Katie Charlwood

speaker
637 appearances 1 recordings 1 series first heard Jul 2026 last heard 21 Jul

Katie Charlwood’s voice in public audio — every appearance, attributed to the second.

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Recordings per month over the last 12 months — 1 in all, peaking in Jul 2026 with 1.

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Black patients are more likely than white patients presenting with similar symptoms to receive diagnoses of schizophrenia or other psychotic disorders, while white patients are more likely to receive diagnoses such as mood disorders, including major depression or bipolar disorder when psychotic symptoms are present.
It doesn't mean that every diagnosis is incorrect or that it's over diagnosed in every black patient.
because mental illness is complex and it does suggest though that cultural assumptions influence this so imagine two patients they're basically saying the same thing people in authority are watching me right and for one they might hear like the doctor might hear paranoia and for another they might hear anxiety right
Now, you'd hope that the doctor would do, you know, ask a couple questions about previous experiences with authority, like policing or discrimination, before, like, making conclusions, but sometimes they don't.
So, removing context can basically change the meaning of what someone says.
so modern psychiatry it emphasizes cultural competence right because you're supposed to have culturally informed or culturally responsive care because basically sidebar um deciding whether a belief is evidence of psychosis
doctors should ask whether that belief makes sense within the person's cultural, historical or lived experience.
Because if someone comes from a community with a long history of discrimination, mistrust of institutions, right, isn't irrational.
If someone has experienced racial profiling, concerns about future encounters with police, also not irrational.
It's not automatically paranoia.
So context is relevant.
And understanding context doesn't prevent doctors from diagnosing when it's genuinely present, right?
It just helps them distinguish between illness and experience.
Now, if you are listening during BIPOC, I keep wanting to call it BIPOC.
Is that, I don't know if that's right or wrong.
It's Mental Health Awareness Month.
BIPOC Mental Health Awareness Month.
And so this history is really important, which is why this is a bit different to a few other things that I've done.
This is a very psychiatry-laden episode.
I don't talk about it a lot.
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