@stimimi

I am a UK-based child and adolescent psychiatrist, psychotherapist, and author

Lincoln, UK
Joined August 2009
Western colonialism is alive and well. We should thank Trump and co for taking the mask off and showing us what Western values and ‘democracy’ is all about
Lavrov at the UN: "The Western minority dominated 500 years on others' resources -- still trying to hold onto its privileges, imposing its rules on everyone. ... As President Putin of Russia defined it, I quote: the dictatorship of one hegemon has run amok and is simply dangerous to those around it." "the US invasion of Venezuela ended with the seizure of President Maduro and his wife -- held in an American prison without trial. ... We insist on the swift release of the leader and his wife." "We regard as an unacceptable act of force-diktat the killing of Iran's supreme leader, Ayatollah Ali Khamenei, of his family and the military and political leadership of the Islamic Republic. It is especially alarming that the US-Israeli aggression begun last June, targeted not only civilian infrastructure but peaceful nuclear sites under IAEA safeguards. This has done irreparable damage... to the entire nuclear non-proliferation system." "Erasing Nazi Germany's guilt for the Soviet genocide, unashamed of Germany, main sponsor of the Nazi regime in Kiev, Chancellor Merz says Germany must once again become the leading military power in Europe. Do they understand in Berlin what 'again' means? Do they see where this may lead? Did World War II teach them nothing?" "No other country on Earth but Ukraine bans a language by law. In Ukraine Russian is banned -- using it can mean prison. But the EU, which brags about European values, stays silent." "One can only conclude that Nazism itself, and the flagrant violations of speech, information and faith, are the very essence of European values."
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I don't agree with everything RFK Jr says but I think the mainstream media owe him an apology on this account. I have had many patients say that they found coming off antidepressants harder than coming off heroin. And now there is large-scale data to back up those anecdotes. This of course is distinct from addiction. The pre-requisite for withdrawal is physical dependence which is a predictable physiological response that is the consequence of adaptation to a drug. Physical dependence does not involve compulsion, craving, etc. Opioids cause addiction because of their reinforcing euphoria which antidepressants do not do. But they are both cause physical dependence and evidently comparable levels of withdrawal for the higher risk antidepressants.
In an analysis of drug withdrawal to the FDA adverse effects database here were the signals for the 20 drugs with strongest risk of withdrawal. Paroxetine, duloxetine and venlafaxine where in the top 20. Paroxetine was no. 4, above several opioids.
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sami timimi retweeted
Russian actor Vasily Lanovoy: "In Europe, journalists asked me: 'Why do you celebrate Victory Day like that? We have already forgotten it. I asked them, "How many days did your countries resist Hitler?" They are silent. thecommunists.org/2023/05/16… Then I continued: "Poland was conquered by the Nazis in 28 days, and in Stalingrad, in 28 days, the Germans were able to capture only a few houses. Denmark lasted exactly one day. And the whole of Europe was subdued by the Nazis in three months. And Soviet soldiers had to liberate it. At a cost? A million lives of Soviet soldiers given for the liberation of Europeans from fascism. But Europe decided to forget that!". We will not forget it! When they try to silence our Victory, to forget it, to erase it from the memory of whole generations and whole peoples, it is useful to remember that in the Second World War they resisted the German troops: Denmark - 6 hours; Luxembourg - 1 day; Holland - 5 days; Yugoslavia - 11 days; Belgium - 18 days; Greece - 24 days; Poland - 27 days; France - 1 month and 12 days; Norway - 2 months and 1 day. Pavlov's house at Stalingrad held out for 58 days. During the defence of Pavlov's house, the Nazis lost more soldiers than during the capture of Paris. The Soviet Union held out for four years (1418 days) and ended the war in the enemy's lair: Germany capitulated. Everyone should remember this. We need to tell our children and grandchildren about this, so that they remember it! Happy Great Victory Day!
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This was bound to happen. Until we face scientific and clinical reality and end neurodivergent diagnoses these issues will persist
This article reflects something I’ve been talking about for a while. When a diagnosis is used as a way to decide who gets access to resources or not, then this is going to result in inequality. That’s because those who can afford to pay for a diagnosis and those who understand the system will get their diagnoses more quickly. This will then enable them to access public services more quickly. Those who cannot afford to pay or who do not understand the system will be left behind on a long waiting list, or maybe won’t even get that far. There is no blame attached to this observation. It’s not an attack. Of course parents will do whatever they can to help their children, and if they have the resources to pay privately many of them will do that. But if we have a system where public services are dependent on a diagnosis, and that diagnosis can be obtained more quickly if you pay, then we are going to end up with the most affluent people receiving most services. This is a side effect of the burgeoning market in private diagnostic assessments which has sprung up over the last fifteen years. As a society, we need to look clearly at what is happening and decide whether this is the best way to allocate public resources. theguardian.com/society/2026…
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The long-awaited #ODDESSI trial - the first randomized controlled trial of Open Dialogue - has at last been published in The Lancet Psychiatry. The results provide a beginning for rethinking psychiatric care. buff.ly/Y63ol2C
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In England areas where there is a relatively high proportion of white people have a higher proportion of people receiving disability benefits for ADHD or. Autism. Rates are growing fastest in most affluent areas independent.co.uk/news/uk/ho…
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Had a nice evening and great discussion with @belengonzalezc at the @festdelasideas last night
¿Dónde termina el sufrimiento y dónde empieza el trastorno? 🧠 Sami Timimi y Belén González Callado conversan sobre medicalización, salud mental y las formas en que el malestar individual se relaciona con nuestro entorno social.
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Don’t fall for the Green con trick
Zack thought he could convince us to vote for him. He was very much mistaken. There's only one party who doesn't back Britain's kamikaze fantasies of going to war against Russia, and it's not the Green Party. Workers Party GB is where it's at. All the others can get in the bin.
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Exactly. PDA should NEVER be given as a (pseudo) diagnosis. I saw the consequences where children end up in hospital tube fed and where parents needed permission to make reasonable (and life saving) demands/expectations for their children to help them develop healthily
I’ve just read a Forbes magazine interview in which PDA, or pathological demand avoidance, is defined by an advocate as a ‘neurobiological command’. People with PDA, she said, have no choice but to respond with avoidance. I then saw a video where parents were told their child with PDA has a fragile nervous system, meaning they inevitably will respond to every day life as if it is a threat. And I heard a podcast, saying that PDA is so serious than children could end up fed by a tube, because eating is a demand and they are wired to avoid demands. All by well known advocates and consultants with hundreds of thousands of followers. Beliefs like this have consequences. They change the way people live their lives. They closes things down, and it shrinks their world. They can cause real harm, as children get stuck in their bedrooms and the whole family organises themselves around avoidance. Yet that is what many well known advocates tell parents whose children are identified as having PDA. Despite the complete lack of evidence, despite the poorly elucidated nature of PDA, and despite the fact that demand avoidant behaviour is something that can come and go across children’s lives. PDA changes how families think of anxiety, and not in a good way. They think their only option is to accommodate the anxious avoidance and before you know it, it’s got worse. We know how to help anxious children - this doesn’t change because that anxiety has been given the label of PDA. That’s why I think clinicians need to start talking honestly about narratives that can harm. We need to stop looking the other way when advocates talk about neurobiological commands, or tell families that their children have nervous system disabilities. We need to read what they are reading, watch what they are watching - and speak up about neuro-deterministic narratives that are based on nothing and can alter the trajectories of people’s lives. Telling people that their nervous systems are fragile is not a neutral thing to do and it’s not true. Our children deserve better. (Extract from article by Nancy Doyle from @Forbes, Mar 26 2021).
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As many have suspected CIA were likely actively involved in enabling Saudi intelligence to plan the 9/11 terrorist attack. It unleashed the brutality of the war on terror killing and maiming millions.
In April 2023, The Grayzone exposed how Riyadh recruited then managed two would-be hijackers on behalf of the CIA
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Don’t fall for the Milliband Burnham theatre. They are simply trying to extract votes for pretending whilst retaining their racist Zionist allegiance
One final, horrifying subtext to Miliband’s speech announcing a trade ban on the settlements should not go unremarked. In desperately trying to keep alive the West’s two-state solution, Burnham’s government is not just ignoring reality: the fact that there is no partner in Israel – electable or otherwise – to implement such a vision. Burnham and Miliband are also insisting, in the entirely improbable event that a Palestinian state can be extracted from Israel, that the Palestinian people should be required to make peace with an unrepentant, heavily militarised, racist state that has recently committed genocide in Gaza. None of the 11 states that joined the UK this week in sanctioning the settlements can apparently imagine Palestinians ever living in anything more than a small, demilitarised, economically dependent pseudo-state, with no real choice over its leaders, or control over its borders and economy. Similarly, there is no suggestion that a neighbouring, territorially reduced Israeli state would need to be reformed ideologically, or made to engage in any kind of truth and reconciliation process, or face sanctions until it sees the error of its genocidal ways. The Jewish supremacist ideology of Zionism, the dehumanising logic of the Israeli settler-colonial mindset, and the religious fundamentalism of large swaths of the Israeli population - all critical to the rationalisation of the Gaza genocide - would remain unchallenged. On this view, it seems, long-established impulses towards apartheid and genocide would simply evaporate, even as the West continues to indulge Israel’s every whim. This isn’t a recipe for peace, even of the flawed kind. It is a demand that the Palestinian lamb continue to dwell with the Israeli wolf. The truth that Burnham’s government refuses to face, as with every government before it, is that peace won’t magically arrive with Palestinian statehood. A Palestinian state – or, more likely, a single state embracing Palestinians and Israeli Jews – can emerge only when Israel has been dismantled as a heavily armed settler-colonial state, as happened with apartheid South Africa. Israeli society will need to be re-educated through a painful truth and reconciliation process, as also happened in apartheid South Africa. Israelis will have to be made to confront the facts about a century of atrocities committed against the native Palestinian people. Britain is not contemplating doing any of this – because the threads from unravelling the crimes of Israel and the Zionist movement would lead straight to the door of 10 Downing Street and other western powers. This is an extract from my latest article Britain's settlement trade ban is cosmetic. For it to work, it must sanction Israel. Find a link to the rest in the reply post ⬇️
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The BBC refuses to interrogate the deeply flawed premise of Chief Rabbi Mirvis and the Israel lobby that British Jews will be made less safe by the UK sanctioning illegal Israeli settlements engaged in the ethnic cleansing of Palestinians. The reality, it should barely need stating, is likely to be the very opposite. It is Mirvis who confirms the antisemites’ worst assumptions by continually confusing Jews with Israel and using his influence to protect Israel from ever being held accountable for its crimes. This is an extract from my latest article British Jews are being made less safe by chief rabbi Ephraim Mirvis, not Ed Miliband. Find a link to the rest of the article in the reply post ⬇️
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¿Estamos convirtiendo el malestar en enfermedad? 🧠  @stimimi y @belengonzalezc conversan sobre diagnósticos, medicalización y la importancia de mirar también al contexto social cuando hablamos de salud mental. 📍 Plaza de España 🗓️ 19/09 · 21:30h 🔗 acortar.link/pnEeRd
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Another important article by @YaakovOphir raising foundational questions about the ADHD construct. Conceptual challenges in psychiatric nosology: ADHD across six editions of the DSM | The British Journal of Psychiatry | Cambridge Core - cup.org/3UxZ1fA
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As Keir Starmer announces his resignation as an MP, here's a snapshot of his legacy in politics: - Saying Israel had the right to cut off water and electricity from Gaza - The F-35 carve out, allowing UK-made fighter jet parts to flow to Israel - Hundreds of spy flights over Gaza - Denying the genocide in Gaza - Inviting Israeli war criminals to Britain - The proscription of Palestine Action - Thousands of terrorism arrests - Allowing the US to bomb Iran from British bases - Facilitating Trump's deadly bombing of Yemen - Silence in the face of US kidnapping of Nicolás Maduro
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This what fascism looks like
Israel's national security minister, Ben-Gvir, posted this AI video of Palestinians being sent into a slaughter house on an industrial conveyor belt. It reached 4 million views before he removed it. edition.cnn.com/2026/08/31/m…
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