Thread by @kateneuropsych

@DixieT13 @Dysautonomia Exactly.. I specialize in Neuropsychology focusing on medical forensics meaning you come to see me with emotional or cognitive complaints, yeah I'm doing testing and then Im digging through your med records and LABS as far back as I can get them and then I go to work looking
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@DixieT13 @Dysautonomia for underlying conditions that may have been overlooked.

Based on testing, records reviews and research findings along with evaluating for poly pharmacy effects, I've been able to refer fo R/O for everything from idiopathic angioedema to dysautonomia to channelopathies to
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@DixieT13 @Dysautonomia frontotemporal lobular dementia which have in in fact turned out to be what was driving the multifactorial conditions and subsequent erratic or mysterious symptoms. I've been dead on at least 50% of the time and when not Im ball park accurate enuf to get folks in the door via
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@DixieT13 @Dysautonomia documentation to see the necessary specialists who could take it from there.

I'm always learning and count on my patients to guide me based on what's NOT BEEN DEALT WITH.

IMO It's really important that both medicine and psychology and psychiatry become rare diseases
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@DixieT13 @Dysautonomia hunters because even if psych symptoms exist they are rarely stand-alone and even if so, NOT FOR LONG.

Psychology could, if they flex enough, become the gate keeper working to prevent or slow the progression of

1) diseases that present with psych symptoms long before
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@DixieT13 @Dysautonomia underlying medical illness present clinically such that they can be diagnosed (e.g., diabetes, CVD, Cancer, HD, the list goes on).

2) Many of these are stress related diseases or diseases trigged by stress such as the resulting rates of diabetes, CVD, Cancer, HD, and rare
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@DixieT13 @Dysautonomia diseases brought on by HPA axis disturbance over years as with PTSD (e.g., ANS constantly triggered as with Veterans and Af-Am (for very different reasons) results in less sleep, lack of hunger or hunger that's never satisfied ↗️ cortisol- ↘️ insulin w/depressed appitite such
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@DixieT13 @Dysautonomia that you grab a candy bar at 4pm when you suddenly realize your starving and so forth) (and I'm skipping over bunches of other considerations here to just illustrate some simple functions and causes) that over time, sets the dial for metabolic syndrome, diabetes etc which are
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@DixieT13 @Dysautonomia particularly high in both Vets and Af-Am.

3) PREVENTION OFTEN STARTS WITH (Meds at times, bit MOST IMPORTANT) RE-ATTENUATING THE AUTOMATIC NERVOUS SYSTEM to respond to the new reality in front of you for Veterans and for AF-AM because it's NOT PTSD it's ongoing, heavy
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@DixieT13 @Dysautonomia insulation focusing on spiritual grounding and educational and economic boosters that support moving out of enviornments where racism is harder to work around and a network of resources and support that will come to your aid with a vengeance!

4) working behaviorally
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@DixieT13 @Dysautonomia and psychologically to reset the autonomic nervous system with this kind of therapeutic focus psychology and psychiatry could shift into an effecti e DISEASE PREVENTION MODEL of treatment, which it should be.

Right now that awareness is mostly zip among practicianers.

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@DixieT13 @Dysautonomia And this was way longer than intended but one thing leads to another. And the complexity and systems that need to be considered from all angles hard to impart via tweeting.
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@DixieT13 @Dysautonomia @threadreaderapp unroll compile