Too soon?

Currently organizing a campaign to cancel anyone who doesn’t say nice things about D’Angelo in the coming days. Who’s with me?

People who equate exercise with therapy confuse feeling better with getting better.

So you’re saying he’s a wannabe, bargain bin Dark Knight Joker? Man, helluva timeline we’re in

If dopamine = pleasure... Then why does chocolate still taste good when it’s blocked? Because dopamine isn’t about liking. It’s about wanting and learning. Let’s rewire how we think about the world's most popular neurochemical 🧵

In the mental health professions, the surest sign of lack of expertise (at best) or pure grift (at worst) is claiming to know the right way to treat anyone or anything—before meeting the person and spending the time necessary to do a thorough assessment and develop a sound clinical case formulation Lots of things look the same on the surface. Surface symptoms and presenting problems tell you next to nothing about what is really wrong, or what would be helpful for a specific individual. One size never fits all. The “tell” that you are dealing with an amateur or a snake oil salesman (or both) is claiming to know the cause of your problems, or the right treatment for you, without first developing a deep understanding of you as an individual. Draw your own conclusions from this.

Yeah, so, this is all really bad.

The infant is not born with a self. It is the mother’s presence, her mind, that creates the space for the baby’s mind to form. Psychotherapy takes this idea seriously: it doesn’t treat the patient as a sealed-off unit, but as a person formed and reformed in relation to another.

AOC: "On this point of tax on tips, as one of the only people in this body who has lived off of tips, I want to tell you a little bit about the scam ... the cap on that is $25,000 while you're jacking up taxes on people who make less than $50,000 across the US ... while kicking them off the ACA."

Hot take: ciabatta buns are for the birds

"...disrupting your natural energy cycle" uhh, yea - isn't that the point?!

😳😳😳 nytimes.com/2025/04/13/magaz… via @NYTimes

In the clinic, we’ve always found that naltrexone’s best effects lasted about 4 hours after dosing. So if you’re using it for craving, take it 1-2 hours before your first drink (or the time you typically start drinking). Ppl who take it in the am but drink in the pm see👇benefit

⁦@StarTribune⁩ published my letter to the editor about the state’s plan to halt Medicaid reimbursements to the massive SUD program. To me, DHS is just passing the buck after years of failing to address what has become the community standard: startribune.com/readers-writ…

A Secure Base: Harm Reduction as Attachment Therapy | My latest @PsychToday psychologytoday.com/us/blog/…

Finally I can reveal what I’ve been working on since leaving Vice earlier this year...🧵 1/12

Thanks @NYUDocs for having me on to discuss addiction and its treatment, why more therapists could be incorporating this work into their practice, and the importance of individualized approaches

Why Are Some Still Opposed to Life-Saving Addiction Treatment? | @PsychToday I had a very frustrating experience trying to help someone get treatment recently which inspired this piece. We need to do better - don't let stigma stop us from saving lives psychologytoday.com/intl/blo…

“But aside from contingency management, there is little evidence that psychosocial treatments alone or combined with MOUD affect OUD treatment outcomes.” MOUD first! Treatment Approaches for Opioid Use Disorder in US Substance Use Treatment Facilities jamanetwork.com/journals/jam…