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Excellent article by neurologist Suzanne Sullivan on our medicalising culture and how escalating diagnosis (depression, ADHD, autism) is harmful and preventing recovery. 'We are becoming victims of too much medicine and it is time to turn back the dial.' theguardian.com/society/2025/m…

Very exciting for dementia prevention

Spicy ADHD take 🌶️ but it is not responsible to just put adolescents on stimulants without ongoing behavioral interventions and skills training for when they wear off or are unavailable. They’ll need those skills when they’re older.

Fascinating to see the staunchly anti-diagnosis crowd having to clumsily reinvent medical concepts when confronted with practical realities… some people are indeed functionally impaired and disabled, some of severely distressed, some have experiences that even they recognize as

Awais Aftab Well, that's fair enough. But as much as "being good in a podcast" is concerned, allow me to say that I listened to your podcast on The Thinking Mind Podcast: Psychiatry & Therapy and I have to say it was good, I enjoyed it. You might say being host is different which is true, but we also know that spreading

‘What should I do?” Whether openly stated or implicit, this is the question a new client usually raises in their first therapy session. We explore decision making in this new article: theguardian.com/books/2025/mar…

It really is hard for anybody not in medicine and paying close attention, to fully understand how badly this generation of UK trainees is being treated and how profound the effects will be

Some basic facts about trauma and psychopathology. These have emerged from years of empirical research and thus do not represent opinion. 1. Children who lack genetic vulnerability do not develop psychopathology. 2. Childhood trauma is not a *cause* of any mental disorder; it

Guys building muscles seem to impress other guys more than it impresses woman. It's been my observation that the things that most mature woman want in a man (kindness, dependability, resources, good character) are not the things young men often compete to display to each other.

I don't mind saying in advance that in my opinion jealousy is normal and healthy. Jealousy arises out of the fact that children love. If they have no capacity to love, then they don't show jealousy. — DW Winnicott

New podcast episode out now! A special episode chatting with Randy Nesse about his journey building evolutionary medicine and psychiatry, and where we are going. Stories from the father of the field which will be fascinating to many! (also on Spotify etc.)youtu.be/VG1vSc3vjlg

One of the major unintended consequences of DSM is that people learn only what is in it. They generally learn nothing of the century of psychiatry and psychoanalysis which preceded it.

Just met with Dr. Max to record an episode for his excellent new podcast. We talked about a variety of topics including the need for theoretical pluralism, the importance of diagnosis, and the nature of psychoanalytic interpretation. Thanks for having me on, Max!

Here’s a typical sampling of posts about “narcissists” The term comes from psychoanalysis. So do borderline personality & psychopath Guess what? The controlling/manipulative/predatory behavior they always describe is NOT narcissism. It’s 🎯borderline personality 🎯psychopathy

The latest issue of Lancet Psychiatry contains a profile of me, in which they describe me as “one of the discipline’s foremost public intellectuals”!!! thelancet.com/journals/lanps…

Different types of narcissism Grandiose narcissism: "I'm the best!" Vulnerable narcissism: "I've suffered the most!" Communal narcissism: "I'm the best at helping others!" Spiritual narcissism: "I'm the most enlightened!" Collective narcissism says "We're the best!"

Was super fun going on Adam Lane Smith | The Attachment Specialist's youtube channel to talk all about the behaviour change and how we can use behaviour change to fix attachment patterns! youtube.com/watch?v=_Dd6GA…

Psychiatry has been reduced to a binary: therapists do psychotherapy, psychiatrists diagnose and prescribe. I got into this to study the mind, not to become a glorified prescriber. Sometimes just talking to a patient, holding them accountable, without any formal “technique,”

Friendship break-ups are the worst.

Many who enter the therapy professions were “parentified children” who became a parent’s emotional caretaker. They learned to be extraordinarily emotionally attuned and attentive to others’ needs and feelings—at expense of attending to (or knowing) their own. A costly superpower