How do you find AI being helpful, harmful in that situation?

Realistically speaking, because there is an access problem, which by the way, ranges not only because there aren't enough people, highly trained, qualified people available, but also because it often costs a lot of money that people don't have or budgeted to spend.

And of course, it does depend on the area that you're in, how many practitioners there around.

We have a real dearth, for example, of child and adolescent psychiatrists.

And that can be, there are many areas in the country where that's a real issue, which is another population that for better and for worse is partaking of AI, children and Adolescents, you know, whoever you see is not available to you 24-7 or even close.

So the ease and the comfort and the feeling that it will give you reassurance or engagement of some type may make someone feel from an access standpoint that is wonderful and that therefore whenever they feel, let's say, upset or disturbed about something, they have immediate, if you will, gratification by engaging about it.

And there is something to be said for feeling that there is when you feel.

So for example, someone in crisis, someone having suicidal thoughts or thoughts of self-harm, what are the risks of relying on AI in those situations? Are there concerns around the AI reinforcing those types of harmful thoughts?

Dr. Saltz, from a psychiatric point of view, what do you think about this story?

Well, I think that sadly, we're going to be seeing more of this kind of thing in that The way that people communicate with each other today, young people particularly, by text, by Facebook, by Snapchat, by Instagram, means that there are many other vehicles that are available basically 24-7 to potentially be abusive toward your partner.

Partner abuse in these young years that we're talking about here is sadly not uncommon, and What does seem uncommon is, you know, a woman doing this to a man.

But in fact, this probably happens more often than we realize because men are much more loath to say that they're being abused or to even recognize that they're being abused because it's sort of inconsistent with old cultural norms of, you know, what a man should be, what a woman should be, et cetera.

But we know, psychiatrically speaking, that emotional abuse and also supposedly there was physical abuse here as well, but we know that emotional abuse can be every bit as damaging and compelling as physical abuse.

And we know that it certainly can cause major depression and other psychiatric problems.

And we know that, you know, sadly, you know, people with major depression suffer a mortality rate of 15% from committing suicide.

So

Tell us the difference between the two.

Postpartum depression happens more commonly, one out of eight women.

Postpartum psychosis, one to two out of a thousand.

In other words, it's clearly rarer.

But the symptoms are different as well.

Yes.

You can have, of course, with postpartum depression, you have depression, difficulty sleeping, and difficulty with appetite, can't concentrate, might feel very irritable.

Gail, what is it that the public doesn't understand, that we don't understand about this?

do you gain independence if you're still living at home?

Okay, you have to treat it like an adult-adult relationship if they move back in.

Not like an adult-child relationship.

That is the key, key task.

So you're treating each other as adults.

How do you do that? Start by setting the house ground rules.

That's who's going to do the chores? Who's going to tend to meals? What are the rules about pets, about guests, about substance use? How are you going to contribute financially? How are you going to contribute? Because the task at hand is to create a set of rules where your kid is being treated like a functioning, high functioning adult.

Real quick, Dr. Salta, what are some of the mistakes that you see families make?

In that moment, what were you most afraid people would misunderstand?

So, that was... a period of time where people had frankly never heard of such a thing.

In fact, most people hadn't even heard about postpartum depression, very different from now, let alone postpartum psychosis.

And so what I was worried about is that people would not understand two things.

One is that postpartum psychosis and postpartum deep depression These are biological processes and they have a certain set of symptoms and they are distinctly different from most mothers who go through a period and in fact, well into their kids' childhoods that they may occasionally have a thought of, what if I, and I said this on air, what if I left my child by the side of the road? And then that thought comes into their mind and then it goes away.

And that thought does not mean you have postpartum depression or postpartum psychosis, nor does it mean you're a bad mother.

What it means is that all mothers have ambivalence.

When does ambition become a hiding place? And do you have a favorite example of someone you have studied?

Tell us a little bit about yourself, what you do, and how long you have been doing this.

Sure.

I am a psychiatrist, actually clinical associate professor of psychiatry at the NewYork-Presbyterian Hospital and the Weill Cornell Medical College, and I'm a psychoanalyst.

And I do many things that have to do with psychoeducation and have to do with, uh, destigmatizing these issues through education.

I have written a number of books, but this book, "The Power of Different: The Link between Disorder and Genius," really comes from my decades of practice.

Had a Park Avenue, New York City practice, so I have a lot of very successful patients who do incredibly well but obviously are suffering in some way.

That's why they came to me.

Mm-hmm

Mm.

And you do that by basically saying, "What have you heard? What do you know? What do you feel about what you've heard and what you know?" And let them tell you.

Then let them ask you questions that you should answer honestly.

You don't have to be super graphic to answer honestly, and sometimes the answer is, "I don't know." If the answer is, "I don't know," you say, "You know what, but I'm gonna try to find some answers." But the idea is that you want them to know that you're always available to talk to them about their feelings, and I would talk to your kids who are over 10 about limiting what they're seeing because it will be better for them, and you need to explain it that way.

"Hey, look, I'm very aware seeing all this all the time is not good for your mental health, and we have to prioritize our mental health.

So for the next week, let's just say, we can check in after that, let's just, you know, remove the TikTok," or, "Let's just, you know, remove certain things and take a vacation from that while this is so disturbing and going to disturb you." Because if it would help, great, but it's actually not gonna help, and then that's another thing to do with kids is sort of talk about, can we think about helping? Um, helping for adults and kids is a great defense mechanism.

It really, you know, it helps people to feel better when they are feeling scared and helpless-

Mm