the session with the goal of improving a therapist’s understanding of themselves and the case. It’s trained on psychodynamic texts. chat.openai.com/g/g-FEP8Tzal…
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The entire motto of @Replit should now just be “you can just do things” cause that’s exactly what I’ve been doing for with it. Things.
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This post is exactly the issue. It’s a ChatGPT response that took about 15 seconds of effort for the poster and all these people are lauding it “wow so well written”! All of them are going to get replaced by AI. Not skilled legal immigrants who don’t care about your job.
Replying to @VivekGRamaswamy
.@VivekGRamaswamy Oh, Vivek, where do we start? You’re out here saying America’s culture celebrates mediocrity over mathletes, prom queens over problem-solvers, and hey, maybe you’ve got a point about priorities. But then you turn around and want to gut the very thing that could change it: education funding. You can’t bemoan America’s STEM talent deficit while calling for the Department of Education to be tossed like yesterday’s trash. That’s like blaming the forest for forest fires. Title I funding? Gone. Mental health support for students? Vanished. After-school programs that could’ve nurtured your future engineers? Poof. And let’s talk about this “normalcy” you’re so ready to vilify. Not every kid has tiger parents who both work two jobs to put food on the table or a weekend science fair to fall back on. You take away federal education dollars, and you’re not just losing sleepovers and mall runs; you’re shutting the door on millions of kids from struggling families who’ll never even see the starting line, let alone cross it. So, yeah, America might need a cultural shift toward valuing excellence, but guess what? That takes investment in schools, not defunding them. You can’t lecture us about the “Sputnik moment” while you’re busy dismantling the rocket launchpad.
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The amount of people that can't detect AI generated posts is staggering. At what point will we hit >90% AI-generated content? 2026? 2027?
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Claude is the most intelligent person in the room.
Replying to @emollick
So what do you think of specialization?
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the word "slop" is so good at eliciting the feeling that it's trying to describe that it's basically an onomatopoeia
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The blurrier the lines, the more trouble a LLM will have with making decisions. "I won't be replaced by AI anytime soon" says the psychiatrist with his head in the sand
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The funny thing about this anti-Indian sentiment is that no one of real value holds that belief. People of actual value recognize the net positive that Indians are to western society.
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I hate the terrible twos - not because it's difficult and stressful emotionally/ sonically - but because it's clearly the result of an intelligent creature not being able to express its needs and therefore being constantly denied them without understanding precisely why - it seems very obvious this is where a lot of weird mental blocks/ irrational hang ups/ future mental conditions can develop - like various emotions is being deeply unmet at such a formative age for us all - a reminder of like ... issues with the monkey brain. Also like it exhausts the ppl around u and idk, like at a point there'll be a tantrum and adults like laugh cuz "it's the terrible twos" - I even catch myself doing it - but then u see the subtle split second grimace of them realizing their pain is funny to others and u know they're smarter than their current state of language acquisition and they won't actually remember this moment but it'll stain their ego forever But also some weird cute ways to learn certain things I suppose but the experience gives me a feeling of existential dread I feel bad for every time I laughed at a cute thing a child did that seemed in the moment like an angry little pikachu being silly but rly it's a super computer booting up and internalizing the difference between its potential and its current reality
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Wow in the last few months doctors have been getting a lot of heat on here, and now Indians are getting it. Wait till they find out how many of us are both lol
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I get way more engagement with short form podcast content on LinkedIn than I do here, despite having half the followers there and literally no other personality. Guess I’ll see y’all on LinkedIn lmao Also Merry Christmas!
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What is interesting to me is that this cohort is the least likely to have been fucked over by health insurance companies. Corruption in health insurance is an abstraction for most of them. This isn’t about healthcare. This is about being a proletariat.
Replying to @SwipeWright
The youngest cohort of Americans overwhelmingly supports the killer's actions. Among ages 18–27, a staggering 78.8%. This isn't fringe anymore—it's mainstream.
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The world is divided into people that have exclusive information and act on it, and those that don’t
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The DSM5 Cross Cutting Measure is the new psych "review of systems" screener - or the stethoscope of psychiatry. It's also integrated directly into the Osmind EHR. From the latest podcast episode with @CarleneMac Youtube link 👇
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In Monterey County, there has been a dramatic uptick in homelessness in the past 2 years. 40% of individuals were first homeless before age 25, 80% are homeless because they cannot afford rent, and 30%+ have PTSD. Full stats in the pictures.
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