president miguel diaz connote today quote on cubans to use creative resistance to overcome the country's problems and produce production products to sign it for sale, dream mission. i don't really need to set my grandchild the something with his life that he lives well, but he doesn't want to live here. and you are going to leave the country and take my family with me. cubans emigrated in record numbers last year and people in the capital today increasingly doubts whether the government has the ability to get the country back on its feet. one way for the government to convince more people to stay to be to get more food on people's plates. at augusta in havana, which is either musk, says printer is changing its logo to an x, getting rid of the blue bed. that's long been its signature. the previously said he was not a fan of the existing, the guy saying it should have been done a long time ago. must apply to it last year for $44000000000.00. or the

type of picture of a headlines. the of this house springs up position conservative people's party has one the most seats, and it's not the bottom entry elections with a 136 it sure to be 176. these needed for a majority left when coalition assignment is stuff that are such as 122 seats. somebody that go has the latest from the grid before the risk that mr. sanchez showing at the local and it has failed right into a victory out right. full of people. around

20000 people have been taken off the island of rhodes in the largest, while fi evacuation in greek history. flames threatened hotels in the homes, causing people to flee. to beaches catastrophic everything was destroyed, we have suffered too much damage. my husband has suffered the law. i fear something might happen to him. but i'm also in a miserable state. tens of thousands of his rarely protest as have demonstrated outside parliament to the angry about traditional changes being proposed by the far right government. the vote set to be held on monday on part of the images, photos of the government, voice to approve of the funds that arrival. riley, very welcome and cousins and save the supreme court should not be interfering in the political appointments made by the commissioner. russian. it strikes in odessa have damaged one of europe, dislodges cathedrals. ukraine says several buildings were a hit in the historic cent of a city, which is a unesco world heritage site. so that a russian leda, alexander lucas shanker, says he's preventing wide enough forces from crossing the border into opponent.

made the comments off the holding tulips with the russian president vladimir putin in saint petersburg. so those were the headlines. the news continues here on. i'll just say are often stream state you event so much have a using their results to the leader who fought in a brutal 21 years civil war. and which on to become so dense, 1st vice president a news release, global knowledge to which we would identify what happens next is still a mystery. which is the real world tells the story of john graham and mysterious death on l. just the, an emotionally abusive relationship looks terrible. i'm constantly being criticized and put that in the never take ownership or apologize for their behavior. and any

time i tell them how their behavior impacts me, the just guy who's doing this too, that's all. so we have to support you, that's my mother on a well that's different. you only have one motor. does that 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 not gonna type of 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 downside of our emotional health going viral online? remember, you can be a part of this discussion, just jump into our live youtube chat, enjoying the st. joining us for this discussion in texas doctor at hahn ran a clinical and school, a psychologist who uses tech talk to promote mental health awareness in washington

dc. dr. aspen sued, he is a adult and child psychiatrist who's also in take talk and in new york city, stephanie, my otis, a doctoral candidate in psychology at temple university. i wanted 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 joined take tag in the fall of 2020 as a way to bring some diversity, a perspectives to the mental health content that i was seeing. it was very focused on the, you know, drove centric, traditional ways of psychology and healing and not like representation. of people of global majority and more liberation oriented ways of healing. i'm dr. aspen when

you hear that answer. i mean is that why you're using the platform and, and what concerns you the most? so that's great at 1st, it's such a pleasure to be in the room with these 2 individuals on the, on the just to just to hear these ideas. i think the biggest concern in what drove our, our mind media, psych take talk or why we came on tick tock was the lack of medical expertise that was being provided on take talk and the amount of influence that was having over our patients who would watch a lot of influencers and other people who work 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 and to just probably try to provide new lots information. and hopefully this conversation will also be new wants 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 take talk is actually lived experience is why is that relevant?

yeah, 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, a 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, or 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 the flip side of that is we also need more mental hospital, 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, doctor as been, you know, there are positives, right? these stigmatizing the conversation about mental health. we all want to just belong to some community finder 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 that word. so when we think about mental health, the 1st thing we have to think about is there's a disparity, particularly people of color, particular people of lower so safety nomic, strata, you know, different countries. for example, we're talking about the united states here, but we're also kind of think about all these different countries who might not even have access to a psychiatrist for example. so, searching connection and 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. we

kept the value that, but the fine line are 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 in. and that creates a whole slew of problems, particularly for the mental health professionals in the field. because then all of 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 me. and so i could spend down and talking about no, and i wish we had our but i see that dr. hahn is also not doing 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 and our youtube, chad. we have a g 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 lives 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 i can certainly say that i've been guilty of that. so i've been 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 that, i believe, referring to the social media companies as maybe being part of the problem. i'll

also, it's a fine line. we'll get to that in a moment. i do want to share with you all a video comment that was sent to us from this my part of is a content creator in houston, texas, who says watching mental health content on tick tock actually encouraged her to seek help. take a listen. all right, and there'd be myself after seeing all the mental health content onto talking, realizing, having a dear, this is extremely important. and so i love that it has been normalized. secondly, another pro is that a cruise crease access? and the way i realize this is recently i had posted a video about something i had learned from my derek list of people pleasing. and so i just kind of shared it in people commented something were to utilize on the side of someone who can't afford the i really appreciate you sharing what you learned from your dentist and the that you know, because the article just to have access to that type of health care and if you can

get it on to talk and learn some things about yourself or about coping mechanisms, how to better your lifestyle. i think it's amazing. so i'm curious, dr. has been when you hear her making that point. i mean it's, it's encouraging and one really 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 yourself. and absolutely, that'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 often bombarded by, say, a clip about 80 h d, or depression. and then you start spending more time on it. all of a sudden you start being ste at 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's showing how much time you spend on a video. and if you start spending more time on something, all of a sudden he will not see bipolar disorder. you will not see depression, you will not see p t s d, you will not see o c d. you will see 80 h d for example. and that can lead to a bias. yeah, so again, i totally agree with awareness and i totally, i totally understand gatekeeping and how frustrating is pete to the lack of access . but again, you jump off that ledge pretty quickly and when all of a sudden get the parted by one diagnosis, most certainly, and just so you know, stephanie, as we're having this conversation here in youtube, there's a separate conversation or a similar conversation. i shouldn't say story board writing thing. i think the issue is that people use take talking the social problem platforms as a way to compensate for the lack of health care and physicians as well as access which we discussed. so it seems to me it's definitely like if people use take talk once they went to see a mental health professional and got a diagnosis,

that might be more safe or more constructive. what else? what else that does your, your research reveal? yes. 100 percent. so i think they have contracts, 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 those people with either think took talk was great, 6 out the content on to talk was horrible. and what it's really showing is it's more nuanced. it is people's personal experiences and how that use is what matters . 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. mm hm. that really is wonderful. it's when it comes to self diagnosis and you'll see maybe a video of like a point of view video on sick talk rate of adhd you 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

they have adhd it right, that's when it becomes way more problem at it. mm hm. you know, when i was younger, i was diagnosed with it, it's the, i never was medicated for it. but as an adult, since i've started consuming some of this 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 know, convince them that i'm convinced that i have any, it's the so with that in mind, doctor huh. i wanna ask you, what do you think it is about? take talk 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 thrive 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 um to get surfaced on on

the platform and people find residents 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 la, i'm a psychiatry resident and content creator and canada, who says it's hard to create nuanced information, right. and especially in short form on take talk, take a listen. i'd 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 and 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 positions and i have a duty as friends, 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. this made, stephanie, why are you not a yes, i was a 100 percent nodding because again, when i went into this, i was looking for that. like wondering what's the new ones here? and it really was so many people say 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 seems really and when you're seeing that that's not new and nuanced enough at all in. that's what tick, tock lens to. and i think it's really great when you have mental health professionals who kind of 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 i do want to share with you on youtube arsenal, k d thing, the gold water rule states that psychiatrists should not speculate about the mental state of public figures. how did 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. aspen in your opinion. yeah. so i know that you to, well, let's talk about the gold water rule per 2nd. well, water rule was a, a rule that was created because there was a political issue with a psychiatrist commenting on a political candidate at the time. and so in this situation on tick tock we try to, as physicians don't try to talk about individuals, particularly about a 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 is a patient physician relationship, but you can't disclose that auto public forum, even if you don't have a relationship with that patient, it's just not as ethical, right?

so what canned social media applications do. couple things like youtube right now is taking steps to show that if you're a credentialed professional, you need to be verified that will offer you a certain check mark or something like that. that will show that this is a credentialed person, right? and so applications are trying to do that as fast as possible to show that like we are sponsoring. right? stephanie was a 3 percent of mental health person professionals are trending right. yeah, there are more mental health professionals on the other. okay, so just to clarify, for example, when we say 3 percent are in the trending 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 licensed or 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. uh huh. yeah,

and i think what's challenging is even when i do create nuanced content as a licensed professional, the nuance is not what's going to 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 for us license professionals who want to create more accurate content that makes it really difficult. yeah, i know, i can imagine i'm, you know, 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 comments from our smoking responding thing does dr. aspen one check marks like twitter, we saw what happened with that like this idea of verified content. might that be uh, one solution here. and so, so twitter was what, $8.00 of blue i wasn't on top of that, but in the credentialing. right? yeah, you would have to show board certification, right? if you're a business issue and i'll just talk about physicians for example,

showing that you have a board certification at psychiatry that you graduated from a residence. see that you graduated from a fellowship, right? that you might have an in person or a virtual interview with somebody verifying those things. credentialing in the highlighting those credentials are super important for american verification process, right. and that could go for as id or a psychologist or a clinical social worker. so the twitter aspect is that, you know, 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, uh sorry, a good go, as i said, say, um dr. hahn is saying in the youtube test, 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 knobs are just full and it's like it can be sure to of knobs. but this is really what i relate to when i watch this content. and i sort of

feel like over there, you know, there is a community i can belong to, like if you may be or are doubting your purpose or your, your where here position is in life. are you how real is this in terms of, um, people who you meet through your profession dr. hun? 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 find uniqueness or, you know, belonging. and i remember in my generation it was like people wanting to be email or got and certainly that still exists. but this is just kind of a new flavor of, you know, looking for the uniqueness. me, stephanie, um, what would you say is something that, based on your research,

you would want to 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. yeah, i think to be careful, definitely about self diagnosis. but also, if you truly do have a diagnosis, i think it's a wonderful way to form community at the same time and to express your thoughts. 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 and that's amazing, but it's not for self diagnosis. then to take those next step. yeah. and i can only go ahead dr. osben, you are going to add well i just want to highlight my, my background is child metal essence, like hyatt dri. so i see teenagers, right? we go into a pen demik where they're socially isolated, the number one thing that's most important for teens is connecting to peers connecting to. that's right. we didn't get to

a point where mental health floods took talk there on tick tock. they see that people are identifying with diagnosis that, that makes them feel connected to other teats. so it's not necessarily as stephanie was saying, it's not a bad thing, right. do you want to feel included? but i know there are a lot of parents. we're probably watching this right now and being like, what's my team doing this a part of their identity. so when that kids come into my office and they say i have autism arrive, bipolar disorder of 80 age. the. the last thing i want to do is invalidate. the last thing i want to do is roll my eyes because that for them as a part of their identity and find validate that, then that's another adult who looks, looks down on them. and then, and non, to reference a former president trump in the us 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, where are you as much as some of these other issues, dr. aspen or yeah,

as 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 take talk lives up 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 supplements on here, there are side effects. if i even talk about there will be, there are side effects. why? because there's never a silver bullet to any of these diagnoses. just like you would take an antibiotic, you could have a side effect of diarrhea. right? so extensive basic idea is that you want to be very d last in 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 are automatically biased, whether it doesn't matter what the company is or 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 need to my page or you like the mental health content on this high

place to grow for some really important things that i think that you should know. you might find some videos on here for you sure. really understood and really connected to what the person is saying, but please remember that. well, 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. dr. hon, what comes to mind when you, when you hear a doctor to you there? and i have almost that exact video on my 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 and community would have that same disclaimer in there. by like this is just tips general education, it's not therapy and there's not a replacement for there. the most certainly anything to add um, before we wrap this up, dr. osman know 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 like lip, i am a guy on tick tock, just because i'm an expert doesn't mean i'm the perfect person for you. yeah, now that that's important than anything. stephanie. hi. yeah, i just want to add one last thing to add on to everything that i definitely agree with when my collaborator, i just met in ice, jimenez and i really did this work. i see 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 6 top like you see here. yeah. as well as to maybe partner with influencers to there's an hey, for partnership, even if you don't have the, the, 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. so that's all the time we have for this. so it's a conversation that will certainly continue here at the stream. thanks for watching and see you next time the, the the,

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we know what's happening in our region. we know have to get to places that others tend on fear guy by the 28th on purpose. as far as the way that you tell the story is what can make a difference. the . ready ready the things conservative opposition policy wins of types not election but full sort of an overall majority of the.