Will the tsunami of misinformation coming from the Telegraph ever stop? No, depression is not 'ordinary unhappiness', & stigmatising prescribing or taking anti-depressants isn't helpful. I've been on ADs for 9 yrs & my only regret in is not taking them sooner. 🧵
I, for years, despite being a medic, and having prescribed ADs to patients and seeing them getting loads better didn't take them myself, because I felt I should be able to control it somehow and get myself better. I lost entire decades of my life to it.
I shouldn't have. I did psychotherapy as well, which was incredibly useful, but ADs alongside made a huge difference to my life. Please don't suggest depression is just normal sadness due to 'life'. It isn't. It's hard to imagine depression if you haven't experienced it.
It can hugely impact your functioning, your perception of yourself, your relationships, & it causes much suffering. It may have multi-faceted origins that are different for each person, but treating it with ADs doesn't deny its complexity & the role played by external factors.
The thing is it can and does improve with treatment for many people. Why would anyone think taking treatment for this is 'medicalising unhappiness'. It's not. Depression is a disease, that steals your life, inflicts untold pain and suffering on people & their loved ones.
We need to deal with the stigma around taking ADs rather than shaming people for prescribing or taking them. You're not helping anyone. And it's not a dichotomy between therapy or AD- both of them can be very effective together, or separately.
And taking ADs isn't a sign of weakness - i.e. because you couldn't cope with 'usual unhappiness'. It's a necessary and helpful step which saves and improves many people's lives. I've seen this in myself, but also in so many of my patients whose lives have been transformed.
I didn't want to link to it, but here's a snapshot of the article:

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More from @dgurdasani1

26 Nov
I know people will accuse me of 'fearmongering', but I'm really concerned by the potential threat posed by Nu: Why? TL;DR
-The rapid growth to dominance/near dominance in multiple parts of SA
-growth accompanied by increase in R
-accumulation of mutations - many of concern
Yesterday, we heard about the detailed work done on surveillance and characterisation of this new variant from SA. It has far more mutations compared to the original variant compared to delta. Many of these are shared with other VOCs, while many are new:
Many of the mutations are associated with escape at least in laboratory studies (although we don't have data on this particular variant with all its mutations yet). But early data suggests mutations associated with higher transmissibility & escape.
Read 23 tweets
25 Nov
The document that's being shared in this picture by @ALewerMBE is by @DrJBhattacharya an architect of the Great Barrington Declaration that advocated for 'herd immunity by infection'. Jay was disallowed as an expert witness in court due to misrepresentation of evidence on masks!! Image
Major flaws were highlighted in his testimony by multiple judges, with one concluding that he wasn't qualified to be an expert witness, and others suggesting his testimony was problematic. This is the person whose advice our govt ministers are sharing?
Read 4 tweets
24 Nov
It's not a choice between vaccines & mitigations - lockdowns represent a failure to control transmission pre-emptively. What's needed is a multilayered approach of vaccines + boosters + mitigations (high-grade masks, school mitigations, ventilation, test, trace, isolate)
We must separate out lockdowns & mitigations. Lockdowns are only needed again and again if we don't have robust mitigations in place. Many of these don't require a huge sacrifice, but are highly effective (masks indoors, ventilation). There needs to be strong messaging about this
It's not right to say 'restrictions' will be needed for a long time because it will prevent build up of population immunity by infection. Immunity by infection is not desirable- because it's by infection! - which we're trying to prevent! Vaccines do this safely & effectively.
Read 11 tweets
23 Nov
After every study has shown Pfizer protection is superior to Astrazeneca & wanes less over time, The Telegraph suggests we've fared far better than Europe (because we have more deaths?) because of - Astrazeneca! And they quote - the CEO of Astrazeneca!
True journalism this 👇
who cares about reality and facts? Vaccine nationalism is what matters! And standing by the UK and its govt. Who cares about the >160,000 deaths, and >1 million people with long COVID. I challenge anyone to say it wasn't a success - given we created the Astrazeneca vaccine!!!
For those looking for the data- no need to look further than the UKHSA and ONS data that both showed this:
Read 4 tweets
23 Nov
More pseudoscience propaganda from the BBC.

We've escaped the 'worst of what's being seen in the continent' because we've already got the highest total death rate, we've already killed 14,000 people since 'freedom day' (more than any other country in Europe) & maimed >1 million
What Nick doesn't tell you could fill a phD thesis.
The UK has one of the lowest vaccine rates in Western Europe totally (just above Austria and Germany but below other countries) because of massive delays in vaccinating children & shambolic roll out.
We have twice the cumulative deaths of Germany, and the third highest total deaths in Western Europe- close to Belgium and Italy. Italy seems to have learned it's lessons, and cumulative deaths are now flat, while ours? Still rising! >2 in 1000 people overall have died of COVID
Read 10 tweets
22 Nov
What's disturbing is a conference abstract (one of thousands presented-*not* a peer review paper) providing no information on numbers, research methods & correlating immune biomarkers post-vaccination with probability of acute coronary syndrome being disseminated in this way.
We have extensive evidence from the CDC on millions vaccinated on outcomes in patients which very clearly shows that both short and long term impacts from COVID-19 far outweigh any risks from vaccination. Vaccine myocarditis is typically mild & in recovers fully in most.
COVID myocarditis (and other COVID impacts) are far more serious, and more common. Anyone giving warnings about vaccine-myocarditis (with no details of methods, incidence rates or clinical correlates) without talking about impacts of COVID-19 should be treated with scepticism.
Read 5 tweets

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