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2023 World Psychiatry review I had somehow missed thus far: "The lived experience of depression: a bottom-up review co-written by experts by experience and academics" Highly recommended. pubmed.ncbi.nlm.nih.gov/37713566/

Our paper on the efficacy of direct and indirect psychotherapy for suicidal ideation and suicide attempts in JAMA Psychiatry. Enormous effort led by Wouter van Ballegooijen. This is a very important paper that should and will change clinical practice.

Psychotherapy is effective in reducing the intensity of suicidal thoughts and, most importantly, the risk of suicide attempts! New Meta-Analysis: Suicidal Ideation and Suicide Attempts After Direct or Indirect Psychotherapy jamanetwork.com/journals/jamap…

We completed a systematic review and meta-analysis of antidepressant withdrawal effects and found that 43% of people experienced them, there was a trend towards longer exposure giving rise to a higher risk of withdrawal effects bit.ly/3YjQOLa 1/n

What happens when we break down DSM diagnoses into their individual symptoms and rebuild our classification system from the ground up? Do we see familiar DSM constructs, HiTOP dimensions, or something else entirely? New paper out today! ✨ journals.sagepub.com/doi/10.1177/21… 1/🧵

Such an important paper on the lacking knowledge about discontinuing psychiatric medications. I hope that researchers and academic leaders will read it and act upon. Me for my part I have a project underway that addresses some of these questions: pmc.ncbi.nlm.nih.gov/articles/PMC11…

Another fundamental issue is that based on such trail designs, we can't even conclude that any of these brief therapies work, because there is no untreated control group. Symptom decline could very well be the result of spontaneous remission and regression to the mean

Wichtig und richtig, was Thorsten schreibt. Danke für diesen mutigen Artikel:

NEW: gold-standard studies detail the costs and pitfalls of mistaking antidepressant withdrawal for relapse. My latest Psychology Today #SSRIs #MedTwitter #Psychiatry psychologytoday.com/us/blog/side-e…

Personal announcement: I just signed a new contract with Kalaidos University of Applied Sciences. In 2025 I‘ll finally become professor of clinical psychology and start as group leader in research & development! 🙌🏼 Christian Fichter

Remember that trial showing that psilocybin is superior to escitalopram in depression? Turns out this is strongly due to people who pre-treatment had low expectancy of esc benefits Treatment Expectancies and Psilocybin vs Escitalopram for Depression jamanetwork.com/journals/jamap…

Verständlich, dass die Welt mit Schrecken auf die sexuellen Missbräuche in der US Rap-Szene schaut. Aber ganz ohne Polemik: Erstaunt dies angesichts der Zelebration des Sexismus und der Misogynie in der Rap-Szene? Eine Schande, dass solche Themen millionenfach gefeiert werden

Looking forward to reading Joanna‘s new book! 🙌🏼

A prime example of selling sickness. Curiously, I took an ADHD test, answering that I am well organized, happy, completing my tasks in time, sleeping well, etc. Thus, almost exclusively the healthy answers, but still the „test“ results purport that I have moderate impairments.

English-speaking countries are among the wealthiest but have the highest rate of depression and anxiety dx. Is it because the more people have, the more they want, and the more they get, the more they fear to lose it, and if they don‘t get what they want, they get depressed?

Interesting new study Many people fill out self-report measures of psychopathology and self-diagnose. Autism-spectrum has become very popular and sort of trendy. But it turns out that self-reported autism-spectrum barely correlates with clinician ratings: nature.com/articles/s4422…

New publication! We detail the many limitations of using short-term change on symptom rating scales to evaluate the benefits of psychiatric treatments. We propose solutions and suggest outcomes that are better indicators of patient-important benefits ebm.bmj.com/content/early/…

We published a systematic review on post-acute antidepressant withdrawal. The literature confirms that the syndrome exists, but beyond that the evidence base is very sparse and poor. No reliable or conclusive data on epidemiology and clinical management cambridge.org/core/services/…

Study shows that discontinuing antipsychotics in older adults improves health outcomes: lower risk of rehospitalizations, delirium, fall-related emergencies, and all-cause mortality relative to continuing antipsychotic medication. jamanetwork.com/journals/jamap…

How to define behavioral addictions such as problematic social media use, so that we don't pathologise normal behavior but also don't miss clearly dysfunctional investment? According to our new paper the harmful dysfunction analysis is a promising avenue: tandfonline.com/doi/full/10.10…