drsanil.bsky.social - Profile | ThreadSky | a Reddit-style client for Bluesky

New video 🚨👉You're Not Treating a Label- You're Treating a Human ✅ Give me 5 minutes-and it might change the way you approach treatment. If you don’t define the targets, you’re flying blind- no matter how “right” the diagnosis seems. Here’s how to change that 👇 Video 👉 youtu.be/0TINiQeot3M?si…

submitted 5 days ago • 0 comments

🚨 NEW - ADHD and Non Stimulants 🚀 ADHD meds = dopamine-spiking stimulants. But is it hiding a long-term price? I break down the non-stimulant options- from atomoxetine to a med that slashed symptom scores by ~50%. Video 👉 youtu.be/I0JGVNWTZsM?si… *General education only #adhd #stimulants

submitted 12 days ago • 0 comments

Antidepressants are just like heroin.🚨 That’s the claim. And it’s dead wrong - in two completely different ways. I break it down: – What real addiction is – Why SSRI withdrawal ≠ addiction – The dangers of lazy science Video 👇 youtu.be/_kVPN6goeTw

submitted 19 days ago • 0 comments

The Overlooked Reason ADHD Treatment Fails - Fix This First youtu.be/5giC7Hh0AmA

submitted 32 days ago • 0 comments

New Video🚀 This topic often flies under the radar yet frequently arises in clinical practice, particularly in addiction & sexual health settings. Chemsex involves complex intersections of trauma, stigma, substance use, and mental health. Clinicians should be aware. 👇 Video : youtu.be/kdbS22vBYzA

submitted 46 days ago • 0 comments

New video : Exploring ‘The Substance’ through a psychodynamic lens: 👉The split self and identity diffusion 👉Role absorption 👉Repetition compulsion 👉An insight into borderline personality organisation 👉Cyclical Psychodynamics youtu.be/OLp9zocvcQ8

submitted 52 days ago • 0 comments

A visual guide to metabolic switching 👉https://youtu.be/NDV-AlCfBYc?si=4h1welf3sbg_jeow

submitted 60 days ago • 1 comment

New video on YT I cover : 1. The gut-brain connection 2. Inflammatory vs. anti-inflammatory diets 3. Evidence for Mediterranean & ketogenic diets 4. Nutrients for serotonin, dopamine production 5.Practical steps to ‘support your brain’ with food youtu.be/TPY-rB4N3V0

submitted 67 days ago • 0 comments

🧠 What Happens to Your Brain Without Sleep?🚨 3 Days Without Sleep—Here’s What Happens Next 👉 youtu.be/NY4oNQd-xeY

submitted 75 days ago • 0 comments

15 Commandments of Psychopharmacology 🚀 Textbooks taught me psychopharmacology-UNTIL I stepped into real-world practice as a consultant psychiatrist. 🚨 Here’s what experience taught me that textbooks don’t (or can’t).

submitted 76 days ago • 1 comment

🚀 New YT video out! 👉 youtu.be/q_5hZUnmsI4?si… The Neuroscience of intermittent fasting and how, from an evolutionary perspective, our brains evolved to experience metabolic switches- which may offer neuroprotective and cognitive benefits.

submitted 81 days ago • 0 comments

@drsanil.bsky.social and @realjesseluke.bsky.social, this happened soon after I fell asleep and I suspect was the combo of low-level clonidine from a much earlier dose, lemborexant, and the elevated/stimulated state empagliflozin puts me in. A state that the lemborexant brings to an end after 3 days

submitted 89 days ago • 1 comment

🎥New Video Release on Psychiatry Simplified: Understanding Anhedonia 🚨 youtu.be/lTvdGFJeAMM

submitted 87 days ago • 0 comments

New YT video - Not All SSRIs Are the Same! 🚨 youtu.be/_vITGe0XxuI 👉Receptor profiles & metabolism – Why some SSRIs are activating, others sedating 👉Drug interactions & CYP inhibition 👉Withdrawal risks – What to monitor 👉Patient-tailored selection – Matching SSRI pharmacology to symptom profile

submitted 95 days ago • 0 comments

🧵The Stability Paradox in BPD: Why Attention-Seeking Is Not What You Think 🚨 Most misunderstand attention-seeking in BPD. Let's break it down 👇Thread on Twitter X x.com/sanilrege/st...

submitted 97 days ago • 0 comments

New Video: NAC in Psychiatry –Evidence, Mechanisms & Clinical Use 🚀 N-acetylcysteine (NAC) is one of the few supplements with a reasonable evidence base across psychiatric disorders, including schizophrenia, depression, OCD, bipolar disorder, and addiction. Video 👉 youtu.be/CfHJGR8NXeE

submitted 100 days ago • 0 comments

x.com/sanilrege/st... Great thread on BPD and restricted access to care by @drsanil.bsky.social

submitted 101 days ago • 0 comments

Psychedelics and the Free Energy Principle ( FEP) 🍄- Video👇 A while ago, someone asked “explain the Free Energy Principle to a 5-year-old.” Video 👉 youtu.be/CgkGjKKyyf8 Enjoy the ride! 🚀🐛🧠

submitted 116 days ago • 0 comments

Is ADHD Overdiagnosed ? A Nuanced Exploration 👇 youtu.be/rdmdpMlmU-Q?...

submitted 123 days ago • 0 comments

Coming up tomorrow on The Psychiatry Simplified Channel 🚀 Why is ADHD on the Rise? 🚨 You can subscribe ( or hit the bell icon) to be notified 👇 www.youtube.com/@psychiatrys...

submitted 124 days ago • 0 comments

New YT video 🚀🎥👉Why Fentanyl Is More Addictive and Deadly Than You Think youtu.be/9u5AE5Gy-3Y

submitted 130 days ago • 0 comments

But what if the disinformation campaign emerges organically, over years, via individual opinions and blogs by those who have respect and credibility among peers? The Antipsychiatry movement is a case in point. #MedSky #PsychSky #MadSky

submitted 131 days ago • 2 comments

Immuno-Metabolic Depression: The Overlooked Subtype?🚨 👉 Affects 20-30% of those with depression. ⚠️ Characterised by: 1️⃣ Energy-related symptoms: hypersomnia, fatigue, hyperphagia, anhedonia. 2️⃣ Inflammation: raised CRP, cytokines. 3️⃣ Metabolic issues: obesity, dyslipidaemia, insulin resistance.

submitted 134 days ago • 1 comment

ADHD and Anxiety - What’s the Connection 👉 NEW YT video for the Psychiatry Simplified Channel 👉 Understanding ADHD Beyond Hyperactivity and Inattention youtu.be/CYWLhkyjz0M

submitted 136 days ago • 0 comments

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submitted 144 days ago • 0 comments

New YT video 🚀🎥 PTSD Treatment: Why Psychotherapy Isn’t Always the First Step Video 👉youtu.be/Zue2cZTkB6k

submitted 144 days ago • 1 comment

Genuinely enjoyed this new video by @drsanil.bsky.social discussing treatment approaches for PTSD! Link 👇🏼 youtu.be/Zue2cZTkB6k?...

submitted 144 days ago • 1 comment

Embracing complexity ✅ This image shows the non-linear progression from stress to Type 2 Diabetes. In psychiatry, understanding such complexity is essential, as many conditions involve similar interconnected mechanisms affecting brain networks, neuroinflammation, and long-term adaptation.

submitted 148 days ago • 1 comment

Monocausotaxophilia - The tendency to explain everything as based on a single cause. (Ernst Pöppel, Neuroscientist) 🚨 The love of single explanations is a key driver of misunderstandings in psychiatry and medicine. Expertise lies in navigating uncertainty and embracing complexity. ✅

submitted 153 days ago • 0 comments

“Uncommon presentations of common diseases are more common than common presentations of uncommon diseases.”

submitted 154 days ago • 0 comments

1️⃣Mood: transient, low-intensity emotional state without a clear cause. 2️⃣Feeling: The conscious experience of emotions, playing out in the mind. 3️⃣Affect: A foundational state combining internal and external signals,varying in valence. 4️⃣Emotion: Intense, short-lived responses to stimuli.

submitted 154 days ago • 0 comments

Predicting Parkinson's Disease : Early Clues That Matter 🚨🚨 Men with constipation, REM sleep behaviour disorder (RBD), and hyposmia have a 23x higher risk of developing Parkinson’s Disease (PD) within 3 years.

submitted 156 days ago • 1 comment

New YT Video📹🚀 We are bundles of habits. 🧠 👉Neuroscience of Addiction: From Survival Circuits to ‘Hijacked’ Habits youtu.be/9zclgdSdfBA We are creatures of habit, wired for survival, but the same brain circuits that automate our lives make us all vulnerable to addiction's hijacking!

submitted 157 days ago • 0 comments

Every patient encounter is an opportunity to not only treat the present but also prevent future risks, vulnerabilities, and setbacks. Sustainable recovery is about thinking beyond the moment. #MentalHealth #Psychiatry

submitted 160 days ago • 0 comments

A systematic review of 113 RCTs on ADHD in adults found stimulants and atomoxetine effective for symptom reduction short-term but with limited impact on quality of life. Non-pharmacological strategies showed inconsistent benefits. www.thelancet.com/journals/lan...

submitted 161 days ago • 0 comments

🚨 New Video 🚨 A Clinician’s Guide to Navigating Complex Illness: ME/CFS, POTS, and Long COVID Explained 🎥 1.5 hours of my clinical insights, practical strategies, and a journey through uncertainty. Video:👉 youtu.be/Ej9yyOsGYNg?...

submitted 166 days ago • 1 comment

Just published: Brain Insulin Resistance ( BIR) – Mechanisms, Neuropsychiatric Implications & Therapeutic Frontiers Explore how insulin resistance impacts the brain, links to psychiatry, and emerging treatments for BIR 👇 psychscenehub.com/psychinsight...

submitted 168 days ago • 0 comments

PCOS is not merely a reproductive condition- it is a systemic disorder with significant neuropsychiatric comorbidities, including depression, anxiety, OCD, and personality disorders. Proactively addressing PCOS can be a disease-modifying intervention. ✅ psychscenehub.com/psychinsight...

submitted 179 days ago • 1 comment

Antidepressant Discontinuation and Relapse 🚨 “An increase in amygdala reactivity was associated with risk of relapse after antidepressant discontinuation and may represent a functional neuroimaging marker that could inform clinical decisions around antidepressant discontinuation.”

submitted 179 days ago • 0 comments

Evidence Informs, Guidelines Guide, Clinicians Think! 🚀 Sums up today’s 4 hour talk on the Art of Strategic Problem Solving. As clinicians, we must learn patterns across multiple models, disciplines, and concepts to master pattern recognition. The broader the patterns, the sharper the recognition✅

submitted 181 days ago • 0 comments

Trauma-Psychotherapy first In PTSD may be reductionistic 🚨 “Despite decades of documentation, it is remiss of the field that the underlying neurobiological dysfunction in patients plays no role in planning the nature of the optimal treatment"[Nijdam et al, 2023] psychscenehub.com/psychinsight...

submitted 182 days ago • 0 comments

A sneak peek at tomorrow's The Art of Strategic Problem Solving in Psychiatry 🚀 3-hour journey through psychosis, affective disorders, trauma, OCD, ED, pain… We'll explore first principles, apply tools effectively, and use case studies to challenge the “trial and error” view of psychiatry.

submitted 182 days ago • 0 comments