Robert Howard
@profrobhoward.bsky.social
UCL Old Age Psychiatrist. Evidence-based treatments for dementia, psychosis, depression and anxiety in older people. Running for RCPsych President, see details here https://profrobhoward.com Still enjoying Twitter but here we all are.
ECT really does save lives. Our new SR/MA shows reduced mortality in people receiving ECT versus a comparator treatment. We didn't show a reduction in suicides but you probably wouldn't expect to be able to.
October 31, 2025 at 5:40 PM
ECT really does save lives. Our new SR/MA shows reduced mortality in people receiving ECT versus a comparator treatment. We didn't show a reduction in suicides but you probably wouldn't expect to be able to.
Almost Japan in Norfolk this mornin.
October 26, 2025 at 8:31 AM
Almost Japan in Norfolk this mornin.
Grey old view from the train this morning.
September 18, 2025 at 7:24 AM
Grey old view from the train this morning.
Beautiful autumn light on our morning walk with watchful roe deer.
September 14, 2025 at 9:00 AM
Beautiful autumn light on our morning walk with watchful roe deer.
Layla. Not really happy on trains, even when she can travel First Class.
September 12, 2025 at 10:30 AM
Layla. Not really happy on trains, even when she can travel First Class.
Twitter still has impressive potential for interaction.
September 11, 2025 at 12:43 PM
Twitter still has impressive potential for interaction.
At Lord Leicester’s secret beach hut in Holkham Woods. Lots of squirrels and rabbits this afternoon.
August 30, 2025 at 1:43 PM
At Lord Leicester’s secret beach hut in Holkham Woods. Lots of squirrels and rabbits this afternoon.
Happy post-lunch nap.
August 30, 2025 at 12:13 PM
Happy post-lunch nap.
Hedgerows already filled with autumn berries. Densest crop of sloes that I can remember.
August 29, 2025 at 5:03 PM
Hedgerows already filled with autumn berries. Densest crop of sloes that I can remember.
It’s a Van Gogh kind of morning in Peckham.
August 26, 2025 at 6:26 AM
It’s a Van Gogh kind of morning in Peckham.
Yuto Satake returns to Japan today after a productive year at UCL. My son commissioned his artist friend to produce this to commemorate his visit and secret support for Layla to sit on forbidden sofas.
August 25, 2025 at 12:44 PM
Yuto Satake returns to Japan today after a productive year at UCL. My son commissioned his artist friend to produce this to commemorate his visit and secret support for Layla to sit on forbidden sofas.
Don’t recommend having one of these under an open bedroom window. Mrs H and myself exhausted after a night of vivid and weird dreams.
August 25, 2025 at 7:06 AM
Don’t recommend having one of these under an open bedroom window. Mrs H and myself exhausted after a night of vivid and weird dreams.
Seen in our hall this afternoon.
August 24, 2025 at 7:27 PM
Seen in our hall this afternoon.
Wonderful Wells beach.
August 23, 2025 at 11:56 AM
Wonderful Wells beach.
It’s always playtime at the weekend when Layla has us around.
August 23, 2025 at 8:19 AM
It’s always playtime at the weekend when Layla has us around.
Neighbours believe our house is haunted. Just taken this as I walked back after a walk with Layla. It does look a bit spooky…
August 22, 2025 at 9:09 PM
Neighbours believe our house is haunted. Just taken this as I walked back after a walk with Layla. It does look a bit spooky…
Me in The Times today, talking about the dodgy presentations of Alzheimer’s drug data at AAIC.
August 22, 2025 at 3:45 PM
Me in The Times today, talking about the dodgy presentations of Alzheimer’s drug data at AAIC.
Morning view from the train at Blackfriars on a very grey day.
August 21, 2025 at 7:20 AM
Morning view from the train at Blackfriars on a very grey day.
She had a drastic haircut last week.
August 19, 2025 at 2:13 PM
She had a drastic haircut last week.
Look again at the green lines for the early and delayed start groups. They appear to be converging towards 36 months. We are not told the 95% confidence intervals, but I bet they overlapped by 36 months. This would argue against disease course modification and any benefits from early starting Rx.
August 19, 2025 at 10:23 AM
Look again at the green lines for the early and delayed start groups. They appear to be converging towards 36 months. We are not told the 95% confidence intervals, but I bet they overlapped by 36 months. This would argue against disease course modification and any benefits from early starting Rx.
First, the comparison we are led to is between participants who received lecanemab in the first 18 months of the RCT and then opted for open treatment AND two unrandomised, uncontrolled historical cohorts. Second, what happened to the important delayed start trial, shown at last year's AAIC?
August 19, 2025 at 10:15 AM
First, the comparison we are led to is between participants who received lecanemab in the first 18 months of the RCT and then opted for open treatment AND two unrandomised, uncontrolled historical cohorts. Second, what happened to the important delayed start trial, shown at last year's AAIC?
What's not to like about this image, presented at AAIC and touted as showing lasting and expanding (maybe, even clinically important) efficacy of lecanemab treatment through 48 months of treatment - but only if you start treatment early and don't stop?
August 19, 2025 at 10:08 AM
What's not to like about this image, presented at AAIC and touted as showing lasting and expanding (maybe, even clinically important) efficacy of lecanemab treatment through 48 months of treatment - but only if you start treatment early and don't stop?