锵锵三人行
TikTok Shouldn’t Be TikDoc_我的网站
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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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B | 2月22日、バラエティ番組『ザ! 鉄腕! DASH!!』（日本テレビ系、以下『鉄腕DASH』）で冬の名物企画「雪玉転がしてどこまで大きくできるか？」に挑む様子が放送された。
C | 恒例の企画とあって注目を集めたが、出演陣に不満を抱く視聴者もいたようだ。【画像あり】TOKIOの“後輩アイドル”だらけになった『鉄腕DASH』 巨大な雪玉を作ってスキー場をPRすることでおなじみの同企画。今回は、長野県と岐阜県の県境・乗鞍高原にある標高2000メートルのスキー場でおこなわれた。「元TOKIOの城島茂さん、timeleszの松島聡さんの『鉄腕DASH』メンバーに加えて、NEWSの増田貴久さん、Travis Japanの吉澤閑也（しずや）さん、さらにSTARTO ENTERTAINMENTのジュニアグループ『KEY TO LIT（キテレツ）』の佐々木大光さんと中村嶺亜さん、井上瑞稀さんが出演しました。TOKIOの後輩アイドルが勢ぞろいする形になったのです」（スポーツ紙記者） 手のひらサイズの雪玉から全員で協力して巨大雪玉にしていく熱い奮闘劇が繰り広げられた。胸が熱くなるファンも少なくないが、放送後のXでは 《リーダー1人になってしまったのか、、TOKIOの5人やから面白かったってのがあって、、にぎやかしの後輩元ジャニーズばっかりで、もう面白くないな、、》 《TOKIO勢揃いの頃を知っているとなんかゲストなのかなんなのかわからない人でわちゃわちゃしてるだけでまとまりがない感じがする》 《もう松岡もいないから城島茂とゆかいな仲間たちみたいになってる》 など、出演陣に不満を抱く声が聞かれていた。『鉄腕DASH』では、2025年6月に元「TOKIO」の国分太一がコンプライアンス上の問題行為が複数あったとして、番組から降板になり、その後国分は無期限活動休止、TOKIOも解散と混乱が続いた。年が明けてからも、その余波に見舞われた。「2月13日に松岡昌宏さんが代表を務める個人事務所の公式サイトで、『鉄腕DASH』からの降板を発表したのです。城島さんは今後の出演継続を明かしましたが、TOKIOメンバーは彼ひとりになりました。松岡さんは2025年12月に『文春オンライン』や『デイリー新潮』のインタビューを受け、日本テレビの対応への不満を語っており、国分さんの騒動が発端になったのは疑いようもありません。TOKIO5人の冠番組が城島さんだけになっても番組を継続し、彼の後輩アイドルに頼るような日本テレビの姿勢に不信感を抱くファンもいたようです」（芸能記者） 雪玉企画は2010年にスタートし、北海道や新潟、群馬など全国各地のスキー場でTOKIOを中心におこなわれてきた。名物企画には、松岡の存在も大きかったという。「体力を使い、真剣に取り組む同企画ですが、松岡さんはムードメーカーとして場を盛り上げていました。近年は俳優業の兼ね合いで参加できないこともありましたが、“雪玉企画は松岡さん“という印象を抱くファンも多く、彼の降板を痛手に感じたようです。松岡さんが名物企画に参加しないまま、番組を降板したこともあってか、SNSでは『寂しすぎる』という声もあがっていました」（同前） 『鉄腕DASH』は2025年で放送30年めを迎えたが、TOKIOが築いてきた歴史は大きな転換期を迎えようとしている。
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Published on:13:55:12