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Carlene MacMillan, M.D. 🧠

@psychiatry.bsky.social
3.6K followers 4.3K following 330 posts

Founder & interventional psychiatrist at @fermata.health, Chief Product Officer at Radial (www.meetradial.com). Healthtech nerdette. Views are my own/Not medical Advice. May have coined #medsky 4/28/23! #skychiatry #psychiatry

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Reposted by Carlene MacMillan, M.D. 🧠
Children and Screens @childrenandscreens.bsky.social · 16/05/2025
Should smartphones be banned in high schools? 🤳  Join us at #MediaAndMinds25 for a lively debate as experts tackle one of the most hotly contested questions in education today. This session will feature @psychiatry.bsky.social, @fairplayforkids.bsky.social, & others. Register: bit.ly/3zOUbjH
Digital Media and Developing Minds International Scientific Congress. Panel Spotlight: Debate: Should High Schools Impose Full-Day Smartphone Bans? Featuring moderator Paul Weigle, MD, and panelists Daniel Buck, MA,  Brandon Cardet-Hernandez, Josh Golin, and Carlene MacMillan, MD.
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Osmind @osmind.bsky.social · 17/03/2025
Dr. William Sauvé, MD went from a $9,000 startup to a multi-state, publicly-traded network. Dr. Carlene MacMillan, MD, FCTMSS,DFAACAP (@psychiatry.bsky.social) built, sold, and rebuilt practices through multiple investment models.
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Reposted by Carlene MacMillan, M.D. 🧠
Owen Muir, M.D., DFAACAP, FCTMSS @owenmuir.bsky.social · 14/02/2025
On this Valentine's Day, I'm devastated to report that my plan for a romantic getaway didn't meet romantic getaway criteria. I'm sorry, @psychiatry.bsky.social open.substack.com/pub/thefront...
open.substack.com
Not Romantically Necessary: Reviewing Higher Level of Lovin' Criteria
My annual Valentine's Day attempt to have a romantic getaway, again, thwarted
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Reposted by Carlene MacMillan, M.D. 🧠
Osmind @osmind.bsky.social · 21/01/2025
We're proud to have our own Dr. L. Alison McInnes MD, MS and Dr. Carlene MacMillan, MD, FCTMSS,DFAACAP (@psychiatry.bsky.social) help shape these guidelines as part of ASKP3's expert faculty.
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Owen Muir, M.D., DFAACAP, FCTMSS @owenmuir.bsky.social · 16/01/2025
So much fun to do this interview with our kiddos about navigating technology together as a family. With @psychiatry.bsky.social @fermata.health open.substack.com/pub/thefront...
open.substack.com
How Two Child Psychiatrists Approach Technology with Our Own Twins
What "spending more time with our family" looks like for a family made of physician-tech start up executive parents.
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 15/01/2025
My husband @owenmuir.bsky.social and I along with our 3rd grade twins did a fun interview on how we think about screens and social media. From our two child psychiatrist household to yours: open.substack.com/pub/founding... #Skychiatry
open.substack.com
How Two Leading Child Psychiatrists Approach Technology with their Twins
The Duo Share How They Navigate Screen Time at Home with their 8-Year-Old Twins – It's More Complex Than You'd Think
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 11/01/2025
Headed to #JPM next week or live in the Bay Area? Come to our Rapid Acting Mental Health Treatment Summit with the likes of me @owenmuir.bsky.social and @chrisaikenmd.bsky.social and more! Www.rapidmentalhealth.com #Skychiatry #psychiatry
rapidmentalhealth.com
Rapid Acting Mental Health Treatment 2025
Join us for an evening that dives deep into the future of rapid-acting mental health treatments. This event explores the transformative potential of immediate and effective mental health care. Reserve...
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 11/01/2025
Shoild be a great discussion!
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Reposted by Carlene MacMillan, M.D. 🧠
Scott Leibowitz @scottleibowitz.bsky.social · 23/12/2024
Having spent 16 years in three top tier children’s hospital clinics, I guarantee that I have a perspective on the adolescent gender care debate that you can learn from, so long as you are a Person of Reason. You can start by reading this piece: www.psychiatrictimes.com/view/gender-...
psychiatrictimes.com
Gender-Affirming Care for Adolescents: Separating Political Polarization From Medicine
The politicization of gender-affirming care creates a harmful and dangerous reality for transgender youth.
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 26/12/2024
#HR leaders in CA, NY, CT,DE, IL , ME: At 2 hrs and 10 min ‘Love Actually’ meets the 2 hour sexual harassment training requirement and teaches employees everything to not do! #filmsky www.mcsweeneys.net/articles/the...
mcsweeneys.net
The Tired HR Rep from Love Actually Sends Yet Another Memo
To the Valued Employees of our London Office, Congrats on another successful year of looking busy! We haven’t lost any clients, so we assume that y...
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 25/12/2024
Merry Christmas Morning, a day when we break the blind about what’s under the tree! 🧪 🍄🎄
Placebo christmas- a boy opens a present and finds that is empty and santa says “oh you must be in the control group then”
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 23/12/2024
One of the best podcast series of 2024 is on the existential threats facing generic drug market. Well done @tradeoffs.bsky.social ! #MedSky #publichealth tradeoffs.org/2024/09/05/r...
tradeoffs.org
Race to the Bottom: A New Series from Tradeoffs on the Ailing Generic Drug Industry
Debuting Sept. 12, this three-part series examines the problems plaguing an industry that America now relies on to fill 9 out of every 10 prescriptions.
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Reposted by Carlene MacMillan, M.D. 🧠
Awais Aftab @awaisaftab.bsky.social · 20/12/2024
December 20th, US print release global.oup.com/academic/pro...
Me holding the book, “Conversations in Critical Psychiatry”
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 15/12/2024
Just asked the OwenGPT chatbot made by @sharenarice.bsky.social what I should get @owenmuir.bsky.social for Christmas. Gotta say, it slaps. chatgpt.com/g/g-oeFuTjBu...
chatgpt.com
ChatGPT - Owen GPT
Snarky, evidence-informed answers, delivered with flair, precision, and directness. Based on the writings of Owen Muir, MD DAAFCP.
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 14/12/2024
Our 8 year old daughter loves pitying me by saying “Mommies don’t understand” and asserts that daddy @owenmuir.bsky.social “is so last year” and boring. Guess Gen Alpha is not the target market for his Frontier Psychiatrists substack….owen is a lot of things but boring is not one of them!
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 09/12/2024
Hello #ACNP2024! First-timer here & excited to present a factor analysis poster tomorrow night with the @apapsychiatric.bsky.social PsychPro folks and @osmind.bsky.social on my favorite PROM, the DSM-5-TR Cross Cutting Measure! Also glad to see @acnporg.bsky.social leading in hard into @bsky.app 🦋🧪
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Susanne Ahmari @ahmarilab.bsky.social · 08/12/2024
🚨Important reminder🚨 NIH Directors can not lobby Congress- so it is our responsibility to educate our congresspeople about the necessity of our research!!! 🗣️ Brain health is a priority across the political spectrum #ACNP2024
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Keri Martinowich @martinowk.bsky.social · 08/12/2024
NIH Institute Directors session #ACNP2024
Question card
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 09/12/2024
My very unofficial #ACNP2024 @acnporg.bsky.social award for best acronym for a study goes to #psychiatry resident @zachrosenthal.bsky.social on his ECT study: “SWEET COMBO” 🧪👏 #neuromodulation
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 08/12/2024
Gotta love ambiguous signage at #ACNP2024 @acnporg.bsky.social! Speaking of signs come check out our poster on factor analysis of the transdiagnostic DSM-5 Cross-Cutting measure at Monday’s poster session (results of a @apapsychiatric.bsky.social X @osmind.bsky.social collab using RWE) #PsychSky 🧪
Sign that says “pool entrance” and “family escape” with an arrow
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 08/12/2024
My reaction to reading this statistic is decidedly not the “haha” emoji: 🤯
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 07/12/2024
Monopoly money was left behind in a coat jacket by the person believed to have shot the UHC CEO. Whoever did this certainly have made quite a statement. (Wish they had done so without taking a life) source:Reuters #MedSky
Clip from reuters saying the suspect left behind a jacket and a backpack with monopoly money in it and no firearm
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 06/12/2024
The American diaspora in a nutshell ⛳️🃏🏈🏥🎰⛱️🍔… #MedSky
Pic of a JetBlue tv screen with a program called “Looking for a Medicare Plan” highlighted and other shows adjacent are pokerstars, college football, my lottery dream house, beachfront bargan hunt, diners, drive-ins ans dives
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 06/12/2024
Metabolic Neuropsychiatry is such a promising area of research! Love this ketones=Janitors of the brain analogy! 🧹https://x.com/metabolic_mind/status/1865125933746737217?s=46 #PsychSky #MedSky 🧪@metabolicmind.bsky.social
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 06/12/2024
On TikTok, posting anything condemning the assassination of a private citizen has led to the poster getting flooded w/ hateful comments. One looked through my husband’s bio and noted he was one step removed from the CEO at a device company as CMO, a veiled threat of course. #ThisisNotTheWay #MedSky
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 05/12/2024
United Healthcare has a lot to be held accountable for. And so do regulators who have cut them a ton of slack. And yet, a country mocking and condoning assassinations of private citizens and other public figures is not something to be proud of and is a chilling precedent. #MedSky.
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 04/12/2024
Great piece on clinical trial design and the impact on participants #medsky 🧪
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 04/12/2024
On this #GivingTuesday, to help patients get support for all the ancillary logistics to get TMS (transportation, hotels), consider a donation to FACTMS’s Patient Assistance Fund. Use this link or you can also support by buying a ticket to this upcoming event factms.org/donate/ #PsychSky #MedSky
factms.org
Donate | Foundation for the Advancement of Clinical TMS
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 03/12/2024
Gamification at its best. Our son texted us at 6am to share his year end #Duolingo stats. Here is one of mine. We need this level of gamification and whimsy in mental health apps!
Duolingo bird and text that says “I’m a top 5% learner! I’m safe from Duo. For now.”
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Reposted by Carlene MacMillan, M.D. 🧠
🕸️🕷️SpiderPost🕷️🕸️(mortem), if clinically indicated @ridertoast.bsky.social · 01/12/2024
Set up my advent calendar for the week. Tomorrow I get a statin, an antidepressant, and metformin. The next day I get statin, an antidepressant, and metformin. Then after that statin, an antidepressant, and metformin. Then on the fourth day statin, an antidepressant, and metformin. Then on Friday st
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 28/11/2024
What goes viral amongst Orca Whales? Retro salmon hats from the 80’s are back in fashion. (I promise its a fluke to have two whale-oriented posts in 2 days) www.iflscience.com/wearing-a-sa...
iflscience.com
Wearing A Salmon On Your Head Is Back In Fashion For Orcas, After A 37-Year Break
In 1987, there was a strange trend amongst killer whales. Recent sightings show it's back in fashion.
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 28/11/2024
A sacred family holiday tradition: @owenmuir.bsky.social and his mom editing frontier psychiatrist substack posts. #Thanksgiving
Owen muir and his mother looking together at Owen’s laptop in a living room. A holiday cocktail is present.
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 28/11/2024
The ortho department must be over the moon! #medsky
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 28/11/2024
not so fun fact: “dark liquors like bourbon and brandy contain higher levels of congeners, or the chemicals produced during the fermentation process that give an alcohol its distinctive taste, smell and color…the more congeners an alcohol has, the worse the hangover is likely to be.”
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 27/11/2024
“It’s unclear what the whale was doing in the East River”- not a phrase I was expecting to hear on @wnyc.org this morning. Maybe it’s the Twitter Fail Whale looking for new employment? gothamist.com/news/whale-s...
gothamist.com
Whale spotted in NYC's East River this week, Coast Guard says
The agency received multiple reports of the whale from community members, according to a spokesperson.
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Reposted by Carlene MacMillan, M.D. 🧠
Dr Kate Womersley @katewomersley.com · 26/11/2024
And we keep growing - on the 3rd Starter Pack! #PsychSky. Welcome to all interested.
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 26/11/2024
Our 8.5 year old son asked “mom what is puberty?” in a crowded elevator today out of the blue Yesterday he asked if his chronic cough was genetic and said he knows his lungs are clear. #kidsofdoctors #MedSky
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 26/11/2024
#MedSky #Skychiatry
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Sharena Rice, PhD @sharenarice.bsky.social · 24/11/2024
🔊✨ Need to focus on focused ultrasound? @shanaeaerts.bsky.social made a starter pack! I am beaming with joy about tFUS as a neuromodulation technique. #neuroscience
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 26/11/2024
Describe your in-person skills with one image #wheeloftime
media.tenor.com
a poster for wheel of time shows a woman in a trench coat
Alt: a poster for wheel of time shows a woman, Moraine Aes Seidi, in a victorian trench coat wielding the one power to stop an attack on the village which is burning
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 26/11/2024
A new addition to our Frontier Psychiatrist Starter Pack! He happens to be an author on one of my favorite recent papers in precision psychiatry and #neuromodulation. No lassitude for me on #skychiatry #medsky !
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 25/11/2024
Would much rather people self-diagnose based on well-trained and ethical LLMs rather than based on TikTok sickfluencers or Dr.Google! Thanks @adamrodmanmd.bsky.social! 🩺🖥️ #MedSky #skychiatry
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 25/11/2024
As a Series B startup with high growth, we are hiring for some new roles!!
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 24/11/2024
Let’s give a warm #medsky welcome to @chrisaikenmd.bsky.social and his Carlat #psychiatry report! Adding him to my “Extremely Online Psychiatrist” starter pack immediately!
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 24/11/2024
Does the social media platform you are spending time on spark joy? If not, spark joy on #medsky!
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 24/11/2024
Pro tip: don’t search “DSM” on Bluesky hoping to find discourse on the controversial #psychiatry manual. This may be a good time to point out Bluesky gives users a ton of control of the level of NSFW in their feeds. #PsychSky #Psychiatry
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 24/11/2024
go.bsky.app/3eNMroh 🚨New Starter Pack: Members post about attachment theory at 3 AM, share research papers by day, memes by night and always remember to include in their bio 'views are my own/not medical advice' 🧠✨ Inspired by @taylorlorenz.bsky.social #MedSky #skychiatry #mentalhealth #psychsky
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 24/11/2024
Your last saved meme is your moral philosophy
Smeagol and gollum saying we must do the documentation but we hates it
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Carlene MacMillan, M.D. 🧠 @psychiatry.bsky.social · 24/11/2024
This poster from CNS summit is the result of an ongoing collaboration between the @apapsychiatric.bsky.social & @osmind.bsky.social on the use of the DSM-5-TR Cross-Cutting Measure in real world psych practices. TL;DR: People love this measure! Try it out #psychsky #skychiatry & lmk what you think!
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Owen Muir, M.D., DFAACAP, FCTMSS @owenmuir.bsky.social · 24/11/2024
Optimist: the cup of half full Pessimist: the cup is half empty Optum: the cup is experimental and unproven according to our guidelines. Please try your hands before asking for a cup
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