🧵 Different personality styles struggle under different triggers: Borderline: attachment loss Narcissistic: image loss Depressive: loss of love or moral/meaning failure Obsessive: collapse of inner rules or chaos Schizoid: invasion or engulfment

Would recommend just reading East of Eden. Before watching it, if you choose to watch it. Going to record with my cohort longer reflections, we reviewed the book on YouTube a couple months ago: youtu.be/_EOLQwlC3i0?si=Cxdn…

Update for DSM: narcissistic personality disorder is out, new name will be: Main character syndrome Deflated type now called: NPC

She founded Columbia’s Women’s Mental Health Program, trained on the Maudsley mother-baby unit, and has evaluated more than 25 mothers who killed their infants while psychotic. Pioneer of U.S. perinatal psychiatry, and one of the people who has fought longest to get postpartum psychosis recognized. Episode 281: Postpartum Psychosis: Symptoms, Diagnosis, Treatment, and Prevention with Dr. Margaret Spinelli 00:51 Dr. Margaret Spinelli’s Journey Into Perinatal Psychiatry 06:44 Neonaticide, Pregnancy Denial, and Dissociation 15:54 Mother-Baby Units and the Impact of Postpartum Mental Illness 22:56 Postpartum Psychosis and the Bipolar Spectrum 24:04 Confusion, Cognitive Changes, and the Delirium-Like Presentation 28:14 Lithium and Preventing Postpartum Psychosis 33:02 How Postpartum Psychosis Can Rapidly Progress 37:02 Delusions of Influence and Loss of Control 40:13 Recognizing and Diagnosing Postpartum Psychosis 49:05 Hallucinations, Delusions, and Infant-Focused Psychotic Symptoms 56:01 Hypomania, Mixed States, and Antidepressant Considerations 58:16 Postpartum Psychosis, Infanticide, and Forensic Psychiatry 01:08:34 Safety, Hospitalization, Recovery, and Hope

I was interviewed for this piece. I was not commenting on any specific case... I was describing general psychological dynamics: attachment, love bombing, and how empathy and loyalty can be weaponized by someone with dark tetrad traits. nitter.cf/nypost/status/21016430…

Top expert who wrote the most important articles on postpartum psychosis and leading the charge to add it to the DSM! Episode 280: Postpartum Psychosis: Diagnosis, Treatment, Lithium, and Relapse Prevention with Dr. Veerle Bergink 00:00 Postpartum Psychosis: Diagnosis, Treatment, and Prevention 00:59 Early Signs and Symptoms of Postpartum Psychosis 02:36 Diagnosis, Medical Workup, and Acute Treatment 05:55 Anti-NMDA Receptor Encephalitis and the Differential Diagnosis 08:07 Autoimmunity, Thyroid Disease, and Postpartum Mental Health 12:46 Recovery, Prognosis, and Risk of Bipolar Disorder 19:37 Postpartum Depression, Bipolar Depression, and SSRIs 23:13 Lithium for Postpartum Psychosis and Relapse Prevention 31:18 Why the U.S. Needs Mother-Baby Psychiatric Units 36:13 Should Postpartum Psychosis Be Added to the DSM? 42:41 Postpartum OCD, Intrusive Thoughts, and PTSD 49:11 How to Prevent Postpartum Psychosis in High-Risk Women

Liam Browning and I wrote this paper on cold exposure... He also did episodes with me on sauna, ACEs, micro-dosing, THC, genetics and schizophrenia, and we have more in the pipe! nitter.cf/broliam12/status/21002…

In the future AI will get better at citing papers. It will make up a paper, and then cite it, and insert/hack the paper into a journal website to validate its existence... Until then double check if it only saw the abstract...

Video game playing is good for cognitive ability. No more studies needed. Abstract all you need to read.

Me yesterday: All verified US clinicians get free GPT-6 Astra Pro! 😃 Me today 3 prompts in: you have run out of tokens…

Episode 279: Postpartum Depression and Problem-Focused Psychodynamic Psychotherapy: Understanding the Five Core Conflicts 01:46 Understanding Postpartum Problems: From Symptoms to Underlying Conflicts 08:59 Maternal Anger, Guilt, and the Idealized Experience of Parenthood 19:25 Attachment, Dependence, and Difficulty Asking for Help 22:20 Separation Anxiety, Abandonment, and Fear of Leaving the Baby 32:07 The Five Core Conflicts in Postpartum Psychodynamic Psychotherapy 33:54 Integrating Psychodynamic Therapy With Biological, Social, and Evidence-Based Treatments 41:36 Postpartum OCD, Intrusive Thoughts, Shame, and Confidentiality 52:08 Relationships, Culture, and Social Determinants of Postpartum Mental Health 1:00:58 Mentalization, Countertransference, and Observing the Parent–Infant Relationship 1:06:56 Trauma, Emotional Regulation, and Applying the Five Conflicts in Treatment 01:15:02 Final Thoughts on Postpartum Problem-Focused Psychodynamic Psychotherapy