Psychiatry, to me, is about creating safe spaces where hope takes root—honouring resilience, guiding healing, and walking with patients as they rediscover their strength and light. #Psychiatry #HopeInHealing #Resilience
Dr Arghya Sarkhel
@drarghyasarkhel.bsky.social
Consultant Psychiatrist | Special interest in complex trauma, ADHD, mood & personality disorders | Founder @LivingMindUK | Sharing insights from clinic to conference | 🌐 livingmind.co.uk Insta @livingminduk
“Most mental disorders occur in individuals without affected close relatives, thus highlighting the need for prevention strategies which target the entire population”. New study. www.thelancet.com/journals/lan...
Absolute and relative risks of mental disorders in families: a Danish register-based study
Individuals with family members with a mental disorder face increased risks of the same disorder. From a population perspective, most mental disorders occur in individuals without affected close relat...
thelancet.com
Latest NHS England 10-year long term plan: Fit For The Future • From hospitals → homes • Analogue → digital “doctor-in-your-pocket” • Sickness → prevention • Empowering staff & communities #NHSLongTermPlan #Prevention #DigitalHealth #CommunityCare #NHSE Big question- can and how they pull it off ??
“A yellow rose is a symbol of joy A gift to a friend that nothing can destroy.” — Patricia Grantham #friendship #warmth #remembrance.
Westerners have long shunned obese people, and this attitude now pervades much of the globe. Was this always the case? www.sapiens.org/archaeology/...
Who Decided It Was Bad to Be Fat?
Westerners have long shunned obese people, and this attitude now pervades much of the globe. Was this always the case?
sapiens.org
Final day at #RCPSYCH25, highlight for me : Staying Safe from Suicide:New NHSE guidance shifts focus from risk to safety:relational, dynamic, holistic.From checklists to safety formulation & management.From predicting risk to therapeutic assessment -we need this culture shift now! #RCPSYCHIC #safety
#RCPSych2025 Day 3 starts with a wake up call! Loneliness = smoking 15 cigs/day for health 🚬💔. 1 in 5 feel it—worse for young, SMI, & marginalised. 🔥 Raises depression, self-harm & early death risk. But hope: CBT, volunteering, tackling avoidance can heal. #RCPsych2025 #VivekMurthy#loneliness 🌍🤝
Day 2 at #RCPsych2025 began mindfully—connecting senses & movement to nurture calm & emotional regulation. Grateful for this experiential session, aligning with #NICEguidelines, to thrive in healthcare’s challenges. #Psychiatry #Wellbeing #Mindfulness #Gratitude
@rcpsych.bsky.social Excited to be at #RCPsych2025 Annual Congress — a vibrant space where psychiatry, innovation & lived experience converge. Looking forward to inspiring talks & meaningful conversations. Let’s connect! 🧠🌍 #MentalHealth #RCPsychCongress #PsychiatryMatters #LivingMind
🧠Executive Function: The Missing Link to Thriving with ADHD (and Finally Getting Things Done) 🧩 open.substack.com/pub/adhdwisd... #adhd #adhdsky #adhdawareness
🧠Executive Function: The Missing Link to Thriving with ADHD (and Finally Getting Things Done) 🧩
🧠 Executive Function: The Missing Link to Thriving with ADHD and Finally Getting Things Done 🔓
open.substack.com
ADHD executive dysfunction is real but improvable! Research (Barkley, 2022) shows meds + strategies significantly help. Not laziness, not your fault, your brain just works differently. Hope exists! #ADHD #ExecutiveFunction #Neurodiversity
Happy Father’s Day 💙 The first male figure in our psychic world—both loved and feared. Freud saw him as the Oedipal rival; Klein, as part of our inner world, split between idealisation and frustration. Our fathers shape more than memory—they shape the self. #Father’sday #freud #klien #oedipalcomplex
New suicide prevention guidance in England BMJ 2025; 389 doi: doi.org/10.1136/bmj.... (Published 05 June 2025) Move to focus on safety rather than risk in assessment, formulation and management and also the recommendation not to use risk prevention tools. #suicideprevention #safety #culturalshift
New suicide prevention guidance in England
Broader considerations required to improve care Around 19 people die from suicide in the UK each day,1 and every death is tragic and potentially avoidable. In 2023, England’s suicide rate was 11.2 pe...
doi.org
Genome-wide analyses identify 30 loci associated with obsessive–compulsive disorder www.nature.com/articles/s41...
Genome-wide analyses identify 30 loci associated with obsessive–compulsive disorder - Nature Genetics
Genome-wide analyses identify 30 independent loci associated with obsessive–compulsive disorder, highlighting genetic overlap with other psychiatric disorders and implicating putative effector genes a...
nature.com
“If we set the standard as total prevention, we risk creating environments governed by fear, not care” We are already there. www.bmj.com/content/382/...
NHS trust is charged with corporate manslaughter over woman’s death
An NHS foundation trust in London and a former ward manager are facing manslaughter charges relating to the death of a woman in 2015. The charges have been authorised by the Crown Prosecution Service...
bmj.com
Practising gratitude isn’t just feel-good—it’s science-backed self-care. It boosts mood, lowers stress, improves sleep, and even supports heart health. A few mindful moments each day can shift everything. 🌿 #Gratitude #Wellbeing #MindBodyConnection #HealingHabits #livingmind #makinglivesmeaningful
@garylamph.bsky.social and @fik-t.bsky.social are closing #BIGSPD25 - their first as new presidents - and what an excellent job they've done! Can't believe its over already-some amazing topics this year, love seeing and hearing about all the amazing work going on in the BIGSPD community and beyond
The winner this year is someone who has reported from not just one, but two Bluesky accounts, and done so with great care and attention. She has summarised many of the key points from talks and discussions, and always brought a compassionate set of elves ears to what she's heard #BIGSPD25
Inspiring days at #BIGSPD25 💡 Key takeaways: epistemic trust, mentalisation, early intervention, co-production with lived experience, adapting DBT, and urgent need for accessible, quality care. Grateful for rich learning & networking with passionate colleagues! #beyondtheroom
Brin shares that improvements didn’t just lie in patients but also in staff in terms of their clinical competence and confidence #BIGSPD25
Morning all and welcome to our final keynote talk of #BIGSPD25, which will be given by Prof Brin Grenyer. Overview and learnings from implementing whole of service stepped care approaches to treating personality disorders. He's joining us via Zoom from Australia. 🧵 THREAD
One of the questions from the floor asks about the difference between these clinics and crisis teams/HTT. Brin makes it clear that these are therapeutic sessions that are clearly defined as being for the person - the protection of the space to think with the person is imperative. #BIGSPD25
Day 3 and the final day of #BIGSPD25! An amazing line-up of talks ahead — follow along here for live updates from #beyondtheroom
Excellent session the ideas pitches were brilliant, practice, research, creative innovations and system change making all discussed and debated drawing upon expertise of the room and our #BIGSPD25 panel. Hoping those who pitch let us know of any future developments. 👍🏻
It’s been a busy morning with talks on of Epistemic trust, a debate, meaningful brief psychological interventions, co-creating relational learning environment principles, to name but a few! Excited to hear the pitches this afternoon at the BIGSPD oven! #BIGSPD25
Plenary close at #BIGSPD25 day2 with Jenifer Dylan: “Redefining Expertise” 💬 Time to value experiential wisdom alongside academic routes. Grateful for this powerful reminder: ‘not everything that can be counted counts, not everything that counts can be counted.’ #LivedExperience #DBT #CoProduction
"The integration of lived experience into professional roles is not a compromise - it's an (r)evolution." Thank you Jen for a fabulous #BIGSPD25 keynote. You're paving the way for many many other people in the room here @bigspd.bsky.social in Liverpool. 👏🏽
📍Prof Michaela Swales on “DBT – 30 Years In: Where Are We Now and what’s next ? 💬 DBT remains one of the most effective treatments for BPD—now evolving to address neurodivergence & PTSD. 🔍 Advances in understanding mechanisms = sharper, more targeted care. #BIGSPD25 #DBT #BPD #Neurodivergence #PTSD
Day 2 #BIGSPD25 Why is autism under-recognised in women/AFAB? ➤ Overlap with PDs ➤ 20% Dx with PD, 26% BPD ➤ Barriers: relational challenges, masking, need for sameness Autism isn’t one shape—it’s a dimension with depth. #Autism #Neurodiversity #PersonalityDisorder #MentalHealth