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#Antipsychotics keep failing in delirium, again here in randomized trial of haloperidol/ziprasidone: pubmed.ncbi.nlm.nih.gov/38701817 No benefit in "cognitive, functional, psychological, quality-of-life... should not be used routinely to treat delirium" #psychiatry #neurology #medicine
Alfaro agarró a unos jugadores q apenas podían pararse en la cancha por tanto miedo a fallar y en 3 meses los transformó en bestias que les chupa un huevo empezar perdiendo contra la mejor selección del mundo, ni se dieron cuenta... Roza lo sobrenatural 😳
El Ministerio de Salud iguala un médico general que hizo un curso de 6 meses en una universidad a un médico especialista en emergencias médicas que estudió 4 años en una residencia médica. ¿Quién queres que te atienda?
Like pretty much everything associated with mental illness, electroconvulsive therapy (ECT) faces negative stigma in popular media. (Including this platform evidently 🙀!) Here’s a 🧵 on some common misconceptions:
Síntomas de TDA, GAD y de TDM pero que mejoran con litio y disminuir el ISR luego de 1 mes. Los episodios mixtos no son para cualquiera
👑 CARTA DE UN VIEJO REY A SU CLÁSICO RIVAL ⬜⬛ ✍🏻 Nos llegó este escrito a la producción de Ñande Franja TV referente a algo que pasó el domingo. 👀 A ver que les parece... #ÑandeFranjaTV
In the differential diagnosis of personality disorders, pay attention to issues of countertransference. Narcissistic patients characteristically bore their therapists. They take very little interest in what their therapists have to offer and tend to be dismissive of…
Siento que hace mucho que no veía este sol radiante. Me pone de muy buen humor
Our study found that patients with personality disorders are more likely to use all-or-none, certitude, and anger words, fueling contradictory and paradoxical exchanges. For instance, the use of all-or-none language reflects the rigid, dichotomous thinking common in borderline…
John Rucker and I have just submitted what we believe to be the first empirical study demonstrating that patients with personality psychopathology use language in ways that increase the likelihood of double bind communication. This supports the clinical observation that patients…
Difícil que esto ocurra cuando el médico ve al paciente en 12-15 minutos En #Psiquiatría mucho más... Dedicarle tiempo a escuchar al paciente es una de las mejores formas no solo de establecer alianza terapéutica, vínculo, sino establecer claridad diagnóstica
1/ The “evidence-based therapy” game—explained with 🥞 I have a pancake recipe. I do randomized controlled trials (RCTs) showing that people like my 🥞 better than getting no breakfast at all My🥞are now “evidence-based” & yours aren’t. I start telling everyone my🥞are superior
El día de ayer un colega #Psiquiatra en #Monterrey fue atacado en su consultorio x un paciente c/un arma blanca, múltiples lesiones que requirieron internamiento en Terapia Intensiva Esto evidencia 4 cosas: 1. Es #Fundamental el tratamiento oportuno y a tiempo de algunos…
No poder leer a Jaspers en alemán es algo que envidio genuinamente... algún día
Happy 1 year survival to me 🥳 On this day last year I nearly died. Bipolar depression forced me to attempt suicide. I tried & fortunately, I failed. It's the one thing I'm happy I failed. I'm on the right meds now & I'm the longest stable I've ever been. I thank God I failed.
Siempre serás el villano en la historia de alguien y eso no tiene por qué definirte.
This is among best papers on psych diagnosis I have co-authored. Helps provide balance/clarity re pros/cons of various diagnostic systems. Also refutes claims against all diagnostic labeling. Useful for clinicians from all mental health disciplines & widely varying approaches.
Psychiatric Diagnosis: A Clinical Guide to Navigating Diagnostic Pluralism New publication by me, @Castalia1981, @MarkLRuffalo, & @AllenFrancesMD! Focus is on helping clinicians navigate the current plurality of diagnostic frameworks (pdf 🔗in posts 👇) journals.lww.com/jonmd/abstract…
Psychiatric Diagnosis: A Clinical Guide to Navigating Diagnostic Pluralism New publication by me, @Castalia1981, @MarkLRuffalo, & @AllenFrancesMD! Focus is on helping clinicians navigate the current plurality of diagnostic frameworks (pdf 🔗in posts 👇) journals.lww.com/jonmd/abstract…
If you want to jump to the crux of the paper, see the sections on clinician attitudes and navigating diagnostic pluralism. The paper is not open-access, so here's a link to the pdf on my personal website: awaisaftab.com/uploads/9/8/4/…
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