Liam Tjia Melb Paed

Developmental paediatrician, Melbourne.

[Liam Tjia Melb Paed @LiamTjia]

ADHD is not like diabetes

[Kindly #deprescribe -- taper psychiatric drugs @Altostrata]

Drugs first & drugs forever. “I mean, ADHD is really like diabetes, where there's something wrong with the body and there's a medication that may be able to fix it.” @medpagetoday

How Primary Care Docs Can Help Families Manage Kids' ADHD https://t.co/MR00Of77xp

[Liam Tjia Melb Paed @LiamTjia]

@rruetigger @ArtemisConsort As it did your father before you

[Liam Tjia Melb Paed @LiamTjia]

@Cakesniffe1 But they are

[CatBush @FeistyKittyPie]

I was thinking there is a special place in hell for people who have broadcasted all kinds of insanely inaccurate information about autism and other neurodivergences but then the thought of a special place for them and how that would make them feel so special made me mad.

[David Deutsch @DavidDeutschOxf]

There was a young man from Nantucket
Who thought that his mind was a bucket.
So he went back to school
Where they filled it with gruel
Until he rebelled saying

[Allen Frances @AllenFrancesMD]

Psych meds way over- prescribed in kids:
1)without clear indication
2)serious short term side effects/long term impact
3)Not enough therapy/family,school,social support
4)Poor/minority kids most harmed
5)Need much better guidelines/monitoring

I love practical studies like this:

[Liam Tjia Melb Paed @LiamTjia]

@davebeerflog Father of the Year

[Matt Bateman @mbateman]

All I want is to create a system of education that allows every human to fully internalize the wisdom of the classics, the optimism of the 19th century, and the inescapability of entropy. Is that too much to ask?

[Allen Frances @AllenFrancesMD]

I strongly oppose the current fashion of giving multiple diagnoses to most patients.

Some ars now are tagged with 4,5, even 6 mental disorder labels.

Every associated symptom being considered a new diagnosis.

Results in wild overtreatment/stigma/& drowns signal in noise.

[Allen Frances @AllenFrancesMD]

I blame myself for current fad- mislabeling all human distress as "Autism".
https://t.co/Tm2IrdFbsP

Any diagnosis that suddenly seems to explain everything really explains nothing.

History of psychiatry is littered with fleeting fashions.

[Allen Frances @AllenFrancesMD]

Adult #ADHD is wildly over-diagnosed because:
1)it can be mimicked by many psych diagnosis & addictions
2)merges into normal inattention
3)is gateway to legal speed

Instead ensure
1)history of childhood #ADHD
2)careful differential diagnosis

Avoid pseudoscientific/quack tests.

[Liam Tjia Melb Paed @LiamTjia]

@mariorustan You monster

[Allen Frances @AllenFrancesMD]

My NYT oped:
1)What RFK doesn't know about Autism is everything
2)Vaccines didn't cause 60X increase in rates during last 30 yrs
3)DSM-IV did- thru looser definitions
4)Also pushed by internet/need for school services
5)Many harms from careless diagnosis https://t.co/0dzRnTdGY8

[Peter Godfrey-Smith @pgodfreysmith]

A Covid policy retrospective at Balliol College, Oxford, tomorrow.
Panel discussion with Sunetra Gupta, Carl Heneghan, Nick McBride and myself. Free and open to the public, link in reply. IRL only as far as I know. 1/

[elizabeth bennett @ebennett74]

I am so incredibly tired of the Long Covid grifting, especially in Pediatrics. Every toddler—especially in day care and in the winter—has a cough and congestion often (the average is 9-12 colds/yr!) This crap study was actually done with @NIH funding; maybe the current administration can claw some taxpayer money back?

[Michelle Dawson @autismcrisis]

Small RCT of CBD vs placebo, to reduce "problem behaviors such as aggressive, self-injurious, or repetitive and stereotyped behaviors" in autistic boys? https://t.co/npXdUhrqIe finding "no significant effects of CBD over placebo" on primary outcomes & "a prominent placebo effect"

[Liam Tjia Melb Paed @LiamTjia]

@mariorustan Niiiice

[Liam Tjia Melb Paed @LiamTjia]

@MamaCranky Chic

[Liam Tjia Melb Paed @LiamTjia]

@hdhdnxh627w7w @MungoManic Wow I did not know that

[Liam Tjia Melb Paed @LiamTjia]

@MungoManic @johnontwowheels We toyed with calling our kids Firstborn, Secondborn etc

[Liam Tjia Melb Paed @LiamTjia]

@LadyMondegreen5 @MungoManic What the heck