Jason Shimiaie MD
@yourbrainmd.bsky.social
Psychiatrist writing at the intersection of mind, brain & meaning
🧠 Essays on selfhood, absurdity & the art of being human.
🗞️ Newsletter: yourbrainmd.substack.com
🙋🏻♂️ About Me: shimiaiemd.com
🤓 Clinical Practice: mytruenorth.life
💫 Social: @YourBrainMD
🧠 Essays on selfhood, absurdity & the art of being human.
🗞️ Newsletter: yourbrainmd.substack.com
🙋🏻♂️ About Me: shimiaiemd.com
🤓 Clinical Practice: mytruenorth.life
💫 Social: @YourBrainMD
Attachement Theory can predict co-dependency and hyper-independence
Giving and Receiving Care, in Balance
The Reciprocal Nature of the Attachement and Caregiving Systems
open.substack.com
November 12, 2025 at 9:39 PM
Attachement Theory can predict co-dependency and hyper-independence
An overview of how dissociation presents and it’s underlying biology.
The Neuroscience of Dissociation
How The Brain is Wired To Disconnect
open.substack.com
November 2, 2025 at 3:26 PM
An overview of how dissociation presents and it’s underlying biology.
THC and CBD work in our bodies in much stranger ways then you think. Check out my article elaborating on how the endocannabinoid system works in our brains and bodies.
The Science of the Endocannabinoid System
The endocannabinoid system is one of the most diffuse neurotransmitter systems in the body and the brain. Understanding its function and unusual nature destigmatizes THC and CBD.
www.psychologytoday.com
October 29, 2025 at 9:28 PM
THC and CBD work in our bodies in much stranger ways then you think. Check out my article elaborating on how the endocannabinoid system works in our brains and bodies.
We now better understand the neurobiology of psychedelics and how they augment healing and trauma processing through increasing neuroplasticity.
The Neuroscience of Psychedelic Change & White Matters Role in Brain Stimulation
Expert takes from Jason Shimiaie MD & Nicolas Hubacz MS
open.substack.com
October 29, 2025 at 3:51 PM
We now better understand the neurobiology of psychedelics and how they augment healing and trauma processing through increasing neuroplasticity.
Gaslighting is harmful, but not always intentional. While those with anti-social personality disorder gaslight in quite sophisticated and planned ways, narcissists do it to protect their very fragile and artificially constructed sense of self.
Gaslighting for Survival
The unfortunate case of destroying others to protect yourself
open.substack.com
October 29, 2025 at 3:30 PM
Gaslighting is harmful, but not always intentional. While those with anti-social personality disorder gaslight in quite sophisticated and planned ways, narcissists do it to protect their very fragile and artificially constructed sense of self.
Human Attachement (and attachement theory) are not abstract ideas. They are rooted deeply and firmly in our biology and brain circuitry.
October 28, 2025 at 3:32 PM
Human Attachement (and attachement theory) are not abstract ideas. They are rooted deeply and firmly in our biology and brain circuitry.
A new blood test has been approved to help diagnose Alzheimers disease
www.nature.com/articles/d41...
www.nature.com/articles/d41...
October 28, 2025 at 3:31 PM
A new blood test has been approved to help diagnose Alzheimers disease
www.nature.com/articles/d41...
www.nature.com/articles/d41...
#Love gives meaning to being human. #Hatred, #indifference and abuses of #power deprive us all of this one most important thing.
The Opposite of Love
Meditations on Power, Indifference and Conditional Acceptance
open.substack.com
October 26, 2025 at 6:09 PM
#Love gives meaning to being human. #Hatred, #indifference and abuses of #power deprive us all of this one most important thing.
Do people find that symptoms of ADHD can exaggerate episodes of dissociation?
October 25, 2025 at 6:12 PM
Do people find that symptoms of ADHD can exaggerate episodes of dissociation?
Sometimes we are drawn romantically to people who have been felt unloved, in the hopes that accepting them will heal them.
Do you think this works? Can we really be what our partners need?
Or is the real work in the partner accepting themselves?
Can the former contribute to the latter?
Do you think this works? Can we really be what our partners need?
Or is the real work in the partner accepting themselves?
Can the former contribute to the latter?
October 25, 2025 at 6:09 PM
Sometimes we are drawn romantically to people who have been felt unloved, in the hopes that accepting them will heal them.
Do you think this works? Can we really be what our partners need?
Or is the real work in the partner accepting themselves?
Can the former contribute to the latter?
Do you think this works? Can we really be what our partners need?
Or is the real work in the partner accepting themselves?
Can the former contribute to the latter?
Sometimes #fights won't end no matter how hard we try. Unexpressed or #dissociated #shame can be the culprit. This article helps you recognize and overcome that.
Dissociated Shame Wars
Why Arguments Spiral Out of Control
open.substack.com
October 25, 2025 at 5:23 PM
Sometimes #fights won't end no matter how hard we try. Unexpressed or #dissociated #shame can be the culprit. This article helps you recognize and overcome that.
#Guilt and #Shame evolved to have a social value. However they can also become tools of #manipulation
Guilt, Shame, and Cooperation
The Social Value of The Fear of Rejection
open.substack.com
October 25, 2025 at 5:22 PM
#Guilt and #Shame evolved to have a social value. However they can also become tools of #manipulation
#Neuroscience shows us how chronic #disappointment can literally rewire the #brain through changes in #dopamine levels
Dopamine and the Denial of Desire
Expecting the worst and denying ourselves positive feelings can be a self-sabotaging form of protection
open.substack.com
October 25, 2025 at 5:22 PM
#Neuroscience shows us how chronic #disappointment can literally rewire the #brain through changes in #dopamine levels
#BorderlinePersonalityDisorder is not just about intense #emotions and unstable #relationships. It is rooted in #dissociation that causes a fragmented relationship between the different parts within a person
The Role of Dissociation in Borderline Personality Disorder
The Roots of a Fragmented Self
open.substack.com
October 25, 2025 at 5:21 PM
#BorderlinePersonalityDisorder is not just about intense #emotions and unstable #relationships. It is rooted in #dissociation that causes a fragmented relationship between the different parts within a person
Things can happen to us or in the world that seem too horrible to be true. Turning this into absurdity and horror can be a great way to cope and ground your feelings while navigating challenges.
Absurdity: The Horror and The Humor
When something is too bad to be true, it can help to laugh at it
open.substack.com
October 25, 2025 at 5:19 PM
Things can happen to us or in the world that seem too horrible to be true. Turning this into absurdity and horror can be a great way to cope and ground your feelings while navigating challenges.
#Narcissists subvert subjective reality, aka #gaslight, to bring you under their control. They replace your view of things with theirs. This is a from of #EmotionalAbuse
Narcissists Who Undo Your Reality
Gaslighting as a Tool of Dissociation and Subversion of Subjectivity
open.substack.com
October 25, 2025 at 5:19 PM
#Narcissists subvert subjective reality, aka #gaslight, to bring you under their control. They replace your view of things with theirs. This is a from of #EmotionalAbuse
Being #ghosted is no fun; #dating is a rough game for many people. I wrote on essay on my perspectives on why is happens and how to #protect yourself from #disappointment
Romantic Apparitions: The Psychology of Ghosting
Understanding the new normal from a psychiatrist's perspective
open.substack.com
October 25, 2025 at 5:17 PM
Being #ghosted is no fun; #dating is a rough game for many people. I wrote on essay on my perspectives on why is happens and how to #protect yourself from #disappointment
#Hate can feel awful, #toxic, and even #shameful. But it is a normal human #emotion that if reflected on can be used for healing and growing rather than something destructive to #relationships.
How to Heal Hate
Hatred as Information instead of Action
open.substack.com
October 25, 2025 at 5:16 PM
#Hate can feel awful, #toxic, and even #shameful. But it is a normal human #emotion that if reflected on can be used for healing and growing rather than something destructive to #relationships.
Major Depressive Disorder can have a wide range of severity. What is rarely acknowledged is #depression that reaches a level of #psychosis. This is a quite horrific experience for patients so early recognition and treatment is crucial.
When Depression Crosses Into Delusion
Major Depression with Psychotic Features
open.substack.com
October 25, 2025 at 5:15 PM
Major Depressive Disorder can have a wide range of severity. What is rarely acknowledged is #depression that reaches a level of #psychosis. This is a quite horrific experience for patients so early recognition and treatment is crucial.
As a #Psychiatrist specializing in the treatment of #Trauma and #Dissociation, I want to make understanding these conditions more accessible. This essay is meant to shed light on a poorly understood, but very common phenomenon.
What Dissociation Really Is
Your Guide to Understanding and Recognizing Dissociation
open.substack.com
October 25, 2025 at 5:14 PM
As a #Psychiatrist specializing in the treatment of #Trauma and #Dissociation, I want to make understanding these conditions more accessible. This essay is meant to shed light on a poorly understood, but very common phenomenon.
#Avoidance has short term benefits but long term risks including ultimately losing the valuable #relationships you are trying to protect.
The Hidden Harm of Avoidance
Learning that discomfort is not an enemy, it's an opportunity
open.substack.com
October 25, 2025 at 5:13 PM
#Avoidance has short term benefits but long term risks including ultimately losing the valuable #relationships you are trying to protect.
There is more to #Narcissism than fragile self esteem. It is rooted in #dissociation a can be understood with a #neuroscience lens
The Connection Between Narcissism and Dissociation, and it's Underlying Neuroscience
How hidden selves corrupt self esteem and ruin relationships
open.substack.com
October 25, 2025 at 5:12 PM
There is more to #Narcissism than fragile self esteem. It is rooted in #dissociation a can be understood with a #neuroscience lens