Doctor training in psychiatry | ACF @UCL | Interests in intellectual disability and neuropsychiatry | All opinions my own
London
Joined January 2021
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Dory retweeted
DSM has been oversold & overbought. It is not:
1)applicable to most people in general population
2)meant to be used in self diagnosis
3)a golden path toward self understanding
4)a self help manual
5)an encyclopedia of human behaviors
It is a:
1)valuable, but fallible, way to sort psychiatric symptoms
2)vehicle of clinical communication
3)necessary guide to treatment planning
4)tool for clinical & epidemiological research
I agree completrly with:
When a diagnosis like autism or ADHD becomes a way to understand yourself, we have a problem.
Psychiatry was not created as a tool for self-development or self-knowledge. It applies the medical model to human behaviour and experiences and in doing so, frequently pathologises them. It categorises but it does not explain.
If you look to psychiatry to provide the answers as to why you are the way you are, you are inevitably going to be frustrated. That just isn’t what psychiatry can do.
Very good read from a patient’s perspective
I wrote about experiencing an acute psychotic episode—my crisis and the mental health system's crisis—in @TheLancet Psychiatry: thelancet.com/journals/lanps…
This is an urgent, potent message which I hope will initiate conversations and promote change. Please share.
@ProfTonyDavid
Dory retweeted
An unprecedented rebuke from Lancet Psychiatry to the authors of the ODDESSI trial. Playing fast and loose with outcomes and analyses plus misleading public reporting of what the trial actually showed. NHS implementation would be a mockery of evidence-based practice.
Dory retweeted
James Orr has been forced to step down from Reform UK for his unethical behaviour. Fortunately he still has his other job, which is teaching ethics at Cambridge University.
Dory retweeted
Telling my doctor to prescribe me something he’s always wanted to prescribe someone but has never had the opportunity
Dory retweeted
🚨 BREAKING: Andy Burnham has announced 159 NHS mental health centres will open across England from October
Dory retweeted
I couldn't agree more.
For as long social & palliative care are broken (as they are), people would feel coerced into ending their lives prematurely because we, as a society, are refusing to fund the care that could make their lives still feel worth living.
Fix that first. Then introduce AD.
But don't pretend doing the one without the other won't cause people to "choose" AD because we never gave them a meaningful alternative.
Heartfelt thanks @andyburnham for recognising the vital importance of *genuine* choice in the AD dying debate - as opposed the pretending choice is there when palliative & social care are in such a wretchedly parlous state.
Here's hoping this government will deliver as they vow to on social & palliative care - unlike all those preceding it.
Dory retweeted
The Great North Neuropsychiatry Conference - 5th November. It will be fireworks!
Book through [email protected]
@vaughanbell @NormanPoole @The_BNPA @SecretaryINA
Dory retweeted
What happens if you follow the licence for antipsychotic treatment in dementia? Our target trial emulation shows stopping treatment after 12 or 24 weeks reduced risk of delirium and fractures but had no effect on stroke, pneumonia and all cause mortality.
doi.org/10.1016/j.lanhl.2026…
Dory retweeted
As a doctor, I would simply like to observe that we do not, routinely, conduct ward rounds with a flock of attending bald eagles, nor assess patients with bolts of light emanating from our palms, nor have satanic angels rising from our toupees. Other than that, the AI pic of Dr Trump was spot on.
Dory retweeted
Among individuals with severe, treatment-resistant #Schizophrenia, #dementia was common and showed a distinct clinical and genetic profile not explained by #Alzheimer disease, cardiovascular risk, or medication effects.
ja.ma/4uWAsGG
The NHS is too reliant on poor managers actually 👍
In January I suggested that 'The NHS is too reliant on resident doctors' hsj.co.uk/comment/the-nhs-is…. Today we publish an interview with NHS England CEO Jim Mackey in which he tells us: 'We’ll reduce our reliance on resident doctors in response to strikes' hsj.co.uk/workforce/mackey-w…
