“I want a REMS. We already have a REMS in this country for isotretinoin, an acne medication with the same level of teratogenicity. So why are we doing it for one and not the other?”
26.02.2026 20:40 — 👍 0 🔁 0 💬 0 📌 0“I want a REMS. We already have a REMS in this country for isotretinoin, an acne medication with the same level of teratogenicity. So why are we doing it for one and not the other?”
26.02.2026 20:40 — 👍 0 🔁 0 💬 0 📌 0“I’m not saying that clinicians should never use it, but we need to be mindful of patients’ reproductive potential and educate them about the importance of contraception,” said Mariella Suleiman, M.D.
26.02.2026 20:40 — 👍 0 🔁 0 💬 1 📌 0(I made a video to accompany the story:) www.instagram.com/p/DSiN87wGPBb/
26.02.2026 20:40 — 👍 0 🔁 0 💬 1 📌 0
My colleague, Linda Richmond, dove into the movement within psychiatry to institute a federal safety program (a REMS) for valproate - the same type of program that is used for Accutane, the acne medication (millennials remember).
psychiatryonline.org/doi/10.1176/...
In the American Society of Clinical Psychopharmacology's recent recommendations for deprescribing psychotropic medications, a shocking 27% disagreed with the routine deprescribing of valproate in women of childbearing age.
Psychiatric News recently covered this. 1/3
jamanetwork.com/journals/jam...
"There are a lot of elements to Robertson’s story. It is one of deep love but also powerful fear. And she sees the environment that she and Ryan were in—one of political fearmongering and dangerous language villainizing the gay community—mirrored today with gender-diverse youth and their parents."
18.02.2026 16:44 — 👍 0 🔁 0 💬 0 📌 0
I wrote a three-part series exploring conversion therapy--what it's like to survive it, what it's like to lose a child to it, and what the Supreme Court's case could mean. This is the third and, perhaps, my favorite installment:
psychiatryonline.org/doi/full/10....
Poll: People View Prior Authorization as Greatest Burden in Navigating the Health System www.kff.org/public-opini...
02.02.2026 16:34 — 👍 3 🔁 1 💬 0 📌 1“That’s what conversion therapy does. It does not offer love. It does not offer healing. It offers conditional acceptance at the very price of your existence.”
15.12.2025 19:22 — 👍 1 🔁 0 💬 0 📌 0“...it’s important to know that this is not therapy. Therapists are always permitted to provide a space for young people to explore their sexual orientation or gender identity. But under these laws, they cannot pressure young people toward a specific outcome." -Casey Pick @trevorproject.bsky.social
15.12.2025 19:22 — 👍 1 🔁 0 💬 1 📌 0“What does it mean if people who are licensed can just behave in a way that is completely inconsistent with their professional training, and any attempts to call them on that are then circumvented by the First Amendment?” --Cathryn Oakley @hrc.org
15.12.2025 19:22 — 👍 0 🔁 0 💬 1 📌 0My latest is the first in a three-part series about conversion therapy--the Supreme Court case that may overturn laws across the country that ban it, the advocacy of those trying to fight it, and the stories of people who have survived it. Read it here: psychiatryonline.org/doi/full/10....
15.12.2025 19:22 — 👍 1 🔁 1 💬 2 📌 0
“Here we have a report issued from the... highest level of the federal government with regard to health and it’s casting psychotropic medications for children...as a leading cause of chronic disease... When I read that, it struck me as profoundly wrong.”
psychiatryonline.org/doi/10.1176/...
"It's definitely like a catastrophic situation for public health nutrition,” said Leah's Pantry founder and executive director Adrienne Markworth.
www.reuters.com/world/us/sta...
"For the first time, the CMS has provided a notice that directs hospitals to transport Medicare patients in the hospital at home program back to a brick-and-mortar facility or discharge them if the program authority runs out."
www.fiercehealthcare.com/regulatory/t...
The @nwlc.org warns that pronatalist policies like baby bonuses and motherhood medals are designed to control women’s bodies rather than genuinely support families.
27.08.2025 17:19 — 👍 24 🔁 14 💬 2 📌 1
"Bounds, who lives in Oak Hill now, is one of thousands in the state who need oxygen and nebulizer treatments just to get through the day. The CDC estimates that about one in five miners in Appalachia is impacted by the disease."
wchstv.com/news/local/a...
Federal Report on Drinking Is Withdrawn
The upcoming U.S. Dietary Guidelines will instead be influenced by a competing study, favored by industry, which found that moderate alcohol consumption was healthy.
www.nytimes.com/2025/09/05/h...
NO PAYWALL:
We have copies of the MAHA report.
Farm groups are pleased, but key parts of the MAHA coalition are not happy with the report’s soft touch on pesticides.
“There are way too many industry influences on things,” one MAHA supporter told me.
@politico.com
AHRQ, the federal agency once prized by health care researchers, has been "decimated" @chelseacirruzzo.bsky.social
reports. With ~ 90% of its workers gone following Trump admin cuts and early retirements, AHRQ can't distribute grants or perform other key functions
www.statnews.com/2025/08/13/f...
"The fear that I see in patients’ eyes is not theoretical; it is lived. It is the resurgence of long-buried wounds, the echoes of past bullying and rejection now amplified by a government that seeks to erase their very existence."
jamanetwork.com/journals/jam...
NEWS: Trump and his GOP allies are pursuing policies that would intentionally cause millions of Americans to become uninsured. There's no precedent.
kffhealthnews.org/news/article...
"Former foster youth who describe the humiliation of using garbage bags during such moves have spent months calling attention to the problem, through advocacy campaigns and public demonstrations."
New York is only the 4th state to end the use of trash bags.
#Breaking: 10.9 million people would lose health insurance under Trump’s tax cut bill, CBO projects buff.ly/DnBihzo
04.06.2025 14:41 — 👍 33 🔁 29 💬 3 📌 3
"From failing to publicize a major outbreak to scaling back safety alert specialists and rules, the Trump administration’s anti-regulatory and cost-cutting push risks unraveling a critical system that helps ensure the safety of the U.S. food supply."
kffhealthnews.org/news/article...
I think APA issued a great response to the letter. "Gender-affirming care, in its many forms, is a treatment option that has been shown to help patients with gender dysphoria."
Read the letter and APA's response here: psychiatryonline.org/doi/10.1176/...
The study found that most breast reduction surgeries among minors were performed on cisgender males.
This makes me wonder what the issue is really about - are we really worried about youth getting surgeries? Seems the concerns are misplaced, if so.
A Harvard news release issued with that study noted that, "The study also found that cisgender minors and adults had substantially higher utilization of analogous gender-affirming surgeries than their TGD counterparts."
hsph.harvard.edu/news/gender-...
Let's add context instead of using raw numbers. A 2024 study found that, in 2019, the rate of youth who had gender-affirming surgery was 2.1 per 100,000 minors aged 15 to 17; 0.1 per 100,000 minors aged 13 to 14; and 0 among minors aged 12 or younger. jamanetwork.com/journals/jam...
29.04.2025 14:34 — 👍 0 🔁 0 💬 1 📌 0The author takes issue with my claim in the story that “surgeries are very rare among youth," claiming the reader should be the judge. The letter cites a 2023 study that 3,678 minors (aged 12 to 18) had gender-affirming care surgeries between 2016 and 2020.
29.04.2025 14:34 — 👍 1 🔁 0 💬 1 📌 0