February 19, 2026
“The parent RCT found DBT and Schema Therapy equivalently effective for BPD on average. The causal forest found that "on average" hides a subgroup with a 5.79-point BPDSI advantage in one modality over the other — a medium-to-large effect size (SMD = 0.65). Personalized psychotherapy matching for BPD is no longer theoretical. It is quantified.”
“A meta-analysis of 84 studies (674 effect sizes) finds paternal perinatal depression, anxiety, and stress associated with poorer child development across five domains — with the strongest effect on language (r = -0.15). Fourteen percent of fathers experience postpartum depression. Almost none are screened. Le Bas and colleagues have produced the definitive evidence that this omission costs children.”
“Screening without follow-through is a system that generates data about suffering while doing nothing to address it. PMH Connect is designed to ensure that every screened patient leaves with resources in hand, regardless of what the provider does next.”
“Eight states mandate perinatal screening. No state meets all seven criteria for doing it well. The gap between legislation and infrastructure is where patients disappear.”
“NICE has moved MBCT from niche relapse prevention tool to first-line treatment for depression. Mindfulness is now mainstream clinical policy in the UK. The question is whether the implementation will match the evidence — or whether we will fund the brand while losing the therapy.”
“ISST certification is not a weekend credential — it is a multi-year pathway requiring didactic training, supervised cases, and personal schema therapy. The investment is real. So is the clinical capability it builds for patients that standard CBT does not reach.”