May 11, 2026
“When two evidence-based therapies look identical in outcome, identical in attrition, and identical in mediation pathways, the clinical question stops being "which therapy" and starts being "which therapist this patient can actually access and stay with."”
“Parental stress in ASD does not regress to baseline on its own — and an 8-week ACT block holds for at least six months, while the mood lift fades.”
“Grief-focused CBT in groups produces the same six-month outcomes as individual sessions in older bereaved adults — including for PTSD, depression, and anxiety symptoms — which means the question is no longer whether to offer groups, but how to staff them.”
“In synthetic-cannabinoid dependence with paranoid schizophrenia, the addictive peer group is doing psychic work the patient cannot do alone — rehabilitation has to replace that work, not merely remove the group.”
“In chronic pain, don't fight to interpret Self vs Interpersonal — the LPFS-BF 2.0 in this population is essentially one number, and that number is enough to change your treatment plan.”
“Stepped-care CBT at population scale converges on about half-recovery — anyone selling higher numbers is either creaming case-mix or counting differently.”