Robert Howard

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Robert Howard

Robert Howard

@ProfRobHoward

UCL old age psychiatrist | Improving dementia and mental health treatment | Layla | Clinical academic training

London and Norfolk Katılım Kasım 2015
2.8K Takip Edilen18.5K Takipçiler
Robert Howard
Robert Howard@ProfRobHoward·
I don't often get mentioned in reviews of Royal Academy exhibitions! Thanks to the wonderful @GeoffreyMunn1 for his generous comments.
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Robert Howard
Robert Howard@ProfRobHoward·
@Jennife10651535 Excellent news that you and he are happy with his care. You did such a good job keeping him at home for so long but this took a toll on you both. It still seems wrong to me that people have to pay for "social care".
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Jennifer Richards
Jennifer Richards@Jennife10651535·
One thing about visiting a care.home so frequently....I shan't be sorry if I have to live in one
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Robert Howard
Robert Howard@ProfRobHoward·
The crowds on Holkham beach this morning.
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Gail Glass-Malley
Gail Glass-Malley@MalleyGlass·
@ProfRobHoward @RosyPosy_kitteh She seemingly loves to be the center of at least human attention. I’m not tied to psychodynamic thinking otherwise I’d be wondering if she’s identified with the hare.
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Robert Howard
Robert Howard@ProfRobHoward·
Crossing the field behind our house just now, Layla ran straight past this hare who stayed ducked down, even when I was within 3 metres of him.
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Robert Howard
Robert Howard@ProfRobHoward·
@RosyPosy_kitteh Not tame but they have an impressive confidence in their invisibility. Layla (who is pretty observant) didn’t suspect a thing as she walked past.
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RosyPosy 🌹
RosyPosy 🌹@RosyPosy_kitteh·
@ProfRobHoward So amazing I worked on an island clinic in the backwater estuary Rob and we used to have wild hare and pheasants being really tame.
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KimH
KimH@KH118118·
In just 3 yrs, Functional Neurological Disorder has gained national clinical pathways, NICE rehabilitation guidance & recognition as an NHS neurology subspecialty. Now it’s time to build on existing services so the tens of thousands living with FND can access timely MDT care #FND
KimH@KH118118

Since April 2026 Functional Neurological Disorder has been recognised as a core subspecialty within NHS specialised neurology services. Alongside Epilepsy, Movement Disorders, MS & CNS Neuroinflammation, Neuromuscular Disorders, Cognitive Neurology & Complex Headache #FND

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Dr Sanil Rege FRANZCP | MRCPsych
After Jauhar et al showed how leaky your umbrella review was ; you and your fellow authors concluded 👇 1️⃣“We would agree that many brain processes, including the serotonin system, likely play a complex, though poorly understood, role in emotion and behaviour, including depression." 2️⃣ "We did not include reviews of circulating tryptophan described by Jauhar, and Maes and Almulla...." You dismissed circulating tryptophan, even though it directly influences central serotonin synthesis. This omission is critical, as evidence shows reduced plasma tryptophan in especially in unmedicated individuals. Selective reporting! 3️⃣ "Although Jauhar et al. and Jacobsen are correct to point out that there are 5HT1A heteroreceptors as well as autoreceptors..." Your admission highlights an oversimplification in your original review by ignoring the role of a complex system in favour of a reductionist argument. 4️⃣"Some abnormalities in the serotonergic system identified after long-term antidepressant treatment are consistent with adaptive changes that reduce the potency of serotonin."
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Dr Joanna Moncrieff@joannamoncrieff

We also discuss the pushback to our umbrella review, and how it came down to saying because there is serotonin in the brain, and you have to have a brain to feel depressed, therefore serotonin is involved in depression. This is like suggesting that blood causes depression because there is blood in the brain.

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