for now, she and the other nursing home residents will remain at the hotel. the railroad company, norfolk southern has covered costs thus far. i know they're not going to take us back to totally safe that to thomas totally safe even. and now there's concerns that the chemicals may have leaked into the ohio river. a major waterway connected to the derailment area by about 25 kilometers of small streams. at least one down river community has switched to an alternative water source as a precaution. as fears grow of the contaminants spread. hydro, castro al jazeera beaver county, pennsylvania. ah, you're watching al jazeera and these are the top stories, the salad, the death toll from is quite into kia and syria on monday has risen to more than 16000 rescue operations are still ongoing,

but the scale of the disaster and freezing wither is making it harder for rescue teams to operate. stephanie ticket has moved from a relief center in cassey on tip and to key at near the syrian border. this is the tragedy of the living. we are in this next edition center. i need to take a look. it is packed with people, children, and families sleeping wherever they can. there are 3 holes. here. it is packed. they are telling us that there isn't a there deliveries of motor bread. further down, you will be sure to get the light control. boots are being handed out and there is a queue of people, so it does all around to the other side. but it is very difficult in syria. the disaster has compounded an existing humanitarian crisis and created new ones in the northern lip. a town of gen doris mass burials are taking place. it is one of the hardest hit areas. much of philipo had already been destroyed and serious 12 years

civil war. when i was not a new gun. since the 1st gave you for my cousin, his wife and children, we pulled out 4 people yesterday, his wife and clear his children. we came back today and pulled out the husband, who's my cousin. he has another son and a little louder. and now you're waiting to get them out. the bottom bottom, i have caught about some company sites. after 50 hours of work, we pulled out a man and a little girl, life and harm. the civil defense teams are struggling with heavy machinery due to the massive area that has been damaged. over 400 sites were destroyed completely, and over 250 sites are partially damaged. we urge the international community to help the ukraine's president is true to address the european parliament in brussels below me as lensky is on an unannounced visit to europe. on wednesday, he visited paris and london. he met the u. kay's prime minister, the french president and the gym, and chancellor sa lensky asked you countries to send 5 digits and more weapons to

ukraine. menu mac, ron assured him of france's full support. but the headlines, the news continues here on al jazeera, after the stream. talk to al jazeera, we ask, but should they not be more over signs, perhaps, of foundations like yours? we listen when it comes to diversification, we don't do it in order to be gets wrinkled, the rational, none of your sources. we meet with global news makers. i'm talk about the stool. restock matter. on al jazeera, i am in an emotionally abusive relationship. no, that's terrible. i'm constantly being criticized sympathetic. they never take ownership or apologize for their behavior. and any time i tell them, had their behavior impacts me, the just gas latin is doing this to you. that's awesome. we have to support you. it's my mother. i mean, well that's definitely uni insulin mother does

a bit of dark humor. and just one example of how people are using the video platform take talk to d, stigmatize issues around mental health. i'm a tab dean and in today's episode of the stream we're asking why more and more people are turning to take talk for therapy and mental health information. what are the benefits and the downsides of our emotional health going viral on line? remember, you can be a part of this discussion, just jump into our live youtube chat and join the stream. ah. joining us for this discussion in texas. doctor hahn wren. a clinical and school psychologist who uses take talk to promote mental health awareness in washington d. c. doctor asked when sued, he is a adult and child psychiatrist who is also in take talk and in new york city, stephanie, my oldest a doctoral candidate in psychology at temple university. i want to start with you,

dr. han, you know, like katie, who we saw in that video. so many people are online having these conversations about mental health that includes licensed health professionals like yourself, but also a lot of unlicensed people just talking about their own experiences. why are you on take talking? what do you make of this phenomenon? yeah, i joined take talk in fall of 2020 as a way to bring some diversity of perspectives to the mental health content that i was seeing. it was very focused on the, you know, euro centric, traditional ways of psychology and healing and not like representation of people of global majority and more liberation oriented, ways of healing. and dr. aspen when you hear that answer. i mean is that why you're using the platform and what concerns you the most? that's great. it 1st is such a pleasure to be in the room with these 2 individuals and the other just to just to hear these ideas. i think the biggest concern in what drove our, our mind media,

psych tick tock or why we came on tick tock was the lack of medical expertise that was being provided on tick tock and the amount of influence that was having over our patients who would watch a lot of influencers and other people who were credentialed in the space and some of the advice do not specific. so little bit jarring. so as positions we felt like it was our obligation or responsibility to come on to social media to just probably try to provide new wants information. and hopefully this conversation will also be nuanced to bring in some of the data behind all of this. i want to ask you, stephanie, i mean, what does the data teach us about this sort of phenomenon? i understand that you found that the majority of mental health content on tick tock is actually lived. experience is why is that relevant? yes. so i did find that the majority is people's personal experiences, and that's really relevant because it looks like you will are turning to take talk

to find community to share their perspectives with mental illness. and that is such an important thing that we're finding. and at the same time, a found that less than 3 percent of the top trending content was actually coming from mental health professionals. and that's also really important because then if people are turning to tick tock, especially teens and young adults, what they're really seeing then is not people who are mental health professionals. and if this is their 1st experience or mental health exposure, then that really has an effect. so it's important to know that people want this sense of community sense of connection, which is really great. and then the flip side of that is we also need more mental and i want to talk about both of those things. i see that they're both not nodding the 2 mental health professionals we have with us. i want to ask you, dr. as been, you know, there are positives, right? d, stigmatizing, the conversation about mental health. we all want to just belong to some community,

find our sense of identity, particularly younger generations. what is the fine line, what, what concerns you most are people side self diagnosing too much? yeah, you know, this is a double edged sword. so when we think about mental health, the 1st thing we have to think about as there's a disparity, particularly people of color, particular people of lower socioeconomic strata, you know, different countries. for example, we're talking about the united states here, but we're also got to think about all these different countries who might not even have access to a psychiatrist and we're example. so, searching connection in getting connection is incredibly important. and when you don't have access to health care and then you find an application that provides you all of these not specific symptoms that you can relate to. that's important and we can't devalue that. but the fine line are talking about right. it's really important because once we find an identity or a diagnosis and then we claim that identity or diagnosis without actual proper

mental health expertise. it can really take us down a dark rabbit hole. we can all of a sudden identify with an illness when we don't have it. and that creates a whole slew of problems, particularly for the mental health professionals on the field. because then all of a sudden they're biased in their own responses, and it can also lead to different treatments which not might not be the most appropriate treatment. and so i could spend hours talking about no and, and i was, we had ours, but i see that dr. hahn is also nodding. so i'm assuming agreeing with you there before we brought in the conversation to those points. i want to share with you what people are saying in our youtube, we have a girl thing. i have a question for the panel. can you give us examples of take talks influenced, creeping into the doctor's office. doctor han. yeah. so many times people will come in and say, hey, i think i have this disorder that i saw on tick tock and these are the symptoms. and this is why i have diagnosed myself with. and unfortunately there's so many

overlapping symptoms that have various routes. and so just based on what is most salient on the platform, does not necessarily apply to a person's individual lived experience and you know, so i usually, i don't want to discourage them from seeking out information that helps them understand themselves better. but i encourage them to slow down, take a look at, had all the different possibilities and explore and have a conversation around that. now most certainly in, and i think i can certainly say that i've been guilty of that side and full disclosure here. i think that's why we're having this conversation on youtube, christopher abbott, saying they exploit our short attention spans. and now want to fix it. i believe, referring to these social media companies as may be being part of the problem. also, it's a fine line. we'll get to that in a moment. i do want to share with you all a video common that was sent to us from vis my part of as a content creator in houston, texas, who says watching mental health content on tick tock actually encouraged her to

seek help. take, listen. i'm in there, be myself, after seeing all the mental health content on tick tock and realizing, having a therapist is extremely important. and so i love that it has been normalized. secondly, another crowd is that it creates access. and the way i realizes is recently i had posted it, you know, something i had learned from my dentist about people pleasing. and so i just kind of share in people commented something which i didn't realize. and they said as someone who can't afford therapy, i really appreciate sharing what you learned from your therapist. and i never thought about that. you know, because there are people who just don't have access to that type of health care. and if you can get on tick tock and learn some things about yourself or about coping mechanisms and better your lifestyle. i think that's amazing.

so i'm curious, doctor has been when you, you hear her making that point. i mean it's, it's encouraging. and in one room regard, but i'm wondering how the algorithms might be a play that can make that a very sort of risky, risky situation to find yourself. and absolutely, it's a fantastic question. i think we live in a polarizing world and this happens in politics. this happens in sports, the idea is that the algorithm placed what we want to see. and when that occurs, when you're all often bombarded by, say, a clip about adhd or depression and they start spending more time on it. all of a sudden you start being fed debt, and again, i'm all about awareness and i'm all about self teaching and getting that education . but the algorithm is not there to fine tune what you might be feeling or seeing. it's still showing how much time you spend on a video, and if you start spending more time on something, all the sudden you will not see bipolar disorder. you will not see depression. you

will not see p t s d. you will not see o c d, you will see 80 h d for example. and that can lead to a bias. yes. so again, i totally agree with awareness and i totally, i totally understand gatekeeping and how frustrating it pete to the lack of access . but again, you jump off that ledge pretty quickly when all of a sudden get the body by one diagnosis most certainly, and i just so you know, stephanie i, as we're having this conversation here in youtube, there is a separate conversation or a similar conversation. i should say storyboard writing thing. i think the issue is that people use take talk in the social prop platforms as a way to compensate for the lack of health care and physicians as well as the access which we discussed. so it seems to me, stephanie, like if people use take talk once they went to see a mental health professional and got a diagnosis, that might be more safe or more constructive. what else, what else does your researcher reveal? yes. 100 percent. so i think to give contracts,

my research was looking specifically at the content and revealing through that is exactly what everyone's saying. and i think this things are very polarizing, and that's what kind of led me to this people. what do you think? tick tock was great. ticks the content on tick tock was horrible. and what it's really showing is it's more nuanced is people's personal experiences. and how that use is what matter. so people use it as just exposure and then they have access to a mental health professional after and then can use that for community to express themselves. that really is wonderful is when it comes to self diagnosis and you'll see maybe a video of like a point of view video on tick tock, right? of a d h t showing one symptom. and then if you have people that experience, that same one thing like they feel distracted that day and then they suddenly think that when it becomes way more problematic, you know, when i was younger, i was diagnosed with it. it's d, i never was medicated for it. but as an adult, since i've started consuming some of the content, invariably,

i have to tell you there are moments where i'm not only convinced but immediately googling in the middle of the night. how i can see a doctor as fast as possible. just to go convince them that i'm convinced that i have a d h d. so with that in mind, doctor, hi. i want to ask you, what do you think it is about tick tock that makes people feel so comfortable sharing or perhaps over sharing? i mean, a lot of crying videos out there. yeah. so the algorithm really thrives on outrage. and so the more comments you get, the more polarizing the content is, the more engagement and the more it will be surface to people. and so that is kind of a recipe for the most extreme types of behaviors to get surfaced on on the platform and people find resonance in what they see and not necessarily, you know, applying it to the nuances of their lives. right? and i'm so glad you brought up nuances because we have

a video that was sent to us by 9 la. i'm a psychiatry resident and content creator in canada, who says it's hard to create nuanced information, right? and especially in short, form on tick tock, tick, listen. i like to make sure that i take into consideration intersectionality and a holistic lens. whenever i create content online, i also try to avoid black and white statements and remain and not gray zone. unfortunately, it's hard to do that on social media because it promotes shorter content and content that is more extreme. but i feel like regardless of the platform we're on, we have a duty as physicians, and i have a duty osman to help professional to not create content that is harmful. i love when i see all 3 and nodding across the board. it makes me feel as if there was a salient point just made. stephanie, why are you naughty? yes, i was 100 percent nodding because again, when i went into this, i was looking for that. like wondering what's the nuance here?

and it really was so many people said in accurate content, and that's not exactly what i was finding. i was again finding people's experiences that weren't exactly inaccurate, but they're not a complete picture there. one little statement one really. and when you're seeing that, that's not new and nuanced enough at all in that would take cochlan q and i think it's really great when you have mental health professionals who can keep that in mind. like they're both doing here, which is amazing. and you can really have that more nuanced conversation and people really thinking about that because that's so important. right. and i do want to share with you on youtube arsenal. k d thing. the goldwater rule states that psychiatrists should not speculate about the mental state of public figures. how do they reconcile this with what they feel is incorrect information from influence? i mean a lot of different people really participating consciously or not in this phenomenon . and i just wonder what can be done to sort of regulate mental health content

online? is that feasible? dr. ashmond? european. yeah. so i know that you will talk about the gold water rule per 2nd. well, water rule was a rule that was created because there was a political issue with a psychiatrist competing on a political candidate at the time. and so in this situation on tick tock we try to as physicians don't try to talk about individuals, particularly about the diagnosis. we make it more general lies a bowl. like if somebody has bipolar disorder, we're going to talk about the condition. we're not going to talk about the person, right, because as a patient, there is a patient physician relationship and you can't disclose that on a public forum. even if you don't have a relationship with that patient, it's just not as ethical, right? what can social media applications do? couple things that you tube right now is taking steps to show that if you're a credentialed professional, you need to be verified and that will offer you

a certain check mark or something like that. that will show that this is a credential to person right now. so applications are trying to do that as fast as possible to show that like we are sponsoring right, stephanie was saying 3 per cent of mental health professionals are trending right. there are more mental health professionals on the us. ok, just to clarify for b l, when we say 3 percent are in the trending content, the content that the majority of people see that means 97 percent of the content is not coming from that community from people who are a licensed professionals. correct? yeah, i'm just, i'm not that great at math, but i think it's important to flip it in that way so that people can understand the weight of what that can do. sorry, anything to add, dr. hon. yeah, and i think was challenging as even when i do create nuanced content. as a licensed professional, the new ones is not what's gonna go trending. that's not what's going to be picked

up by the algorithm. so people like hot takes on take time and that makes it even worse as licensed professionals who want to create more accurate content that makes it really difficult. yeah, i know i can imagine and you know, i, i have to tell you a lot of people in our youtube top saying they've lost trust in anything related social media, but we have a comment from arsenal. kid responding thing, does dr. aspen want tech marks like twitter. we saw what happened with that like this idea. verified content. might that be a one solution here? so, so twitter was what? $8.00 a blue i wasn't on top of that, but in the credentialing. right. yeah, you would have to show board certification, right? if you are a physician and i'll just talk about physicians for example, showing that you have a board certification in psychiatry that you graduated from a residency that you graduated from a fellowship, right? that you might have an in person or a virtual interview with somebody verifying those things. credentialing and

highlighting those credentials are super important for american verification process, right. and that could go for us id or psychologist or a clinical social worker. so the twitter aspect that, you know, you need to be verified, but what does that look like, right? there's a lot of steps to do that, right? and, you know, sir, yeah, go, go as i should say. dr. hahn is saying i in the youtube chat, social media is made the whole mental health issue as something cool people without any real information, want to have a disorder. it's almost as if it becomes part of their personality without a real diagnosis. and now the nods are just full and it's like a concerto of nods. but this is really what i relate to when i watch this content. and i sort of feel like, oh there, you know, there is a community i can belong to. like if you may be, are doubting your purpose or your where your position is in life. i mean,

how real is this in terms of people who you meet through your profession doctor on? i think a lot of it also speaks to the polarization of our society where so much of our identity is wrapped up in oppression. and so people who may not have other, you know, identity intersectionality is that put them in that place of being oppressed, may look for other ways that they can fine uniqueness or you know, belonging. and i remember in my generation it was like people wanting a, b, e, mo, or garth, and certainly best still exist. but this is just kind of a new flavor, you know, looking for uniqueness and stephanie, and what would you say is something that, based on your research, you would wanna share with people who maybe do use take talk for this reason, not people creating the content, but who just consume a whole bunch of mental health related content on the platform?

well, i think to be careful, definitely about self diagnosis. but also if you truly do have a diagnosis, i think it's a wonderful way to form community have the same time. and you express yourself, so i think it has a lot of value or if you're seeing the symptoms, right, go see a mental health professional. and cuz it does bring that awareness in that than me thing. but it's not forethought. dang, as it is then to take those next step. yeah, and i can only go ahead dr. osmond you were going to add. well, i just want to highlight my, my background has child and adolescent psychiatry. so i see teenagers right. we go into a pandemic. were there socially isolated the number? one thing that's most important for teens is connecting to peers connecting to groups, right? we then get to a point where mental health floods tick, tock, their on tick tock. they see that people are identifying with diagnosis and that makes them feel connected to other teens. so it's not necessarily a stephanie of saying it's not a bad thing, right?

you want to feel included, but i know there are a lot of parents were probably watching this right now and being like, what's my teen doing? this is a part of their identity. so when it kids come into my office and they say i have autism or i bipolar disorder. i have a d h d. the last thing i want to do isn't validate. the last thing i want to do is roll my eyes because that for them as a part of their identity, it via validate that that's another adult who looks, looks down on them. and then, and not to reference a former president, trump in the u. s. who felt very free to give all kinds of advice, medical advice, interview without being qualified to do. so i'm wondering online is that, is that happening? i mean, people giving sort of advice, unqualified, and does that, were you as much as some of these other issues dr. osman, yeah, you know, it's really, really dangerous. i often see as, as i think dr. han and stephanie were highlighting the polarizing language about taking medications when we're often on our tick tock lives at. like in the evenings

. i always say if i talk about a medication on here, there are side effects. if i talk about an herbal supplement on here, there are side effects. if i even talk about therapy, there are side effects. why? because there's never a silver bullet to any of these dike elsie's, just like you would take an antibiotic. you could have a side effect of diarrhea, right? so the basic idea is that you want to be very d wants in this, and there are people who write, like we talk about predatory companies, right? they sell an idea to an influence or influence, or it takes on that brand. they're automatically biased. whether it doesn't matter what the carl is or biased and what they're giving, well, and i appreciate that this grammar. we also have a disclaimer from a psychologist who goes by doctor t on take talk that i wanted to add to this conversation. take a look even in my page, are you like viewing mental health content on this? how please stick around for some really important things that i think that you should know. you might find some videos on here. are you sure? really understood and really connected to what the person is saying. but please

remember that while i love being a therapist and not your therapist, the information that i provide here is meant for a general audience. so there may also be times where you see something and it just does not apply to you at all. expect that to happen. this is not advice or therapy . it's meant to be educational, informational, and for entertainment purposes. so before you apply into your life, anything that you get from my videos with the videos of another mental health creator, please remember that it was meant for a general audience and does not take into account your history, your personality, your relationships, and the current problems that you're dealing with and that makes a difference, and that's why proper mental health care is so important. doctor hahn what comes to mind when you, when you're here doctor to you there. i have almost that exact video. i instagram like highlight stories because i think it's so important to put that disclaimer out there again and again. and a lot of the license professionals that i follow in our community will have that same disclaimer in their bio like this is just tips general education. it's not

therapy and is not a replacement for therapy. most certainly anything to add on before we wrap this up . dr. osmond no completely completely agree. mental health is nuanced. it's unfortunate that a lot of people can't get to it, but and also disclaimers are incredibly important. yeah, i always tell people, whenever you're watching my clip, i am a guy on tick tock, just because of an expert doesn't mean the perfect person for you. yeah, i know that that's important and and he thinks stephanie, i yeah, i just wanna add one last thing to add on to everything that i definitely agree with when my collab rear i just met in ice jimenez and i'd really did this work. i think something we saw the and with that really low number again is like that opportunity for mental health professionals. i just want to encourage to get on tick tock like you see yes. well as to maybe partner with influencers to you, there's an id for par if,

even if you don't have either one from your words to their direct messages, i am game to partner with either of you to thank you so much for sharing your insights with us and that's all the time we have for this show. it's a conversation that will certainly continue here at the stream. thanks for watching . and see you next son. ah ah and a controlled insulation most cool is one of them most till they and they pay in the world. it has an

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