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How Digital Narratives Shape Mental Health Outcomes

By SUHANA MISHRA

When discussing treatment outcomes, we usually talk about dosage, adherence, and access. Rarely do we speak about algorithms. 

Yet as I began working on a scoping review examining misinformation and disinformation in mental health with a team at the Royal College of Psychiatrists led by Dr. Subodh Dave, I realized that some of the most powerful determinants of patient outcomes are not confined to clinics. They live in comment sections, short-form videos, and anonymous threads that shape people’s view on what is the “truth”. In fact, the NY Post says, “over half of top TikTok mental health videos contained misleading information”. 

I chose to do this research because I’ve seen how a single online post or video can change the way someone thinks about their own mental health. I’ve witnessed my very own family members be discouraged to follow a treatment plan based on an inaccurate post sent in a WhatsApp group chat. By examining misinformation in collaboration with experts, I hope to identify practical strategies to help clinicians and public health professionals address their hidden determinants of mental health outcomes. 

One of the most striking lessons that I’ve learned is that misinformation in psychiatry doesn’t always seem like a conspiracy. It can often seem like comfort. According to an ArXiv study from Cornell University, people adopt misinformation because it satisfies psychological and social needs rather than accuracy goals. 

A viral post on a Reddit thread r/antipsychiatry which claimed antidepressants “numb your personality” may be rooted in one person’s difficult experience. A video on tiktok circulating discouraging medication in favor of “natural rewiring” may promise autonomy in a system that feels impersonal. These narratives spread not because they are outrageous conspiracy theories, but because they really resonate with people.

That resonance has consequences. 

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TikTok Teen’s Time

By KIM BELLARD

I knew about TikTok, but not “TikTok Teens.”  I was vaguely aware of K-Pop, but I didn’t know its fans had common interests beyond, you know, K-Pop.  I’d been tracking Gen X and Millennials but hadn’t really focused on Gen Z.  It turns out that these overlapping groups are quite socially aware and are starting to make their influence felt.  

I can’t wait for them to pay more attention to health care.  

This is the generation that has grown up during/in the wake of 9/11, the War on Terror, the War on Drugs, the 2008 recession, the coronavirus pandemic, and the current recession — not to mention smartphones, social media, online shopping, and streaming.  Greta Thunberg is Gen Z, as is Billie Eilish, each of whom is leading their own social movements.  This generation has a lot to protest about, and a lot of ways to do it.

They were in the news this past weekend due to, of all things, President Trump’s Tulsa rally.  His campaign had boasted about having a million people sign up for the rally, only to find that the arena was less than a third filled.  An outdoor rally for the expected overflow crowd was cancelled.  

It didn’t take long for the TikTok Teens/K-Pop fans to boast on social media about their covert — to us older folks — campaign to register for the rally as a way to gum up the campaign efforts.  Steve Schmidt, an anti-Trump Republican strategist, tweeted: “The teens of America have struck a savage blow against @realDonaldTrump.”

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