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 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 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@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@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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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
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
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.
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
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
@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