Psychiatry Excellence @psycheureka
Psychiatry's platform for ideas & concepts that bridge the gap between academia and the real world. Transform #psychiatry through collective wisdom. academy.psychscene.com Australia Joined March 2016-
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Biological or Psychological? 👉This formulation represents a snapshot of a comprehensive approach to a complex patient presentation. 👉It emphasises the expansion of thinking and the search for converging hypotheses rather than reliance on reductionist approaches. 👉Note…
The Implementation of the Management Strategy: 👉Integrating these hypotheses, the management strategy must broadly address the central hyperadrenergic state, for which clinical symptoms provide significant evidence. 👉This involves targeting symptoms through silencing…
2. Orthostatic Intolerance and POTS: 👉The patient's orthostatic intolerance and a diagnosis of POTS further complicate the clinical picture. 👉In view of the symptoms of hyperarousal present, the nature of POTS is most likely a central hyperadrenergic POTS. 👉The autonomic…
Formulation Time – When Neuroinflammation meets Formulation. 🚀 (Long thread) CFS/ME, POTS, EDS, MCA, Fibromyalgia ..... What's the Diagnosis? Wrong Question! ❌ Rather, let's ask: How can we develop an individualised plan for this patient to help the patient get back to…
Why establishing trust with patients before pharmacological intervention is crucial If you're interested in learning more about how to establish trust with your patients before pharmacological intervention, visit The Academy: academy.psychscene.com
@sanilrege @psycheureka This will be something to keep in mind going forward. Have never come across IV bup, but rarely prescribe it due to the cost. I suppose desperate people will resort to anything.
The two key principles in psychopharmacology Explore the world of clinical psychopharmacology in our comprehensive on-demand webinar series. academy.psychscene.com/courses/psycho…
@rovingchloe @psycheureka You raise a very important point. Immediate gratification vs delayed gratification which often underpins boredom. ADHD - do you get bored easily ? Impulsivity etc The neurobiological principle is based on the Dopamine transfer deficit theory. In learning as learning…
ADHD Management 🚨 Not sure who needs to hear it but here goes 👇 1. ADHD management is not just about prescribing stimulant medications 2. The FRAME of ADHD treatment is > ADHD pharmacological treatment 👉ADHD is a lifespan condition, so treatments should focus on…
Methamphetamine hydrochloride – FDA approved for treatment of ADHD & obesity? To see the full in-depth video, check out the YouTube video here: youtube.com/watch?v=HOiUuH…
New article 👉The Neuroscience of Addiction - Application to Clinical Practice 🚀 Addiction is best conceptualised as a phenomenon where a ‘stimulus’ / object often an external ‘substance’ becomes all consuming. In this context the neuroscientific principles highlight how the…
Dr Sanil Rege FRANZCP.. @sanilrege
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Biological or Psychological? 👉This formulation represents a snapshot of a comprehensive approach to a complex patient presentation. 👉It emphasises the expansion of thinking and the search for converging hypotheses rather than reliance on reductionist approaches. 👉Note…
The Implementation of the Management Strategy: 👉Integrating these hypotheses, the management strategy must broadly address the central hyperadrenergic state, for which clinical symptoms provide significant evidence. 👉This involves targeting symptoms through silencing…
2. Orthostatic Intolerance and POTS: 👉The patient's orthostatic intolerance and a diagnosis of POTS further complicate the clinical picture. 👉In view of the symptoms of hyperarousal present, the nature of POTS is most likely a central hyperadrenergic POTS. 👉The autonomic…
Formulation Time – When Neuroinflammation meets Formulation. 🚀 (Long thread) CFS/ME, POTS, EDS, MCA, Fibromyalgia ..... What's the Diagnosis? Wrong Question! ❌ Rather, let's ask: How can we develop an individualised plan for this patient to help the patient get back to…
Nearly half of adolescent males with cannabis-induced psychosis develop a schizophrenia spectrum disorder within 3 years. 🧵1/9
@sanilrege @psycheureka This will be something to keep in mind going forward. Have never come across IV bup, but rarely prescribe it due to the cost. I suppose desperate people will resort to anything.
Some characteristics of the #borderline personality #BPD that go beyond DSM criteria (adapted from Searles, 1986): 1. Large amnesic gaps in life history 2. Tumultuous and highly unstable relationships 3. Periods of detachment during interviews 4. A history of brief psychosis
@sanilrege @psycheureka You frame this very well, Sanil. There is considerable art in explaining the complex , clearly and succinctly.
@rovingchloe @psycheureka You raise a very important point. Immediate gratification vs delayed gratification which often underpins boredom. ADHD - do you get bored easily ? Impulsivity etc The neurobiological principle is based on the Dopamine transfer deficit theory. In learning as learning…
@sanilrege @psycheureka A really old friend and I used to joke at work, that it (getting through a work day) was all about managing the boredom/stress continuum. We were kind of right.
Nature has fractals. Cauliflower or broccoli are fractal patterns -- the small parts greatly resemble the whole. Our psyches are the same - the small events in childhood create patterns and we replay or re-experience the same patterns in our bigger adult lives.
ADHD Management 🚨 Not sure who needs to hear it but here goes 👇 1. ADHD management is not just about prescribing stimulant medications 2. The FRAME of ADHD treatment is > ADHD pharmacological treatment 👉ADHD is a lifespan condition, so treatments should focus on…
New article 👉The Neuroscience of Addiction - Application to Clinical Practice 🚀 Addiction is best conceptualised as a phenomenon where a ‘stimulus’ / object often an external ‘substance’ becomes all consuming. In this context the neuroscientific principles highlight how the…
@saseleyici @sanilrege @psycheureka Mirtazapine works very well for a relative and has done for about 5 yrs, no PSSD - he switched from Zoloft for that reason
@DuthieAlyne @benzosarebad @hanna_pssd @sanilrege @psycheureka @Riggwelter_PSSD @LifeInSalt Ok let's put it this way; PSSD risk 1st approach: hey Alyne, youre considering taking this med but be aware, sexual and cognitive side effects may persist and there is no cure yet, research ongoing. 2nd approach: DONT TAKE THAT POISON DUMBASS YOU WILL BEG FOR YOUR DEATH