Rian Kabir, MD @RianKMD
Psychiatry Resident @UofL and Physician Faculty @1LECOM—Exploring the latent space between: design—medicine—technology—altered states of consciousness 🌌 Louisville, KY 🔄 Los Angeles Joined December 2020-
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As we deploy psychedelics in the west, we must design new spaces. Good design facilitates healing, it is a deep part of the ritual and must be reimagined from the ground up. The sterility of a standard clinic or hospital is simply not acceptable. Design = Medicine
“We are not human beings having a spiritual experience. We are spiritual beings having a human experience” —Pierre Teilhard de Chardin
We are recruiting for a cardiology study of #psychedelic users at @MGHMedicine. Must be able to come to MGH in Boston for a single visit to get an ultrasound and EKG. QR code attached for info—please RT and share with any groups!
Positive efficacy for phase 3 RCT of xanomeline-tropsium combination therapy for schizophrenia associated psychosis. I've been following a while, it's exciting stuff. Could be the first in class mAChR agonist for psychosis. Significantly different from the 3 currently available…
Positive efficacy for phase 3 RCT of xanomeline-tropsium combination therapy for schizophrenia associated psychosis. I've been following a while, it's exciting stuff. Could be the first in class mAChR agonist for psychosis. Significantly different from the 3 currently available…
I see parallels between the anti-asylum and today’s anti-psych movements. Both very imperfect systems. But the alternative is even more horrific. Where did asylum residents go when the anti-asylum movement succeeded? The streets and jail cells. Psych Reform >>> abolition
“And those who were seen dancing were thought to be insane by those who could not hear the music.” —Friedrich Nietzsche
When a psychonaut starts on the path, it’s easy to spiritually bypass with psychedelics. But true growth comes with integration; Integration is best done in an established container; Such containers: psychotherapy, spiritual communities (Buddhism), plant medicine lineages, ect
When a psychonaut starts on the path, it’s easy to spiritually bypass with psychedelics. But true growth comes with integration; Integration is best done in an established container; Such containers: psychotherapy, spiritual communities (Buddhism), plant medicine lineages, ect
This is the foundation of psychodynamic psychotherapy. We often act unconsciously based on dynamics created by our childhood. If we cannot recognize where these patterns come from, it’s much harder to change.
This is the foundation of psychodynamic psychotherapy. We often act unconsciously based on dynamics created by our childhood. If we cannot recognize where these patterns come from, it’s much harder to change.
Still a resident, but ALL the young male first-break psychosis cases I’ve admitted or treated inpatient used lots of cannabis leading up to their presentation. Every single one. Cannabis can destabilize young minds who are vulnerable, this is a real problem with THC.
Still a resident, but ALL the young male first-break psychosis cases I’ve admitted or treated inpatient used lots of cannabis leading up to their presentation. Every single one. Cannabis can destabilize young minds who are vulnerable, this is a real problem with THC.
My plumber charges more than $150 per hour And what you’re selling has *nothing* to do w actual psychotherapy It always comes down to this: Real therapy is a meaningful human relationship & relationships don’t scale. So every startup sells something ELSE—and calls it “therapy"
My plumber charges more than $150 per hour And what you’re selling has *nothing* to do w actual psychotherapy It always comes down to this: Real therapy is a meaningful human relationship & relationships don’t scale. So every startup sells something ELSE—and calls it “therapy"
When I run after what I think I want, my days are a furnace of stress and anxiety. If I sit in my own place of patience, what I need flows to me, and without pain. —Rumi
Cities are evidence we are a super organism. Power grid is the peripheral nervous system, Roads the lymphatic system, Pluming is the blood vessels, Internet the central nervous system. Our greatest error is mistaking self for other; Humanity has an autoimmune condition.
Cities are evidence we are a super organism. Power grid is the peripheral nervous system, Roads the lymphatic system, Pluming is the blood vessels, Internet the central nervous system. Our greatest error is mistaking self for other; Humanity has an autoimmune condition.
The biggest issue I see with using LLMs for self-inquiry journaling practice is the fact LLMs do not have a world-state model built in. The human experience has nuances not present in internet text data, and ML is ultimately limited by its training data.
Concur. Psychotherapy is also about fractal patterns. At every level—from moment to moment in the session, to the sweep of a person’s life—we can see the fractal themes repeating
Concur. Psychotherapy is also about fractal patterns. At every level—from moment to moment in the session, to the sweep of a person’s life—we can see the fractal themes repeating
This is a powerful statement. I spend a lot of time with the mentally ill homeless population in my work. Homelessness is probably one of the hardest problems to solve given the scale of cooperation required in a landscape of so many competing interests. We need to do better.
This is a powerful statement. I spend a lot of time with the mentally ill homeless population in my work. Homelessness is probably one of the hardest problems to solve given the scale of cooperation required in a landscape of so many competing interests. We need to do better.
My favorite part of practicing medicine is actually getting people off of medication. That doesn’t mean I am anti-medication; in the proper context meds can be very effective. But often meds follow people when it is no longer useful & may be causing harm (polypharmacy).
It rankles a bit when I hear people refer to therapy as a "helping profession" or "caring profession." It’s not that the descriptions are necessarily wrong—but the emphasis is on the wrong thing Psychotherapy is a *changing profession* It’s purpose is helping people to change
The concept of free will in addiction is a puzzle. Theories of change suggest someone must *choose* to stop using. But at a core level, part of the “illness” of addiction is how it warps the mind on what choices one should even make (biasing towards drug use).
The first placebo-trial of low-dose #lithium for cognitive impairment came out 12 years ago, and this study followed up on 59% of the cohort: ncbi.nlm.nih.gov/pmc/articles/P… Benefits were sustained, even after stopping lithium. #memory #psychiatry #neurology
There is a difference between tobacco and nicotine. Tobacco is toxic, nicotine is not (though it can be very addictive) There is a reason people with schizophrenia tend to use a lot of nicotine, it may help with their cognition and mood, we should not overlook this with Pts.
Awais Aftab @awaisaftab
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3K Followers 795 Following CEO, Maverick, comedian, lover and human person. 🤔🤦♂️ Tweets/RTs are not Endorsements! 👀🗑🔥 😎🤙Red teaming LLM’s w @TristanNaumann @MSFTResearch @stephenpfohl @GoogleResearch #SAIL2024 #AI detecting threats across the broad taxonomy of LLM vulnerabilities
Ah yes, the core medical competencies of discrimination and calibration.
LLMs may be able to accurately identify higher acuity patient presentation when given pairs of presenting histories extracted from patients’ first ED documentation. ja.ma/3y3M55E @atulbutte
In my childhood, if I couldn’t finish my food, my parents would often say something like “in the Philippines, we didn’t throw away food”, and I’d feel pressured to finish my whole plate We’ve all grown past that and we do toss food without the additional commentary
does anyone else feel mild grief when you have to throw away expired or spoiled food/groceries? like it’s very common to toss things right? for some reason my inner critic has been coming up esp wrt to tossing food and groceries lately
@drew_carson_ai @Humane @MKBHD They required feedback from me before I was allowed to cancel. With all due respect, I think you should retract your penultimate paragraph.
One of many great blog posts by Awais! It's quite a disappointment that the defeat of biomedical solutions, in this case, appears to boil down to taking MDMA (i.e. a biomedical solution). Lots of discussion on the medical problem,little to know critical analysis of the solution!
People Are Stumbling From One Misguided Narrative About the Medical Model to Another psychiatrymargins.com/p/people-are-s…
It’s great to see our forum article on philosophy of psychiatry in June 2024 issue of World Psychiatry! It was an honor working with this excellent team of authors. I’m eager to read the commentaries. (PDF has been circulated by email, should be posted online soon, link below)
Kentucky becomes the first state to decriminalize medical errors: Governor Andy Beshear has signed legislation that protects healthcare professionals from criminal prosecution for medical mistakes. The law does, however, make exceptions for cases of negligence and intentional…
when people ask me why i am the way i am i should really just show them the notes my dad wrote me growing up
Good news everyone! A new version of graph-tool is just out! @graph_tool graph-tool.skewed.de @graph_tool is a comprehensive and efficient Python library to work with networks, including structural, dynamical, and statistical algorithms, as well as visualization. 1/N
New N=403 RCT published in @NEJM comparing ECT vs. IV Ketamine in refractory major depression shows both treatments equally effective (noninferior); less memory impairment with ketamine. nejm.org/doi/pdf/10.105…
Just a reminder for you all that gabapentin is crap for AUD and it should be recommended by no guidelines. Pharmacotherapy for Alcohol Use Disorder: A Systematic Review and Meta-Analysis | Psychiatry and Behavioral Health | JAMA | JAMA Network jamanetwork.com/journals/jama/…
@RianKMD Even ai knows psychedelic therapists can’t keep their hands off patients…
It’s over
We’re thrilled to announce we’re partnering with @OpenAI to bring best in class technical knowledge and the world’s most popular LLM models for AI development together! This groundbreaking partnership with OpenAI will drive our mission to empower the world to develop technology…
"The mind is a very complex thing & we are unlikely to honor its complexity if we write as if any single cause explains most or all psychopathology." —Drew Westen
@thiteanish I would just advise in the future that if you're going to take all of someone's work and train an AI on it and publish a tool under their name where people can feel like they're having a chat conversation with that person - it would be great to at least ask them first
Pleasure catching up with my mentor Dr. @faridtalih over our poster on cannabis and psychosis at the APA #APAAM24 @APApsychiatric
FYI @Rethink_ and @MindCharity: my psychosis memoir is now up on Kindle, if it's of any interest. amazon.co.uk/Fought-Disorde…