iiinova — where your digital self keeps evolving

Reposted by George Dawson

conifergirl.bsky.social @conifergirl.bsky.social · 04/10/2026

If you want to rid the US of the concentration camps-VOTE BLUE!

31840429

George Dawson @gdspeedskates.bsky.social · 04/10/2026

Free associations while driving and why the map is not the territory... real-psychiatry.blogspot.com/2026/10/fall...

real-psychiatry.blogspot.com

Fall Color

psychiatry blog, George Dawson MD, Real Psychiatry

010

George Dawson @gdspeedskates.bsky.social · 04/09/2026

All of the deprescribing hype tends to ignore the significant risks of medication discontinuation. real-psychiatry.blogspot.com/2026/09/the-...

real-psychiatry.blogspot.com

The Deprescribing Hype...

psychiatry blog, George Dawson MD, Real Psychiatry

010

George Dawson @gdspeedskates.bsky.social · 26/06/2026

"Chemical imbalance theory" and why it is a successful metaphor or trope that can be even be used rhetorically against the original intent. An interesting excursion into the theory of metaphors. real-psychiatry.blogspot.com/2026/06/chem...

real-psychiatry.blogspot.com

Chemical Imbalance Theory - Meme, Trope or Metaphor?

psychiatry blog, George Dawson MD, Real Psychiatry

010

Reposted by George Dawson

Protect Our Care @protectourcare.org · 03/06/2026

Senate Republicans are kicking off Pride month with a hearing on transgender children and the ‘dangers’ of gender-affirming care. Sen. Sanders: What this hearing is about is not health care — it is not about children. It is about base politics. [...] You pick on a powerless minority.

084

George Dawson @gdspeedskates.bsky.social · 01/06/2026

In this post I use a few cognitive neuroscience concepts to make the case that the DSM is a classification rather than a diagnostic system and why psychiatrists need to learn more cognitive neuroscience. real-psychiatry.blogspot.com/2026/05/the-...

real-psychiatry.blogspot.com

The Semantic Memory of Physicians - and More...

psychiatry blog, George Dawson MD, Real Psychiatry

051

George Dawson @gdspeedskates.bsky.social · 16/05/2026

There is increasing talk about "guardrails" around AI. In medicine they need to be physician-like. Is that possible? real-psychiatry.blogspot.com/2026/05/what...

real-psychiatry.blogspot.com

What Does ERISA Say About AI Guardrails?

psychiatry blog, George Dawson MD, Real Psychiatry

000

George Dawson @gdspeedskates.bsky.social · 12/05/2026

Why you should teach psychodynamic psychotherapy to residents and take a lot of time to do it: real-psychiatry.blogspot.com/2026/05/why-...

real-psychiatry.blogspot.com

Why Psychodynamic Psychotherapy?

psychiatry blog, George Dawson MD, Real Psychiatry

020

Reposted by George Dawson

Adam Kinzinger @adamkinzinger.substack.com · 07/05/2026

America’s credibility is in a free fall. Whether you agree with this administration or not, this is something that should concern every American.

26455541364

George Dawson @gdspeedskates.bsky.social · 03/05/2026

Where does the diagnosis exist - in the mind of a psychiatrist or a manual that hardly anyone reads or uses? real-psychiatry.blogspot.com/2026/05/i-ta...

real-psychiatry.blogspot.com

Medical Reasoning vs. A Diagnostic Manual

psychiatry blog, George Dawson MD, Real Psychiatry

021

George Dawson @gdspeedskates.bsky.social · 30/04/2026

My thoughts about a group exercise at a meeting for psychiatrists about stigma. real-psychiatry.blogspot.com/2026/04/the-...

real-psychiatry.blogspot.com

The Reality of Mental Illness is Much More Than Stigma

psychiatry blog, George Dawson MD, Real Psychiatry

120

George Dawson @gdspeedskates.bsky.social · 31/03/2026

Kratom update - population exposure is up 20% but 1200% in National Poison Data System (NPDS) cases. And contrary to common opinions exposure to kratom only has led to deaths. real-psychiatry.blogspot.com/2026/03/upda...

real-psychiatry.blogspot.com

Update on Kratom

psychiatry blog, George Dawson MD, Real Psychiatry

020

George Dawson @gdspeedskates.bsky.social · 25/03/2026

Preliminary take on some new DSM proposals - like previous versions it may lack enough medicine, science, and be subjected to unrealistic criticisms from outside the field. real-psychiatry.blogspot.com/2026/03/dsm-...

real-psychiatry.blogspot.com

DSM-6? Don't Get Your Hopes up.....

psychiatry blog, George Dawson MD, Real Psychiatry

001

George Dawson @gdspeedskates.bsky.social · 13/03/2026

Safety net hospital in the US are closing and the reason is politics and inadequate financing. real-psychiatry.blogspot.com/2026/03/do-s...

real-psychiatry.blogspot.com

Do Safety Net Hospitals Need A Safety Net?

psychiatry blog, George Dawson MD, Real Psychiatry

022

George Dawson @gdspeedskates.bsky.social · 26/02/2026

A few thoughts about how I come up with ideas to write about on a blog about psychiatry. Several linked examples. real-psychiatry.blogspot.com/p/how-i-writ...

real-psychiatry.blogspot.com

How I write This Blog

writing blogs, creativity, conscious state of writing

010

George Dawson @gdspeedskates.bsky.social · 27/01/2026

Polygenic illnesses are all complex, variably expressed, and have high prevalences. Psychiatry is no exception. real-psychiatry.blogspot.com/2026/01/derm...

real-psychiatry.blogspot.com

Dermatology Informs the Rhetoric About Psychiatry

psychiatry blog, George Dawson MD, Real Psychiatry

010

George Dawson @gdspeedskates.bsky.social · 16/01/2026

The U.S. approach to the opioid crisis has shifted from diplomatic supply-chain disruption to "gunboat diplomacy. real-psychiatry.blogspot.com/2026/01/how-...

real-psychiatry.blogspot.com

How To Address the Opioid Crisis Without Gunboat Diplomacy

psychiatry blog, George Dawson MD, Real Psychiatry

011

George Dawson @gdspeedskates.bsky.social · 08/01/2026

The weakest check I have ever seen.... the Trump Presidency is a case in point for power over morality - an age old problem.

120

George Dawson @gdspeedskates.bsky.social · 02/01/2026

How I have done assessments of suicidal behavior and thought since it was demonstrated by one of my mentors... real-psychiatry.blogspot.com/2025/12/the-...

real-psychiatry.blogspot.com

The Phenomenological Suicide Assessment – The Legacy of Dr. H.

psychiatry blog, George Dawson MD, Real Psychiatry

021

Reposted by George Dawson

Melanie D’Arrigo @darrigomelanie.bsky.social · 27/12/2025

“Nobody wants to work anymore.” And these are the politicians cutting benefits to Americans and calling them “lazy.”

1324596

George Dawson @gdspeedskates.bsky.social · 23/12/2025

New blog post discusses interventional landscape and how psychodynamics may be a factor. Paul Dewald wrote about this in the first book I read on psychoanalysis in 1971. Everything in that chapter still applies today. real-psychiatry.blogspot.com/2025/12/psyc...

real-psychiatry.blogspot.com

Psychodynamic Prescribing

psychiatry blog, George Dawson MD, Real Psychiatry

020

Reposted by George Dawson

Congressman Don Beyer @beyer.house.gov · 19/11/2025

The Trump Administration killed over 383 active clinical trials and directly harmed more than 74,000 Americans with lasting future impacts for the public at large. Trump' s war on scientific research and public health is costing Americans lives and livelihoods.

arstechnica.com

Trump admin axed 383 active clinical trials, dumping over 74K participants

It’s a “violation of foundational ethical principles of human participant research.”…

17921434

Reposted by George Dawson

Karen Attiah @karenattiah.bsky.social · 18/11/2025

Donald Trump could have just kept his mouth shut about Jamal Khashoggi. But to smear a dead journalist, while sitting with the person accused of orchestrating his murder is just vile. Every time this administration hits rock bottom, a trap door seems to open. Cretin behavior.

894105908

George Dawson @gdspeedskates.bsky.social · 15/11/2025

Don't ignore biological systems theory or cultural and subcultural effects... real-psychiatry.blogspot.com/2025/11/jama...

real-psychiatry.blogspot.com

JAMA Summit on Reducing Firearm Violence

psychiatry blog, George Dawson MD, Real Psychiatry

020

George Dawson @gdspeedskates.bsky.social · 05/11/2025

Updated Medication Checklist - used it as stated and plan on converting it to the 2 different systems listed for educational purposes. Available as a download through link at the bottom. All my stuff is free and I don't want any of your information. real-psychiatry.blogspot.com/2025/11/medi...

real-psychiatry.blogspot.com

Medication Checklist

psychiatry blog, George Dawson MD, Real Psychiatry

010

George Dawson @gdspeedskates.bsky.social · 02/11/2025

Just missed Halloween (reading text from 1650 can be a challenge). Rhetoric and rhetoric as cultural inheritance seems to be an issue here. real-psychiatry.blogspot.com/2025/11/i-wa...

real-psychiatry.blogspot.com

How To Stop Burning Witches...

psychiatry blog, George Dawson MD, Real Psychiatry

040

George Dawson @gdspeedskates.bsky.social · 29/10/2025

My review of this movie. I recommend it - well made and acted with an excellent message. real-psychiatry.blogspot.com/2025/10/a-ho...

real-psychiatry.blogspot.com

A House of Dynamite

psychiatry blog, George Dawson MD, Real Psychiatry

020

Reposted by George Dawson

Jacek Debiec, MD, PhD, DPhil 🌎 🧠 @drjacekdebiec.bsky.social · 22/10/2025

"Everyone always has sound, rational reasons for caving to intimidation. They’re protecting their reputation, their job, their family, their institution, their investments—the number of reasons... compounds until fighting back can feel like a fool’s errand." www.theatlantic.com/ideas/archiv...

theatlantic.com

Lower Than Cowards

The surrender of America’s elites

072

Reposted by George Dawson

Qasim Rashid, Esq. @qasimrashid.com · 20/10/2025

Trump is literally destroying the White House. After promising that his absurd $250M ballroom wouldn't interfere with the existing structure, he lied and is destroying the White House. Wealth & income inequality is at record highs in America, but glad we're spending $250M on a vanity project.

22306100

George Dawson @gdspeedskates.bsky.social · 13/10/2025

Generating good anonymous genograms that don't require a lot of labeling. This software does a good job. gdpsychtech.blogspot.com/2025/10/geno...

gdpsychtech.blogspot.com

Genogram software

A blog about psychiatry.

140

Reposted by George Dawson

Angie Rasmussen @angierasmussen.bsky.social · 11/10/2025

For more information about the Friday night massacre at CDC, I wrote up an analysis of who got terminated and what that means for public health. Grateful to @saveamericamvmt.bsky.social for supporting and amplifying. We are in really terrible trouble. rasmussenretorts.substack.com/p/the-death-...

rasmussenretorts.substack.com

The Death of Public Health

Another Friday night massacre, but this time it's not just an essential federal public health agency that will die

14542321

George Dawson @gdspeedskates.bsky.social · 09/10/2025

New graphic on test/criteria on autism prevalence. See reference 4 in graphics credit. I am working on an update. real-psychiatry.blogspot.com/2025/09/the-...

real-psychiatry.blogspot.com

The FDA and the Trump Formulary or What Separates Physicians from Politicians

psychiatry blog, George Dawson MD, Real Psychiatry

031

George Dawson @gdspeedskates.bsky.social · 06/10/2025

The UpToDate antidepressant transition tool: they have always had a solid chapter on this topic - now they have a tool. I review it in this blog post: real-psychiatry.blogspot.com/2025/10/upto...

real-psychiatry.blogspot.com

UpToDate and the Rx Transitions in Mental Health

psychiatry blog, George Dawson MD, Real Psychiatry

100

Reposted by George Dawson

Mike Nellis @mikenellis.bsky.social · 29/09/2025

Just a reminder that the last two government shutdowns happened under President Trump, with Republicans in control of both chambers. These people cannot govern, and they need Democrats to bail them out.

19885271

George Dawson @gdspeedskates.bsky.social · 29/09/2025

My take on the Trump-Kennedy press conference on autism. A few detailed comments on what they said at the very end. More detailed scientific discussion to come - the focus here was epidemiology and rhetoric: real-psychiatry.blogspot.com/2025/09/the-...

real-psychiatry.blogspot.com

The FDA and the Trump Formulary or What Separates Physicians from Politicians

psychiatry blog, George Dawson MD, Real Psychiatry

000

George Dawson @gdspeedskates.bsky.social · 16/09/2025

Yesterday I listened to an endless stream of commentary on political divisiveness in the US up to and including Civil War! To quell the mass hysteria I have a simple 5-point primer on how to nip it in the bud. real-psychiatry.blogspot.com/2025/09/a-pr...

real-psychiatry.blogspot.com

A Primer on How to be YOUR Own Unity Messiah

psychiatry blog, George Dawson MD, Real Psychiatry

051

Reposted by George Dawson

Adam Bonica @adambonica.bsky.social · 20/07/2025

He's right, and it's not just Brazil. Around the world, at least 31 democratic leaders who committed similar crimes have been jailed or banned from office since 2010. The failure to hold Trump accountable in the US was a unique and systemic failure of our institutions and political culture.

open.substack.com

An Exceptional Failure of Democratic Accountability: How American Institutions Protected Power While Global Democracies Upheld Justice

How Elite Deference Eroded America's Rule of Law, Defying the Global Norm.

8761572091