怪谈百物语
사당동 305-35, 최고 34층·970세대 탈바꿈…사당로16길, 4차로로 확장 [부동산360]_我的网站
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As government scrutiny and even some statewide TikTok bans trickle in, concerns about the app’s impact on youth mental health are often repeated. Among the concerned are the bereft parents of a teen who killed himself last year, reportedly after seeing self-harm content on TikTok.
While states and some organizations decide whether TikTok poses enough danger to warrant a ban, I want to sound the alarm about an online mental health risk that’s even more chronic and not limited to TikTok: an epidemic of self-diagnosis, fueled by social media, that’s leading to improper treatment, missed treatment and the trivialization of serious mental health conditions.
If there’s a silver lining to the COVID-era mental health crisis, it’s that people seem more willing than ever to talk about mental health struggles with friends, with colleagues and sometimes to the whole world online. Even better, they’re willing to get help. The percentage of adults aged 18 to 44 seeking mental health treatment rose significantly during the first years of the pandemic, according to data from the Centers for Disease Control and Prevention.
If you spend any time online, you can’t miss the new candor about mental health conditions. TikTok and Instagram influencers share their struggles and diagnoses on camera. In recent years, executives on LinkedIn have shared photos of antidepressant medication with the hashtag #PostYourPill. Actor-singer-beauty mogul Selena Gomez launched an entire content platform focused on “mental fitness.” Conditions such as anxiety disorder, ADHD and OCD are not only being de-stigmatized, in some contexts, they’re trending.
Open discussion of mental health is undoubtedly a good thing when it eradicates shame, results in people feeling less alone or motivates somebody to seek needed professional care. But in this new era of openness, we risk oversimplification and even trivialization of complex medical conditions, increasing the risk of overtreatment for some, undertreatment for others and overall mistreatment of people exposed to a cacophony of mental health conversations online but lacking access to balanced, authoritative information and quality clinical care.
Let’s say a young woman perusing TikTok sees an influencer sharing that he has attention-deficit/hyperactivity disorder, then – thanks to social media algorithms – over the next week, more ADHD-related content appears in the young woman’s feed. Some of the symptoms feel relatable, so she does a YouTube search on ADHD. After watching a few of the thousands of videos on the topic, she decides that she herself has ADHD.
This is not unusual. Some therapists at Talkspace, where I serve as the chief medical officer, report they have clients coming to sessions with more complex or specific self-diagnoses. Whereas a client might have said, “I think I’m depressed,” a few years ago, now more are saying, “I think I have borderline personality disorder” or “I think I’m on the autism spectrum.”
Such self-diagnosis can be dangerous. When a social media user becomes convinced that they have a mental health disorder, it can lead them to seek inappropriate treatments. They may announce their self-diagnosis to a primary care provider who doesn’t have sufficient mental health expertise to appropriately evaluate the presenting symptoms. Or the patient may wind up using a telehealth provider to get a prescription medication that’s not helpful or is dangerous. In the case of the hypothetical young woman above, she’d likely be seeing ads for ADHD-focused telehealth prescribers within days, if not minutes, of initially engaging with ADHD influencers.
Diagnosing a mental health disorder isn’t as simple as checking off a list of symptoms. Many healthy people experience symptoms of a mental health condition, but the true measure of whether those symptoms merit a diagnosis and treatment is whether they impair the individual’s ability to function. That determination requires working with a licensed mental health professional to evaluate the frequency, intensity, severity and specificity of those symptoms, and understand them within the broader context of life events, stressors and family history.
A “reel” diagnosis needs a real-life one
To address the “TikTok effect” and stop the dangers of self-diagnosis, mental health professionals must meet people where they are: online and actively searching for answers, inadvertently creating a curated feed.
Social media companies and other platforms with user-generated content have a responsibility to create guardrails that ensure clinically-vetted and accurate information is within reach of anybody seeking content about mental health conditions.
For example, if you enter the search terms “depression” or “suicide” into Instagram, you’re offered a list of mental health resources. However, searches related to specific conditions like OCD, ADHD and Tourette’s link directly to memes and user-generated videos of (to put it generously) mixed quality. Since the start of the pandemic, we’ve seen how quickly social platforms could flag content related to COVID or vaccines and direct people to CDC information on those topics. Therefore, it does not seem unreasonable to expect the same for content around sensitive mental health topics.
When somebody hears about a condition online and believes, correctly or not, that it affects them, they are more likely to feel worried, triggered or even distraught. Thankfully, that same technology can quickly link them with mental health care without stigma or stress and allow them to find real answers under a professional’s guidance – if they land at a responsible, high-quality source of tele-mental health. We recently revamped our own site to provide clinical insights from a dedicated team of licensed, practicing clinicians to add dimension to the spectrum between experiencing symptoms and having a condition.
Unfortunately, some telehealth services are all too quick to prescribe medications, including controlled substances, based solely on answers to online questions. At Talkspace, I am personally committed to our policy of not prescribing controlled substances online. When our board-certified psychiatrists and psychiatric nurse practitioners do prescribe medication, it is only after live video consultations and a comprehensive psychiatric evaluation.
Because mental health conditions are so much more complex than what can be captured by a checklist of symptoms, I’m wary of any company that prescribes without live consultations. When digital health companies feed into the misconception that everyone with depressive symptoms is clinically depressed or anyone who’s easily distracted has ADHD, they risk hurting more people than they help.
At a time when it’s all too easy for both the worried well and people with serious mental health conditions to self-diagnose online, it’s imperative that both social media and digital health companies do everything possible to direct vulnerable audiences to trustworthy information and comprehensive, ethical care.
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二 | 사당동 305-35 일대 재개발 신통기획 확정청소년수련시설 등 맞춤시설로 생활환경 개선 사당동 305-35 지역 정비사업 후 예상 이미지. [서울시][헤럴드경제=김희량 기자] 서울시 동작구 사당동 305-35 일대가 재개발 신속통합기획을 통해 최고 34층, 약 970세대 규모의 주거단지로 탈바꿈한다. 시는 교통 수요 대응을 위해 사당로16길을 단계적으로 폭 16m·4차로까지 확폭하고 생활기반시설을 배치하기로 했다.26일 서울시는 동작구 사당동 305-35 일대 재개발 신속통합기획을 확정했다고 밝혔다. 대상지는 용도지역을 상향(제2종 일반주거지역→제3종일반주거지역)하고 사업성 보정계수(1.17)을 적용 받아 약 970세대의 단지 계획이 가능하게 됐다.해당 지역은 지하철 7호선 남성역 도보 10분 거리에 있다. 시는 남북으로 430m에 이르는 장방형 대지 형상과 최대 22m의 높이차가 있어 경사 지형인 탓에 이를 고려한 단지계획을 검토했다.시 관계자는 “대상지 일대인 사당로16길을 중심으로 역세권 활성화사업, 역세권 장기전세주택사업 등이 추진되고 있어 향후 교통량 증가 등 지역 여건 변화가 예상된다”면서 “대상지는 장래 교통수요 대응과 지역의 도로·보행체계 개선도 필요한 상황”이라고 설명했다. 사당동 305-35일대 위치도. [서울시]이에 시는 ▷주변 개발사업과 연계한 단계적 도로체계 정비 ▷주민 생활동선 고려한 보행·외부공간 조성 ▷가로 특성을 고려한 맞춤형 시설배치 ▷주변 지역과 조화로운 경관창출 ▷지역 맞춤형 인센티브 적용을 중심으로 기획을 진행했다.도로의 경우 북측 역세권활성화사업과 연계해 우선 폭 14m의 3차로와 양측 보도를 확보하고, 향후 서측 역세권 장기전세주택사업 등 추진을 통해 진입부를 폭 16m, 4차로까지 넓힌다.또 남북으로 긴 장방형 대지(430m×90m)와 주민 보행동선을 고려해 동서방향 공공보행통로를 조성하기로 했다. 동측 주거지쪽 급격한 단차(8~9m)로 인한 옹벽구간은 계단식 조경공간 조성으로 시각적 위압감을 완화하고 급경사 계단은 안전하게 재조성하면서 엘리베이터를 설치해 보행 편의성과 안전성을 갖추도록 한다.기존 협소한 사당4동 구립 청소년독서실은 확대·재배치하여 청소년수련시설로 바꾼다. 대상지 북측 진입부에는 최고 34층을 계획하고 남측 저층주거지 및 남성중학교 방향으로 점차 낮아지도록 계획해 주변과 조화를 이루는 스카이라인이 형성될 예정이다.김창규 서울시 도시공간본부장은 “대상지 일대는 다양한 개발사업이 추진되고 있어 지역 일대 변화를 종합적으로 고려한 도로·보행체계 정비가 필요한 곳”이라며 “지역 생활가로를 중심으로 기반시설을 정비하고 생활동선을 연계해 지역 변화를 이끄는 주거단지가 조성될 수 있도록 지원하겠다”고 했다.。
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Published on:18:35:36