iiinova — where your digital self keeps evolving

Reposted by Alex Preston

The Psychologist @psychmag.bsky.social · 12/10/2026

'You are not fragile. You are outnumbered.' Professor @pfonagy.bsky.social, Chair of the Independent Review into Mental Health Conditions, ADHD and Autism (2026), with his letter to a young person. www.bps.org.uk/psychologist...

bps.org.uk

'You are not fragile. You are outnumbered.' | BPS

Professor Peter Fonagy, Chair of the Independent Review into Mental Health Conditions, ADHD and Autism (2026), with his letter to a young person.

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Alex Preston @alxprestoncbt.bsky.social · 20/08/2026

I'm biased obviously, and I know time is an issue but I'd recommend CBT for either issue if possible in the future. I do think your request sounds entirely reasonable though, and other than cost, I'm not sure of the rationale for one month. Sertraline isn't an expensive drug over here.

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Alex Preston @alxprestoncbt.bsky.social · 20/08/2026

I've not heard of that policy, unless part of a planned review. If access to Sertraline in USA isn't possible however, you risk some possibly unpleasant side effects from 'cold turkey' discontinuing. That would be my argument for having a larger supply.

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Alex Preston @alxprestoncbt.bsky.social · 22/06/2026

Greatly looking forward to receiving and reading!

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Alex Preston @alxprestoncbt.bsky.social · 11/02/2026

Not at all, isn't that the point of it? Please head back through Stone when possible.

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Alex Preston @alxprestoncbt.bsky.social · 11/02/2026

I can confirm that this is a remarkably enjoyable night. We didn't know what to expect but followed a Mark Thomas recommendation. I'm not sure my brain managed to keep up with everything on the train monologue but regardless, we found it funny, fulfilling and insightful.

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Luca Migo @victinibcn.bsky.social · 13/12/2025

Happy 100th birthday to Dick Van Dyke!

Different pictures of Van Dyke throughout the years

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Alex Preston @alxprestoncbt.bsky.social · 10/12/2025

Attention internet. If you can, try to be more like this.

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Alex Preston @alxprestoncbt.bsky.social · 07/12/2025

I was definitely anaspeptic to see the responses here.

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Alex Preston @alxprestoncbt.bsky.social · 07/12/2025

I think I'll just reiterate what I've said. I think it's reasonable to have a high expectation of therapists to walk the walk.

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Alex Preston @alxprestoncbt.bsky.social · 07/12/2025

You can't encourage anyone to do something you wouldn't do yourself. It's a fundamental rule that I'm sure my fellow trainers would agree on.

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Alex Preston @alxprestoncbt.bsky.social · 07/12/2025

Social Phobia skills day on the Keele CBT PGDip tomorrow. Time to break out these bad boys for teaching, i hope everyone likes them! #cbtworks

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BiteSize Therapy @bitesizetherapy.bsky.social · 06/11/2025

Humility is often mentioned as 𝘢𝘯 important quality in a therapist, but given its impact on the other virtues, it might be 𝘵𝘩𝘦 most important quality in a therapist.

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Alex Preston @alxprestoncbt.bsky.social · 01/11/2025

There are only four stars above the Klingon bird of prey!! (niche, and species inaccurate i know)

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Alex Preston @alxprestoncbt.bsky.social · 30/10/2025

This has reminded me that i have been neglecting 'teeth day' in the gym.

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Alex Preston @alxprestoncbt.bsky.social · 30/10/2025

Do you know that if you converted that $260 dollars to bags of nickels, you'd actually get an extra kilo for your money? But it might look less cool.

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Alex Preston @alxprestoncbt.bsky.social · 16/10/2025

Wow, that's a fair solo to attempt. Might be my weekend task too, at half speed!

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Alex Preston @alxprestoncbt.bsky.social · 04/10/2025

Well CBT Blue Sky, it's finally happened, I'm teaching a new cohort of high intensity trainees that contains individuals too young to know who Columbo is. It's a sad day indeed. Thoughts and prayers. #onemorething

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Reposted by Alex Preston

People Magazine @people.com · 01/10/2025

🔗: bit.ly/4mKeWji Dr. Jane Goodall, the renowned conservationist and animal welfare advocate who became the world's foremost expert on chimpanzees after spending decades studying them in the wild in Tanzania's Gombe Stream National Park has died. She was 91. 📷️: Getty

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Alex Preston @alxprestoncbt.bsky.social · 29/09/2025

I've never dealt with the UKCP but the notion that as a therapist you are free to impart your beliefs and values onto a potentially vulnerable patient really doesn't sit well with me.

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Alex Preston @alxprestoncbt.bsky.social · 29/09/2025

I think you'll find this thread being entirely agreed with by any half-decent therapist (and decent ones too). Fair point, well made.

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Alex Preston @alxprestoncbt.bsky.social · 28/09/2025

He obviously read something between the lines

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Alex Preston @alxprestoncbt.bsky.social · 28/09/2025

I would put five whole pounds on the reply being patronising in tone and using at least one unnecessary Latin phrase.

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Alex Preston @alxprestoncbt.bsky.social · 27/09/2025

Wow, amazing stuff from the Red Roses in the rugby world cup. Something to be so proud of and an in-person attendance that is the second highest (both men & women) ever. Inspirational.

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Reposted by Alex Preston

David Webb @allaboutpsychology.bsky.social · 27/09/2025

Today in Psychology (27th September 1913), Albert Ellis was born. A hugely influential psychotherapist, Ellis is renowned for developing rational emotive behavior therapy (REBT). #psychotherapy #psychology #PsychologyStudent #PsychologyMajor

allaboutpsychology.substack.com

Psychology Classics

Rational Psychotherapy and Individual Psychology by Albert Ellis

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Alex Preston @alxprestoncbt.bsky.social · 24/09/2025

If you've ever known or cared for anyone that experienced this catastrophically cruel disease, you'll know how much this means.

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fesshole 🧻 @fesshole.bsky.social · 22/09/2025

Best advice I never took was when I was 30 and on a massive career fast-track: You cannot cuddle with your career on a lonely night when your life is on the decline. Invest as much time on love and family. Sounded twee then. At 62 and near retirement, I now know it's 100% true.

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Alex Preston @alxprestoncbt.bsky.social · 19/09/2025

Saw this earlier this year whilst on holiday in Dorset. The mind boggles.

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Alex Preston @alxprestoncbt.bsky.social · 13/09/2025

I think the last time i saw stats, it was about 3% survival, which should measure expectations, but that's still 3 in 100 people that'll be glad you tried.

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Alex Preston @alxprestoncbt.bsky.social · 02/09/2025

I would agree, to a degree, with the caveat of course that CBT doesn't have any ambitions, it's not an entity with drive or a wish for dominance. It's just a therapy that is being shoe-horned into areas that any experienced therapist would be resistant to.

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Alex Preston @alxprestoncbt.bsky.social · 02/09/2025

A reminder that the acorn of this theory is with a hideous individual that made it all up, and was struck off the medical record. It was all utter BS. Had we found that immunisation caused autism, we'd actually understand a lot more about autism than we do now. And we'd welcome that knowledge.

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Alex Preston @alxprestoncbt.bsky.social · 28/08/2025

I believe i shall be 'borrowing' this for next year's therapeutic phenomenology section. Thinking about how this might ring true for therapy also, maybe the only difference being the latter is how it pertains to the person and this quote, how it pertains to people? (With some overlap)

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Alex Preston @alxprestoncbt.bsky.social · 25/08/2025

I find myself double checking the online myths about Pavlov every time someone mentions his name.

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Richard Thwaites @thwaites.bsky.social · 18/08/2025

Our paper attempts to describe a number of changes in our TTad service over the last few years including asking about autism at first contact, offering potential adaptations and training staff in how to do these..

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Alex Preston @alxprestoncbt.bsky.social · 13/08/2025

I don't know the situation but if that brief detail is accurate then it's just a poor assessment/judgement call. Stepped care is still congruent care, it's not supposed to be an arbitrary hurdle.

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Alex Preston @alxprestoncbt.bsky.social · 13/08/2025

Depending on severity of issue, people may miss the low intensity step all together. This info isn't my opinion as an educator in this area or therapist, it's the model the services are designed on. If it's not happening then please complain, as it's just wrong and those of us in service hate it to

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Alex Preston @alxprestoncbt.bsky.social · 13/08/2025

Agreed once more. Services are supposed to offer the least intrusive support, which initially often means low intensity CBT (or management strategies - 6x30min sessions) but then if that doesn't work people should be stepped up to high intensity CBT which are hr long sessions up to 16 sessions.

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Alex Preston @alxprestoncbt.bsky.social · 12/08/2025

I think I'd agree with your disagreement. We know indications from research as to what timeframe might be necessary (for specific issues), but it's a poor therapist (or more usually service manager) that thinks that's an absolute, or that clinical trials are the same as real life.

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Reposted by Alex Preston

Jo Wolff @jowolff.bsky.social · 12/08/2025

Was reminded of Bentham’s argument that fear of crime can be a worse harm than crime itself. Everyone can be affected by fear of crime but relatively few people experience serious crime. And fear of crime can easily be manipulated for nefarious purposes.

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BladeoftheSun @bladeofthes.bsky.social · 08/08/2025

Germany suspends sale of arms to Israel over planned invasion of Gaza.

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Alex Preston @alxprestoncbt.bsky.social · 07/08/2025

6 years ago tomorrow, from the result of misjudged planning, I ended up traveling up to John O'groats alone on my birthday, ready for the start of an epic adventure. We started 2 days later and in 10 after we were in Lands End having raised £3500 for the Combat Stress charity. Best.Adventure.Ever.

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BiteSize Therapy @bitesizetherapy.bsky.social · 04/08/2025

There is nothing wrong with being a Freudian, a relationalist, an interpersonalist, a self psychologist, or whatever, as long as one does not succumb to the delusion that their school has a monopoly on truth and there is nothing to be learned from other approaches. - Arnold Richards

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Kristen Lopez @kristenklopez.bsky.social · 24/07/2025

This is utterly joyous.

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Richard Thwaites @thwaites.bsky.social · 23/07/2025

The idea for this paper came about after a chat with Dr Romana Farooq. The ideas apply equally to low & high intensity CBT & whilst paper is sprawling, we hope this first attempt resonates with some people & if so encourages reflection. Lots of conversations have fed into this paper - thanks below!

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laylamofrad.bsky.social @laylamofrad.bsky.social · 23/07/2025

So nice to see this out. Thanks @thwaites.bsky.social for getting us together and making it happen ⭐️

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