“It is time to take the blinders off. It is time for everyone – clinicians, legislators, insurers, media, family members, and all others, including the general public – to recognize the complexities of the issues surrounding the crisis of polysubstance overdose deaths.” 2/5
“The terms “opioid-induced respiratory depression” and “opioid-overdose death” are outdated, as they fail to reflect current realities and only further continue the errant notion of simplicity. They should be abandoned for the more accurate and clinically-helpful terms” like..3/5
..”polysubstance-induced respiratory depression” (PIRD) and polysubstance-overdose death” (POD). Furthermore, healthcare professionals need to not only better understand the issues surrounding polysubstance-use disorders, but also”.. 4/5
“to recognize that treatment of this type of overdose is considerably more complicated than is single-substance opioid overdose, and significantly more challenging than – and unresponsive to – the interventions that they likely were taught.” 5/5
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I got a degree in Clinical Psychopharmacology after getting my license to practice as a Doctor of Psychology because I started working w/older adults who struggled emotionally AND were prescribed a TON of meds. Something wasn’t right. I had to know more. @division_55 1/7
Not only did i learn basic clinical medicine, pathophysiology, review of systems, lab workups, etc.. but also learned about effects of drug-drug, drug-disease interactions on mood, mind, behaviors, and stress. One tool i still find useful is the #BeersCriteria (not etoh..lol) 2/7
Here’s a link to 2020 Updated from 2015 guidelines from @aafpaafp.org/afp/2020/0101/… Inappropriate Medication Use in Older Adults. If you have an older adult in your life, check their med-list. You’ll be surprised. Or maybe not. Here are “key points of practice”: 3/7
#gratitude thread 1/12
“Appreciation is a wonderful thing. It makes what is excellent in others belong to us as well.” Voltaire #grateful for classics @CIIS_SF
#gratitude thread 2/12
“When eating fruit, remember the one who planted the tree.” Vietnamese Proverb @BreneBrown @grateful for cultures
#gratitude thread 3/12
“Got no checkbooks, got no banks, still I’d like to express my thanks. I got the sun in the morning and the moon at night.” Irving Berlin @PolarisInsight #grateful for music
“Of potential harms of getting distracted by a more progressive model of mental healthcare by polarized ideas is that it could prevent people from seeking care that they may want, or invalidate experiences of people who have been helped by psychiatry” vice.com/en_us/article/… 1/4
@jonathanstea@JonathanShedler@AllenFrancesMD@VICENews “By claiming that mental illness doesn't exist at all, anti-psychiatry could also lead us astray from much-needed reform within psychiatry, precisely because it seeks not to improve psychiatry, but to tear it down.” 2/4
“There are useful discussions and summaries on Mad in America. Importantly, there are also real experiences and trauma behind many of the posts that discuss the harms patients suffer from psychiatry.” @Mad_In_America@sandysteingard 3/4
"For decades state legislators have witnessed turf battles among various health care professions. Nurse practitioners and physicians’ assistants, for example, seek to practice independently of physicians and to expand their scope of practice to meet their level of training" 2/5
"This is usually met with resistance from medical doctors who argue NPs and PAs lack the necessary training to safely provide care beyond a narrowly‐defined scope. In most states doctorate‐level clinical psychologists are not allowed to prescribe psychiatric medications.." 3/5