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DR. Ashley the Charlatan

@becauseimatter.bsky.social
2.4K followers 482 following 2.2K posts

Ashley Perkins PharmD she/her Co-founder @WeMatterTooInc TEDx speaker youtu.be/mRhO6ooS3eQ award winning MH advocate - messages aren’t med advice

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DR. Ashley the Charlatan @becauseimatter.bsky.social · 14h
I can advocate for better for pts while also advocating for better for pharmacists! It can be both! People who want me to pick a side are truly odd. We have got to work together if we want to get towards a better system, it can’t be us vs them…together is the only way
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 28/09/2026
Wahoooooo! I was able to get everything check off so these tonsil are coming out on October 14th! I cannot with these tonsil stones, it’s caused me significant overstim & I am not sleeping & struggling with being able to concentrate. So out they come!
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 28/09/2026
Without a doubt, every time I log into the website after being asked to review a paper, I am always reviewer # 2. IYKYK 🤣
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 21/09/2026
Things we don’t talk about enough: How fucking hard it is as an autistic adult parenting an autistic child. Because HOLY SHIT 🖕 their meltdown became my meltdown & then everyone is a mess. Still love them. Still proud of them. And I told them that after it all ended.
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 18/09/2026
Community care is carrying cash on you when you are out & freely giving it to someone who needs it, without ever wondering what they will use it for. They need it & you have it. That’s it, no more.
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 17/09/2026
Are you an ‘lol’ sign off person or are you a ‘haha’ sign off person? I’m def a ‘haha’ person with varying lengths based on my laughter level haha
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 06/09/2026
I need people to stop it with the postpartum psychosis think pieces. No one, I repeat, no one knows how they will respond to psychosis until it is happening to you. Stop making incredibly ignorant comments about how you’d ’never kill a kid’ &
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 05/09/2026
I get the ‘why are you so loud about calling out racism, you’re a mental health advocate’ Y’all do realize that being anti-racist, calling out racism when I see it and actively working to deconstruct white supremacy is mental health advocacy! It’s all connected!
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 21/08/2026
Fuck PTSD. Fuck people who don’t understand emotional and verbal abuse is extremely traumatic. Fuck people who bully, which is emotional & verbal abuse.
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 21/08/2026
Therapy session was exactly what I needed. Even my therapist said she could tell just dumping it all allowed me to get the weight off. I feel so much lighter
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 19/08/2026
Therapy tomorrow bc I gotta stop this spiral before it gets worse. I’ve tried everything on my own & it ain’t doing shit. It’s been 2.5 years since my last session. Remember, healing is not linear!
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 18/08/2026
Well, the rule of threes goes for trauma triggers too I suppose. Had my third one today & I made a phone call to my therapist. I’ve been doing great without her for over 2 years but I know a spiral when I see one…
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 18/08/2026
Let’s talk postpartum depression: Misinfo about this is rampant which leads to people who are postpartum to not be aware of these things that can happen. PPD can continue for almost a year after giving birth, sometimes longer. It’s not just a couple weeks post like most think
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 12/08/2026
No, I’m not being standoffish or ‘closed off’ because I have my arms crossed I literally have no clue what to do with my hands & the most comfortable thing to do with them, is cross them Or you can have awkward, fidgety me which bothers people too
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 11/08/2026
Things I have to warn people abt ahead of time so they don’t label me ‘rude’: Sometimes I need to close my eyes to calm down & let my brain process. Less input means my brain can click into gear Even with a warning, people do not like it…at all but they can’t have both things
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 10/08/2026
If someone tells you you’re ableist, your response should never be ‘well I’m disabled too’ bc unless you are working on dismantling your ableism the yes, you are ableist AND disabled
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 09/08/2026
Met Andy Grammer. He signed my book (where I talk about one of his albums & had some lyrics included)
Picture of a hard copy book. Top right corner says ‘I Matter Too’ (title of book) & 245 (page number). Signed Andy Grammer with ‘I Love You’. Lyrics are as follows:

I was born for this, I was born for this
I was born for this, I was born for this
I was born for this right here
Say it ‘til the doubt disappear
And tell the face in the mirror

I was born for this, I was born for this
I was born for this, I was born for this
I was born for this right here
Say it ‘til the doubt disappear
And tell the face in the mirror
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 07/08/2026
For everyone out there who deals with addiction of any kind, I see you. I know it feels incredibly lonely but there are so many of us, in all stages. Share whatever you would like no matter where you are… I’m 2775 days sober from alcohol
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 04/08/2026
If you strive to be anti-racist you must read “K*lling the Black Body” By Dorothy Roberts So many emotions. I’m not surprised, not shocked. It’s typical white people behavior. But for someone who’s doing the work & talking the talk…this was vile, truly vile
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💖💄 Aoife ♿💖 @aoiferocksitout.bsky.social · 03/08/2026
Please help Mae with this emergency move! Please help her avoid being unhoused! Be a blessing to Mae the way she is for others. If you can't help, please share! 💖🌺❤️🌸✨🍓
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Maelee @bakednbougie.bsky.social · 02/08/2026
Fam can you please help me keep this uplifted throughout today 💕🙏🏽 I really need help uplifting this so I can avoid being unhoused! linktr.ee/Maelee21 Or gofund.me/fe1b68f08 Or chuffed.org/project/save... 💕🌸 #ForTinu #helpsky #helpfolkslive2026 #disability #Housingcrisis #helpfolkslive
linktr.ee
Maelee Johnson Official: X | Linktree
Black Disabled Community Leader 💚
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 03/08/2026
Ugggggggh. I wanna throw an adult tantrum. The methotrexate which is working for my rheumatoid arthritis pain is making me bruise way too easily & now my gums are bothering me. I DONT WANNA CHANGE MEDS 😭 it’s a whole fucking thing I just don’t wanna deal with. IYKYK
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Johnathan Perkins @johnathanperk.bsky.social · 03/08/2026
Rent and credit card bill paid. Rex’s snipping is scheduled. Soon as I can find $500-600 for August’s more minor bills, I can get back to working to free two ppl (66 and 22) Ive been contacted to help free from #ICE custody. If these folks are ok living off the generosity of others, I will be too.
venmo.com
Johnathan P | @JohnathanPerk
Venmo is a digital wallet that lets you make and share payments with friends. You can easily split the bill, cab fare, or much more. Download the iOS or Android app or sign up on Venmo.com today.
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 02/08/2026
Random questions I ask myself… Why on earth would a manufacture of dry erase markers make them look like permanent markers?!?!? Isn’t this ASKING for bad shit to happen like grabbing the wrong one & writing on a white board with a permanent marker??? Why don’t they ask themselves these questions!
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 01/08/2026
I know yall won’t but you should learn what a “white savior” actually is bc yall use it wrong constantly. Conflating “ally” with “savior” bc truthfully, yall don’t know how to do any of it
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 29/07/2026
Am I critical of my fellow HCW? Yes But does that mean I won’t stand up for them when it’s necessary? No Calling pharmacists ‘harmacists’ is disgusting. I sure don’t agree w/plenty of things my colleagues do but the majority do give a shit & to call us this is messed up
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 27/07/2026
I need autistic people to make school supply lists bc…1 pack means too many things Tell me what you want specifically! I shouldn’t have a million questions after reviewing the school supply list! (& I am aware of what I can do…)
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 24/07/2026
Why on earth would I want to be around people that actively hate 90% of my friend group? The way many talk abt trans or disabled or Black/brown or queer people. Question: don’t you think it’s appropriate for me to be angry when yall talk so horribly about people I love?
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 22/07/2026
New profile picture for those who get a bit freaked by changing pics (I know I do!)
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 22/07/2026
It was such a privilege to speak to pharmacists who work in the Indian Health Services & prison system today. I presented abt SI & NSSI (see below) identifying differences & how we can help patients. I cannot express how honored I was to be trusted to present this valuable info!
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 12/07/2026
If a random picture of me just minding my own business in public wearing a respirator ends up on the internet somewhere I’ll be the most unsurprised person ever Fucking turning point participants got real quiet as I walked by…took a lot for me to just walk by & say nothing
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 06/07/2026
Disability fact of the day If you know a disabled person, u know ONE disabled person. Not all disabled people are the same & actually each person is unique set of information & variables which means you cannot take what you know & transfer it to another Listening to each is key
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 05/07/2026
Disability fact of the day Exercise is not the answer to everything. Actually, when you are disabled, exercise isn’t even an option. Disabled people want to be active, they are simply limited by what their meatsuit will allow them to do. Stop giving advice no one wants.
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 04/07/2026
Disability fact of the day: Heat intolerance is a symptom of many med issues & it can also be a side effect of any number of meds. If someone gets heat intolerance from their chronic illness(es) & med(s) then it’s not that they don’t want to go outside, it’s that they can’t
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 04/07/2026
Disability fact of the day: Heat intolerance is a symptom of many med issues & it can also be a side effect of any number of meds. If someone gets heat intolerance from their chronic illness(es) & med(s) then it’s not that they don’t want to go outside, it’s that they can’t
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 03/07/2026
Disability fact of the day: Not all disabilities are visible. Assumptions & judgements aren’t helpful & more times than not are harmful. Before you decide to be a jerk, think to yourself, “am I judging without all of the information” & if the answer is yes, mind your business
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 02/07/2026
Serious question? What the fuck could you possibly be celebrating on Saturday??? Is it the racism?? The ableism?? The constant murder & kidnapping of innocent human beings?? Yea, there isn’t anything to get excited about around here
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 27/06/2026
“Maybe if you talked about the bias of HCW in a nicer way you’d get farther” Do you know how violent it is to be a patient, having an HCW use bias/stigma against them to either treat them or deny them treatment?!? Why do I need to be nice when calling that out?
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 27/06/2026
Society: we want you to be able to work, even disabled Disabled person with a job but needs accommodation or simply understanding Society: no, not like that Now disabled person without a job needs assistance to live Society: stop being lazy & get a job Yall, we can’t win
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Rebecca Nagle @rebeccanagle.bsky.social · 25/06/2026
BREAKING: Alligator Alcatraz has officially closed. A lot of outlets won’t report on this, but the Miccosukee Tribe played a key role in the fight.
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 26/06/2026
Today, one of the questions we were asked was what we thought needed to happen to cause change in the medical field… I jokingly said “burn it down” while being partially honest about it but my answer was simple, we have to stop the respectability politics in medicine.
Picture of a group of people speaking in front of others in an audience. A white woman is standing behind a podium on the left side of the photo (panel moderator) then there are three individuals sitting down, facing the audience. The white woman on the far left is holding a mic and speaking, she is wearing a respirator, pink blazer, blue top and maroon pants. Behind the speakers on the screen, a slide is projected on a large white screen. From top to bottom it says:
The E.WE. Foundation/LEAP Advocacy Summit
Stories that shift systems: advocacy through lived experience.
Below are pictures of each of the four speakers with names/titles below that.
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 24/06/2026
Ohhhhh my….fucking hell this place is a shit show cosplaying as a country
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 23/06/2026
Yall need to read “The New Jim Crow” by Michelle Alexander Just finished it & it’s one thing to know about it all on the surface but the way she digs in, explains mass incarceration as a wholly racist issue & gives plenty of research/evidence to back it up… Necessary read IMO
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 12/06/2026
Let’s talk abt the 13-yr old who almost died when another hospital found the valve was put in wrong All of the HCW who have chosen to defend the surgeon & attempt to shift blame from that to anything else including the valve being defective Let me ask you this…
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🍉Reborn Ruffian🌟 (She/Her) @reburnruffian12.bsky.social · 12/06/2026
I’d add that if you’re white and/or abled, your White or Abled Opinion™️ doesn’t have a place in the discussion. Raise awareness, uplift the voices of those being persecuted. Never ever ever EVER put words in their mouths.
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 12/06/2026
If you want to be an ally… Talk about anti-Black racism all the time Talk about ableism all the time Talk about transphobia all the time You don’t get to decide you are an ally…you get to PROVE you deserve to be called one
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Naughty Nox @ladyasterianox.bsky.social · 11/06/2026
I am homeless and I was living in my car until it was repossessed. I need $3,300 to get my car back. Currently I have $720, which leaves $2,580. I have 12 days until he (my car is a he) goes to auction. CA, Venmo- ladyasterianox
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 11/06/2026
For those who believe racism is only a US problem, I urge you to read the following book this June Why I’m No Longer Talking to White People About Race By Reni Eddo-Lodge It’s all about racism in the UK
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Falco SkyWolf @falcoskywolf.bsky.social · 10/06/2026
Would you help me get a jump on this week's rent? Need $700 by 11AM Sunday. #PleaseShare, and help a queer fella with many disabilities stay housed and survive? Anything counts! #MutualAidRequest #KeepFolksAlive #DisabilityCrowdFund
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