George Dawson's Avatar

George Dawson

@gdspeedskates.bsky.social

Aging neuropsychiatrist, speedskater, athlete, etc. Also blog at https://real-psychiatry.blogspot.com/ No medical or psychiatric advice but plenty of discussion.

764 Followers  |  295 Following  |  334 Posts  |  Joined: 22.06.2023  |  1.766

Latest posts by gdspeedskates.bsky.social on Bluesky

Preview
JAMA Summit on Reducing Firearm Violence psychiatry blog, George Dawson MD, Real Psychiatry

Don't ignore biological systems theory or cultural and subcultural effects...

real-psychiatry.blogspot.com/2025/11/jama...

15.11.2025 07:54 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Preview
A House of Dynamite psychiatry blog, George Dawson MD, Real Psychiatry

$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...

11.11.2025 21:43 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

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.

10.11.2025 18:56 β€” πŸ‘ 5    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Clozapine and Pharmacogenomics Testing: Opportunities and Challenges for Personalized Treatment in Schizophrenia Clozapine remains the gold standard for treatment-resistant schizophrenia (TRS), offering unparalleled efficacy but accompanied by significant interindividual variability in response and risk of sever...

Clozapine and Pharmacogenomics Testing: Opportunities and Challenges for Personalized Treatment in Schizophrenia cdnsciencepub.com/doi/abs/10.1...

06.11.2025 04:05 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Preview
Medication Checklist psychiatry blog, George Dawson MD, Real Psychiatry

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...

05.11.2025 19:39 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Preview
How To Stop Burning Witches... psychiatry blog, George Dawson MD, Real Psychiatry

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...

02.11.2025 21:18 β€” πŸ‘ 3    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

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.

02.11.2025 18:42 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0

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.

01.11.2025 19:23 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Good idea.

30.10.2025 20:27 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Preview
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, ...

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...

30.10.2025 03:51 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 3    πŸ“Œ 0
Preview
A House of Dynamite psychiatry blog, George Dawson MD, Real Psychiatry

My review of this movie. I recommend it - well made and acted with an excellent message.

real-psychiatry.blogspot.com/2025/10/a-ho...

29.10.2025 17:01 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Preview
Lower Than Cowards The surrender of America’s elites

"Everyone always has sound, rational reasons for caving to intimidation. They’re protecting their reputation, their job, their family, their institution, their investmentsβ€”the number of reasons... compounds until fighting back can feel like a fool’s errand."
www.theatlantic.com/ideas/archiv...

22.10.2025 01:08 β€” πŸ‘ 7    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
Preview
Nobody Talked About My Uncle Johnny – And Lingering Questions About Adverse Childhood Experiences… psychiatry blog, George Dawson MD, Real Psychiatry

The psychiatric dimension of a family tragedy and why it requires subjective investigation...

real-psychiatry.blogspot.com/2025/10/nobo...

21.10.2025 21:56 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Post image

Trump is literally destroying the White House.

After promising that his absurd $250M ballroom wouldn't interfere with the existing structure, he lied and is destroying the White House.

Wealth & income inequality is at record highs in America, but glad we're spending $250M on a vanity project.

20.10.2025 20:03 β€” πŸ‘ 308    πŸ” 101    πŸ’¬ 22    πŸ“Œ 20

Good luck - there is a learning curve. I recommend going right to the genogram graphics and not starting with somebody else's template.

13.10.2025 06:13 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Preview
Genogram software A blog about psychiatry.

Generating good anonymous genograms that don't require a lot of labeling. This software does a good job.

gdpsychtech.blogspot.com/2025/10/geno...

13.10.2025 03:40 β€” πŸ‘ 4    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Thanks!

13.10.2025 03:10 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Possibly - but the patient needs to incorporate their own personal experience with antidepressants. For example if you have stopped them either with no or severe withdrawal effects - both are important to the MD trying to make the transition.

13.10.2025 03:09 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Great work!

12.10.2025 03:57 β€” πŸ‘ 3    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

For more information about the Friday night massacre at CDC, I wrote up an analysis of who got terminated and what that means for public health.

Grateful to @saveamericamvmt.bsky.social for supporting and amplifying. We are in really terrible trouble.

rasmussenretorts.substack.com/p/the-death-...

11.10.2025 16:42 β€” πŸ‘ 545    πŸ” 322    πŸ’¬ 16    πŸ“Œ 24
Preview
The FDA and the Trump Formulary or What Separates Physicians from Politicians psychiatry blog, George Dawson MD, Real Psychiatry

New graphic on test/criteria on autism prevalence. See reference 4 in graphics credit. I am working on an update.
real-psychiatry.blogspot.com/2025/09/the-...

09.10.2025 21:40 β€” πŸ‘ 3    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
Preview
UpToDate and the Rx Transitions in Mental Health psychiatry blog, George Dawson MD, Real Psychiatry

The UpToDate antidepressant transition tool: they have always had a solid chapter on this topic - now they have a tool. I review it in this blog post:

real-psychiatry.blogspot.com/2025/10/upto...

06.10.2025 04:15 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Well maybe - but I have been preaching homicide prevention for 30 years now. Nobody wants to take me up on it - probably because of the countertransference to and logistical problems dealing with really aggressive people.

03.10.2025 18:34 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 1    πŸ“Œ 0
Preview
Why Equal Opportunity for Women Is Not β€œWoke” psychiatry blog, George Dawson MD, Real Psychiatry

Not a feminist but here are the facts I have see and have lived them...
real-psychiatry.blogspot.com/2025/10/why-...

03.10.2025 18:32 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
Preview
How People Think About Escalator Malfunctions psychiatry blog, George Dawson MD, Real Psychiatry

How politics has the opposite effect of psychotherapy...

real-psychiatry.blogspot.com/2025/10/how-...

01.10.2025 18:45 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Just a reminder that the last two government shutdowns happened under President Trump, with Republicans in control of both chambers. These people cannot govern, and they need Democrats to bail them out.

29.09.2025 16:18 β€” πŸ‘ 895    πŸ” 276    πŸ’¬ 19    πŸ“Œ 9

Have to read the study but the inflection point probably starts to include significant ill health. The comedian Bill Burr says: "at some point it is just one long chronic illness." For the record - I am past that point and the most satisfied I have ever been.

29.09.2025 21:36 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Preview
The FDA and the Trump Formulary or What Separates Physicians from Politicians psychiatry blog, George Dawson MD, Real Psychiatry

My take on the Trump-Kennedy press conference on autism. A few detailed comments on what they said at the very end. More detailed scientific discussion to come - the focus here was epidemiology and rhetoric:
real-psychiatry.blogspot.com/2025/09/the-...

29.09.2025 03:52 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Nothing to "investigate". Antifa does not exist. But I am sure one of Trump's incompetent cabinet members will get right on that.

19.09.2025 02:31 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

They are assisted by a much larger number of people who know better and are capable of moral development but can also commit heinous acts.

16.09.2025 22:16 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

@gdspeedskates is following 20 prominent accounts