Dr. Curley @adjunctoptimism
Applied research, ethics, and policy translation. Curious about systems, limits, and what actually helps. Joined January 2026-
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I saw a today online woman discussing getting a Stellate Ganglion Block (SGB) for her reported C-PTSD - does anyone know good sources for me to start exploring the evidence or people’s experiences with that?
The new “Goldberg paper” is already being shared as if psychiatry has finally produced tapering guidelines for psychiatric drugs. It hasn’t. The paper is about when clinicians should consider deprescribing - not how to safely taper. In fact, the only concrete tapering claim in the paper... is wrong: the fluoxetine “auto-taper” myth. Full breakdown on Substack: crossingzero.substack.com/p/the-goldberg…
We have medicalized everyday life, and millions of people are living with the consequences. What we are facing is not a fringe issue and it is not confined to any one group. This medicalization crisis touches people across every background, every community, and every political belief. There are forces that benefit from keeping this conversation divided. They frame it as Patient vs Doctor, Science vs. Skepticism, Pro-medication vs. Anti-Medication, Right versus Left. That framing keeps us stuck. It turns a shared problem into opposing sides and prevents the kind of honest conversation this moment requires. This should not be a war. It should be a place where people can come together with humility, curiosity, and a willingness to listen. While we all have vastly different experiences with the benefits and harms of psychiatric diagnoses and medications, we have far more in common with one another than we are often led to believe. We owe it to the millions of Americans currently taking these medications to create reliable, accessible, safe pathways forward for those who want or need to come off them. We owe it to them to build what should have existed all along. We also owe it to our children to model a different way of understanding what it means to be human. Emotional pain is not necessarily a failure of the body requiring correction. It is part of being alive. And meaningful help can take many forms beyond a prescription. We are finally uniting around this simple truth. May we rise above the forces who seek to convince us we are each other’s enemies, and move forward, together, from a place of compassion and understanding.
Overmedicalization is not a partisan issue - it is a human issue. Stats from ground.news reflect the same. We owe it to the millions of Americans currently taking these drugs to advocate for true informed choice. We owe it to them to find alternative means of community-centered care.
We have medicalized everyday life, and millions of people are living with the consequences. What we are facing is not a fringe issue and it is not confined to any one group. This medicalization crisis touches people across every background, every community, and every political
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