
Niki 🏴
16.9K posts

Niki 🏴
@Fizzbw
Life~Pain~Wellbeing Coach (inc prescribed med taper support). Persistent Pain advocate, LEX, Patient Partner. “Recovery is Possible” same handle on 🦋








@angpeacock1111 @washumedicine I relate to this so much. I ended up with “possible early MS,” “maybe lupus,” “maybe another autoimmune disease or cancer”. And on top of that, I was met with unbelievable anger and hostility simply because I kept trying to understand what was happening to me.










A top surgeon at Wales’ biggest hospital has avoided being struck off despite having a sexual relationship with a patient and repeatedly supplying her with morphine under the counter walesonline.co.uk/news/wales-new…


Dr. Moncrieff, your post is sparking a vital debate, but as a psychiatrist seeing patients climb out of severe depression every single week, I can’t stay silent on the one-sided narrative. Here’s my perspective point by point: 1. On harms like severe withdrawal and PSSD: Withdrawal is real and can be tough. We urgently need better & slower tapering protocols. PSSD is a rare but acknowledged risk, and we discuss it openly in consent. With careful, patient-led tapering, the vast majority stop without lasting issues. 2. On effectiveness (“not very effective at best”): Large meta-analyses (Cipriani Lancet 2018 and later network studies) show clear & meaningful benefits over placebo for moderate-to-severe depression i.e. real symptom relief, fewer relapses and better daily functioning for many. They shine brightest alongside with therapy. 3. On not targeting an underlying biological abnormality: The old “chemical imbalance” line is a strawman we’ve moved past. Depression involves complex biology involving genetics, stress responses, inflammation and neuroplasticity. Antidepressants help modulate those pathways, much like treatments for other multifactorial conditions. 4. On growing patient voices describing treatment as misleading or disabling: Every voice matters, especially the painful ones. In clinic, however, the majority of patients report getting their lives back i.e. work, relationships & hope. Untreated depression carries its own heavy costs. Online spaces can sometimes amplify one side. 5. On working together to help the harmed and prevent more harm: I am 100% with you on better surveillance, tapering clinics and more research into alternatives. Real collaboration would be powerful. At the same time, broad discouragement risks leaving many who could benefit stuck in suffering. Thank you for kind attention @joannamoncrieff


Lovely to see @FeliciaJCox obituary in the printed Guardian today. It’s been online for a few weeks. ❤️





Auditions for the next James Bond have begun.


NO 206 UK Horse Racing 17 Apr 2026 3yoG MYSTICAL EYE 🙏🫶🐎 Now confirmed as DECEASED by @BHAHorseracing c.6 months post last Flat start 3 start Maiden, opening OR71 Owner breeder Jeff Smith









