I find it shocking that medication, originally a short-term, rare solution is being made to seem like it has positive long-term outcomes by the media, when psychoanalysis and other talk-therapies have shown to withstand the test of time, and don’t “poop out,” as said by Dr. John Cornelius.

After reading Shedler, it was hard to be open to a CBT-positive perspective in the Computerized CBT-trial published by BMJ. I found it interesting that the trial tested 4 months post-intervention… what if it had been the standard 6-12 months? I wonder if the effects of the CBT lasted.

I was shocked that evidence-based treatments do not withstand their own definition as laid out by Jonathan Shedler. The scientific evidence is “significant,” but not meaningful, clinical judgement is ignored for the “gold standard,” and patient’s preferences are misinformed by the data.

“What the Therapist Thinks About You” investigates the nuanced perspective that notes the positives of using therapeutic appointment notes for clear communication between client and practitioner, however also cautions the vast ethical and privacy concerns @drwilliamsharp.bsky.social