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Michael Ostacher, MD, MPH Profile
Michael Ostacher, MD, MPH

@RecoveryDoctor

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Professor of Psychiatry & Beh Sciences @StanfordMed decreasing stigma/increasing evidence/improving care. Food tweets. Digital Ed @BMJMentalHealth Opinions mine

Stanford, CA
Joined January 2013
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@RecoveryDoctor
Michael Ostacher, MD, MPH
2 years
Just had a patient tell me today that my prescribing acamprosate saved his life. Hasn't drank since. "I just don't think about it anymore." Never had someone taking gabapentin tell me that, so just a reminder to all of you out there to follow the data and to watch your biases.😀
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@RecoveryDoctor
Michael Ostacher, MD, MPH
3 hours
@m_aadil One can certainly switch to sublingual buprenorphine monotherapy if you have concerns about tolerability of buprenorphine/naloxone before switching to long-acting injection.
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@RecoveryDoctor
Michael Ostacher, MD, MPH
3 hours
RT @MentalHealthAm: Philadelphia Eagles wide receiver (and Super Bowl LIX champion!) A. J. Brown has been open about his mental health sinc…
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@RecoveryDoctor
Michael Ostacher, MD, MPH
6 hours
@adamcifu Bummer. Make Waiting Rooms Great Again!
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@RecoveryDoctor
Michael Ostacher, MD, MPH
6 hours
@pash22 @chrisaikenmd @drjohnm Already wrote about this earlier @pash22
@RecoveryDoctor
Michael Ostacher, MD, MPH
9 hours
@drjohnm writes “making outsized conclusions from weak evidence shreds trust in the medical profession” and we should listen to him. No, cannabis use disorder doesn’t clearly cause massive increases in mortality and the authors should know better.
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@RecoveryDoctor
Michael Ostacher, MD, MPH
6 hours
@drjohnm writing “making outsized conclusions from weak evidence shreds trust in the medical profession” may be the most important thing you read today. Stop it with the causality determinations from obviously biased and confounded data. Cannabis ≠ Death.
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@RecoveryDoctor
Michael Ostacher, MD, MPH
9 hours
@drjohnm writes “making outsized conclusions from weak evidence shreds trust in the medical profession” and we should listen to him. No, cannabis use disorder doesn’t clearly cause massive increases in mortality and the authors should know better.
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@RecoveryDoctor
Michael Ostacher, MD, MPH
24 hours
Same
@dieworkwear
derek guy
1 day
@vincedige i love my mom
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@RecoveryDoctor
Michael Ostacher, MD, MPH
1 day
@cremieuxrecueil The old and the wise appear to be holding out.
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@RecoveryDoctor
Michael Ostacher, MD, MPH
1 day
@MarkLRuffalo Politics is politics and always has been. It has existed as long as humankind lived in groups. There has never been a time without politics. It’s not a new thing. It just is.
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@RecoveryDoctor
Michael Ostacher, MD, MPH
1 day
RT @StefanKertesz: This is a solid account of how research universities are financed and likely how they will be impacted by NIH’s ⬇️ of “i…
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@RecoveryDoctor
Michael Ostacher, MD, MPH
2 days
The wisdom of @KeithNHumphreys again. If he can get @NickKristof to come around to understanding how misguided policies led an addiction (and public safety) crisis in the Western states then you might should listen to him too.
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@RecoveryDoctor
Michael Ostacher, MD, MPH
2 days
@DiacoNick @Grakees Tell the owner!
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@RecoveryDoctor
Michael Ostacher, MD, MPH
2 days
@DiacoNick Academia is in a perilous place right now
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@RecoveryDoctor
Michael Ostacher, MD, MPH
2 days
@DiacoNick Tuition is a direct cost on grants. Perhaps the NIH will get the idea that they shouldn’t pay that either, or to give salaries to students. “Shouldn’t students pay to go to school? Why should the American Public pay these elites to learn?” But go ahead and post this stuff.
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@RecoveryDoctor
Michael Ostacher, MD, MPH
2 days
@noelvest We’ll see.
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@RecoveryDoctor
Michael Ostacher, MD, MPH
2 days
@taperclinic @awaisaftab @joannamoncrieff You are doing the same thing she does @taperclinic. It is a bad faith argument to insist that “the status quo” is somehow wrong and that destroying it is always good. There are risks and benefits to any treatment, include what you ask people to pay to do.
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@RecoveryDoctor
Michael Ostacher, MD, MPH
2 days
Read this brilliant piece by @awaisaftab. While he describes the process by which the anti-psychiatry movement makes its arguments, it is the same process by which all scientific and medical expertise is undermined, destroying public faith in all our institutions.
@awaisaftab
Awais Aftab
2 days
Anatomy of Moncrieff's Anti-Medication Playbook @joannamoncrieff has a carefully honed 3-step strategy of attacking psychiatry, which she has used with remarkable power against the medical establishment. Step 1: Identify a narrow, technical assertion pertaining to the neurobiology or medical treatment of mental health problems, and show that the evidence supporting that assertion is not as strong or high quality as commonly believed. Step 2: Use the uncertainty of evidence to make the claim, or imply, or pretend that the assertion has been shown to be false. [This step is a logically invalid inference since weak evidence in favor of thesis A does not equal strong evidence in favor of inverse A.] Step 3: Use the claim as a stepping stone to bash medical psychiatry by making claims that extend far beyond the scope of the narrow, technical assertion in step 1. Rely on rhetoric, ignorance of the audience, and prevalent prejudices to pull this off, and make strategic motte-and-bailey retreats when needed. This 3-step attack is bolstered by 2 ancillary moves: a) Make isolated demands for rigor, and set the required bar of evidence to a level that favors one’s own position, while simultaneously lowering the bar or shifting the burden of proof when it suits your favored positions. b) Pretend your personal opinion carries the same epistemic weight as the clinical consensus of the medical community. See details of how this play out in my post:
Tweet media one
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@RecoveryDoctor
Michael Ostacher, MD, MPH
2 days
RT @ProfRobHoward: I think this is a very important tweet. Awais articulates what many of us believe about my UCL colleague and the argumen…
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@RecoveryDoctor
Michael Ostacher, MD, MPH
2 days
@ProfRobHoward Nakedly obvious
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