Sanil Rege Profile picture
Feb 8 4 tweets 2 min read
Amazing news this evening! The Neuropsychiatry of Chronic Fatigue Syndrome & #LongCovid - A Practical Guide is accredited for CPD by the RACGP (7.5 hrs) over 3 evenings. Self-accreditation for psychiatrists (7.5 hrs). Coming up in May! #ChronicFatigueSyndrome #LongCovid #meded
Day 1
✅Neuropsychiatry of Chronic Fatigue Syndrome
✅Pathophysiology of Chronic Fatigue Syndrome
✅ Clinical Assessment of Chronic fatigue syndrome
✅Management principles in Chronic fatigue syndrome
✅Clinical Case Study part 1 – Diagnostic aspects
✅ Neuropsychiatry of Long Covid
✅ Pathophysiology of Long Covid
✅ Clinical Assessment of Long Covid
✅ Management principles in Long Covid
✅ Clinical Case Study part 2 – Practical management of Long Covid
✅ Special Comorbidities – Fibromyalgia, POTS, Mast Cell Activation etc
✅Psychopharmacological aspects in management
✅Matching psychopharmacology to symptomatology
✅Advances in Chronic fatigue syndrome & Long Covid
✅Clinical Case Study part 3 – Complex Case Mx

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Sanil Rege

Sanil Rege Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @sanilrege

Feb 10
Weighing into the the ongoing debate on the existence of ADHD. Strange to me. Labels can always be debated and disproven but the underlying neuroscience ( may be incomplete) but not so easily disproved. So let's get back to neuroscience to understand #ADHD. 🧵👇
In order to understand ADHD, we need to look at the three main brain functions
1. Cognition
2. Movement & action and
3. Reward sensitivity. 1/
Cognition, specifically executive dysfunction which is affected in ADHD, is mediated by the DLPFC and D1 and Alpha 2A receptors are key (very relevant to psychopharmacology). D1 receptors not so easily stimulated but are essential for reward learning. 2/
Read 11 tweets
Feb 8
Relevance to GPs & psychiatrists in 🇦🇺 [webinar open for all HPs]. Up to 1/2 of patients w #longCOVID could be described as meeting criteria for CFS. Approximately 10 million Australians have had confirmed SARS-CoV-2 infection with long-term sequelae only now being defined ...1/
"To prepare the next generation of health-care providers and researchers, medical schools must improve their education on infection-initiated illnesses such as long COVID and ME/CFS, and competency evaluations should include these illnesses. [Davis et al, 2023]
"As of 2013, only 6% of medical schools fully cover ME/CFS across the domains of treatment, research and curricula, which has created obstacles to care, accurate diagnosis, research and treatment" [Davis et al, 2023]
Read 4 tweets
Jan 23
The study on escitalopram v placebo in healthy volunteers measuring reinforcement sensitivity has caused a stir as usual with incorrect interpretations of ‘SSRIs blunt emotions’This is incorrect - let us understand reinforcement sensitivity 🧵👇
Keeping it simple -Humans utilise the limbic network (Amygdala-Ventral striatum) & PFC to respond to stimuli & make decisions leading to actions. Reinforcement learning / reward learning helps us solve problems. Reward does not only mean pleasure. Removal of a ‘problem’ =reward
Reinforcement sensitivity consists of 3 dimensions that can be mapped neurobiologically - 1. behavioural inhibition (BI), 2. behavioural activation ( BA) 3. Threat response - FF etc. When individuals are anxious or depressed - the response to stimuli may be dysfunctional
Read 7 tweets
Jul 22, 2022
Since 5-HT is all the rage - Here are some antidepressants that do not act via SERT blockade. Antidepressants are not a homogeneous group. Most commonly those that put them under one umbrella have a anti-med agenda. So let's get started 👇
1. Agomelatine - 5 HT2C antagonist & Melatonin R agonist. ⬆️DA&NA in PFC. Melatonergic potentiation - ⬆️SWS psychscenehub.com/psychinsights/…
2. Modafinil & Armodafinil - NAT and DAT inhibitors ⬆️ NA & DA AND activation of Orexin pathways - ⬆️wakefulness. psychscenehub.com/psychinsights/…
Read 12 tweets
Jul 20, 2022
With 1-way ideologies (the chemical imbalance) I find one rule useful. As Taleb says (finance) don't ask a person what their opinion or reco is - ask them what's in their portfolio. So @markhoro @joannamoncrieff @HengartnerMP-how do you treat depression? Do u prescribe SSRIs? 1/n
Do you prescribe antidepressants that directly or indirectly act on serotonin receptors. If you prescribe ADs how do you explain this to the patient. @markhoro you in detail explain withdrawal Sx neurobio- how do you Rx dep in your practice? 2/n
And if you prescribe ADs should the media be aware that although your paper debunks the very narrowly studied link between Serotonin & dep - some of you prescribe ADs outlining reasons for that? Wouldn't that be the responsible thing to do?
Read 4 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us on Twitter!

:(