do you will the latest offensive get worse? can there military hold out against overwhelming odds? will there be more missile strikes? will more western help get here in time? days before a milestone. this country was hoping to avoid a year of war with russia. ukrainians are seeking answers to tough questions. one thing has remained constant throughout this conflict where russia and ukraine meet on the battlefield. civilian suffering soon follows. then basra b l 0. key. government has shot dead 3 people at the university campus. the united states happen in michigan state university in the city of east lansing. 5 others were taking the hospital some with life threatening injuries. the suspect ran off but was found dead about 4 hours later, reportedly with self inflicted wounds. firefighters is still battling to contain massive wildfires. had been bernie, across south and central chile, nearly 300 foss, remain active and new ones are appearing at least 2 people have died since a wildfire broke out earlier this month. more than 1000 homes have been destroyed.

ah, so this is out there, these are the top stories and syria has given the permission to use 2 more border crossings from turkey to allow a to be delivered to rebel held. there is, humanitarian supplies have been slaves get into the country after last week. so at craig's building, 37000 people in turkey and in syria were killed. so the harder has more now from took a take, a syrian border. so decision to use more border crossing means more lifelines for the people inside northwest syria, syrians desperate for much needed assistance. the northwest as well as other cities and government controlled areas, were badly hit during last week's earthquake. now, many are seeing this as a surprise, really, because during the course of the war,

the syrian government with the backing of russia, has prevented united nations and the international community from using border crossings. a retro cruz and tech you have pulled for people to safety from the rebel. 8 days after the earthquake struck 2 of those rescued, carmen rush were brothers. they were found alive after spending more than a 198 hours trapped beneath ruined building. new zealand prime minister says the damage caused by cyclists, gabrielle is the worst in a generation. a national state of emergency has been declared. the storm hit the north island pretty high. winston torrential, rain well than $200000.00 times or without power. some areas have been cut off by flood water. gunman is shot dead. 3 people at the university campus in the united states that happened in michigan state university. in the city of east lansing, 5 others were taken to hospital with life threatening injury. suspects ran off but was founded about 4 hours later. unfortunately with self inflicted wounds. police

incentives, you have detained too prominent opponents of president. ty said the head of a radio station that is criticized him. mosaic fm says it noted in beautiful house was searched and he was arrested. i profile political rivals and other critics if the government have been detained in recent days. so still headlines got more news coming up here on al jazeera live after the streets and dirty money into african go that exclusive own to 0 investigation. coming soon, we understand the differences between the 2 cultures across the world. no matter what we've been using kind to phone was that natural to you with

an emotionally abusive relationship? no, that's terrible. i'm constantly being criticized from whatever they never take ownership or apologize for their behavior. and any time i tell them, had their behavior impacts me the just guy who's doing this to you, that's often we have to support you. it's my mother on a well that's different. you only have one mother. does a bit of dark humor and just one example of how people are using the video platform take. talk to d, stigmatized issues around mental health. i'm at tab dean and in today's episode of the stream we're asking why more and more people are turning to take talk for therapy and mental health information. what are the benefits and the downsides of our emotional health going viral online? remember, you can be a part of this discussion, just jump into our live youtube chat and join the st. ah. joining us for this discussion in texas, doctor hahn wren. a clinical and school psychologist who uses tech talk to promote

mental health awareness in washington d. c. dr osmond soon he is an adult and child psychiatrist who is also in tick tock and in new york city. stephanie, my oldest a doctoral candidate in psychology at temple university. i want to start with you dr. hahn, you know, like katie, who we saw in that video. so many people are online having these conversations about mental health that includes licensed health professionals like yourself, but also a lot of unlicensed people just talking about their own experiences. why are you on take talking? what do you make of this phenomenon? yeah, i join take talk in fall of 2020 as a way to bring some diversity of perspectives to the mental health content that i was seeing. it was very focused on the, you know, euro centric, traditional ways of psychology and healing and not like representation of people of

global majority and more liberation oriented, ways of healing. and dr. aspen when you hear that answer. i mean is that why you're using the platform and, and what concerns you the most that's great. it 1st is such a pleasure to be in the room with these 2 individuals and the other just to just to hear these ideas. i think the biggest concern and what drove our, our mind media side take talk or why we came on tick tock was the lack of medical expertise. those being provided on tick tock and the amount of influence i was having over our patients who would watch a lot of influencers and other people who were credentialed in the space. and some of the advice though, not specific, so little bit jarring. so as positions we felt like it was our obligation or responsibility to come on to social media, to just try to provide new wants information. and hopefully this conversation will also be nuanced to bring in some of the data behind all of this. i want to ask you, stephanie, i mean, what does the data teach us about this sort of phenomenon?

i understand that you found that the majority of mental health content on tick tock is actually lived experience is why is that relevant? yes. so i did find that the majority is people's personal experiences. and that's really relevant because it looks like people are turning to take talk to find community to share their perspectives with mental illness. and that is such an important thing that we're finding. and at the same time, i found that less than 3 percent of the top trending content was actually coming from mental health professionals. and that's also really important because then if people are turning to tick tock, especially teens and young adults, what they're really seeing then is not people who are mental health professionals. and if this is their 1st experience or mental health exposure, then that really has an effect. so it's important to know that people want this sense of community sense of connection, which is really great. and then the flip side of that is we also need more mental

and i want to talk about both of those things. i see that they're both not nodding the 2 mental health professionals we have with us. i want to ask you, dr. as been, you know, there are positives, right? d, stigmatizing, the conversation about mental health. we all want to just belong to some community, find our sense of identity, particularly younger generations. what is the fine line, what, what concerns you most are people side self diagnosing too much? yeah, you know, this is a double edged sword. so when we think about mental health, the 1st thing we have to think about as there's a disparity, particularly people of color, particular people of lower socioeconomic strata, you know, different countries. for example, we're talking about the united states here, but we're also got to think about all these different countries who might not even have access to a psychiatrist and we're example. so, searching connection in getting connection is incredibly important. and when you don't have access to health care and then you find an application that provides you

all of these not specific symptoms that you can relate to, that's important and we can't devalue that. but the fine line you're talking about, right? it's really important because once we find an identity or a diagnosis and then we claim that identity or diagnosis without actual proper mental health expertise. it can really take us down a dark rabbit hole. we can all of a sudden identify with an illness when we don't have it. and that creates a whole slew of problems, particularly for the mental health professionals in the field. because then all of a sudden they're biased in their own responses, and it can also lead to different treatments which not might not be the most appropriate treatment. and so i could spend hours talking about no, and i wish we had ours. but i see that dr. hahn is also nodding, so i'm assuming agreeing with you there before we brought in the conversation to those points. i want to share with you what people are saying in are you tube tab. we have d girl saying i have a question for the panel. can you give us examples of take talks influence creeping

into the doctor's office? doctor han. yeah, so many times people will come in and say, hey, i think i have this disorder that i saw on tick tock. and these are the symptoms, and this is why i have diagnosed myself with and unfortunately there's so many overlapping symptoms that have various routes. and so just based on what is most salient on the platform does not necessarily apply to a person's individual lived experience. and you know, so i usually, i don't want to discourage them from seeking out information that helps them understand themselves better. but i encourage them to slow down. take a look at all the different possibilities and explore and have a conversation around it. now most certainly in and i think, but i can certainly say that i've been guilty of that side and full disclosure here . i think that's why we're having this conversation on youtube, christopher abbott, saying they exploit our short attention spans and now want to fix it. i believe

referring to these social media companies as maybe being part of the problem. also, it's a fine line. we'll get to that in a moment. i do want to share with you all a video common that was sent to us from bismark, part of as a content creator in houston, texas, who says watching mental health content on tick tock actually encouraged her to seek help. take, listen, i'm in there be myself, after seeing all the mental health content on tick tock and realizing, having a therapist is extremely important. and so i love that it has been normalized. secondly, in on a pro is that it creates access. and the way i realizes is recently i had posted a video, something i had learned from my dentist about people pleasing. and so i just kind of share. and people commented something which i didn't realize. and they said, as someone who can't afford therapy, i really appreciate you sharing what you learned from your therapist. and i never

thought about that, you know, because there are people who just don't have access to that type of health care. and if you can get on to talk and learn some things about yourself or about coping mechanisms and better your lifestyle, i think that's amazing. so i'm curious, dr. osman, when you, you hear her making that point? i mean it's, it's encouraging. and in one room regard, but i'm wondering how the algorithms might be a play that can make that a very sort of risky, risky situation to find herself. and absolutely, it's a fantastic question. i think we live in a polarizing world and this happens in politics. this happens in sports. the idea is that the algorithm placed what we want to see. and when that occurs, when you're all often bombarded by say, a clip about adhd or depression and they start spending more time on it. all of a sudden you start being fed that. and again,

i'm all about awareness and i'm all about self teaching and getting that education . but the algorithm is not there to fine tune what you might be feeling or seeing it says, showing how much time you spend on a video. and if you start spending more time on something, all the sudden you will not see bipolar disorder, you will not see depression, you will not see p t s d will not see o c d. you will see 80 h d for example. and that can lead to a bias. yes. so again, i totally agree with the awareness and i totally, i totally understand gatekeeping and how frustrating it pete, the lack of access. but again, you jump off that ledge pretty quickly when all of a sudden get the body by one diagnosis most certainly, and i just so you know, stephanie i, as we're having this conversation here and you tube, there's a separate conversation or a similar conversation i should say storyboard writing thing, i think the issue is that people use take talk in the social prop platforms as a way to compensate for the lack of health care and physicians as well as access

which we discussed. so it seems seems to me like if people use take talk once they went to see a mental health professional and got a diagnosis, that might be more fe for more constructive. what else? what else does your researcher reveal? yes. 100 percent. so i think to give context, my research was looking specifically at the content and revealing through that is exactly what everyone's saying. and i think this things are very polarizing, and that's what kind of led me to this people. what do you think? tick tock was great, ticks the content on tick tock was horrible. and what it's really showing is it's more nuanced is people's personal experiences. and how that use is what matter. so people use it as just exposure and then they have access to a mental health professional after and then can use that for community to express themselves. that really is wonderful is when it comes to self diagnosis and you'll see maybe a video of like a point of view video on tick tock rate of a d h c showing one symptom. and then if you have people that experience,

that same one thing like they feel distracted that day and then they suddenly think that when it becomes way more problematic, you know, when i was younger, i was diagnosed with it. it's d, i never was medicated for it. but as an adult, since i've started consuming some of the content, invariably, i have to tell you there are moments where i'm not only convinced but immediately googling in the middle of the night. how i can see a doctor as fast as possible. just to go convince them that i'm convinced that i have a d h d. so with that in mind, doctor, hi. i want to ask you, what do you think it is about tick tock that makes people feel so comfortable sharing or perhaps over sharing? i mean, a lot of crying videos out there. yeah. so the algorithm really thrives on our age and so the more comments you get, the more polarizing the content is, the more engagement and the more it will be surface to people. and so that is kind of a recipe for the most extreme types of behaviors to get surfaced on on

the platform and people find resonance in what they see and not necessarily, you know, applying it to the nuances of their lives. right? and i'm so glad you brought up nuances because we have a video that was sent to us by now. ha, i'm a psychiatry resident and content creator in canada, who says it's hard to create nuanced information, right? and especially in short, form on tick tock, tick, listen. i like to make sure that i take into consideration intersectionality and a holistic lens. whenever i create content online, i also try to avoid black and white statements and remain in not gray zone. unfortunately, it's hard to do that on social media because it promotes shorter content and content that is more extreme. but i feel like regardless of the platform we're on, we have a duty as physicians, and i have a duty, osmond health professional to not create content that is harmful. i love when i see

all 3 nodding across the board. it makes me feel as if there was a salient point just made. stephanie, why are you naughty? yes. 0100 percent nodding, because again, when i went into this i was looking for that. like wondering what's the nuance year and it really was so many people say it in accurate content, and that's not exactly what i was finding. i was again finding people's experiences that weren't exactly inaccurate, but they're not a complete picture. they're one little statement, one of them really. and when you're seeing that, that's not new and nuanced than up at all in. that's what tick, tock, lens, you and i think it's really great when you have mental health professionals. you can keep that in mind. like they're both doing here, which is amazing. and you can really have that more nuanced conversation and people really thinking about that because that's so important. right. and, and i do want to share with you on you tube arsenal, k d saying the gold water rule states that psychiatrists should not speculate about

the mental state of public figures. how do they reconcile this with what they feel is incorrect? information from influence? i mean, a lot of different people really participating consciously or not in this phenomenon . and i just wonder what can be done to sort of regulate mental health content online? is that feasible? dr. osmond in your opinion? yeah. so i know that you to talk about the gold water roll per 2nd. goldwater rule was a, a rule that was created because there was a political issue with a psychiatrist commenting on a political candidate at that time. and so in this situation on tick tock we try to, as physicians don't try to talk about individuals, particularly about the diagnosis. we make it more generalizable. like if somebody has bipolar disorder, we're going to talk about the condition. we're not going to talk about the person, right, because as a patient, there's a patient physician relationship and you can't disclose that on

a public forum. even if you don't have a relationship with that patient, it's just not as ethical, right? what can social media applications do? couple things that you tube right now is taking steps to show that if you're a credential professional, you need to be verified and that will offer you a certain check mark or something like that. that will show that this is a credential to person right now. so applications are trying to do that as fast as possible to show that like we are sponsoring right, stephanie was saying 3 per cent of mental health professionals are trending right. there are more mental health professionals on the us. ok, just to clarify for b l, when we say 3 percent are in the trend in content, the content that the majority of people see that means 97 percent of the content is not coming from that community. from people who are a licensed professionals? correct? yeah, i'm just, i'm not that great at math, but i think it's important to flip it in that way so that people can understand the

weight of what that can do. sorry, anything to add, dr. aha. yeah, and i think what's challenging is even when i do create nuanced content, as a licensed professional, the new ones is not what's gonna go trending. that's not what's going to be picked up by the algorithm. so people like hot takes on sick time and that makes it even worse as licensed professionals who want to create more accurate content that makes it really difficult. yeah, i know i can imagine and you know, i, i have to tell you a lot of people in our youtube chat saying they've lost trust in anything related social media. but we have a comment from our snow kid responding thing. does dr. aspen want tech marks like twitter. we saw what happened with that like this idea. verified content. might that be a one solution here? so, so twitter was what? $8.00 blue i wasn't on top of that, but in the credentialing. right. yeah,

you would have to show board certification, right? if you are a physician, i'll just talk about physicians for example, showing that you have a board certification and psychiatry that you graduated from a residency that you graduated from a fellowship, right? that you might have an in person or a virtual interview with somebody verified those things. credentialing and the highlighting those credentials are super important for american verification process. right. and that could go for a city or a psychologist or a clinical social worker. so the twitter aspect that you need to be verified, but what does that look like, right? there's a lot of steps to do that, right? and you know where you go as i should say. dr. hahn is saying i in the youtube chat, social media is made the whole mental health issue as something cool people without any real information, want to have a disorder. it's almost as if it becomes part of their personality without a real diagnosis. and now the nods are just full and it's like

a concerto of nods. but this is really what i relate to when i watch this content. and i sort of feel like, oh there, you know, there is a community i can belong to. like if you maybe are doubting your purpose or your, your where your position is in life. i mean, how real is this in terms of people who you meet through your profession doctor on? i think a lot of it also speaks to the polarization of our society where so much of our identity is wrapped up in oppression. and so people who may not have other, you know, identity intersectionality is that put them in that place of being oppressed, may look for other ways that they can fine uniqueness or you know, belonging. and i remember in my generation, it was like people wanting a, b, e, mo, her god, and certainly best still exists. but this is just kind of a new flavor of,

you know, looking for uniqueness and stephanie, and what would you say is something that, based on your research, you would wanna share with people who maybe do use take talk for this reason, not people creating the content but who just consume a whole bunch of mental health related content on the platform? why i think to be careful, definitely about self diagnosis. but also, if you truly do you have a diagnosis, i think it's a wonderful way to form community have a theme time and you express yourself. so i think it has a lot of value or if you're seeing the symptoms, right, go see a mental health professional and because it does bring that awareness in that than me thing, but it's not for south diagnosis than to take those next us. yeah, and i can only go ahead doctor us when you were gonna add. well, i just wanna highlight my, my background as child and adolescent psychiatry. so i see teenagers right. we go into a pandemic. were there socially isolated the number?

one thing that's most important for teens is connecting to peers connecting to groups, right? we then get to a point where mental health floods tick, tock, their on tick tock. they see that people are identifying with diagnosis and that makes them feel connected to other teens. so it's not necessarily as stephanie was saying, it's not a bad thing, right? you want to feel included, but i know there a lot of parents were probably watching this right now and being like, what's my teen doing? this is a part of their identity. so when that kids come into my office and they say i have autism or i bipolar disorder of a d, h d. the last thing i want to do isn't validate. the last thing i want to do is roll my eyes because that for them is a part of their identity and via validate that that's another adult who looks, looks down on them and not to reference a former president. trump in the u. s who felt very free to give all kinds of advice, medical advice, unity without being qualified to do so, i'm wondering online is that, is that happening? i mean people giving sort of advice, unqualified, and does that,

were you as much as some of these other issues, dr. osman? yeah, you know, it's really, really dangerous. i often see as, as i think dr. han and stephanie were highlighting the polarizing language about taking medications. when we're often on our tick tock lives at like in the evenings, i always say if i talk about a medication on here, there are side effects. if i talk about an herbal supplement on here, there are side effects. if i even talk about therapy, there are side effects. why? because there's never a silver bullet to any of these dike elsie's, just like you would take an antibiotic, you could have a side effect of diarrhea, right? so the basic idea is that you want to be very di wants to this, and there are people who write, like we talk about predatory companies, right? they sell an idea to an influence or influence, or it takes on that brand. they're automatically biased. whether it doesn't matter what the coffee is, their biased and what they're giving. well, and i appreciate that disclaimer. we also have a disclaimer from a psychologist who goes by doctor t on take talk that i wanted to add to this conversation. take

a look if you knew my page or you like viewing mental health content on this, how please stick around for some really important things that i think that you should know. you might find some videos on here. are you sure? really understood and really connected to what the person is saying. but please remember that while i love being a therapist, i'm not your therapist. the information that i provide here is meant for a general audience. so there may also be times where you see something and it just does not apply to you at all. expect that to happen. this is not advice or therapy . it's meant to be educational, informational, and for entertainment purposes. so before you apply into your life, anything that you get from my videos with the videos of another mental health creator, please remember that it was meant for a general audience and does not take into account your history, your personality, your relationships, and the current problems that you're dealing with and that makes a difference, and that's why proper mental health care is so important. doctor hahn what comes to mind when you, when you hear dr. t. there. i have almost that exact video. i instagram like

highlight stories because i think it's so important to put that disclaimer out there again and again and a lot of the license professionals that i follow and our community will have that same disclaimer in their bio like this is just tips general education. it's not therapy and there's not a replacement for therapy. most certainly anything to add on before we wrap this up . dr. osmond now completely completely agree mental health is nuanced. it's unfortunate that a lot of people can't get to it, but and also disclaimers are incredibly important. yeah, i always tell people whenever you're watching my clip, i am a guy on tick tock, just because of an expert, doesn't me. 9. the perfect person for you. yeah, i know that that's important and, and he thinks stephanie, i yeah, i just wanna add one last thing to add on to everything that i definitely agree with when my calabria odyssey modernized,

jimenez and i really did this work. i think something we saw the and with that really low number again is like that opportunity for mental health professionals. i just want to encourage to get on tick tock like you see yes. well as to maybe partner with influencers to you, there's an id for privacy, even if you don't have either one from your words to their direct messages. i am game to partner with either of you to thank you so much for sharing your insights with us. and that's all the time we have for this show. it's a conversation that will certainly continue here at the stream. thanks for watching and see you next fun. ah aah!

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