James Lawler

@mase21 @levelsnetwork Crawl into a hole? He will be welcomed back to Newcastle with open arms. He will be celebrated for what he has done. You forget what Novocastrians are like

There could not be a bigger hole that Tyson gamble wants to crawl into right now. Pick ya battles boy. You are below average. @levelsnetwork

@psychgeist52 Do you think it’s ironic that you frequently give lectures on prescribing medications on this platform (when it’s clear you don’t have the training) but insist psychiatrists aren’t trained to provide psychotherapy (when in most contexts they do have training)?

Be warned that if a psychiatrist hasn't done an extra psychotherapy degree, or gone through a very specific psychotherapy tract in their training, they are not trained to do psychotherapy. There is much talk about based on very limited experience. Potentially very harmful, IMO

@sanilrege @askdheeraj I agree Sanil. I wasn’t sure why cysts were included as being clinically relevant as they rarely are in my experience. But if I or someone I cared about had a psychotic episode, I would want an MRIB - relatively harmless test with small chance of major impact on Dx and Mx

@askdheeraj Also cognitive impact. In teaching I say “ When it comes to managing illnesses, our efforts extend beyond addressing immediate concerns; they encompass preventive measures for the future as well.”. WMHs is a good example. psychscenehub.com/psychinsights/…

I do not understand how white matter changes or presence of cysts changes clinical management. A person with psychosis would still be given antipsychotics even in the light of these findings. If cysts have not caused neurological deficits, no one will operate (cont)

@1an_Higgins They would have run one for the team, one for the spirit of cricket I reckon

If Carey missed the stumps and no one was backing up, do you think they would have run one or two?

@sanilrege This would be a good MCQ question tbh

Guess the psychiatric condition? 👇

@psychwrite @KillianAshe @RANZCP I think we’ll need to agree to disagree on that one

@psychwrite @KillianAshe @RANZCP So we need the exam, not because it is a good exam, but because people study for the exam?

In a medical specialty which arguably requires bedside manner the most, @ranzcp has discontinued the need for trainees to pass any objective clinical exams to become a psychiatrist, having scrapped the long-form interview exam years ago. Bleak. #psychtwitter #mentahealth

@psychwrite @KillianAshe @RANZCP You’re saying “reality of the work” is best assessed by a simulated exam. I’m saying it is best assessed by a rigorous workplace-based program. Surely you’re not arguing “in-depth”history taking was covered by the 8 or 15 min OSCE stations?

@jmslwlr @KillianAshe @RANZCP Unlikely to find a psych. that agrees ‘breadth & depth of psychiatry is covered in other assessments.’ In-depth Hx taking, formulating under pressure, coming up with a Mx plan - reality of the work - is not replicated w/o the *preparation* towards OCI/at least long station OSCE.

@KillianAshe @psychwrite @RANZCP Do you talk to all of your trainees this way when they share their opinions? I’m not sure what point your making. I’m not arguing getting a FRANZP necessarily makes a good psychiatrist. I agree - I know a few who completed the OSCE/OCI and still have poor bedside manner

@jmslwlr @psychwrite @RANZCP And you’re basing this on what sorry? Come back and talk to us when you’ve worked a day in your life as a Psychiatrist. I’m a coordinator of training and let me assure you, completing FRANZCP a good psychiatrist does not necessarily make

@psychwrite @RANZCP It was obsolete because of those WBAs. Those assessments also assess day-to-day practice with real patients, unlike simulated scenarios with actors. The breadth and depth of psychiatry is covered in other assessments.

@jmslwlr @RANZCP They were completing all these WBAs anyway, so it’s not either/or. It is also the breadth of preparation for the OCI/OSCE that was essential. A clinical interview with your daily clinical supervisor, who has many deterrents to failing you, is not an objective assessment.

@AdJongh @die_jenn You ask for evidence. Yet the trial you have shared has no control group and a single post-treatment measure *nine days* after treatment is over. You have treated 9000 patients this way - do you wonder if you have not “seen this” because you don’t follow many patients up?

@die_jenn Quite a statement. But please show me the evidence. After having treated 9000 patients in our clinic, not with talking or 'stabilisation', but with evidence based trauma-focused therapy, I have not seen this yet...

In this workshop participants not only will learn that it is possible to treat Complex PTSD within one week, but they will get clear demonstrations as to how this can be done. tandfonline.com/doi/full/10.10…

Please #changethedate @AlboMP - I’ll never feel comfortable celebrating #AustraliaDay on 26 Jan knowing what it represents to Indigenous Australians. It makes it difficult to acknowledge the great parts of our country when we insist on doing it this way bbc.com/news/world-aus…

Add your name to support the call for real, fair and practical change for Aboriginal and Torres Strait Islander people through a constitutionally enshrined Voice to Parliament. @fromtheheartau fromtheheart.com.au/signtheulurust… #IsignedtheUluruStatement #IaddedmyVoice #VoicetoParliament

A NSW judge has minimised a man repeatedly raping his own 13 y o step daughter by painting him a "war hero" & saying he was merely "seeking comfort & affection in the wrong place". #JusticeShouldntHurt /1 news.com.au/lifestyle/real…

Nice article by @CCCachia - the description of the numbness to human suffering you feel as a doctor really hit home sbs.com.au/topics/voices/…

My top podcasts of the year! lists.pocketcasts.com/c31c712e-a13f-… #pocketcasts #endofyear2022

"It may be a case of mistaken identity, it may be a case of being in the wrong place at the wrong time. "I wouldn't want anyone in the community to jump to any conclusions at this time" What outcome does he expect other than provoking more anger?

These quote from the WA Police Commissioner are so invalidating... abc.net.au/news/2022-10-2… "We're not operating on any principles of racism or motivation at this point," Commissioner Col Blanch told Perth radio station 6PR.