@jonathanstea A bit dramatic, but true nonetheless.

@NaOHBartfield Early on, MB was used to develop Thorazine, the first antipsychotic to treat schizophrenia. Do people want to take an organ-damaging antipsychotic medicine just for kicks? If anyone's ingesting enough of this straight to make any difference in anything, it's likely dangerous.

@j00ny369T 1. Learn how to pronounce acetylcholine 2. Understand this: Early on, MB was to develop Thorazine, the first antipsychotic used to treat schizophrenia and other psychoses. 3. If you're ingesting enough of this straight to make any difference in anything, it's likely dangerous.

@nudistaazul That looks beautiful!

@clothesfree @AmericanNude One more time: You're harming the naturist community by censoring your pics, suggesting that "private parts" exist and are immodest. 😡

@martin_desnudo Now see? This is the height of injustice. The guys wearing flip flops should be in nudie prison, not you! 🙂👣

@JonathanShedler All helpful suggestions, but PowerPoint-punctuate is the modern GOAT.

@martwbel You’re back! 🙂

@iHCJoseph Looks like fun. You lucked out, too, having Martin for a roommate. Happy sailing! 🙂

@martin_desnudo @iHCJoseph Happy Nude Birthday, Martin! 🎈🎉👣

@sulmoney Without a doubt. But as usual, enough people with the power to help us help others don't care enough to do so.

@MSW_researcher @TweetATherapist Psychotherapy's complex and there's always more than one way to conceptualize a patient's situation and a therapist's options. There's no way to know which way(s) are best without knowing the patient well, so hypothetical X scenarios are limiting. We can only do our best!

@MSW_researcher @TweetATherapist I take mostly a psychodynamic approach, but I think Linehan's suggestion to take the call but limit its duration for the sake of maintaining connection and forestalling any undesirable escalation might be appropriate here. But that's quite different from a regular session.

@MSW_researcher @TweetATherapist I disagree that maintaining the frame, her commitment to the original parameters of psychotherapy, is dictating. Also, it's possible to view the therapist's behavior (overly permissive) as unwittingly mirroring a different type of ineffective parent.

@MSW_researcher @TweetATherapist I didn't say the patient's autonomy wouldn't be impeded. I said it wouldn't be stripped, and should be balanced against her earlier autonomous decision to commit to the parameters of psychotherapy you initially described to her. I also noted it could involve a boundary issue.

@MSW_researcher @TweetATherapist I wouldn't quibble with this arrangement. You spoke of it beforehand and agreed, and there was sufficient privacy. Both factors were different in OP's scenario. I'm glad she benefited.

@sulmoney Plus psychiatrists can meet via telehealth in many cases, too, right? (If there's time in their schedule.) It's not always absolute shortages of health care professionals that's the problem. We're not evenly distributed across states / counties. 2/2

@DoctorPerin Editor: Just to clarify, these aren't automatic responses to trauma that everyone experiences. These are responses that patients *might* experience based on their individual psychology and psychotherapy work; also, their absence does not mean treatment failed or was incomplete.

@TweetATherapist One clarification of my previous comment re: charging (please read for context). Whatever factors I deem theoretically relevant to this question do not include my own physical comfort, needs, or (dis) abilities. If the latter are in play, I would reschedule and not charge.