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Ryan O'Leary, MD MA

@psydactic.bsky.social

Psychiatrist, Child and Adolescent Psychiatry fellow, Evolutionary Biologist and host of the PsyDactic family of podcasts.

created January 24, 2025

12 followers 16 following 37 posts

view profile on Bluesky

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Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social) reply parent

I was scared reading Facebook comments, but I am even more scared reading the Bluesky echo chamber. If we progress from intolerance to more intolerance, we become inescapable intolerance.

15/8/2025, 4:21:24 AM | 0 0 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social)

Maybe we wouldn't have to spend so much time defending ourselves against tyrants if we weren't tyrants ourselves...?

15/8/2025, 4:14:26 AM | 0 0 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social) reply parent

Proof is the hard problem. Humans don't do proof. We do inference. To reject anything without proof is to reject anything that humanity can do.

12/8/2025, 3:29:31 AM | 1 0 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social) reply parent

I might posit that the founding fathers were not a monolith that a meme could explain, and that kind of reasoning just might be the problem.

12/8/2025, 3:27:26 AM | 0 0 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social) reply parent

I'm glad my politics doesn't boil down to pithy quotes. That's religion.

15/7/2025, 3:15:01 AM | 0 0 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social)

@seanmcarroll.bsky.social Does entanglement imply faster than speed of light travel of information?

13/7/2025, 1:50:54 AM | 0 0 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social)

I may have accidentally chosen to be a psychiatrist for kids because they teach me how to see the world with so much more imagination than I had been able to muster for a long time.

29/6/2025, 5:15:46 AM | 0 0 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social)

Did you know we can use ultrasound to disrupt the blood-brain barrier, make cells explode or cook your insides. Michael Canney explains... #FocusedUltrasound #bloodbrainbarrier #glioblastoma

11/6/2025, 6:44:51 PM | 0 0 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social)

There are always at least two debates about truth, the first is your prior bias, and the second the validity of the data we can all agree on.

23/5/2025, 2:00:00 AM | 0 0 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social)

Just wanted to bump @seanmcarroll.bsky.social and Thomas Levenson that "Everyone is entitled to their own priors, but no one is entitled to their own likelihoods." open.spotify.com/episode/1aS9...

22/5/2025, 1:39:08 AM | 3 0 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social) reply parent

youtu.be/lxPz4LsHs08?...

20/5/2025, 1:39:07 AM | 1 0 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social)

Intracranial EEG just confirmed the distributed nature of decision making that I had pieced together (see comments for link) with an active inference framework. www.jneurosci.org/content/45/1...

20/5/2025, 1:38:47 AM | 2 0 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social)

If none were to remember me, No loss to humanity, No ideas can I own, All we inspired in the tomes, that I happened to read.

3/5/2025, 2:46:03 AM | 0 0 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social)

Leeuwenhoek took a look, Epistemically, And it shook the world, Many before had foraged With the same tool, But we remember his Reversal.

3/5/2025, 2:18:56 AM | 0 0 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social)

What can I see? I see a flea. With my own eyes, I see a flea. With a light microscope, I see a flea. With electron microscopy, I see a flea. With my own mind, only, I see a flea.

3/5/2025, 2:08:35 AM | 0 0 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social) reply parent

The expectation of change prior to giving a medication that will relax our high level models followed by an openness to change are all essential. That is the danger of the treatment... If treatment and aftermath are accompanied by maladaptive expectations, it could reinforce instead of replace them.

30/3/2025, 3:52:18 PM | 2 0 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social) reply parent

With regard to psychedelics, the taking of the medication can be metaphorically seen as the launch of a space flight. The preparation for the launch and navigation after the launch are at least as important as the launch itself.

30/3/2025, 3:48:18 PM | 1 0 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social) reply parent

It is almost a truism.

29/3/2025, 3:47:06 AM | 2 0 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social)

Functional neurological symptoms are of the most frustrating things a patient can bring to their doctor... especially because their doctor may have no idea what is causing them. www.buzzsprout.com/1909786/epis...

20/3/2025, 6:14:59 PM | 0 0 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social)

Humbled and excited to have had the opportunity to present ideas of how psychiatry can be informed by #activeinference @karlfristonnews.bsky.social

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19/3/2025, 4:09:01 AM | 0 0 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social)

The deeply personal is what has always made Dolly into Dolly Parton. youtu.be/JPzwXz1RX4s?...

8/3/2025, 3:27:16 AM | 1 0 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social) reply parent

When people's goals are to reinvent an image of a glorious past, it is (maybe) not surprising that their values align.

8/3/2025, 2:39:58 AM | 1 0 | View on Bluesky | view

Profile picture Sean Carroll (@seanmcarroll.bsky.social) reposted

Mindscape 307 | Kevin Peterson on the Theory of Cocktails. (The principles of balance and substitution apply more widely!) #MindscapePodcast www.preposterousuniverse.com/podcast/2025...

Title card for podcast episode with Kevin Peterson.
3/3/2025, 12:14:32 PM | 58 5 | View on Bluesky | view

Profile picture Sean Carroll (@seanmcarroll.bsky.social) reposted

Enormously harmful to the future of science. My heart breaks for these students who were excited to learn and experience research firsthand.

24/2/2025, 5:39:18 PM | 145 23 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social)

Anyone interested in an A.I. generated audio discussion of ADHD after being fed peer reviewed papers? www.buzzsprout.com/2421515/epis...

24/2/2025, 11:18:38 PM | 2 1 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social)

I wonder if emergent phenomenon can be explained more easily by looking for a selection process acting on stochastic variation in a system than by looking at the individual properties of its components... @seanmcarroll.bsky.social

8/2/2025, 4:35:45 AM | 0 0 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social) reply parent

I am not sure if existential meaning is the same as any instance of meaning making. Maybe it would be better if I said that existential meaning can be instantiated and modified as a function of the therapeutic alliance... ?

6/2/2025, 3:38:30 PM | 1 0 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social)

I don't post a lot because I think too much.

6/2/2025, 4:41:45 AM | 0 0 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social) reply parent

I want to thank you for Mindscape. It allows me to have a colleague and mentor who shares the same questions and can give a measured approach. Thank you.

6/2/2025, 4:19:39 AM | 2 0 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social) reply parent

In some ways meaning can be measured by the therapeutic alliance. If a patient finds meaning in the relationship with the therapist, their chance of improving substantially increases dramatically.

6/2/2025, 4:16:14 AM | 1 0 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social)

I wonder if a better question than "Is A.I. conscious?" would be "Can A.I. make decisions about itself?"

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4/2/2025, 4:39:20 AM | 0 0 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social) reply parent

@davidchalmers.bsky.social Is there is something it is like to be a murmuration like there is something it is like to be a hippopotamus. As a human I can imagine a murmuration has no such experience, but if I were to take the hard problem of consciousness seriously, I think I must. Should I?

2/2/2025, 6:50:04 AM | 1 0 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social)

Is the beauty of a murmuration of starlings the surprise we experience because of the patterns of movement... exploding, converging, splitting like droplets and recombining? We cannot predict it, except that it will recombine. It is no threat (or is it?). Why do we experience beauty and not noise?

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2/2/2025, 6:40:41 AM | 0 0 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social) reply parent

feeds.buzzsprout.com/1909786.rss

31/1/2025, 4:31:53 AM | 0 0 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social)

The most compassionate and insightful instruction on the suicide assessment I have ever heard is from Dr. Tyler Black @tylerblack.bsky.social . Dr. Mark Mullen graciously allowed me to rebroadcast this episode from Psychiatry Boot Camp.

31/1/2025, 4:30:26 AM | 0 0 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social)

Life plays with entropy like it is a toy. We increase it, we decrease it... Entropy is as much a measure of possibility as it is a measure of disorder.

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31/1/2025, 4:22:04 AM | 0 0 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social)

If there are any Child and Adolescent Psychiatry Fellows out there who want a podcast to help them study, here is episode 12 of PsyDactic - CAPS Board Study Edition feeds.buzzsprout.com/2421515.rss

31/1/2025, 2:54:12 AM | 0 0 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social)

It's good to be on Bluesky. If there are any #medicalstudents out there interested in a residency in #psychiatry let me introduce you to Dr. Mark Mullen, the host and creator of the Psychiatry Boot Camp podcast. www.buzzsprout.com/1909786/epis...

26/1/2025, 7:03:47 PM | 1 0 | View on Bluesky | view

Profile picture Ryan O'Leary, MD MA (@psydactic.bsky.social) reply parent

As always you are incredibly kind.

26/1/2025, 6:57:12 PM | 1 0 | View on Bluesky | view