May 4, 2026
“ERP beats a credible psychological placebo in paediatric OCD — but by less than a Y-BOCS notch, and the families with the worst access to it should hear that honestly.”
“Bipolar II is treated, in many practices, as if it were "BD-I lite" — but the maintenance evidence base for it has barely a tenth of BD-I's statistical mass, and our prescribing confidence should reflect that gap.”
“Cohesion is not a vibe — it is a 9-item scale with α=.90, one-week reliability of .93, and the strongest treatment-trajectory effect in this telehealth trial.”
“A 95% treatment-gap statistic is not an awareness problem and not a research problem — it is a referral-routing and network-adequacy problem, and it sits squarely inside what every clinician decides on a Tuesday afternoon.”
“Adding a hypnotic to CBT-I does not improve global insomnia severity, sleep continuity, or daytime mood and anxiety symptoms — six RCTs, low certainty, but the direction is consistent.”
“ERP is a procedural skill — you cannot pick it up from a textbook, and the BTTI is the field's standard answer to that.”