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Hisham Ziauddeen Profile picture
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11 Dec, 4 tweets, 2 min read
🧵 Research study: Psychotic experiences in borderline personality disorder (BPD)

Psychotic experiences are common in BPD but are under researched and often dismissed. We are looking to better understand these experiences and how they might arise.
tinyurl.com/rnjs8xs7
(1/4)
BPD is associated with a huge amount of suffering and it is one of the most stigmatised psychiatric conditions. For research it is important to use established diagnoses but we are very mindful of the issues with the diagnosis as discussed 👇
(2/4)
The study will involve a brief screening session to determine if you are eligible to take part. If eligible, you will be sent a link to fill out a set of questionnaires and some computer based tasks that will take ~ 1.5 hours. You will be paid £20 for your time.
(3/4)
The aim of the study is to better understand psychosis in BPD to inform and improve care.
Charley Peitzmeier is leading the study but they are not on Twitter so please get in touch with me on Twitter or either of us via email.

Study link again: tinyurl.com/rnjs8xs7
(4/4)

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More from @HZiauddeen

Hisham Ziauddeen Profile picture
11 Dec
🧵 The problematic diagnosis of Borderline Personality Disorder (BPD)

BPD (aka EUPD, emotionally unstable PD) is arguably the most stigmatised diagnosis (Dx) in MHservices and in the general hospital.

This 🧵is going to cover some of the problems with this Dx.
(1/51)
Many of the people (predominantly women) given this diagnosis are survivors of complex trauma, who continue to experience recurrent trauma in mental health and physical health services, as well as in other areas of their lives (a frequent & painful legacy of trauma).
(2/51)
Despite this being fairly well known, in reality the trauma and suffering often receive little consideration, and the Dx is heavily stigmatised, leads to frequent dismissal and EXCLUSION from care, and even frank discrimination, with far too many people taking their lives.
(3/51)
Read 55 tweets
Hisham Ziauddeen Profile picture
4 Dec
🧵On complicated grief: losing someone who should have been close but wasn’t

For those of us who've lost people who should have been loved ones but didn’t really love one,
Who’ve lost parents, siblings, (sometimes children), and spouses, who were uncaring, and abusive.
(1/25)
Grief is the pain of the void left in life where someone used to be.
The void is the great discontinuity, the point where they will no longer be part of the unfolding story of your life, the point where your shared story ends, from when there will be no new memories.
(2/25)
All they were part of, all that they helped in making the world feel better and safer, in making you know you mattered, all of it ends at the void. The enormity of the void is overwhelming, and in the early stages of grief, it can be hard to see a future beyond the void.
(3/25)
Read 25 tweets
Hisham Ziauddeen Profile picture
4 Dec
RTing this for 2 reasons:
1. I think this is the only way in which we might get a sensible pandemic strategy (I'm not hopeful).
2. The lovely replies from pronoun warriors.

Neither of these is a compelling reason to read this little thread but 1 possibly narrowly beats 2.
1/6
We've learnt a lot about Omicron since I wrote the original thread and none of it is remotely reassuring. In the thread below I wrote about how this is what was expected and predicted especially by people who know about virus and immunology.
2/6
My worry is that a massive change of direction will be required to deal with the combined delta and Omicron pandemics. This is not going to be controlled by minimal interventions and continuing otherwise as before.
3/6
Read 6 tweets
Hisham Ziauddeen Profile picture
4 Dec
🧵Ostensibly about necrotising fasciitis:

A flesh-eating bacterium is eating through your leg. This is a new experience. You have never seen bits of your leg disappearing like this. And the pain, well that's something else. And the smell, oh boy the smell.
1/8
This is not looking too good but we don't know how it's going to go. Perhaps you should sit & watch carefully to figure out what's going to happen next. What can you infer from the mysterious ways in which the bacterium moves?
2/8
Perhaps it's important to adopt the right attitude, one of caution but not rushing of to action. Perhaps fortitude may cause the bacterium to think again if this is perhaps the wisest strategy to pursue.
Read the entrails carefully (but quickly lest they become your own).
3/8
Read 8 tweets
Hisham Ziauddeen Profile picture
4 Dec
🧵Omicron update:
This variant is looking seriously worrying.
It's from a different lineage to delta i.e. it's not delta++ but another variant line all together & it has a helluva lot of worrying mutations.
It seems to be spreading rapidly even in people who are vaccinated.
1/9
This could be because it's like a novel virus we're susceptible to and/or that it is able to some extent, evade immunity acquired to previous variants and vaccines. This is called immune escape and looks likely to significant with Omicron.
2/9
Given that Omicron is very different from delta we may likely end up in a situation where we have two separate but simultaneous pandemics.
The NHS is in crisis with one pandemic, with two... However vaccines are still protective. Please get vaccinated and boosted!
3/9
Read 9 tweets
Hisham Ziauddeen Profile picture
2 Dec
🧵Living in survival mode and decision making:

When you are living in survival mode, making decisions can become particularly difficult & you can find yourself struggling with indecision, avoiding decisions or handing them over to others, or making suboptimal decisions.
(1/38)
Suboptimal decisions can range from those that are ok-but-you-could-have-chosen-better (especially for the longer-term) to those that are outright bad or dangerous (for you).
The aim here is not to criticise the decisions made but to try & understand why they were made.
(2/38)
i.e. why do we make (and keep making) decisions that are not in our best interest?
We'll think about the more general case of decision making in survival mode & emphasise some of the particular impacts of trauma, mental illness & disability.
(3/38)
Read 38 tweets

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