Evan Einstein MD MPH

Mental healthcare advocacy. Neuromodulation, novel circuit interventions, emergency psychiatry. Sports & performance. Views my own.

[Evan Einstein MD MPH @evaneinstein]

Our comments on the future (and present!) of neuromodulation in psychiatry. Another call to action in pushing the field forward through education/training, collaboration, and infrastructure. Our patients deserve it.

https://t.co/bpfFNzw4Dd

@UCLAHealth @ClinicalTMS #neuromodulation #TMS #psychiatry

[JAMA Psychiatry @JAMAPsych]

Transcranial magnetic stimulation with symptom provocation improved clinical responses for OCD and nicotine dependence.

https://t.co/nth3pK6mtd

[Evan Einstein MD MPH @evaneinstein]

In today's Age of (Mis)Information, there's an overwhelmingly unfathomable attraction to people saying "I've figured something out that no one will tell you." Conspiracies, fringe medical treatments, etc. With unfiltered, copious amounts of information flying through all channels, it's as if it has become boring and mainstream to trust reputable information and science. We can and should be thoughtful and critical, but that also doesn't mean believing in ideas that have no merit and are simply against evidence/data.

[Evan Einstein MD MPH @evaneinstein]

Reassuring cohort study showing a lack of association between maternal peri-partum S(N/S)RI treatment and negative neuropsychiatric effects in offspring. Ultimately: more important to treat maternal depression and anxiety, which ARE associated with worse outcomes when untreated.

https://t.co/bFzQ2vM7GP

[Evan Einstein MD MPH @evaneinstein]

Thanks also to @RealDoctorMike for his compassion and composure on the recent @jubileemedia YouTube debate

[Evan Einstein MD MPH @evaneinstein]

For all the anti-science/anti-vaxx/anti-psychiatry etc folks out there:

If we share a common ground - to be compassionate and helpful to our fellow human beings - then you may care about science more than you feel.

Science is simply the exploration of truth.
Over time, tools and methods were designed to allow us to rigorously explore ideas or thoughts about our world, or a medication, for example.

Yes, we should always be thoughtful - even skeptical - of the agenda of institutions and companies who pursue those explorations.

But the methods of testing something over and over, the method of being undying in collection of data objectively to pursue truth, should never be replaced by personal anecdotes.

Personal stories are vital to our personal world. But applying anecdotes to everyone else is dangerous, and not indicative of a compassionate desire to understand truths and help each other.

We both want and need science to help us in the pursuit of truth in a world full of chaos and entropy.

[Evan Einstein MD MPH @evaneinstein]

https://t.co/qRALreu4t8

[Evan Einstein MD MPH @evaneinstein]

https://t.co/HX0GDEiMLB

The comments on this reckless article are reassuring and important. The vast majority of readers rightfully reject someone charging $$ by providing dangerous "services" developed without education and training, but rather by their personal history, folk psychology, dogmatically rigid antipsychiatry views, and self-aggrandizement masked as altruism. Dissuading all comers from taking all medication is ridiculously detrimental and ironically unempathic to the population meant to be "helped" here. Plus, perhaps it's evidence of her doing so well currently, of not only her social and financial supports, but perhaps some of her prior medication treatment during her personal dark times.

There is no one size fits all approach, and over-prescribing is not an insignificant problem in some cases, but please do not stop or taper medications without help from a trained psychiatrist.

[Nature Human Behaviour @NatureHumBehav]

Suthana et al. studied brain recordings from implanted electrodes in freely moving humans. They show that neural dynamics encoded actual and imagined routes similarly. @SuthanaLab @m_seeber
https://t.co/tKardIicUs

[Martijn Arns @Brainclinics]

Augmenting TMS response in MDD: We know DLPFC-TMS works, and for non-responders that OFC-TMS adds some 20+% remissions, so what if we combine these two protocols? Large sample shows no advantage. Maybe it is about specificity of TMS?

Congrats @AmouriePrentice and @NikitaVinne with this work, and great collaboration with @JonathanDownar

https://t.co/C3tg5Gny5b

[Evan Einstein MD MPH @evaneinstein]

Another win for accelerated treatment! Now we need head-to-head trials. But great to see these responses in depression over 15 days without neuronavigated targeting.

https://t.co/uOoHUPZyGY

[Evan Einstein MD MPH @evaneinstein]

@JonathanShedler Also, we are indeed getting better at delineating forms of depression in the brain (just an example: https://t.co/7l5lmOZQ6F)

[Evan Einstein MD MPH @evaneinstein]

And even more so, it's a waste of time for her and others to double-down on semantics. If people are suffering and want help, we ought to do our best for them. She'd rather they suffer indefinitely I suppose. Is it really more important to emphasize and equate any sad mood state with months of refractory depression?

[Evan Einstein MD MPH @evaneinstein]

X is not letting me post a complaint about MAHA and their ridiculously harmful anti-psychiatry ideas. Keeps being sent to drafts

[Andrew Zalesky @AndrewZalesky]

TMS is delivered to the DLPFC in depression, aiming to modulate SGC activity

But axons linking DLPFC and SGC are absent

How then does TMS stimulation modulate SGC activity?

Caio's work on TMS propagation in the absence of direct anatomical paths:

https://t.co/WIN8S7XYF0

[Dr. Glaucomflecken @DGlaucomflecken]

My crazy Severance fan theory is that Lumon is a health insurance mega corporation and the innies in macro data refinement are denying claims.

[Evan Einstein MD MPH @evaneinstein]

The #severance reintegration tool kind of looks like a TMS figure-8 coil, no? 😁

[Evan Einstein MD MPH @evaneinstein]

DEI IS an initiative TO hire the best and brightest. Because historically industries haven't "broadened their search" to find typically OVERQUALIFIED (out of necessity) minority candidates for positions. Getting rid of these initiatives means going back towards mediocrity. It's not difficult to understand, and it's disappointing and despicable if you can't.

[Evan Einstein MD MPH @evaneinstein]

@nytimes What's the point of the Information Age if things like science and knowledge become extraneous?