Jaume @DrPinyaPlomer Twitter profile

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Jaume

@DrPinyaPlomer

7 months

Don't do drugs (both legal and illegal), lose some weight, practise some sport, socialize, have some interests, eat healthy, meditate daily, and your overall health and life expectancy will improve enormously (and you'll take less pills and see less doctors) #Psychiatry

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Jaume

@DrPinyaPlomer

5 months

@PickEmLegend Pussy, you don't dare haha, I knew it from the get go. Big mouth, 3 neurons.

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Jaume

@DrPinyaPlomer

4 months

@karenmitchell__ Ignorant.

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Jaume

@DrPinyaPlomer

5 months

@ChrisPalmerMD Astrocytes have been criminally understudied throughout the years.

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Jaume

@DrPinyaPlomer

6 months

For those who defend that we don't have biomarkers in Psychiatry, that it's all make believe and it's not rooted in Physical Science, here you got few (of many) examples #Psychiatry

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Jaume

@DrPinyaPlomer

4 months

@nassirghaemi Lithium and Clozapine are probably the 2 drugs that do a better job in preventing suicide, in people with moderate or severe Mental Illness.

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Jaume

@DrPinyaPlomer

5 months

@DrDJWilde @benzosarebad @AndreaB63735256 @sash_andy @Pharmageddon24 @atomicaceso @jill_d35 @MonyaMyms @eliotmuir I'm only rude to those who have a big mouth and very low to no knowledge about this serious subject (mental health), in much the same way I wanted some economist to correct me if I had hard opinions on economics (which I know almost nothing about). Disinformation harms people.

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Jaume

@DrPinyaPlomer

6 months

@chrisaikenmd Bad news is Buprenorphine is "only" a partial agonist, and it doesn't cover much more than like 40mg of Methadone a day, in principle even at high doses, so many people cannot end up using this very good molecule.

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Jaume

@DrPinyaPlomer

5 months

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Jaume

@DrPinyaPlomer

4 months

@DIYDylana @Erick6235 @DrDJWilde @benzosarebad @AndreaB63735256 @sash_andy @Pharmageddon24 @atomicaceso @jill_d35 @eliotmuir And Diagnostics based on criteria, like migraine, like other headaches, like many other neurological and medical conditions, for which there is not "objective" proof, the only thing you have at hand is what the patient tell you, how he/she tells you, etc. Big chunk of medicine.

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Jaume

@DrPinyaPlomer

5 months

@JDaviesPhD Trauma-based explanations are also Biological (as far as no one proves the existence of non physical stuff), like everyhing else in Mental Health. Does it mean that we can only attack problems directly from a Biochemical point of view? Not at all, but it all happens down there.

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Jaume

@DrPinyaPlomer

7 months

Psychiatry saves lots of lives, and improves even more. #Psychiatry

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Jaume

@DrPinyaPlomer

1 month

@chrisaikenmd I'm a Psychiatrist, and I tend to disagree with some/many things you post, I believe often you don't distinguish the trees from the forest.

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Jaume

@DrPinyaPlomer

5 months

@BecauseIMatter @BlackshepSusan @DrDJWilde @benzosarebad @AndreaB63735256 @sash_andy @Pharmageddon24 @atomicaceso @jill_d35 @eliotmuir I totally respect and feel bad for those injured by meds (or anything else). What I won't tolerate ever is to jump from there to "all psychiatry is bad because it hurted me", because it's absolutely not true. In medicine nothing works 100% of the times, and people should know it.

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Jaume

@DrPinyaPlomer

5 months

@Snuggs78703287 @Psychiatry_Anti with the info we got at hand, through Evidence-based Medicine. I wish we could make it work 100% of the times, but that's very beyond us, for example because of broken families (as you mentioned), drugs, bad lifestyles, ... that people don't want or cannot change.

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Jaume

@DrPinyaPlomer

11 months

@JDaviesPhD Suffering is suffering. You break a bone, it hurts, and it has nothing to do with your ideas about it. Mental suffering works exactly the same; you can afterwards rationalize it differently, but the pain, given the exact same process/disease, is and has to be exactly the same.

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Jaume

@DrPinyaPlomer

2 years

@JDaviesPhD On the other hand, been worried for years on how many people don't need psychotherapy and do need medication and don't get the right treatment. As today, Clinical Psychology is too often a bad joke, and they not only often don't help people but sometimes they do hurt them.

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Jaume

@DrPinyaPlomer

4 months

Benzodiazepines, when properly used (like any other medicine), are amazing, one of the best type of drugs ever discovered #psychiatrist

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Jaume

@DrPinyaPlomer

5 months

@psychharm Ignorant. Bad things happen (unfortunately) in all areas of medicine, but the ratio NNT/NNH for SSRIs is super high. I assume, with such a big mouth, you know what all those acronims stand for.

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Jaume

@DrPinyaPlomer

5 months

@taymurph26 With suvh a big mouth you should know that these numbers are always compared, and a drug don't hit the market if it's too dangerous and/or doesn't help enough people. YOU FUCKING IGNORANT.

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Jaume

@DrPinyaPlomer

5 months

@Psychiatry_Anti So 13 Psych Meds, right? Could you tell us the reason why they were prescribed?

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Jaume

@DrPinyaPlomer

7 months

@MendesJohn5936 1) Psychiatrists who need them take the meds. 2) Psych Meds don't cause irreversible damage. 3) We don't gaslight the patients, we ALL have the greatest of respect for them (for us too, if we happen to be psychiatry ill), and we learn a great deal from them everyday.

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Jaume

@DrPinyaPlomer

5 months

@sash_andy @DIYDylana @jill_d35 @SacksDisa @mango4242 @CuntedCorpse @DrDJWilde @benzosarebad @AndreaB63735256 @Pharmageddon24 @atomicaceso @eliotmuir 1) Absolute and total respect and empathy for those who've been harmed by any branch of Medicine, we do our best, but we're not perfect. 2) Yes, there are long term studies you fucking twat, the thing is you don't even know them, because you're an ignorant with such a big mouth.

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Jaume

@DrPinyaPlomer

4 months

@eliotmuir Besides, if you have an ADHD you'll end up needing both Psychotherapy (Psychologist) and Psych Meds (Psychiatrist).

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Jaume

@DrPinyaPlomer

1 year

@JDaviesPhD It is always the Counsellor/Therapist, regardless of the type of Therapy. That's one of the reasons why Clinical Psychology cannot be regarded as a half-hard Science.

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Jaume

@DrPinyaPlomer

5 months

@CALDirector No worries, they will collapse unto themselves, much in the same way like hyperrealist in literature does when you try to apply it thoroughly. However, it's our duty to very clearly say out loud that they're wrong and sometimes delusional, and let that collapse peacefully happen.

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Jaume

@DrPinyaPlomer

4 months

@psychharm Also remember for every case of akathisia that they cause they help/cure you thousands of times. And keep in mind akathisia desappear when you quit the drug, so no big problem. This guy is an ignorant twat, don't read anything he posts.

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Jaume

@DrPinyaPlomer

1 year

@sbuehler Everything in the Universe is. The Universe is a verb, not a noun. It's known in Physics for many years, as usual Psychologists come forth bad and late.

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Jaume

@DrPinyaPlomer

2 years

@DrMcFillin You're wrong, both in what you said and in what you implied (or didn't say). Damn, psychologists like you turn Clinical Psychology into a joke (not always, but just too often). Shame on you.

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Jaume

@DrPinyaPlomer

6 months

For all those who deny #Psychiatry has biomarkers (and these are only the objective peripheral ones). Needless to say there're many more, both objective and subjective.

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Jaume

@DrPinyaPlomer

6 months

@BitcoinOasis86 @MoralMedicine court and ask for a compensation, you could even sue the Doctor, which would be useless because he did the correct thing, Finasteride for hair loss, it's done al around the world a zillion times everyday. You make your case, and if you prove that it's been the molecule maybe...

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Jaume

@DrPinyaPlomer

5 months

@taymurph26 My bet is you see much more of a stranger because of GD than because of SSRIs.

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Jaume

@DrPinyaPlomer

7 months

@jefffinethomas 3/4 of Clinicsl Psychology is, as you indirectly mentioned, an unfunny joke, and the 12 session thing is proof of that. It comes from trying to be a hard science and research, but, as you well said sir, it is rubbish.

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Jaume

@DrPinyaPlomer

1 year

@justin_garson The fact that people has an opinion on science, psychiatry in this case, is absolutely irrelevant. The only thing that matters is what scientific knowledge says, period, regardless of many uninformes opinions.

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Jaume

@DrPinyaPlomer

6 months

@BlackshepSusan It does, you learn therapeutic and potential adverse effects all at the same time, plus mechanism of action, plus pharmacokinetics, plus potential interactions, ...

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Jaume

@DrPinyaPlomer

1 year

@shvogt @NickWebb30 @cheesyredrocket @ProfRobHoward @ThiefDreamer @BlackshepSusan It can be caused by other drugs, that it's true, but it is not prevalent at all. Theoretically it has to be cause by an anti-D2 drug, and SSRIs have not those qualities, for example. But, hey, everything is possible in Biology.

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Jaume

@DrPinyaPlomer

3 months

@Vinod_r108 @MafinhaBarba Well done, bro, let's humiliate all these bully wannabes forever and without redemption!!!

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Jaume

@DrPinyaPlomer

2 years

@Mad_In_America @TheLancetPsych There's tons of evidence that moderate-severe depression don't respond to placebo, most likely explanation for this article is that stimulation was harmful, not that placebo turned out to be magic.

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Jaume

@DrPinyaPlomer

5 months

@chrisaikenmd Not surprised. It seems there're many things very wrong in the CNS in moderate and severe disorders, which explains why you have to push hard to compensate them: 60-80% occupancy D2 receptors in Schizophrenia, same % with SSRIs in presynaptic 5HT transporter in Depression, ...

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Jaume

@DrPinyaPlomer

7 months

@JourneyofHope4U There're many reasons: lack of insight, side effects, lack of information about many disorders, ...

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Jaume

@DrPinyaPlomer

1 month

Which, again, points towards a biologic cause/predisposition for this Disorder, instead of a Bio-Psychological one.

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Jaume

@DrPinyaPlomer

6 months

@chrisaikenmd This is something I've always said: enough about this anti-BZD and Z-drugs psychosis! They're very useful, very safe (if wisely prescribed), and the vast majority of people use them properly in accordance to the symptoms.

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Jaume

@DrPinyaPlomer

4 months

Age of Onset of Psychiatric Disorders #psychiatrist

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Jaume

@DrPinyaPlomer

5 months

@DrDJWilde @BlackshepSusan @benzosarebad @AndreaB63735256 @sash_andy @Pharmageddon24 @atomicaceso @jill_d35 @eliotmuir Do 6 years of Medicine at University, then a very complicated exam, and then 4 more years studying and working at a Hospital, and you'll understand its pros and cons. And you want to compare that with reading one book? Really?

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Jaume

@DrPinyaPlomer

5 months

@Altostrata @alexarevef88285 @JDaviesPhD Of course it is, everything is, damn! The thing you miss is that Biology "creates" Phenomenology, and it goes right or left depending on many variables, which in the end "do their job" by modulating/affecting, in human's case, our Biological Systems, including the CNS.

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Jaume

@DrPinyaPlomer

7 months

@JAMAPsych It seems pretty that Psychiatric Disorders are a bundle of brain, genetic, developmental, ... conditions, that may or may not affect only the brain, and that's why the more neurologic, medical, ... problems you have the more psychiatric problems there are (in general).

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Jaume

@DrPinyaPlomer

4 months

@eliotmuir You don't need a test, much less an online one, to diagnose an ADHD. Go to a fucking Psychiatrist and do things properly.

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Jaume

@DrPinyaPlomer

5 months

@Erick6235 @DIYDylana @DrDJWilde @benzosarebad @AndreaB63735256 @sash_andy @Pharmageddon24 @atomicaceso @jill_d35 @eliotmuir I've never seen one, no colleague of mine have ever seen one, it doesn't appear in books. If it exists, it of course has to be much better studied. And it goes without saying I feel very bad for those who suffer from it.

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Jaume

@DrPinyaPlomer

4 months

Major Depressive Disorder Treatment Algorithm.

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Jaume

@DrPinyaPlomer

4 months

@karenmitchell__ And you're not realizing that your words mean nothing, it's just false sophistication.

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Jaume

@DrPinyaPlomer

5 months

@kenjaques @DrEvans_Health The problem is he's lying. Need more?

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Jaume

@DrPinyaPlomer

1 year

@Bloodclaw12 We're far from perfect, there're many things to improve, but what we've done last 70 years is really astounding. Thanks for your words, and I hope you stay healthy forever. Cheers.

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Jaume

@DrPinyaPlomer

3 months

@WiringTheBrain @BlumLenore @BernardJBaars Wow! Inevitable? Why? Because some forms of behaviour are similar? Are we nuts? NOBODY KNOWS WHAT CONSCIOUOSNESS ENTAILS OR NEEDS RO APPEAR AND FUNCTION, EVEN IF IT IS INDEPENDENT OF MATTER, so NOBODY KNOWS WHAT WE NEED TO EXPLAIN IT. So let's all be humble, and go step by step.

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Jaume

@DrPinyaPlomer

5 months

@eliotmuir @DickieRAnderson Yes, we very are very good at prescribing them, absolutely. Now, can we improve when knowledge improves and help us take better decisions? For sure. But for now, with what we have at hand, we do a pretty goddamn job.

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Jaume

@DrPinyaPlomer

6 months

@NimatGray @soul_subway And it's not sedatives in general, for example benzos are counterindicated, it's antipsychotics like haloperidol, risperidone, quetiapine, olanzapine, ... hal and risp are the 2 with most evidence. And, again, check for physical causes, meds too, and use as few as possible.

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Jaume

@DrPinyaPlomer

4 months

@psychharm I don't at all.

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Jaume

@DrPinyaPlomer

1 year

@ThiefDreamer @BlackshepSusan Sexyal dysfunction with SSRI (and similar meds) is always temporary, it goes back to normality when the med is retired, and it always depend on the dose, med, ... Period.

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Jaume

@DrPinyaPlomer

4 months

@eliotmuir Your discourse really make no sense, it's very hard to follow you.

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Jaume

@DrPinyaPlomer

1 year

@psychgeist52 The fact that it sometimes doesn't follow modern science is one of the reasons why too often Psychotherapy is kind of a joke. Not the way around.

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Jaume

@DrPinyaPlomer

1 year

@binguswobble @JDaviesPhD Some Philosophy? Ok, here it goes: we call things, but things themselves are never that word we use to label them. It also happens in Biology. Labels have to be consistent, which make them useful. We're not taking any ontological stance calling something a or b. Understood?

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Jaume

@DrPinyaPlomer

7 months

@BhavPatelMBA Wrong, Newton: those who take greater dosages are those whose illness is worse, so everything goes awry - including decreased brain volume, BUT IT COMES FROM THE DISEASE.

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Jaume

@DrPinyaPlomer

5 months

@ChrisPalmerMD No no no, that's incorrect. The fact that incorrect metabolism affects how the brain works doesn't mean at all that it is the only reason why Psychiatric condition exists: look at structural differences, neural pathways gone awry, acquired damage, and a zillion things more.

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Jaume

@DrPinyaPlomer

7 months

@Chitailova That is not true, you don't end up being given antipsychotics because "your're weird", having a psychosis is something qualitative different than being weird or not (as a trait of personality). It's true that sometimes it is hard, even impossible, to know the exact label...

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Jaume

@DrPinyaPlomer

4 months

@karenmitchell__ Well, I guess this "amazing" tweet almost mean all of us are narcissists/psychopaths/predators, you say it pretty clear. You don't state "some of them", "x% of them", ... No, you say "many, many", which is factually very incorrect. Ignorant.

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Jaume

@DrPinyaPlomer

5 months

@JourneyofHope4U You're wrong, and as a Psych Nurse you should be very aware of this. It all depends on the disorder: some of these people need no meds at all, some need them just temporarily, and some need them chronically. Your "belief", while well-intentioned, means nothing in the real world.

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Jaume

@DrPinyaPlomer

5 months

@BecauseIMatter @benzosarebad @BlackshepSusan @DrDJWilde @AndreaB63735256 @sash_andy @Pharmageddon24 @atomicaceso @jill_d35 @eliotmuir You don't need credentials for knowing a lot about a subject. It so happens these ignorants don't have both credentials nor knowledge, and they mouth is almost infinitely big, that's why I'm annoyed: THEY CAN HARM PEOPLE WITH THEIR MISINFORMSTION.

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Jaume

@DrPinyaPlomer

4 months

@Erick6235 @DIYDylana @DrDJWilde @benzosarebad @AndreaB63735256 @sash_andy @Pharmageddon24 @atomicaceso @jill_d35 @eliotmuir Very weird can happen with any medication. The thing is if its prevalence is very low, it's very hard to study their underlying mechanisms. But I definitely always ask for any weird thing that could have happened, I know very well it's unlikely but possible.

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Jaume

@DrPinyaPlomer

5 months

@Psychiatry_Anti Trust #Psychiatry , it does wonders. Believe me (not this woman), I've been practicing it for 15 years, and I not only know the theory but have seen first hand the pros and the cons of using it, and, again, it is amazingly helpful (not perfect -nothing is-, but astounding).

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Jaume

@DrPinyaPlomer

4 months

@NimatGray @citalopramstoic clorpromazine started to be used with lots of patients many got better, but professionals believe that they would be eventually perfect, and for many of them that wasn't the case. Sanitariums were closed, Psychiatry was engulfed into General Hospitals, and Intermediate places...

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Jaume

@DrPinyaPlomer

7 months

@csd9byptmr @BhavPatelMBA Yes, we're sooo bad that we invest tons of money and like 15-20 years to be good Physicians because we have nothing else better to do, they're not broadcasting anything interesting on TV. Arse.

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Jaume

@DrPinyaPlomer

7 months

@Notshockednomo I'm so sorry about your suffering, but never firget it is that disease the cause of all bad things thst happened, we Doctors try to help - vsst majority of times it works amazingly, some others it doesn't. But point your gun always at the disease, ALWAYS, not against us.

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Jaume

@DrPinyaPlomer

4 months

@Erick6235 @DIYDylana @DrDJWilde @benzosarebad @AndreaB63735256 @sash_andy @Pharmageddon24 @atomicaceso @jill_d35 @eliotmuir That won't happen short-mid term, my friend. I don't do research, and as I said, this problem isn't still mentioned almost nowhere.

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Jaume

@DrPinyaPlomer

4 months

@lukesjulson @RianKMD You forgot to mention that at low doses it's amazing, and dose is always key to ponder and compare molecules (doses that too often are not mentioned).

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Jaume

@DrPinyaPlomer

5 months

@psychharm It's a real pity things went awry for them, no doubt. However, they were given meds and stuff for a reason, they had a disorder that was not mild. Plus, how is it that me (15 years of psychiatric experience), barely see any patient having had these complications that you mention?

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Jaume

@DrPinyaPlomer

5 months

@eliotmuir There are many, but they are too complex to discuss in here. The fact remains: never ever have I heard/read any anti-psychiatry twat mention none of them, and that's because they're oblivious to their existence, because they don't know enough about the subject, ...

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Jaume

@DrPinyaPlomer

5 months

@ChrisPalmerMD Psychopharmacological overeating/overweight is something that should be openly discussed 1000fold.

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Jaume

@DrPinyaPlomer

6 months

@ChrisPalmerMD @iam_emilyanne Just to be clear... Psychosocial factors obviosly exist, they're very important, but before anyone proves there's a non-physical substance that explains consciousness, in the end it's all pure biology.

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Jaume

@DrPinyaPlomer

6 months

@AuntyPsychiatry What are your credentials for having such a big mouth?

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Jaume

@DrPinyaPlomer

1 year

@ThiefDreamer @BlackshepSusan Well, I'm a Psychiatrist with many postgraduate studies and more than 10 years of experience. Not only books/articles say that never happens, I've also never seen it, and I use tons of SSRI and similar drugs. I guess I'm quite educated on the matter.

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Jaume

@DrPinyaPlomer

6 months

@NimatGray We're all diverse, be it neuro, be it whatever. Now, if this "neurodiversity" makes you hear voices, have antisocial traits, ... then you have a problem. So neurodiversity, in the end, means nothing, it's always been known that we're all different.

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Jaume

@DrPinyaPlomer

2 years

@JDaviesPhD That line of thinking equals that that having a Cancer is just the way your body evolved, so we don't have to do anything. Would you like that? No "labels"? No sense of normality vs pathology? I guess someone should re-test your PhD, it's a shame you have it.

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Jaume

@DrPinyaPlomer

7 months

@DrAnnieHickox PSYCHIATRY SAVES LIVES!!!

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Jaume

@DrPinyaPlomer

5 months

@ChrisPalmerMD Unfortunately, sometimes it also works as an external locus of control explanation/excuse for those who don't want to get better.

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Jaume

@DrPinyaPlomer

6 months

@soul_subway And we, as professionals, have to fight against this disinformation because it's dangerous, very much indeed, whether some patients like it or not. I see it everyday: people quit pills and get worse, I've never seen a patient who decided to quit "my pills" and got better, NEVER.

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Jaume

@DrPinyaPlomer

5 months

@PickEmLegend @Psychiatry_Anti Ignorants.

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Jaume

@DrPinyaPlomer

5 months

@eliotmuir No, you are not willing to be taught. I'm telling you simple truths about psychiatry, and you're dismissive of all of them.

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Jaume

@DrPinyaPlomer

7 months

@justin_garson If someone has cured Psychosis by talking, please tell him/her she's winning the Nobel in Medicine. No, they don't improve by talking, they improve with meds (or ECT, or some other things), so stop spreading disinformation.

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Jaume

@DrPinyaPlomer

5 months

@JourneyofHope4U And, of course, they have to be used judiciously, that goes without saying. But it doesn't equal in no way what you wrote after this statement.

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Jaume

@DrPinyaPlomer

5 months

@eliotmuir For now it's not necessary. But, when enough research is properly done, there will come a day when at least some will for sure be used. Ignorant.

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Jaume

@DrPinyaPlomer

1 year

@CALDirector @sepm @revPsiquiatria Enhorabona.

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Jaume

@DrPinyaPlomer

6 months

@soul_subway Very fair, I should have not written my thoughts the way I did with you, and I sincerely apologize. You have been more than correct all the time, and bc I was on fire with the others you suffered the consequences. I'm really sorry.

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Jaume

@DrPinyaPlomer

4 months

@karenmitchell__ No need to thank me. Learn more Neurobiology and less street Psychology and you'll be more helpful to society. Cheers.

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Jaume

@DrPinyaPlomer

4 months

@NimatGray @citalopramstoic were not created enough to satisty these huge quantity of people that got better, but who couldn't function at a high level, even with the magnificent drugs. And that's what's been happening to you, unfortunatelly. It's a shitty situation when these things happen, really.

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Jaume

@DrPinyaPlomer

6 months

@soul_subway Yes, sometimes it can be very tricky, that's why it's good to have so many different options, and more of them we want from "Big Pharma" - the more options we have the more individualized the treatment can be. I send you my best wishes!

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Jaume

@DrPinyaPlomer

1 year

@DavidPuder Mmm... There're too many "Deep Psychology" episodes in your Podcast (I've heard them all, as I said I'm a big fan), and very rarely I've heard you say something like (this is my view, nothing more): "75% is BS, 15% is flawed, and the rest could be useful in few circumstances".

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Jaume

@DrPinyaPlomer

4 months

@DIYDylana @Erick6235 @DrDJWilde @benzosarebad @AndreaB63735256 @sash_andy @Pharmageddon24 @atomicaceso @jill_d35 @eliotmuir Are you sure it's stupid? Well, do some research and find me some paper where it's been proven that it's "a normal thing" to be as a human. It was unfairly treated because of historical reasons, but it was erased from DSM and ICD because of social reasons, not because of science.

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Jaume

@DrPinyaPlomer

6 months

@Nina17736767150 Then I'm sorry about my words.

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Jaume

@DrPinyaPlomer

4 months

@chrisaikenmd Come on, let's keep on using low doses of Sertraline or Escitalopram and all patients get better or are cured, there's no need to overcomplicate things with such an easy problem to solve.

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Jaume

@DrPinyaPlomer

5 months

@eliotmuir They can increase ideation at the beggining, but they decrease attemps and suicides overall. Ignorant.

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Jaume

@DrPinyaPlomer

5 months

@Altostrata Caffeine, many other stimulants included in (for example) energy drinks, alcohol, taurine, ... are direct psychotropics too, not to mention the indirect ones. You should be more precise when making such statements, but you can't because you lack the knowledge to do so.

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