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I can't speak through lived experience to those numbers on young girls and LGBTQIA+, but I've known them and they're horrible. I can't really speak either to the role of medications or hospital settings for mental health care in suicidal youth. I can more confidently speak to the broader issue of what young men (boys, really) are going through. What used to be a normal, skin-your-knees type of childhood in my time has now become a constant game of comparison with even more extremes, where so much of the action is in the "public sphere". I suspect widespread substitute parenting via "Just throw them the iPad" and similarly broken relations between tech and society contributed to this. I also think at a philosophical level that these are unintended consequences of modernity, boys should be taught emotional intelligence early on, and boys need more opportunities to become men. Like you, I am unclear about what we are doing to change this, and I'm unclear on what are the actionable specifics of my last sentence.

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"It's hard to know who to be" seems pretty fair these days.

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Oct 24, 2023Liked by Owen Scott Muir, M.D

My experience as a teen was deeply traumatic. I will never trust a psychiatrist again. I fail to see how strip searches, cut off contact from the outside world, and antipsychotics make you less depressed. This happened 16 years ago but it was terrible! Oh the food gave us food poisoning. Every little thing was pathologized and it cost thousands of dollars. Stop locking kids up

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I am arguing we should listen to you.

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Yes I know! Your patients are lucky to have you. I am just bitter about it 16 years later. It really destroyed my trust in healthcare. Even now, if you go to the PCP for a general checkup they have you fill out a “depression screen” i always make sure it says I am happy, because I am petrified of being hospitalized again. I also made sure to tell the OB I was fine after my daughter was born... I was scared that if u say you are tired or feeling down they will call cps and hospitalize you. I wish I could say things are better now, but they arent because of medicolegal risk... i dont want yalls getting sued, but I also dont want to EVER be hospitalized again. I think keeping your mouth shut to healthcare workers is safer

Maybe someday we will have a better system.

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Oct 25, 2023Liked by Owen Scott Muir, M.D

I look forward to your posts. I am dealing with suicidal ideation with my teenage grandchild. They have individual and family therapy by zoom calls weekly. After taking antidepressants off and on thru the years myself , my daughter and I are hesitant to agree to medication for them. I am reading all the time for new and better ideas on dealing with this extremely difficult and important topic I appreciate the work you are doing. Thank you 🙏

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That is horrible to hear! I'm glad my writing has provided some....something. I do

Have a clinical practice at https://www.fermata.health where your family is welcome to request a consultation

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Oct 24, 2023Liked by Owen Scott Muir, M.D

As always informative and necessary information. thank you! sadly, I agree with you. I wish there was real readily available access to the effective therapies you mention. Parents are told to follow the practitioners advice usually meds and hospitalization, so not following makes them feel that they are neglecting their child. Parents feel damned if they do damned if they don't. Deb

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🙏

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