How accurate is the most popular depression scale, (developed by Pfizer)? Up to 2/3 of positive results are false positives! In a study, researchers evaluated the widely used PHQ-9 scale. 153 individuals at a psychiatric clinic received the scale and clinicians interviews. The

Bert

Robert Howard found Sam's personal email and emailed him with a paranoid inquiry, despite not knowing him or having any contact with him outside of the internet. Just FYI.

Bert

A recent paper in Frontiers in Pharmacology (Frontiers - Pharmacology and Toxicology) titled "Neurological adverse events associated with antidepressants: a 22-year analysis of the FDA adverse event reporting system" found 88 reports of Persistent Genital Arousal Disorder (PGAD) tied to antidepressants.

Patient blaming is definitely the way to go. These guys will go to literally any length to avoid seeing their role in iatrogenic harm. Who is the sick one?

What a wild ride. A senior professor has taken to interrogating members of the public to determine whether they are actually me in disguise. Luckily it happens I am not particularly diagnostically inclined....

Big congrats to the German Science Media Centre, who inquired several experts about recent meta-analyses on antidepressant withdrawal. I‘m happy to be among those experts and that my statements were prominently featured. (in German) sciencemediacenter.de/angebote/disku…

Here’s how most people get on antidepressants in my town: PCP: “How are you doing?” Patient: (sobs) PCP: “I’m writing you a prescription for Lexapro.”

Alyne Duthie recovery&renewal Bert Alina V Mark Horowitz @markhoro.bsky.social Let's think of the numbers of people who suicide. A very small percentage of the population. Yet how seriously it is taken, constant campaigns, extensive research etc etc. Why try to diminish the suffering of #prescribedharn by saying it is a small %. Prevention is needed .

Yes, this sounds bad, but may I offer some expert perspectives Sam Hall? Carl Hindy: the problem is your poor communication with the consultant. Do better. Tyler Black: You deserved that. And I hate Mark Horowitz. Prof Rob Howard: You are Mark Horowitz.

My experience of online support groups for #prescribedharm. Helped save my life in face of severe suffering and medical gaslighting. 24/7 support. I was bedridden.

Bert It was awful. I couldn't think, function as a professional accountant, lost my career. I was an avid reader and could no longer focus to read a book. This affected relationships of all kinds. Grateful to have gotten off the psychiatric drugs and recovered.

In the spirit of debate, Dr Sanil Rege FRANZCP | MRCPsych makes some valid & important points in this thread about the experience of suffering & harm We absolutely do have a psychological relationship to suffering and pain, which is, like everything psychological, interpersonal in nature However..🧵

I’m the author of the paper Grok describes here. It’s among the most read and cited articles on psychotherapy outcome—required reading in grad programs around the world Grok gets literally everything wrong The paper shows psychodynamic therapy is as or more effective than

The tale of Mark Horowitz @markhoro.bsky.social ‘s spooky burner accounts

Reads like an rationalization about how adverse drug effects cannot exist without the patients' belief in them. Without belief, the ADE does not exist. This is scientifically & empirically untrue. Drugs do, in fact, have adverse effects on their own, & patients don't like them.

According to Sanil the persisting trouble caused by these drugs to people's nervous systems is not a reason to examine what these drugs are actually doing during exposure and withdrawal to ppl's CNSs but to diagnose other conditions to be treated with....more drugs....

Here we go: a long list of drugs used for withdrawal. This is exactly how someone comes in with trouble with one drug and walks out on 5 drugs...this is how escalating polypharmacy occurs and some ppl in these states react badly to these drugs, compounding their problems

Generally in EBM you need actual evidence a drug works for the particular condition you are using it in... preferably showing improved health outcomes. Sanil's approach? Throwing spaghetti at the wall. Remember yesterday when we were concerned about scientific rigor?