Psychiatrist | Writer | Founder | Punster
Joined October 2011
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Got asked me why I don’t stick to tweeting about psychiatry and mental health recently
As mental health professionals and doctors, it’s our duty to speak out against all the factors that contribute to mental illness - including poverty, racism and policies that perpetuate them.
Huge respect to @macklemore for his principles
Shame on @edsheeran for having none
Free Palestine 🇵🇸
Lindsay Clancy should have been not guilty by reason of insanity.
The tragedy was caused by severe mental illness, not her, her husband or individual clinicians.
Risk is hard to predict. We need well funded, integrated mental health services.
Involving families in care is key.
Raygun documentary felt like a puff piece. A lot of dancing edits but not many questions answered.
I was there for her performance in Paris, found it hilarious.
Now I sympathise for the toll it took on her, but still think her privelege robbed a more deserving dancer of a spot.
Viva España 🇪🇸
Spain dominated despite the decisions against them, and their country is on the right side of history with the genocide in Gaza 🇵🇸
Argentina have the talent but play dirty and get favouritism. Attacking Spanish players at the end is appalling.
Best team won 🏆
Incredible game England v France and phenomenal goal by Bellingham 👏
Would have loved to see that kind of positive attacking play against Argentina.
The team have done themselves and the country proud this World Cup.
Now Vamos España! 🇪🇸
Egypt were robbed!
Their goal was disallowed for an early foul, so why was Argentina’s allowed after a foul on Salah??
Argentina showed grit and determination at the end though. Classic game.
Sadly my father passed away on 19 May. He was a kind, calm, funny, helpful man who I looked up to.
He’d always try to do the right thing. My love for music and travelling came from him.
Grateful for the time we spent together. Love you Baba. Inna lillahi wa inna ilayhi raji’un.
Wildly misleading.
Lithium is clearly effective in the treatment of bipolar disorder, especially mania: pmc.ncbi.nlm.nih.gov/article…
It does have significant side effects, which I discuss (along with other options) when considering it, so patients can make an informed decision.
Psychiatrists love lithium because it is believed to be a truly targeted treatment that justifies the whole edifice of medical diagnosis. It is nothing of the sort. It is a toxic substance that suppresses nervous system activity but is too toxic to be useful as a sedative.
Its prophylactic properties have been exaggerated because it induces mania on withdrawal. Several studies show you have a higher risk of having an episode of bipolar disorder after stopping lithium than before starting it. And it does not prevent suicide, as we showed in our systematic review (Nabi et al, 2022) and has been confirmed by others.
Lithium's toxicity and lack of utility was recognised back in the 1960s and 70s, but the allure of a supposedly specific treatment overcame any sensible discussion about it. cambridge.org/core/journals/…
Huge congrats to @subodhdave1 on being elected President of the @rcpsych 👏
A fantastic representative for UK psychiatrists who will no doubt do great things in office.