ExecDirector @_innercompass | well paired w/ @lauradelano | depsychiatrizationist l verstehenmaxxing
New England
Joined August 2009
- Tweets9.3K
- Following1.5K
- Followers2.1K
- Likes8.2K
Pinned Tweet
My ADHD/stimulant story, as told to Ethan Brooks for @TheAtlantic, for a podcast feature called Scripts—about the pills we take for our brains, and the stories we tell ourselves about them
YouTube: youtu.be/B1GnowLnpdc?si=sva0…
podcasts.apple.com/us/podcas…
I dont rly post abt music (except Talk Talk), & generally I don’t spend my (now more limited) online time listening to ppl noodling about
Exception made
Did u know u can just stop scrolling for 20 min and listen to something made by a human for other humans & also fun?
Cooper Davis retweeted
it is absolutely imperative that you set up your timeline to encounter more old art, and less new AI slop. give your attention to artists who have labored painstakingly to actualize their vision, one intentional brushstroke at a time
Cooper Davis retweeted
>“Radical new theory”
Szent-Györgyi was talking about this in the ‘50s. Then Ling in the ‘60s. Then Harman and Peat in the ‘70s. Then Linnane et al. in the ‘80s. Then Wallace in the ‘90s. Mainstream medicine has been busy making hyper-specific patented drugs and chasing GWAS.
A radical new theory about energy and mitochondria could explain chronic disease and aging.
sciam.com/article/the-provoc…
At some point I’ll want spoiler warnings on this kind of thing
Culture is now so vastly outpaced by scientific advancement, it will take several generations to organically establish the necessary etiquette required to manage and adjudicate the value of understanding the mechanics of consciousness beyond a certain level of granularity
Can I diminish the quality of my own thinking just by knowing more about how it works than is naturally evident?
1/ We discovered something totally unexpected about the neural structure of consciousness that overturns decades of thinking on its biological basis and brings us significantly closer to the recipe for generating conscious awareness.
New preprint: biorxiv.org/content/10.64898… (led by @HesseJanis, with @FrankLanfranchi, @_conor_mcgrory, @Yuelin_Shi, and @EngelTatiana)
Idk why so many ppl are so convinced this is going to be worse than the current standard of care
Of all the many, many, many critiques that can be made of things Sec. Kennedy has said, his comparison of coming off serotonin-modulating drugs to coming off heroin has been one of the MOST activating for many people on all sides of the discourse
I think it’s notable that many of those people who feel strongly aligned with him on this issue tend to have more direct personal experience with opioid/SSRI/SNRI withdrawal, while its generally those WITHOUT as much direct personal experience who are more comfortable laughing at the notion (or, in many cases, seizing on THIS particular opinion as if it’s PROOF of his overall ignorance/lunacy)
I don't agree with everything RFK Jr says but I think the mainstream media owe him an apology on this account. I have had many patients say that they found coming off antidepressants harder than coming off heroin. And now there is large-scale data to back up those anecdotes.
This of course is distinct from addiction. The pre-requisite for withdrawal is physical dependence which is a predictable physiological response that is the consequence of adaptation to a drug. Physical dependence does not involve compulsion, craving, etc.
Opioids cause addiction because of their reinforcing euphoria which antidepressants do not do. But they are both cause physical dependence and evidently comparable levels of withdrawal for the higher risk antidepressants.
CAN SSRI/SNRI withdrawal be WORSE than heroin/opioid WD?
Is yr opinion from direct, personal experience?
X limits poll choice to 4 so if you’ve w/d from BOTH, plz vote via replies
(& btw if you were only on drug LESS than 90 days and WD was mild, this poll isn’t rly for u bb)
34%Yes, but no direct WD exp
10%No, but no direct WD exp.
50%Yes-I w/d from SSRI/SNRI
6%No-I have w/d from opioid
50 votes • Final resultsCAN SSRI/SNRI withdrawal be WORSE than heroin/opioid WD?
Is yr opinion from direct, personal experience?
X limits poll choice to 4 so if you’ve w/d from BOTH, plz vote via replies
(& btw if you were only on drug LESS than 90 days and WD was mild, this poll isn’t rly for u bb)
34%Yes, but no direct WD exp
10%No, but no direct WD exp.
50%Yes-I w/d from SSRI/SNRI
6%No-I have w/d from opioid
50 votes • Final results Cooper Davis retweeted
wow that's crazy man
Can anyone point me to something I saw recently claiming that the two halves of the brain develop as seperate organs entirely?
Cooper Davis retweeted
Btw this is why I love @_innercompass because, as I see it, they provide a platform and map for sharing your story in a way that confers structural power for you. Not strips you of it. @Cooperdavis @LauraDelano
Watch out y’all
I’m Back on my Lee J. Ames sh*t
Except now I’m in my mid 40’s and can afford nice Japanese pens
Cooper Davis retweeted
One of the stranger surviving books of Renaissance geometry.
An unknown 16th century artist made 36 sheets of colored perspective studies, then populated them with birds, animals and other tiny figures. There is no text explaining what any of it means.
Cooper Davis retweeted
This conversation in the NYT shows that the conversation on SSRI use is moving away from merely smearing critics towards more constructive engagement.
Yet it still sidestepped a lot of the substance of critiques.
The most shocking part was where Dr Rostain casually admitted that he didn't know whether one of his patients tapering off SSRIs after long term use was suffering from withdrawal or relapsing.
How is it acceptable that after 40 years on the market an expert in the field doesn't know how to recognise SSRI withdrawal?
Wouldn't it have been a good idea to establish this before 1 in 6 Americans were put on these drugs?
Feeling a bit “off.” Think I’ll chat with a bookish schoolmarm to obtain pills that change my brain in ways that can’t be observed or fully understood, leaving me with side effects that will be misinterpreted as underlying illness and years of labyrinthian psychological agony, where previously-straightforward emotions become looming and kaleidoscopic. After that I will get Jersey Mike’s.
Spoiler alert: NO
unlimited choices are available. We just need to talk to each other with more care, more skill, and more faith.
come see me and @awaisaftab talk about them in real life this coming January 26-28 in Boston
conference.theinnercompass.o…
When It Comes to SSRIs, Are Our Only Choices “Safe & Effective” or “More Dangerous Than Heroin”?
My New York Times op-ed and bonus content
psychiatrymargins.com/p/when…
I'm glad to see @nytimes continue to engage the issues of overprescribing, overmedicalization and drug harm seriously. Their coverage is getting more constructive. I AM, however, a little perplexed: Why is the portion of the MAHA Report that establishes the prevalence and severity of harms to public health being called an "attack"?
It reminds me of a recent @MensHealthMag headline about "The War on Antidepressants." Framing this vital public health discussion in violent terms is, at best, inappropriate. At worst, it is manipulative, harmful and inflammatory.
Do you care about tackling these thorny, sensitive and incredibly serious issues? Not just SSRIs, but the future of mental health more broadly? Please consider joining us in Boston, Jan 26th–28th, for the next @innercompass conference.
Tickets sold out fast last year. We've doubled both the size and the duration, and we still expect more demand. Consider grabbing "early bird" 🐦⬛ pricing while it's still available. (As always, if cost is an obstacle, reach out directly for community member pricing and accessibility options.)
conference.theinnercompass.o…
"Bedard: You mentioned the MAHA report. So that was, for folks who may not know, earlier this year. There was a report that came out about the use, the potential overuse, of psychiatric medications, and then specifically around the challenges around deprescribing and concerns about prolonged withdrawal that actually ends up making people feel worse than whatever their initial reasons for going on the meds were. In response to that, I think for the first time, the American Psychiatric Association got together and put out a statement, I think, about deprescribing.
One criticism I’ve heard that strikes me as somewhat legitimate is that that report was overdue, that thinking seriously, in public, about the challenges around deprescribing is something that we should have done before — we, in medicine, should have done before MAHA came out with its attack first.
Rostain: I agree 100 percent. I mean, we had not spent enough time asking the question: Why are we giving so many meds to some of our patients? Especially in psychiatry. And one of the first things I’ve always done when people come to see me is if they’re on four or five different medications, the first thing I ask is, “What can we take you off of?”
But it’s great. Even if the prompt was kind of a smack in the head, it is time to ask what medications we are prescribing. How are they working for our patients?
"Bedard: You mentioned the MAHA report. So that was, for folks who may not know, earlier this year. There was a report that came out about the use, the potential overuse, of psychiatric medications, and then specifically around the challenges around deprescribing and concerns about prolonged withdrawal that actually ends up making people feel worse than whatever their initial reasons for going on the meds were. In response to that, I think for the first time, the American Psychiatric Association got together and put out a statement, I think, about deprescribing.
One criticism I’ve heard that strikes me as somewhat legitimate is that that report was overdue, that thinking seriously, in public, about the challenges around deprescribing is something that we should have done before — we, in medicine, should have done before MAHA came out with its attack first.
Rostain: I agree 100 percent. I mean, we had not spent enough time asking the question: Why are we giving so many meds to some of our patients? Especially in psychiatry. And one of the first things I’ve always done when people come to see me is if they’re on four or five different medications, the first thing I ask is, “What can we take you off of?”
But it’s great. Even if the prompt was kind of a smack in the head, it is time to ask what medications we are prescribing. How are they working for our patients?
