@tylerblack32@joannamoncrieff Of course not! I prefer to pontificate on matters in order to maintain my status and the present order of things. When I see a threat, I demean those who are challenging, asking snide questions or accuse them of bad faith. It makes me feel good and I have nothing else to do. FFS!
@tylerblack32@joannamoncrieff Oh, I have seen enough! The problem is it is not tolerated well. But that’s not the issue.
I would like to see a careful refutation of the substance of Moncrieff’s critique, rather than a the usual, ‘yes but I find it useful’ or ‘you just hate psychiatry’ argument.
@tylerblack32@joannamoncrieff I have seen apparent positive change with lithium; rarely does it last. Like every psychiatric intervention, efficacy is over stated and toxicity is underplayed. Moncrieff does refer to her own work, but I only see counter points, not critique of her arguments. It is clear why.
@tylerblack32@JRBneuropsiq My apologies. I know you are in the trenches on the front line. I often read your stuff and frequently agree with you. This string caught my attention and curiosity.
@tylerblack32@JRBneuropsiq Again, interesting, but I am not sure this is true either. As I understand it about 20% of new acute patients (c4000) in Canada may have catatonia; a few hundred are treated with ECT. Treatment pathways always involve medication which must show no positive effect, before ECT. No?
@tylerblack32@JRBneuropsiq Interesting. Perhaps I should have said ‘every case of depression.’ Regardless, I would like to see the evidence of what you say. Can it be true that ECT is commonly the first treatment on a patient’s psychiatric journey. I think not.
@tylerblack32@JRBneuropsiq We can only speculate why it works in some cases.
Every case starts with a patient walking into an office and complaining of being low in mood, being treated with conventional medication, subsequently deteriorating until ECT is tried in desperation.
What’s the common factor?
@m_aadil If only psychiatry didn’t own and control the narrative on mental health, or use that false narrative to perpetuate their own status. Perhaps then we could have a real discussion on the alternatives. Until then we must listen to this nonsense.