Kath Fennemore

Psychiatry Skeptic,
Arthritic Physio,
In search of new (ad)ventures.

[Kath Fennemore @KathFennemore]

The best way I coud think to describe what life on antipsychtics is like....a little too little and a little too much. Too little of my own emotion and sensation. And too much of th3 side effects. And probably too much of the condescending tones I get from my Psychiatrist.

[Kath Fennemore @KathFennemore]

Currently not associated with inferior outcomes....medication free treatment!

[Radoslaw Stupak @RadoslawStupak]

Norwegian health authorities have established dedicated units for medication-free mental health treatment (MFT) to enhance patient choice. MFT is not associated with inferior short-term treatment outcomes in the population currently receiving this care. https://t.co/uG2ZYJx1is

[Kath Fennemore @KathFennemore]

Medication free beds available in Norway. Bipolar and Schizophrenia sufferers are encouraged. There is a paper outlining the results. This is apparently still not sufficient evidence for other countries to trial medication free management. Funding is the reason. How is this okay?

[Kath Fennemore @KathFennemore]

I've been stopped from trying keto. This might be the thing which makes life worth living again. It worked in the past, hopefully I'll be able to do it with guidance this time.

[Matthew Baszucki @matthewbaszucki]

Incredible!! First randomized control trial for ketogenic therapy for people with psychotic disorders!!

[Kath Fennemore @KathFennemore]

@matthewbaszucki Very exciting news!

[Kath Fennemore @KathFennemore]

A good psychologist is worth their weight in gold.

[Kath Fennemore @KathFennemore]

Surely seeing things, hearing things or having thoughts not grounded in reality should be treated differently? Surely they're different.

[Kath Fennemore @KathFennemore]

@PaulMinotMD Wondered if you practice internationally and if you would ever entertain the possibility of PRN only for bipolar 1 with psychosis?

[Chris Palmer, MD @ChrisPalmerMD]

This distinction raises important questions for the field.
One would assume that bipolar disorder is much more likely to relapse/recur than other psychiatric disorders, but we don't actually have evidence to support this. Many people can have chronic relapsing/remitting PTSD, OCD, or AUD.
So... should this distinction be changed?
Would a change influence treatment decisions?
For now, people diagnosed with bipolar disorder are advised to take a mood stabilizer for life.

[Chris Palmer, MD @ChrisPalmerMD]

With 2,222 votes, the winner goes to Bipolar Disorder.

If someone is accurately diagnosed with bipolar disorder, the diagnosis is retained for life, even if they never experience another mood episode.

In contrast, people can later no longer meet diagnostic criteria for PTSD, OCD, or alcohol use disorder.

[Kath Fennemore @KathFennemore]

https://t.co/psoNjDUcXr

Something for ANY psychiatrist to read. One of the very first super neutral papers I've read in a while. Though there are still undertones of supporting medication - it must be difficult not to with the imbalance of evidence in the field.

[Kath Fennemore @KathFennemore]

@Limessa_67 I think we as patients at the beginning of our journeys just automatically trust doctors. I've learned that trust is earned. So many of them don't have a clue. Thankfully mine does.

[Kath Fennemore @KathFennemore]

@Limessa_67 I'm stable at the moment. Inobly gey psychosis with mania and when Im unmedicated after many months.

[Kath Fennemore @KathFennemore]

Just SOME of the joys of living with a psychotic disorder. These are just the side effects which overlap between first and second generation meds. They each then have MORE in addition to these.

[International Bipolar Foundation @IntlBipolar]

To our United States audience, help researchers and clinicians pursue new potential treatments for serious psychiatric conditions. 💚

[Kath Fennemore @KathFennemore]

@joannamoncrieff @markhoro what do you think? It's a link to @IntlBipolar foundations talk about "as needed" medication strategies for bipolar disorder. Sounds like a godsend to me bit assuming with manic psychosis it's too risky.
https://t.co/thBRtWxHGz

[Kath Fennemore @KathFennemore]

@matthewbaszucki Except when you rely on, and lice with people who refuse to support it.

[Kath Fennemore @KathFennemore]

Latuda is "weight neutral". 11,5% of people taking it still have massive weight gain. To me, this is misguiding people. I genuinely thought it meant it didn't have an effect on weight. Every patient in the trial I read put on min. 0,5kg in 5 weeks....continue on that trend?!?!

[Kath Fennemore @KathFennemore]

@Limessa_67 @PegasosSwiss Only just seen this now. I'm not suicidal....it's been a long and rational decision.

[Kath Fennemore @KathFennemore]

Someone's listening, and understanding deeply. Green light for the next stage of assessment at @PegasosSwiss. Mixed emotions, but I think that's normal.