Mark McLean (@onekid86) 's Twitter Profile
Mark McLean

@onekid86

Nurse Practitioner | Advocate for evidenced based drug policy & reforms |
Musing's my own

ID: 832514634292736002

calendar_today17-02-2017 08:58:51

1,1K Tweet

177 Followers

413 Following

Lorwen C Nagle, PhD (@lorwen108) 's Twitter Profile Photo

Childhood trauma rewires the brain: • Hippocampus (memory) shrinks • Amygdala (fear) becomes hyperactive • Prefrontal cortex (rational thought) shuts down This leaves the brain on high alert, even in safe situations.

Childhood trauma rewires the brain:

• Hippocampus (memory) shrinks
• Amygdala (fear) becomes hyperactive
• Prefrontal cortex (rational thought) shuts down

This leaves the brain on high alert, even in safe situations.
Mark McLean (@onekid86) 's Twitter Profile Photo

"Criminalisation does not help, it harms" Yet another call for the NSW government to act on evidence based advice provided in a multitude of reports.

"Criminalisation does not help, it harms"
Yet another call for the NSW government to act on evidence based advice provided in a multitude of reports.
Mark McLean (@onekid86) 's Twitter Profile Photo

The price of medication in the USA is mindblowing. Run of the mill depression & high cholesterol will set you back $70k / year for a statin & some fluoxetine.

The price of medication in the USA is mindblowing.
Run of the mill depression & high cholesterol will set you back $70k / year for a statin & some fluoxetine.
Mark McLean (@onekid86) 's Twitter Profile Photo

Frumpy threatening a 200% tariff if we don't turf the PBS. Australia should add tariffs until the Epstein list is released.

Frumpy threatening a 200% tariff if we don't turf the PBS. Australia should add tariffs until the Epstein list is released.
BrightonPsych (@brightonpsych) 's Twitter Profile Photo

Why so much research into addiction is plain wrong. 🧵 Addiction is not simply a compulsion or a moral failing. It is a maligned form of attachment. When early caregivers are absent, frightening, or unpredictable, the child turns to internal strategies.

Mark McLean (@onekid86) 's Twitter Profile Photo

I'm seeing the results of this in the hospitals; rocketing alcohol & *rug use as people try to cope. People get angrier, they become sicker, & society as a whole, pays.

guyfelicella🇨🇦🍁 (@guyfelicella) 's Twitter Profile Photo

The Halfway Post Epstein wasn’t one man. It was a system. And the gatekeepers are about to be exposed ..... Survivors deserve justice. Not silence bought by powerful enablers!

Mark McLean (@onekid86) 's Twitter Profile Photo

Childhood trauma drives LC hyperarousal;pioid use supresses noradrenaline,can help sleep (initially)-brain compensates by making neurons more excitable. When opioids stop,rebound noradrenergic surge in withdrawal drives hyperarousal→ anxiety→ autonomic activation → insomnia

Chris Aiken, MD (@chrisaikenmd) 's Twitter Profile Photo

Do stimulants cause tolerance? ▪ Yes: For mood and rewarding qualities ▪ No: For treating ADHD From a limited database of 17 trials in new analysis: pubmed.ncbi.nlm.nih.gov/41627718

Do stimulants cause tolerance?

▪ Yes: For mood and rewarding qualities
▪ No: For treating ADHD

From a limited database of 17 trials in new analysis:
pubmed.ncbi.nlm.nih.gov/41627718
Next Gen Nurse Practitioners (@nextgennp01) 's Twitter Profile Photo

Applications now open for the #NextGen Scholarship. Designed to support AOD nurses, NPs & emerging nurse leaders who demonstrate leadership, innovation & a commitment to advancing nursing practice. Applications close: 5pm, 29 March 2026 Apply: nextgennursepractitioners.com.au/ngnp-scholarsh…

Applications now open for the #NextGen Scholarship. 

Designed to support AOD nurses, NPs & emerging nurse leaders who demonstrate leadership, innovation & a commitment to advancing nursing practice. 

Applications close: 5pm, 29 March 2026

Apply: nextgennursepractitioners.com.au/ngnp-scholarsh…
Brandon Luu, MD (@brandonluumd) 's Twitter Profile Photo

This is exactly right. In our recent ADHD + Circadian review, symptom improvement occurred with 0.5 mg melatonin ~5 hours before bedtime to phase advance the clock. Melatonin should be used to shift circadian phase, not as a sleeping pill. x.com/BrandonLuuMD/s…

Chris Aiken, MD (@chrisaikenmd) 's Twitter Profile Photo

GLP-1s linked to 5% difference in alcohol use in a observational study (not focused on AUD): pubmed.ncbi.nlm.nih.gov/41646707 Evidence grade moderate Ozempic is proclaimed a "cure" for alcoholism in latest New Yorker, but best designed randomized trial? Negative: pubmed.ncbi.nlm.nih.gov/36066977

GLP-1s linked to 5% difference in alcohol use in a observational study (not focused on AUD):
pubmed.ncbi.nlm.nih.gov/41646707

Evidence grade moderate

Ozempic is proclaimed a "cure" for alcoholism in latest New Yorker, but best designed randomized trial? Negative:
pubmed.ncbi.nlm.nih.gov/36066977