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Kyle MacDonald

@kylemacd.bsky.social
1K followers 723 following 1.3K posts

Psychotherapist | Author | Broadcaster | Co-host of “The Nutters Club” on NewstalkZB | Director at the Robert Street Clinic | Tāmaki Makaurau, Aotearoa - New Zealand 🇳🇿 💚 | See link to buy my book “Shit Happens”: bit.ly/4c2LuCC

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Kyle MacDonald @kylemacd.bsky.social · 12h
Important piece on youth suicide risk: exposure to someone else’s attempt can raise risk over time, not just in the immediate aftermath. The response needs to include friends and wider networks, with direct, non-judgemental conversations and ongoing support. buff.ly/C36lJSR
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Knowing someone who attempted suicide raises young people’s own risk – new study
Having larger in-person networks appeared to protect young people against developing severe depression symptoms. But large online networks had the opposite effect.
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Kyle MacDonald @kylemacd.bsky.social · 14h
Meta has reportedly paid US$16.7b to settle a major case over allegations it misrepresented child mental health harms linked to its platforms. The legal outcome matters, but so does the bigger question: who is responsible for young people’s wellbeing online? buff.ly/e1fGlRi
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The Post
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Kyle MacDonald @kylemacd.bsky.social · 02/10/2026
Good piece on Dolly Parton’s songwriting: not just the hooks, but how Jolene, I Will Always Love You and 9 to 5 match story, feeling and musical form. Jealousy, grief and workplace injustice, all made instantly recognisable. buff.ly/ZHr01QT
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Jolene, I Will Always Love You and 9 to 5: the genius of Dolly Parton in three songs
The biggest legacy Dolly Parton leaves is her songwriting, and three songs define her more than any others.
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Kyle MacDonald @kylemacd.bsky.social · 02/10/2026
Motherhood and mental health need more than awareness. This piece highlights the importance of appropriate, affordable and accessible care, including counselling, rehabilitation and aftercare. buff.ly/IdwAMT2
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Motherhood and mental health
Most women experiencing postpartum depression are not a danger to themselves or their children.
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Kyle MacDonald @kylemacd.bsky.social · 02/10/2026
Finally, some good news… www.rnz.co.nz/news/sport/1...
rnz.co.nz
'Rugby's biggest star': Blues win race to sign All Blacks captain Ardie Savea
All Blacks captain Ardie Savea has fended off interest from other parties and signed a one-season Super Rugby Pacific deal with the Blues.
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Kyle MacDonald @kylemacd.bsky.social · 01/10/2026
Tragic Stuff report: a disqualified driver who had been drinking and taken anti-anxiety medication died in a 120kph crash. A stark reminder to take medication, alcohol and driving warnings seriously, and to ask a GP or pharmacist if unsure. buff.ly/GITlhNT
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Disqualified drink-driver, 30, died after barrel-rolling ute in 120kph crash
A disqualified driver who had been drinking and had taken anti-anxiety medication died after barrel-rolling his ute at speeds up to 120kph on a Christchurch road.
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Kyle MacDonald @kylemacd.bsky.social · 01/10/2026
A short piece on H.O.P.E. Ranch in Rochester, Minnesota, where clients use traditional and equine-assisted psychotherapy to better understand emotions and behaviour. A reminder that therapy can take more than one form. buff.ly/XgZ828F
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Three ways you can help: H.O.P.E. Ranch
In 2025, H.O.P.E. Ranch served 40 individuals through more than 1,200 therapy sessions, says H.O.P.E. Ranch Foundation Executive Director Tina Schriever.
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Kyle MacDonald @kylemacd.bsky.social · 30/09/2026
This week on The Nutters Club, Hamish and I spoke with Charlotte Bell about bipolar disorder, addiction and recovery. I’ve written a bit more about shame, support, and why recovery usually needs more than willpower. psychotherapy.nz/bipolar-addi...
psychotherapy.nz
Bipolar and Addiction: Recovery Needs Support - Off the Couch - Kyle MacDonald
Bipolar and addiction recovery is rarely tidy. Both can involve shame, secrecy, fear, and the exhausting work of trying to appear fine when things are not fine at all.One of the difficulties is that a...
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Kyle MacDonald @kylemacd.bsky.social · 30/09/2026
Instagram head Adam Mosseri is expected to testify in Meta’s social media addiction trial. Whatever the legal outcome, these cases raise important questions about platform design, responsibility, and how we understand compulsive digital use. buff.ly/aNpYDJ9
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Instagram executive takes the stand in Meta trial
Instagram head Adam Mosseri testified in the social media addiction trial against Instagram's parent company, Meta.
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Kyle MacDonald @kylemacd.bsky.social · 29/09/2026
On Sunday, Hamish and I spoke with Charlotte Bell about bipolar disorder, addiction, treatment, and the role of support in recovery. Her story is a reminder that shame thrives in silence, and that asking for help can be part of change. buff.ly/6kzya3v
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Bipolar, Addiction and the Power of Support - The Nutters Club
A published author who spent years battling addiction alongside bipolar disorder says learning to accept difficult emotions and ask for help became central to her recovery. Speaking on The Nutters…
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Kyle MacDonald @kylemacd.bsky.social · 29/09/2026
A $4.4m expansion of the Waimarino Centre in Raetihi is underway. The article links rural health inequities, mental health distress and unemployment — a useful reminder that wellbeing is shaped by access, place and community infrastructure. buff.ly/4xYxdYW
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#regional: $4.4 Million Rural Health Boost: Waimarino Centre Expansion Underway in Raetihi - Waatea News: Māori Radio Station
A long-awaited $4.4 million redevelopment of the Waimarino Health Centre is officially underway, with Ruapehu Mayor Weston Kirton hailing the project as a major victory for Raetihi and a rural […]
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Kyle MacDonald @kylemacd.bsky.social · 28/09/2026
Off the Couch: From the Archives... What counts as “normal” in mental health? Kyle revisits how psychotherapy can widen that question, and why distress needn’t be treated as separate from being human. buff.ly/Mw1tIV1
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What's normal? - Off the Couch - Kyle MacDonald
In my line of work I’m often asked by people, is this normal?  Mostly I’ve tended to suggest that I may not be the best person to ask, and joke that being a therapist can give one a skewed sense of…
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Dr Sanjana Hattotuwa @sanjanah.bsky.social · 28/09/2026
NZ's far-right, anti-science, anti-vaccine, disinfo, & conspiracy accounts (which demonstrate considerable imbrication through network bridging, & bonding effects) are increasingly vocal about Nov's general election, & influencing voting behaviours to dismiss, & decry Labour, & Greens. #nzpol
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Kyle MacDonald @kylemacd.bsky.social · 28/09/2026
Yay Greens and all (obv.) but I really don't trust Opportunity. Their political naiveté may come back to bite us all in the ass. (I hope I'm wrong.)
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Kyle MacDonald @kylemacd.bsky.social · 28/09/2026
A useful short piece on neuroaffirming mental health care: recognising neurodivergence, trauma and diverse lived experiences matters if therapy is going to feel respectful, accessible and genuinely helpful. buff.ly/N09zcgo
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Healing Spaces Highlights Need for Neuroaffirming Mental Health Care in North Vancouver
Local counselling practice underlines the importance of mental health care that recognizes neurodivergence, trauma and diverse lived experiences.
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Kyle MacDonald @kylemacd.bsky.social · 28/09/2026
On The Nutters Club last Sunday, Hamish and I talked about people using ChatGPT and Gemini for emotional support, and tried it live after the Warriors loss. I’ve written more about why AI may help in moments, but shouldn’t replace being known by another person. buff.ly/MDNKhj2
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Can AI Really Help With Mental Health Support? - Off the Couch - Kyle MacDonald
AI mental health support is no longer a future problem. People are already using chatbots to talk about grief, panic, loneliness, relationships and distress, often at the very moment they need…
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Kyle MacDonald @kylemacd.bsky.social · 27/09/2026
God this “the only thing we are going to talk about is no new taxes” is so fucking bleak
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Kyle MacDonald @kylemacd.bsky.social · 26/09/2026
Hamish and I explored AI and mental health on The Nutters Club last Sunday. Chatbots can offer immediate reassurance and simple strategies, but they’re not therapy, and they’re not a person. Useful as a bridge perhaps, not a replacement for real human help. buff.ly/6geuk4J
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Can AI Really Help With Our Mental Health? - The Nutters Club
Artificial intelligence is increasingly becoming a place people turn to for emotional support, but questions remain over whether a chatbot can ever replace genuine human connection. The issue was…
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Kyle MacDonald @kylemacd.bsky.social · 26/09/2026
Psychobiotics and anxiety are getting a lot of attention. This is a useful look at the gut-brain question, and a reminder to be cautious when “cure” language starts to run ahead of the research. buff.ly/dvZBjJN
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Can a Probiotic Cure Your Anxiety? Here's Everything You Need to Know About Psychobiotics
Psychobiotics are trending, but can they actually cure your anxiety? We talked to a gut-brain gastroenterologist to learn whether the research supports the hype.
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ꕷꛕ𖣠𖢧𖢧 𖦪ꚶꕷꕷ𖤟ꚳꚳ (2-1) @pscottrussell.bsky.social · 26/09/2026
“If our viral moment contributes anything to the ongoing cultural conversation about how we judge what we see online, I hope it reminds us to be more comfortable saying, ‘I don’t know the whole story.’”
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Kyle MacDonald @kylemacd.bsky.social · 26/09/2026
Clearmind has published a patent application for an MDMA plus PEA combination aimed at PTSD, anxiety and eating disorders. Interesting signal of where the field is heading — but patents are not evidence. Careful trials and regulation matter. buff.ly/g1rMsgl
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Patent Application Published: MDMA-N-Acylethanolamines for the Treatment of PTSD, Anxiety, and Eating Disorders | Psychiatric Times
Clearmind patents MDMA plus PEA combo aiming to boost PTSD, anxiety and eating-disorder therapy as FDA issues new psychedelic trial guidance.
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Kyle MacDonald @kylemacd.bsky.social · 26/09/2026
Useful RNZ piece on the long road off antidepressants, and Dr Hinemoa Elder’s call for more mental health care in NZ. Deprescribing isn’t just a medication question; it’s also about whether people have enough support around them. buff.ly/8kQhede
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Deprescribing: The long road off antidepressants
A growing movement is challenging how antidepressants are prescribed and stopped.
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FookyFBSandcat @funkypuffin56.bsky.social · 26/09/2026
This is essential reading i think Absolute joke . Disgusting (Paywalled) www.thepost.co.nz/politics/361...
thepost.co.nz
Ministers bypassed usual process to hand-pick new Nursing Council candidates
Every practitioner appointee came from a minister or MP, while officials’ nominees missed out.
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Kyle MacDonald @kylemacd.bsky.social · 25/09/2026
Meta’s settlement with 47 states and territories over allegations its platforms were designed to keep teens using them is a reminder: "addiction" questions aren’t only about individual self-control. Design and incentives matter. buff.ly/tiN7gbq
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Meta’s teen addiction problem comes with a multi-billion dollar price tag
A landmark settlement between Meta and 47 states and territories over allegations that its social media platforms were designed to keep teens hooked was announced Wednesday.
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Kyle MacDonald @kylemacd.bsky.social · 25/09/2026
Useful, practical explainer on aged care assessments: start early, describe your usual days rather than your best ones, bring a support person if helpful, and ask clearly what support is funded and what you may need to pay. buff.ly/jRkunvm
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Here’s what to keep in mind before and after an aged care assessment
It might be tempting to focus on your ‘good days’. But here’s what to keep in mind when an assessor asks about your health and everyday life.
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Mike 🇺🇦🕯️ @mike-teevee-1971.bsky.social · 24/09/2026
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Kyle MacDonald @kylemacd.bsky.social · 25/09/2026
Sadly, the question that needs to be asked if journalists already knew what was in the book and how the hell were they allowed to get away with it for so long? 3/3
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Kyle MacDonald @kylemacd.bsky.social · 25/09/2026
Most journalist, will know many of the facts contained in the book as well if the book isn't really written for them. My "test" with people has been to ask if they know who any A** O'B*ien is. If they don't, they need to read the book. 2/n
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Kyle MacDonald @kylemacd.bsky.social · 25/09/2026
Sadly, this response from journalists, journalists, and they're not alone, actually illustrates the problem. As someone who is tragically online, and broadcast adjacent, I felt like reading "Dirty Work" revealed little that I didn't know but laid it out in a very coherent manner... 1/n
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Kyle MacDonald @kylemacd.bsky.social · 24/09/2026
The “maxxing” trend is an interesting lens on optimisation culture: when every part of life becomes something to improve, self-help can start to feel like pressure — and anxiety can follow. buff.ly/58u4vcN
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Our obsession with ‘maxxing’ everything is causing anxiety — not self-improvement
The ‘maxxing’ trend encapsulates our increasingly intense optimisation culture, in which we systematically seek to improve different aspects of our thinking, feeling and functioning
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Kyle MacDonald @kylemacd.bsky.social · 24/09/2026
Police are not always the right response to mental distress. But if they step back, there needs to be a safe, properly resourced alternative. RNZ reports PSA concerns that current changes could put both workers and patients at risk. buff.ly/bn5tivn
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Police withdrawal from mental health jobs dangerous for workers and patients - PSA
The public service union says moving to the next stage of police's withdrawal from mental-health-related jobs is dangerous for health workers and patients.
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Kyle MacDonald @kylemacd.bsky.social · 23/09/2026
McMaster data suggests the odds of Canadians having both a mood or anxiety disorder and a substance use disorder nearly doubled from 2012–2022. A reminder that mental health care needs to be able to respond to complexity, not just single diagnoses. buff.ly/OJ4nD3n
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Why anxiety and mood disorders are skyrocketing in Canada — and who is being hit the hardest
Meanwhile, the odds of having both a substance use disorder and a mood or anxiety disorder nearly doubled in the same 10-year period.
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Kyle MacDonald @kylemacd.bsky.social · 23/09/2026
I reckon a well promoted Give a Little, at the time of going public, would raise it very quickly.
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Kyle MacDonald @kylemacd.bsky.social · 23/09/2026
So true. First thing I did when I sat down to read it today was read the index for peoples names.
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Kyle MacDonald @kylemacd.bsky.social · 23/09/2026
Interesting report on a major study suggesting depression may disrupt the production of new neurons in the hippocampus. A useful reminder that depression is not just “low mood” — it involves real brain processes as well as lived experience. buff.ly/4wqz7XS
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Depression may shut down the brain’s ability to make new neurons
A major study found that adults with depression show disrupted production of new neurons in the hippocampus, potentially weakening the brain’s ability to separate new experiences from painful…
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Kyle MacDonald @kylemacd.bsky.social · 22/09/2026
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Kyle MacDonald @kylemacd.bsky.social · 22/09/2026
Having spent six years on a school board and being quite shocked at how awful some (small but very vocal minority) parents are to teachers, this group seems like it will just encourage more parents to be awful to teachers. Which ultimately is good for no one, least of all kids.
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Kyle MacDonald @kylemacd.bsky.social · 22/09/2026
reckon that’s a great book title “Dogs and Gelato: how to feel good no matter what”
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Kyle MacDonald @kylemacd.bsky.social · 22/09/2026
Dog park and patting other people’s dogs?
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Kyle MacDonald @kylemacd.bsky.social · 22/09/2026
A provocative title, but a useful question underneath: what are we carrying that may be affecting our wellbeing? Sometimes the first step is simply recognising the weight before trying to put it down. buff.ly/LmsI7J3
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Are You a Spiritual Pig-Pen?
What you’re carrying may be making you sick.
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Kyle MacDonald @kylemacd.bsky.social · 22/09/2026
A useful JAMA Network Open paper comparing methadone and buprenorphine-naloxone among opioid overdose survivors. The details matter here, especially for how services support people after a crisis. buff.ly/ymTOE1v
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Methadone vs Buprenorphine-Naloxone in Opioid Overdose Survivors
This cohort study uses target trial emulation to compare the mortality outcomes associated with methadone vs buprenorphine-naloxone treatment among individuals with a past-year opioid overdose in…
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Kyle MacDonald @kylemacd.bsky.social · 22/09/2026
It would now, actually, be funnier in a way if the book isn’t about TPU and doesn’t even mention it.
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Kyle MacDonald @kylemacd.bsky.social · 22/09/2026
I am temperamentally optimistic Sometimes, to a fault 🤓
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Richard Easther @rjme.bsky.social · 22/09/2026
This needs a serious look -- NZ First copied their health policy almost word-for-word from the website of an advocacy group stuffed with fringe practitioners and for-profit "supplement" pedlars... www.stuff.co.nz/politics/361...
stuff.co.nz
NZ First’s health policy copy-pasted from advocacy group’s website
New Zealand First released a health policy on Sunday that is largely copy-and-pasted from a charitable trust called Make New Zealand Healthy.
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Kyle MacDonald @kylemacd.bsky.social · 22/09/2026
Quite. They’re likely disappointed at the absence of flouride reform.
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Kyle MacDonald @kylemacd.bsky.social · 22/09/2026
I have wondered whether Hager’s book might be about the COVID disinformation campaign aimed at NZ and the Ardern govt by foreign actors, through 2020-2021, and how it persists. Thought I’d just pop it here on the off chance I’m right. #HagerBingo
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Kyle MacDonald @kylemacd.bsky.social · 22/09/2026
I’m not surprise. It was on first glance an *intereting* list 🚩🚩🚩
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Kyle MacDonald @kylemacd.bsky.social · 22/09/2026
Or, hear me out here, we could just LISTEN TO TEACHERS
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Kyle MacDonald @kylemacd.bsky.social · 22/09/2026
Middlemore Hospital staff declare healthcare 'crisis'
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Middlemore Hospital staff declare healthcare 'crisis'
More than 200 healthcare professionals at Auckland's Middlemore Hospital have signed a letter warning they are in a crisis, calling on Health New Zealand to prioritise patient and staff safety.
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Kyle MacDonald @kylemacd.bsky.social · 21/09/2026
Off the Couch: From the Archives... Attachment theory can help make sense of why intimacy sometimes feels anxious, distant or difficult. This older piece remains a useful starting point. buff.ly/Fe1RTYS
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When love is difficult - Off the Couch - Kyle MacDonald
Over the last couple of chats on Radio Live Sunday Morning, Mark Sainsbury  and I have talked about love and attachment and in the last of our talks on the topic we discussed insecure attachment, how…
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