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<v Speaker 0>OK.

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<v Speaker 0>Um, thanks everybody for being here.

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<v Speaker 0>Like I said, um, my colleagues, Doctor Whiteside, um, and

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<v Speaker 0>Doctor C and I, we're really excited to talk to

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<v Speaker 0>you about a very timely topic.

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<v Speaker 0>Many of you guys have probably been hearing about TikTok

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<v Speaker 0>and self-diagnosis.

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<v Speaker 0>A lot of children, adolescents, young adults, even adults too,

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<v Speaker 0>are watching these short form videos and starting to form

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<v Speaker 0>diagnosis.

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<v Speaker 0>Um, or what they feel like their diagnosis has that's

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<v Speaker 0>going on for them.

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<v Speaker 0>Um, so we feel like this is a timely topic

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<v Speaker 0>and it's becoming increasingly popular and relevant in our clinical

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<v Speaker 0>setting here, and educational settings, and even household conversations too.

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<v Speaker 0>And that's how TikTok and other short film videos platforms

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<v Speaker 0>are influencing adolescent and young adults' mental health.

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<v Speaker 0>A little bit of self-disclosure.

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<v Speaker 0>My husband and I, we have two teenagers at home.

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<v Speaker 0>Um, and so they use a lot of language often,

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<v Speaker 0>uh, probably that they've heard from social media and media

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<v Speaker 0>in general.

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<v Speaker 0>Um, so there's a lot of slang going on that

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<v Speaker 0>like every day there's something about so and so kid

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<v Speaker 0>is low-key delulu.

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<v Speaker 0>Um, so I'm speaking from experience as a parent of

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<v Speaker 0>two teenagers who frequently watch short form videos.

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<v Speaker 0>Um, they're watching it for dancing videos, um, that, you

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<v Speaker 0>know, for pets and animals and so on.

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<v Speaker 0>I also just want to preface to you by letting

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<v Speaker 0>you all know that when we talk about, even though

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<v Speaker 0>our topic is on TikTok, um, just know that it's,

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<v Speaker 0>uh, we're talking about all shorthand videos.

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<v Speaker 0>So we're not only just talking about TikTok, we're talking

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<v Speaker 0>about Instagram reels, YouTube shorts, Snapchat, and so on.

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<v Speaker 0>OK?

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<v Speaker 0>Uh, Division 46 promoted our event when we presented this

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<v Speaker 0>talk last year at APA.

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<v Speaker 0>So, um, students can join for free with this code,

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<v Speaker 0>and Division 46 is a Society for Media, Psychology and

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<v Speaker 0>Technology.

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<v Speaker 0>So my clinician and I, uh, uh, Mara and I,

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<v Speaker 0>and Mara, Amy, and I, we're clinician practitioners, and we're

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<v Speaker 0>based in Northwest Arkansas at, uh, a center called Schuning

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<v Speaker 0>Developmental Center.

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<v Speaker 0>And we're part of the University of Arkansas for Medical

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<v Speaker 0>Sciences.

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<v Speaker 0>And what we do is autism evaluations and also behavioral

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<v Speaker 0>health.

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<v Speaker 0>There's a lot of diversity in our Northwest region.

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<v Speaker 0>Our center is considered the only developmental center in our

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<v Speaker 0>Northwest region.

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<v Speaker 0>So all of our local and rural community pediatricians refer

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<v Speaker 0>to us for evaluations, and we're often seen as the

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<v Speaker 0>regional experts in developmental and behavioral health.

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<v Speaker 0>And like many centers across the country, we've seen a

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<v Speaker 0>significant rise in demand for pediatric mental health care.

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<v Speaker 0>And once intake paperwork is completed, our families currently wait

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<v Speaker 0>approximately 18 months for an autism evaluation, and that number

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<v Speaker 0>continues to grow.

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<v Speaker 0>So, our families are committed and they're willing to wait

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<v Speaker 0>for that long to be seen um at our clinic.

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<v Speaker 0>So it's TikTok and Instagram reels such as these that

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<v Speaker 0>have significantly increased demand for evaluations and referrals for our

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<v Speaker 0>clinic.

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<v Speaker 1>I just watched Percy Jackson and I'm convinced I have

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<v Speaker 1>ADHD.

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<v Speaker 2>I'm asking folks, until it is more widely understood and

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<v Speaker 2>better known by more professionals, autism self-diagnosis is completely valid.

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<v Speaker 2>Hi there, I am Destiny Kay and I am pro-educated

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<v Speaker 3>self-diagnosis, and this is a safe space for you guys

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<v Speaker 3>because I know how difficult it can be to get

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<v Speaker 3>a diagnosis.

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<v Speaker 0>So, yeah, we're seeing an increase in self-diagnosis and mental

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<v Speaker 0>health conversations online.

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<v Speaker 0>And some are, some of these videos actually can be

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<v Speaker 0>very helpful.

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<v Speaker 0>Um, but we also know that some of these videos

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<v Speaker 0>can also be very harmful.

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<v Speaker 0>So, in this presentation, we're gonna discuss how these platforms

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<v Speaker 0>have shaped diagnosis trends, the impact of mental health awareness,

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<v Speaker 0>and what that means for us who work with adolescents

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<v Speaker 0>and young adults in our clinic.

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<v Speaker 0>Many parents and youth cite these videos, um, like these

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<v Speaker 0>when they seek evaluations, and content creators often use psychological

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<v Speaker 0>terms without any type of clinical training whatsoever.

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<v Speaker 0>And so this contributes to an increased concern and confusion

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<v Speaker 0>for some of our families that we see.

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<v Speaker 0>So our objectives for our presentation today are to analyze

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<v Speaker 0>the current data on the impact of TikTok and short-form

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<v Speaker 0>video content on adolescents and young adult mental health, evaluate

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<v Speaker 0>the risks and potential benefits of this content, and then

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<v Speaker 0>discuss strategies for addressing these challenges across home school, and

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<v Speaker 0>the clinical setting.

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<v Speaker 0>So we wanted to just get a quick poll.

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<v Speaker 0>You can just go ahead and comment um in the

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<v Speaker 0>comment section here.

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<v Speaker 0>Um, so before we dive in, we want to hear

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<v Speaker 0>from you.

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<v Speaker 0>So over the past year, have you encountered any clients

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<v Speaker 0>who have used social media or short fun videos as

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<v Speaker 0>a source for self-diagnosis?

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<v Speaker 0>And if you have had, uh, your clients or patients

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<v Speaker 0>doing this, um, what diagnosis did they report having?

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<v Speaker 0>Go ahead and you can just put it into the

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<v Speaker 0>chat.

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<v Speaker 0>So yeah, so it sounds like a lot of what

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<v Speaker 0>we're seeing as well, um, a high number of autism,

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<v Speaker 0>significant ADHD, bipolar disorder, um, Yeah, very consistent.

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<v Speaker 0>OCD very much so.

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<v Speaker 0>Um.

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<v Speaker 0>Yes, yeah.

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<v Speaker 0>PTSD.

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<v Speaker 0>Yes, all of that.

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<v Speaker 0>So thank you for sharing.

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<v Speaker 0>I appreciate it.

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<v Speaker 0>OK.

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<v Speaker 0>Yeah, go ahead and keep the comments coming.

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<v Speaker 0>Um, I'm gonna turn it over to my colleague, Mara,

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<v Speaker 0>who's gonna take over the next part.

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<v Speaker 0>Thank you.

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<v Speaker 4>OK.

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<v Speaker 4>So, um, as Doctor Windriver said, we're clinicians and, and

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<v Speaker 4>not necessarily researchers, so, um, I'm gonna be going over

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<v Speaker 4>the research that has been done in this space so

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<v Speaker 4>far.

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<v Speaker 4>I'll also follow it up with talking about how the

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<v Speaker 4>algorithm impacts the way in which a viewer interprets their

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<v Speaker 4>experience.

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<v Speaker 4>So these headlines might look a little familiar.

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<v Speaker 4>Um, it doesn't, it really doesn't take much effort to

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<v Speaker 4>find a recent headline pointing out to how TikTok is

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<v Speaker 4>resulting in some new trend.

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<v Speaker 4>Over the past few years, there's been a growing media

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<v Speaker 4>narrative about how adolescents and young adults turn to TikTok

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<v Speaker 4>for answers about their mental health.

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<v Speaker 4>YouTube is my brain rod of choice, and I have

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<v Speaker 4>watched so many videos, compiling TikTok videos and providing that

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<v Speaker 4>snarky commentary about the content.

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<v Speaker 4>These are a few of the top videos that come

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<v Speaker 4>up on my YouTube algorithm when I type in TikTok

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<v Speaker 4>and self-diagnosis.

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<v Speaker 4>And I've watched a few in my spare time, and

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<v Speaker 4>these commentators are often poking holes in the process of

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00:06:26.890 --> 00:06:30.130
<v Speaker 4>self-diagnosis and pointing out the misinformation.

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00:06:32.739 --> 00:06:37.450
<v Speaker 4>So why are young people diagnosing themselves from videos?

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00:06:37.739 --> 00:06:40.459
<v Speaker 4>One hypothesis that gets mentioned in the research is that

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00:06:40.459 --> 00:06:42.859
<v Speaker 4>there's a lack of access to services.

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00:06:43.160 --> 00:06:46.489
<v Speaker 4>APA has published information regarding the lack of services for

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00:06:46.489 --> 00:06:48.859
<v Speaker 4>young people, and we know that young people's mental health

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00:06:48.859 --> 00:06:50.519
<v Speaker 4>worsened over the course of the pandemic.

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00:06:51.019 --> 00:06:53.679
<v Speaker 4>And it's no wonder that folks are turning to whatever

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00:06:53.679 --> 00:06:56.290
<v Speaker 4>information source they have for answers about how they are

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00:06:56.290 --> 00:06:56.839
<v Speaker 4>feeling.

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00:06:57.380 --> 00:06:59.980
<v Speaker 4>And while we don't really have numbers regarding how many

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00:06:59.980 --> 00:07:03.700
<v Speaker 4>people are diagnosing themselves with the condition, I think it's

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00:07:03.700 --> 00:07:06.140
<v Speaker 4>clear to those of us working with adolescents and young

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00:07:06.140 --> 00:07:08.420
<v Speaker 4>adults that TikTok is a major source of their mental

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00:07:08.420 --> 00:07:10.850
<v Speaker 4>health and mental health information.

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00:07:11.980 --> 00:07:16.220
<v Speaker 4>In fact, 63% of American teenagers use TikTok daily.

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00:07:16.790 --> 00:07:19.470
<v Speaker 4>That's nearly 2 out of 3 teenagers on the platform

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00:07:19.470 --> 00:07:20.190
<v Speaker 4>each day.

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00:07:20.670 --> 00:07:24.149
<v Speaker 4>Young adults are not that far behind, with 59% of

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00:07:24.149 --> 00:07:26.670
<v Speaker 4>adults under 30 years old using TikTok every day.

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00:07:27.230 --> 00:07:29.380
<v Speaker 4>These numbers do not account for the rest of the

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00:07:29.380 --> 00:07:32.190
<v Speaker 4>population who may be using TikTok less frequently or more

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00:07:32.190 --> 00:07:32.890
<v Speaker 4>casually.

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00:07:33.750 --> 00:07:36.660
<v Speaker 4>We also know that TikTok is more than just entertainment.

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00:07:36.959 --> 00:07:39.480
<v Speaker 4>TikTok is often seen as a news source for adolescents

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00:07:39.480 --> 00:07:40.500
<v Speaker 4>and young adults.

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00:07:40.880 --> 00:07:43.269
<v Speaker 4>This has become especially true in light of our political

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00:07:43.269 --> 00:07:46.320
<v Speaker 4>climate and how the public views traditional news sources.

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00:07:46.720 --> 00:07:50.790
<v Speaker 4>TikTok has also been used for unfiltered documentation of events,

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00:07:51.079 --> 00:07:53.179
<v Speaker 4>such as protests in conflict zones.

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00:07:53.519 --> 00:07:56.000
<v Speaker 4>Many adolescents and young adults are using TikTok as a

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00:07:56.000 --> 00:07:57.500
<v Speaker 4>search engine rather than Google.

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00:07:57.839 --> 00:08:00.940
<v Speaker 4>It's increasingly used as a behavioral health information source.

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00:08:02.239 --> 00:08:05.559
<v Speaker 4>The divining feature of TikTok is the for you page,

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00:08:05.720 --> 00:08:08.820
<v Speaker 4>the stream of videos driven by the platform's algorithm.

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00:08:09.279 --> 00:08:12.100
<v Speaker 4>The algorithm's job is to keep users on the platform

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00:08:12.100 --> 00:08:15.320
<v Speaker 4>for longer and longer periods of time, and the most

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00:08:15.320 --> 00:08:17.359
<v Speaker 4>effective way to do this is to show users what

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00:08:17.359 --> 00:08:18.299
<v Speaker 4>they want to see.

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00:08:18.730 --> 00:08:21.940
<v Speaker 4>Adolescents are vulnerable to this steady stream of information.

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00:08:23.250 --> 00:08:24.489
<v Speaker 4>This is where I make a little confession.

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00:08:24.640 --> 00:08:26.350
<v Speaker 4>So I used to have a TikTok.

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00:08:27.829 --> 00:08:31.730
<v Speaker 4>created it during the pandemic, and while I never posted

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00:08:31.730 --> 00:08:35.570
<v Speaker 4>anything or commented on others' videos, I was a pretty

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00:08:35.570 --> 00:08:38.549
<v Speaker 4>passive user, and I would be on that thing for

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00:08:38.799 --> 00:08:41.770
<v Speaker 4>hours, like, to the point where TikTok was sending me

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00:08:41.770 --> 00:08:44.859
<v Speaker 4>that video saying, hey, you should probably get off, you've

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00:08:44.859 --> 00:08:46.090
<v Speaker 4>been here too long.

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00:08:46.739 --> 00:08:49.450
<v Speaker 4>And it's, it's one of those things where, you know,

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00:08:49.530 --> 00:08:53.539
<v Speaker 4>as someone who's an adult and educated in behavioral science

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00:08:53.539 --> 00:08:57.580
<v Speaker 4>and understands the addictive qualities of media like this, if

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00:08:57.580 --> 00:09:00.659
<v Speaker 4>I had trouble getting off of it or moving away

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00:09:00.659 --> 00:09:04.479
<v Speaker 4>from it, I can imagine that most of our adolescents

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00:09:04.900 --> 00:09:06.280
<v Speaker 4>don't really stand a chance.

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00:09:07.489 --> 00:09:10.690
<v Speaker 4>Oh, I'm happy to say I've deactivated my account, um,

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00:09:10.820 --> 00:09:13.440
<v Speaker 4>so I'm not susceptible to that anymore.

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00:09:14.840 --> 00:09:17.309
<v Speaker 4>I'm gonna present some of the research published about TikTok

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00:09:17.309 --> 00:09:18.580
<v Speaker 4>and mental health content.

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00:09:18.950 --> 00:09:21.440
<v Speaker 4>Um, I'm gonna give an overview of some of the

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00:09:21.440 --> 00:09:23.669
<v Speaker 4>common areas, give a bit of a breakdown.

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00:09:23.960 --> 00:09:25.640
<v Speaker 4>I do want to point out that there's a lot

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00:09:25.640 --> 00:09:29.979
<v Speaker 4>of good descriptive studies coming out that that shed light

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00:09:29.979 --> 00:09:31.169
<v Speaker 4>on what's going on.

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00:09:31.950 --> 00:09:35.150
<v Speaker 4>Um, many of these studies will benefit from replication.

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00:09:35.390 --> 00:09:36.669
<v Speaker 4>Most are very recent.

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00:09:36.950 --> 00:09:40.219
<v Speaker 4>Uh, we know that social media moves fast and academia

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00:09:40.219 --> 00:09:40.789
<v Speaker 4>moves slow.

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00:09:40.909 --> 00:09:44.190
<v Speaker 4>So, you know, usually academic research is like 5 steps

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00:09:44.190 --> 00:09:44.690
<v Speaker 4>behind.

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00:09:45.150 --> 00:09:47.349
<v Speaker 4>This is a growing field and it can get overwhelming

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00:09:47.349 --> 00:09:49.190
<v Speaker 4>to keep up with all of the new research coming

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00:09:49.190 --> 00:09:49.510
<v Speaker 4>out.

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00:09:50.349 --> 00:09:52.099
<v Speaker 4>So has mental health.

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00:09:52.320 --> 00:09:55.989
<v Speaker 4>This is a very broad tag, potentially encompasses a pretty

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00:09:55.989 --> 00:09:57.969
<v Speaker 4>wide range of topics.

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00:09:58.429 --> 00:10:01.869
<v Speaker 4>Of the 100 most viewed videos, only one was created

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00:10:01.869 --> 00:10:03.229
<v Speaker 4>by a healthcare professional.

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00:10:03.630 --> 00:10:07.270
<v Speaker 4>Healthcare professional is someone with the credentials educated on the

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00:10:07.270 --> 00:10:10.049
<v Speaker 4>topic, um, a license or a degree in the field.

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00:10:11.130 --> 00:10:15.239
<v Speaker 4>13 of those 100 videos were created by influencers, and

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00:10:15.580 --> 00:10:18.250
<v Speaker 4>an influencer, if you don't know, is someone with a

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00:10:18.250 --> 00:10:20.890
<v Speaker 4>large following promoting certain topics or goods.

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00:10:21.210 --> 00:10:22.859
<v Speaker 4>Often they're getting paid or they have some sort of

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00:10:22.859 --> 00:10:23.640
<v Speaker 4>sponsorship.

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00:10:24.539 --> 00:10:28.979
<v Speaker 4>84 were consumer generated, and the consumer is a user

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00:10:28.979 --> 00:10:31.460
<v Speaker 4>of TikTok who does not fit the category for professional

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00:10:31.460 --> 00:10:32.549
<v Speaker 4>or an influencer.

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00:10:33.099 --> 00:10:35.729
<v Speaker 4>And then the last two were created by a television-based

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00:10:35.729 --> 00:10:37.559
<v Speaker 4>entertainer in a news organization.

NOTE CONF {"raw":[99,51,99,99,99]}

00:10:38.760 --> 00:10:42.130
<v Speaker 4>Mental health content is so pervasive online that a new

NOTE CONF {"raw":[99,100,100,100,100,100,100,100,100,100]}

00:10:42.130 --> 00:10:44.250
<v Speaker 4>patient coming in for the first session is likely to

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00:10:44.250 --> 00:10:47.469
<v Speaker 4>have some sort of exposure to information on social media,

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00:10:47.729 --> 00:10:50.450
<v Speaker 4>and as a result, likely to already have an idea

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00:10:50.450 --> 00:10:52.469
<v Speaker 4>of what that diagnosis might be.

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00:10:52.809 --> 00:10:55.530
<v Speaker 4>There's also evidence that watching mental health content online can

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00:10:55.530 --> 00:10:58.270
<v Speaker 4>lead to more harmful content being pushed.

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00:10:59.090 --> 00:11:03.710
<v Speaker 4>For teenagers, this includes content around eating disorders and suicide,

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00:11:04.130 --> 00:11:06.489
<v Speaker 4>and that is done through the algorithm.

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00:11:08.520 --> 00:11:10.890
<v Speaker 4>In terms of autism, we see a mix of helpful

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00:11:10.890 --> 00:11:12.260
<v Speaker 4>and unhelpful content.

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00:11:12.690 --> 00:11:17.650
<v Speaker 4>41% of the most viewed #autism videos were inaccurate.

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00:11:18.330 --> 00:11:21.609
<v Speaker 4>Of note, these researchers looked into mean number of views

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00:11:21.609 --> 00:11:25.119
<v Speaker 4>and likes for inaccurate, overgeneralized, and accurate videos.

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00:11:25.530 --> 00:11:28.849
<v Speaker 4>In their analysis, there was no significant difference between the

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00:11:28.849 --> 00:11:29.750
<v Speaker 4>three groups.

NOTE CONF {"raw":[99,100]}

00:11:30.049 --> 00:11:32.289
<v Speaker 4>There are differences between the creators of the videos though.

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00:11:32.489 --> 00:11:36.090
<v Speaker 4>Creators, um, who were healthcare professionals were more likely to

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00:11:36.090 --> 00:11:39.929
<v Speaker 4>be accurate in their videos than the videos created by

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00:11:39.929 --> 00:11:43.570
<v Speaker 4>autistic creators and non-healthcare professionals, and there was no difference

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00:11:43.570 --> 00:11:47.250
<v Speaker 4>in accuracy between an autistic creator and a non-healthcare professional.

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00:11:49.469 --> 00:11:52.750
<v Speaker 4>So taking a look at ADHD in this study of

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00:11:52.750 --> 00:11:57.750
<v Speaker 4>100 most viewed ADHD videos on TikTok, 11 were created

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00:11:57.750 --> 00:11:59.070
<v Speaker 4>by healthcare professionals.

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00:11:59.510 --> 00:12:03.429
<v Speaker 4>The other 89 were by non-healthcare professionals, and none of

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00:12:03.429 --> 00:12:07.030
<v Speaker 4>them were by organizations like CHAD or or something that

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00:12:07.030 --> 00:12:08.130
<v Speaker 4>we're familiar with.

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00:12:09.210 --> 00:12:14.000
<v Speaker 4>52% of those 100 videos in the study were misleading.

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00:12:14.460 --> 00:12:18.179
<v Speaker 4>The majority of those misleading videos cited trans diagnostic criteria

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00:12:18.179 --> 00:12:19.960
<v Speaker 4>as exclusive to ADHD.

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00:12:20.580 --> 00:12:26.030
<v Speaker 4>Other misleading videos incorrectly discussed pathophysiology of ADHD, provided incorrect

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00:12:26.030 --> 00:12:31.070
<v Speaker 4>information about diagnostic procedures, or misattribution of theories to ADHD.

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00:12:31.590 --> 00:12:34.989
<v Speaker 4>One of the ones that was mentioned in this research

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00:12:34.989 --> 00:12:39.659
<v Speaker 4>was the idea that object permanence is related to ADHD

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00:12:39.869 --> 00:12:43.349
<v Speaker 4>and that people who have ADHD don't have object permanence.

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00:12:44.119 --> 00:12:48.710
<v Speaker 4>Um, other misleading examples in the study were ADHD paralysis,

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00:12:48.969 --> 00:12:52.049
<v Speaker 4>and that ADHD is related to being only under or

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00:12:52.049 --> 00:12:53.109
<v Speaker 4>overstimulated.

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00:12:54.039 --> 00:12:57.000
<v Speaker 4>Personal experience types of videos can include things like day

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00:12:57.000 --> 00:13:00.440
<v Speaker 4>to life content or or description of difficulty with tasks.

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00:13:02.440 --> 00:13:06.039
<v Speaker 4>Trauma is increasingly used as an explanation for a wide

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00:13:06.039 --> 00:13:08.599
<v Speaker 4>range of what we would call normal behavior.

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00:13:08.950 --> 00:13:13.640
<v Speaker 4>Behaviors like people pleasing, perfectionism, decision paralysis, lashing out, doom

NOTE CONF {"raw":[98,100,100,99,100,100,100,100,100,100]}

00:13:13.640 --> 00:13:17.400
<v Speaker 4>scrolling, rewatching favorite shows, they've all been explained away by

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00:13:17.400 --> 00:13:19.219
<v Speaker 4>a viewer's trauma response.

NOTE CONF {"raw":[99,99,100,100]}

00:13:19.559 --> 00:13:23.280
<v Speaker 4>What's missing from these assumptions is a discussion of what

NOTE CONF {"raw":[100,100,100,100,100,100,99,100,100,100]}

00:13:23.280 --> 00:13:24.659
<v Speaker 4>trauma actually is.

NOTE CONF {"raw":[100,100,100]}

00:13:25.380 --> 00:13:29.260
<v Speaker 4>And then looking at hashtag trauma videos, 60% of these

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00:13:29.260 --> 00:13:32.440
<v Speaker 4>videos described a personal experience by the platform users.

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00:13:32.820 --> 00:13:36.419
<v Speaker 4>These videos are often confessional, um, so related to the

NOTE CONF {"raw":[99,100,99,100,99,81,99,99,99,99]}

00:13:36.419 --> 00:13:40.010
<v Speaker 4>personal experience and or raising, um, awareness raising.

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00:13:40.710 --> 00:13:45.030
<v Speaker 4>10% of trauma videos were by healthcare professionals, 20% by

NOTE CONF {"raw":[98,99,98,99,99,99,53,99,99,99]}

00:13:45.030 --> 00:13:48.590
<v Speaker 4>alternative providers such as life coaches, and 10% were created

NOTE CONF {"raw":[99,99,100,99,99,99,99,99,99,99]}

00:13:48.590 --> 00:13:49.570
<v Speaker 4>by influencers.

NOTE CONF {"raw":[100,99]}

00:13:50.469 --> 00:13:54.030
<v Speaker 4>Many of the hashtag trauma videos that are about personal

NOTE CONF {"raw":[100,100,100,96,99,100,100,100,100,100]}

00:13:54.030 --> 00:13:56.969
<v Speaker 4>experience describe normal behaviors as responses to trauma.

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00:13:57.469 --> 00:14:00.380
<v Speaker 4>So they frame these normal behaviors as a trauma response,

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00:14:00.469 --> 00:14:02.789
<v Speaker 4>and it suggests to the viewer that they may have

NOTE CONF {"raw":[100,99,100,99,100,100,100,100,100,100]}

00:14:02.789 --> 00:14:05.950
<v Speaker 4>some uncovered trauma that is causing their perfectionism or people

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00:14:05.950 --> 00:14:08.549
<v Speaker 4>pleasing or or whatever other behavior that is being brought

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00:14:08.549 --> 00:14:09.250
<v Speaker 4>up in the video.

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00:14:10.260 --> 00:14:12.630
<v Speaker 4>Another issue seen with these trauma videos is their lack

NOTE CONF {"raw":[100,100,99,100,100,100,100,100,99,100]}

00:14:12.630 --> 00:14:16.429
<v Speaker 4>of content warnings or appropriate tags, so that users who

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00:14:16.429 --> 00:14:20.950
<v Speaker 4>are sensitive to that discussion or have a trauma themselves

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00:14:20.950 --> 00:14:22.409
<v Speaker 4>can avoid that type of content.

NOTE CONF {"raw":[100,100,100,100,100,100]}

00:14:25.150 --> 00:14:28.780
<v Speaker 4>So, TikTok induced tics, it's one of the most interesting

NOTE CONF {"raw":[99,98,94,96,22,99,100,100,99,100]}

00:14:28.780 --> 00:14:31.030
<v Speaker 4>phenomena to me that has come out of these short

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00:14:31.030 --> 00:14:32.830
<v Speaker 4>form video users.

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00:14:33.270 --> 00:14:35.909
<v Speaker 4>Research shows that there is an increase in tic disorders

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00:14:35.909 --> 00:14:39.549
<v Speaker 4>during COVID-19, and that was inconsistent with previous trends.

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00:14:40.340 --> 00:14:42.719
<v Speaker 4>Further, the presentations were very atypical.

NOTE CONF {"raw":[99,100,100,100,100,99]}

00:14:42.859 --> 00:14:45.859
<v Speaker 4>So a lot of these first time tick disorders were

NOTE CONF {"raw":[97,100,100,100,100,100,96,71,100,100]}

00:14:45.859 --> 00:14:49.900
<v Speaker 4>occurring in adolescent women, and the ticks were way more

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00:14:49.900 --> 00:14:52.359
<v Speaker 4>complex than the typical tick trajectory.

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00:14:52.979 --> 00:14:56.580
<v Speaker 4>Clinicians and researchers discovered that these tick patterns were imitative

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00:14:56.580 --> 00:14:58.159
<v Speaker 4>of popular video content.

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00:14:58.539 --> 00:15:01.979
<v Speaker 4>Now on TikTok, these videos showcasing the more atypical ticks,

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00:15:02.059 --> 00:15:06.020
<v Speaker 4>so the more more complex or involved, and the Tourette's

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00:15:06.020 --> 00:15:08.900
<v Speaker 4>conditions, they got more views than simple motor or vocal

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00:15:08.900 --> 00:15:09.440
<v Speaker 4>tics.

NOTE CONF {"raw":[96]}

00:15:09.960 --> 00:15:12.880
<v Speaker 4>And for those diagnosed with a functional tic disorder, about

NOTE CONF {"raw":[99,100,100,100,100,100,100,99,100,100]}

00:15:12.880 --> 00:15:17.119
<v Speaker 4>77% of those patients reported watching social media videos featuring

NOTE CONF {"raw":[100,100,100,100,100,100,100,100,100,100]}

00:15:17.119 --> 00:15:19.840
<v Speaker 4>tic disorders prior to the onset of these behaviors.

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00:15:20.280 --> 00:15:23.719
<v Speaker 4>And like super recently, like within this past week, I

NOTE CONF {"raw":[90,100,100,100,100,100,100,100,100,100]}

00:15:23.719 --> 00:15:26.599
<v Speaker 4>was going through a medical chart of a patient with

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00:15:26.599 --> 00:15:29.260
<v Speaker 4>Tourette's and I saw that the neurologist has started asking.

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00:15:29.940 --> 00:15:33.719
<v Speaker 4>Do you watch TikTok and Twitch and anything that has

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00:15:33.729 --> 00:15:35.900
<v Speaker 4>to do with a creator that has a tic disorder

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00:15:35.900 --> 00:15:38.820
<v Speaker 4>or Tourette's, so that, you know, these neurologists are, are

NOTE CONF {"raw":[100,99,80,98,100,100,100,100,99,99]}

00:15:38.820 --> 00:15:41.080
<v Speaker 4>screening for a functional tic disorder in this way.

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00:15:42.900 --> 00:15:46.020
<v Speaker 4>And finally, I want to touch on dissociative identity disorder.

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00:15:46.179 --> 00:15:50.039
<v Speaker 4>So DID is very, very, very rare, very serious condition,

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00:15:50.340 --> 00:15:51.979
<v Speaker 4>and when I started this review, it didn't even occur

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00:15:51.979 --> 00:15:55.179
<v Speaker 4>to me that there would be DID content in short

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00:15:55.179 --> 00:15:56.520
<v Speaker 4>form videos.

NOTE CONF {"raw":[99,100]}

00:15:57.140 --> 00:16:00.539
<v Speaker 4>There are creators who talk about their systems, and that

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00:16:00.539 --> 00:16:02.179
<v Speaker 4>can be very important for them and for their own

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00:16:02.179 --> 00:16:05.979
<v Speaker 4>mental health, but as we see with other conditions, young

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00:16:05.979 --> 00:16:08.900
<v Speaker 4>people are not getting the quality information about the disorder

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00:16:08.900 --> 00:16:11.969
<v Speaker 4>and in turn are misunderstanding some of the key features.

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00:16:12.520 --> 00:16:17.280
<v Speaker 4>An analysis of 97 TikTok videos regarding DID, only 5

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00:16:17.280 --> 00:16:18.500
<v Speaker 4>were found to be useful.

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00:16:19.400 --> 00:16:23.479
<v Speaker 4>Researchers define useful as something that includes accurate information on

NOTE CONF {"raw":[99,98,99,99,100,100,100,100,100,100]}

00:16:23.479 --> 00:16:24.099
<v Speaker 4>DID.

NOTE CONF {"raw":[99]}

00:16:25.320 --> 00:16:29.150
<v Speaker 4>10 of those videos were misleading, so opposite of useful,

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00:16:29.400 --> 00:16:32.599
<v Speaker 4>and the rest were neither useful nor misleading, so it

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00:16:32.599 --> 00:16:37.070
<v Speaker 4>can be content about personal experiences, comedy, art, discussions, interviews,

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00:16:37.090 --> 00:16:38.020
<v Speaker 4>and things like that.

NOTE CONF {"raw":[99,100,100,100]}

00:16:39.940 --> 00:16:42.059
<v Speaker 4>The two terms that have come up in my review

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00:16:42.059 --> 00:16:45.559
<v Speaker 4>of current literature are the Barnum effect and confirmation bias.

NOTE CONF {"raw":[100,100,100,96,99,99,99,100,100,100]}

00:16:46.090 --> 00:16:49.109
<v Speaker 4>Um, these are extremely important when we're thinking about how

NOTE CONF {"raw":[99,99,100,100,100,100,99,100,100,100]}

00:16:49.109 --> 00:16:52.500
<v Speaker 4>teens are interacting with TikTok and other social media platforms.

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00:16:53.219 --> 00:16:55.739
<v Speaker 4>They're looking for themselves in the content, and they're interacting

NOTE CONF {"raw":[98,99,99,99,99,99,100,99,99,100]}

00:16:55.739 --> 00:16:58.099
<v Speaker 4>with videos that confirm their prior beliefs.

NOTE CONF {"raw":[99,100,99,99,99,100,99]}

00:16:58.380 --> 00:17:00.780
<v Speaker 4>And as a result, prolonged use of TikTok and other

NOTE CONF {"raw":[70,99,99,100,99,99,99,99,99,100]}

00:17:00.780 --> 00:17:01.849
<v Speaker 4>video platforms.

NOTE CONF {"raw":[100,100]}

00:17:03.059 --> 00:17:05.859
<v Speaker 4>Gives you an algorithm feed that creates this echo chamber

NOTE CONF {"raw":[89,99,99,99,99,99,99,99,99,99]}

00:17:05.859 --> 00:17:06.640
<v Speaker 4>for the user.

NOTE CONF {"raw":[99,99,99]}

00:17:08.770 --> 00:17:11.849
<v Speaker 4>And we know that heuristics play a role in this,

NOTE CONF {"raw":[99,99,100,100,100,100,100,100,100,100]}

00:17:11.930 --> 00:17:12.099
<v Speaker 4>right?

NOTE CONF {"raw":[100]}

00:17:12.209 --> 00:17:14.849
<v Speaker 4>So this frequent exposure to something leads us to believe

NOTE CONF {"raw":[99,100,100,100,100,100,100,100,100,100]}

00:17:14.849 --> 00:17:17.150
<v Speaker 4>that it is more common than it actually is.

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00:17:17.530 --> 00:17:20.290
<v Speaker 4>If you watch a lot of trauma content, suddenly everything

NOTE CONF {"raw":[99,99,100,100,100,100,100,100,99,99]}

00:17:20.290 --> 00:17:21.229
<v Speaker 4>is trauma related.

NOTE CONF {"raw":[100,100,99]}

00:17:22.089 --> 00:17:25.540
<v Speaker 4>A complicating factor here is the likes and views that

NOTE CONF {"raw":[99,100,100,100,100,100,100,100,100,100]}

00:17:25.540 --> 00:17:26.930
<v Speaker 4>some of these videos rack up.

NOTE CONF {"raw":[100,100,100,100,100,100]}

00:17:27.219 --> 00:17:30.199
<v Speaker 4>Adolescents and young adults see how popular some mental health

NOTE CONF {"raw":[100,100,100,100,100,100,100,100,100,100]}

00:17:30.380 --> 00:17:34.140
<v Speaker 4>videos are, and they see the sympathy and comments that

NOTE CONF {"raw":[100,100,100,100,100,100,100,100,99,100]}

00:17:34.140 --> 00:17:37.780
<v Speaker 4>come with a video, and there's a thought that these

NOTE CONF {"raw":[100,100,76,100,97,100,100,100,100,100]}

00:17:37.780 --> 00:17:39.520
<v Speaker 4>behaviors are desirable.

NOTE CONF {"raw":[100,100,100]}

00:17:39.660 --> 00:17:44.300
<v Speaker 4>It reminds me of uh my younger years in sad

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00:17:44.300 --> 00:17:47.369
<v Speaker 4>Girl Tumblr era, where it was an aesthetic, it was

NOTE CONF {"raw":[74,93,100,100,100,99,99,99,94,100]}

00:17:47.369 --> 00:17:50.500
<v Speaker 4>something to aspire, aspire to.

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00:17:51.810 --> 00:17:55.060
<v Speaker 4>For video creators, the algorithm pushes videos that are engaging.

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00:17:55.489 --> 00:17:58.130
<v Speaker 4>It can support a worldview, they get pushed.

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00:17:58.489 --> 00:18:01.569
<v Speaker 4>If they lead to engagement, even negative engagement, they get

NOTE CONF {"raw":[90,99,99,99,100,99,100,100,99,100]}

00:18:01.569 --> 00:18:01.969
<v Speaker 4>pushed.

NOTE CONF {"raw":[100]}

00:18:02.250 --> 00:18:05.209
<v Speaker 4>If a creator wants their video to gain traction, they

NOTE CONF {"raw":[99,99,99,99,99,100,99,99,100,99]}

00:18:05.209 --> 00:18:07.209
<v Speaker 4>create content that the people want to see.

NOTE CONF {"raw":[100,100,99,99,100,99,96,100]}

00:18:10.530 --> 00:18:13.359
<v Speaker 4>So to sum it up, we see that there is

NOTE CONF {"raw":[99,99,99,99,99,99,100,99,99,85]}

00:18:13.359 --> 00:18:16.770
<v Speaker 4>evidence that videos featuring personal experience with behavioral health get

NOTE CONF {"raw":[100,99,99,99,100,100,99,99,99,99]}

00:18:16.770 --> 00:18:17.989
<v Speaker 4>the highest engagement.

NOTE CONF {"raw":[99,99,99]}

00:18:18.489 --> 00:18:21.969
<v Speaker 4>Related, there are far more non-healthcare professional creators in the

NOTE CONF {"raw":[98,99,99,99,99,74,100,99,99,99]}

00:18:21.969 --> 00:18:24.329
<v Speaker 4>TikTok space than healthcare professionals.

NOTE CONF {"raw":[98,99,99,74,99]}

00:18:25.160 --> 00:18:27.569
<v Speaker 4>These videos are not substantially different in terms of views,

NOTE CONF {"raw":[99,100,100,100,100,100,100,100,100,93]}

00:18:27.579 --> 00:18:28.599
<v Speaker 4>likes or comments.

NOTE CONF {"raw":[94,99,99]}

00:18:28.689 --> 00:18:33.050
<v Speaker 4>So can adolescents and young adults really distinguish between something

NOTE CONF {"raw":[93,100,99,100,100,100,100,100,100,100]}

00:18:33.050 --> 00:18:35.030
<v Speaker 4>that is reputable and non-reputable?

NOTE CONF {"raw":[100,100,100,100,99]}

00:18:35.329 --> 00:18:37.729
<v Speaker 4>And, you know, not to mention we're in an era

NOTE CONF {"raw":[99,100,100,100,100,100,100,100,100,100]}

00:18:37.729 --> 00:18:41.089
<v Speaker 4>that is devaluing higher education and degrees and licenses and

NOTE CONF {"raw":[100,100,100,100,100,100,100,99,100,97]}

00:18:41.089 --> 00:18:41.869
<v Speaker 4>online spaces.

NOTE CONF {"raw":[99,100]}

00:18:42.719 --> 00:18:46.040
<v Speaker 4>There's a debate going on about who can speak authoritatively

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00:18:46.040 --> 00:18:47.439
<v Speaker 4>on the subject of mental health.

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00:18:47.770 --> 00:18:49.959
<v Speaker 4>Those with degrees and licenses in mental health are seen

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00:18:49.959 --> 00:18:53.959
<v Speaker 4>as gatekeeping information about mental health when we try to

NOTE CONF {"raw":[100,100,100,100,100,100,99,100,100,100]}

00:18:53.959 --> 00:18:57.819
<v Speaker 4>limit what non-healthcare professionals can promote on their channels.

NOTE CONF {"raw":[100,100,98,100,100,100,100,100,100]}

00:18:58.319 --> 00:19:01.469
<v Speaker 4>Misinformation is often the norm rather than the exception, and

NOTE CONF {"raw":[98,100,100,100,100,100,100,100,100,99]}

00:19:01.469 --> 00:19:04.859
<v Speaker 4>TikTok's algorithm can push unhealthy content to users.

NOTE CONF {"raw":[99,100,100,100,100,100,100,100]}

00:19:06.329 --> 00:19:08.449
<v Speaker 4>So I wanna leave you with a quote that I've

NOTE CONF {"raw":[99,99,91,99,99,100,99,100,100,85]}

00:19:08.449 --> 00:19:11.219
<v Speaker 4>found in a Teen Vogue article, which, if you haven't

NOTE CONF {"raw":[100,99,99,99,99,100,99,100,100,100]}

00:19:11.219 --> 00:19:12.800
<v Speaker 4>read Teen Vogue, Teen Vogue's awesome.

NOTE CONF {"raw":[100,99,99,99,89,100]}

00:19:12.930 --> 00:19:14.619
<v Speaker 4>Um, in this article, oh.

NOTE CONF {"raw":[62,83,100,100,99]}

00:19:16.089 --> 00:19:17.989
<v Speaker 4>This was about um mental health.

NOTE CONF {"raw":[99,99,100,98,100,99]}

00:19:18.130 --> 00:19:21.170
<v Speaker 4>So, um, even if you aren't seeking out mental health

NOTE CONF {"raw":[99,74,100,100,100,100,100,100,100,100]}

00:19:21.170 --> 00:19:23.729
<v Speaker 4>symptoms on social media, the algorithm may give them to

NOTE CONF {"raw":[100,100,100,100,100,100,100,100,100,100]}

00:19:23.729 --> 00:19:24.410
<v Speaker 4>you anyway.

NOTE CONF {"raw":[100,100]}

00:19:45.500 --> 00:19:47.199
<v Speaker 4>Doctor, I think you may be muted.

NOTE CONF {"raw":[95,99,99,99,99,99,99]}

00:19:51.329 --> 00:19:52.550
<v Speaker 5>Can you all hear me now?

NOTE CONF {"raw":[92,98,94,99,100,100]}

00:19:53.130 --> 00:19:53.510
<v Speaker 5>Perfect.

NOTE CONF {"raw":[99]}

00:19:54.010 --> 00:19:55.010
<v Speaker 5>OK, so I'm Dr.

NOTE CONF {"raw":[99,99,99,96]}

00:19:55.089 --> 00:19:57.890
<v Speaker 5>Amy C and I'm a pediatric psychologist and colleagues of

NOTE CONF {"raw":[99,97,99,99,100,100,100,100,99,99]}

00:19:57.890 --> 00:19:59.569
<v Speaker 5>Doctors Whiteside and Wynd Driver.

NOTE CONF {"raw":[83,99,100,22,83]}

00:19:59.609 --> 00:20:02.410
<v Speaker 5>And while we're all clinicians, um, I'm based at the

NOTE CONF {"raw":[72,99,99,100,100,69,96,100,100,100]}

00:20:02.410 --> 00:20:07.089
<v Speaker 5>local children's hospital and primarily provide behavioral health consultation services

NOTE CONF {"raw":[100,91,98,100,100,100,100,100,99,100]}

00:20:07.089 --> 00:20:09.569
<v Speaker 5>in the outpatient specialty clinics with.

NOTE CONF {"raw":[99,99,100,99,99,98]}

00:20:09.739 --> 00:20:12.810
<v Speaker 5>Some ongoing therapy with school-aged kids who have acute or

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00:20:12.810 --> 00:20:16.829
<v Speaker 5>chronic health issues and some emotional or behavioral health difficulty.

NOTE CONF {"raw":[99,99,99,99,99,99,99,99,99,99]}

00:20:17.459 --> 00:20:19.609
<v Speaker 5>I feel like I have the easy job today because

NOTE CONF {"raw":[99,99,99,99,99,89,99,100,99,81]}

00:20:19.609 --> 00:20:22.170
<v Speaker 5>I get to talk about the risks and benefits of

NOTE CONF {"raw":[99,99,99,100,100,99,99,99,99,99]}

00:20:22.170 --> 00:20:24.689
<v Speaker 5>short form videos and reels with regard to behavioral health

NOTE CONF {"raw":[99,99,99,99,99,99,100,99,99,99]}

00:20:24.689 --> 00:20:26.209
<v Speaker 5>diagnoses and intervention.

NOTE CONF {"raw":[94,99,99]}

00:20:26.540 --> 00:20:27.829
<v Speaker 5>So let's get to it.

NOTE CONF {"raw":[99,99,99,100,99]}

00:20:28.829 --> 00:20:31.349
<v Speaker 5>Using TikTok and other types of short form videos and

NOTE CONF {"raw":[84,99,100,100,100,100,100,99,100,99]}

00:20:31.349 --> 00:20:35.670
<v Speaker 5>reels to self-diagnose behavioral health issues and address behavioral health

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00:20:35.670 --> 00:20:38.510
<v Speaker 5>needs is, like with anything else, bound to come with

NOTE CONF {"raw":[100,99,100,99,100,100,99,100,100,100]}

00:20:38.510 --> 00:20:41.569
<v Speaker 5>risks in additions to the benefits that should be considered.

NOTE CONF {"raw":[100,96,99,100,100,99,100,100,100,100]}

00:20:52.310 --> 00:20:54.729
<v Speaker 5>While some have argued that benefits are limited and that

NOTE CONF {"raw":[99,99,99,99,99,99,99,99,99,99]}

00:20:54.729 --> 00:20:58.310
<v Speaker 5>the risks significantly outweigh the benefits, we're just beginning to

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00:20:58.310 --> 00:21:01.989
<v Speaker 5>understand the influence and the impact of these platforms, and

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00:21:01.989 --> 00:21:04.750
<v Speaker 5>a further review and continued discussion of the risks versus

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00:21:04.750 --> 00:21:08.209
<v Speaker 5>benefits is likely why our talk was accepted at APA

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00:21:08.670 --> 00:21:12.589
<v Speaker 5>and why it's being promoted and being something that we're

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00:21:12.589 --> 00:21:14.900
<v Speaker 5>showing and doing for other groups.

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00:21:15.469 --> 00:21:17.989
<v Speaker 5>It's so that we can make informed decisions with regard

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00:21:17.989 --> 00:21:21.390
<v Speaker 5>to utilization and the overall value of these platforms.

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00:21:24.989 --> 00:21:27.510
<v Speaker 5>So overall what we found today and I'd like to

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00:21:27.510 --> 00:21:33.609
<v Speaker 5>discuss with you is that um While highly visual platforms

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00:21:33.609 --> 00:21:36.410
<v Speaker 5>with reels and other short form videos like TikTok can

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00:21:36.410 --> 00:21:39.930
<v Speaker 5>provide a sense of validation and community for individuals with

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00:21:39.930 --> 00:21:43.449
<v Speaker 5>behavioral health issues, especially those who are isolated, who may

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00:21:43.449 --> 00:21:47.930
<v Speaker 5>have limited information and may feel misunderstood, the information provided

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00:21:47.930 --> 00:21:51.410
<v Speaker 5>may not be accurate or complete, may be sensationalized for

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00:21:51.410 --> 00:21:55.810
<v Speaker 5>likes and views, and significant misinformation, specifically if it leads

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00:21:55.810 --> 00:21:58.089
<v Speaker 5>to misdiagnosis, can be harmful.

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00:22:04.609 --> 00:22:08.349
<v Speaker 5>So what's the consensus with regard to risk and benefit,

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00:22:08.729 --> 00:22:12.719
<v Speaker 5>um, TikTok and other short form video platforms can provide

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00:22:12.719 --> 00:22:16.520
<v Speaker 5>a sense of community, support, and shared experience for individuals

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00:22:16.520 --> 00:22:19.760
<v Speaker 5>who are struggling with their emotional and behavioral functioning and

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00:22:19.760 --> 00:22:21.839
<v Speaker 5>may be very much needed for those who may feel

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00:22:21.839 --> 00:22:25.140
<v Speaker 5>that they're misunderstood or feeling isolated or that they're struggling

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00:22:25.140 --> 00:22:25.849
<v Speaker 5>on their own.

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00:22:27.859 --> 00:22:31.229
<v Speaker 5>Spreading this spreading information about behavioral health is important.

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00:22:31.310 --> 00:22:35.030
<v Speaker 5>It's why we talk about dissemination of information with regard

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00:22:35.030 --> 00:22:36.910
<v Speaker 5>to psychological science all the time.

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00:22:36.989 --> 00:22:38.030
<v Speaker 5>It's why we publish.

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00:22:38.069 --> 00:22:40.229
<v Speaker 5>It's why we create educational content.

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00:22:40.430 --> 00:22:41.949
<v Speaker 5>It's why we do trainings like these.

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00:22:42.060 --> 00:22:42.969
<v Speaker 5>It's why we teach.

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00:22:43.630 --> 00:22:48.030
<v Speaker 5>Getting information about behavioral health diagnoses and evidence-based interventions and

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00:22:48.030 --> 00:22:52.810
<v Speaker 5>supports can help increase awareness and normalize behavioral health issues.

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00:22:53.630 --> 00:22:56.349
<v Speaker 5>It can normalize the treatment of behavioral health issues.

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00:22:56.640 --> 00:22:59.150
<v Speaker 5>And doesn't GI Joe say and knowing is half the

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00:22:59.150 --> 00:22:59.579
<v Speaker 5>battle.

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00:22:59.839 --> 00:23:03.640
<v Speaker 5>Validating and normalizing the experience of others can help individuals

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00:23:03.640 --> 00:23:06.000
<v Speaker 5>who may be struggling and do not know what's going

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00:23:06.000 --> 00:23:07.959
<v Speaker 5>on with them or what to do, and it can

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00:23:07.959 --> 00:23:11.000
<v Speaker 5>make them feel less alone and help them understand different

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00:23:11.000 --> 00:23:13.430
<v Speaker 5>options with regard to treating issues they now have a

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00:23:13.430 --> 00:23:14.640
<v Speaker 5>name or label for.

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00:23:15.199 --> 00:23:18.589
<v Speaker 5>In terms of the creative outlet, individuals who are struggling

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00:23:18.589 --> 00:23:21.250
<v Speaker 5>with behavioral health issues have really turned to these short

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00:23:21.250 --> 00:23:24.579
<v Speaker 5>form video platforms to express themselves, to let some of

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00:23:24.579 --> 00:23:27.250
<v Speaker 5>the things that they've kept in or don't feel comfortable

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00:23:27.250 --> 00:23:30.050
<v Speaker 5>or able to show in their private lives out on

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00:23:30.050 --> 00:23:33.449
<v Speaker 5>a whole other level, one without direct negative feedback or

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00:23:33.449 --> 00:23:36.770
<v Speaker 5>backlash or the immediate consequences that can come with being

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00:23:36.770 --> 00:23:37.989
<v Speaker 5>yourself IRL.

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00:23:42.810 --> 00:23:45.609
<v Speaker 5>I've referenced TikTok videos or reels that are trending at

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00:23:45.609 --> 00:23:48.170
<v Speaker 5>the moment in therapy, maybe to get cred or to

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00:23:48.170 --> 00:23:51.250
<v Speaker 5>start a conversation in a more approachable way or within

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00:23:51.250 --> 00:23:53.770
<v Speaker 5>the limits or like a delicate dance to try to

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00:23:53.770 --> 00:23:57.229
<v Speaker 5>talk to adolescents in their own language, to provide information

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00:23:57.229 --> 00:24:00.729
<v Speaker 5>or obtain information that is relevant and or acceptable for

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00:24:00.729 --> 00:24:01.150
<v Speaker 5>them.

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00:24:01.670 --> 00:24:02.050
<v Speaker 5>I might.

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00:24:02.130 --> 00:24:04.689
<v Speaker 5>Use generational slang or language.

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00:24:04.849 --> 00:24:07.829
<v Speaker 5>I might reference a recipe that's all the rage, which,

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00:24:07.890 --> 00:24:09.489
<v Speaker 5>by the way, is a phrase of speech I might

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00:24:09.489 --> 00:24:11.609
<v Speaker 5>use here today in front of you guys, but would

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00:24:11.609 --> 00:24:14.439
<v Speaker 5>definitely not use in the context of teens, as I

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00:24:14.439 --> 00:24:16.489
<v Speaker 5>would no doubt quickly be outed as one who is

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00:24:16.489 --> 00:24:19.890
<v Speaker 5>not alpha or Sigma and maybe even oh the whore

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00:24:19.890 --> 00:24:21.510
<v Speaker 5>be thought of as a boomer.

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00:24:22.079 --> 00:24:24.400
<v Speaker 5>I do this when I'm trying to provide recommendations to

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00:24:24.400 --> 00:24:27.130
<v Speaker 5>teens in the clinic and families as well.

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00:24:27.239 --> 00:24:30.319
<v Speaker 5>I try to offer handouts and information that include website

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00:24:30.319 --> 00:24:34.000
<v Speaker 5>references or mobile health apps for things like guided relaxation

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00:24:34.000 --> 00:24:38.660
<v Speaker 5>videos or apps for tracking migraines, medications, or bowel movements,

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00:24:38.869 --> 00:24:41.599
<v Speaker 5>and websites with great filters like those that can filter

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00:24:41.599 --> 00:24:44.880
<v Speaker 5>out behavioral health providers in one's own community who do

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00:24:44.880 --> 00:24:48.640
<v Speaker 5>not accept one's insurance when trying to assist individuals in

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00:24:48.640 --> 00:24:52.255
<v Speaker 5>accessing or establishing ongoing therapy if Recommending it.

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00:24:52.564 --> 00:24:54.805
<v Speaker 5>These videos and reels provide a lot of food for

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00:24:54.805 --> 00:24:58.285
<v Speaker 5>fodder, and while they say no publicity is bad publicity

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00:24:58.285 --> 00:25:01.405
<v Speaker 5>and videos can start conversations even if it is to

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00:25:01.405 --> 00:25:04.724
<v Speaker 5>address misinformation or correct assumptions that are out there that

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00:25:04.724 --> 00:25:07.234
<v Speaker 5>might need to be corrected, if we don't know what

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00:25:07.234 --> 00:25:09.305
<v Speaker 5>teens are consuming, we can't do this.

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00:25:09.405 --> 00:25:12.834
<v Speaker 5>By placing information about behavioral health on TikTok and other

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00:25:12.834 --> 00:25:13.935
<v Speaker 5>video platforms.

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00:25:14.125 --> 00:25:17.005
<v Speaker 5>We're, we're better able to know what's out there and

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00:25:17.005 --> 00:25:19.564
<v Speaker 5>have a finger on the pulse of the current zeitgeist

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00:25:19.564 --> 00:25:20.464
<v Speaker 5>for teens.

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00:25:24.170 --> 00:25:26.650
<v Speaker 5>And as Paul Harvey says, and now the rest of

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00:25:26.650 --> 00:25:29.609
<v Speaker 5>the story, and in no certain order, we should probably

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00:25:29.609 --> 00:25:33.420
<v Speaker 5>get to the potential costs or limitations of these platforms.

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00:25:34.459 --> 00:25:36.500
<v Speaker 5>So if knowing is half the battle, knowing is good,

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00:25:36.619 --> 00:25:36.939
<v Speaker 5>right?

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00:25:37.300 --> 00:25:40.819
<v Speaker 5>Well, maybe not if the content is sensationalized for likes

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00:25:40.819 --> 00:25:44.339
<v Speaker 5>and subscribes or clicks which can turn into dollars or

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00:25:44.339 --> 00:25:46.819
<v Speaker 5>to further the agenda of an individual who has very

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00:25:46.819 --> 00:25:49.300
<v Speaker 5>much had their sights set on one day being plucked

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00:25:49.300 --> 00:25:51.540
<v Speaker 5>out of their obscure little corner or space of the

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00:25:51.540 --> 00:25:54.859
<v Speaker 5>web, who's finally found that special formula and their video

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00:25:54.859 --> 00:25:57.859
<v Speaker 5>has gone viral, and they are now internet famous.

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00:25:58.060 --> 00:25:59.939
<v Speaker 5>What I want to put out there is that there's

NOTE CONF {"raw":[99,99,99,99,100,99,99,99,99,99]}

00:25:59.939 --> 00:26:01.260
<v Speaker 5>perhaps secondary gain.

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00:26:01.500 --> 00:26:03.949
<v Speaker 5>That might be at play when people are creating or

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00:26:03.949 --> 00:26:06.219
<v Speaker 5>publishing content for others to view on these type of

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00:26:06.219 --> 00:26:07.040
<v Speaker 5>platforms.

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00:26:07.500 --> 00:26:10.900
<v Speaker 5>It's information if information has been sensationalized, so to speak,

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00:26:11.060 --> 00:26:14.619
<v Speaker 5>or there's misinformation that's spread faster than anyone can actually

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00:26:14.619 --> 00:26:18.660
<v Speaker 5>do anything about, information that cannot be policed or contained,

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00:26:18.979 --> 00:26:22.569
<v Speaker 5>that this type of information can very much amplify worry

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00:26:22.569 --> 00:26:26.099
<v Speaker 5>or fear related to certain behavioral health issues, misinformation.

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00:26:26.474 --> 00:26:29.905
<v Speaker 5>can result in unnecessary anxiety or distress as opposed to

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00:26:29.905 --> 00:26:33.415
<v Speaker 5>a more clear understanding of behavioral health issues or needs,

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00:26:33.824 --> 00:26:36.905
<v Speaker 5>especially for parents or caregivers of teens, parents who may

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00:26:36.905 --> 00:26:39.145
<v Speaker 5>have concerns of their own and turn to their own

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00:26:39.145 --> 00:26:43.135
<v Speaker 5>videos and reels to find information that reinforces negative beliefs

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00:26:43.145 --> 00:26:46.385
<v Speaker 5>or that exacerbate an already difficult to navigate conversation with

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00:26:46.385 --> 00:26:49.464
<v Speaker 5>their teen or even with a potential treatment provider if

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00:26:49.464 --> 00:26:50.724
<v Speaker 5>one is accessed.

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00:26:53.180 --> 00:26:56.099
<v Speaker 5>Video with the content and the projection of certain images

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00:26:56.099 --> 00:26:59.790
<v Speaker 5>that content creators, influencers, or companies that pay to have

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00:26:59.790 --> 00:27:02.219
<v Speaker 5>access to the followers of those creators in order to

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00:27:02.219 --> 00:27:05.459
<v Speaker 5>market to certain populations put out there for all to

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00:27:05.459 --> 00:27:08.500
<v Speaker 5>see an idealized image or narrative, and this image or

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00:27:08.500 --> 00:27:12.719
<v Speaker 5>narrative can cause comparisons and can engender or highlight potential

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00:27:12.719 --> 00:27:15.619
<v Speaker 5>feelings of inadequacy and can negatively impact.

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00:27:15.709 --> 00:27:19.069
<v Speaker 5>Self-esteem, they can potentially lead others to think that perhaps

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00:27:19.069 --> 00:27:22.150
<v Speaker 5>by comparison their behavioral health issues are not as big

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00:27:22.150 --> 00:27:25.229
<v Speaker 5>of a deal or is not as significant and therefore

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00:27:25.229 --> 00:27:28.869
<v Speaker 5>do not warrant diagnosis or intervention or even just increase

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00:27:28.869 --> 00:27:31.800
<v Speaker 5>the negative thoughts or feelings those suffering from behavioral health

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00:27:31.800 --> 00:27:37.420
<v Speaker 5>difficulties can have which can inadvertently worsen the existing symptoms

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00:27:37.420 --> 00:27:38.229
<v Speaker 5>or issues.

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00:27:40.489 --> 00:27:41.010
<v Speaker 5>So like Dr.

NOTE CONF {"raw":[99,99,99]}

00:27:41.250 --> 00:27:44.430
<v Speaker 5>Whiteside has brought up, some research suggests that exposure to

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00:27:44.430 --> 00:27:48.719
<v Speaker 5>certain content on platforms or utilization of the platform's algorithms

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00:27:49.209 --> 00:27:52.609
<v Speaker 5>can cause a disproportionate exposure to certain kinds of content

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00:27:52.609 --> 00:27:56.640
<v Speaker 5>or the prevalence of exposure to idealized or sensationalized images

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00:27:56.640 --> 00:27:59.930
<v Speaker 5>and or narratives, or just exposure to certain content can

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00:27:59.930 --> 00:28:03.733
<v Speaker 5>trigger or Increased symptoms of depression and anxiety, especially in

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00:28:03.733 --> 00:28:05.802
<v Speaker 5>vulnerable populations or users.

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00:28:06.083 --> 00:28:09.772
<v Speaker 5>The amplification of symptoms can lead individuals to feeling worse

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00:28:09.772 --> 00:28:12.932
<v Speaker 5>or perceived more intense or frequent symptoms that they might

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00:28:12.932 --> 00:28:15.072
<v Speaker 5>have had without this type of exposure.

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00:28:15.493 --> 00:28:17.613
<v Speaker 5>Maybe it's a way to identify with a group or

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00:28:17.613 --> 00:28:20.493
<v Speaker 5>to foster a sense of belonging or identity during a

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00:28:20.493 --> 00:28:20.652
<v Speaker 5>state.

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00:28:20.816 --> 00:28:23.615
<v Speaker 5>of identity formation or the development of one's own sense

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00:28:23.615 --> 00:28:26.806
<v Speaker 5>of self, but teens are going through so many challenges

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00:28:26.806 --> 00:28:30.095
<v Speaker 5>and are considered more susceptible and more easily influenced due

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00:28:30.095 --> 00:28:33.735
<v Speaker 5>to lack of formally formed, fully formed sense of self

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00:28:33.735 --> 00:28:35.926
<v Speaker 5>and a desire to please or fit in and to

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00:28:35.926 --> 00:28:39.576
<v Speaker 5>not look different or to garner potential disapproval or negative

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00:28:39.576 --> 00:28:40.776
<v Speaker 5>attention in any way.

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00:28:41.060 --> 00:28:43.660
<v Speaker 5>Their brains are basically made for this, or should I

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00:28:43.660 --> 00:28:47.380
<v Speaker 5>say made for developing and fostering relationships, and identity based

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00:28:47.380 --> 00:28:50.869
<v Speaker 5>on approval and attention and engagement within the context of

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00:28:50.869 --> 00:28:51.739
<v Speaker 5>their peer groups.

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00:28:52.020 --> 00:28:54.859
<v Speaker 5>But when the brain with all its adolescent brain chemistry

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00:28:54.859 --> 00:28:59.339
<v Speaker 5>is exposed to instant social gratification, perceptions can be skewed

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00:28:59.339 --> 00:29:02.380
<v Speaker 5>and identification based on a desire to fit in rather

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00:29:02.380 --> 00:29:02.579
<v Speaker 5>than.

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00:29:02.839 --> 00:29:07.319
<v Speaker 5>Actual constellation of symptoms and then subsequent acceptance and praise

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00:29:07.319 --> 00:29:10.859
<v Speaker 5>from those trying to provide or foster support might perpetuate

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00:29:10.859 --> 00:29:13.260
<v Speaker 5>a self-assigned label or diagnosis.

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00:29:13.780 --> 00:29:17.339
<v Speaker 5>Social contagion and self-diagnosis of certain behavioral health disorders or

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00:29:17.339 --> 00:29:21.810
<v Speaker 5>symptoms in particular, to include eating disorders, Tourette's syndrome, especially

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00:29:21.810 --> 00:29:24.339
<v Speaker 5>among teen girl users, has been highlighted.

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00:29:24.819 --> 00:29:28.109
<v Speaker 5>Perhaps it's because of this, because of this group's susceptibility

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00:29:28.109 --> 00:29:30.989
<v Speaker 5>or potentially related to a strong desire to fit in

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00:29:30.989 --> 00:29:34.310
<v Speaker 5>or gain social cred online that social contagion has been

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00:29:34.310 --> 00:29:38.849
<v Speaker 5>posited as a potentially underlying factor involved in increased self-diagnosis

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00:29:39.189 --> 00:29:43.349
<v Speaker 5>and increased presentation of symptoms or risk for developing symptoms

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00:29:43.349 --> 00:29:44.650
<v Speaker 5>within this population.

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00:29:44.989 --> 00:29:48.150
<v Speaker 5>Additionally, the stereotypical nature of some of the content can

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00:29:48.150 --> 00:29:49.709
<v Speaker 5>lead to increased imitation.

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00:29:55.239 --> 00:29:58.170
<v Speaker 5>Perhaps the biggest costs are with regard to misinformation and

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00:29:58.170 --> 00:30:02.449
<v Speaker 5>misdiagnosis is the delaying of professional diagnosis and treatment and

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00:30:02.449 --> 00:30:05.810
<v Speaker 5>the potential negative impact that information obtained via short form

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00:30:05.810 --> 00:30:09.410
<v Speaker 5>videos can have on treatment efficacy or outcomes when behavioral

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00:30:09.410 --> 00:30:11.199
<v Speaker 5>health assistance is accessed.

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00:30:11.569 --> 00:30:17.189
<v Speaker 5>Self-diagnosis based on misinformation or misinterpretation of experiences can result

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00:30:17.329 --> 00:30:18.790
<v Speaker 5>in misdiagnosis.

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00:30:19.790 --> 00:30:23.670
<v Speaker 5>Users of these platforms can be inundated with biased and

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00:30:23.670 --> 00:30:24.750
<v Speaker 5>inaccurate content.

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00:30:24.949 --> 00:30:28.989
<v Speaker 5>This can result in misinterpretation of their experiences and symptoms

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00:30:28.989 --> 00:30:32.670
<v Speaker 5>and can lead to increased self-diagnosis of behavioral health disorders

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00:30:32.670 --> 00:30:35.989
<v Speaker 5>they do not actually have or lead to inaccurate beliefs

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00:30:35.989 --> 00:30:39.189
<v Speaker 5>about the severity or prognosis of of issues that they

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00:30:39.189 --> 00:30:39.790
<v Speaker 5>do have.

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00:30:44.310 --> 00:30:48.400
<v Speaker 5>Self-diagnosis and relying on TikTok and other platforms for treatment

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00:30:48.400 --> 00:30:52.400
<v Speaker 5>or to cure one's self-diagnosed behavioral health issue can delay

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00:30:52.400 --> 00:30:56.199
<v Speaker 5>the seeking of professional help for accurate assessment, diagnosis, and

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00:30:56.199 --> 00:30:58.719
<v Speaker 5>guidance with regard to one's behavioral health.

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00:30:59.689 --> 00:31:03.869
<v Speaker 5>Additionally, self-diagnosis can cause individuals to treat one but not

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00:31:04.000 --> 00:31:07.469
<v Speaker 5>all the other behavioral health needs if or when comorbidities

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00:31:07.469 --> 00:31:07.839
<v Speaker 5>exist.

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00:31:07.969 --> 00:31:10.770
<v Speaker 5>This can be more problematic for the individual than if

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00:31:10.770 --> 00:31:14.069
<v Speaker 5>their comorbidities have been diagnosed and treated concurrently.

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00:31:15.859 --> 00:31:19.670
<v Speaker 5>Um, self-diagnosis and identity based on, on this perception can

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00:31:19.670 --> 00:31:23.069
<v Speaker 5>lead to increased entrenchment or belief that something is what

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00:31:23.069 --> 00:31:25.810
<v Speaker 5>it is and can't be something else and can lead

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00:31:25.810 --> 00:31:26.780
<v Speaker 5>individuals.

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00:31:29.680 --> 00:31:34.199
<v Speaker 5>A can lead individuals to potentially not be open to

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00:31:34.199 --> 00:31:38.199
<v Speaker 5>a diagnosis being incorrect or the idea that something else

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00:31:38.199 --> 00:31:40.680
<v Speaker 5>could be going on or that additional issues might be

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00:31:40.680 --> 00:31:41.380
<v Speaker 5>at play.

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00:31:41.560 --> 00:31:45.439
<v Speaker 5>It can negatively impact the therapeutic experience and relationship and

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00:31:45.439 --> 00:31:45.780
<v Speaker 5>can.

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00:31:46.310 --> 00:31:50.989
<v Speaker 5>Delay or prevent treatment buy-in, motivation, efficacy, and or benefit

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00:31:50.989 --> 00:31:51.589
<v Speaker 5>of treatment.

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00:31:51.829 --> 00:31:54.189
<v Speaker 5>Talk about not setting a therapist of a teen up

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00:31:54.189 --> 00:31:55.170
<v Speaker 5>for success.

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00:31:55.430 --> 00:31:59.150
<v Speaker 5>If the therapist is attempting to correct misinformation or misconceptions

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00:31:59.150 --> 00:32:03.390
<v Speaker 5>or misdiagnoses, this can really potentially increase the likelihood that

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00:32:03.390 --> 00:32:06.689
<v Speaker 5>the teen may feel dismissed or invalidated by their therapist.

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00:32:08.760 --> 00:32:11.760
<v Speaker 5>So I also hope that I can get this volume

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00:32:11.760 --> 00:32:15.400
<v Speaker 5>going, but after discussing some of these risks and benefits

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00:32:15.400 --> 00:32:18.160
<v Speaker 5>in further detail, I thought it might be helpful to

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00:32:18.160 --> 00:32:22.260
<v Speaker 5>show two examples that highlight the good and the bad.

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00:32:22.920 --> 00:32:25.500
<v Speaker 5>This first example, I want you guys to watch and

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00:32:25.680 --> 00:32:29.280
<v Speaker 5>maybe put in the comments what characteristics you think might

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00:32:29.839 --> 00:32:33.239
<v Speaker 5>make this reel, a good example of information about behavioral

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00:32:33.239 --> 00:32:34.430
<v Speaker 5>health on TikTok.

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00:32:36.810 --> 00:32:38.300
<v Speaker 6>I thought you'd never ask.

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00:32:38.420 --> 00:32:41.369
<v Speaker 6>OK, so psychiatrist with ADHD here, let's talk about the

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00:32:41.369 --> 00:32:43.810
<v Speaker 6>actual diagnostic criteria for ADHD.

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00:32:44.250 --> 00:32:47.810
<v Speaker 6>There are two main categories that we think about, inattentive

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00:32:47.810 --> 00:32:51.729
<v Speaker 6>symptoms and hyperactive impulsive symptoms, and you can have a

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00:32:51.729 --> 00:32:53.689
<v Speaker 6>combination of both or you can have one or the

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00:32:53.689 --> 00:32:54.109
<v Speaker 6>other.

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00:32:54.630 --> 00:32:56.880
<v Speaker 6>Symptoms have to be present for at least 6 months.

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00:32:56.979 --> 00:32:59.390
<v Speaker 6>They can't be caused by any other mental health issue

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00:32:59.390 --> 00:33:02.430
<v Speaker 6>like an episode of depression or severe anxiety, and they

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00:33:02.430 --> 00:33:04.430
<v Speaker 6>have to have been present when the person was a

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00:33:04.430 --> 00:33:06.910
<v Speaker 6>child and in different domains of their life.

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00:33:06.989 --> 00:33:09.819
<v Speaker 6>So it can't just be that they're distracted at school.

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00:33:09.910 --> 00:33:12.030
<v Speaker 6>It has to be like school and home, something like

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00:33:12.030 --> 00:33:12.469
<v Speaker 6>that.

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00:33:12.829 --> 00:33:14.989
<v Speaker 6>And most importantly, these are symptoms that are going to

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00:33:14.989 --> 00:33:17.189
<v Speaker 6>happen to everyone at some point in their life, but

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00:33:17.189 --> 00:33:20.310
<v Speaker 6>if you have ADHD, they are excessive and it's to

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00:33:20.310 --> 00:33:22.739
<v Speaker 6>the point where these symptoms get in the way of

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00:33:22.739 --> 00:33:23.989
<v Speaker 6>your ability to function.

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00:33:24.520 --> 00:33:26.599
<v Speaker 6>I'll do a part 2 and a part 3 where

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00:33:26.599 --> 00:33:29.520
<v Speaker 6>we talk about what the actual symptoms look like for

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00:33:29.520 --> 00:33:32.920
<v Speaker 6>people with inattentive symptoms and people with hyperactive and impulsive

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00:33:32.920 --> 00:33:33.560
<v Speaker 6>symptoms.

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00:33:34.300 --> 00:33:36.939
<v Speaker 6>I'm gonna give you 17 questions that I actually ask

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00:33:36.939 --> 00:33:39.989
<v Speaker 6>my patients when I am assessing them for ADHD.

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00:33:40.699 --> 00:33:42.969
<v Speaker 6>Please keep in mind that you cannot diagnose yourself with

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00:33:42.969 --> 00:33:45.880
<v Speaker 6>ADHD just based on these questions.

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00:33:46.219 --> 00:33:49.099
<v Speaker 6>ADHD symptoms can overlap with a lot of other mental

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00:33:49.099 --> 00:33:52.260
<v Speaker 6>health issues and also with just normal human experience.

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00:33:52.380 --> 00:33:54.739
<v Speaker 6>So if this is something that resonates with you, doesn't

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00:33:54.739 --> 00:33:57.660
<v Speaker 6>automatically mean you have ADHD, just means maybe it's worth

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00:33:57.660 --> 00:33:59.400
<v Speaker 6>talking with your doctor or therapist.

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00:34:02.300 --> 00:34:05.170
<v Speaker 5>OK, so some of the things I saw in the

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00:34:05.489 --> 00:34:08.030
<v Speaker 5>in the comments that make this sort of a good

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00:34:08.030 --> 00:34:11.510
<v Speaker 5>example of content out there is that it is being

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00:34:11.510 --> 00:34:16.989
<v Speaker 5>given information to the population from a credible individual, somebody

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00:34:16.989 --> 00:34:23.060
<v Speaker 5>who has degrees in mental health and is a practitioner,

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00:34:23.270 --> 00:34:25.388
<v Speaker 5>also sort of self-diagnosed.

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00:34:25.550 --> 00:34:31.699
<v Speaker 5>She provided some good definitions and the Information was accurate

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00:34:31.699 --> 00:34:36.800
<v Speaker 5>and really outlined the symptoms that are diagnostic of ADHD

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00:34:36.800 --> 00:34:41.219
<v Speaker 5>to include the functional impairment or distress kinds of things.

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00:34:42.158 --> 00:34:47.320
<v Speaker 5>It normalized things and she even talked about saying, you

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00:34:47.320 --> 00:34:50.040
<v Speaker 5>know, if some of these things resonate for you, it

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00:34:50.040 --> 00:34:53.320
<v Speaker 5>doesn't mean that you have ADHD per se, right?

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00:34:53.469 --> 00:34:57.159
<v Speaker 5>She really encourages if you feel like these resonate, you

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00:34:57.159 --> 00:34:57.399
<v Speaker 5>need to.

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00:34:57.530 --> 00:35:01.850
<v Speaker 5>Seek out assessment for for treatment of something that could

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00:35:01.850 --> 00:35:02.520
<v Speaker 5>be going on.

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00:35:02.649 --> 00:35:05.850
<v Speaker 5>So I think those are all really good points, and

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00:35:05.850 --> 00:35:07.909
<v Speaker 5>she had some good disclaimers.

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00:35:08.370 --> 00:35:11.090
<v Speaker 5>It seemed like she was relatable in the first, you

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00:35:11.090 --> 00:35:13.239
<v Speaker 5>know, video you saw of the coat, which I think

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00:35:13.239 --> 00:35:16.729
<v Speaker 5>can provide some credibility sometimes with the degrees on the

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00:35:16.729 --> 00:35:17.659
<v Speaker 5>wall, right?

NOTE CONF {"raw":[100,99]}

00:35:17.850 --> 00:35:20.250
<v Speaker 5>And then the next one, she's kind of in a

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00:35:20.250 --> 00:35:23.090
<v Speaker 5>t-shirt but still kind of showing she's in her office

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00:35:23.090 --> 00:35:25.030
<v Speaker 5>and is a practitioner.

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00:35:26.320 --> 00:35:29.439
<v Speaker 5>See what we have next, and this one that we're

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00:35:29.439 --> 00:35:32.239
<v Speaker 5>gonna pull up next, sorry.

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00:35:33.260 --> 00:35:37.419
<v Speaker 5>Um is one about ADHD as well, and I want

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00:35:37.419 --> 00:35:39.540
<v Speaker 5>you guys to watch and tell me what sort of

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00:35:39.540 --> 00:35:42.580
<v Speaker 5>sticks out to you with regard to characteristics that might

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00:35:42.580 --> 00:35:46.429
<v Speaker 5>make this real an example of maybe a not so

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00:35:46.429 --> 00:35:50.979
<v Speaker 5>good video about behavioral health that's available on TikTok, given

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00:35:50.979 --> 00:35:53.760
<v Speaker 5>what we've discussed about the risks.

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00:35:55.270 --> 00:35:57.620
<v Speaker 7>People with ADHD do not miss other people.

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00:35:57.739 --> 00:35:59.030
<v Speaker 7>It's a blessing and it's a curse.

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00:35:59.149 --> 00:36:01.189
<v Speaker 7>But those of us with ADHD, we do not miss

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00:36:01.189 --> 00:36:01.389
<v Speaker 7>people.

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00:36:01.469 --> 00:36:02.820
<v Speaker 7>It's out of sight, out of mind.

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00:36:03.070 --> 00:36:04.750
<v Speaker 7>We have what's called object permanence.

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00:36:04.949 --> 00:36:06.830
<v Speaker 7>If you are not in front of us or engaging

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00:36:06.830 --> 00:36:09.669
<v Speaker 7>with us, our brain literally files you away, and we

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00:36:09.669 --> 00:36:11.780
<v Speaker 7>forget about you, and we can forget about you for

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00:36:11.780 --> 00:36:13.149
<v Speaker 7>weeks, months, or even years.

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00:36:13.550 --> 00:36:16.189
<v Speaker 7>My wife, who committed suicide in 2015, unless I directly

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00:36:16.189 --> 00:36:17.550
<v Speaker 7>think about her, I forget.

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00:36:17.989 --> 00:36:18.699
<v Speaker 7>And it sucks.

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00:36:18.750 --> 00:36:20.500
<v Speaker 7>There's a, there's a horrible part of this, but there's

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00:36:20.500 --> 00:36:22.260
<v Speaker 7>also a great superpower to it.

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00:36:22.550 --> 00:36:24.550
<v Speaker 7>When it does come to exes, it comes to people

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00:36:24.550 --> 00:36:25.510
<v Speaker 7>in your life that have hurt you.

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00:36:25.629 --> 00:36:25.979
<v Speaker 7>Guess what?

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00:36:25.989 --> 00:36:27.489
<v Speaker 7>You do forget about them.

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00:36:27.939 --> 00:36:30.090
<v Speaker 7>And the scary part though, and the worst part is,

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00:36:30.100 --> 00:36:32.540
<v Speaker 7>is when you do start to talk to people, we

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00:36:32.540 --> 00:36:35.459
<v Speaker 7>literally have put time in a capsule, we have forgotten

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00:36:35.459 --> 00:36:35.699
<v Speaker 7>about you.

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00:36:35.739 --> 00:36:37.780
<v Speaker 7>When we start talking to you again, it could be

NOTE CONF {"raw":[99,100,100,100,100,100,100,99,99,100]}

00:36:37.780 --> 00:36:40.300
<v Speaker 7>2 years later, and guess what, that file cabinet opens

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00:36:40.300 --> 00:36:42.209
<v Speaker 7>up and we go back to talking to you like

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00:36:42.209 --> 00:36:44.379
<v Speaker 7>we talked to you a week ago, 2 days ago.

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00:36:44.699 --> 00:36:47.060
<v Speaker 7>We literally can remember some of these obscure details that

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00:36:47.060 --> 00:36:49.629
<v Speaker 7>you were telling us about, obscure details of your life,

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00:36:49.979 --> 00:36:52.260
<v Speaker 7>and we are able to act and literally, it feels

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00:36:52.260 --> 00:36:53.340
<v Speaker 7>like we have just talked.

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00:36:53.562 --> 00:36:56.222
<v Speaker 7>You and we forget that it has been a huge

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00:36:56.222 --> 00:36:58.673
<v Speaker 7>gap in time because we forgot about you, but we're

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00:36:58.673 --> 00:37:00.722
<v Speaker 7>able to pick up right where we left off.

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00:37:01.042 --> 00:37:03.683
<v Speaker 7>And it is one of those superpowers with ADHD.

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00:37:04.002 --> 00:37:07.042
<v Speaker 7>It is something that, again, if we're not messaging you

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00:37:07.042 --> 00:37:09.083
<v Speaker 7>and we're not talking to you, and you want that

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00:37:09.083 --> 00:37:11.193
<v Speaker 7>engagement with us, that relationship with us, you do have

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00:37:11.193 --> 00:37:13.282
<v Speaker 7>to put the effort forward, and it's not selfishness, it's

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00:37:13.282 --> 00:37:14.742
<v Speaker 7>literally how our brain works.

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00:37:14.962 --> 00:37:17.792
<v Speaker 7>And even if with ADHD, it is setting reminders and

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00:37:17.792 --> 00:37:20.305
<v Speaker 7>focusing on who Important people to keep in touch with.

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00:37:21.025 --> 00:37:23.335
<v Speaker 7>I have went times without talking to my, my parents

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00:37:23.335 --> 00:37:26.535
<v Speaker 7>or my mom for months, and I forget.

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00:37:26.585 --> 00:37:27.986
<v Speaker 7>I was like, when was the last time I talked

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00:37:27.986 --> 00:37:28.135
<v Speaker 7>to her?

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00:37:28.145 --> 00:37:30.226
<v Speaker 7>I'm like, holy crap, it was like 4 months ago,

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00:37:30.266 --> 00:37:31.585
<v Speaker 7>and I have to call her and be like, Oh

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00:37:31.585 --> 00:37:32.726
<v Speaker 7>my God, I am so sorry.

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00:37:33.275 --> 00:37:35.105
<v Speaker 7>But that is how our brain works and it is

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00:37:35.105 --> 00:37:36.775
<v Speaker 7>very normal and natural for us.

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00:37:37.105 --> 00:37:38.986
<v Speaker 7>The wolves with ADHD, comment down below if you know

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00:37:38.986 --> 00:37:40.906
<v Speaker 7>what I'm talking about, because this is a struggle and

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00:37:40.906 --> 00:37:42.895
<v Speaker 7>a half for us, and it's something that we have

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00:37:42.895 --> 00:37:44.365
<v Speaker 7>to find coping tools for.

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00:37:46.620 --> 00:37:50.500
<v Speaker 5>OK, yeah, so there's a lot to sort of talk

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00:37:50.500 --> 00:37:54.260
<v Speaker 5>about with this video given what we've been talking about

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00:37:54.260 --> 00:37:57.179
<v Speaker 5>and a lot of you guys wrote in that it

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00:37:57.179 --> 00:38:03.500
<v Speaker 5>was a very personal account, not necessarily very accurate, and

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00:38:03.500 --> 00:38:05.540
<v Speaker 5>it was definitely sensationalized.

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00:38:05.620 --> 00:38:09.739
<v Speaker 5>There's a lot of overgeneralization and it's not.

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00:38:09.824 --> 00:38:15.125
<v Speaker 5>Necessarily based on evidence or accurate, the object permanence, which

NOTE CONF {"raw":[98,100,100,100,92,99,96,99,99,100]}

00:38:15.125 --> 00:38:19.215
<v Speaker 5>is not a part of ADHD, was put out as

NOTE CONF {"raw":[100,100,100,100,100,99,100,100,100,99]}

00:38:19.215 --> 00:38:22.094
<v Speaker 5>a symptom or things.

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00:38:22.354 --> 00:38:25.715
<v Speaker 5>I think he also tries to increase the group or

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00:38:25.715 --> 00:38:30.034
<v Speaker 5>normalize in a hyperbolic way by talking about, you know,

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00:38:30.114 --> 00:38:35.145
<v Speaker 5>this being our superpower, definitely uses a lot of we

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00:38:35.145 --> 00:38:38.114
<v Speaker 5>in our conversation.

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00:38:39.070 --> 00:38:41.629
<v Speaker 5>has comic posters in the background, right?

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00:38:42.389 --> 00:38:45.379
<v Speaker 5>He talks about comment below, so this might be a

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00:38:45.379 --> 00:38:49.010
<v Speaker 5>person who's looking for likes and views, and I think

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00:38:49.550 --> 00:38:53.469
<v Speaker 5>one of the, you know, pretty scary things that people

NOTE CONF {"raw":[100,100,100,100,100,100,100,100,100,100]}

00:38:53.469 --> 00:38:56.689
<v Speaker 5>have also commented on is that this can be really

NOTE CONF {"raw":[100,100,100,100,100,100,100,100,100,100]}

00:38:56.689 --> 00:39:00.389
<v Speaker 5>dangerous information to have out there and it's hard to

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00:39:00.389 --> 00:39:00.790
<v Speaker 5>police.

NOTE CONF {"raw":[100]}

00:39:01.030 --> 00:39:04.469
<v Speaker 5>So now I'm going to turn it back over to

NOTE CONF {"raw":[99,99,99,99,99,100,100,100,100,100]}

00:39:04.469 --> 00:39:05.350
<v Speaker 5>my colleague Dr.

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00:39:06.229 --> 00:39:06.719
<v Speaker 5>Wendriver.

NOTE CONF {"raw":[98]}

00:39:12.389 --> 00:39:12.550
<v Speaker 0>Great.

NOTE CONF {"raw":[87]}

00:39:12.629 --> 00:39:13.729
<v Speaker 0>Thanks, Amy.

NOTE CONF {"raw":[71,98]}

00:39:14.149 --> 00:39:17.830
<v Speaker 0>Um, I'm gonna advance to the next slide here.

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00:39:18.169 --> 00:39:19.570
<v Speaker 7>HD do not miss other people.

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00:39:21.169 --> 00:39:21.580
<v Speaker 0>OK.

NOTE CONF {"raw":[99]}

00:39:21.969 --> 00:39:22.290
<v Speaker 0>All right.

NOTE CONF {"raw":[98,99]}

00:39:22.409 --> 00:39:26.370
<v Speaker 0>So, many of us are clinicians in this virtual room

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00:39:26.370 --> 00:39:26.770
<v Speaker 0>right now.

NOTE CONF {"raw":[100,100]}

00:39:26.929 --> 00:39:29.010
<v Speaker 0>So I'm not gonna go over the details of like

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00:39:29.010 --> 00:39:32.370
<v Speaker 0>what strategies of what parents and caregivers should do, teachers

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00:39:32.370 --> 00:39:35.649
<v Speaker 0>and administrations, and what clinicians, as clinicians, what we can

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00:39:35.649 --> 00:39:35.760
<v Speaker 0>do.

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00:39:35.810 --> 00:39:37.570
<v Speaker 0>But I will go over a few that I think

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00:39:37.570 --> 00:39:38.370
<v Speaker 0>is so important.

NOTE CONF {"raw":[98,99,100]}

00:39:38.530 --> 00:39:41.429
<v Speaker 0>So, um, we all know as parents and caregivers that

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00:39:41.649 --> 00:39:42.959
<v Speaker 0>we need to make sure that we keep an eye

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00:39:42.959 --> 00:39:45.169
<v Speaker 0>on how much screen time our, our Kids are doing.

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00:39:45.250 --> 00:39:48.129
<v Speaker 0>So, according to the American Academy of Child and Adolescent

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00:39:48.129 --> 00:39:52.290
<v Speaker 0>Psychiatry, teens spend an average of about 8.5 hours a

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00:39:52.290 --> 00:39:53.350
<v Speaker 0>day on screens.

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00:39:53.649 --> 00:39:56.959
<v Speaker 0>And that's not just um social media, gaming and streaming.

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00:39:57.250 --> 00:40:00.850
<v Speaker 0>They are also doing uh schoolwork on their Chromebooks.

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00:40:00.929 --> 00:40:02.810
<v Speaker 0>So, if any of you guys have kids out there,

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00:40:02.929 --> 00:40:05.610
<v Speaker 0>even at kindergarten, they're starting to give kids Chromebooks at

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00:40:05.610 --> 00:40:07.909
<v Speaker 0>school, um, all the way up to high school, their

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00:40:08.000 --> 00:40:10.959
<v Speaker 0>Burning in all their homework over Chromebooks, they're submitting all

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00:40:10.959 --> 00:40:14.159
<v Speaker 0>their assignments, they're uploading their tests, and so on, um,

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00:40:14.169 --> 00:40:14.879
<v Speaker 0>over Chromebooks.

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00:40:14.969 --> 00:40:17.610
<v Speaker 0>So sometimes, you know, just being on screen time for

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00:40:17.610 --> 00:40:21.209
<v Speaker 0>school can lead into bleed into watching TikTok videos.

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00:40:21.290 --> 00:40:23.370
<v Speaker 0>I know that from my own personal experience with my

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00:40:23.370 --> 00:40:26.850
<v Speaker 0>kids that they'll be researching an essay, um, you know,

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00:40:26.929 --> 00:40:29.610
<v Speaker 0>writing an essay on their Chromebook, and then they want

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00:40:29.610 --> 00:40:31.120
<v Speaker 0>to look up an example, and then all of a

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00:40:31.120 --> 00:40:33.330
<v Speaker 0>sudden now, They're watching Instagram reels, and it's like, bro,

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00:40:33.449 --> 00:40:35.250
<v Speaker 0>you need to be getting back and staying focused on

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00:40:35.250 --> 00:40:36.550
<v Speaker 0>the work that you're supposed to be doing.

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00:40:37.010 --> 00:40:40.129
<v Speaker 0>Um, we also know just like, uh, encouraging our adolescents

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00:40:40.129 --> 00:40:41.370
<v Speaker 0>with healthy sleep habits.

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00:40:41.439 --> 00:40:43.250
<v Speaker 0>We really want to make sure that there's no revenge

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00:40:43.250 --> 00:40:47.010
<v Speaker 0>bedtime procrastination, where teens might, you know, teens are so

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00:40:47.010 --> 00:40:50.550
<v Speaker 0>busy, they are, they might just stay up later, um,

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00:40:50.689 --> 00:40:53.889
<v Speaker 0>to doom scroll and, and bed rot and, and look

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00:40:53.889 --> 00:40:54.750
<v Speaker 0>at their phones.

NOTE CONF {"raw":[99,100,100]}

00:40:55.370 --> 00:40:56.850
<v Speaker 0>We also want to make sure that as parents, we're

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00:40:56.850 --> 00:41:00.010
<v Speaker 0>co-viewing and discussing the content, and just really making sure

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00:41:00.010 --> 00:41:01.889
<v Speaker 0>that we're validating their experiences.

NOTE CONF {"raw":[100,100,100,100,100]}

00:41:01.929 --> 00:41:04.919
<v Speaker 0>And that's even as parents and clinicians and teachers, like,

NOTE CONF {"raw":[99,100,100,99,100,100,100,100,100,99]}

00:41:05.129 --> 00:41:07.889
<v Speaker 0>if your child comes to you, let's validate what their

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00:41:07.889 --> 00:41:10.209
<v Speaker 0>experiences that they're having as a parent, we may just

NOTE CONF {"raw":[99,99,99,99,72,100,100,99,100,100]}

00:41:10.209 --> 00:41:12.570
<v Speaker 0>go, oh, jeez, you know, you're just watching another video

NOTE CONF {"raw":[100,94,94,99,100,99,100,100,100,100]}

00:41:12.570 --> 00:41:12.770
<v Speaker 0>again.

NOTE CONF {"raw":[100]}

00:41:12.850 --> 00:41:14.659
<v Speaker 0>Like, you can't believe everything that's on the internet.

NOTE CONF {"raw":[65,100,100,100,100,100,100,100,99]}

00:41:14.969 --> 00:41:16.649
<v Speaker 0>Um, I know that sometimes like I had to talk

NOTE CONF {"raw":[78,99,99,99,99,99,100,99,100,100]}

00:41:16.649 --> 00:41:17.770
<v Speaker 0>to my teenagers about that.

NOTE CONF {"raw":[100,100,100,100,100]}

00:41:18.189 --> 00:41:20.610
<v Speaker 0>I sometimes have to talk with my 82 year old

NOTE CONF {"raw":[55,95,99,100,100,100,100,85,99,99]}

00:41:20.610 --> 00:41:22.260
<v Speaker 0>mother-in-law about that.

NOTE CONF {"raw":[98,100,100]}

00:41:22.429 --> 00:41:24.250
<v Speaker 0>You can't believe what's all on the internet.

NOTE CONF {"raw":[99,100,100,100,100,100,100,99]}

00:41:24.550 --> 00:41:26.469
<v Speaker 0>And so, you know, but at the same time, at

NOTE CONF {"raw":[99,100,100,100,99,100,100,100,100,99]}

00:41:26.469 --> 00:41:28.070
<v Speaker 0>the end of the day, we really need to make

NOTE CONF {"raw":[100,100,100,100,100,100,100,99,100,100]}

00:41:28.070 --> 00:41:30.909
<v Speaker 0>sure that we validate before we provide education because as

NOTE CONF {"raw":[100,100,100,100,100,100,100,100,99,100]}

00:41:30.909 --> 00:41:33.469
<v Speaker 0>many teens, we know with many teens, they know it

NOTE CONF {"raw":[100,100,100,100,100,100,99,99,100,100]}

00:41:33.469 --> 00:41:33.729
<v Speaker 0>all.

NOTE CONF {"raw":[100]}

00:41:33.790 --> 00:41:34.629
<v Speaker 0>They don't want to hear it.

NOTE CONF {"raw":[86,100,99,99,100,100]}

00:41:34.689 --> 00:41:36.709
<v Speaker 0>And so, if we can validate and we can make

NOTE CONF {"raw":[99,100,83,99,99,96,99,100,99,100]}

00:41:36.709 --> 00:41:38.629
<v Speaker 0>that connection with them, then we can provide a little

NOTE CONF {"raw":[100,100,100,99,80,100,100,100,100,100]}

00:41:38.629 --> 00:41:41.030
<v Speaker 0>bit more education with them along the way.

NOTE CONF {"raw":[100,100,100,100,100,100,100,100]}

00:41:41.469 --> 00:41:42.989
<v Speaker 0>And as a parent, I want to make sure that

NOTE CONF {"raw":[100,100,100,100,100,92,87,100,100,100]}

00:41:42.989 --> 00:41:45.320
<v Speaker 0>I model my own screen time habits as well.

NOTE CONF {"raw":[100,100,100,100,100,99,100,100,100]}

00:41:45.469 --> 00:41:48.070
<v Speaker 0>So, if my child overhears me saying that I think

NOTE CONF {"raw":[99,100,100,100,100,100,100,100,100,100]}

00:41:48.070 --> 00:41:50.709
<v Speaker 0>I might have a tic disorder, or I might have

NOTE CONF {"raw":[99,99,100,100,99,100,100,100,100,100]}

00:41:50.709 --> 00:41:52.929
<v Speaker 0>OCD, what am I modeling to my child?

NOTE CONF {"raw":[100,100,100,99,100,100,100,100]}

00:41:53.070 --> 00:41:55.489
<v Speaker 0>You know, is that, is what I'm watching on TikTok,

NOTE CONF {"raw":[99,100,99,100,99,99,100,100,100,100]}

00:41:55.750 --> 00:41:57.090
<v Speaker 0>um, must be true.

NOTE CONF {"raw":[95,99,100,100]}

00:41:57.270 --> 00:41:59.330
<v Speaker 0>My kids are gonna think that that's true as well.

NOTE CONF {"raw":[90,100,100,81,100,100,100,100,100,100]}

00:42:01.750 --> 00:42:04.959
<v Speaker 0>Um, for teachers and school staff, we know that teachers

NOTE CONF {"raw":[99,99,100,100,100,100,100,100,100,100]}

00:42:04.959 --> 00:42:08.260
<v Speaker 0>and school administrators are overworked and underpaid.

NOTE CONF {"raw":[100,100,100,100,100,100,99]}

00:42:08.360 --> 00:42:10.479
<v Speaker 0>So we get that they have a lot of work

NOTE CONF {"raw":[99,100,100,100,100,100,100,100,100,100]}

00:42:10.479 --> 00:42:11.699
<v Speaker 0>that they're already doing.

NOTE CONF {"raw":[100,100,100,100]}

00:42:11.919 --> 00:42:14.310
<v Speaker 0>But we know that schools are in a very unique,

NOTE CONF {"raw":[99,100,100,100,100,100,100,100,100,99]}

00:42:14.439 --> 00:42:18.879
<v Speaker 0>uh, a, a very unique position to embed media literacy

NOTE CONF {"raw":[99,97,99,100,100,100,100,100,100,100]}

00:42:18.879 --> 00:42:19.840
<v Speaker 0>in everyday learning.

NOTE CONF {"raw":[99,100,100]}

00:42:19.949 --> 00:42:23.120
<v Speaker 0>And it's not just for history or English class, right?

NOTE CONF {"raw":[96,100,100,100,100,99,100,100,100,100]}

00:42:23.419 --> 00:42:27.060
<v Speaker 0>And teachers and administrators can help students think critically, um,

NOTE CONF {"raw":[100,100,100,99,100,100,100,100,99,99]}

00:42:27.070 --> 00:42:32.199
<v Speaker 0>about media messages and biases, digital citizenship, um, online safety,

NOTE CONF {"raw":[100,100,100,100,100,100,100,96,100,100]}

00:42:32.820 --> 00:42:35.939
<v Speaker 0>um, making sure that what they respond, would you say

NOTE CONF {"raw":[99,100,100,100,100,100,100,99,100,99]}

00:42:35.939 --> 00:42:38.500
<v Speaker 0>that to somebody in front of their face, uh, versus

NOTE CONF {"raw":[99,100,99,100,100,100,100,100,49,99]}

00:42:38.500 --> 00:42:40.899
<v Speaker 0>just online, and then learn how to create and share

NOTE CONF {"raw":[100,100,99,99,100,100,100,100,100,99]}

00:42:40.899 --> 00:42:42.379
<v Speaker 0>responsible content.

NOTE CONF {"raw":[100,100]}

00:42:42.969 --> 00:42:44.449
<v Speaker 0>I know that a lot of schools are working on

NOTE CONF {"raw":[100,100,100,100,100,100,100,100,100,100]}

00:42:44.449 --> 00:42:45.489
<v Speaker 0>phone-free environments.

NOTE CONF {"raw":[98,100]}

00:42:45.610 --> 00:42:47.169
<v Speaker 0>So a lot of schools now have what is called

NOTE CONF {"raw":[96,100,100,100,100,100,100,100,99,100]}

00:42:47.169 --> 00:42:49.649
<v Speaker 0>phone banks or designated phone lockers, so they got to

NOTE CONF {"raw":[100,44,100,100,100,99,75,99,99,99]}

00:42:49.649 --> 00:42:52.489
<v Speaker 0>put their phones into a locker or a pouch, and

NOTE CONF {"raw":[99,99,100,100,100,100,100,100,100,100]}

00:42:52.489 --> 00:42:53.889
<v Speaker 0>then they'll get it at the end of the class

NOTE CONF {"raw":[100,100,100,100,100,100,100,100,100,100]}

00:42:53.889 --> 00:42:55.090
<v Speaker 0>period, or they get it at the end of the

NOTE CONF {"raw":[100,100,100,100,100,100,100,100,100,100]}

00:42:55.090 --> 00:42:55.709
<v Speaker 0>day.

NOTE CONF {"raw":[100]}

00:42:56.209 --> 00:42:57.649
<v Speaker 0>A lot of schools are doing what is called digital

NOTE CONF {"raw":[100,100,100,100,100,100,100,99,100,100]}

00:42:57.649 --> 00:42:58.689
<v Speaker 0>monitoring in schools.

NOTE CONF {"raw":[100,100,99]}

00:42:58.810 --> 00:43:02.010
<v Speaker 0>So many school districts now monitor students' activity through their

NOTE CONF {"raw":[97,100,100,100,100,100,96,99,100,100]}

00:43:02.010 --> 00:43:02.949
<v Speaker 0>school's Wi Fi.

NOTE CONF {"raw":[90,99,99]}

00:43:03.370 --> 00:43:07.810
<v Speaker 0>So if keywords like suicide, depression, guns, ammunition show up

NOTE CONF {"raw":[99,99,99,100,100,100,100,99,100,100]}

00:43:07.810 --> 00:43:09.949
<v Speaker 0>in certain search logs that they're on.

NOTE CONF {"raw":[99,100,100,100,100,100,100]}

00:43:10.209 --> 00:43:12.649
<v Speaker 0>Administrators are immediately alerted and notified.

NOTE CONF {"raw":[99,100,100,100,100,99]}

00:43:12.729 --> 00:43:15.729
<v Speaker 0>And this triggers a safety protocol, and parents are contacted

NOTE CONF {"raw":[51,99,99,99,100,100,99,100,100,100]}

00:43:15.729 --> 00:43:18.449
<v Speaker 0>immediately, and the student is brought down for a wellness

NOTE CONF {"raw":[100,99,79,99,99,100,100,100,100,100]}

00:43:18.449 --> 00:43:21.189
<v Speaker 0>check to the counseling, counseling office.

NOTE CONF {"raw":[100,100,100,99,100,100]}

00:43:21.530 --> 00:43:23.449
<v Speaker 0>Again, we want to make sure that as teachers too,

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00:43:23.570 --> 00:43:28.959
<v Speaker 0>we are looking at sleepy, sleepiness, restlessness, disengagement, um, and

NOTE CONF {"raw":[99,100,100,100,99,99,99,100,99,99]}

00:43:28.959 --> 00:43:31.969
<v Speaker 0>referring to the school counselor or behavioral health service if

NOTE CONF {"raw":[100,100,100,100,100,100,100,100,99,99]}

00:43:31.969 --> 00:43:32.510
<v Speaker 0>needed.

NOTE CONF {"raw":[100]}

00:43:35.000 --> 00:43:37.860
<v Speaker 0>So, uh, oops, I think I just skipped one.

NOTE CONF {"raw":[100,99,99,100,100,100,100,100,100]}

00:43:38.399 --> 00:43:40.459
<v Speaker 0>so strategies for the clinical setting.

NOTE CONF {"raw":[99,99,99,100,100,100]}

00:43:40.560 --> 00:43:43.399
<v Speaker 0>So we as clinicians, we also have a responsibility for

NOTE CONF {"raw":[61,100,99,100,100,100,100,100,100,100]}

00:43:43.399 --> 00:43:46.409
<v Speaker 0>checking with our families about How much screen time is

NOTE CONF {"raw":[100,100,96,100,100,99,100,100,99,99]}

00:43:46.409 --> 00:43:47.199
<v Speaker 0>your child having?

NOTE CONF {"raw":[100,100,100]}

00:43:47.290 --> 00:43:50.239
<v Speaker 0>If we're working with adolescents and you're able to meet

NOTE CONF {"raw":[99,99,100,100,99,100,100,100,100,100]}

00:43:50.239 --> 00:43:52.889
<v Speaker 0>with them one on one, you know, just doing a

NOTE CONF {"raw":[100,100,100,100,100,100,100,100,100,100]}

00:43:52.889 --> 00:43:55.370
<v Speaker 0>quick check-in, tell me what content are you looking at

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00:43:55.370 --> 00:43:55.669
<v Speaker 0>online?

NOTE CONF {"raw":[100]}

00:43:55.899 --> 00:43:57.399
<v Speaker 0>What platforms are you using?

NOTE CONF {"raw":[99,100,100,100,100]}

00:43:57.810 --> 00:43:58.830
<v Speaker 0>What do you think about that?

NOTE CONF {"raw":[99,100,100,100,100,100]}

00:43:58.909 --> 00:44:00.530
<v Speaker 0>You know, if they're coming in to say, hey, I

NOTE CONF {"raw":[99,100,99,100,100,99,96,45,99,100]}

00:44:00.530 --> 00:44:02.489
<v Speaker 0>think I got ADHD and I need to get checked

NOTE CONF {"raw":[100,100,100,100,100,100,100,100,100,100]}

00:44:02.489 --> 00:44:04.570
<v Speaker 0>out about this, again, we really want to make sure

NOTE CONF {"raw":[100,100,100,94,100,100,99,99,100,100]}

00:44:04.570 --> 00:44:05.810
<v Speaker 0>that we're validating them.

NOTE CONF {"raw":[100,100,100,100]}

00:44:06.080 --> 00:44:08.169
<v Speaker 0>Um, we really want to make sure that we're hearing

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00:44:08.169 --> 00:44:11.270
<v Speaker 0>them before we provide any type of education whatsoever.

NOTE CONF {"raw":[100,100,100,100,100,100,100,100,100]}

00:44:11.639 --> 00:44:14.560
<v Speaker 0>So, again, yeah, collaborating with our pediatricians, collaborating with our

NOTE CONF {"raw":[100,100,99,99,100,99,100,99,100,99]}

00:44:14.560 --> 00:44:17.689
<v Speaker 0>school psychologists can be really helpful, validating their concerns.

NOTE CONF {"raw":[100,99,99,100,100,100,99,100,100]}

00:44:18.000 --> 00:44:19.989
<v Speaker 0>And I, I think the key point too, in this

NOTE CONF {"raw":[99,99,100,100,100,100,100,99,100,100]}

00:44:19.989 --> 00:44:23.040
<v Speaker 0>clinical setting, too, is that we clinicians, we can be

NOTE CONF {"raw":[100,100,100,100,100,100,100,100,99,100]}

00:44:23.040 --> 00:44:25.350
<v Speaker 0>a catalyst for systems-level change.

NOTE CONF {"raw":[100,100,100,60,100]}

00:44:25.560 --> 00:44:27.520
<v Speaker 0>I know that my colleague here, Mara, she was talking

NOTE CONF {"raw":[100,100,100,100,100,100,99,100,100,100]}

00:44:27.520 --> 00:44:30.510
<v Speaker 0>about earlier that out of 100 of those TikTok videos,

NOTE CONF {"raw":[100,100,100,100,100,100,100,100,100,100]}

00:44:30.600 --> 00:44:32.459
<v Speaker 0>only 1 was from a healthcare professional.

NOTE CONF {"raw":[100,41,100,100,100,99,100]}

00:44:32.719 --> 00:44:33.000
<v Speaker 0>Oh my God.

NOTE CONF {"raw":[99,99,99]}

00:44:33.083 --> 00:44:35.393
<v Speaker 0>Gosh, you know, like only one, only one of them.

NOTE CONF {"raw":[99,99,100,100,100,99,99,99,100,100]}

00:44:35.762 --> 00:44:37.962
<v Speaker 0>But we as clinicians, we can do more and more

NOTE CONF {"raw":[99,100,100,100,100,100,100,100,100,100]}

00:44:37.962 --> 00:44:38.242
<v Speaker 0>and more.

NOTE CONF {"raw":[99,100]}

00:44:38.282 --> 00:44:40.962
<v Speaker 0>We can put out those videos, we can make those

NOTE CONF {"raw":[76,100,100,100,100,100,99,100,100,100]}

00:44:40.962 --> 00:44:41.423
<v Speaker 0>contents.

NOTE CONF {"raw":[99]}

00:44:41.633 --> 00:44:43.883
<v Speaker 0>Um, I know that, you know, I've done some videos

NOTE CONF {"raw":[99,100,100,100,100,100,100,100,100,100]}

00:44:43.883 --> 00:44:45.883
<v Speaker 0>too on Instagram reels and on TikTok, and they take

NOTE CONF {"raw":[99,100,100,61,99,100,99,99,100,100]}

00:44:45.883 --> 00:44:48.363
<v Speaker 0>a lot of time to edit and to cut and

NOTE CONF {"raw":[100,100,100,100,100,99,100,99,100,100]}

00:44:48.363 --> 00:44:49.282
<v Speaker 0>paste and all that stuff.

NOTE CONF {"raw":[100,100,100,100,100]}

00:44:49.363 --> 00:44:52.242
<v Speaker 0>But we can be a catalyst for systems level change.

NOTE CONF {"raw":[99,100,100,100,100,100,100,100,99,100]}

00:44:52.322 --> 00:44:53.143
<v Speaker 0>We can do that.

NOTE CONF {"raw":[76,100,100,100]}

00:44:53.322 --> 00:44:55.325
<v Speaker 0>Um, and if we don't do those, We can also

NOTE CONF {"raw":[99,99,100,100,100,100,99,99,99,100]}

00:44:55.325 --> 00:44:58.045
<v Speaker 0>go to our kids' schools, we can do presentations, we

NOTE CONF {"raw":[100,100,100,99,99,99,100,100,99,97]}

00:44:58.045 --> 00:44:59.625
<v Speaker 0>can go to our local library.

NOTE CONF {"raw":[100,100,100,99,100,100]}

00:44:59.926 --> 00:45:02.726
<v Speaker 0>I'm I know school district, school districts too, they love

NOTE CONF {"raw":[9,88,99,99,98,99,100,99,99,100]}

00:45:02.726 --> 00:45:05.186
<v Speaker 0>it when psychologists come and we present to them.

NOTE CONF {"raw":[100,100,100,100,100,100,100,100,100]}

00:45:05.406 --> 00:45:08.805
<v Speaker 0>Um, community comes into play, they will, you know, they

NOTE CONF {"raw":[99,99,100,99,100,97,100,100,100,100]}

00:45:08.805 --> 00:45:10.035
<v Speaker 0>will come to your sessions.

NOTE CONF {"raw":[100,100,100,100,100]}

00:45:10.365 --> 00:45:13.045
<v Speaker 0>Um, and I know that they're, everybody's looking for ways

NOTE CONF {"raw":[69,99,99,99,100,82,99,100,100,100]}

00:45:13.045 --> 00:45:15.525
<v Speaker 0>and how we can uh meet our adolescents where they

NOTE CONF {"raw":[99,100,99,100,46,100,100,99,100,100]}

00:45:15.525 --> 00:45:15.986
<v Speaker 0>are.

NOTE CONF {"raw":[100]}

00:45:17.840 --> 00:45:19.560
<v Speaker 0>But I really want to get to this nugget, which

NOTE CONF {"raw":[99,100,100,99,99,100,100,100,100,100]}

00:45:19.560 --> 00:45:23.510
<v Speaker 0>is like, what is, what are these, these short form

NOTE CONF {"raw":[100,100,99,99,99,100,99,99,100,99]}

00:45:23.510 --> 00:45:24.560
<v Speaker 0>video platforms?

NOTE CONF {"raw":[100,100]}

00:45:24.919 --> 00:45:26.080
<v Speaker 0>What is their responsibility?

NOTE CONF {"raw":[99,100,100,100]}

00:45:26.149 --> 00:45:28.719
<v Speaker 0>Because we know they also need to take responsibility about

NOTE CONF {"raw":[99,100,100,100,100,100,100,100,100,100]}

00:45:28.719 --> 00:45:29.879
<v Speaker 0>what's going on too.

NOTE CONF {"raw":[100,100,100,99]}

00:45:30.239 --> 00:45:33.840
<v Speaker 0>So one of the things, uh, is that suggested is

NOTE CONF {"raw":[99,99,99,99,99,99,99,99,99,99]}

00:45:33.840 --> 00:45:35.340
<v Speaker 0>demoting misleading content.

NOTE CONF {"raw":[100,100,100]}

00:45:35.800 --> 00:45:37.919
<v Speaker 0>So we want to make sure that, again, Mara was

NOTE CONF {"raw":[100,100,99,99,100,100,100,100,99,99]}

00:45:37.919 --> 00:45:40.840
<v Speaker 0>saying earlier, too, is that the algorithm, the more that

NOTE CONF {"raw":[100,100,99,99,100,100,100,100,100,100]}

00:45:40.840 --> 00:45:42.800
<v Speaker 0>you watch, Watch a certain video on on a certain

NOTE CONF {"raw":[100,85,12,99,100,100,99,99,100,100]}

00:45:42.800 --> 00:45:46.320
<v Speaker 0>politic, or politician or a certain mental health, you're going

NOTE CONF {"raw":[98,98,99,100,99,100,100,100,99,99]}

00:45:46.320 --> 00:45:47.320
<v Speaker 0>to see more of that.

NOTE CONF {"raw":[98,100,100,100,100]}

00:45:47.399 --> 00:45:50.719
<v Speaker 0>But we, we need to force TikTok's hand and Instagram's

NOTE CONF {"raw":[99,98,99,100,99,99,99,99,99,99]}

00:45:50.719 --> 00:45:55.540
<v Speaker 0>hands to adjust the algorithm to reduce visibility of unverified,

NOTE CONF {"raw":[99,100,100,100,100,100,100,100,100,100]}

00:45:55.919 --> 00:45:58.320
<v Speaker 0>sensationalized mental health videos, right?

NOTE CONF {"raw":[99,100,100,99,99]}

00:45:58.560 --> 00:46:03.229
<v Speaker 0>Um, especially those that promote um misleading information or inaccurate

NOTE CONF {"raw":[92,88,100,100,100,97,100,100,100,100]}

00:46:03.229 --> 00:46:04.320
<v Speaker 0>diagnosis.

NOTE CONF {"raw":[100]}

00:46:04.989 --> 00:46:08.340
<v Speaker 0>We want to boost credible resources or boost credible sources,

NOTE CONF {"raw":[100,99,99,100,100,99,99,99,100,99]}

00:46:08.409 --> 00:46:10.780
<v Speaker 0>so prioritize content from licensed professionals.

NOTE CONF {"raw":[98,99,99,100,100,100]}

00:46:11.030 --> 00:46:13.229
<v Speaker 0>So if I'm a clinical psychologist, I could go through

NOTE CONF {"raw":[99,100,100,100,100,100,100,91,100,100]}

00:46:13.229 --> 00:46:16.189
<v Speaker 0>a verification process to say, hey, I've got a check

NOTE CONF {"raw":[100,100,100,99,100,99,100,100,99,100]}

00:46:16.189 --> 00:46:17.070
<v Speaker 0>mark next to my name.

NOTE CONF {"raw":[62,98,5,99,99]}

00:46:17.270 --> 00:46:22.189
<v Speaker 0>What I'm talking about is verified and credentialed, um, especially

NOTE CONF {"raw":[99,100,100,100,100,99,99,99,77,99]}

00:46:22.189 --> 00:46:27.810
<v Speaker 0>like programs like APA or NIMH, um, or NIH, whatever

NOTE CONF {"raw":[100,99,100,99,100,99,99,100,99,100]}

00:46:28.030 --> 00:46:30.949
<v Speaker 0>TikTok videos or Instagram videos that they put out, that

NOTE CONF {"raw":[100,100,100,100,100,100,100,100,100,99]}

00:46:30.949 --> 00:46:33.010
<v Speaker 0>there's also a check mark next to their names.

NOTE CONF {"raw":[99,100,79,100,67,99,99,99,99]}

00:46:33.540 --> 00:46:36.179
<v Speaker 0>We want to make sure that we um can flag

NOTE CONF {"raw":[99,99,99,100,100,100,100,99,100,100]}

00:46:36.179 --> 00:46:38.100
<v Speaker 0>any type of risky trends.

NOTE CONF {"raw":[100,100,100,100,99]}

00:46:38.219 --> 00:46:41.610
<v Speaker 0>So, using machine learning to detect patterns and videos of

NOTE CONF {"raw":[99,100,100,100,100,100,100,74,100,100]}

00:46:41.610 --> 00:46:42.879
<v Speaker 0>harmful behaviors.

NOTE CONF {"raw":[100,100]}

00:46:43.060 --> 00:46:46.620
<v Speaker 0>Um, we've heard of like the, the ThaiPod challenges on

NOTE CONF {"raw":[96,99,100,100,100,99,99,2,99,100]}

00:46:46.620 --> 00:46:50.780
<v Speaker 0>TikTok and Instagram reels, and on YouTube shorts, um, medication

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00:46:50.780 --> 00:46:54.699
<v Speaker 0>misuse, glamorizing mental health diagnosis.

NOTE CONF {"raw":[99,100,100,100,53]}

00:46:54.820 --> 00:46:58.020
<v Speaker 0>And so, I know that on TikTok and on Instagram,

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00:46:58.370 --> 00:47:02.020
<v Speaker 0>Um, and similar platforms, they have now required creators to

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00:47:02.020 --> 00:47:04.820
<v Speaker 0>disclose if you're using AI content.

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00:47:05.060 --> 00:47:07.830
<v Speaker 0>So, if many of you guys know that like, um,

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00:47:07.939 --> 00:47:10.300
<v Speaker 0>I can put a background behind me looking like I'm

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00:47:10.300 --> 00:47:11.139
<v Speaker 0>in Hawaii.

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00:47:11.340 --> 00:47:12.820
<v Speaker 0>A lot of adolescents are doing that now.

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00:47:12.899 --> 00:47:15.340
<v Speaker 0>They're saying that, you know, they're on a beautiful European

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00:47:15.340 --> 00:47:17.739
<v Speaker 0>vacation when they're really just sitting there on their couch.

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00:47:17.820 --> 00:47:20.899
<v Speaker 0>So there's a, there's now, um, a button on there

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00:47:20.899 --> 00:47:22.620
<v Speaker 0>that says like, hey, this is AI.

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00:47:22.820 --> 00:47:25.290
<v Speaker 0>But again, you, you have to push that over to

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00:47:25.290 --> 00:47:26.219
<v Speaker 0>Green saying that you are.

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00:47:26.350 --> 00:47:29.239
<v Speaker 0>So, a lot of content creators, they're not gonna do

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00:47:29.239 --> 00:47:30.179
<v Speaker 0>that, perhaps.

NOTE CONF {"raw":[100,99]}

00:47:30.699 --> 00:47:33.540
<v Speaker 0>Um, also fact checking, uh, prompts before posting.

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00:47:33.620 --> 00:47:38.139
<v Speaker 0>So when users mentions, mentions terms like ADHD, PTSD, anxiety,

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00:47:38.169 --> 00:47:40.699
<v Speaker 0>or anything like that, it prompts them with a message.

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00:47:40.939 --> 00:47:44.500
<v Speaker 0>Anybody who's watching these videos, it prompts video uh viewers

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00:47:44.500 --> 00:47:47.419
<v Speaker 0>with a message encouraging them to really look.

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00:47:47.530 --> 00:47:48.379
<v Speaker 0>Of this information.

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00:47:48.419 --> 00:47:50.840
<v Speaker 0>This is not from a verified clinician, OK?

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00:47:51.100 --> 00:47:52.300
<v Speaker 0>There also needs to be warning labels.

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00:47:52.340 --> 00:47:54.739
<v Speaker 0>We have black box warning labels on medications.

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00:47:55.020 --> 00:47:57.209
<v Speaker 0>We need to have that also on these videos too.

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00:47:57.580 --> 00:48:00.979
<v Speaker 0>So, um, add flags to videos discussing mental health diagnosis

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00:48:00.979 --> 00:48:03.899
<v Speaker 0>with disclaimers such as, you know, maybe this is not

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00:48:03.899 --> 00:48:06.379
<v Speaker 0>uh suitable or substantial medical advice.

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00:48:06.540 --> 00:48:09.179
<v Speaker 0>Please see your pediatrician or please see your primary care

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00:48:09.179 --> 00:48:12.040
<v Speaker 0>physician for more detailed information.

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00:48:12.699 --> 00:48:14.979
<v Speaker 0>And then credentialing verification system.

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00:48:15.070 --> 00:48:18.520
<v Speaker 0>So again, creating a verified mental health provider, um, badge

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00:48:18.520 --> 00:48:19.489
<v Speaker 0>for licensed clinicians.

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00:48:19.580 --> 00:48:21.419
<v Speaker 0>So again, if I'm a psychologist, I want to get

NOTE CONF {"raw":[99,100,100,100,100,100,100,99,98,100]}

00:48:21.419 --> 00:48:25.360
<v Speaker 0>that check mark to help users identify credible creators.

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00:48:25.979 --> 00:48:29.979
<v Speaker 0>And then, Collaborators, we can, um, we can also collaborate

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00:48:29.979 --> 00:48:31.320
<v Speaker 0>with mental health organizations.

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00:48:31.399 --> 00:48:35.000
<v Speaker 0>So I can collaborate with, with NANI NAMMI or Mental

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00:48:35.000 --> 00:48:39.840
<v Speaker 0>Health America or APA to create inform informative campaigns and

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00:48:39.840 --> 00:48:44.639
<v Speaker 0>reliable video series, and then expand harmful content definitions, so

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00:48:44.639 --> 00:48:47.959
<v Speaker 0>include misinformation around mental health diagnosis and treatment.

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00:48:48.320 --> 00:48:52.679
<v Speaker 0>Um, within harmful or dangerous content policies, and a mandate

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00:48:52.679 --> 00:48:57.679
<v Speaker 0>that creators, um, include a disclaimer if discussing symptoms, diagnoses,

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00:48:57.719 --> 00:48:59.239
<v Speaker 0>or advice related to mental health.

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00:48:59.330 --> 00:49:03.639
<v Speaker 0>So those content creators who don't have a degree after

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00:49:03.639 --> 00:49:06.800
<v Speaker 0>their name, or they're not verified, but they have a

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00:49:06.800 --> 00:49:10.250
<v Speaker 0>responsibility to, they need to put on their um platform,

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00:49:10.360 --> 00:49:12.379
<v Speaker 0>they need to put on their page that they're not

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00:49:12.560 --> 00:49:15.830
<v Speaker 0>a medical professional or a mental health professional, right?

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00:49:16.310 --> 00:49:18.780
<v Speaker 0>So, again, advocating around harmful trends, and many of you

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00:49:18.780 --> 00:49:20.620
<v Speaker 0>guys, like I just said earlier, have heard of that

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00:49:20.620 --> 00:49:23.600
<v Speaker 0>TiPod challenge that came out in about 2017.

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00:49:24.110 --> 00:49:28.979
<v Speaker 0>And unfortunately, it led to two children passing away, consuming

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00:49:28.979 --> 00:49:30.010
<v Speaker 0>those iPods.

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00:49:30.340 --> 00:49:33.780
<v Speaker 0>And so what happened was Procter and Gamble, um, who

NOTE CONF {"raw":[99,100,100,100,100,99,100,99,98,100]}

00:49:33.780 --> 00:49:38.179
<v Speaker 0>are the makers of TiPod, they responded by launching public

NOTE CONF {"raw":[100,100,100,100,94,99,100,100,100,100]}

00:49:38.179 --> 00:49:42.500
<v Speaker 0>service announcements like a PSA on all social media platforms

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00:49:42.739 --> 00:49:44.330
<v Speaker 0>and short form video platforms.

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00:49:44.459 --> 00:49:47.100
<v Speaker 0>They launched a platform saying, this is not safe.

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00:49:47.370 --> 00:49:50.850
<v Speaker 0>You should not be consuming these TPods, uh, children and

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00:49:50.850 --> 00:49:52.659
<v Speaker 0>adolescents, um, adults.

NOTE CONF {"raw":[99,99,99]}

00:49:52.745 --> 00:49:54.465
<v Speaker 0>We need to watch over our kids and see what

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00:49:54.465 --> 00:49:54.965
<v Speaker 0>they're doing.

NOTE CONF {"raw":[100,100]}

00:49:55.465 --> 00:49:57.215
<v Speaker 0>Um, they collaborated with influencers.

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00:49:57.264 --> 00:50:00.304
<v Speaker 0>So they got Rob Gronkowski to come and also do

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00:50:00.304 --> 00:50:02.985
<v Speaker 0>videos too, to make sure that kids were not, you

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00:50:02.985 --> 00:50:05.854
<v Speaker 0>know, uh, consuming these, uh, Tide Pods.

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00:50:06.225 --> 00:50:09.344
<v Speaker 0>They partnered with a poison Control Center and engaged directly

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00:50:09.344 --> 00:50:13.094
<v Speaker 0>with social platform videos, and they collaborated with other platforms

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00:50:13.094 --> 00:50:13.415
<v Speaker 0>as well.

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00:50:13.504 --> 00:50:16.264
<v Speaker 0>So they across the board, they got on Procter and

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00:50:16.264 --> 00:50:19.495
<v Speaker 0>Gamble got on these platforms, and we're published, publishing these

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00:50:19.495 --> 00:50:21.385
<v Speaker 0>overall on videos too.

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00:50:22.500 --> 00:50:26.100
<v Speaker 0>So, overall, key takeaways, um, we want our adolescents to

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00:50:26.100 --> 00:50:27.560
<v Speaker 0>think as critically as possible.

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00:50:28.090 --> 00:50:30.459
<v Speaker 0>Uh, we want to help our teens evaluate credibility and

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00:50:30.459 --> 00:50:31.800
<v Speaker 0>spot the misinformation.

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00:50:32.179 --> 00:50:33.300
<v Speaker 0>And so, in order to be able to do so,

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00:50:33.340 --> 00:50:35.739
<v Speaker 0>we got to have these conversations with them, create open

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00:50:35.739 --> 00:50:37.939
<v Speaker 0>spaces for teens to be able to talk safely, feel

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00:50:37.939 --> 00:50:41.260
<v Speaker 0>safe with you, um, and just really emphasizing to our

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00:50:41.260 --> 00:50:45.040
<v Speaker 0>adolescents that just because you have the symptom doesn't necessarily

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00:50:45.040 --> 00:50:46.810
<v Speaker 0>mean you have the diagnosis.

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00:50:47.010 --> 00:50:49.060
<v Speaker 0>Those are two very totally different things.

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00:50:49.270 --> 00:50:51.739
<v Speaker 0>But, again, we want to validate what they're experiencing.

NOTE CONF {"raw":[95,100,100,93,89,100,100,100,100]}

00:50:52.090 --> 00:50:54.979
<v Speaker 0>And then TikTok and other platforms too can improve filtering

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00:50:54.979 --> 00:50:56.260
<v Speaker 0>and removal of these videos.

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00:50:56.340 --> 00:50:59.760
<v Speaker 0>So if there are content creators, um, who are publishing

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00:50:59.760 --> 00:51:02.979
<v Speaker 0>videos, pushing these videos that are not true, TikTok and

NOTE CONF {"raw":[99,100,100,100,100,100,100,100,100,100]}

00:51:02.979 --> 00:51:04.780
<v Speaker 0>other platforms should just be able to say, delete.

NOTE CONF {"raw":[100,100,100,100,100,100,100,100,99]}

00:51:04.820 --> 00:51:07.050
<v Speaker 0>We are not going to even be publishing because this

NOTE CONF {"raw":[87,99,100,100,100,100,100,100,100,100]}

00:51:07.050 --> 00:51:10.120
<v Speaker 0>is harmful to, um, our, our kids.

NOTE CONF {"raw":[100,100,100,99,99,99,100]}

00:51:10.790 --> 00:51:11.389
<v Speaker 0>All right.

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00:51:11.639 --> 00:51:13.070
<v Speaker 0>Thank you so much for being here, you guys.

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00:51:13.149 --> 00:51:15.310
<v Speaker 0>Um, I know we only have like about 4 minutes

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00:51:15.310 --> 00:51:15.669
<v Speaker 0>left.

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00:51:15.909 --> 00:51:17.949
<v Speaker 0>We can stay on a little bit if needed, um,

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00:51:18.189 --> 00:51:20.739
<v Speaker 0>but, uh, happy to provide you with our emails here.

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00:51:21.149 --> 00:51:22.979
<v Speaker 0>Please reach out to us, take a snapshot of this.

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00:51:23.030 --> 00:51:24.870
<v Speaker 0>We're happy to answer any questions you might have.

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00:51:24.989 --> 00:51:25.929
<v Speaker 0>Thank you so much.

NOTE CONF {"raw":[99,100,100,100]}

00:51:27.449 --> 00:51:30.889
<v Speaker 5>Yeah, and I wanted to say, you know, it's sometimes

NOTE CONF {"raw":[99,99,99,99,99,99,99,99,99,99]}

00:51:30.889 --> 00:51:34.770
<v Speaker 5>hard to leave some of these talks not feeling overwhelmed

NOTE CONF {"raw":[100,100,91,100,99,99,99,99,100,99]}

00:51:34.770 --> 00:51:38.330
<v Speaker 5>and pessimistic and wondering, you know, what we can do

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00:51:38.330 --> 00:51:40.250
<v Speaker 5>even though we've brought up these points.

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00:51:40.290 --> 00:51:45.530
<v Speaker 5>But recently, so in the past, you know, Tide or

NOTE CONF {"raw":[77,99,99,99,99,100,99,99,99,99]}

00:51:45.530 --> 00:51:51.290
<v Speaker 5>cigarettes companies have had ownership of making sure that information.

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00:51:51.372 --> 00:51:53.971
<v Speaker 5>That's put out there is not going to harm the

NOTE CONF {"raw":[49,99,99,99,99,99,99,99,99,99]}

00:51:53.971 --> 00:51:56.931
<v Speaker 5>public, and they could be held accountable for that illegally,

NOTE CONF {"raw":[99,99,99,99,99,99,99,99,99,62]}

00:51:57.531 --> 00:52:01.211
<v Speaker 5>but technology groups and AIs and websites and things like

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00:52:01.211 --> 00:52:05.892
<v Speaker 5>that haven't had the same accountability legally.

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00:52:05.971 --> 00:52:10.652
<v Speaker 5>There was a case that case law that was put

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00:52:10.652 --> 00:52:13.672
<v Speaker 5>out that said that you can't really hold them accountable

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00:52:14.412 --> 00:52:19.293
<v Speaker 5>for things, but Recently they have been having those laws

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00:52:19.293 --> 00:52:22.053
<v Speaker 5>kind of overturned in more recent case law with Mehta

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00:52:22.053 --> 00:52:27.513
<v Speaker 5>and Mark Zuckerberg being held accountable for information that's put

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00:52:27.654 --> 00:52:28.013
<v Speaker 5>out there.

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00:52:28.093 --> 00:52:31.533
<v Speaker 5>So if there is a financial sort of cost or

NOTE CONF {"raw":[99,100,100,100,100,100,100,100,100,100]}

00:52:31.533 --> 00:52:34.714
<v Speaker 5>motivation to police some of these things, that they can

NOTE CONF {"raw":[99,100,100,100,100,100,100,63,100,100]}

00:52:34.714 --> 00:52:39.093
<v Speaker 5>be held legally accountable for contributing to negative.

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00:52:39.216 --> 00:52:39.605
<v Speaker 5>Things.

NOTE CONF {"raw":[85]}

00:52:39.656 --> 00:52:40.976
<v Speaker 5>I think there's hope in that.

NOTE CONF {"raw":[99,99,99,100,99,99]}

00:52:41.295 --> 00:52:45.335
<v Speaker 5>In addition to, like Mina said, just making sure that

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00:52:45.335 --> 00:52:49.976
<v Speaker 5>we as disseminators of scientific information are putting information out

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00:52:49.976 --> 00:52:54.295
<v Speaker 5>there in places and ways that are digestible to people.

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00:52:54.406 --> 00:52:57.216
<v Speaker 5>But thanks for coming to the talk, and I'll put

NOTE CONF {"raw":[99,99,100,100,99,100,100,99,100,100]}

00:52:57.216 --> 00:53:01.115
<v Speaker 5>my email in the chat if you guys want to

NOTE CONF {"raw":[100,99,100,100,100,82,100,100,99,99]}

00:53:01.115 --> 00:53:02.835
<v Speaker 5>follow up, please feel free.

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