George Dawson
@gdspeedskates.bsky.social
760 followers 300 following 320 posts
Aging neuropsychiatrist, speedskater, athlete, etc. Also blog at https://real-psychiatry.blogspot.com/ No medical or psychiatric advice but plenty of discussion.
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gdspeedskates.bsky.social
Good luck - there is a learning curve. I recommend going right to the genogram graphics and not starting with somebody else's template.
gdspeedskates.bsky.social
Generating good anonymous genograms that don't require a lot of labeling. This software does a good job.

gdpsychtech.blogspot.com/2025/10/geno...
Genogram software
A blog about psychiatry.
gdpsychtech.blogspot.com
gdspeedskates.bsky.social
Possibly - but the patient needs to incorporate their own personal experience with antidepressants. For example if you have stopped them either with no or severe withdrawal effects - both are important to the MD trying to make the transition.
Reposted by George Dawson
angierasmussen.bsky.social
For more information about the Friday night massacre at CDC, I wrote up an analysis of who got terminated and what that means for public health.

Grateful to @saveamericamvmt.bsky.social for supporting and amplifying. We are in really terrible trouble.

rasmussenretorts.substack.com/p/the-death-...
gdspeedskates.bsky.social
The UpToDate antidepressant transition tool: they have always had a solid chapter on this topic - now they have a tool. I review it in this blog post:

real-psychiatry.blogspot.com/2025/10/upto...
UpToDate and the Rx Transitions in Mental Health
psychiatry blog, George Dawson MD, Real Psychiatry
real-psychiatry.blogspot.com
gdspeedskates.bsky.social
Well maybe - but I have been preaching homicide prevention for 30 years now. Nobody wants to take me up on it - probably because of the countertransference to and logistical problems dealing with really aggressive people.
Reposted by George Dawson
mikenellis.bsky.social
Just a reminder that the last two government shutdowns happened under President Trump, with Republicans in control of both chambers. These people cannot govern, and they need Democrats to bail them out.
gdspeedskates.bsky.social
Have to read the study but the inflection point probably starts to include significant ill health. The comedian Bill Burr says: "at some point it is just one long chronic illness." For the record - I am past that point and the most satisfied I have ever been.
gdspeedskates.bsky.social
My take on the Trump-Kennedy press conference on autism. A few detailed comments on what they said at the very end. More detailed scientific discussion to come - the focus here was epidemiology and rhetoric:
real-psychiatry.blogspot.com/2025/09/the-...
The FDA and the Trump Formulary or What Separates Physicians from Politicians
psychiatry blog, George Dawson MD, Real Psychiatry
real-psychiatry.blogspot.com
gdspeedskates.bsky.social
Nothing to "investigate". Antifa does not exist. But I am sure one of Trump's incompetent cabinet members will get right on that.
gdspeedskates.bsky.social
They are assisted by a much larger number of people who know better and are capable of moral development but can also commit heinous acts.
gdspeedskates.bsky.social
My own feeling is that evil is largely rhetorical. That is how it is generally born and propagates. There are also a handful (relatively) of human beings incapable of empathy and moral decision making who commit heinous acts described as evil. I am not sure that adds much. Agree about Redford...
gdspeedskates.bsky.social
Yesterday I listened to an endless stream of commentary on political divisiveness in the US up to and including Civil War! To quell the mass hysteria I have a simple 5-point primer on how to nip it in the bud.
real-psychiatry.blogspot.com/2025/09/a-pr...
A Primer on How to be YOUR Own Unity Messiah
psychiatry blog, George Dawson MD, Real Psychiatry
real-psychiatry.blogspot.com
gdspeedskates.bsky.social
And it is really more than this. I was an NRA member 50 years ago. It was required to take their Hunter Safety Course. As a result I got the American Rifleman magazine every month. The centerfold was inexpensive "sporterized" Mauser rifles. The gun extremist culture x 20 years is the problem.
Reposted by George Dawson
adambonica.bsky.social
He's right, and it's not just Brazil.

Around the world, at least 31 democratic leaders who committed similar crimes have been jailed or banned from office since 2010. The failure to hold Trump accountable in the US was a unique and systemic failure of our institutions and political culture.
gdspeedskates.bsky.social
Recognizing and neutralizing projection is the uniting factor we all need in American politics. It is not the only thing but it is free and most mature adults can do it.

real-psychiatry.blogspot.com/2025/09/proj...
Projection Writ Large in American Politics.....
psychiatry blog, George Dawson MD, Real Psychiatry
real-psychiatry.blogspot.com