Critical MH/LD Nurse

Questioning nurse interested in critical & productive conversations about behaviour & distress. Mostly learning from honest disagreements (apologies in advance)

[Critical MH/LD Nurse @CriticalMh]

@hundredfamilies @DrLadeSmith I’m inclined to agree with this, especially for patients with learning disabilities &/or who are autistic, where there is a policy assumption that those regions with the fewest number of inpatients from these populations are performing the best for them.

[Critical MH/LD Nurse @CriticalMh]

@tillytog01 @LnS7juXQs @sanilrege @DrAnnieHickox Doesn’t she subscribe to her drug-centred model, where she likely prescribes with understanding that psych drugs are psychoactive agents that cause impairments of body/mind that, at certain doses & lengths of treatment can produce, on balance, desirable effects for the person?

[Critical MH/LD Nurse @CriticalMh]

@burner1729484 @wmepistemology @tylerblack32 Thanks. I feel I’ve worked with lots of people where we’ve struggled to boil down their very distressed & risky presentations to these factors, where there has been a requirement to try & support/contain ethically amidst a great deal of mystery & other possibilities.

[Critical MH/LD Nurse @CriticalMh]

@wmepistemology @burner1729484 @tylerblack32 Hi. I’m open minded on this. Regardless of how I view the various actors in these debates, I can see why someone would feel a calling to specialise in the study of suicide. Is it your view that psychology, neurology, haematology, oncology etc. do not imply care?

[Critical MH/LD Nurse @CriticalMh]

@thecarolemalone I think that’s harsh. We have no idea what’s going on in people’s personal/professional lives, & if they need to take a break to get on top of their occupational health & wellbeing - especially in such toxic spaces as politics - then presumably that’s in many people’s interests.

[Critical MH/LD Nurse @CriticalMh]

@AbuDhar007 @awaisaftab @RITB_ @DrAnnieHickox *its (not “his”)

[Critical MH/LD Nurse @CriticalMh]

@AbuDhar007 @awaisaftab @RITB_ @DrAnnieHickox Hi. Many criticals are persuaded by the drug-centered model of psychiatric drug action (as opposed to, according to this model, the disease-centred model). Regardless of his strengths & weaknesses, would you not agree it is very much an in-between “drugs good Vs. drugs bad”?

[Critical MH/LD Nurse @CriticalMh]

@flutterbygemini @stimimi I think it’s hard to know how many have turned to drug use or family blame “because” of misdiagnosis. We’d have to define valid diagnosis, & have a way of knowing whether it would’ve prevented that &/or introduced a new problematic variable for the person &/or their family.

[Critical MH/LD Nurse @CriticalMh]

@tomfahy @ProfRobHoward @joannamoncrieff @tylerblack32 Might be wrong, but didn’t JM receive some praise from critics on here for the design & publication of the RADAR study, which found that gradual antipsychotic reduction didn’t produce the improvements in social functioning that they predicted over 2 years?

[Critical MH/LD Nurse @CriticalMh]

@asifamhp @nuwandiss Yes, you would have thought that the number on the bed waiting-list across all of the Trust services would be part of a daily or weekly Situation Report, that would offer a rough range. That said, I don’t know exactly how these Q & As played out.

[Critical MH/LD Nurse @CriticalMh]

@asifamhp @nuwandiss That’s fair enough, but was he suggesting that he knew of no way to find out, and/or just that he didn’t know what the number was right now? To suspect it is multiple people (as you & I do), is unlikely to have been a satisfactory answer.

[Critical MH/LD Nurse @CriticalMh]

@stimimi Could you try and explain that one differently please? I’m not sure I understand.

[Critical MH/LD Nurse @CriticalMh]

@samhall404 It’s an interesting one. This was a reply to a minor criticism from me. I actually think he over-apologised for his language here, although I disagree with him on this particular point.

[Critical MH/LD Nurse @CriticalMh]

@FarewellSSRI @ProfRobHoward @ReadReadj @HenryRunamucker @joannamoncrieff Oh, okay. Thanks.

[Critical MH/LD Nurse @CriticalMh]

@FarewellSSRI @ProfRobHoward @ReadReadj @HenryRunamucker @joannamoncrieff I see. I’m assuming we don’t know it is, but based on this you suspect it is. Thanks.

[Critical MH/LD Nurse @CriticalMh]

@FarewellSSRI @ProfRobHoward @ReadReadj @HenryRunamucker @joannamoncrieff I’m not sure what reason there is to think that.

[Critical MH/LD Nurse @CriticalMh]

@PH_OSINT @sulmoney @awaisaftab Interesting thanks. I’m not sure to what extent they work that way across the board, especially with mixed presentations that could potentially map onto multiple psychiatric categories. I think I see it occasionally where the diagnosis is used to justify the treatment preference.

[Critical MH/LD Nurse @CriticalMh]

@sulmoney @awaisaftab Thanks. I wasn’t suggesting getting rid of the “bio” so much, it was more the idea of diagnostic categories as practical tools that offer a shared language to describe clusters of behavioural &/or personality phenomena, rather them saying too much about what you have “got”.

[Critical MH/LD Nurse @CriticalMh]

@AlinaPrichici33 @awaisaftab @nytimes I think you’ll find that many do, if not necessarily yours, not that I am clear why that is relevant.

[Critical MH/LD Nurse @CriticalMh]

@texmexjean @sulmoney @awaisaftab Thank you, I really appreciate this. I think it’s always important to remember we’re interacting with other human beings who always have their reasons for thinking & feeling as they do. Enjoy your day.