𝒮𝒶𝓂 𝐿𝒾𝑒𝒷𝓁𝒾𝒸𝒽

a psychiatrist fed up with psychiatry as usual || All my tweets are regular

[𝒮𝒶𝓂 𝐿𝒾𝑒𝒷𝓁𝒾𝒸𝒽 @LieblichSam]

Ahead of the launch of the DSM-5-TR it seems we're gonna be getting much more ignorance and much less bliss for quite some time...

https://t.co/5dZFKsX9CO

[CatBush @FeistyKittyPie]

It boggles my mind how anyone doing psychotherapy can float off into guru land or feel consistently amazing about their work. Maybe some are legit supershrinks. But as long as one is in supervision or consultation, exposing your work to criticism, this work is so humbling.

[𝒮𝒶𝓂 𝐿𝒾𝑒𝒷𝓁𝒾𝒸𝒽 @LieblichSam]

@TweetATherapist There is a very telling part of the article, in which a “mainstream” psychologist says “Part of the process of recovering from an eating disorder is to separate yourself from the disorder, but not like that” - There is no substance to the “not like that”… it’s all “like that”

[𝒮𝒶𝓂 𝐿𝒾𝑒𝒷𝓁𝒾𝒸𝒽 @LieblichSam]

Psychiatrist: inhibit your serotonin reuptake!

[𝒮𝒶𝓂 𝐿𝒾𝑒𝒷𝓁𝒾𝒸𝒽 @LieblichSam]

So close!!!

[No BS Therapist @TweetATherapist]

PARTS LANGUAGE ISN’T EXCLUSIVE TO IFS. PARTS LANGUAGE ISN’T EXCLUSIVE TO IFS. PARTS LANGUAGE ISN’T EXCLUSIVE TO IFS. PARTS LANGUAGE ISN’T EXCLUSIVE TO IFS. PARTS LANGUAGE ISN’T EXCLUSIVE TO IFS. PARTS LANGUAGE ISN’T EXCLUSIVE TO IFS. PARTS LANGUAGE ISN’T EXCLUSIVE TO IFS. PARTS!!

[𝒮𝒶𝓂 𝐿𝒾𝑒𝒷𝓁𝒾𝒸𝒽 @LieblichSam]

@Dooobeedoozy @therealRYC @AdamUrato1 These are certainly as confounded as the schizophrenia study. Plenty of face validity though to the notion that an SSRI has an effect on foetal development, and if that is considered alongside a lack of demonstrable benefit for SSRIs then hard to argue for them.

[Dr James Davies (PhD) 💭 @JDaviesPhD]

the commercial use of the C-SSRS, and her family owns stock in Bristol-Myers Squibb. More of the same....

https://t.co/esaKaf9zvi

[Dr James Davies (PhD) 💭 @JDaviesPhD]

Maria A Oquendo, the new Chair of DSM-6 (yes it's coming) has received unrestricted educational grants and/or lecture fees form AstraZeneca, Bristol-Myers Squibb, Eli Lilly, Janssen, Otsuka, Pfizer, Sanofi-Aventis, and Shire. She receives royalties from the commercial use of....

[Bert @HenryRunamucker]

This is totally incorrect. Among the many false claims here, the Coupland study from 2011 found both an increase in all cause mortality and suicidality in adults aged 65+, not a decrease as claimed.
https://t.co/IDWydAVTjW

[𝒮𝒶𝓂 𝐿𝒾𝑒𝒷𝓁𝒾𝒸𝒽 @LieblichSam]

@NeuroAnaTody @psychgeist52 I’m positing this as a good outcome.

[𝒮𝒶𝓂 𝐿𝒾𝑒𝒷𝓁𝒾𝒸𝒽 @LieblichSam]

Imagine you pay your $2000 and the psychiatrist says “Congratulations! You don’t have ADHD! Everything’s gonna be fine.”

[𝒮𝒶𝓂 𝐿𝒾𝑒𝒷𝓁𝒾𝒸𝒽 @LieblichSam]

@NYschoolSecrets Yes!

[𝒮𝒶𝓂 𝐿𝒾𝑒𝒷𝓁𝒾𝒸𝒽 @LieblichSam]

Very funny to call consciousness a “problem”. Whether easy or hard.

[Chris Aiken, MD @chrisaikenmd]

Stark fact from new paper:

“Countries permitting assisted dying for mental disorder as the sole underlying condition find that" Borderline Personality Disorder is a common reason to request end of life.

https://t.co/vP5PQhZR9N

Canada is about to adopt that permissive policy.

[𝒮𝒶𝓂 𝐿𝒾𝑒𝒷𝓁𝒾𝒸𝒽 @LieblichSam]

@MarkLRuffalo What does “and back again” mean in this case?

[Mel @the_mel_jar]

When I was in my very early 20s and in analysis the first time, long before I had decided to become a therapist, long before I knew anything about psychotherapy (let alone psychoanalysis), I fell, for a time, into a common pattern and phase of many patients and analysands. 🧵

[Dr Joanna Moncrieff @joannamoncrieff]

RADAR trial data showed people recover to their baseline levels of function and symptoms after a relapse, suggesting the hypothesis that relapse is toxic to the brain is incorrect 1/2 https://t.co/pb1yLMjffQ

[Neil Renic @NC_Renic]

Researchers, if you’re comfortable with abuse, post that X issue “has never been studied before”. The online community will do your literature review for you

[𝒮𝒶𝓂 𝐿𝒾𝑒𝒷𝓁𝒾𝒸𝒽 @LieblichSam]

@Macbeth4183781 @JDaviesPhD I have a medical degree and agree with Dr Davies’ opinion

[𝒮𝒶𝓂 𝐿𝒾𝑒𝒷𝓁𝒾𝒸𝒽 @LieblichSam]

@psypharmacopeia What do you mean by ‘anti-psychiatry’?

[𝒮𝒶𝓂 𝐿𝒾𝑒𝒷𝓁𝒾𝒸𝒽 @LieblichSam]

There were so many examples of psychiatrists post-hoc rationalising their knowledge of AD inefficacy with pen to pad when I was in training it got to be very silly. This was before I started research in nosology but all that silliness was pointing in a certain direction already.

[𝒮𝒶𝓂 𝐿𝒾𝑒𝒷𝓁𝒾𝒸𝒽 @LieblichSam]

Good to be reminded of this from time to time and to share widely with non-psychiatric colleagues. Rob Howard is hardly alone in this practice: when I was in training I would say the majority of my supervisors said something like this 🧵

[Prof. Peter C Gøtzsche @PGtzsche1]

Psychiatry professor Robert Howard says at Royal College of Psychiatrists International Congress that depression drugs are no better than placebo in people with dementia but he uses the drugs as placebos because “people get better.” He ignores the drugs have serious harms!

[𝒮𝒶𝓂 𝐿𝒾𝑒𝒷𝓁𝒾𝒸𝒽 @LieblichSam]

“It’s probably time doing the work but the drug is how we show the patient we’re taking them seriously”