Psych Scene
@psychscene.bsky.social
We provide psychiatry education for Psychiatrists, GPs & Mental Health Practitioners.
Autism isn’t “just genetic”.
The gut–brain–immune axis can shape how symptoms show up—especially when GI problems are in the mix.
Here’s what clinicians needs to know about Gut Microbiome and Autism Spectrum Disorder (ASD) 👇🧵
The gut–brain–immune axis can shape how symptoms show up—especially when GI problems are in the mix.
Here’s what clinicians needs to know about Gut Microbiome and Autism Spectrum Disorder (ASD) 👇🧵
December 5, 2025 at 1:32 PM
Autism isn’t “just genetic”.
The gut–brain–immune axis can shape how symptoms show up—especially when GI problems are in the mix.
Here’s what clinicians needs to know about Gut Microbiome and Autism Spectrum Disorder (ASD) 👇🧵
The gut–brain–immune axis can shape how symptoms show up—especially when GI problems are in the mix.
Here’s what clinicians needs to know about Gut Microbiome and Autism Spectrum Disorder (ASD) 👇🧵
Here’s what one of your colleagues is saying about our course Focussed Psychological Strategies: Advanced CPD Training for General Practitioners (RACGP) 👇
December 1, 2025 at 4:01 AM
Here’s what one of your colleagues is saying about our course Focussed Psychological Strategies: Advanced CPD Training for General Practitioners (RACGP) 👇
Here’s what clinicians are saying about the course: Dialectical Behaviour Therapy - A Practical Guide for Clinicians.
November 22, 2025 at 5:01 AM
Here’s what clinicians are saying about the course: Dialectical Behaviour Therapy - A Practical Guide for Clinicians.
This curriculum offers diagnostic clarity and management strategies for melancholic, psychotic, and mixed-feature depression.
November 15, 2025 at 7:23 AM
This curriculum offers diagnostic clarity and management strategies for melancholic, psychotic, and mixed-feature depression.
Here’s what your colleague has to say about our course: “The Art of Strategic Problem Solving in Psychiatry – From Diagnostic Formulation to Management”:
November 8, 2025 at 2:09 PM
Here’s what your colleague has to say about our course: “The Art of Strategic Problem Solving in Psychiatry – From Diagnostic Formulation to Management”:
Chelsea, 20, says she’s “going mad with anxiety.”
Onset with VCE exams; now pervasive worry, decision paralysis, and no depressive features.
You suspect GAD.
What would you do to confirm this? 👇
Onset with VCE exams; now pervasive worry, decision paralysis, and no depressive features.
You suspect GAD.
What would you do to confirm this? 👇
November 4, 2025 at 2:42 PM
Chelsea, 20, says she’s “going mad with anxiety.”
Onset with VCE exams; now pervasive worry, decision paralysis, and no depressive features.
You suspect GAD.
What would you do to confirm this? 👇
Onset with VCE exams; now pervasive worry, decision paralysis, and no depressive features.
You suspect GAD.
What would you do to confirm this? 👇
Females with ADHD are often underdiagnosed and undertreated, forming a silent minority.
Research shows a significant male-to-female diagnosis gap (Berry et al., 1985).
Let’s explore why ADHD presents differently in females.
Research shows a significant male-to-female diagnosis gap (Berry et al., 1985).
Let’s explore why ADHD presents differently in females.
November 3, 2025 at 5:19 AM
Females with ADHD are often underdiagnosed and undertreated, forming a silent minority.
Research shows a significant male-to-female diagnosis gap (Berry et al., 1985).
Let’s explore why ADHD presents differently in females.
Research shows a significant male-to-female diagnosis gap (Berry et al., 1985).
Let’s explore why ADHD presents differently in females.
Females with ADHD are often underdiagnosed and undertreated, forming a silent minority.
Research shows a significant male-to-female diagnosis gap (Berry et al., 1985).
Let’s explore why ADHD presents differently in females.
Research shows a significant male-to-female diagnosis gap (Berry et al., 1985).
Let’s explore why ADHD presents differently in females.
November 3, 2025 at 5:18 AM
Females with ADHD are often underdiagnosed and undertreated, forming a silent minority.
Research shows a significant male-to-female diagnosis gap (Berry et al., 1985).
Let’s explore why ADHD presents differently in females.
Research shows a significant male-to-female diagnosis gap (Berry et al., 1985).
Let’s explore why ADHD presents differently in females.
What would change today if Phenomenology and Pharmacology were your primary safety tools?
Miss one, and you may miss risk.
Here’s what to look for and how to act 👇🧵
Miss one, and you may miss risk.
Here’s what to look for and how to act 👇🧵
November 1, 2025 at 3:14 AM
What would change today if Phenomenology and Pharmacology were your primary safety tools?
Miss one, and you may miss risk.
Here’s what to look for and how to act 👇🧵
Miss one, and you may miss risk.
Here’s what to look for and how to act 👇🧵
What would change today if Phenomenology and Pharmacology were your primary safety tools?
Miss one, and you may miss risk.
Here’s what to look for and how to act 👇🧵
Miss one, and you may miss risk.
Here’s what to look for and how to act 👇🧵
November 1, 2025 at 3:14 AM
What would change today if Phenomenology and Pharmacology were your primary safety tools?
Miss one, and you may miss risk.
Here’s what to look for and how to act 👇🧵
Miss one, and you may miss risk.
Here’s what to look for and how to act 👇🧵
Do meditation apps really reduce anxiety, stress, and insomnia?
New data (Creswell, 2025) suggest even brief app-based practice can calm symptoms, aid sleep, and modulate inflammation.
Here’s what clinicians need to know. 👇🧵
New data (Creswell, 2025) suggest even brief app-based practice can calm symptoms, aid sleep, and modulate inflammation.
Here’s what clinicians need to know. 👇🧵
October 16, 2025 at 11:26 AM
Do meditation apps really reduce anxiety, stress, and insomnia?
New data (Creswell, 2025) suggest even brief app-based practice can calm symptoms, aid sleep, and modulate inflammation.
Here’s what clinicians need to know. 👇🧵
New data (Creswell, 2025) suggest even brief app-based practice can calm symptoms, aid sleep, and modulate inflammation.
Here’s what clinicians need to know. 👇🧵
ADHD isn’t just an “attention” problem.
It’s impaired prefrontal regulation across distributed circuits that shape attention, inhibition, and emotion.
Here’s how these circuits interact and what clinicians need to know about the neurobiology behind ADHD 🧵👇
It’s impaired prefrontal regulation across distributed circuits that shape attention, inhibition, and emotion.
Here’s how these circuits interact and what clinicians need to know about the neurobiology behind ADHD 🧵👇
October 11, 2025 at 2:30 AM
ADHD isn’t just an “attention” problem.
It’s impaired prefrontal regulation across distributed circuits that shape attention, inhibition, and emotion.
Here’s how these circuits interact and what clinicians need to know about the neurobiology behind ADHD 🧵👇
It’s impaired prefrontal regulation across distributed circuits that shape attention, inhibition, and emotion.
Here’s how these circuits interact and what clinicians need to know about the neurobiology behind ADHD 🧵👇
Men are 1.4× more likely to develop schizophrenia, with onset 3–4 years earlier (Li, 2022).
Oestrogen delays onset in women—but symptoms surge after menopause.
Here’s how hormones shape outcomes + guide care. 👇🧵
Oestrogen delays onset in women—but symptoms surge after menopause.
Here’s how hormones shape outcomes + guide care. 👇🧵
September 28, 2025 at 4:11 PM
Men are 1.4× more likely to develop schizophrenia, with onset 3–4 years earlier (Li, 2022).
Oestrogen delays onset in women—but symptoms surge after menopause.
Here’s how hormones shape outcomes + guide care. 👇🧵
Oestrogen delays onset in women—but symptoms surge after menopause.
Here’s how hormones shape outcomes + guide care. 👇🧵
Why do hot flushes happen in menopause?
September 27, 2025 at 2:02 PM
Why do hot flushes happen in menopause?
Is dissociation in PTSD just a symptom, or the brain’s survival strategy?
Around 15–30% of patients with PTSD experience dissociative symptoms such as depersonalisation or derealisation.
Let’s discover why recognising dissociation is critical for tailoring therapy and improving outcomes. 👇🧵
Around 15–30% of patients with PTSD experience dissociative symptoms such as depersonalisation or derealisation.
Let’s discover why recognising dissociation is critical for tailoring therapy and improving outcomes. 👇🧵
September 25, 2025 at 1:30 PM
Is dissociation in PTSD just a symptom, or the brain’s survival strategy?
Around 15–30% of patients with PTSD experience dissociative symptoms such as depersonalisation or derealisation.
Let’s discover why recognising dissociation is critical for tailoring therapy and improving outcomes. 👇🧵
Around 15–30% of patients with PTSD experience dissociative symptoms such as depersonalisation or derealisation.
Let’s discover why recognising dissociation is critical for tailoring therapy and improving outcomes. 👇🧵
Could chronic insomnia silently raise dementia risk?
A Mayo Clinic study (Carvalho, 2025) shows it predicts faster cognitive decline + higher impairment risk in older adults.
Here’s what clinicians should know. 👇🧵
A Mayo Clinic study (Carvalho, 2025) shows it predicts faster cognitive decline + higher impairment risk in older adults.
Here’s what clinicians should know. 👇🧵
September 24, 2025 at 1:30 PM
Could chronic insomnia silently raise dementia risk?
A Mayo Clinic study (Carvalho, 2025) shows it predicts faster cognitive decline + higher impairment risk in older adults.
Here’s what clinicians should know. 👇🧵
A Mayo Clinic study (Carvalho, 2025) shows it predicts faster cognitive decline + higher impairment risk in older adults.
Here’s what clinicians should know. 👇🧵
A woman was admitted with acute psychosis—fixed somatic delusions of parasites under her skin.
No psychiatric history.
Within days, she deteriorated fast.
Here’s what her case reveals about the neurology–psychiatry interface. 👇🧵
No psychiatric history.
Within days, she deteriorated fast.
Here’s what her case reveals about the neurology–psychiatry interface. 👇🧵
September 23, 2025 at 1:30 PM
A woman was admitted with acute psychosis—fixed somatic delusions of parasites under her skin.
No psychiatric history.
Within days, she deteriorated fast.
Here’s what her case reveals about the neurology–psychiatry interface. 👇🧵
No psychiatric history.
Within days, she deteriorated fast.
Here’s what her case reveals about the neurology–psychiatry interface. 👇🧵
Why do up to 80% of people with ADHD also struggle with sleep?
ADHD patients face more sleep issues than the general population—linked to greater symptom severity & reduced life quality.
Here’s the 4-domain model explaining why. 👇🧵
ADHD patients face more sleep issues than the general population—linked to greater symptom severity & reduced life quality.
Here’s the 4-domain model explaining why. 👇🧵
September 22, 2025 at 1:31 PM
Why do up to 80% of people with ADHD also struggle with sleep?
ADHD patients face more sleep issues than the general population—linked to greater symptom severity & reduced life quality.
Here’s the 4-domain model explaining why. 👇🧵
ADHD patients face more sleep issues than the general population—linked to greater symptom severity & reduced life quality.
Here’s the 4-domain model explaining why. 👇🧵
Up to 90% of ADHD patients have at least one comorbidity—from anxiety to SUDs (Kessler 2006).
These overlaps complicate care.
Here are 10 key ADHD comorbidities & strategies clinicians can use to improve outcomes. 👇🧵
These overlaps complicate care.
Here are 10 key ADHD comorbidities & strategies clinicians can use to improve outcomes. 👇🧵
September 18, 2025 at 1:31 PM
Up to 90% of ADHD patients have at least one comorbidity—from anxiety to SUDs (Kessler 2006).
These overlaps complicate care.
Here are 10 key ADHD comorbidities & strategies clinicians can use to improve outcomes. 👇🧵
These overlaps complicate care.
Here are 10 key ADHD comorbidities & strategies clinicians can use to improve outcomes. 👇🧵
Why do the people we love most spark our deepest frustrations?
Psychiatry & neuroscience reveal how our brains choose partners—and why conflict can be a form of deep learning.
Here are 6 key facts about the “love algorithm” and how it can help guide patients toward growth. 🧵👇
Psychiatry & neuroscience reveal how our brains choose partners—and why conflict can be a form of deep learning.
Here are 6 key facts about the “love algorithm” and how it can help guide patients toward growth. 🧵👇
September 16, 2025 at 1:30 PM
Why do the people we love most spark our deepest frustrations?
Psychiatry & neuroscience reveal how our brains choose partners—and why conflict can be a form of deep learning.
Here are 6 key facts about the “love algorithm” and how it can help guide patients toward growth. 🧵👇
Psychiatry & neuroscience reveal how our brains choose partners—and why conflict can be a form of deep learning.
Here are 6 key facts about the “love algorithm” and how it can help guide patients toward growth. 🧵👇
How many depression patients are really struggling with undiagnosed OSA?
Up to 20% of the population has OSA, and studies show a strong bidirectional link with MDD.
Here’s how OSA & depression overlap—and how to catch it earlier. 👇🧵
Up to 20% of the population has OSA, and studies show a strong bidirectional link with MDD.
Here’s how OSA & depression overlap—and how to catch it earlier. 👇🧵
September 14, 2025 at 1:30 PM
How many depression patients are really struggling with undiagnosed OSA?
Up to 20% of the population has OSA, and studies show a strong bidirectional link with MDD.
Here’s how OSA & depression overlap—and how to catch it earlier. 👇🧵
Up to 20% of the population has OSA, and studies show a strong bidirectional link with MDD.
Here’s how OSA & depression overlap—and how to catch it earlier. 👇🧵
Mike, a middle-aged man on sertraline and diazepam, presents with persistent symptoms:
– Poor sleep
– Emotional dysregulation
– Cognitive slowing
Despite full adherence.
What’s being missed—and what can we learn from this case?
1/14 🧵
– Poor sleep
– Emotional dysregulation
– Cognitive slowing
Despite full adherence.
What’s being missed—and what can we learn from this case?
1/14 🧵
September 13, 2025 at 1:43 PM
Mike, a middle-aged man on sertraline and diazepam, presents with persistent symptoms:
– Poor sleep
– Emotional dysregulation
– Cognitive slowing
Despite full adherence.
What’s being missed—and what can we learn from this case?
1/14 🧵
– Poor sleep
– Emotional dysregulation
– Cognitive slowing
Despite full adherence.
What’s being missed—and what can we learn from this case?
1/14 🧵
Is there a drug that acts like an antidepressant at one dose & an antipsychotic at another?
Yes: Amisulpride.
Low dose → relieves depression/negative symptoms.
High dose → treats psychosis (Scatton 1997).
Here’s how it works & where it fits. 👇🧵
Yes: Amisulpride.
Low dose → relieves depression/negative symptoms.
High dose → treats psychosis (Scatton 1997).
Here’s how it works & where it fits. 👇🧵
September 11, 2025 at 2:03 PM
Is there a drug that acts like an antidepressant at one dose & an antipsychotic at another?
Yes: Amisulpride.
Low dose → relieves depression/negative symptoms.
High dose → treats psychosis (Scatton 1997).
Here’s how it works & where it fits. 👇🧵
Yes: Amisulpride.
Low dose → relieves depression/negative symptoms.
High dose → treats psychosis (Scatton 1997).
Here’s how it works & where it fits. 👇🧵
By Year 10, 28% of Australian adolescents met criteria for probable depression—up from 17% in Year 7 (Smout 2025).
Girls & gender-diverse teens show far higher risk than boys.
Here’s what the data reveal & how psychiatrists can act early. 👇🧵
Girls & gender-diverse teens show far higher risk than boys.
Here’s what the data reveal & how psychiatrists can act early. 👇🧵
September 10, 2025 at 2:03 PM
By Year 10, 28% of Australian adolescents met criteria for probable depression—up from 17% in Year 7 (Smout 2025).
Girls & gender-diverse teens show far higher risk than boys.
Here’s what the data reveal & how psychiatrists can act early. 👇🧵
Girls & gender-diverse teens show far higher risk than boys.
Here’s what the data reveal & how psychiatrists can act early. 👇🧵
Jenny, 53, public servant, married 29 yrs, 3 kids (31, 21, 12).
She presented in crisis: depression, self-harm, escalating distress.
Here’s her case—& what it teaches us about trauma relapse + perimenopausal vulnerability. 👇🧵
She presented in crisis: depression, self-harm, escalating distress.
Here’s her case—& what it teaches us about trauma relapse + perimenopausal vulnerability. 👇🧵
September 9, 2025 at 2:03 PM
Jenny, 53, public servant, married 29 yrs, 3 kids (31, 21, 12).
She presented in crisis: depression, self-harm, escalating distress.
Here’s her case—& what it teaches us about trauma relapse + perimenopausal vulnerability. 👇🧵
She presented in crisis: depression, self-harm, escalating distress.
Here’s her case—& what it teaches us about trauma relapse + perimenopausal vulnerability. 👇🧵