Zack Williams, MD, PhD

@quantpsychiatry.bsky.social

•Autistic (+ADHD, OCD, Tourettes) autism researcher and trainee psychiatrist (rising PGY-1) •YaleCSC➡️VanderbiltMSTP➡️UCLA •Catatonia enthusiast, patient advocate, stats guy •MH research/methods/advocacy, autism/neurodiversity, academic medicine, dumb jokes

To all of the #INSAR members voting in the upcoming board election, (not that anyone cares but) I'm officially endorsing my good (bluesky-less) friend and colleague Mirko Uljarević for INSAR treasurer! With quant skills like his, the society's money is in good hands.

A very handsome and competent physician-scientist who is totally able to handle the finances of the major autism research professional society.

To all of the #INSAR members voting in the upcoming board election, (not that anyone cares but) I'm officially endorsing my good (bluesky-less) friend and colleague Mirko Uljarević for INSAR treasurer! With quant skills like his, the society's money is in good hands.

A very handsome and competent physician-scientist who is totally able to handle the finances of the major autism research professional society.

You’re allowed to say “I hate being disabled”. This isn’t internalised ableism, it’s your reality. Truth is, being disabled is… disabling. It’s overwhelming, debilitating, and yeah… for me (and I’m sure many others)… it’s shit.

Viewpoint discusses the US Supreme Court's decision in United States v Skrmetti, which will determine if Tennessee’s ban on gender-affirming care for minors violates the Equal Protection Clause. #MedSky ja.ma/4h7WUVv

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EMA study of dissociative episodes shows that heart rate does not change in relation to dissociation intensity, counter to predictions of "hypoarousal models" of dissociation. "Dissociative episodes and concurrent heart rate in patients with PTSD..." www.sciencedirect.com/science/arti...

Dissociative episodes and concurrent heart rate in patients with PTSD – An ecological momentary assessment

Dissociative symptoms are a frequent complication in posttraumatic stress disorders affecting about a third of all PTSD patients. While theoretical mo…

sciencedirect.com

As 2024 comes to a close, I'm wishing all the best to my Bluesky family. It's been a hard year for me personally, but I've been able to persevere and come out the other side with a PhD, almost an MD, my marriage intact (no thanks to the PhD), and a bright future. Here's to a better 2025 for all!

just a reminder: it’s okay if you get overwhelmed today. there’s a lot going on: noise, people, emotions. demands for your attention/energy. so take a few minutes. find a quiet space to catch your breath. check your phone. do a quick reset. you’re doing great. hang in there.

Brexpiprazole [Rexulti] (2-3 mg flex dosing) + sertraline (150 mg fixed) beat sertraline + placebo for PTSD symptoms in a large-scale trial published in JAMA Psychiatry (n=416; LS mean CAPS difference at 10 wks −5.59, 95% CI [−8.79, −2.38] P < .001). Dropouts high (35%+), but *more* in PBO group.

Brexpiprazole and Sertraline for Posttraumatic Stress Disorder

This parallel-design, double-blind, randomized clinical trial investigates if combination treatment with brexpiprazole and sertraline is efficacious, safe, and well tolerated in patients with posttrau...

jamanetwork.com

Thanks to @jonathanstea for sharing my story as both a mother and clinical psychologist grappling with my daughter’s breakdown when she was at university. I know it will help so many others who find themselves facing social media stigma when our family members are struggling.

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CARES is now through both houses of congress and headed to Biden's desk to be signed into law! Exciting to see that autism research will continue to be funded, but this wasn't without a *significant* lift on all the advocacy orgs' parts. thearc.org/blog/autism-...

The Autism CARES Act Has Passed!

This victory represents a critical step forward in addressing the needs of people with disabilities. Here's what this legislation means.

thearc.org