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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 · 04/10/2026
Sitting watching random TikTok’s & pointe shoes/ballet is common to pop up for me Random thoughts: I don’t understand how dancers wear so much padding in their shoes. I never wore that much & usually used a paper towel/nothing. Hmmm that had to have been a sensory thing…haha😅
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 03/10/2026
Absolutely. People avoid it so much & trying to point out to them that it’s for their comfort to avoid it makes them super defensive
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 03/10/2026
And for me, I don’t care if you have degrees at all, I know intelligence comes in all shapes and sizes. However the majority of people don’t think like this so I’ll use my degrees to life up the voices of those with all flavors of intelligence especially when they are accurate & correct
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 03/10/2026
“Why are you always inserting yourself into conflict” 1. I’m a white person 2. I’m a pharmacist 3. I also have an education degree It’s my duty to uplift the most marginalized voices. To back them up when necessary & to allow those with more skill than I to do the talking
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 02/10/2026
People who get mad at me for calling them an asshole is extremely hilarious to me 🤣 I call myself an asshole. You aren’t special Karen.
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 30/09/2026
ignoring their biases which harm pts. I still don’t think my colleagues deserve the abuse. Fighting against each other is what the system wants bc then we are too busy fighting each other instead of against the system
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 30/09/2026
Yall do realize if pts get better/correct treatment then we have less issues. If pharmacists have better working environments then there are less mistakes & pt care improves. I am still going to hold my colleagues accountable for taking the system out on pts &
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 30/09/2026
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
Thanks. It was not an enjoyable experience. But, I also know it’s part of everything. Just makes it hard bc I try to keep my shit together so I don’t take it out on him…it’s soooo hard
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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 · 18/09/2026
I’m the exact same way hahahaha
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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
And I literally just talked about PPD & misinfo! bsky.app/profile/beca...
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 06/09/2026
shit like that bc it’s very, very harmful. You are literally shaming people & making them feel badly about something they may have had to battle. Shame on you all.
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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
So if you’re & advocate & not actively doing these things then you aren’t an advocate & I am not sorry for saying this out loud
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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
That’s an important thing too. Both need support
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 18/08/2026
CW/TW:s*icide I’ve mentioned 9 months postpartum, I attempted s*icide & spent 5 days in the psych ward. I was on medication. I was seeing a therapist. Yet, I still had this happen. We need better awareness of EVERYTHING postpartum…everything
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 18/08/2026
one that may not present until many years later. Most people know preeclampsia exists but did you know postpartum preeclampsia exists? Much rarer but it exists & sometimes it will not reverse giving that person chronic high BP. I dealt with it & it took four months to reverse
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 18/08/2026
Want to know why autoimmune disorders are more common in those who have given birth? Because they put their bodies through 9 months of stress & that weakened their immune systems which then leads to the progression of an autoimmune disorder
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 18/08/2026
Giving birth is a MEDICAL SITUATION. It’s one that can cause emergency situations. Just bc something doesn’t happen right away does not mean the person is healthy…there could still be issues that will not present until later, sometimes years later
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 18/08/2026
Once the baby comes, all the care shifts from the pregnant person to the baby. It’s like we just completely forget the pregnant person exists. They did their job & we move on This is why people suffer & die postpartum, bc we do not do enough for them to ensure their health
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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 · 10/08/2026
Omg!!! 😅
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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 · 08/08/2026
Congrats to you!
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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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Reposted by DR. Ashley the Charlatan
💖💄 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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Reposted by DR. Ashley the Charlatan
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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DR. Ashley the Charlatan @becauseimatter.bsky.social · 03/08/2026
A friend of mine who learned the hard way hahaha told me you can actually write over it with a dry erase marker and it will take it off too! I never knew that but I do now!
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Reposted by DR. Ashley the Charlatan
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
Exactly. Not understanding we don’t make the rules or the laws, we just have to follow them
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 29/07/2026
I saw it on Facebook. Some patient advocate who is calling out withholding opioids from chronic pain patients decided demonizing pharmacists was the way to ‘raise awareness’ which is the worst idea ever
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 29/07/2026
You don’t get to demonize pharmacists who are the exact people you want to treat you with respect & dignity. It goes both way. The best way to get pharmacists on your side is to approach them with humanity & curiosity, not hate & name calling
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DR. Ashley the Charlatan @becauseimatter.bsky.social · 29/07/2026
Stereotyping pharmacists literally does NO ONE any good. If you want to understand what we do, instead of making wild assumptions about how our job is done…ASK US Most of yall don’t even know we are doctors which is so much of the problem
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