

Mark Horowitz @markhoro.bsky.social
6.4K posts

@markhoro
Trainee psychiatrist/Researcher @NELFT @UCLPsychiatry (visiting) . Maudsley Deprescribing Guidelines: https://t.co/MdD00q9Yd1 (US) https://t.co/9eUVpPj52p (UK)



New Study: Antidepressant use is associated with Sudden Cardiac Death (SCD) "Compared with the general population, patients treated for 1-5 years had a 41% increased risk of SCD, while those treated for six years or more had a 74% increased risk." heartrhythmjournal.com/article/S1547-…

Getting so many compliments on this today, which means. a lot! I was admittedly hesitant to share about this like I do my other health issues because it deals with mental health and because, as @markhoro points out in his work, the way this all works is to some degree hard to believe unless you've been through it. The effects are so bad that it's reasonable to be skeptical of it. But it is real



According to the psychiatrist in today’s MDT sertraline doesn’t cause withdrawal. My parents had to provide evidence to suggest otherwise. Feathers ruffled and it gets me nowhere. We need a safe place for people in withdrawal to go and not be told withdrawal doesn’t exist.

Psychiatrists have historically relied on symptoms alone to diagnose mental illness, but that could change. usatoday.com/story/life/hea…



What if 'medication-intolerant' anxiety patients aren't just 'difficult' or borderline—but dealing with mast cell activation syndrome (MCAS)?






The science here is fascinating. The idea that withdrawal can happen from psychiatric medication is relatively new, and it's caused by your body's receptors regulating up or down to adjust for medication and then the medication being taken away. But a lot of doctors don't know anything about this and aren't working with patients to minimize potential withdrawal symptoms. I'm learning a ton from @markhoro



EXCLUSIVE: predictably, bunch of pharma spokespeople pretending to care about patients and how they stop psych drugs have conflicts of interest longer than the plot of a Christopher Nolan film explained by someone who's only seen the trailer [sound on]

As pointed out by @altostrata, in his biography Foster Wallace said that he'd experienced 1.5 years of Nardil withdrawal syndrome at the time he died. The drug treatments prescribed were making him worse. Again, he left us with what appears to be a great description of akathisia:

@DrLadeSmith fails to grasp the fact that psychiatric "treatment" is one of the reasons people end up on welfare benefits. If "treatment" was so successful then we would not see ever rising welfare benefit claims for MH disability. Psychiatry disabled me. They never noticed.

I have responded to Henssler and Pies’ minimisation of antidepressant withdrawal as a problem in Psychiatric Times: “They try to sew doubt in the size of the issue of withdrawal, a well-recognised ploy of incumbencies to challenge.”