Replying to @SystemicPawn @AllenFrancesMD
I really like this perspective. A diagnosis can help explain certain experiences, but it shouldn't become someone's entire identity. Understanding the person behind the label and focusing on the support they need is what matters most.
R. Holmes - the Pawn retweeted
The Fonagy et al government report on ADHD and Autism provision is typical whitewash of be seen to be doing something whilst not doing anything to challenge the dangerous quackery of the pseudoscience. Nothing will improve madintheuk.com/2026/10/the-f…
R. Holmes - the Pawn retweeted
Replying to @PsychiatricNews
You have now online “ADHD” experts girls or business models, are they informing people or performing for an imaginary audience and chasing dopamine? They stopped taking medication and feeling better? Since when did a content strategy become a personality disorder, not ADHD? 🤔
R. Holmes - the Pawn retweeted
Our response to @utafrith & @naomicfisher on the Fonagy report in the BMJ—with Lucy Johnstone, @joannamoncrieff and @JDaviesPhD.
Needs-led support requires rethinking what diagnosis actually explains and what a medical label adds to a system organised around people’s needs. 👇
bmj.com/content/395/bmj-2026…
R. Holmes - the Pawn retweeted
Derek Summerfield of the Institute of Psychiatry, Kings College critiques adult ADHD last week in @bmj_latest.
Autism spectrum disorder: has it lost its meaning and is it leading to misdiagnosis? | Psychological Medicine | Cambridge Core - cup.org/4wgJjTi
My thoughts about the broken spectrum.
R. Holmes - the Pawn retweeted
In this video, Fonagy is pressed on the issue of the 4-fold increase in diagnoses of autism in young people.
He offers a definition of "overdiagnosis" that isn't used, nor in the report. Pressed on this, he says, "Maybe some of them are misdiagnosed." 🤨
R. Holmes - the Pawn retweeted
The uncomfortable truth about ADHD diagnoses, according to a leading neurologist telegraph.co.uk/health-fitne… Agree with much of this but light on value of recognising benefits of treatment for those with clinically significant ADHD. And doesn’t highlight extent of the youth MH crisis
R. Holmes - the Pawn retweeted
Why are so many four-year-olds not potty-trained before school? bbc.in/4zrC3Wu
R. Holmes - the Pawn retweeted
PsychSearch
Psychiatry and Accountability
Colin Taufer
“Your son needs medication to control his impulsive behavior in my classroom.”
These words, or some variation of them, are the ones that begin millions of our nation’s children down a destructive path filled with unfortunate consequences. One such effect, usually lost sight of, is the insidious damage such diagnoses do to the child’s sense of personal responsibility. After all, the most important people in the child’s life, his parents and teachers, have agreed that he cannot control his own behavior. They’ve concluded that self-control is not something he is capable of, let alone responsible for. Further, with this analysis stated as “fact”, the teacher and parent are comforted to know that it wasn’t their fault the child acted that way. A tacit agreement develops absolving all involved. After all, he must have a chemical imbalance in his brain. It’s a “disease”.
“When children are told they have ADHD and need medications, they are given the idea that they cannot control their behaviour. The diagnosis of ADHD discourages personal responsibility. This almost inevitably disrupts emotional growth and renders the child less able to grow up into a mature adult.” Those are the words of psychiatrist Dr. Peter Breggin, a tireless advocate for reform in the field of mental health.
What happens to these same children who’ve been indoctrinated to the idea that their poor self-control has nothing to do with them but a nebulous “imbalance of brain chemicals”?
They become adults with the same problems:
“I can’t focus because of my adult-ADHD.”
“My anxiety medication helps me to cope with my stressful job.”
“I keep my desk very orderly. I must have OCD.”
We also get Big Pharma and their billions recruiting celebrities such as Maroon 5’s Adam Levine shilling for “adult ADHD”. In a typical interview from 2014 Levin cunningly excused his inability to focus on his “disease”, “People notice my ADHD as an adult on a daily basis. When I can’t pay attention, I really can’t pay attention.” Speaking of celebrity endorsements, Big Pharma marketing executives must have cartwheeled around their offices in joy when photos of Carrie Fisher’s ashes being carried in a porcelain Prozac pill hit the media in December 2016.
Beyond the false diagnosis of “it’s not your fault”, the medication itself compounds the problem. For all psychiatric drugs have debilitating side effects that further reduce one’s ability to exercise accountability within one’s own control or power: aggression, anxiety, abnormal behavior, fatigue and depression — just a few of the most commonly reported side-effects of psychopharmaceuticals. Responsibility for their actions lies even further beyond their awareness when these mind-numbing drugs are mixed in.
In the hands of psychiatry the moral child, the moral adult, the moral society all become amoral at best, immoral at worst.
psychsearch.net/colin.taufer…
R. Holmes - the Pawn retweeted
On Friday, a long-awaited report confirmed that an unprecedented number of people are being told they have ADHD and that these diagnoses could, in many cases, be unnecessary.
As a landmark government review raises concerns about overdiagnosis, one expert fears we’re medicalising normal childhood behaviour ⤵️
telegraph.co.uk/health-fitne…
R. Holmes - the Pawn retweeted
ADHD and autism at risk of over-diagnosis, says report.
We’ve turned into a country that slaps a diagnosis on any kid who can’t sit still for five minutes. Overdiagnosis does more damage than missing a few cases, because once that label sticks it becomes who they are.
This didn’t exist at this level 30 or 40 years ago. Restless kids were just kids. Now parents rush for assessments, private clinics cash in, and the system hands out support the second there’s a label. Some of it’s genuine.
A lot of it is trendy, anxious parenting and a culture that medicalises ordinary childhood.
A diagnosis should help. Too often it just writes them off.
R. Holmes - the Pawn retweeted
Replying to @BBCNews
It's usually a mixture of bad parenting, bad diet and a child with a personality, intelligence, creativity and feelings. But it's the parents with the issue.
R. Holmes - the Pawn retweeted
Autism, ADHD and mental health review: What you need to know bbc.in/4hDkgWo
R. Holmes - the Pawn retweeted
The ongoing conversation about neurodiversity coaching has made me more, rather than less, concerned. It’s made me wonder if there is any other clinical group for whom this would fly.
Would we accept it if there were 40-hour-online courses for Depression Coaches, attracting mainly people who were depressed themselves?
Or what would we think about Eating Disorders Coaches whose most significant qualification was that they had an eating disorder?
Why have we accepted that neurodivergence is different, and that a short course as a coach plus lived experience is sufficient?
Note: I am not in any way saying that lived experience isn’t important. Just that it is not an adequate substitute for training, supervision and professional oversight.
R. Holmes - the Pawn retweeted
Hot take:
EMDR is just another type of exposure therapy.
Exposure therapy works for literally anyone and everyone. All types of psychotherapy involve voluntary exposure to uncomfortable inner material.
The real trick is finding a practitioner who’s not an EMDR cultist, who is basically ethical and good at general interpersonal skills
Is EMDR an effective trauma therapy or based on the placebo effect?
I discussed this with @HideYourKids0
R. Holmes - the Pawn retweeted
Van Os en Abbring beiden op dreef. Een mooi open gesprek.
#zomergasten #zg26
R. Holmes - the Pawn retweeted
In his 1923 paper, The Ego and the Id, Sigmund Freud warned against therapists who play the part of the “prophet, savior, and redeemer.” Nancy McWilliams deemed this to be more of a temptation than a sexual transgression
R. Holmes - the Pawn retweeted
Woman of the day: British analyst Joan Riviere — who was analyzed by Ernest Jones and Sigmund Freud, and who analyzed Winnicott and John Bowlby, and who wrote beautifully on Kleinian theory (which helped Klein considerably)…
…and who all students of Lacan MUST know about, at the very least because of her 1929 publication "Womanliness as a Masquerade,” which preceded similar psychoanalytic (and feminist, and queer) writing and theoretical ideas to follow — and yet, somehow, remains improperly cited, acknowledged, and celebrated as an influence, both then and now.
Or, as Wikipedia summarizes:
























