Thank you to everyone who tuned into our live video! Join Jeremy the therapist and I for our next live video in the app.

As a brief aside, I have found that social media, when actually used to be Social, used to be a wonderful tool. I met Jeremy on Clubhouse, and we've never actually gotten to spend time together in person. I do think the synchronous communication allowed by Clubhouse, and by Substack Live, and others, in which you actually get to have a conversation, is as good as a phone call. My relationship with Jeremy has been fruitful, help change the way I think, and has led to a lot of great collaborations. I could say similar things about a number of other people, such as my friend and collaborator Burton Tabaac—we met on Twitter spaces, talking about NFTs, and have gone on write almost a dozen scientific papers together. I think the trick to being social is to actually be social. And one of the best ways to genuinely socialize is to work on something together. This newsletter is one example of a giant excuse to be social and connect with other people. I'm a writer, and I get to collaborate with other writers. I get to create something out of thin air with colleagues like Jeremy, Rob Glatter, Awais Aftab, Lila , Michelle Bernabe, RN , David Carreon, MD, and many more. Do something together, it's a great way to keep a friendship going.

These kinds of friendships are more important and more nourishing than you can imagine over time, and doing something together—separated by space and even time— is still better than not doing that. When we get older, we get kids, we get a family, we get a house, we get a car accident to deal with, we have physical disabilities, we gain all sorts of problems that make it a lot harder than just playing with Legos together in person. But I think it makes a lot of sense to do things together. This video is one example of me doing something with a friend that we hope the rest of the world will get something out of. But I can't recommend it strongly enough as a component of a full, healthy life.

But you know what, hanging out in person is cool too. Please join us for a live in-person event for readers of this newsletter and all of our friends in San Francisco on May 16. I think I'm going to do more of these, because I need more excuses to spend time with people in real life.

The Live-Action Version of this Newsletter, RAMHT 2026 SF, is coming up on May 16th, 2026!

Get a ticket now—it’s free if you ask. Just email us at [email protected] for your free code.

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