@TomMostlyZen @SameiHuda I have made it a personal policy to engage as best as I can with those who are sincere and flatly ignore the rattling empty cans. It’s hard sometimes!
@SameiHuda @sulmoney@joannamoncrieff That’s so true. And furthermore, most psychiatrists use a very collaborative approach with patients where the pros and cons are carefully discussed
What works better after 2 failed #antidepressants?
1. Switch to a tricyclic
2. Change to rTMS
Answer: #2 was 6-times more likely to bring #depression to remission in this new RCT of n=89:
https://t.co/HCoYqSRGpF
More updates in Carlat #Psychiatry News:
https://t.co/MmjJe46Z0r
@JourneyofHope4U I don’t do psychotherapy, but every engagement I have with my patient is psychodynamically informed. I listen for implicit content, keep track of themes and patterns, track affect. You can’t do psychiatry without it.