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一 | Joe Biden called Hunter Biden in late 2018 after reading a New York Times story detailing his son’s shady business dealings with a Chinese firm, CEFC China Energy, according to a voicemail cited by the Daily Mail.,The Times' article had pointed out that the oil giant’s chairman, Ye Jianming, had been arrested, while Patrick Ho, who ran its nonprofit wing, had been convicted of bribery.,“Hey pal, it’s Dad. It’s 8:15 on Wednesday night. If you get a chance just give me a call. Nothing urgent. I just wanted to talk to you,” said Joe Biden in the voicemail left on Hunter Biden's iPhone XS on 12 December, 2018, according to the report.,The audio had been discovered on a cell phone backup on his notorious ‘laptop from Hell’, discarded at a Delaware computer repair store in April 2019.,The older Biden proceeds to say in the voicemail:,“I thought the article released online, it’s going to be printed tomorrow in the Times, was good… I think you’re clear. And anyway if you get a chance give me a call, I love you.”,This appears to be in stark contrast to President Biden’s vehement denial that he had any knowledge of his son’s murky business transactions.,“I have never spoken to my son about his overseas business dealings,” Joe Biden insisted at a campaign appearance in Iowa in September 2019. The stance was echoed by Biden’s ex-press secretary, Jen Psaki, and his chief of staff, Ron Klain.,The unearthed voice message renewed calls for a probe of the now-president’s handling and knowledge of his son’s overseas dealings.,“Joe Biden said he ‘never spoke’ with Hunter about his business dealings. That is simply not true. We need to know what Joe Biden knew and when he knew it,” Rep. Elise Stefanik (R-NY), was cited as saying by The New York Post.,“This voicemail is just the tip of the iceberg when it comes to the evidence mounting against the Biden Crime Family. When Republicans take back Congress, we will use our Congressional power of oversight to uncover the truth for every American as a matter of national security,” added the Republican.,Chinese Deals & ‘The Big Guy’,The voicemail had been left by Joe Biden in the wake of a Times report that shed light on Hunter’s dealings with Ye Jianming.,The Chinese oil tycoon is the founder and former chairman of CEFC China Energy Company Limited - now defunct. The billionaire has reportedly been under detention in China since March 2018 on charges of bribery. The New York Post reported in April that Ye has not been seen since his arrest, with his former company’s assets seized by the Chinese government.,The outlet has previously cited emails showing the proposed percentage distribution of equity in the company, detailed by Hunter Biden’s business partner, James Gilliar. On 15 October 2020, The Post revealed an email exchange between Gilliar and Hunter associate Tony Bobulinski.,In it, the two discussed an unspecified business deal with a Chinese firm which included allocating "20 [percent] for H[unter]" and "10 percent" for "the big guy".,Speaking to Tucker Carlson on 27 October 2020, Bobulinski claimed that the "big guy" was the then-Vice President Joe Biden. The White House has since vehemently denied that the "big guy" from the laptop docs had anything to do with the 46th POTUS.,Analyst of Hunter’s Laptop From Hell: If ‘Big Guy’ Is Biden, He Will Pay a Heavy Price22 May, 18:51 GMT,The Times also reported in 2018 that Patrick Ho had called Joe Biden’s brother, James Biden, following his arrest. However, at the time, James Biden told the outlet e believed the call had been intended for Hunter Biden.,The latter’s friends had taunted him about his uncle’s damming remarks to the paper, connecting Hunter Biden with Ho. Devon Archer, Hunter’s ex-business partner who was sentenced to over a year-long prison stay in February for his role in a scheme to defraud a Native American tribe of some $60 million in bonds, texted him the day after The Times report came out, according to the Daily Mail.,“Nice quote from uncle jimmy. I hope you thanked him for that,” he wrote, eliciting the following response from Hunter Biden:,“Took it totally out of context [actually] the text itself that it was said in. Either way yeah I’m delighted.”,According to the report, after Patrick Ho was arrested, he contacted Hunter Biden and paid him a $1million retainer to represent him as his attorney.,Furthermore, at the time, US federal agents had been surveilling Ho as a potential spy for China, according to a copy of a FISA warrant cited by the Mail. The outlet added that back in May 2018, while filing himself with a prostitute in a hotel, Hunter Biden accidentally recorded himself referencing Patrick Ho, saying:,“I have another New York Times reporter calling about my representation of the, literally, Dr. Patrick Ho – the f—king spy chief of China who started the company that my partner [Ye], who is worth $323 billion, founded and is now missing… The richest man in the world is missing, who was my partner.”,Hunter Biden 'Squandered Millions' on 'Drugs, Strip Clubs, Prostitutes', Hard Drive Docs Show19 May, 13:54 GMT,The fresh revelations come as Hunter Biden remains under federal investigation for possible tax fraud stemming from his overseas business dealings.,In late April, House Republicans asked Hunter Biden’s business associate Eric Schwerin to hand over documents that they believe would link the president to those questionable deals.,“We expect Eric Schwerin to provide us with answers to our questions. If Americans entrust Republicans with the majority in 2023, we will use tools at our disposal to ensure we get to the truth about whether Joe Biden has financially benefited and helped facilitate Hunter Biden’s business dealings,” a House oversight committee Republican aide told The Post.。

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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Published on:12:18:05