Isaac Baldwin
@ibaldwin.bsky.social
560 followers 230 following 38 posts
MD. Child & Adolescent Psychiatry Fellow. Neurodevelopment, catatonia, spirituality, philosophy and ethics in psychiatry. Opinions my own.
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ibaldwin.bsky.social
“Boredom proneness overlaps with inattention and impulsivity but does not capture hyperactivity, working memory deficits, or problems with planning and organization.”

Excellent article. An example of this distinction: the higher risk of car accidents is probably not due to boredom proneness alone.
ibaldwin.bsky.social
An interesting look at integrating several emerging heuristic models in psychiatry. With some discussion of what it would really take to create a paradigm shift.
New diagnosis in psychiatry: beyond heuristics | Psychological Medicine | Cambridge Core
New diagnosis in psychiatry: beyond heuristics - Volume 55
www.cambridge.org
ibaldwin.bsky.social
This is excellent work. Exactly the type of research that can help us resolve the tense debates around the diagnosis, epidemiology, and nosology of catatonia. Spoiler: presentations change fast, even within 24 hours!
Fluctuation of Catatonic Signs in a Naturalistic Clinical Sample - Brian S. Barnett, Andrew Francis, 2025
Background We are unaware of investigations into whether catatonic signs fluctuate over short periods, so we quantified changes in catatonic signs over 24-hours...
journals.sagepub.com
Reposted by Isaac Baldwin
awaisaftab.bsky.social
The RFK Jr + MAHA alliance may very well ensure that the psychiatric harm movement is eventually remembered not for saving lives from medical overreach, but for wrecking public health in America. The irony of this outcome will not be lost on observers and future commentators.
ibaldwin.bsky.social
Recent articles about the use of AI
in psychotherapy make me feel the way an older generation of psychiatrists must have felt watching the interpersonal aspects of their practice being discarded with applause from the business world and media.
ibaldwin.bsky.social
This post made me think of the many times I’ve heard a patient describe their past treatment with misleading metaphorical language, oftentimes inherited from a physician. It’s humbling to remember that our metaphors are carried outside our offices and may shape self understanding for a lifetime.
awaisaftab.bsky.social
“the profession of psychiatry, over its long history, has impoverished its conceptual foundations by a strong brain-focused bias in how we talk, and, more importantly, think about mental disorders.” Ken Kendler

www.psychiatrymargins.com/p/brain-meta...
Brain Metaphors Beyond Brain Mythologies
A commentary on Kendler's history of metaphorical brain talk in psychiatry
www.psychiatrymargins.com
ibaldwin.bsky.social
Thanks to @autismsciencefd.bsky.social for giving me some time to talk about how catatonia is diagnosed in autism. Some really excellent questions at the end. Enjoyed being with you all!
May 14, 2025: Diagnosis of Catatonia
YouTube video by Catatonia and Severe and Challenging Behaviors SIG
youtu.be
ibaldwin.bsky.social
The MAHA vision is of a type of utopia, where those able to utilize lifestyle practices such as organic food to improve health can live a full life. For disabled people and those lives improved by psychiatric medications & public assistance, however… it’s not clear there is a plan for them.
ibaldwin.bsky.social
4. And what are those motives? Based upon everything we’ve seen so far, it appears to be the promotion of libertarian ideology that sees suffering and disability as individual responsibilities. To replace medical care and social support with “beneficial lifestyle changes”

Piece by Jesse Meadows
Unshrunk and MAHA: A Diagnosis-Critical Case Study
a tangent inspired by my new video :)
open.substack.com
ibaldwin.bsky.social
3. We are now seeing what appear to be efforts by the government to address longstanding issues (insufficient evidence and awareness regarding the risks of medications). Still, it is clear there are ulterior motives.

Piece by @awaisaftab.bsky.social
Opinion | What Kennedy Gets Right, And Wrong, About Antidepressants
Prozac is nearly 40 years old. Why are there still unanswered questions?
www.nytimes.com
ibaldwin.bsky.social
2. Public trust has eroded in medical professions (including and maybe especially psychiatry) for both legitimate reasons (poor communication about certainty, risks, and harms) and because of leaders using rhetoric meant to undermine that trust.

Piece by @awaisaftab.bsky.social
American Psychiatry in the Shadow of MAHA and MAGA
Reflections on medicine, politics, and public trust
open.substack.com
ibaldwin.bsky.social
1. There’s a myth that we used to be healthier in the past, and that we can get back there by shunning the medical establishment. It’s a myth that’s existed for a long time and has more to do with an idea of moral purity than it does with health.
Piece by @drrobertchapman.bsky.social
Neurodiversity and the Myth of Moral Decline
How to spot reactionary critiques of medicalisation
open.substack.com
ibaldwin.bsky.social
I’ve been searching for “the point” behind the MAHA movement and RFK’s policies. All the doctors I know feel like it’s headed for disaster. So why does it have so much steam? Some recent pieces have made it clearer to me: (1/6)
ibaldwin.bsky.social
If psychiatrists want an effective collective response to the administration’s approach to psychiatric medications, it’s going to take clear-eyed communication like this.
awaisaftab.bsky.social
My opinion piece in today’s @nytimes.com . I discuss how clinical neglect of medication-related harms has made RFK Jr’s stance on antidepressants appealing to so many and moving the public conversation in a productive direction requires us to remedy this neglect.

www.nytimes.com/2025/05/03/o...
Opinion | What Kennedy Gets Right, And Wrong, About Antidepressants (Gift Article)
Harm from these drugs is real. Let’s not cede the conversation to Kennedy.
www.nytimes.com
ibaldwin.bsky.social
Many major autism advocacy organizations representing a huge variety of viewpoints (sometimes starkly opposing one another) released this joint statement.

Their points:
1. Vaccines do not cause autism
2. Autistic individuals deserve respect and support
3. Evidence-based policy is essential
ibaldwin.bsky.social
This is the language of eugenics. Autistic lives are inherently valuable.
the-independent.com
WATCH | RFK Jr claims autistic children will never go on dates or pay taxes

Read the recent CDC autism report here: www.independent.co.uk/news/world/a...
ibaldwin.bsky.social
An important perspective. Thanks for sharing.
Reposted by Isaac Baldwin
juliametraux.bsky.social
The Administration for Community Living, housed in HHS, is shutting down. I spoke to disability experts for @motherjones.com about questions they have for what’s next, the services ACL provides, and how this move may lead to more folks being institutionalized. www.motherjones.com/politics/202...
RFK Jr. moves to close Administration for Community Living
The shutdown will mean "more people forced into institutional settings."
www.motherjones.com
Reposted by Isaac Baldwin
drrobertchapman.bsky.social
One way the mainstream "over" (or "under") diagnosis discourse is misleading is the assumption there is some natural, correct number of neurodivergent people. But there is no natural number, as disability is relationally, materially, and socially produced.
ibaldwin.bsky.social
“The psychiatrist, scrolling through the criticism on their phone, can sigh, close the app, and move on with their evening, while the harmed patient sits, eyes wet, waiting for a response, feeling alone and terrified by the world’s indifference to their suffering.”
Reposted by Isaac Baldwin
drrobertchapman.bsky.social
Labour seems set on imposing what I've called neoliberalism's privatisation of eugenic responsibility: instead of enforcing mass authoritarian eugenics, the world is made increasingly unlivable; welfare necessary for life is cut; ensuing deaths are then framed as caused by the individual's choices.
ibaldwin.bsky.social
RFK and friends would have us believe medicine (especially psychiatry) is ruining our country. He would like to return to a golden age before all this. As this article brilliantly illuminates, there is no such time. Reactionary voices have been blaming medicine for “moral decline” for centuries.
Neurodiversity and the Myth of Moral Decline
How to spot reactionary critiques of medicalisation
open.substack.com