sydur rahman md (he/him/his)
@hmmrofthorazine.bsky.social
Pediatrician+Child/Adolescent/Adult Psychiatrist. Dissociation🫥, trauma, fibromyalgia, psychosis, bipolar, OCD & autism. Anti-Zionist. Free 🇵🇸🇨🇩🇸🇩✊
Pinned
Why is it important to devise a complete differential in psychiatry, inc. psychiatric and nonpsychiatric entities? Well, many of the commonly encountered phenomena are transdiagnostic. They are not specific to any condition. Consider the phenomena below, which do not comprise an exhaustive list.
Source: drive.google.com/file/d/1iocb...
December 8, 2025 at 9:56 PM
Source: drive.google.com/file/d/1iocb...
Reposted by sydur rahman md (he/him/his)
Antipsychotic use among US adults aged 65 years or older increased by 51.6% from 2015 to 2024, with long-term use rising 64.9%. ja.ma/4iziog2
December 5, 2025 at 3:00 PM
Antipsychotic use among US adults aged 65 years or older increased by 51.6% from 2015 to 2024, with long-term use rising 64.9%. ja.ma/4iziog2
Reposted by sydur rahman md (he/him/his)
Today, ACIP is poised to vote on delaying the hepatitis B vaccine birth dose, a move that could put millions of kids at risk of lifelong disease. Read more about the implications of today’s vote in AAP News:
bit.ly/4rBt1TF
bit.ly/4rBt1TF
December 4, 2025 at 2:24 PM
Today, ACIP is poised to vote on delaying the hepatitis B vaccine birth dose, a move that could put millions of kids at risk of lifelong disease. Read more about the implications of today’s vote in AAP News:
bit.ly/4rBt1TF
bit.ly/4rBt1TF
This is one constructive way to support patients who have a history of complex trauma and experience very prominent dissociative symptoms. Identifying details have been concealed and/or changed to protect patient privacy.
December 1, 2025 at 5:34 PM
This is one constructive way to support patients who have a history of complex trauma and experience very prominent dissociative symptoms. Identifying details have been concealed and/or changed to protect patient privacy.
I love this kid so much.
December 1, 2025 at 1:40 AM
I love this kid so much.
Reposted by sydur rahman md (he/him/his)
Exercise improves child #ADHD, but this is the first trial to test it in adults:
▪ Large effect (0.9)
▪ Strength/aerobic 30-40 min/day
▪ Brief mindfulness component
pubmed.ncbi.nlm.nih.gov/41244864
Evidence: Moderate (6/10, high drop-outs, small, single-blind)
#mentalhealth #psychiatry #pmhnp
▪ Large effect (0.9)
▪ Strength/aerobic 30-40 min/day
▪ Brief mindfulness component
pubmed.ncbi.nlm.nih.gov/41244864
Evidence: Moderate (6/10, high drop-outs, small, single-blind)
#mentalhealth #psychiatry #pmhnp
November 28, 2025 at 1:02 PM
Exercise improves child #ADHD, but this is the first trial to test it in adults:
▪ Large effect (0.9)
▪ Strength/aerobic 30-40 min/day
▪ Brief mindfulness component
pubmed.ncbi.nlm.nih.gov/41244864
Evidence: Moderate (6/10, high drop-outs, small, single-blind)
#mentalhealth #psychiatry #pmhnp
▪ Large effect (0.9)
▪ Strength/aerobic 30-40 min/day
▪ Brief mindfulness component
pubmed.ncbi.nlm.nih.gov/41244864
Evidence: Moderate (6/10, high drop-outs, small, single-blind)
#mentalhealth #psychiatry #pmhnp
Please do not read if you plan to see Wicked: For Good
November 28, 2025 at 2:48 AM
Please do not read if you plan to see Wicked: For Good
Here to add perspective. www.aljazeera.com/opinions/201...
November 27, 2025 at 4:15 AM
Here to add perspective. www.aljazeera.com/opinions/201...
Reposted by sydur rahman md (he/him/his)
In Borderline Personality Disorder, DBT = less suicide events than SSRI in 6-month, small RCT:
pubmed.ncbi.nlm.nih.gov/41190740
SSRI group got 30-min sessions every 2 weeks. DBT group not on SSRI. Open question: DBT helpful, SSRI harmful, or both?
Evidence: Moderate (6/10)
chrisaikenmd.com/ebm
pubmed.ncbi.nlm.nih.gov/41190740
SSRI group got 30-min sessions every 2 weeks. DBT group not on SSRI. Open question: DBT helpful, SSRI harmful, or both?
Evidence: Moderate (6/10)
chrisaikenmd.com/ebm
November 26, 2025 at 3:01 PM
In Borderline Personality Disorder, DBT = less suicide events than SSRI in 6-month, small RCT:
pubmed.ncbi.nlm.nih.gov/41190740
SSRI group got 30-min sessions every 2 weeks. DBT group not on SSRI. Open question: DBT helpful, SSRI harmful, or both?
Evidence: Moderate (6/10)
chrisaikenmd.com/ebm
pubmed.ncbi.nlm.nih.gov/41190740
SSRI group got 30-min sessions every 2 weeks. DBT group not on SSRI. Open question: DBT helpful, SSRI harmful, or both?
Evidence: Moderate (6/10)
chrisaikenmd.com/ebm
I see way too many people who were haphazardly diagnosed with schizophrenia, schizoaffective disorder, and bipolar disorders.
November 26, 2025 at 12:04 PM
I see way too many people who were haphazardly diagnosed with schizophrenia, schizoaffective disorder, and bipolar disorders.
I just found out my favorite psychopharmacology textbook will release a new edition. I credit most of what I know about psychopharmacology to psychiatric training and Cafer's Psychopharmacology.
Prescribers, trust me, this book is worth its weight in gold!
Prescribers, trust me, this book is worth its weight in gold!
November 25, 2025 at 4:21 PM
I just found out my favorite psychopharmacology textbook will release a new edition. I credit most of what I know about psychopharmacology to psychiatric training and Cafer's Psychopharmacology.
Prescribers, trust me, this book is worth its weight in gold!
Prescribers, trust me, this book is worth its weight in gold!
About 1 in 6-7 cases of depersonalization/derealization disorder (DpDr) is precipitated by substance exposure.
What is the most common cause of drug-induced DpDr? Cannabis.
Excerpt source: DSM-5-TR (American Psychiatric Association, 2022)
What is the most common cause of drug-induced DpDr? Cannabis.
Excerpt source: DSM-5-TR (American Psychiatric Association, 2022)
November 23, 2025 at 3:59 PM
About 1 in 6-7 cases of depersonalization/derealization disorder (DpDr) is precipitated by substance exposure.
What is the most common cause of drug-induced DpDr? Cannabis.
Excerpt source: DSM-5-TR (American Psychiatric Association, 2022)
What is the most common cause of drug-induced DpDr? Cannabis.
Excerpt source: DSM-5-TR (American Psychiatric Association, 2022)
Reposted by sydur rahman md (he/him/his)
Doctors say it's possible to get hooked on pot. There's a widespread misconception that marijuana is not addictive, and it's expanded as a growing number of states legalize pot.
It's possible to get addicted to pot. Here's what to know
Doctors say it's possible to get hooked on pot. There's a widespread misconception that marijuana is not addictive, and it's expanded as a growing number of states legalize pot.
bit.ly
November 22, 2025 at 5:01 PM
Doctors say it's possible to get hooked on pot. There's a widespread misconception that marijuana is not addictive, and it's expanded as a growing number of states legalize pot.
Reposted by sydur rahman md (he/him/his)
“Since 1998, independent researchers have conducted more than 40 high-quality studies involving over 5.6 million people. The conclusion is clear and unambiguous: There’s no link between vaccines and autism." -Dr. Susan Kressly, AAP President on recent changes to the CDC's website
November 20, 2025 at 3:24 PM
“Since 1998, independent researchers have conducted more than 40 high-quality studies involving over 5.6 million people. The conclusion is clear and unambiguous: There’s no link between vaccines and autism." -Dr. Susan Kressly, AAP President on recent changes to the CDC's website
Reposted by sydur rahman md (he/him/his)
Neuromodulation =
1. TMS
2. ECT
3. Transcranial direct current stim (tDCS)
4. Deep brain stim (DBS)
5. Vagus nerve stim (VNS)
6. Magnetic stim therapy (MST) and more
Only one works in treatment resistant #schizophrenia: TMS.
From new analysis:
www.ncbi.nlm.nih.gov/pubmed/41210...
#psychiatry
1. TMS
2. ECT
3. Transcranial direct current stim (tDCS)
4. Deep brain stim (DBS)
5. Vagus nerve stim (VNS)
6. Magnetic stim therapy (MST) and more
Only one works in treatment resistant #schizophrenia: TMS.
From new analysis:
www.ncbi.nlm.nih.gov/pubmed/41210...
#psychiatry
November 16, 2025 at 1:01 PM
Neuromodulation =
1. TMS
2. ECT
3. Transcranial direct current stim (tDCS)
4. Deep brain stim (DBS)
5. Vagus nerve stim (VNS)
6. Magnetic stim therapy (MST) and more
Only one works in treatment resistant #schizophrenia: TMS.
From new analysis:
www.ncbi.nlm.nih.gov/pubmed/41210...
#psychiatry
1. TMS
2. ECT
3. Transcranial direct current stim (tDCS)
4. Deep brain stim (DBS)
5. Vagus nerve stim (VNS)
6. Magnetic stim therapy (MST) and more
Only one works in treatment resistant #schizophrenia: TMS.
From new analysis:
www.ncbi.nlm.nih.gov/pubmed/41210...
#psychiatry
Lifetime prevalence of schizophrenia is 0.3-0.7% of the general population. The approximate prevalence of adolescent onset schizophrenia (age 13-17 years) is 1 in 10000; it is rare. The approximate prevalence of childhood onset schizophrenia (age 12 and younger) is 1 in 40000; it is very rare.
November 12, 2025 at 3:03 AM
Lifetime prevalence of schizophrenia is 0.3-0.7% of the general population. The approximate prevalence of adolescent onset schizophrenia (age 13-17 years) is 1 in 10000; it is rare. The approximate prevalence of childhood onset schizophrenia (age 12 and younger) is 1 in 40000; it is very rare.
Reposted by sydur rahman md (he/him/his)
Chronic, delayed, and shifting patterns of PTSD, CPTSD, and PGD were linked to higher levels of somatization and pain, highlighting the need for integrated trauma-informed care addressing physical and psychological health. ja.ma/3Xc8p6u
November 7, 2025 at 11:00 AM
Chronic, delayed, and shifting patterns of PTSD, CPTSD, and PGD were linked to higher levels of somatization and pain, highlighting the need for integrated trauma-informed care addressing physical and psychological health. ja.ma/3Xc8p6u
The Cipriani group has done it again! This time, they did a systematic review and network meta-analysis of changes in physiologic parameters from different antidepressants. To stimulate curiosity, I'll display just the 1st parameter: weight changes.
Source: drive.google.com/file/d/1Qv2h...
Source: drive.google.com/file/d/1Qv2h...
November 5, 2025 at 9:43 PM
The Cipriani group has done it again! This time, they did a systematic review and network meta-analysis of changes in physiologic parameters from different antidepressants. To stimulate curiosity, I'll display just the 1st parameter: weight changes.
Source: drive.google.com/file/d/1Qv2h...
Source: drive.google.com/file/d/1Qv2h...
Reposted by sydur rahman md (he/him/his)
Children and young adults with neurodevelopmental conditions in New Zealand have a 4.7-fold higher mortality risk, with elevated risks for medical, injury, and suicide-related deaths. ja.ma/48V8iDr
November 3, 2025 at 4:30 PM
Children and young adults with neurodevelopmental conditions in New Zealand have a 4.7-fold higher mortality risk, with elevated risks for medical, injury, and suicide-related deaths. ja.ma/48V8iDr
Reposted by sydur rahman md (he/him/his)
The U.S. Food and Drug Administration says drugmakers have recalled more than a half-million bottles of the blood pressure medication prazosin hydrochloride over concerns it may include a cancer-causing chemical.
FDA says drugmakers have recalled a blood pressure medicine tainted with a cancer-causing chemical
The U.S. Food and Drug Administration says drugmakers have recalled more than a half-million bottles of the blood pressure medication prazosin hydrochloride over concerns it may include a cancer-causing chemical.
bit.ly
October 31, 2025 at 1:20 PM
The U.S. Food and Drug Administration says drugmakers have recalled more than a half-million bottles of the blood pressure medication prazosin hydrochloride over concerns it may include a cancer-causing chemical.
Reposted by sydur rahman md (he/him/his)
Americans Have No Idea Who Their Government Is Bombing
What percentage of Americans even realize that Trump has bombed Somalia nearly a hundred times this year? I doubt it’s even one percent.
www.caitlinjohnst.one/p/americans-...
What percentage of Americans even realize that Trump has bombed Somalia nearly a hundred times this year? I doubt it’s even one percent.
www.caitlinjohnst.one/p/americans-...
Americans Have No Idea Who Their Government Is Bombing, And Other Notes
Listen to a reading of this article (reading by Tim Foley):
www.caitlinjohnst.one
October 31, 2025 at 11:36 AM
Americans Have No Idea Who Their Government Is Bombing
What percentage of Americans even realize that Trump has bombed Somalia nearly a hundred times this year? I doubt it’s even one percent.
www.caitlinjohnst.one/p/americans-...
What percentage of Americans even realize that Trump has bombed Somalia nearly a hundred times this year? I doubt it’s even one percent.
www.caitlinjohnst.one/p/americans-...
Reposted by sydur rahman md (he/him/his)
They're going to tell you "it must not be that bad," because you're "functioning" at a "high" level-- because they don't understand dissociation.
Their ignorance is what it is-- but don't let your "functionality" convince you "it must not be bad." You know it's not that simple.
Their ignorance is what it is-- but don't let your "functionality" convince you "it must not be bad." You know it's not that simple.
October 28, 2025 at 10:41 AM
They're going to tell you "it must not be that bad," because you're "functioning" at a "high" level-- because they don't understand dissociation.
Their ignorance is what it is-- but don't let your "functionality" convince you "it must not be bad." You know it's not that simple.
Their ignorance is what it is-- but don't let your "functionality" convince you "it must not be bad." You know it's not that simple.
I had acquired the full text of most studies referenced here, but Google's AI summary is both succinct and accurate. Well done.
October 28, 2025 at 6:47 PM
I had acquired the full text of most studies referenced here, but Google's AI summary is both succinct and accurate. Well done.