No, not at all. You say that because then you can paint me as an elitist and make yourself seem a hero. Its very obvious, and no matter how much you bluff and try to shame me, your technique is obvious. Its an insult to the intelligence of your following to mislead them so.
If I felt people were beneath me, I would not engage with them. If I felt those who had different views were lesser than me, why would I talk to them as equals? All you accuse me of, you do yourself. You set yourself up like the messiah, the defender of the meek..
And im glad that your words help people, and that others find solace in your confidence. But if there is one thing I have learned, it is that often compromise and caution are more respectful and giving than bluster. Neither of us are heroes, so perhaps accept it.
And go ahead, shame me all you want. Just know that the loudest and the most confident often learn last.

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More from @drjanaway

31 Oct
This here is the problem. People assume my career choice means I don't value people, or see myself as superior. Ask anyone who works in mental health if they believe 'we are better people.' We work with that society have excluded, and it is more humbling than you would know.
Over the last two years, we have gone from 'heroes' to 'enemies' and back, but we do the same job day after day. It is not us, but the political expediency by which we are portrayed for the gain of charlatans and government. Am I Adams's enemy? No. We simply disagree.
To paint myself, and most doctor, as some kind of elitist authoritarian is simply wrong. If we were elitist and authoritarian, we would not have gone into a job where we disproportionately help the poor and forgotten. Why? Because they suffer the most.
Read 8 tweets
25 Oct
Unpopular opinion:

Many vocal professional opponents of psychiatry will hide behind philosophy and pedantry to drum up business for their own benefit, whilst clearly aware of the hypocrisy of their ideological crusade.

Much of it is narcissism disguised as "protecting others."
As a psychiatrist also training in psychodynamics, we both work within working models adjusted by idiosyncracy and marred by our own subjectivity, so perhaps such poignant opposition tells us more about one's blindness than vision.
I have seen some force patients off medication, others make false allegations, and even more quote charlatans to undermine those who wish to help. None of us are perfect, but those who claim omnibenificence are, frankly, no better than snake oil salesmen.
Read 5 tweets
17 Oct
In 40 minutes I turn 33 years old, and every year passed gives me pause to reflect on how a deal I made in my youth. When I was 24, and severely depressed, I imposed the date of my own execution. If things did not improve by age 30, that was it.
I was going through therapy at the time, and probably my 3rd major depressive episode, but quite certainly the worst until that point. In truth, it carried on in some fashion until I was around 29, before disappearing for a brief time. At this time the deal was still there.
Around 2017 I suffered the worst depressive episode, and during that time decided to move into psychiatry. In a grandiose manner, I decided to sublimate my pain into helping others. This was selfish, to think my experiences would entitle me to such responsibility.
Read 15 tweets
8 Oct
Reflections on psychiatry/thread

Some days I find myself overwhelmed by the true responsibility I find myself wielding. The power that comes from it, the fear I must counsel and the insanity I must often make sense. Today was a day like this. Today I made some realisations.
I refer mainly to acute psychosis and its treatment, including the need to bring people into the hospital. This can be a shock, not just to them, but to their families. A family has its own culture, as well as a greater one. An admission can mean different things to each one.
For many, they see the admission of their loved one as a failure of their own function, as if they are to blame for one's sickness. I rarely saw this in general medicine, as if physical illness had a special exception from blaming one's self.
Read 8 tweets
28 Sep
Just spoke at length to people protesting #covid19 vaccine in teenagers. They held placards quoting MHRA death figures and asking why the media was complicit. Here is a little more on what came up
First, they did not know that most reporting systems such as VAERs are not analysed. They did not understand the need for covariate analysis and what the data actually means.
Secondly, they claimed that no doctor had said that myocarditis from the vaccine is less risky than from covid. Many did not know how covid kills people, or once again about how the data could be skewed. Their research appeared very one sided.
Read 17 tweets
17 Sep
Wake up in Britainland

Turn on GB news for Breakfast rage against the refugees with Katie Hopkins. Turn my kettle to 189 Fahrenheit and empty 4oz of coffee into my 3-hands width chuckle-brothers mug. It will be a good day in the mines.
Its 4 cubits past eleventy, and mandatory tea and national anthem break. We salute statue of Moggmentum and pay pride tax. Lunch of carrot and a crown pint. In afternoon we get ready for book inspection, no forrin names. Ride daily bus home.
Radio tuned to Priti Patel reading list of dissident children as red-faced men spittle in displaced rage from their failed marriages. Dinner is wetherspoons fine british slurry. 8pm curfew apart from drinkers, got to level up. Rishi sunak patrols westminster to check.
Read 7 tweets

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