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Sharing some learning from a wonderful day focussed on a Psychosis theme at @rcpsychEastern #EasternDivisionSpringConference (I think this was the planned hashtag, but maybe wrong 😅)
Many thanks to the organising team and speakers! 1/n
Many thanks to the organising team and speakers! 1/n
An eloquently delivered kick off to the morning by @DrNandiniC on “The thoughts society refuses to believe in - delusions and beyond” with captivating descriptions of origins + examples of psychopathology from literature and from her clinical experience across continents 2/n
A good revision of origins of descriptive psychopathology, concepts and examples ranging from pseudocyesis to Tudor history, lycanthropy to Twilight series, the less talked about “OCD with psychosis”, it kept us engrossed till the end 3/n
And with the most important closing message which was also prominent all through the lecture - to not forget the person and their experience while we get busy “diagnosing” and “treating” psychosis 4/n 
The next talk was from an expert by experience (I didn’t ask consent hence not sharing name) - who spoke about their experience of psychosis and their recovery, and the meaningful work they are now doing as peer support worker and in coproducing training and research 5/n
Dr Jo Reilly talked us through 6 (out of many) psychodynamic principles that can be meaningfully used for therapeutic interactions with patients :
1. Most of mental life is unconscious (Freud)
2. Primary process thinking dominates the ins conscious
6/n
1. Most of mental life is unconscious (Freud)
2. Primary process thinking dominates the ins conscious
6/n
3. Psychological symptoms may have a meaning and may serve a function
4. Our unconscious minds do communicate with each other - colleagues/patients
(Example of projective identification)
5. Psychological mechanisms in mental disorder are extreme forms of normal functioning 7/n
4. Our unconscious minds do communicate with each other - colleagues/patients
(Example of projective identification)
5. Psychological mechanisms in mental disorder are extreme forms of normal functioning 7/n
6. Reminder about the emphasis and impact of quality of early nurturing relationships.
A book recommendation was “The Psychotic wavelength” by Richard Lucas
8/n
A book recommendation was “The Psychotic wavelength” by Richard Lucas
8/n
@raj_psyc successfully took on the challenge of being the post-lunch speaker, keeping us all engaged with his visually appealing slides (very ND friendly slides IMO) and humour, while delivering serious messages on “addressing inequity” for people with psychosis 9/n
This is such a wonderful image, sharing for those who might not have seen it before … 10/n
And I must mention a special thank you for giving #ADHD a shout out (condolences rather 🫣, thanks to #ADHDPanorama - hope i got the hunted context right) during your lecture in relation to inequities in psychiatry / healthcare 🙌
11/n
11/n
Hinted * (apologies for typo)
Your team’s QI work with CPA reviews chaired by patients rather than the consultant psychiatrist, and the stark results of the analysis of how that turned out were 🙀🤩 impact evident in Q&A with curious interest from others to try it, and level out that power dynamic 12/n
Finally a very informative session by Dr Velayudan covering neuropsychiatric manifestations of dementia and current evidence as well as on goings trials for existing and future pharmacological and non pharmacological Rx for it 13/n
A well organised educational day in a historical location - Wellcome Genome campus, Cambridge @rcpsychEastern.
Can’t think of anything needing improvement or not good - besides that my vegetarian colleague at lunch was refused chips “cos that was the side for meat mains”😬 14/14
Can’t think of anything needing improvement or not good - besides that my vegetarian colleague at lunch was refused chips “cos that was the side for meat mains”😬 14/14
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