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UpToDate and the Rx Transitions in Mental Health

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George Dawson @gdspeedskates.bsky.social · 4d

The UpToDate antidepressant transition tool: they have always had a solid chapter on this topic - now they have a tool. I review it in this blog post:

real-psychiatry.blogspot.com/2025/10/upto...

Why Equal Opportunity for Women Is Not “Woke”

George Dawson @gdspeedskates.bsky.social · 6d

Well maybe - but I have been preaching homicide prevention for 30 years now. Nobody wants to take me up on it - probably because of the countertransference to and logistical problems dealing with really aggressive people.

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George Dawson @gdspeedskates.bsky.social · 6d

Not a feminist but here are the facts I have see and have lived them...
real-psychiatry.blogspot.com/2025/10/why-...

How People Think About Escalator Malfunctions

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George Dawson @gdspeedskates.bsky.social · 8d

How politics has the opposite effect of psychotherapy...

real-psychiatry.blogspot.com/2025/10/how-...

Reposted by George Dawson

Mike Nellis @mikenellis.bsky.social · 10d

Just a reminder that the last two government shutdowns happened under President Trump, with Republicans in control of both chambers. These people cannot govern, and they need Democrats to bail them out.

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George Dawson @gdspeedskates.bsky.social · 10d

Have to read the study but the inflection point probably starts to include significant ill health. The comedian Bill Burr says: "at some point it is just one long chronic illness." For the record - I am past that point and the most satisfied I have ever been.

The FDA and the Trump Formulary or What Separates Physicians from Politicians

George Dawson @gdspeedskates.bsky.social · 11d

My take on the Trump-Kennedy press conference on autism. A few detailed comments on what they said at the very end. More detailed scientific discussion to come - the focus here was epidemiology and rhetoric:
real-psychiatry.blogspot.com/2025/09/the-...

George Dawson @gdspeedskates.bsky.social · 21d

Nothing to "investigate". Antifa does not exist. But I am sure one of Trump's incompetent cabinet members will get right on that.

George Dawson @gdspeedskates.bsky.social · 23d

They are assisted by a much larger number of people who know better and are capable of moral development but can also commit heinous acts.

A comprehensive analysis of combined stormwater overflow (CSO) discharges to coastal waters and data communications by a UK water company between 2021 and 2023

George Dawson @gdspeedskates.bsky.social · 23d

My own feeling is that evil is largely rhetorical. That is how it is generally born and propagates. There are also a handful (relatively) of human beings incapable of empathy and moral decision making who commit heinous acts described as evil. I am not sure that adds much. Agree about Redford...

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Reposted by George Dawson

Prof Alex Ford @dralexford.bsky.social · 23d

A comprehensive analysis of combined stormwater overflow (CSO) discharges to coastal waters and data communications by a UK water company between 2021 and 2023 @envsci.rsc.org

pubs.rsc.org/en/content/a...

Sewage discharges to aquatic environments present a real danger to human and ecosystem health. Event duration monitors (EDMs) from combined stormwater overflows (CSOs) are now fitted to over 90% of st...

pubs.rsc.org

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George Dawson @gdspeedskates.bsky.social · 23d

Yesterday I listened to an endless stream of commentary on political divisiveness in the US up to and including Civil War! To quell the mass hysteria I have a simple 5-point primer on how to nip it in the bud.
real-psychiatry.blogspot.com/2025/09/a-pr...

A Primer on How to be YOUR Own Unity Messiah

No, Antidepressants Do Not Provoke Mass Shootings

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George Dawson @gdspeedskates.bsky.social · 25d

Solid essay on the issue.

www.psychiatrictimes.com/view/no-anti...

Simplistic explanations and convenient scapegoats belie the complexity of mass shootings.

www.psychiatrictimes.com

George Dawson @gdspeedskates.bsky.social · 27d

And it is really more than this. I was an NRA member 50 years ago. It was required to take their Hunter Safety Course. As a result I got the American Rifleman magazine every month. The centerfold was inexpensive "sporterized" Mauser rifles. The gun extremist culture x 20 years is the problem.

Projection Writ Large in American Politics.....

Reposted by George Dawson

Adam Bonica @adambonica.bsky.social · Jul 20

He's right, and it's not just Brazil.

Around the world, at least 31 democratic leaders who committed similar crimes have been jailed or banned from office since 2010. The failure to hold Trump accountable in the US was a unique and systemic failure of our institutions and political culture.

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George Dawson @gdspeedskates.bsky.social · 28d

Recognizing and neutralizing projection is the uniting factor we all need in American politics. It is not the only thing but it is free and most mature adults can do it.

real-psychiatry.blogspot.com/2025/09/proj...

GOP Senator Rips RFK Jr's Hypocrisy After He Claims Trump Should Win Nobel Prize For COVID Vaccine

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Reposted by George Dawson

Nancy @nancyapfe.bsky.social · Sep 5

Lea Zengage @leazengage.bsky.social · Sep 5

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George Dawson @gdspeedskates.bsky.social · Sep 5

What Nobel Prize doesn't Trump deserve? How about one that he knows absolutely nothing about?

George Takei @georgetakei.bsky.social · Sep 5

Make it make sense.

www.comicsands.com

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Reposted by George Dawson

Nancy @nancyapfe.bsky.social · Sep 5

Robert Reich @rbreich.bsky.social · Sep 5

The August jobs numbers are atrocious, with unemployment rising to its highest level in nearly 4 years.

Trump is running the economy just like he ran his businesses — straight into the ground. https://youtu.be/zbh9SW5Cgqg?feature=shared

How Trump Killed Every Business He Touched | Robert Reich

Robert Reich

youtu.be

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Reposted by George Dawson

Nancy @nancyapfe.bsky.social · Sep 5

Sen. Maria Cantwell @cantwell.senate.gov · Sep 5

RFK Jr. is perpetrating hoaxes and I don't support his continued efforts as Secretary. We need to rally around science.

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George Dawson @gdspeedskates.bsky.social · Sep 4

Well he already has the blade and we need to take it away from him. And don't forget only about 1/3 of the people voted for him. 1/3 stayed away from the polls. This is why democracy stops working.

Brendan Nyhan @brendannyhan.bsky.social · Sep 3

"Has a major world power ever intentionally inflicted so much damage on itself in such a constricted period of time?" www.persuasion.community/p/america-is...

America Is Choosing Decline

When the president wants to slit the nation’s throat, the least we can do is not hand him the blade.

www.persuasion.community

George Dawson @gdspeedskates.bsky.social · Sep 4

No matter what the political ideology there are always some physicians who will go along with it - whether it is managed care or outright quackery.

George Dawson @gdspeedskates.bsky.social · Sep 3

The consensus is still there - it just has no political backing. Interestingly this is just a variation of the political disempowerment of US physicians that has been there since Congress invented managed care in the 1980s and prioritized business and politics over medicine.

The Unspoken Punchline...

George Dawson @gdspeedskates.bsky.social · Sep 1

Labor Day greetings....

real-psychiatry.blogspot.com/2025/09/the-...