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Jun 24, 2021 24 tweets 34 min read Read on X
It's day 4 #RCPsychIC - the first set of split sessions - and this thread will be concentrating on a clinical update on ADHD across the lifespan - Prof David Baldwin from @unisouthampton is chairing - we have a great set of speakers, this should be good.
@unisouthampton Our first speaker is @srcham whose talk is called 'Practical advice for assessing and understanding ADHD: diagnosis, comorbidities, and biological models'. #RCPsychIC
@unisouthampton @SrCham Current diagnostic criteria: DSM5 criteria says its characterised by inattention and hyperactivity-impulsivity - need at least 6 symptoms in one of these 2 domains, @srchamb tells #RCPsychIC
@unisouthampton @SrCham @srchamb ICD11 and DSM5 have subtle differences in diagnostic criteria - ICD is a little more relaxed but they are similar says @srchamb - here are the symptoms from DSM5 #RCPsychIC
@unisouthampton @SrCham @srchamb ADHD is more common than people think and is under diagnosed says @srchamb - it's more common in men than women, and how common it is varies across different parts of the world. #RCPsychIC
@unisouthampton @SrCham @srchamb Why does ADHD matter? It is expensive for the world's economy, and left untreated can lead to a host of problems @srchamb tells #RCPsychIC
@unisouthampton @SrCham @srchamb Before you diagnose with ADHD, consider other possibilities - perhaps symptoms cd be explained by thyroid disfunction, or a psych disorder eg substance use disorder, an impulse control condition - plenty of alternatives which might present similarly @srchamb #RCPsychIC
@unisouthampton @SrCham @srchamb There are diagnosis tools to validate ADHD - we don't want to prescribe stimulants for people who don't have ADHD says @srchamb #RCPsychIC
@unisouthampton @SrCham @srchamb Final thoughts from @srchamb - it frequently co-occurs with impulsive, compulsive and addictive disorders inc OCD and there are potential harms in inaccurate diagnosis of ADHD, as there are in overlooking ADHD #RCPsychIC
@unisouthampton @SrCham @srchamb Our next speaker is @Tamsin_J_Ford who will be addressing the question of how ADHD changes across the lifespan and how services cope, with reference to the CATCh-u$ project #RCPsychIC
@unisouthampton @SrCham @srchamb @Tamsin_J_Ford Children of school age are more likely to be diagnosed with ADHD says @Tamsin_J_Ford - the proportion of young people diagnosed with ADHD in the UK has remained steady over the last 20 years. #RCPsychIC
@unisouthampton @SrCham @srchamb @Tamsin_J_Ford There is a strong socio economic relationship with ADHD says @Tamsin_J_Ford - children who are being looked after or from deprived households are far more likely to be diagnosed with ADHD and other conditions #RCPsychIC
@unisouthampton @SrCham @srchamb @Tamsin_J_Ford Now @Tamsin_J_Ford is talking about transition of young people with ADHD from CAMHS to adult services. The CATCh_u$ programme looked at what was happening with this, concerned the transition might not be working as well as it could #RCPsychIC
@unisouthampton @SrCham @srchamb @Tamsin_J_Ford We discovered there was a big drop out and only one in 5 young adults with ADHD attended their first appointment having reached adulthood - it is a bit much to expect them to make their way there without support says @Tamsin_J_Ford #RCPsychIC
@unisouthampton @SrCham @srchamb @Tamsin_J_Ford Young people thought of ADHD medication as helping them at school and they had not considered the longer term. We need to educate them, and explain though ADHD is unlikely to last forever, it is a long term condition + they will need support as adults @Tamsin_J_Ford #RCPsychIC
@unisouthampton @SrCham @srchamb @Tamsin_J_Ford Our third speaker on ADHD is @CorteseSamuele whose talk is focused on evidence-based treatments for ADHD, including the BAP and NICE Guidelines #RCPsychIC
@unisouthampton @SrCham @srchamb @Tamsin_J_Ford @CorteseSamuele We start with the NICE guidelines for pre school children, and for school age and adolescents diagnosed with ADHD. @CorteseSamuele #RCPsychIC
@unisouthampton @SrCham @srchamb @Tamsin_J_Ford @CorteseSamuele And here are the BAP guidelines for school age children and adult, and for our American audience, the AAPs guidelines for 4-17 year olds. @CorteseSamuele #RCPsychIC
@unisouthampton @SrCham @srchamb @Tamsin_J_Ford @CorteseSamuele Now @CorteseSamuele is talking about the evidence underpinning all the guidelines about ADHD, and talks to #RCPsychIC through his own research published in the Lancet in 2018.
@unisouthampton @SrCham @srchamb @Tamsin_J_Ford @CorteseSamuele Different medication works for different age groups with ADHD - we found amphetamines were most effective for adults, and methylphenidate for children and adolescents says @CorteseSamuele #RCPsychIC
@unisouthampton @SrCham @srchamb @Tamsin_J_Ford @CorteseSamuele What about behavioural interventions for ADHD? There is evidence that they can be effective for some symptoms and this has been covered in a recent paper says @cortesesamuele #RCPsychIC
@unisouthampton @SrCham @srchamb @Tamsin_J_Ford @CorteseSamuele ADHD is picked up for boys far more than girls. Why? For one, a lot of early work abt ADHD was done on little boys so the study and desc of the syndrome is based on boys - is the criteria as suited for diagnosing girls as it cd be? @Tamsin_J_Ford #RCPsychIC
@unisouthampton @SrCham @srchamb @Tamsin_J_Ford @CorteseSamuele Would good performance at school rule out diagnosis of ADHD? Great question. "If someone is in a small structured school with 10 in the classroom and lots of support, their difficulties might not be unmasked." @Tamsin_J_Ford #RCPsychIC
@unisouthampton @SrCham @srchamb @Tamsin_J_Ford @CorteseSamuele And that's the end of our coverage of these talks on ADHD, which was attended by over 500 people - amazing for a split session. Thanks v much to our speakers, the chair and everyone who listened and asked questions. #RCPsychIC

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More from @rcpsych

Jul 13, 2023
Next up at #RCPsychIC is session S40 on ‘The placebo effect: insights for translational research and clinical practice’.

This will be chaired by Professor Samuele Cortese (@CorteseSamuele).
The first speaker in this session is Dr Nathan Huneke (@NathanHuneke) who will be talking about ‘Current knowledge of the placebo effect in anxiety disorders and future directions’ Image
Nathan begins by highlighting 50 years of drug trials for anxiety disorders.

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Jun 23, 2022
Session S39 at #RCPsychIC is on ‘Precision medicine and personalised healthcare in psychiatry’ and is chaired by @RachelUTG.

This topic is the subject of a (free-to-view) @TheBJPsych themed issue:

cambridge.org/core/journals/…
First up in this session is Dr Rajeev Krishnadas (@WalkKD) from University of Glasgo. He was a guest editor for the BJPsych Special Issue and is talking about five points to consider when reading a translational machine learning paper.

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Starts off with explaining what ‘machine learning’ is with a definition of:

“Set of approaches that estimate the best mathematical/statistical model that explain or predict the relationship between ‘variables’”

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Jun 24, 2021
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
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Jun 24, 2021
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
Book: Hearing voices, demonic and divine

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Respondents: hearing voices

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Jun 24, 2021
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.
@RachelUTG @PsychMarwaha @sameerjauhar The first talk comes from @RachelUTG. Interesting findings regarding clozapine in treating first episode psychosis. #RCPsychIC
@RachelUTG @PsychMarwaha @sameerjauhar "Can we use anti-depression medication in a more thoughtful way?" asks @RachelUTG at #RCPsychIC
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Jun 24, 2021
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

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