Melinda Hill @Dr_MHill
Consultant Psychiatrist & Psychoanalytic Psychotherapist Joined November 2015-
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As General Practice dies, I wanted to write a reflection as to why. It's not about the evidence. We know that General Practice is the cheapest and most effective part of the health system. Here is the evidence in mental health for patient satisfaction.
Psychodynamic therapy is often not described as "evidence-based". The reasons for this are interesting to debate, but studies suggest otherwise. PDT has a solid evidence base, and tends to have an enduring effect after therapy formally ends. This makes sense as therapy, in…
Psychoanalytic therapies consider how our unique identities (e.g., gender, race), social contexts (e.g., class, power), and personalities shape our lives. We consider many perspectives to fully understand the patient as a whole person, not a list of symptoms #TherapistTwitter
Reifying depression, treatment resistant depression, and many other DSM diagnoses, as things that are causes of symptoms instead of names of clusters of symptoms is the biggest source of confusion about mental health in the public and MANY clinicians are contributing to the prob
Sorry, but psychotherapy just doesn’t happen in 5-6 sessions None of the study conclusions mean anything because they’re predicated on the assumption that the participants actually received psychotherapy—but they didn’t
Everyone! Must read! Psychoanalysis is alive and well and kicking it in the 21st century. vulture.com/2023/01/parapr… @Parapraxis_Mag
All services to provide trauma-informed care and access to psychotherapy within the Victorian public health system should be bare minimum @GabbyWilliamsMP @MHReformVic @DrIButterfield @LivedExpAust @MentalHealthVic
#Australia - I am alarmed at #NSW court's prison term against #ClimateProtester 𝗗𝗲𝗮𝗻𝗻𝗮 𝗖𝗼𝗰𝗼 and refusal to grant bail until a March 2023 appeal hearing. Peaceful protesters should never be criminalised or imprisoned.👇🏽 bit.ly/3ivDiBZ
An Indigenous woman (Roxana Villegas Paredes) from Potosí, Bolivia told me that it is difficult to graft the beauty of a butterfly (ancestral Indigenous knowledges) with the mechanics of a watch (Eurocentric knowledges). 19/
News to think about this Labor Day weekend: The strike by Kaiser mental health clinicians is now the longest mental health strike in U.S. history. This should be a bigger story than it is.
"There are no gimmick that can make trust happen. You can’t buy trust. You can’t manufacture trust. It’s earned by hundreds of interactions. Even as a therapist, you may not be aware of which ones had that import, that shifted it for the person." —Mary Jo Peebles
Assoc Prof Mat Coleman, Chair of Rural and Remote Mental Health Practice, University of WA, is not on #MedTwitter but has asked me to share his sentiments about #MHinGP via my channel. Below screenshot posted at his request.
Chris Goodnow is a world-renowned immunologist. Before catching COVID in May, he was also an avid cyclist and surfer, the director of a major medical research institute, and my boss. And then, like many other COVID patients, the virus hit his heart. abc.net.au/news/health/20…
The @RACGP agrees The longer Telehealth item numbers need to be restored on behalf of vulnerable patients. Complex patients. Denied access to care by a combination of blind bureaucratic & budgetary decisions. As clinicians we will continue to advocate on their behalf.
Dr. Linda Berman @LindaBerman4
14K Followers 8K Following Psychotherapist, writer, artist. I love life quotes, poetry, art. Weekly mental health blog: https://t.co/YTPx0uOwH9. Therapy, quotes, art. No DMs please.Marc Tibber @MarcTibber3
7K Followers 5K Following Lecturer @UCL_DClinPsy & Senior Clinical Psychologist. Research social factors in YP's MH. Scientific hippy. Views my own. RT=/=endorsement. #shitscomplicatedMark L. Ruffalo @MarkLRuffalo
16K Followers 1K Following Editor-in-Chief, @CarlatPsych Psychotherapy Report; Pitt-trained 💙💛 faculty in psychiatry @UCF and @TuftsMedSchool; interest in BPD/psychosisJustin Garson @justin_garson
13K Followers 3K Following THE MADNESS PILL (@StMartinsPress, forthcoming) | MADNESS (Oxford, 2022) | Philosopher, CUNY | Contributor @PsychToday @aeonmag | rep @VogelrachelmJP 🍩🏀 @PoetryofAfter
4K Followers 3K Following Psychotherapy. Psychoanalysis. Warriors. my tweets are impressions of the struggles, and evolutions of my learning, which is realizing how much I don’t know.Stephen Buehler @sbuehler
4K Followers 1K Following #emotions are #dynamic #embodiment / psychotherapist / 20k+ hrs consulting w #healthcare #leaders #teams / 300+ critical incidents #disasters / https://t.co/6MIzpmm4u0BrightonPsych @BrightonPsych
4K Followers 585 Following Tweets by Mark Vahrmeyer | UKCP Psychoanalytical Psychotherapist | Views my own | Co-owner of Brighton and Hove Psychotherapy in #Brighton and #Lewes, UKAustralasian Psychiat.. @AP_RANZCP
2K Followers 5K Following Australasian Psychiatry is a @RANZCP Journal that promotes the art of psychiatry and its maintenance of excellence in practice. RT/follow does not = endorsementPatrick McGorry @PatMcGorry
17K Followers 1K Following Exec Director @orygen_aus Prof of youth mental health @unimelb Global reform @iaymh @IEPAnetwork Foundation Director @headspace_aus President @CelticClubMelbZoe Mithen @MithenZoe
2K Followers 3K Following Disability, NDIS, Serious Mental Illness, Climate Change, Sustainability. Born 335.42 ppmRANZCP @RANZCP
7K Followers 1K Following The Royal Australian and New Zealand College of Psychiatrists trains and represents experts in mental illness. RT/follow does not = endorsementAli Cliffe @cliffe_ali
3K Followers 4K Following Trainee Child & Adolescent Psychotherapist Doctoral student UCL, Jung-lover Certified Theraplay Trainer Pet pics, films, books, quotes Views my ownMartin Bullard LICSW @MartinBullard4
1K Followers 942 Following Psychoanalyst - "Faculty Chair Elect", “Supervising & Analyst of Candidates” Seattle Psychoanalytic Society & InstituteDr Penny Golding @DrPennyGolding
576 Followers 527 Following Psychiatrist, Psychotherapist, RANZCP Director of Training, Mother, Listener. Gender equity, Intersectionality, Inclusivity, Diversity. No-one held back.Grant H Brenner MD @GrantHBrennerMD
6K Followers 3K Following Psychiatrist & Psychoanalyst | Founder & Org Consulting | Writer | Disaster MH | Mutual Respect | Private Practice | Futurist | ≠ Med Adv | ✡️🕊🌎SimonJudkins @JudkinsSimon
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3K Followers 2K Following Specialist in OCD, anxiety, CBT, teaching, exercise and mental health. UKA licensed Running coach Author of best selling books . Views my ownLiesel Ryan @DrLiesel
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10K Followers 536 Following Psychologist here to mostly talk with other psychotherapists about therapies of depth, insight, & relationshipMarc Tibber @MarcTibber3
7K Followers 5K Following Lecturer @UCL_DClinPsy & Senior Clinical Psychologist. Research social factors in YP's MH. Scientific hippy. Views my own. RT=/=endorsement. #shitscomplicatedMark L. Ruffalo @MarkLRuffalo
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13K Followers 3K Following THE MADNESS PILL (@StMartinsPress, forthcoming) | MADNESS (Oxford, 2022) | Philosopher, CUNY | Contributor @PsychToday @aeonmag | rep @VogelrachelmJP 🍩🏀 @PoetryofAfter
4K Followers 3K Following Psychotherapy. Psychoanalysis. Warriors. my tweets are impressions of the struggles, and evolutions of my learning, which is realizing how much I don’t know.Jayce Long @JayceLong
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967 Followers 933 Following Psychiatrist, Director of Psychiatry Residency , Educator, Academician, Mentor,AdvocateKaren Magraith @KarenMagraith
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2K Followers 95 Following Director & CEO @BurnetInstitute - Also owner of @CrabbBrendan but inadvertently locked myself out and can't get back in. So this is where I'll be!If psychotherapists are not careful as a profession, we will inadvertently adopt the assumptions of others who want a piece of the financial pie (health insurance companies, big tech, pharmaceutical companies) who tell us less is more. Less is not more. 🧵
Any psychotherapist worth their salt has had their own deep, meaningful psychotherapy. And will probably continue to return throughout many stages of life.
One’s ability to invite someone into painful spaces is proportional to their experiential conviction that they can join them there. They have been to similar lived depths within themselves, with another.
"Patients manifest, over the course of months and years of treatment, an interest, a genuine caring, as to whether the analyst himself has been growing and thriving during and as a result of their therapeutic ministrations to him."
Psychotherapy has a dose response. More is actually better. Competent clinicians understand this does not mean most people should be in psychotherapy forever. 🧵
As General Practice dies, I wanted to write a reflection as to why. It's not about the evidence. We know that General Practice is the cheapest and most effective part of the health system. Here is the evidence in mental health for patient satisfaction.
Want to nurture your baby’s early language? It’s really not rocket science, but it does require your time and attention. First, your baby is NEVER too young to be spoken to. It may seem odd to have a conversational partner that can’t yet respond in conventional ways. But your…
This is the recipe for happiness and success as a psychotherapist. The ability to contract directly with your patients (and no other third parties), a little teaching, a little writing.
Easy. I practice psychotherapy aimed at real psychological change & have the satisfaction of seeing lives change in meaningful ways. I no longer work in “systems" so answer only to myself & my pts. I teach/supervise/write, so never monotonous. It took a looong time to get here 1/
insisted upon. In some narcissistic disturbances, narcissistic illusions are actively and consciously maintained; reality is sacrificed ..to perpetuate an addictive devotion to self-enobling, idealizing or symbiotic fictions.” - Stephen A. Mitchell, “The Wings of Icarus”
It remains inconceivable that the threshold for access to public mental health services reflects an alarming disparity compared to physical health care. Why should an individual have to reach a severe level of psychological distress before qualifying for assistance? You can bet…
The problem of "co-morbidity"/polydiagnosis reflects a fundamental error in conceptualization. The question we ought to ask is, "Which disease does this patient have?" and not, "How many disorders does this patient 'meet criteria' for?"
“If a Hippocratic approach places the emphasis on diagnosis and disease, then a corollary is that diagnoses and diseases should only be identied when they are present, and not multiplied unnecessarily.” Ghaemi
"It is not difficult for a careful observer to see the evidence for unconscious processes in other people; it is harder to grasp the reality that we ourselves are inhabited and moved by forces beyond our access or control." McWilliams
It’s very unfortunate & problematic that normative relational dynamics (eg transference/counterT) have been banished to “Outdated Psychodynamic/analytic” practice. To negate such concepts threatens both the safety & effectiveness of the Tx.
The relative absence of psychodynamic thought in training programs shows up most painfully in ethics instruction. If need be, learn about transference/countertransference/enactments on your own. But don’t miss it. It’s essential.
Recent data shows we’re coming out of this COVID wave. This is great news! However, please remember the virus is still here. It can still cause serious illness, long COVID & death, particularly in vulnerable groups. These simple steps remain important even between COVID waves.
COVID continues to be a part of our lives. To learn more about our 6 protective steps to keep yourself and your loved ones safe, visit: go.vic.gov.au/48iMayZ 1/2🧵
Around thirty recordings of Winnicott’s broadcasts and lectures. academic.oup.com/book/12894/cha…
11/ End of mini lecture on the use of CO2 level in indoor air to understand risk and help guide behaviour, including when sitting in a hospital bed. 🙂 I think all public indoor spaces should display CO2 level in real time. It would start to change behaviour quickly.
I'm going to do something odd in narrative style. I'm going to state the conclusions, before the reasoning. The answer is reconnection with the "natural world", emotional connection. We are hurtling towards catastrophe, without deep feeling about this. This is not natural. 2/
Best paper I've ever read on most important topic in our field: How social determinants impact mental health + how to reduce the harmful risk factors. Message: An ounce of prevention is worth pound of cure. Implication: Our field must lobby politicians much harder Must read:
Today our comprehensive review of the social determinants of #mentalhealth was published in @WPA_Psychiatry World Psychiatry. Our piece reviews the current evidence on causes & prevention, & makes 7 recommendations framed around social justice. onlinelibrary.wiley.com/doi/10.1002/wp… #sdoh
God save me from a completely sane, normal therapist.
Listen, I support therapy. I support people going to therapy. But I will say I have never met a completely sane, normal therapist. Not once. Not ever.
@ericozkan1 I think the key difference (hard to describe) between men like your father and today's generation is that the former saw mental disorder through a predominantly psychological lens and used meds as symptomatic treatments but didn't really believe they got *at* the actual disorder.