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Dr. G @shrinksinsneakers.bsky.social · 23h

People think therapy is a gentle guide toward a clear goal.
It’s not.

Uncertainty is the process.
Wanting certainty kills the spontaneity

The best therapy sessions often start in the fog and that’s exactly where change begins.

#Psychiatry #Therapy #Psychotherapy #ShrinksInSneakers

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Dr. G @shrinksinsneakers.bsky.social · 1d

It’s #WorldMentalHealthDay 🌍
We say “mental health is a universal human right” but for too many, it’s still out of reach.
Mental health isn’t a luxury. It’s a foundation
It’s about dignity, access, and connection
👟 #ShrinksInSneakers #Psychiatry #MentalHealthAwareness

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Dr. G @shrinksinsneakers.bsky.social · 1d

Good therapists follow the recipe
Great therapists add their own spice
Adaptability is the secret ingredient it turns a session from bland to transformative
Therapy is part science, part art
#Psychiatry #Therapy #MentalHealth #ShrinksInSneakers

Dr. G @shrinksinsneakers.bsky.social · 2d

Clozapine’s agranulocytosis risk peaks in the first 6 months then drops but never disappears
FDA dropped REMS but left old monitoring rules
New guidance:
🩸 Weekly ANCs ×18 wks
📅 Monthly ×2 yrs
✅ Then stop if stable
#Psychiatry #Clozapine #schizophrenia #mentalhealth #medication #psychiatrist

Dr. G @shrinksinsneakers.bsky.social · 3d

Risperidone and aripiprazole are the only FDA-approved meds for irritability in autism
In this short clip, I share how I decide between them, what side effects to watch for, and why sometimes less is more.

#Psychiatry #Autism #ShrinksInSneakers #Psychopharm #MentalHealth #mentalhealthtips

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Dr. G @shrinksinsneakers.bsky.social · 6d

The Mental Health Superpower Nobody Talks About: Boredom

We’ve been taught to fear boredom

boredom isn’t dangerous distraction is.

#MentalHealth #Psychiatry #Wellbeing #Mindfulness #Focus #DeepWork #ShrinksInSneakers

Dr. G @shrinksinsneakers.bsky.social · 6d

🚨 High-Potency Cannabis: Psychiatry’s Next Challenge 🚨

When my parents were young, marijuana was ~4% THC Today, dispensaries sell products at 20%

💡 We’ve engineered a plant into something entirely different from what nature intended

#Psychiatry #MentalHealth #Cannabis #Psychosis #Addiction

Dr. G @shrinksinsneakers.bsky.social · 8d

New Jersey ranked Top 3 in the nation for mental health in the 2025 State of Mental Health in America report 🧠📈.
Progress is possible when we invest in access, prevention, & integrated care. NJ is showing what’s possible
#MentalHealth #Psychiatry #NewJersey #mentalhealthmatters #mentalhealthishealth

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Dr. G @shrinksinsneakers.bsky.social · 9d

🚨 New RCT alert: Pramipexole augmentation in TRD
📊 NNT ≈ 4, higher remission, but tolerability limits use
I break down the data + what it means for practice in my latest video 👇

#PsychTwitter #TRD #Psychopharm #psychiatry #mentalhealth #depression #depressiontreatment #ShrinksInSneakers

Dr. G @shrinksinsneakers.bsky.social · 9d

Ultra-processed foods + sugary/diet drinks = higher depression risk 🧠🥤
It’s not just gut-microbiome science it’s access. Many patients live in food deserts where Dollar General is the “grocery store.”
📖 jamanetwork.com/journals/jam...
#MentalHealth #Nutrition #Depression #diet

Dr. G @shrinksinsneakers.bsky.social · 11d

Psychiatry isn’t a cure-all
Yet we’re asked daily to fix:
🏥 Nursing placement for dementia
🚬 Rehab for substance use
🏚 Housing for homelessness
Important? Absolutely.
Psychiatry? No, it burns us out & erodes our identity
#Psychiatry #Burnout #Healthcare #MentalHealth #ShrinksInSneakers

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Dr. G @shrinksinsneakers.bsky.social · 12d

🚨 Men are struggling more than we talk about
Here are the 5 Pillars of Men’s Mental Health Struggles
1️⃣ Purpose & Identity
2️⃣ Connection & Loneliness
3️⃣ Pressure & Performance
4️⃣ Coping & Escape
5️⃣ Health & Mortality
It’s time to face this head on.
#MensMentalHealth #psychiatry #mentalhealth #meaning

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Dr. G @shrinksinsneakers.bsky.social · 12d

Weight gain kills adherence.
A 2024 study shocked me: escitalopram the “go-to” SSRI was the worst offender for weight gain (along with paroxetine & duloxetine).
💊 Consider bupropion:
⚡ Weight-neutral
⚡ Fewer sexual side effects
⚡ Possible cognitive benefits
#Psychiatry #mentalhealth #antidepressants

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Dr. G @shrinksinsneakers.bsky.social · 13d

One of the biggest fallacies of the social media era 👇
“You don’t know what it’s like to deal with X, Y, or Z—so this is easy for you to say.”
Here’s the truth:
💡 Empathy starts when we remember that.
#MentalHealth #Empathy #Resilience

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Dr. G @shrinksinsneakers.bsky.social · 16d

Men are struggling suicide, education gaps, fewer male therapists, and a world that often sees masculinity as toxic
But masculinity isn’t the enemy. It’s a human reality we must understand, nurture & redefine
#MensMentalHealth #Psychiatry #ShrinksInSneakers #Mensmentalhealth #masculinity

Dr. G @shrinksinsneakers.bsky.social · 16d

Psychiatry isn’t the “easy way” in medicine.
It’s one of the hardest:
⚡ Nuance + diagnostic uncertainty
⚡ Complex med decisions
⚡ No lab or scan to give you the answer
If you’re practicing it right, it’s anything but simple
#Psychiatry #MedTwitter #MentalHealth #mentalhealthmatters #mentalhealthtips

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Dr. G @shrinksinsneakers.bsky.social · 17d

Forget the stereotypes. Psychedelics aren’t about escaping reality they might actually help us face it.
In this new YouTube Short, I break down:
🧠 What psychedelics do to the brain
🪄 Why the experience feels so transformative
#Psychedelics #MentalHealth #Psilocybin #MDMA #psychiatry #depression

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Dr. G @shrinksinsneakers.bsky.social · 18d

🔥 NEW ARTICLE DROP 🔥
A patient came to me searching for the magic sauce the one treatment that would finally make decades of suffering disappear. I wanted to give them that. I really did
#Depression #Psychiatry #mentalhealth
www.psychiatrictimes.com/view/psychia...

Dr. G @shrinksinsneakers.bsky.social · 18d

🚨 New article
Mass Shootings, Mental Health, and the Antidepressant Myth
➡️ www.psychiatrictimes.com/view/mass-sh...
Mass shootings aren’t caused by SSRIs
👉 Shooters rarely psychotic
👉 No link between antidepressants & violence
👉 Stigma ≠ safety
#Psychiatry #MentalHealth #antidepressants #depression

Mass Shootings, Mental Health, and the Antidepressant Myth

Mass shootings are often misattributed to mental illness, overshadowing the real issues of grievance, radicalization, and access to weapons.

www.psychiatrictimes.com

Dr. G @shrinksinsneakers.bsky.social · 19d

Medicine is at a crossroads defined by how we respond to misinformation.
Autism is not caused by vaccines or acetaminophen. 🚫
Leucovorin is not a proven treatment. ⚠️
We need science, not scapegoats.
#AutismAwareness #EvidenceBased #medicine #vaccines #ASD #psychiatry #Science

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Dr. G @shrinksinsneakers.bsky.social · 20d

Are we training the next generation of doctors to be incompetent?
In my new piece for Psychiatric Times, I argue that shielding trainees from responsibility undermines their growth.
Read here 👉 www.psychiatrictimes.com/view/are-we-...
#MedEd #Residency #Psychiatry #FutureOfMedicine #medicalschool

Are We Training the Next Generation to Be Incompetent Physicians?

Effective psychiatric training empowers residents to take ownership of patient care, fostering confidence and critical thinking through real-world decision-making.

www.psychiatrictimes.com

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Dr. G @shrinksinsneakers.bsky.social · 21d

🚨 A new form of lithium you should know: Lithium Proline Salicylate (LiProSal/AL001).

⚡ Brain-targeted delivery
⚡ ~20% lower serum levels (fewer renal/thyroid issues)
⚡ Less need for blood monitoring
⚡ Superior to lithium carbonate
#Psychiatry #Lithium #MentalHealth

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Dr. G @shrinksinsneakers.bsky.social · 22d

If a treatment reduces all-cause mortality in cardiology, it’s celebrated
In psychiatry, we have that option:
💉 Long-acting injectable antipsychotics in schizophrenia
I push them like my patients’ lives depend on it because they do.
#Psychiatry #MentalHealth #Schizophrenia #medication

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Dr. G @shrinksinsneakers.bsky.social · 25d

Are we training doctors to be incompetent?
Students & residents are often shielded from responsibility. But true competence comes from ownership, critical thinking, & safe mistakes.
#MedEd #Residency #Psychiatry #FutureOfMedicine #medicalschool #medicalstudents #doctors #medical #education

Dr. G @shrinksinsneakers.bsky.social · 25d

9 to 5 is killing productivity (and mental health). 🧠⚡
Humans don’t function in 8-hour blocks.
We work in cycles: focus → rest → recharge.
Forcing constant grind = burnout + poor results.
youtube.com/shorts/1T64I...
#FutureOfWork
#MentalHealth #Productivity #WorkCulture #ShrinksInSneakers

9 to 5 is Killing Productivity in Medicine

YouTube video by Shrinks In Sneakers

youtube.com