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Isaac Baldwin

@ibaldwin.bsky.social
633 followers 265 following 57 posts

MD. Assistant Professor of Child & Adolescent Psychiatry. Neurodevelopment, catatonia, spirituality, philosophy and ethics in psychiatry. Opinions my own.

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Isaac Baldwin @ibaldwin.bsky.social · 12/08/2026
Excited to share our new article in the @annalsofim.bsky.social, a first step at answering a big question: “What do we do when the established supporter for a patient with an IDD disregards the patient’s perspective in a medical decision?”
r.mail.acpresources.org
Securing Patient-Centered Decision Making With Adults With Intellectual and Developmental Disabilities | Annals of Internal Medicine
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Isaac Baldwin @ibaldwin.bsky.social · 09/05/2026
A heartbreaking yet touching story of a woman who lives in her car in Denver. One of the best pieces of journalism I've read in years that asks the question-- "and who is my neighbor?"
denverite.com
She has lived in her car for a decade. Denver neighbors wanted her gone
In a city trying to end homelessness, Suzanne Elaine McKinney has refused everybody’s efforts to bring her inside.
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Isaac Baldwin @ibaldwin.bsky.social · 03/05/2026
Important work here! Psychiatrists in training know philosophical and conceptual issues affect their work but less than a third feel their training has been adequate in these areas.
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Isaac Baldwin @ibaldwin.bsky.social · 24/04/2026
Some needed focus on school tech- Overuse of tech might be limiting the social, emotional, and executive function development we didn’t even realize our schools were supporting in the past. Will be interesting to see if moves like this one (back home in central Kansas!) will catch on.
nytimes.com
Chromebook Remorse: Tech Backlash at Schools Extends Beyond Phones
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Isaac Baldwin @ibaldwin.bsky.social · 13/03/2026
A fantastic piece that names one of the core sources of professional distress for the psychiatrist: the person-environment mismatch and the desire to help in situations where fundamental solutions are impossible but mental health interventions may still have utility (1/2)
open.substack.com
What Do We Owe the Overburdened?
Doing justice to trait-demand mismatches
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Isaac Baldwin @ibaldwin.bsky.social · 09/11/2025
Though I think I’m a little late to the party, I had to share this book. Some of the best writing I’ve read in years. Come for the analysis of AI agency, stay for what it reveals about human consciousness and spirituality.
goodreads.com
God, Human, Animal, Machine: Technology, Metaphor, and …
A meditation on what it might mean to be human in an ag…
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Isaac Baldwin @ibaldwin.bsky.social · 31/10/2025
In my practice, I ask: - How often do you spend time with friends in-person outside of school? - What activities do you do with other people that are just for fun? I am often shocked by how little time kids are spending with this vital part of healthy development.
www-cnbc-com.cdn.ampproject.org
'Kids are increasingly lonely,' child psychiatrist says: Here's how parents can help
In a recent study, Common Sense Media discovered that 26% of adolescent boys are lonely. The reasons vary.
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Isaac Baldwin @ibaldwin.bsky.social · 20/10/2025
Here at AACAP 2025. Excited to present with some incredible colleagues on the evidence we’re building in the treatment of pediatric catatonia in ASD.
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Isaac Baldwin @ibaldwin.bsky.social · 16/10/2025
Thought-provoking as always. My main question mirrors the post-script. Is there anything we can do with nosology or language in ASD that would *guarantee* benefit for autistic people and maintain an honest recognition of the complex truths scientists know (and don’t) about the autism spectrum?
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Isaac Baldwin @ibaldwin.bsky.social · 30/09/2025
“Boredom proneness overlaps with inattention and impulsivity but does not capture hyperactivity, working memory deficits, or problems with planning and organization.” Excellent article. An example of this distinction: the higher risk of car accidents is probably not due to boredom proneness alone.
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Isaac Baldwin @ibaldwin.bsky.social · 18/09/2025
An interesting look at integrating several emerging heuristic models in psychiatry. With some discussion of what it would really take to create a paradigm shift.
cambridge.org
New diagnosis in psychiatry: beyond heuristics | Psychological Medicine | Cambridge Core
New diagnosis in psychiatry: beyond heuristics - Volume 55
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Isaac Baldwin @ibaldwin.bsky.social · 06/09/2025
This is excellent work. Exactly the type of research that can help us resolve the tense debates around the diagnosis, epidemiology, and nosology of catatonia. Spoiler: presentations change fast, even within 24 hours!
journals.sagepub.com
Fluctuation of Catatonic Signs in a Naturalistic Clinical Sample - Brian S. Barnett, Andrew Francis, 2025
Background We are unaware of investigations into whether catatonic signs fluctuate over short periods, so we quantified changes in catatonic signs over 24-hours...
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Awais Aftab @awaisaftab.bsky.social · 31/08/2025
The RFK Jr + MAHA alliance may very well ensure that the psychiatric harm movement is eventually remembered not for saving lives from medical overreach, but for wrecking public health in America. The irony of this outcome will not be lost on observers and future commentators.
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Isaac Baldwin @ibaldwin.bsky.social · 29/08/2025
Recent articles about the use of AI in psychotherapy make me feel the way an older generation of psychiatrists must have felt watching the interpersonal aspects of their practice being discarded with applause from the business world and media.
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Isaac Baldwin @ibaldwin.bsky.social · 05/08/2025
This post made me think of the many times I’ve heard a patient describe their past treatment with misleading metaphorical language, oftentimes inherited from a physician. It’s humbling to remember that our metaphors are carried outside our offices and may shape self understanding for a lifetime.
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Eric Michael Garcia @ericmgarcia.bsky.social · 16/05/2025
Robert F. Kennedy calls autism an epidemic and treats it like a crisis. But the Trump administration has cut autism-related research by 26 percent since he took office. www.reuters.com/business/hea...
reuters.com
Exclusive: Trump administration cut autism-related research by 26% so far in 2025
Health Secretary Robert F. Kennedy Jr has vowed to address rising U.S. autism rates as a top health priority for the Trump administration .
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Isaac Baldwin @ibaldwin.bsky.social · 15/05/2025
Thanks to @autismsciencefd.bsky.social for giving me some time to talk about how catatonia is diagnosed in autism. Some really excellent questions at the end. Enjoyed being with you all!
youtu.be
May 14, 2025: Diagnosis of Catatonia
YouTube video by Catatonia and Severe and Challenging Behaviors SIG
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Isaac Baldwin @ibaldwin.bsky.social · 03/05/2025
I’ve been searching for “the point” behind the MAHA movement and RFK’s policies. All the doctors I know feel like it’s headed for disaster. So why does it have so much steam? Some recent pieces have made it clearer to me: (1/6)
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Isaac Baldwin @ibaldwin.bsky.social · 03/05/2025
If psychiatrists want an effective collective response to the administration’s approach to psychiatric medications, it’s going to take clear-eyed communication like this.
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Isaac Baldwin @ibaldwin.bsky.social · 20/04/2025
Many major autism advocacy organizations representing a huge variety of viewpoints (sometimes starkly opposing one another) released this joint statement. Their points: 1. Vaccines do not cause autism 2. Autistic individuals deserve respect and support 3. Evidence-based policy is essential
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Isaac Baldwin @ibaldwin.bsky.social · 18/04/2025
This is the language of eugenics. Autistic lives are inherently valuable.
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Julia Métraux @juliametraux.bsky.social · 28/03/2025
The Administration for Community Living, housed in HHS, is shutting down. I spoke to disability experts for @motherjones.com about questions they have for what’s next, the services ACL provides, and how this move may lead to more folks being institutionalized. www.motherjones.com/politics/202...
motherjones.com
RFK Jr. moves to close Administration for Community Living
The shutdown will mean "more people forced into institutional settings."
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Robert Chapman @drrobertchapman.bsky.social · 25/03/2025
One way the mainstream "over" (or "under") diagnosis discourse is misleading is the assumption there is some natural, correct number of neurodivergent people. But there is no natural number, as disability is relationally, materially, and socially produced.
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Isaac Baldwin @ibaldwin.bsky.social · 22/03/2025
“The psychiatrist, scrolling through the criticism on their phone, can sigh, close the app, and move on with their evening, while the harmed patient sits, eyes wet, waiting for a response, feeling alone and terrified by the world’s indifference to their suffering.”
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Alexey Tolchinsky @tolchinsky.bsky.social · 08/03/2025
Fantastic presentation by @jrbneuropsiq.bsky.social www.youtube.com/watch?v=Pl-J...
youtube.com
Phenomenology in Literature and Neuropsychiatry with Dr. Ramirez-Bermudez
YouTube video by Neurohumanities Network
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Isaac Baldwin @ibaldwin.bsky.social · 04/03/2025
RFK and friends would have us believe medicine (especially psychiatry) is ruining our country. He would like to return to a golden age before all this. As this article brilliantly illuminates, there is no such time. Reactionary voices have been blaming medicine for “moral decline” for centuries.
open.substack.com
Neurodiversity and the Myth of Moral Decline
How to spot reactionary critiques of medicalisation
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Isaac Baldwin @ibaldwin.bsky.social · 25/02/2025
What a piece. This manages to both review a book and paint a picture of the type of psychiatry I think is worth practicing— one that asks deep questions about agency and iatrogenic harm while remaining committed to understanding that patients’ positive experiences with medications are not illusory.
practicing.one
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Aishwarya Rajagopalan, D.O., MHS @aishwaryakraj.medsky.social · 23/12/2024
🧵 It’s certainly not typical to find an article about anti NMDA receptor encephalitis or #catatonia in People magazine, but I was pleasantly surprised to find this important read raising awareness of both topics. people.com/man-29-ends-...
people.com
29-Year-Old in ‘Catatonic State’ After Rare Disorder Causes Debilitating Night Terrors
Ben Tarver, 29, suffered debilitating night terrors, which were the first symptoms of Anti-NMDA Receptor Encephalitis, a rare autoimmune disorder that landed him in the ICU.
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Brian Goldstone @brian-goldstone.bsky.social · 15/12/2024
"More people died from homelessness than homicide in Nashville this year.” A friend shared this photo from yesterday's memorial at Riverfront Park.
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Lisa Wallace @rwillowfish.bsky.social · 09/12/2024
"When I identify my suffering as illness-like, I wish to lay claim to a caring interpersonal relationship, instead of one which negates my experience and my deliberations on my experience by telling me that I have misunderstood the nature of my suffering." @zsuzsannachappell.bsky.social's paper/
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Isaac Baldwin @ibaldwin.bsky.social · 07/12/2024
An incredible, devastating piece of journalism. How could anyone rebuild trust in health care after a family or community experiences something like this?
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Isaac Baldwin @ibaldwin.bsky.social · 06/12/2024
A little hope for your day: In group therapy with teens these past few weeks, I noticed the kids are consistently rejecting stigma against mental illness. It feels really different than even a decade ago.
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Awais Aftab @awaisaftab.bsky.social · 29/11/2024
Who has written a good history of the medical assistance in dying as a medical-legal phenomenon?
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Joe Pierre, MD @psychunseen.bsky.social · 28/11/2024
The Routledge Handbook of Philosophy of Delusion edited by @emas-b.bsky.social w/ chapters by @lisabortolotti.bsky.social @rritunnano.bsky.social @matthewbroome.bsky.social @philcorlett.bsky.social and one by me on Delusions and Conspiracy Theories is out now! www.routledge.com/The-Routledg...
routledge.com
The Routledge Handbook of Philosophy of Delusion
Delusions play an important and fascinating role in philosophy and are a particularly fertile area of study in recent years, spanning philosophy of mind and psychology, epistemology, ethics, psycholog...
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Chenwei Nie @chenweinie.com · 26/11/2024
Here is the link to the Philosophy of Psychiatry starter pack. go.bsky.app/GaNgDHt
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Isaac Baldwin @ibaldwin.bsky.social · 25/11/2024
#psychsky Any recommendations for primers on the history of diagnostic classification systems in psychiatry? I am working on creating a short lecture series on the history and philosophy of psychiatry for psych residents and fellows. Will be asking for advice as things develop!
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Marley Doyle, MD 🦮 @drmarleydoyle.bsky.social · 25/11/2024
Let’s get a starter pack going for academic psychiatry!
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Robert Chapman @drrobertchapman.bsky.social · 24/11/2024
My cat is completely convinced that whether she gets her dinner early, on time, or late is determined by the strength of her campaigning, when in reality it is determined by economic factors far beyond her comprehension. In this way we are not so different.
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Awais Aftab @awaisaftab.bsky.social · 23/11/2024
The Medical Model of Psychopathology “[The term] “medical model” has become a slogan for use in public debate than a term of precision for furthering intellectual discussion or scientific discovery.” Gerald Klerman, 1977 *new post* www.psychiatrymargins.com/p/the-medica...
psychiatrymargins.com
The Medical Model of Psychopathology
Klerman noted in 1977 that the term had evolved into a slogan used more for rhetorical impact than scientific clarification
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Isaac Baldwin @ibaldwin.bsky.social · 19/11/2024
Day 1 on this app! Looking forward to connecting with familiar faces in a new space.
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