Psychiatry Excellence (@psycheureka) / X

Psychiatry Excellence

10.3K posts

Psychiatry Excellence

@psycheureka

We provide psychiatry education for Psychiatrists, GPs & Mental Health Practitioners. • Join The Academy 👇

Australia

psychscene.co/academy

Joined March 2016

Psychiatry Excellence
@psycheureka
Feb 2, 2025
1 in 3 COVID-19 survivors may develop a neuropsychiatric or neurological condition within 6 months. From anosmia to strokes, the virus can leave lasting effects on the brain. Research shows over 33% of post-COVID patients develop conditions like anxiety, depression, or
132K
Psychiatry Excellence
@psycheureka
Feb 18, 2025
Clinical trials reveal that some antidepressants are over 100% more effective than placebo, while others barely outperform it. The largest meta-analysis (Cipriani et al., 2018) compared 21 antidepressants in 116,477 patients, revealing striking differences in efficacy and
126K
Psychiatry Excellence
@psycheureka
Aug 19, 2025
Which antidepressants work most effectively, and which barely beat placebo? The largest meta-analysis (Cipriani et al., 2018) compared 21 antidepressants in 116,477 patients, revealing striking differences in efficacy and tolerability. Here’s how this data can transform your
106K
Psychiatry Excellence
@psycheureka
Feb 8, 2025
Did Freud predict the brain’s ‘hidden’ architecture? His model of the mind—Id, Ego, and Superego—was purely theoretical, but modern neuroscience suggests these structures have neurobiological correlates. Studies show that the Default Mode Network (DMN), Salience Network (SN),
95K
Psychiatry Excellence
@psycheureka
Jan 20, 2025
Pregabalin and gabapentin are widely prescribed for neuropathic pain and seizures Yet, their rising misuse potential and risks of dependency are raising alarms among clinicians Are we underestimating the dangers? Here’s an evidence-based guide to their mechanisms, clinical
116K
Psychiatry Excellence
@psycheureka
Sep 21, 2025
Sleep isn’t just “off.” The locus coeruleus (LC), the brain’s noradrenaline hub, stays active in a patterned way, shaping when we sleep deeply, dream, or wake too easily. (Osorio-Forero 2022) Here’s why it matters clinically. 1/11🧵
37K
Psychiatry Excellence
@psycheureka
Oct 11, 2025
ADHD isn’t just an “attention” problem. It’s impaired prefrontal regulation across distributed circuits (PFC–striatal–cerebellar–salience networks) that shape attention, inhibition, and emotion. Here’s how these circuits interact and what clinicians need to know about the
28K
Psychiatry Excellence
@psycheureka
Feb 14, 2025
Dissociation isn’t just a symptom – it’s a neurobiological survival mechanism. Research shows 30% of PTSD patients experience dissociation (Stein et al., 2013). The Polyvagal Theory (Porges, 2009) highlights the dorsal vagal complex as key in triggering shutdown when
39K
Psychiatry Excellence
@psycheureka
Jun 26, 2025
Up to 40% reduction in depression risk has been observed with adherence to anti-inflammatory diets like the Mediterranean diet, according to the PREDIMED study. Emerging research links dietary patterns to neuroinflammation, neurotransmitter synthesis, and gut–brain signalling.
32K
Psychiatry Excellence
@psycheureka
Sep 7, 2025
Why do some patients sleep 8–10 hours yet still wake exhausted? Because fatigue is not only about sleep duration, it reflects disrupted brain networks that leave the mind feeling foggy, unrefreshed, or in a state of hyperarousal. Here’s how to reframe fatigue clinically and
33K
Psychiatry Excellence
@psycheureka
Oct 15, 2025
Borderline Personality Disorder (BPD) isn’t just “emotion dysregulation.” It can be usefully conceptualised as a predictive-processing problem where salience, reward prediction errors (RPEs), and the endogenous opioid system (EOS) bias social learning. Here’s how clinicians can
30K
Psychiatry Excellence
@psycheureka
Aug 28, 2025
Did Freud anticipate the brain’s 'hidden' networks? His model of the Id, Ego, and Superego was theoretical, but modern neuroscience points to striking parallels. While Freud wasn’t describing brain networks, clinicians use his framework heuristically, with the Default Mode,
25K
Psychiatry Excellence
@psycheureka
Apr 1, 2025
75% of anti-NMDA receptor encephalitis cases first present to psychiatrists—not neurologists. Could a manic or psychotic episode be an immune-mediated brain attack? Here’s what psychiatrists need to know about identifying and managing neuroinflammation. 🧵👇
37K
Psychiatry Excellence
@psycheureka
Feb 17, 2025
Cognitive symptoms in major depressive disorder (MDD) often persist even after mood improves, affecting memory, processing speed, and executive function. Vortioxetine has been investigated for its potential pro-cognitive effects, independent of its antidepressant properties
45K