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Such an important and informative thread on how “well-intended medicine can still do harm”.

The demise of community and friendship in modern life. Little wonder we have a mental health crisis.

✍️ "Sweden’s refusal to impose compulsory shutdowns has now, by contrast, been completely vindicated" telegraph.co.uk/news/2022/12/2…

Seeing these world-class cancer centres empty was emotional. A scandalous waste of the highest quality equipment. Delays are killing, yet these facilities gather dust. Please watch/share and hopefully Equitix (the decision maker) will act for the sake of thousands of patients.

“Farewell to the Highlands, farewell to the North. The birth-place of valour, the country of worth. Wherever I wander, wherever I rove, the hills of the Highlands for ever I love.” ~ My Heart’s in the Highlands by Robert Burns. #BurnsNight ❤️🏴󠁧󠁢󠁳󠁣󠁴󠁿

🚨 Lockdown legacy Alcohol deaths ⬆️ 27 pc in lockdowns “Many were on tipping point of alcohol-related illness – with services and GPs cut people didn’t get help needed” “Drinking remains @ higher levels - higher deaths expected to continue” ⁦Carl Heneghan⁩ ⁦

“Very, very alarming” suicide rate for new mothers UK falling behind European countries in maternal health outcomes "Growing poverty in UK could increase death rates during or after pregnancy" theguardian.com/lifeandstyle/2…

New data suggest that the exploding ‘mental health crisis at the heart of Whitehall’ is due to increased workloads, staff cuts, low pay, long hours and poor morale. Serious social not medicalised intervention is now what's required. theguardian.com/politics/2023/…

Good series of letters about new guidance on how to safely taper antidepressants The British Journal of General Practice including highlighting that NICE now recommends prescribing liquids for tapering in a step change in guidance bit.ly/40LkYFm

Finally, the new WHO guidelines recommend psychotherapy over antidepressants for first line treatment of depression. Finally the tide is turning. Do not underestimate the significance of this.... who.int/publications/i…

This is Beautiful— Chris Whitty “Some of the evidence to the inquiry on the precautionary principle misunderstands it quite profoundly”

Our letter today in the BMJ: 'Experts call for fewer antidepressants to be prescribed in UK. Open letter to government from experts and politicians says rising usage ‘is a clear example of over-medicalisation’ theguardian.com/society/2023/d…

The demands, distractions & debts of late capitalism (coupled with powerful marketing) mean that fewer & fewer young people feel that they can make it through without chemical support, with up to 35% of 17-30 year olds taking Adderall on a regular basis, according to Huberman.

Great piece in Economist (paywall) How to stop over-medicalising mental health: "For all their good intentions, campaigns intended to raise awareness are leading some people to conflate normal responses to life’s difficulties with mental-health disorders." bit.ly/3R5T6sE

"Pills can’t save broken marriages; can’t erase a painful past or build community; can’t bring a loved one back. They can’t solve poverty or poor housing, right the wrongs of inequality or resolve any other well-evidenced social determinant of poor health" madinamerica.com/2023/12/beyond…

Brian Cox reads “If I Must Die”, by Refaat Alareer - Palestinian professor, writer, poet and freedom fighter for Palestinians. It was the last poem he ever wrote as he was killed in Gaza on December 7th by an Israeli airstrike.

Our new analysis of TADS trial data shows guessing you are on antidepressant vs placebo has a substantial effect on outcome regardless of actual treatment, and may influence results of RCTs if not measured and controlled for 1/5 Jon Jureidini Melissa Raven journals.sagepub.com/doi/10.1177/00…

We have responded to the argument put forward by Jauhar et al who support the current scale of antidepressant prescribing, including for mild conditions, and for those provoked by social and economic conditions: bmj.com/content/383/bm…

'Jauhar and colleagues acknowledge the role of social circumstances in causing depression but we would question their implication that antidepressants are an acceptable substitute for social and economic measures to address social deprivation.' bmj.com/content/383/bm…

Progress in life is intimately dependent upon one's capacity to act in spite of fear daily.