Viewing profile — s0kr8s

...and now the plan is "never mind"? https://rollcall.com/2026/01/14/hhs-cuts-2-billion-in-mental... Damage still done, people.

I received word from several long-established recovery programs today that they expect to be out of business within days, weeks, or months as a result of these funds being pulled. …

The argument in the paper is about clinical efficacy, but many of the comments here argue that even lower clinical efficacy at a greatly reduced cost might be beneficial. As someon…

Excellent point. Comment updated for accuracy.

The author's thesis is that the rise in home-schooling is driven by a desire to "opt out of being around average people," and he implies that he is not home-schooling his own child…

Agreed. Titles and credentials do not mean what they used to, in education and a lot of other fields. Sufficient erosion in the meaning and value of 3rd party teaching credentials …

Digital surveillance is often marketed as a form of harm reduction, with a focus on some metric that is easy to measure. What is more often ignored is the potential for harm creati…

The restructuring is not complete, though: a concession was granted to allow borderline personality disorder to remain for the time being due to industry concerns related to reimbu…

On an international level, there is a grand plan to ditch old Freudian categories like narcisissm, borderline, etc. in the upcoming ICD11. There was never much evidence for such di…

I never suggested that there are good employers who don't pay their workers competitively. I instead suggested that there are bad employers who pay above market rates as a way to c…

Caution: you might get paid 50% more to work at a company that is 500% worse managed, and therefore is hemorrhaging employees so fast that the only way they can maintain staffing l…

Having worked in a position where it was part of the job description to periodically report parents to CPS, my experience was that it was actually quite challenging to get CPS to t…

I agree that it could certainly be both. However, most professional boards are created with an explicit mandate to promote efficacy and competency, which makes a hypothesis like "b…

A lot of recent "ditch the exam" efforts across a wide variety of professions seem to be centered around post-2020 diversity, equity, and inclusion (DEI) initiatives (evidence: htt…

In a service business, sweat equity is an awesome tool, not just for paying yourself, but also for paying your early employees. One of the biggest obstacles you face when bootstrap…

I would argue that all businesses are lifestyle businesses. Dreaming of a lifestyle that involves 10 houses and a yacht? Become a VC, or join a company backed by one and hope it be…

On the other hand, if someone has a child who is aggressively attacking anything and everything in site, no matter how they might have heard about PANDAS, I would argue that antibi…

These cases aren't nearly as rare as the medical system would have you believe. Go to a residential psych hospital for kids, or a day treatment program for level 3 or 4 EBD childre…

I have been told that kids with PANS / PANDAS often get better spontaneously when they hit puberty as well, which some speculate is due to changes in the immune system that occur a…

Recent research suggests that schizophrenia may also be immune-mediated or at least immune-system involved. See: https://www.frontiersin.org/articles/10.3389/fpsyt.2022.8805... I w…

According to the conventional PANDAS theory, due to biological mimickry antibodies against Step A bind to neurons and attack them, so there are antibody tests that focus on Strep A…

The central epistemological question with regard to PANS / PANDAS is not free will, but rather: how do you study or measure a phenomenon that violently fights back and is possibly …

Long-time HN lurker here, and I think it's finally time to finally create a profile and post my first comment. I'm the CEO of an outpatient mental health organization with 50+ empl…