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Me, minding my business, but getting pulled into unnecessary drama 😂
Manchester, England 🇬🇧 English
Reens Kay PsychPharm 🧠
2.1K posts
Reens Kay PsychPharm 🧠
@reens_kay
Aficionado on Philosophy, Psychiatry, Neuroscience, Genomics, Brain stuff 🧠 & Cats🐾🐈 Tweets entirely personal and usually mood congruent, 👎 schadenfreude
Manchester 🇬🇧 Katılım Nisan 2020
1.7K Takip Edilen469 Takipçiler
@SteveStuWill Looks interesting but can't read the whole article as it needs a subscription
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Psychologists have posited hundreds of cognitive biases over the years. A fascinating new paper argues that they all boil down to one of a handful of fundamental beliefs coupled with confirmation bias.
stevestewartwilliams.com/p/one-bias-to-…
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Reens Kay PsychPharm 🧠 retweetledi
This narrative review suggests mental disorders are statistical clusters of biopsychosocial properties, not sharply defined categories, mirroring concepts in species classification and supporting dimensional #MentalHealth frameworks. ja.ma/4rrTJgk
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Yesterday: Dinner with psychiatrists. Recurring theme: modern mental health often fits women better: focus on feelings, validation, empathy. Men? Many thrive on stoic, utilitarian approaches. Too few providers offer that disagreeable, results-focused style.
Cue the replies: (1) you're simply pointing to bad care, (2) the problem doesn’t exist. Same-day exhibit from the Guardian:
“Are we really overdiagnosing mental illness?” by a psychologist. She admits overdiagnosis exists but dismisses concerns as “unhelpful”, claims diagnoses are “compassionate,” and argues we should “believe” all patient reports.
This is the frame: validation-first, skepticism-last, “believe” every report of distress, empathetic, emotionally attuned, low-confrontation. To be clear, I’m not saying it has no place. I’m saying we’re overdoing it. That’s the mismatch I described.
Men (and many women) aren’t broken for wanting the other lane. We just need providers who’ll meet us there.
Nicolas Badre@BadreNicolas
Dinner with psychiatrists last night. Recurring theme: Modern psychotherapy often fits women better. Men often thrive on stoic, utilitarian approaches: action over endless feelings & validation. Too few therapists seem to offer a more disagreeable and less-neurotic style that matches many guys.
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Prodromal symptoms well before diagnosis? Interesting study #psychtwitter Specific midlife depressive symptoms and long-term dementia risk: a 23-year UK prospective cohort study - The Lancet Psychiatry thelancet.com/journals/lanps…
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Learning a second language can protect against cognitive decline.
Data from 86k people across 27 countries: Being multilingual predicted 30% lower risk of accelerated biological aging over time.
Communicating in multiple tongues is a form of mental exercise.
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Check Li levels before tx and more frequently during therapy with GLP1s- Lithium Toxicity and Altered Clearance Following Initiation of Semaglutide in Patients With BPAD #psychtwitter journals.lww.com/psychopharmaco…
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Psychotropics affect the whole body system, adverse effects play a huge role in non-adherence, need to be proactive in prevention & management #psychtwitter thelancet.com/journals/lanps…
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Phenomenology in psychiatry is like ECG interpretation in cardiology, it’s about recognising patterns before a crisis unfolds.
Here’s a structured breakdown of thought pathology and why it’s clinically critical 👇
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Interesting. But why? Time for a deep dive....
Adam Grant@AdamMGrant
Too many mediocre men talk over capable women. Study of problem-solving teams: Men dominate the conversation, taking 50% more turns and saying 69% more than women. Men with low skill speak more than women with high skill. It's long past time to value competence over confidence.
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In the early days perhaps, but in the later days perhaps not!
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Experienced pharmacists with advanced training and critical thinking skills would think twice here. There's always a few Dunning Krugers in pharmacy land. Major disease vs minor illness assessment needs thorough hx checking and physical examination. Can't use heuristics.
The Med Reg@MedRegoncall1
🏴☠️Dear pharmacists, Can you refrain from making a mockery of your profession by having a crack at diagnosing dermatology conditions? Your colleague misdiagnosed shingles as ‘sweat rash’ in a patient with an autoimmune condition!☠️ ⭕️Such patients are complex and likely on immunosuppressants/ biologic drugs. ⭕️Prescribing steroids for viral infections can lead to disseminated shingles. ⭕️Pharmacists should not risk losing their licence to meet the daily target for Pharmacy First service. If in doubt, refer out
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@MedRegoncall1 Experienced pharmacists with advanced training and critical thinking skills would think twice here. There's always a few Dunning Krugers in pharmacy land. Major illness vs minor disease assessment needs thorough hx checking and physical examination. Can't use heuristics.
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🏴☠️Dear pharmacists,
Can you refrain from making a mockery of your profession by having a crack at diagnosing dermatology conditions?
Your colleague misdiagnosed shingles as ‘sweat rash’ in a patient with an autoimmune condition!☠️
⭕️Such patients are complex and likely on immunosuppressants/ biologic drugs.
⭕️Prescribing steroids for viral infections can lead to disseminated shingles.
⭕️Pharmacists should not risk losing their licence to meet the daily target for Pharmacy First service.
If in doubt, refer out
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A helpful chapter that addresses some core concepts of causal reasoning: causal mental models, counterfactuals, and mental simulations 👇
Open Encyclopedia of Cognitive Science Bot@oecs_bot
Causal Reasoning by David Lagnado: doi.org/10.21428/e2759…
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Be proactive and not reactive when reviewing meds #psychtwitter
Holistic prevention and management of physical health side-effects of psychotropic medication: second report of the Lancet Psychiatry Physical Health Commission - The Lancet Psychiatry thelancet.com/journals/lanps…
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The convenience of instant answers using ChatGPT/AI comes at a steep cost if critical thinking & professional oversight are left out! A Case of Bromism Influenced by Use of Artificial Intelligence | Annals of Internal Medicine: Clinical Cases #medtwitter acpjournals.org/doi/10.7326/ai…
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Reens Kay PsychPharm 🧠 retweetledi
When it comes to interviewing new psychiatric patients in my clinic, I am fascinated by how some people are very focused on their symptoms (depression, anxiety, panic, irritability, mood swings, inattention…) and some people are very focused on their stories (‘I went through divorce/break-up/death/work conflict, and I am overwhelmed, struggling, unable to function’)…
And sometimes I have patients who start off by being very symptom-focused, and then as treatment progresses, they start becoming more and more story-focused, and when that happens, it is usually a sign of clinical improvement.
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Couldn’t agree more. I do think there is a tendency to group all South Asians in one big block as well and we are not the same. So if you think you are inclusive because you’ve covered one minority ethnic community and/or religion you aren’t! bbc.co.uk/news/articles/…
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Interesting- cases probably labelled as depression and given SSRIs; however a chunk of that cohort may have an undiagnosed specific anxiety disorder- we need to look at transdiagnostic approaches in primary care #psychtwitter #1-1-introduction" target="_blank" rel="nofollow noopener">digital.nhs.uk/data-and-infor…
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Final day of #BAP2025 much needed discussion of evidence base regarding treatments for Depression including neuromodulation therapies #psychpharm #psychtwitter
Manchester, England 🇬🇧 English
Manchester, England 🇬🇧 English