Dr. "D" Sportelli on Instagram: "Serial homicide is rarely impulsive—it’s a progression from fantasy to action. Violent sexual fantasies are rehearsed internally, reinforced over time, and gradually require real-world enactment to achieve the same psychological relief or arousal. Fantasy fuels planning; planning lowers inhibition; action then strengthens the fantasy loop. In the Jeffrey Dahmer case, this pattern was evident. Early social isolation, chronic rejection, and identity disturbance mer
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Dr. "D" Sportelli on Instagram: "Serial homicide is rarely impulsiv…
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Dr. "D" Sportelli on Instagram: "As a psychiatrist I see psychosis often, here’s how to handle it: When a loved one is experiencing psychosis, trying to “talk sense” into them usually does more harm than good. In psychosis, the brain is misinterpreting reality—hallucinations and delusions feel absolutely real. Arguing facts or saying “that’s not true” can increase fear, agitation, and paranoia, and can break trust at the exact moment they need safety the most. What does help is validating the em
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Dr. "D" Sportelli on Instagram: "As a psychiatrist I see psychosis often…
116K views2 months ago
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Dr. "D" Sportelli on Instagram: "As someone who reviews applications and interviews residents every year, here’s a gentle truth: we can tell when you’re performing. Polished answers aren’t the same as authentic ones. We’re not looking for perfection — we’re looking for sincerity, curiosity, humility, and self-awareness. It’s okay to pause, to reflect, to say “I don’t know yet” or “I’m still learning.” Those moments tell us far more about who you’ll be as a colleague and physician than rehearsed
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Dr. "D" Sportelli | As a board-certified psychiatrist, one of the most important truths about abuse networks like Epstein’s is that they do not function in... | Instagram
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Dr. "D" Sportelli on Instagram: "I get it, we all lose our keys from time to time and we wonder how we are doing cognitively with the ultimate fear of “dementia”. Well, dementia is a very broad term for a progressive memory and cognitive that can be caused by many things : Alzheimer’s, Lewy Body, Vascular Dementia, Frontotemporal Disease, TBI among other pathologies. This video shares a sensitive but non specific very basic test call the mini-cog or the “clock drawing test” that we often do in t
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Dr. "D" Sportelli on Instagram: "Over-diagnosing bipolar disorder in kids matters more than people realize. Children’s brains and emotions are still developing, and big mood swings, impulsivity, or intense reactions don’t automatically mean a lifelong mood disorder. Anxiety, ADHD, trauma, sleep problems, or stress can look similar, and when the label is wrong, it can shape how a kid sees themselves and how others treat them. There’s also the risk of strong medications being used when they aren’t
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Dr. "D" Sportelli on Instagram: "People often ask me, “Why do th…
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Dr. "D" Sportelli on Instagram: "This was a FUN episode! You might thi…
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Dr. "D" Sportelli on Instagram: "Psychiatric diagnosis is not a ch…
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