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Clinical psychologist, EMDR consultant and yoga teacher in Boulder, Colorado. Author of The Complex PTSD Workbook and EMDR Therapy and Somatic Psychology; writes on trauma, attachment and the nervous system.

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  Innovations in Psychotherapy Conference

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  Honored to be speaking at the 2026 Innovations in Psychotherapy Conference (Nov 10–13 in Anaheim & Online)! Join us for evidence-based education & practical strategies to enhance your practice. Use code SPEAK26 to save $50:

  x.com

Physician focused on longevity; wrote Outlive and hosts The Drive.

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  Vaginal estrogen is a safe, effective and badly underused therapy for postmenopausal women, and it probably saves lives.

  Psychotherapy

  Their words

  For postmenopausal women—and women with premature estrogen deprivation for other reasons—vaginal estrogen is a safe and highly effective therapy to alleviate the genitourinary syndrome of menopause, prevent recurrent UTIs, and likely to save lives.

  peterattiamd.com

Clinical psychologist, EMDR consultant and yoga teacher in Boulder, Colorado. Author of The Complex PTSD Workbook and EMDR Therapy and Somatic Psychology; writes on trauma, attachment and the nervous system.

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  Therapeutic Yoga for Trauma Recovery: A Clinical Summit for Mind-Body Healing

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  There’s still time to join me for Therapeutic Yoga for Trauma Recovery: A Clinical Summit for Mind-Body Healing!

  x.com

Essayist; writes Astral Codex Ten, previously Slate Star Codex.

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  For psychiatric disorders driven by amygdala hyperactivity, elective amygdalectomy should be offered and covered by health insurance instead of lifelong therapy and medication.

  Psychotherapy

  Their words

  If you suffer from amygdala hyperactivity that gives you one of the aforementioned psychiatric disorders, I think that not only should you be offered elective amygdalectomy, but your health insurance should be glad to pay for it (especially if done via ultramodern very safe radiosurgery) one time, rather than for a lifetime supply of more expensive, less effective talk therapies and medications.

  Absurd Adventure And Amygdalectomy Advocacyastralcodexten.com

Clinical psychologist, EMDR consultant and yoga teacher in Boulder, Colorado. Author of The Complex PTSD Workbook and EMDR Therapy and Somatic Psychology; writes on trauma, attachment and the nervous system.

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  The body is not an archive of trauma: what feels like a memory stored in the hips or the jaw is a mind-body feedback loop, and the loop is what therapy interrupts.

  PsychotherapyTrauma

  Their words

  It may not be stored there, but what you're tapping into, it's not a repository of the memory, but it's part of this mind-body feedback loop where there's a sensation that your brain has an association to that might have a familiarity to a time in which you felt sad or scared.

  If the Body Doesn't Keep the Score, What Does?drarielleschwartz.com

Programmer and teacher; writes on software, learning and the web, and makes the Coding Blocks video course.

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  The Psychedelic Explorer's Guide: Safe, Therapeutic, and Sacred Journeys

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  This is a fascinating topic, and there’s a lot of BS floating around it. This book is one of the good ones.

  rakhim.org

Psychiatrist and clinical assistant professor at Case Western Reserve University. Writes Psychiatry at the Margins on the philosophical and scientific arguments inside psychiatry and the psy-sciences.

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  A prescriber cannot outsource containment to the therapy hour: the emotional and relational dynamics are part of prescribing, not an intrusion on it.

  Psychotherapy

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  The emotional and relational dynamics are not an intrusion upon the work of prescribing. They are a part of the work itself.

  psychiatrymargins.com

Clinical psychologist and clinical professor of psychiatry at UCSF. His 2010 meta-analysis established psychodynamic therapy as an evidence-based treatment; he has argued ever since that "evidence-based therapy" is used as a marketing term.

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  Telling a patient "your feelings are valid" is not therapy: it is the mirror image of "get a grip", and it makes the therapist a judge of feelings instead of a companion in them.

  Psychotherapy

  Their words

  The phrase "your feelings are valid" does not invite curiosity or deeper self-understanding, which is the point of psychotherapy. It is the mirror image of "stop whining and get a grip." One sounds warm and one sounds harsh, but neither deepens self-awareness.

  jonathanshedler.substack.com

Swedish essayist who writes Escaping Flatland, a newsletter of essays on relationships, thinking, writing and homeschooling.

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  Practices marketed as transformative, such as therapy, meditation, and psychedelics, often produce little real progress despite years of use.

  psychedelicsPsychotherapy

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  There are many practices that promise to transform and improve us-therapy, meditation, psychedelics-, but that branding doesn't mean that they actually do much for us: it is common to see people use these techniques for years without any obvious progress on their problems.

  How not to forget what mattershenrikkarlsson.xyz

Genomics researcher and writer on science, biotech and the culture of research.

From one piece Manufacturing requirements are killing cell and gene therapy 2 beliefs, in the piece's order there

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  Manufacturing and batch-release requirements, not biology, are what kill most promising cell and gene therapies.

  Psychotherapy

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  Excessive manufacturing requirements are a pervasive problem, especially in the field of cell and gene therapy and they are killing countless of promising medicines before they ever reach patients.

  writingruxandrabio.com

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  Investment will keep draining out of cell and gene therapy until manufacturing and regulatory risk become possible to underwrite.

  Psychotherapy

  Their words

  Until manufacturing and regulatory risks become easier to underwrite, capital will keep drifting away from one of the most promising technologies of the last century.

  writingruxandrabio.com

Author of Quiet: The Power of Introverts and of Bittersweet; writes The Quiet Life newsletter.

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  Sacred Therapy: Jewish Spiritual Teachings on Emotional Healing and Inner Wholeness

  Their words

  This book is so full of wisdom and insight. I pulled down my copy just now and it's filled with underlines and margin notes.

  susancain.substack.com

Co-founder of Foundry Group and of Techstars. Has blogged at Feld Thoughts since 2004 and has written or co-written nine non-fiction books on startups and venture capital.

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  Zen and the Art of Motorcycle Maintenance

  Their words

  I’ve read it at least a half dozen times since. I’ve listened to it on Audible twice.

  feld.com

Genomics researcher and writer on science, biotech and the culture of research.

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  How long a trial takes decides which diseases get drugs at all, because capital flows to the indications whose endpoints can be measured quickly.

  Psychotherapy

  Their words

  Lastly, the duration of a clinical trial does not merely determine how fast an individual therapy reaches patients. It also shapes which diseases attract serious investment and which do not.

  writingruxandrabio.com

Founder of the International Center for Clinical Excellence and originator of Feedback-Informed Treatment. Writes about what actually makes a therapist effective, usually against the field's own assumptions about training and experience.

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  Outcome Rating Scale (ORS)

  Their words

  The ORS is a brief, 4-item measure designed to assess areas of life functioning known to change as a result of therapeutic intervention. It takes less than one minute to complete and score.

  scottdmiller.com

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  Session Rating Scale (SRS)

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  The SRS is a brief, 4-item measure designed to assess the therapeutic alliance. It provides immediate feedback on the quality of the relationship and allows for course correction in real time.

  scottdmiller.com

Organizational psychologist and professor at the Wharton School. Author of Give and Take, Originals, Think Again and Hidden Potential, host of the Re:Thinking podcast, and writer of the GRANTED newsletter.

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  The Balancing Act

  Their words

  The Balancing Act by therapist Nedra Tawwab (February)

  adamgrant.substack.com

Psychologist and writer. Author of the memoir Troubled: A Memoir of Foster Care, Family, and Social Class, and of a newsletter on human nature, psychology, social class and what he calls luxury beliefs.

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  Bad Therapy: Why the Kids Aren’t Growing Up

  Their words

  Best books I read in 2025: Just a note that these books weren’t all necessarily published this year (though some were). A Story is a Deal: How to use the science of story to motivate and persuade by Will Storr Bringing Up Baby: An Evolutionary View of Pediatrics by Paul Turke Bad Therapy: Why the Kids Aren’t Growing Up by Abigail Shrier

  robkhenderson.com

Psychiatrist and clinical assistant professor at Case Western Reserve University. Writes Psychiatry at the Margins on the philosophical and scientific arguments inside psychiatry and the psy-sciences.

From one piece The Rumpelstiltskin effect: therapeutic repercussions of clinical diagnosis (with 1 co-authors) 3 beliefs, in the piece's order there

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  Self-diagnosis is an attempt to secure the therapeutic effect of a medical intervention patients cannot officially access.

  Psychotherapy

  Their words

  Likewise, self-diagnosis should be understood as an attempt to secure the therapeutic effect of a medical intervention to which patients do not have official access.

  doi.org

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  Diagnoses that have therapeutic effects are medical interventions and should be treated and researched as such.

  Psychotherapy

  Their words

  If a clinical diagnosis can have a therapeutic effect, then, at least in some instances, diagnoses are medical interventions in themselves and ought to be treated and researched as such, with an eye to both positive effects and potential iatrogenic harms.

  doi.org

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  Clinical diagnosis can have a therapeutic effect independent of any other intervention.

  Psychotherapy

  Their words

  Their experiences highlight a striking, neglected and unchristened medical phenomenon: The therapeutic effect of a clinical diagnosis, independent of any other intervention, where clinical diagnosis refers to situating the person's experiences into a clinical category by a clinician or the patient.

  doi.org

Writer on the intersection of technology and finance. Author of the Bits about Money newsletter and host of the Complex Systems podcast; previously at Stripe.

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  Margin Call

  Their words

  What it is stellar at—almost unmatched in fiction—is depicting archetypes that are both dramatically compelling and reasonably true to those working at various levels in the industry.

  bitsaboutmoney.com

Founder of the International Center for Clinical Excellence and originator of Feedback-Informed Treatment. Writes about what actually makes a therapist effective, usually against the field's own assumptions about training and experience.

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  A therapy is only shown to be more effective if it is compared against another treatment intended to help, not against a control nobody expected to work.

  EMDRPsychotherapyCBT

  Their words

  If one really wanted to know whether a treatment (e.g., CBT, IPT, ACT, EMDR) was more effective, it had to be directly compared to an approach intended to help - what Wampold and colleagues termed, a "bona fide" treatment. Doing otherwise, they argued, conflated artifacts of research design with actual research results.

  writings.scottdmiller.com

Founder of the International Center for Clinical Excellence and originator of Feedback-Informed Treatment. Writes about what actually makes a therapist effective, usually against the field's own assumptions about training and experience.

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  Therapists overestimate their own effectiveness by about 65%, and it is not a Western cultural artifact.

  Psychotherapy

  Their words

  Since 2012 when the first study appeared in the literature, others have been published documenting the tendency of practitioners to overestimate their effectiveness - on average, by 65% (1, 2).

  Alas, it seems everyone comes from Lake Wobegonwritings.scottdmiller.com

Founder of the International Center for Clinical Excellence and originator of Feedback-Informed Treatment. Writes about what actually makes a therapist effective, usually against the field's own assumptions about training and experience.

From one piece How to (and not to) become a more effective therapist 2 beliefs · writings.scottdmiller.com

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  What does make a therapist more effective is trainable interpersonal skill, not treatment technology.

  Psychotherapy

  Their words

  It turns out that therapists who perform well on the FIS establish stronger relationships and are more effective (2). More to the point, the evidence shows FIS-related skills are trainable and that such training leads to better results (3, 4, 5).

  writings.scottdmiller.com

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  Training a therapist in a treatment model does not make them more effective, however well the model performs in a trial.

  Psychotherapy

  Their words

  Over the last 50 years, treatment methods have proliferated despite a lack of evidence of differential effectiveness between approaches. And even when a randomized controlled trial indicates a particular approach works, none show practitioners become more effective when they are trained in that modality.

  writings.scottdmiller.com

Founder of the International Center for Clinical Excellence and originator of Feedback-Informed Treatment. Writes about what actually makes a therapist effective, usually against the field's own assumptions about training and experience.

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  Therapists do not improve with experience: on average they become less effective, and their clients drop out more the longer they have practised.

  Psychotherapy

  Their words

  Indeed, as I've reported in previous posts, research not only shows therapists do not improve with time and experience in the field, but on average become less effective (1, 2, 3, 4).

  writings.scottdmiller.com

American author of The Subtle Art of Not Giving a F*ck and Everything Is F*cked. Writes essays and book reviews at markmanson.net.

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  The human mind functions as an association-forming machine, linking past experiences to present beliefs.

  Psychotherapy

  Their words

  Exposure therapy works because the human mind is an association machine.

  How to Conquer Your Biggest Fearmarkmanson.net

Computer science professor who works on fast data processing; co-author of the simdjson parser and a weekly blogger about software performance since 2004.

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  Theft of Fire

  Their words

  Theft of Fire offers a plausible and realistic universe. The characters, Marcus Warnoc and Miranda Foxgrove, are not mere archetypes; they are complex, flawed, and deeply human. Their struggle to trust one another and overcome their own demons is a powerful allegory for the modern human condition.

  lemire.me

Writer on learning and skill acquisition; author of Ultralearning and Get Better at Anything, known for the MIT Challenge and the Year Without English.

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  Cognitive Behavior Therapy

  Their words

  I recently reviewed Beck's book, which is written as a practical guide for therapists implementing CBT.

  scotthyoung.com

Family therapist and founder of Relational Life Therapy. Author of I Don't Want to Talk About It, How Can I Get Through to You? and Us; argues that Western individualism is what makes couples' work hard.

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  Character is not fixed: therapy works because habitual neural pathways can re-form, sometimes within minutes.

  Psychotherapy

  Their words

  In my practice, I have seen that opening neural pathways can lead to profound change, to brand-new traits and behavior, sometimes in a matter of minutes.

  The Myth of the Individualterryreal.com