Welcoming Prof Hamish McAllister-Williams - @HamishMcAW to the virtual stage this morning to talk about: When depression is proving difficult to treat #RCPsychIC #Depression Image
Is there a need to define treatment-resistant depression? #RCPsychIC #Depression Image
Standard is 6-week antidepressant, however sometimes 8-week trial before classed as failed. Psychotherapy is often not taken into account

#RCPsychIC #Depression Image
Treatment comes from the Latin word "curatio" which means to manage the illness #RCPsychIC #Depression
Within 5 years 88% of people were treated for depression #RCPsychIC #Depression Image
2 year follow up #RCPsychIC #Depression Image
If the first treatment doesn't work....we need to ask, were they diagnosed correctly?

#RCPsychIC #Depression
Thank you Koen for you informative talk.

A nice illustration to end his presentation...and a quote on what Koen uses to describe fighting depression

#RCPsychIC #Depression Image
Welcome David Baldwin to #RCPsychIC Image
Published about a month ago - 14 antidepressants were analysed

#RCPsychIC #Depression Image
The most effective came out as phenelzine. From this study, it should be prioritised in future trials of PTSD although there has been some hesitancy on this

#RCPsychIC #Depression Image
Star D studied. Response rate was 12.1% to Tranylcypromine

Side effects:
Increased anxiety
Insomnia

Also has amphetamine-like reaction in high doses

#RCPsychIC #Depression Image
MAOIs are not advised as good treatments for depression #RCPsychIC #Depression #MAOIs Image
Need to apply 2-3 week washout period and carry on the restrictive diet after stopping phenelzine #RCPsychIC #Depression #Antidepressants
@HamishMcAW Thank you to David Baldwin on your talk about MAOIs

Is there a future for MAOIs?

#RCPsychIC #Depression Image
Effect of duration of untreated depression on outcomes

After 4 weeks there should be some improvement from the treatment. if there is no improvement from 6-8 weeks then something else needs to be taken into consideration.

#RCPsychIC #Depression Image
Significant benefits using Esketamine, that are having TRD

#RCPsychIC #Depression Image
Modafinil augmentation: meta analysis

#RCPsychIC #Depression

@HamishMcAW Image
Different time scales for the use of Esketamine nasal spray

#RCPsychIC #Depression

@HamishMcAW Image
May need to consider other treatment trials.

Regular reconsideration to treatments, every 6 months.

#RCPsychIC #Depression Image
Thank you to @HamishMcAW David and Koen for your talks on treatment-resistant depression.

We hope you found this session informative and useful

#RCPsychIC #Depression

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Royal College of Psychiatrists

Royal College of Psychiatrists Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @rcpsych

24 Jun
Join us now in the auditorium of Virtual Congress to see one of our last talks of the day: "How to work with homeless people" #RCPsychIC
The agenda on today's talk is "Making services work for homeless people" with Dr Philip Timms @philip_timms a Consultant psychiatrist at the National Psychosis Service #RCPsychIC
After that, we have "Trauma-focussed practice with homeless people" with Dr Peter Cockersell @petercockersell the Chief Executive at Community Housing and Therapy #RCPsychIC
Read 17 tweets
24 Jun
Our final session of #RCPsychC virtual Congress we are talking about Religious Delusions and Hallucinations: Significance, meaning, and narrative with Dr Alison J Gray @RevDrAliGray, Professor Christopher C.H. Cook @cchcook and Dr Angela Woods @literarti Image
Book: Hearing voices, demonic and divine

#RCPsychIC Image
Respondents: hearing voices

#RCPsychIC ImageImage
Read 16 tweets
24 Jun
In one of our final split session talks of #RCPsychIC 2021, we'll be hearing from @RachelUTG, @PsychMarwaha and @sameerjauhar, chaired by Professor Allan Young: Care of Adult Mental Ill-Health: Getting it right from the start. ImageImage
@RachelUTG @PsychMarwaha @sameerjauhar The first talk comes from @RachelUTG. Interesting findings regarding clozapine in treating first episode psychosis. #RCPsychIC Image
@RachelUTG @PsychMarwaha @sameerjauhar "Can we use anti-depression medication in a more thoughtful way?" asks @RachelUTG at #RCPsychIC Image
Read 10 tweets
24 Jun
So -we're nearly at the end of our first virtual #RCPsychIC - but there's one more set of split sessions to go! On this thread you can follow the 57th split session of this amazing event, which is about Dual Diagnosis from the public, clinical + academic perspective.
Our first speaker is Caroline Turiff, who has been diagnosed with a range of conditions inc OCD and PTSD, and is an award winning investigative broadcast journalist. #RCPsychIC
I've read 70% of people with drug dependency who have a dual diagnosis so it is the norm for them, she says. #RCPsychIC
Read 22 tweets
24 Jun
We're approaching the end of a busy #RCPsychIC, but still time for more talks! Session S49 is on 'Clinical applications of new genetic findings'.
The first speaker is Professor James Walters of @cardiffuni talk title 'Psychiatric Genetics: Recent findings and their clinical potential'.

Find out more about Professor Walters' research: cardiff.ac.uk/people/view/12…

#RCPsychIC
Apologies, first speaker is the session Chair, Professor Louise Gallagher: 'Psychiatric Genetics: Recent findings and their clinical potential'

#RCPsychIC
Read 20 tweets
24 Jun
Hope everyone had a good lunch! Now we look at the lessons we can learn from the 'asylum era', chaired by @DianeGoslar, an expert by experience. We'll also hear from @PeterNaxos, @claire_hilton6 and Dr Allan Beveridge. #RCPsychIC
@DianeGoslar @PeterNaxos @claire_hilton6 Change is desperately needed – such as the total dismantling of stigma – but we have evidence change can happen, says @DianeGoslar. One example of change is that Diane, a patient, is chairing this session. #RCPsychIC Image
@DianeGoslar @PeterNaxos @claire_hilton6 The first story comes from @PeterNaxos, who speaks of Henrietta, a patient in Kingston Asylum, in 1859. She found within herself a resolve she was never aware of, which enabled her to survive a situation which was totally at odds with anything she'd experienced before. #RCPsychIC Image
Read 12 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!

Follow Us on Twitter!

:(