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TikTok Shouldn’t Be TikDoc_我的网站
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As government scrutiny and even some statewide TikTok bans trickle in, concerns about the app’s impact on youth mental health are often repeated. Among the concerned are the bereft parents of a teen who killed himself last year, reportedly after seeing self-harm content on TikTok.
While states and some organizations decide whether TikTok poses enough danger to warrant a ban, I want to sound the alarm about an online mental health risk that’s even more chronic and not limited to TikTok: an epidemic of self-diagnosis, fueled by social media, that’s leading to improper treatment, missed treatment and the trivialization of serious mental health conditions.
If there’s a silver lining to the COVID-era mental health crisis, it’s that people seem more willing than ever to talk about mental health struggles with friends, with colleagues and sometimes to the whole world online. Even better, they’re willing to get help. The percentage of adults aged 18 to 44 seeking mental health treatment rose significantly during the first years of the pandemic, according to data from the Centers for Disease Control and Prevention.
If you spend any time online, you can’t miss the new candor about mental health conditions. TikTok and Instagram influencers share their struggles and diagnoses on camera. In recent years, executives on LinkedIn have shared photos of antidepressant medication with the hashtag #PostYourPill. Actor-singer-beauty mogul Selena Gomez launched an entire content platform focused on “mental fitness.” Conditions such as anxiety disorder, ADHD and OCD are not only being de-stigmatized, in some contexts, they’re trending.
Open discussion of mental health is undoubtedly a good thing when it eradicates shame, results in people feeling less alone or motivates somebody to seek needed professional care. But in this new era of openness, we risk oversimplification and even trivialization of complex medical conditions, increasing the risk of overtreatment for some, undertreatment for others and overall mistreatment of people exposed to a cacophony of mental health conversations online but lacking access to balanced, authoritative information and quality clinical care.
Let’s say a young woman perusing TikTok sees an influencer sharing that he has attention-deficit/hyperactivity disorder, then – thanks to social media algorithms – over the next week, more ADHD-related content appears in the young woman’s feed. Some of the symptoms feel relatable, so she does a YouTube search on ADHD. After watching a few of the thousands of videos on the topic, she decides that she herself has ADHD.
This is not unusual. Some therapists at Talkspace, where I serve as the chief medical officer, report they have clients coming to sessions with more complex or specific self-diagnoses. Whereas a client might have said, “I think I’m depressed,” a few years ago, now more are saying, “I think I have borderline personality disorder” or “I think I’m on the autism spectrum.”
Such self-diagnosis can be dangerous. When a social media user becomes convinced that they have a mental health disorder, it can lead them to seek inappropriate treatments. They may announce their self-diagnosis to a primary care provider who doesn’t have sufficient mental health expertise to appropriately evaluate the presenting symptoms. Or the patient may wind up using a telehealth provider to get a prescription medication that’s not helpful or is dangerous. In the case of the hypothetical young woman above, she’d likely be seeing ads for ADHD-focused telehealth prescribers within days, if not minutes, of initially engaging with ADHD influencers.
Diagnosing a mental health disorder isn’t as simple as checking off a list of symptoms. Many healthy people experience symptoms of a mental health condition, but the true measure of whether those symptoms merit a diagnosis and treatment is whether they impair the individual’s ability to function. That determination requires working with a licensed mental health professional to evaluate the frequency, intensity, severity and specificity of those symptoms, and understand them within the broader context of life events, stressors and family history.
A “reel” diagnosis needs a real-life one
To address the “TikTok effect” and stop the dangers of self-diagnosis, mental health professionals must meet people where they are: online and actively searching for answers, inadvertently creating a curated feed.
Social media companies and other platforms with user-generated content have a responsibility to create guardrails that ensure clinically-vetted and accurate information is within reach of anybody seeking content about mental health conditions.
For example, if you enter the search terms “depression” or “suicide” into Instagram, you’re offered a list of mental health resources. However, searches related to specific conditions like OCD, ADHD and Tourette’s link directly to memes and user-generated videos of (to put it generously) mixed quality. Since the start of the pandemic, we’ve seen how quickly social platforms could flag content related to COVID or vaccines and direct people to CDC information on those topics. Therefore, it does not seem unreasonable to expect the same for content around sensitive mental health topics.
When somebody hears about a condition online and believes, correctly or not, that it affects them, they are more likely to feel worried, triggered or even distraught. Thankfully, that same technology can quickly link them with mental health care without stigma or stress and allow them to find real answers under a professional’s guidance – if they land at a responsible, high-quality source of tele-mental health. We recently revamped our own site to provide clinical insights from a dedicated team of licensed, practicing clinicians to add dimension to the spectrum between experiencing symptoms and having a condition.
Unfortunately, some telehealth services are all too quick to prescribe medications, including controlled substances, based solely on answers to online questions. At Talkspace, I am personally committed to our policy of not prescribing controlled substances online. When our board-certified psychiatrists and psychiatric nurse practitioners do prescribe medication, it is only after live video consultations and a comprehensive psychiatric evaluation.
Because mental health conditions are so much more complex than what can be captured by a checklist of symptoms, I’m wary of any company that prescribes without live consultations. When digital health companies feed into the misconception that everyone with depressive symptoms is clinically depressed or anyone who’s easily distracted has ADHD, they risk hurting more people than they help.
At a time when it’s all too easy for both the worried well and people with serious mental health conditions to self-diagnose online, it’s imperative that both social media and digital health companies do everything possible to direct vulnerable audiences to trustworthy information and comprehensive, ethical care.
。 当宠物逐渐成为家庭中不可或缺的成员，越来越多的养宠人开始追问一个此前被忽略的问题：碗里的猫粮狗粮，食材到底来自哪里？从海洋到食碗，中间经历了怎样的品质链路？原始猎食渴望是加拿大冠军宠物食品旗下高端天然宠粮品牌。
B | 依托冠军集团40年以来对高端天然宠粮的专注与深耕，渴望遵从犬猫“原始猎食天性”，坚持甄选全球高品质食材，顺应犬猫作为肉食动物的天然生理需求。持续探索非凡食材。近日，资深媒体人杨澜首次以"小狗妈妈"的身份，跨越七千公里来到美国波士顿旁的港口城市新贝德福德（New Bedford），深入渔港及食材供应源头，实地探访食材溯源全过程，新华网全程跟踪记录，联合呈现溯源纪录片《看见·非凡》。美国新贝德福德港，探秘非凡食材的起点新贝德福德港位于美国马萨诸塞州，作为北大西洋重要的海产枢纽。
C | 北大西洋寒冷洋流为这片海域带来丰沛养分，孕育出丰富而优质的海洋食材。
D | 这里，也是渴望重要的深海鱼食材来源地。在实地探访中，杨澜与当地渔民、供应链经理交流后了解到，北大西洋野生捕捞的鱼在广阔海洋中自由生长。
E | 而寒冷水域让鱼游得更用力，肉质也更紧实。但让渴望长期选择这里的，不只是这里的鱼品质高。
F | 在新贝德福德，渔区社群、渔民与政府共同参与渔业管理，并联合渔业科学家制定捕捞限额。配额达到上限即停止捕捞，即使身处无人监督的广阔海域，渔民依然遵循相同的标准。这种"有所取、亦有所不为"的态度，与渴望对食材来源的要求不谋而合。大海养大的鱼，自然有干净的营养找到优质的食材来源，只是第一步。对渴望而言，更关键的问题是：什么样的食材组合，才适合犬猫的天性？在寒冷海域中生长的鱼，游得更用力，肉质更加紧实，同时也带来低脂的优质蛋白、Omega-3、DHA与EPA等更加密集的营养。更关键的是，渴望完整保留从鱼肉、鱼皮到鱼骨的天然营养，尽可能贴近猫狗在自然中捕猎到的食物状态，补充重要的微量元素。这正是渴望坚持的"符合犬猫生物学性的食品哲学"。犬猫的消化系统比人类更短，生理结构也更适合从动物性食材中获取营养。猫狗不会告诉你什么才是它真正需要的营养，但它的毛发、活力与日常状态，会给出最诚实的答案。黄金10分钟：－18℃锁鲜选对食材之后，如何将这份来自大海的品质尽可能保留下来？食材再好，锁不住新鲜也等于白费。当渔获离开海面的那一刻，新鲜便开始倒计时。为减少过程中对食材品质的影响，渔获离水后立即进入冷藏海水舱，避免相互挤压造成损伤；渔船靠岸时，冷冻车已在一旁等候，将渔获迅速送往约零下18℃的冷冻环境。从鱼出水到进入冷冻环境，目标控制在十分钟以内——这段分秒必争的过程，被称为"黄金10分钟"。
G | 看似只是几分钟的差异，背后却是一套对时间、温度与流程的严格把控。对于消费者而言，这些发生在供应链源头的细节或许难以被直接看见，却正是决定最终食材品质的重要环节。在别人看不见的地方，哪怕几分钟的时间与温差，渴望也寸步不让。严选非凡食材 追求卓越品质每一种进入配方的食材，都必须经过同样严谨的挑选与考验。多年来，渴望与新贝德福德当地供应伙伴并肩合作，基于对自然、食材与品质的共同理念彼此选择，在长期合作中建立信任。从海洋资源的管理、捕捞，到锁鲜与运输，每一个环节的共同坚守，最终才让一份来自深海的自然馈赠抵达犬猫的食碗。渴望创始人Peter曾说过一句话："我想做给Lucky最好的食物，为了这个目标我愿意花一生去实现。"这句话背后，是一个品牌用几十年时间反复回答的问题：什么是真正的非凡食材？跨越七千公里的溯源之旅给出了答案：真正的非凡，不是稀有名贵的标签，而是一群人日复一日守住各自的标准——渔民守住捕捞的尺度，供应伙伴守住食材的新鲜，品牌守住选择食材的原则。正是每一个环节看似平凡的坚守，共同构成了一袋宠粮背后不平凡的品质。非凡食材，助力每一个“毛孩子”拥有更好的生命状态。新华网 × 渴望品牌溯源纪录片《看见·非凡》现已上线，敬请关注。
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Published on:09:59:56