PhD/PsyD Just a thread to post the weirdest/whackiest/dumbest mental health-related stuff you come across in the (social) media...

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Someone linked this in the therapist sub in a critique of Loftus's work - anyone familiar with it?

https://neurosciencenews.com/false-memories-psychology-28326/

The article lacks nuance as to the literature in my opinion. Notice the use of "fully formed false memory." As in, a complete fabrication of an event. We've always known that is fairly rare, though more common in certain individuals. What is much more common, is just what the article says, but downplays, essentially that we essentially scaffold a narrative, with true and false details, around a kernel of truth that is already in place. I'm sure the people in the therapist sub just read a title and ran with it, with zero understanding of anything behind it, like always.
 
No.

But--in addition to being highly entertaining--I think that this clever Southpark skit sums up the validity of the DID/recovered memory situation pretty well...



On a more serious note, I've found the work of Richard McNally to be informative on this topic (especially his "Remembering Trauma" book which, though dated, summarizes a lot of the scientific literature on memory and trauma quite well).

He has a good article that I think is available online, "Debunking Myths about Trauma and Memory"
 
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I am going to point out that you do not understand the CATIE trial. The only conclusion it drew was that that perphenazine and the second-generation antipsychotics did not separate from eachother on any measure other than patients stuck with olanzapine longer (and olanzapine alone among the second generation antipsychotics). That and that olanzapine had the worst metabolic side effects.
Not a fan of the CATIE study, though from a practical standpoint, this was one of the most useful findings. Prescribers were seeing this already and patients were reporting RAPID weight gain, sometimes 20lb or more in a month.
 
For anyone willing to indulge in a bit of cringe for today, there is currently an active thread in r/ClinicalPsychology in which folks are actually debating the legitimacy of Reiki. Granted, most of the folks there are against it (and the folks "in favor" are largely not psychologists, rather either midlevel therapists or midlevel trainees), but it's an actual thing people are somehow defending.
 
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For anyone willing to indulge in a bit of cringe for today, there is currently an active thread in r/ClinicalPsychology in which folks are actually debating the legitimacy of Reiki. Granted, most of the folks there are against it (and the folks "in favor" are largely not psychologists, rather either midlevel therapists or trainees), but it's an actual thing people are somehow defending.
I so glad I don't even know what that is.

Edit: Oh...wait. Nevermind. After a Google search and 3.2 seconds...I know what that is:

 
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It’s surprisingly hard to apply for accommodations- I have an ADHD dx from my psych and my request for accommodations was denied; my psych suggested getting fully tested as a way to further appeal my case 🙁
During my 1st year of fellowship training I had a PG-2 IM resident & their attending claim I couldn't have ADHD bc I never would have graduated from my psych program. They ignored my voluminous medical records, which included copies of my elementary school transcripts w. quarterly notes from my teachers bc my mother kept all of it. Even from the grave, my mom still had my back.

It's amazing how poorly some ppl in healthcare still don't understand ADHD.
 
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During my 1st year of fellowship training I had a PG-2 IM resident & their attending claim I couldn't have ADHD bc I never would have graduated from my psych program. They ignored my voluminous medical records, which included copies of my elementary school transcripts w. quarterly notes from my teachers bc my mother kept all of it. Even from the grave, my mom still had my back.

It's amazing how poorly some ppl in healthcare still don't understand ADHD.
Indeed, hence the idea of "adult-onset ADHD." Which is usually coupled with other interesting stuff, such as, "patient has remote history of mTBI. Is remarkably anxious, which is only partially managed with daily clonazepam. Poor sleep. Says they sometimes misplace keys and zone out while driving. Suspect dementia due to TBI with adult-onset ADHD. Possibly also PTSD."
 
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Saw someone on r/therapists complaining about EMDR training costing $3,000 and then lots of people in the comments complaining about how expensive IFS and somatic experiencing trainings are, and realized: "Wow! Maybe the best thing about getting doctoral training will be that I am well enough trained through program, internship, and postdoc to be able to treat most of my clients while not getting suckered into paying hundreds or thousands of dollars for training in pseudoscientific nonsense."
 
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Saw someone on r/therapists complaining about EMDR training costing $3,000 and then lots of people in the comments complaining about how expensive IFS and somatic experiencing trainings and realized: "Wow! Maybe the best thing about getting doctoral training will be that I am well enough trained through program, internship, and postdoc to be able to treat most of my clients while not getting suckered into paying hundreds or thousands of dollars for training in pseudoscientific nonsense."

Shh...don't let Peter Levine find out you're telling people that. He's trying to reach $10M in net worth by 70.
 
Saw someone on r/therapists complaining about EMDR training costing $3,000 and then lots of people in the comments complaining about how expensive IFS and somatic experiencing trainings and realized: "Wow! Maybe the best thing about getting doctoral training will be that I am well enough trained through program, internship, and postdoc to be able to treat most of my clients while not getting suckered into paying hundreds or thousands of dollars for training in pseudoscientific nonsense."
I can’t tell you how much I see IFS being described when im conducting peer review smh
 
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I can’t tell you how much I see IFS being described when im conducting peer review smh
I have luckily avoided hearing anyone mention it in my academic circles, but it is rampant in clinical circles.
 
I have luckily avoided hearing anyone mention it in my academic circles, but it is rampant in clinical circles.
Only in psychotherapy do we see people deliberately go out of their way to do weird pseudoscience-y stuff that comes with ambiguous instructions, poor research support, and is probably MORE difficult to implement.
 
Saw someone on r/therapists complaining about EMDR training costing $3,000 and then lots of people in the comments complaining about how expensive IFS and somatic experiencing trainings are, and realized: "Wow! Maybe the best thing about getting doctoral training will be that I am well enough trained through program, internship, and postdoc to be able to treat most of my clients while not getting suckered into paying hundreds or thousands of dollars for training in pseudoscientific nonsense."

To be fair, I posted in the same thread that they should just get training in CPT or PE and I got a ton of upvotes
 
Only in psychotherapy do we see people deliberately go out of their way to do weird pseudoscience-y stuff that comes with ambiguous instructions, poor research support, and is probably MORE difficult to implement.

My theory is that this is rampant in the trauma world because therapists would literally rather do anything than make their patient feel distress.
 
My theory is that this is rampant in the trauma world because therapists would literally rather do anything than make their patient feel distress.
There are so many real (and iatrogenic) dynamics going on here that no one openly discusses, it's unreal.

I truly think that this era of PTSD/trauma conceptualization, diagnosis/assessment, and treatment will be covered rather disparagingly in future textbooks of psychology as a cautuonary tale.
 
Met my new director recently and she shared that she's currently doing IFS trainings and just loves the framework. Why do I even bother working in a system at this point.
I mean, VA offers Healing Touch as part of its Whole Health initiative, or at least they used to. Systems are...strange.
 
I mean, VA offers Healing Touch as part of its Whole Health initiative, or at least they used to. Systems are...strange.
Sex sells 🙂

Dr. Marvin "Mesmer" Gaye, ABCXYZ--L.G.I.O.



I mean...what could POSSIBLY go wrong?

Just make sure to co-locate the 'Healing Touch' and psychedelic/MDMA interventions in the same clinic to minimize confusion regarding where to report for the inevitable flood of legal depositions.
 
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Saw someone on Reddit say that their therapist told them that 90% of the population would meet the criteria for a BPD diagnosis. What?
I mean, I might buy it if the therapist said something like, "90% of the population could read the DSM-5 section on personality disorders and for at least one symptom say, 'yeah, I kinda do that sometimes.'" But my cynicism prevents me from believing that's what the therapist actually said.
 
I mean, I might buy it if the therapist said something like, "90% of the population could read the DSM-5 section on personality disorders and for at least one symptom say, 'yeah, I kinda do that sometimes.'" But my cynicism prevents me from believing that's what the therapist actually said.
"All have won and all must have prizes."

Nobody told me that the prizes they'd be handing out would be BPD diagnoses, lol.

This is most likely due to rampant misguided notions of (a) anti-stigmatization, (b) excuse-making for behavior ("I'm not rude, I have BPD"), (c) desire for 'specialness' via psychiatric diagnosis, (d) TikTok said so.
 
Oh God, everyone is talking about Healing Touch here. And I'm just like 😒
Healing Touch sounds like when a sketchy clinician needs to expand their Reiki practice, but still doesn’t want to bother w an actual treatment.

First I’ve heard of HT, but it sounds like it fits in great w Brainspotting, Reiki, & other gross pseudo-science snake oil.
 
While we’re all at this party, what’s everyone’s opinion on the oft-used line that “the best therapists are those who have had/still have therapists of their own?” I know lots of MSW and counseling programs encourage or even require students to have therapy during their training, but I’m not super sure I think it’s necessary for being a good therapist. I can see how it helps us understand the power dynamics of being a patient, but not really much beyond that.
Anecdotally, I’ve only seen a small number of programs that actually require therapy. I also think therapy just for the sake of therapy (without distress or psychopathology) is kind of a waste of resources.
 
Anecdotally, I’ve only seen a small number of programs that actually require therapy. I also think therapy just for the sake of therapy (without distress or psychopathology) is kind of a waste of resources.

I think it's not only wasteful of resources, it's inappropriate to require it.
 
Omg now I remember—that’s the thing that lets you slow time during surgery in Trauma Team! A+ game but also not, you know, real.
I have distinct memories of loving this game and recall after beating the game that it had a message roughly about "beating this game does not make you a surgeon, and if you are a surgeon, you do not have to tell your patients that you played this game" lol 😆.

Edit: I found the actual message!
"Congratulations! You've completed the most difficult surgeries ever devised. However, remember that you're not actually a doctor, so you shouldn't perform surgery in real life. ...Unless, of course, you are a doctor. In which case, we would advise you not to tell your patients how many tries it took you to complete a game about surgery."
 
My theory is that this is rampant in the trauma world because therapists would literally rather do anything than make their patient feel distress.
Yes, great point. You encourage an EMDR or IFS practitioner to (where it’s EMDR) follow the damn protocol (so many peer reviewed EMDR notes that never seem to get to the imaginal exp-esque parts for some reason…) or do some sort of exposure therapy instead of IFS and I get ****ing crickets. It’s still such a pervasive problem educating people that exposure therapy is effective, safe, and robustly supported. It’s not perfect, but it’s a great first choice for conditions characterized by fear and distress.
 
While we’re all at this party, what’s everyone’s opinion on the oft-used line that “the best therapists are those who have had/still have therapists of their own?” I know lots of MSW and counseling programs encourage or even require students to have therapy during their training, but I’m not super sure I think it’s necessary for being a good therapist. I can see how it helps us understand the power dynamics of being a patient, but not really much beyond that.

This is, as per usual, masters level programs taking something else and bastardizing it because they don’t understand nuance or how something works. My guess is they looked at the classic tripartite model of psychoanalytic training and said huh, that sounds legit, we should do it too. In full disclosure my orientation is psychodynamic and I’m partially trained in analysis; I DO believe that analysts should undergo their own analysis (caveat: though not to the longitudinal extent some programs require) because of the nature of the modality and, to some extent, the theory’s understanding of underlying pathology.

I am actually not opposed to, say, requiring that someone being trained in DBT actually sit through some real structured DBT groups. Or someone learning sandtray actually doing a sandtray to see what it is like for the patient. But requiring longstanding therapy “for the sake of doing therapy” is misguided at best. And, let’s be honest, the effect of knowing you “have” to be in therapy to check off a requirement is going to bias the whole thing to begin with.
 
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I've been given a hard time with this one by midlevels at times and it's awkward to have to explicitly say that I do not have symptoms, I am not experiencing significant distress or impairment, it is ridiculous to suggest I should go to therapy for the sake of it. But then I get flack for the "medical/symptom model" and not a growth mindset. Eye roll.
 
Yes, great point. You encourage an EMDR or IFS practitioner to (where it’s EMDR) follow the damn protocol (so many peer reviewed EMDR notes that never seem to get to the imaginal exp-esque parts for some reason…) or do some sort of exposure therapy instead of IFS and I get ****ing crickets. It’s still such a pervasive problem educating people that exposure therapy is effective, safe, and robustly supported. It’s not perfect, but it’s a great first choice for conditions characterized by fear and distress.
If you want downvotes fast, say that the majority of people who experience trauma don't have long-term issues. Apparently everyone would rather believe that everyone who experiences trauma is screwed for the rest of their lives.
When epidemiological facts become 'hate,' further intelligent discussion becomes impossible.

I have been accused of unreasonably "interrogating" pts referred to PCT (for rule in/out PTSD) for asking questions straight off the CAPS or from DSM-5.

When someone endorses 'intrusive memories' of an event, it is hateful interrogation to ask "memories of what event?" during a PTSD assessment.
 
When epidemiological facts become 'hate,' further intelligent discussion becomes impossible.

I have been accused of unreasonably "interrogating" pts referred to PCT (for rule in/out PTSD) for asking questions straight off the CAPS or from DSM-5.

When someone endorses 'intrusive memories' of an event, it is hateful interrogation to ask "memories of what event?" during a PTSD assessment.

On fellowship, I did rotations on our inpatient psych unit, we did full CAPS interviews and plenty of validity testing before someone was eligible for the unit. No one wants to run groups full of malingerers and/or rampant axis II pathology.
 
I mean, VA offers Healing Touch as part of its Whole Health initiative, or at least they used to. Systems are...strange.


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I think I found the banger of the summer...


I had NO IDEA that the epidemic of mTBI/concussion was so widespread among average neighborhood fauna such as kitty cats, birds, foxes(?) and pet doggies.

I'd imagine that assessment/treatment clinics for pet 'post-concussion syndrome' will be quite profitable and all-the-rage in years to come.

God bless the army of veterinarian occupational/physical therapists running the specialty clinics to fit each and every one of them with protective headgear.
 
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Forgive me if I've been on this rant already, but how does it make sense to vituperate CBT for being "a tool of capitalism" while simultaneously advocating for long-term psychodynamic care with no insurance acceptance? It never fails that the folks I see raging against CBT for being capitalistic are usually doing so while touting long-term psychodynamic or non-goal directed humanistic care. How is that not super hypocritical? Surely they, the omnibenevolent clinician, have absolutely no profit motive whatsoever for holding this stance... /s
 
Forgive me if I've been on this rant already, but how does it make sense to vituperate CBT for being "a tool of capitalism" while simultaneously advocating for long-term psychodynamic care with no insurance acceptance? It never fails that the folks I see raging against CBT for being capitalistic are usually doing so while touting long-term psychodynamic or non-goal directed humanistic care. How is that not super hypocritical? Surely they, the omnibenevolent clinician, have absolutely no profit motive whatsoever for holding this stance... /s

Honestly, I really think a lot of people don't put it together. I used to go to a game night with a bunch of brogrammers a long time ago. Literally all of them would tell me they were socialists.
 
Forgive me if I've been on this rant already, but how does it make sense to vituperate CBT for being "a tool of capitalism" while simultaneously advocating for long-term psychodynamic care with no insurance acceptance? It never fails that the folks I see raging against CBT for being capitalistic are usually doing so while touting long-term psychodynamic or non-goal directed humanistic care. How is that not super hypocritical? Surely they, the omnibenevolent clinician, have absolutely no profit motive whatsoever for holding this stance... /s

It is extremely counterculture to not know what you are doing at all.

Railing against CBT has sadly become the counterculture. After all if we have already settled on a way of doing things, how else can a clinician demonstrate how incredible they are by recognizing the flaws in the therapeutic hegemony and instead supporting new and revolutionary methods outside the mainstream? WHY they are outside of the mainstream is irrelevant.
 
After all if we have already settled on a way of doing things, how else can a clinician demonstrate how incredible they are by recognizing the flaws in the therapeutic hegemony and instead supporting new and revolutionary methods outside the mainstream? WHY they are outside of the mainstream is irrelevant.
Sure, but much of what they're advocating for is exceptionally old, psychoanalytic-derived stuff. Which I think is odd for so-called progressives to support given they claim CBT is "Western, White-centric, and patriarchal..." like, bruh, psychoanalysis is as Western, White-centric, and patriarchal as literally any mainstream psychotherapy modality has ever been.
 
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