Chiara Cattra

Psych SpR GA 🩺 | Ex Vice-Chair @rcpsychTrainees | Fellow @NHSEnglandNMD 21-22 | Seeker of intricate depths & simple happiness ✨

[Chiara Cattra @aidenera]

@rcpsychTrainees 1. Trainee 👩‍⚕️
2. Academic @NIHRresearch 💼
3. Clinician 🩺
4. Teacher 📖 @unisouthampton
5. Psychotherapy facilitator (& learning!) 🧠
6. @rcpsychTrainees Rep. 🎩
7. Mentor 💕
8. Human ✨

Fostered to be all this & more!
#ChoosePsychiatry

[Chiara Cattra @aidenera]

@jonny_acheson @Leic_hospital @KirkwoodDW @FiMcD3 Please add Clozapine! So many patients are forced into lengthy or complex admissions because of delays administering this critical medication. 🧠

[Chiara Cattra @aidenera]

@drjulespsych Thank you 🙏

[Chiara Cattra @aidenera]

@drjulespsych - lovely meeting you at RCPsychIC, wonder if I might ask some advice - may I drop you a message?

[Chiara Cattra @aidenera]

@wendyburn Ach, hope you get home safe. Much to reflect on from the congress and lovely bumping into you earlier in the week.

[Chiara Cattra @aidenera]

What an amazing future we have - a pleasure speaking with so many of you. Keep growing, and keep in touch. 🥳

[Catriona McVey @CatrionaMcvey]

Some of the @Choose_Psych PsychStars at Day 3 of Congress yesterday… amazed we got this many of us in the same place at the same time!

It’s been a privilege to get to know such a lovely and inspiring bunch of future psychiatry colleagues this year 🥰

@rcpsych #RCPsychIC

[Chiara Cattra @aidenera]

This looks fab - come join us! 👇🩷🌟

[Psychiatric Resident Doctors' Committee (PRDC) @rcpsychTrainees]

We are delighted to announce the programme for our #NextGen Conference:

[Psychiatric Resident Doctors' Committee (PRDC) @rcpsychTrainees]

Question 5: How do you integrate lived experience perspectives in your practice?

Don’t forget to use #NextGenPsychiatry in every tweet! 🧠⭐️

[Chiara Cattra @aidenera]

Neurodevelopmental disorders.
Greater acknowledgement of disparities of access - for all with mental health difficulties, to all services.
Global health and sustainability.
Frontiers of neuroscience.
#NextGenPsychiatry

[Psychiatric Resident Doctors' Committee (PRDC) @rcpsychTrainees]

Question 3: What emerging areas and competencies should trainees consider?

Don’t forget to use #NextGenPsychiatry in every tweet! 🧠⭐️

[Chiara Cattra @aidenera]

Being willing to be creative, in careers and beyond. For myself... Ceramics! 🍶🩷

[Psychiatric Resident Doctors' Committee (PRDC) @rcpsychTrainees]

Question 2: Careers in psychiatry are challenging; how can you shape your career to be rewarding and sustainable??

Don’t forget to use #NextGenPsychiatry in every tweet! 🧠⭐️

[Chiara Cattra @aidenera]

Diverse. Inclusive. Creative. Rigorous. Wise. ✨
#NextGenPsychiatry

[Psychiatric Resident Doctors' Committee (PRDC) @rcpsychTrainees]

Question 1: What will psychiatric practice look like in the future?

Don’t forget to use the #NextGenPsychiatry in every tweet! 🧠⭐️

[Chiara Cattra @aidenera]

I’m Chiara Cattra, a General Adult SpR in the South East, and Vice Chair of the @rcpsychTrainees 🩷 Psychiatry brings a diversity to each day, and light to dark places. ✨ We are the #NextGenPsychiatry 🩷
#choosepsychiatry

[Psychiatric Resident Doctors' Committee (PRDC) @rcpsychTrainees]

Welcome to the @rcpsychtrainees Twitter Takeover! 
Over the next hour, we are going to ask our fantastic tweeters questions about the future of psychiatry – to start we will ask our tweeters to introduce themselves…

Don’t forget to use #NextGenPsychiatry in every tweet!🧠⭐️

[Chiara Cattra @aidenera]

🔔 Brilliant event - come along! 🔔

Last year was filled with insight, challenge and knowledge in good measure. See you there! 💖

[Psychiatric Resident Doctors' Committee (PRDC) @rcpsychTrainees]

🗓️EIGHT weeks to go until our 2024 Trainees' Conference!

Consider future patient care, the role of psychiatrists in the coming decades and how to make psychiatry a sustainable, rewarding lifelong career.

Book now to avoid missing out: https://t.co/lRSqVlFFVJ

#NextGenPsychiatry

[Psychiatric Resident Doctors' Committee (PRDC) @rcpsychTrainees]

Only 15 minutes until our #NextGenPsychiatry Twitter Takeover starts. That’s just enough time to grab a drink before getting to meet all our fantastic tweeters.

Looking forward to tweeting with you all soon.

Don’t forget to use #NextGenPsychiatry in every tweet! 🧠⭐️

[Dr Shah F Tarfarosh @ShahFTarfarosh]

Please join us today from 7 to 8pm for our Twitter Takeover!

We can't wait to hear from consultants, medical students, SAS doctors, trainees and experts by experience on #NextGenPsychiatry. A great opportunity to connect and learn about the future of psychiatry🧠 @rcpsychTrainees @DanielaSABorges @aidenera @wendyburn @drraja_

[Dr Sanil Rege FRANZCP | MRCPsych @sanilrege]

Clozapine-Induced Tachycardia 🫀🩺

Audit of medical files (101 patients)

👉52% of patients on clozapine had heart rates (HR) over 100 beats per minute (bpm), significantly exceeding previous reports.

Clozapine's Unique Cardiovascular Effects 💊

Mechanism of Action:

👉Clozapine's specific effects on HR occur primarily through its anti-muscarinic and chronotropic properties ( via noradrenaline)

👉Dose-dependent HR increase

👉Clozapine : Norcloz ratio associated with ⬆️ risk of tachycardia ( Norcloz ⬇️ risk)

Clinical implications : 🚨

👉Contrary to previous belief that clozapine-induced tachycardia is temporary, findings show that elevated HR can persist even after nearly a decade of treatment.

👉Persistent Tachycardia is associated ⬆️ risk of cardiac remodelling and cardiomyopathy

👉β-blockers are useful in lowering heart rates but they may be insufficient to reduce cardiac risk.

👉The study calls for a reevaluation of the conventional 100 bpm threshold for diagnosing tachycardia, especially in clozapine-treated patients.

👉Given the elevated average HR (about 20 bpm higher than population norms), there's a push to adjust guidelines to better reflect the risks associated with higher heart rates in psychiatric patients.

Paper 👉
https://t.co/0Hg5DuDyII

Read more on Clozapine and Cardiac effects 👉 https://t.co/Xky9r2jQOF

[Chiara Cattra @aidenera]

@KaanthanJ @rcpsychTrainees @gmcuk @NHSEngland Lovely to meet another fellow from years apart! Would be great to talk and hear of your experiences - can we arrange? 🙂

[Chiara Cattra @aidenera]

@rcpsychTrainees Flexibility is key. Our systems are increasingly adapting to the needs of trainees beyond training alone, including a life that can be flexible around other factors.
LTFT allows me to pursue what I love, in all parts of my life. 💞
No regrets.
#ChoosePsychiatry

[Chiara Cattra @aidenera]

@rcpsychTrainees We need to research, communicate, listen. Develop services that are feasible, sustainable and adaptable to individual needs. Welcome difference, in all its forms, for the beauty that it brings. 🏳️‍🌈✊🏻✊🏽✊🏿🌎✨
#ChoosePsychiatry