iiinova — where your digital self keeps evolving

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

LOL! With Trump it is always a race to the bottom. It is predictable.

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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!

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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

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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

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George Dawson @gdspeedskates.bsky.social · 22/07/2026

Not only better regulations but better all the way around. Adopting a Swiss financing system in the US would save a trillion dollars and improve quality immensely. The US system is basically rationing for profit.

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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

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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.

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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

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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

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George Dawson @gdspeedskates.bsky.social · 13/05/2026

I am older but still have frequent and intense memories/assocations of my grandparents. My grandfather died when I was in the Peace Corps in my early 20s: real-psychiatry.blogspot.com/2026/02/gran...

real-psychiatry.blogspot.com

Grandparents....

psychiatry blog, George Dawson MD, Real Psychiatry

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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

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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.

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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

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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

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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

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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

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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

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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

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George Dawson @gdspeedskates.bsky.social · 18/02/2026

2012 - in the early days most of the posts were short. Over the years they have become more fully annotated essays. Thank you for the reads!

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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

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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

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

The federal government as a trusted authority ended as soon as Trump and his merry band of imposters took over.

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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.

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

The spin on this event is incredible. The right claims she is a terrorist, the officer was "run over"/needed hospitalization, blaming the Minneapolis police for not coordinating efforts with ICE when today they are intimidating public schools. Anything but the truth or at least waiting for it.

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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

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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.”

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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

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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.”…

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George Dawson @gdspeedskates.bsky.social · 19/11/2025

Probably the single best example of how irrational the American political system can be. Let's systematize emergencies for kids just so we can flood the country with guns and create a subculture of mass shooters.

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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.

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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

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

$453B went to anti-missile defense. We currently have 44 and they offer the protection of a "sieve". See references in last 2 paragraphs. real-psychiatry.blogspot.com/2025/10/a-ho...

real-psychiatry.blogspot.com

A House of Dynamite

psychiatry blog, George Dawson MD, Real Psychiatry

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George Dawson @gdspeedskates.bsky.social · 10/11/2025

Most US news sources are "infotainment" rather than news. There is hardly any serious news and when there is it is maximized for sensationalism. Any comparison of the BBC to any US news source shows how seriously they are lacking.

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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

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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

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

He is a genius of a deal maker Not! The other outcome of this trade war witch China is that they have realized they have more leverage in trade and on the world stage than the US. Trump has significantly weakened the deal making posture of the US - includes worse relationships with allies.

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George Dawson @gdspeedskates.bsky.social · 01/11/2025

There isn't one - the problem is more complicated than greed and conflict of interest. Cultural biases at play keep it going and intensified to the point that there is less expertise and more business interests running healthcare - like the HHS secretary and wellness industry bigger than Pharma.

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George Dawson @gdspeedskates.bsky.social · 30/10/2025

Many see the correlation between OSA and AD. This study tries to break it down by major phenotypes and pathophysiological mechanisms. Very complicated and I would add a few things to their diagram. Untreated/sleep deprived need to be controlled for. pmc.ncbi.nlm.nih.gov/articles/PMC...

pmc.ncbi.nlm.nih.gov

The relationship between Obstructive Sleep Apnea and Alzheimer’s Disease

Obstructive Sleep Apnea (OSA) and Alzheimer’s disease (AD) are highly prevalent conditions with growing impact on our aging society. While the causes of OSA are now better characterized, the mechanisms underlying AD are still largely unknown, ...

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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

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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

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