Alistair Stewart Samei Huda planet borromeo Awais Aftab George Dawson Jesus Ramirez-Bermudez Mayer-Gross is such an excellent textbook choice. Some 50s textbooks were too slow seeing the problems of lobotomy and Cotton-style organ removal. Nowadays, no one has any difficulty seeing the problems of ketamine, BZD, stimulants... sigh... plus ça change, plus c'est la même

Dr Joanna Moncrieff Psychiatrist work at the individual level with patients who suffer from mental illness not trends. When there are population increases in mental illness (trends), the solution should not be psychiatric. We should re-examine the conditions which led to this increase.

Justin Garson The concerns about the authority of psychiatrists over patients is real and significant. This is why psychiatrists shouldn’t have the last word. In areas where I have worked, judges make the ultimate decisions on issues of involuntary psychiatric treatment. Oversight gives

jc Justin Garson Judges tend to side with psychiatrists. Some thoughts on that: 1. Judges agreeing with psychiatrists doesn't negate their independence. 2. Judges likely agree with psychiatrists because psychiatrists earn that agreement 3. If we stop believing that in a fair judges, then the

Bert Allen Frances I think that some have disputed the superiority of clozapine though it is a fairly consistent finding. Here from 2016 - pubmed.ncbi.nlm.nih.gov/27388573/ Additionally clinical practice is full of pro-clozapine examples. Famously Elyn Saks talked about her improvement on the medication.

Baypsych74 Harriet Vogt jc Justin Garson Rob Wipond I like that most mental health laws are not written by psychiatrists. If they were written by psychiatrists and based on symptoms (eg: # of delusion or severity of disorganization) it would be much harder if not impossible for patients to argue their side. Psychiatrists

There are some who don’t know that there are psychiatrists who argue against involuntary treatment. (For fairness, it must be said that this is pretty rare and it may be reasonable to argue for much more)

Nicolas Badre jc Justin Garson Likewise I appreciate your willingness to discuss, Nicolas. Judges must learn to be more independent. But given judicial deference to "expertise", psychiatrists generally need to be more honest in court where the science is weak. And support more due process rights for patients.

When trauma becomes a trophy, the real victims lose out. Psychiatry should put guardrails on the trend of using PTSD as a legal get-out-of-jail-free card.

94% of college students could fake PTSD symptoms in a study using a basic self-rated questionnaire. Providers who rely heavily on those types of questionnaires are easily fooled.

“Decades of national suicide prevention policies haven’t slowed the deaths” Yet we keep promoting the same myths. 1. Suicide risk assessments are not effective at predicting risk 2. Treatment with antidepressants has not been demonstrated to reduce risk cnn.com/2024/09/18/hea…

“It is our concern that the rising fascination with repeated suicide risk assessment is misguided in its current form and serves the purpose of appeasing administrators more than reflecting a scientific understanding of the literature.” mdedge.com/psychiatry/art…

Nicolas Badre That’s fair, because I think we can on the individual level prevent some suicides, and that’s often done through a meaningful human connection, sometimes a therapeutic one. But this is impossible to measure.