Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️ @DrChloeBeale Twitter profile

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

1 year

Links to read our @TheBJPsych Advances articles about mental capacity in practice. In paper 1, we tried to dig down into the test for mental capacity. Most clinicians know the '4-stage test' but how do we really assess it? @JamesLeeDavey @Capacitylaw 1/2

Mental capacity in practice part 1: how do we really assess capacity? | BJPsych Advances | Cambri...

Mental capacity in practice part 1: how do we really assess capacity? - Volume 30 Issue 1

www.cambridge.org

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

2 years

This is the face of a woman who finally worked up the courage to get rid of her tiny anorexia clothes and celebrated with a pint of cider

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

3 months

I'm all for reducing coercive practice but this trend in mental health services to place all responsibility on patients is dangerous and heartless. Expecting people who are scared, ambivalent, or just too unwell to know they are unwell to not only advocate for their own care 1/8

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

3 years

Dear med students & FY1s. When any senior doctor inevitably tells you about things being harder in their day just remember: you trained & qualified in a global pandemic. That’s something NONE of us at any level of seniority have experienced. So fuck ‘em. You’re a true badass

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

1 year

NHS mandatory training is offensively pointless. How is this a good use of anyone’s time?

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

3 years

If you’ve ever been bullied at work you will recognise the gaslighting that is going on now. She didn’t know she was doing anything wrong therefore there will be no repercussions. Hands up if this feels familiar? ‘Oh I know X can be difficult, they don’t mean any harm though’ 1/3

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

1 year

Hello, old friend. It’s been a while.

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

3 years

Tell me again about how people are being ‘rushed into’ transitioning decisions 🙄

Jacob People (he/him) 💙

@JacobPeoplee

3 years

The state of NHS Gender services are shocking

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

4 years

Being a MH professional with lived experience does not automatically make you better at your job Lived experience does not erase the power imbalance between you & your patients Mental illness is not a leveller; experience of illness & treatment is influenced by social factors

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

4 years

Some interesting stuff about clinicians as ‘wounded healers’ on Twitter; varied views and strong feelings. Nobody asked me, so I’m going to share my take on being a doctor with lived experience of mental illness (and treatment). This is a long thread >

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

1 year

My week has been an absolute smorgasbord of misogyny in medicine, a mix of personal experiences & those of friends/colleagues in both personal & professional lives. I am so SICK of it. I don't know how or when things will change because men are so protected, but I will say: 1/10

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

2 years

I have nothing to say about covid, mental health, work, Christmas, or Strictly. But here’s a photo of the terrifying fucker that CHARGED at me yesterday when I was out for a run

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

2 years

Clinicians should (when needed) assess capacity to consent to or refuse care & TREATMENT. Suicide is not a treatment decision. Self-neglect is not a treatment decision. Stop misusing legalese to justify inaction.

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

3 years

Thing is, there’s no use ‘scrapping’ BMI without investing in eating disorder services. ED specialists don’t want to turn people down, they are FORCED to prioritise the mostly physically risky patients because they don’t have enough resources. ED services need serious investment

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

3 months

but also navigate the minefield of gatekeeping rules and numbers that don't get answered and computers that say 'no' is such bullshit. And the worst thing is that I don't believe for one second that those at the top really think this is respect for autonomy 2/8

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

3 months

If I can't get a doctor to advocate for me, what the hell chance does anyone else stand in this shitty, broken system? 8/8

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

3 months

or empowering patients. It suits organisations to keep patients out. Patients who mess up their performance indicators, who are too difficult to help, who won't do as they're told, who have exhausted their compassion quota. And so many of us on the ground just can't be 3/8

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

3 years

I’d really like to see a joint medicine/psychiatry CPD event on the subject of mental health & nutrition. It’s not just about eating disorders (though important). Lots of mental disorders affect nutrition, & neuropsychiatric consequences of malnutrition are too often ignored

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

3 years

I wrote about exclusion and language and the lies we tell ourselves in #BJPBulletin

Magical thinking and moral injury: exclusion culture in psychiatry | BJPsych Bulletin | Cambridge...

Magical thinking and moral injury: exclusion culture in psychiatry - Volume 46 Issue 1

www.cambridge.org

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

3 months

I'm so sick of it. It is such hard work - currently for my team about 90% of the job - trying to get patients referred into the right services, all of which will put up as many obstacles as they can, asking endless questions about why they should have to take this patient. 5/8

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

4 years

This is asking for an inflammatory response

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

2 years

I think patients/carers/survivors have very good reason to be suspicious of co-production. It’s easy for clinicians to preach about the value of lived experience; MUCH harder to do true collaboration & really amplify unheard voices. I don’t know if anyone’s truly got it right 1/6

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

3 years

Something nice happened today. This is Kevin and Guinevere

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

3 months

And we honestly think that patients can navigate this when they 'decide' that they'd 'like to re-engage'? Shame on us. I've seen this exclusion in so many deaths or just deteriorations. Not just headline-grabbing ones. Every single day. 6/8

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

3 months

I'm a consultant psychiatrist with a lot of knowledge and experience navigating these waters. But when it comes to even my own health, it's a shrug, a prediction that the computer's gonna say no before anyone's even tried, and a 'what do you want me to do?' 7/8

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

3 months

bothered anymore. Saying 'no' before someone else says it to save ourselves the bother of a rejected referral. Resenting the people who come to us expecting that we'll know what to do. Forgetting that we're supposed to fight and advocate for patients. 4/8

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

3 years

@Nuzzzzie He needs reporting. He’s dangerous & he’s relying on the fact that you’re new & junior to get away with it because he is in a position of power & thinks you won’t dare report him. This is so much more common than anyone wants to believe. Please DM me if you want support/advice

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

2 years

I always think about doing a 🧵 for #EatingDisordersAwarenessWeek & then chicken out. But here goes. The @beatED campaign about doctors’ training is really important. Whatever the true ‘numbers,’ understanding of EDs is badly lacking. 1/10

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

1 year

I am a proud lesbian and fierce supporter of trans rights. To be DMed asking me to vote for someone in a college election on the basis of their wish to end the partnership with Stonewall is like DMing a turkey and asking it to vote for Christmas.

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

1 year

Women putting up with this shit every day, at home or work or both, maybe thinking you deserve it or if you just tried harder you'd be respected: I see you too. We don't deserve this, it shouldn't have to be inevitable, we shouldn't have to be grateful for basic respect 10/10

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

1 year

My FY1 asked if I’d ever run up Arthur’s Seat, which I hadn’t. I have now duly knackered my knees purely to try and impress the youth. Happy Christmas!

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

2 years

When I was having treatment for anorexia, I used all these mantras. I had little cards made to carry with me & put in helpful places. I don’t use them much now but they often turn up in random places, like the wardrobe just now. Sharing for anyone who might need some reminders

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

4 years

Why do we write ‘has capacity’ or ‘lacks capacity’ in patients’ notes without any documented capacity assessment? In just 15 years since the inception of the MCA, capacity has become distilled to a tick-box exercise in many clinical settings. 1/2

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

3 years

Well-meant offers of mediation, downplaying of behaviours, emphasising the perpetrator’s good qualities in the name of balance, seeing ‘both sides’ - it all adds to the sense of not being believed, which is what bullies rely on. It’s gaslighting. 3/3

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

3 years

In today’s edition of ‘A liaison psychiatrist screams into the abyss’: DOLS is not something you apply only if a patient is trying to leave hospital. More of the same next week.

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

4 years

I’d like to campaign for certain words and phrases to be banished forever from the psychiatric lexicon. Starting a list, with explanations. Please join in. ‘Medically cleared’. This is obvious, right? People (including me) have written whole articles about it. @rcpsych

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

1 year

Well done to everyone who spoke up about this and continues to do so. We've got a long way to go but your collective voices are being heard

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

3 years

Translation: you’re being over sensitive. Other people can handle it. ‘I’ve never personally had a problem with X, they’ve always been fine with me.’ Translation: you must be the one with the problem. ‘Oh that’s just X’s way’. Translation: suck it up, buttercup 2/3

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

3 months

All MH professionals should read this, and have a strong word with themselves as soon as they start to feel defensive. This is real, this is happening to some degree in every service, and we turn a blind eye because a discharge or 'gatekeeping' is supposedly a success

Wren

@jaunty_aphorism

3 months

I recently had a paper published by the Journal of Psychiatric and Mental Health Nursing, about my experiences of harm in mental health services; how this caused me to self-discharge; and my life now as a "service-avoider". It's available here:

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

2 years

Group of teenage boys tried to scare me as I ran home tonight (alone). Jumping out, shouting in my face, blocking my path and laughing at me. Yells of ‘fucking dyke’ behind me as I continued on my way. Guess not everyone likes my haircut.

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

1 year

Meaningless soundbite. We all know this is impossible so how will services get round the 28-day target you inevitably impose on them (with sanctions for failure)? By further tightening the definition of 'all who need it'. Those four words are exclusion in disguise. Do better

Dr Rosena Allin-Khan

@DrRosena

1 year

The next Labour Government will guarantee mental health treatment within a month for all who need it. Prevention as our watchword. Better mental health for all.

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

2 years

“If you don’t properly fund mental health care, it becomes about who is best at restricting access to services” Stark truth from Allyn Thomas speaking at @PHMMSc today

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

4 years

“Behavioural”. It means NOTHING. All behaviour is behavioural. It’s used (incorrectly) to distinguish between behaviour we’ve decided someone can’t help because they’re psychotic, confused etc, & behaviour that we’ve decided is under conscious control. It’s a value judgement

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

4 years

These are my truths. Here’s a picture of a cat who does not trouble himself with such matters.

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

2 years

Can confirm my usual Tuesday morning breakfast at Gail’s has been ruined by the appearance of fucking calories all over everything.

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

2 years

Can anyone please recommend up to date research/writing on utility of inpatient care for ppl with personality disorder diagnosis? Esp around developing ‘dependency’ on care? It’s something that gets repeated a lot as an argument against admission but am unsure of evidence base 🙏

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

1 year

Major trauma caused by cars is minimal, study suggests. (Study excluded moving cars)

BBC News (World)

@BBCWorld

1 year

Mental-health crisis from pandemic was minimal, study suggests

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

3 years

Tough day but coming home to my wee mountain goat makes it better ❤️

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

2 years

Sometimes this job is just so, so hard.

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

2 years

Me, with terror in my eyes: ‘I don’t have to stay awake till midnight do I?!’ Partner, looking aghast: ‘GOD no’ And this is why we are together

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

2 years

Got fresh hair and fresh nails and I’m ready for a break. Signing off for a bit of a recharge & social media detox

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

2 years

(Sweaty) Girl With a Number of Earrings

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

3 years

Imagine an oncology service that was so under-resourced that patients with early stage cancer were told they couldn't access treatment until they had lymph node spread. Parity of esteem is a fantasy.

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

2 years

Oh this is awful. @rcpsych come ON. If you want to talk about what is ‘defensible’ - it certainly isn’t this.

Michael Birtwhistle

@SalfordMH

2 years

@cmackenzies It's not an advert that gives any confidence in the speakers' ability to engage with people as humans. The rest of the advert is also awkward and aversive. Some of the objectives look promising but it's left me with a sour feeling of distaste. Needs a rethink.

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

2 years

Millennials who are very cavalier about not having children: you carry on. I am in my 40s and I love being childless. Not because I’m sexy & fun, but because I’m knackered enough as it is without offspring.

Shane Morris

@GShaneMorris

2 years

Millennials who are very cavalier about not having children are in for a shock when they enter their 40s & realize life is only half over. What do you do at that point? Keep trying to be sexy & have fun? I expect to see a lot of sadness & confusion about what to do at that point.

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

1 year

I SEE YOU, male doctors who would put patients at risk rather than defer to the expertise of a female colleague. I SEE YOU, men who roll their eyes behind my back at the hysterical woman making a fuss about nothing, who dismiss my accusations of sexism as overblown 2/10

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

2 years

Arrived home today whilst on the phone about work. When I’d finished my partner said in admiration/surprise: ‘you sounded like a proper adult!’ Later, as we shifted a new toilet, we remarked on how grown-up we’re being at the moment. Readers, we have a combined age of 102.

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

3 years

We should stop talking about complex patients and instead talk about simplistic services. Because that’s the problem.

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

4 years

As long as serious incident reviews and inquests focus solely on individual human factors and not systemic/organisational, the potential for learning and improving will be limited and the process will always be experienced as adversarial 1/2

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

1 year

I absolutely love these two candid shots of me taken before and after Saturday’s ultra. They’re not pretty or flattering but I think I look self-possessed and strong, and that makes me very happy ❤️

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

3 years

In illness of any kind, support melts away after the acute phase. People expect you to be happy to be better & back to ‘normal’, & of course you ARE, but you still have the trauma & fear & guilt. You have to act as if everything is normal when actually everything has changed 1/5

Cara Lisette

@CaraLisette

3 years

Something I don’t see talked about very much is the anxiety that comes after an episode of mental illness. Even when I am not manic/depressed or in an anorexia relapse I still feel very anxious about the fact that one of those things might/will happen again at some point.

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

2 years

Tell me again how mental health is just as important as physical health. Tell me again how people should ‘ask for help’ because there is no stigma. Tell me again why life expectancy for people with certain mental illness is significantly less than the general population.

Bela Lugosi’s bed

@nimbus_nought

2 years

In tears trying to book a blood test, as instructed by my GP. The GP’s surgery won’t do it because they have a policy of not doing blood tests for patients of the psych hospital up there road- and I am one. This is because their staff are ‘not trained’ to deal with us. 🙄 1/

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

3 years

This calls for a wellbeing app and a social media campaign telling everyone it’s ok not to be ok

The Guardian

@guardian

3 years

Extent of mental health crisis in England at ‘terrifying’ level

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

3 years

If you’re going to accuse a woman of lying about being suicidal, a woman of colour of lying about racism, blame a woman for her husband’s decisions, then do us all a favour & keep any #IWD platitudes to yourself. You are part of the problem.

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

2 years

‘Respect for autonomy’ has become an insidious, toxic way of denying vulnerable people support because it’s less hassle to just leave them to it. In every aspect of health & social care.

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

2 years

Important point from @roch61 about how diagnostic sticky labels (eg personality disorder) can blind clinicians to other mental illness, with fatal consequences. Context here is perinatal illness but highly applicable to other patients too #RCPsychIC #RCPsychIC22

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

2 years

The moment my whole life has been building up to: @Capacitylaw invited me to chat in the shed. I will probably never top this honour.

Alex Ruck Keene

@Capacitylaw

2 years

Suicide and the (mis)use of capacity – in conversation with Dr Chloe Beale

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

2 years

This is the kind of representation I want to see for my profession and our patients. Thank you @DrLadeSmith

BBC Question Time

@bbcquestiontime

2 years

“Junior doctors are leaving, they’re demoralised... and because they are some of the most highly trained doctors in the world, people are begging for them” This consultant psychiatrist outlines problems facing the NHS and cites a “massive workforce crisis” in her sector #bbcqt

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

2 years

On my way north on almost no sleep last night due to a sudden bout of #RCPsychIC -related anxiety.

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

3 years

This is the most misguided campaign I’ve ever seen. I’ve heard many of these things or similar, very often from people who are mentally unwell and terrified. No, it’s not ok to abuse staff, but taking quotes out of context & shaming vulnerable people is appalling @NHSScotland

NHS Grampian

@NHSGrampian

3 years

THREAD // ⚠️ CW / TW - viewer discretion advised These images show just a small selection of the abuse doled out to health & social care staff in our call centres and on social media. @HSCAberdeen @HSCPshire @HSCMoray

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

1 year

I SEE YOU, managers complicit with sexist behaviour, trying to smooth things over with faux concern before opining that there must be fault on BOTH sides. I SEE YOU, men who would rather support their bros than stand up to them, who offer mediation rather than discipline 3/10

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

1 year

I SEE YOU, men who try to be allies but stop short of calling out discrimination for what it is because they want to be everyone's friend (no woman has the luxury of being everyone's friend). I SEE YOU, senior consultants known for being sexually inappropriate with juniors 4/10

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

1 year

I SEE YOU and your fragile ego, every man who sends unsolicited mansplaining emails, who can't bring himself to congratulate a female colleague's achievement without saying "but look what I did!!" I SEE YOU speaking to clever, accomplished women like they're 4 years old 8/10

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

3 years

I know there’s bigger things happening in the world, but today we said goodbye to Mr Bojangles and my heart is a little bit broken #CatsOfTwitter

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

1 year

Once again, Wren says it so much better than I can. I have said so many times: “who are we really trying to keep safe?” We (MH services & clinicians) make ourselves the victim. So much of what happens is about protecting ourselves

Wren

@jaunty_aphorism

1 year

I've been risk assessed a lot recently. It's not been much fun. I wrote this blog post about "risk aversion" in mental health services, to consider whose risk is actually being assessed and avoided - patients' or professionals'?

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

3 years

@DrSueMoss It’ll be eight years on Tuesday. Photo credit to the wonderful @SaysKat 💕

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

2 years

Iatrogenic harm should always be considered as part of a risk assessment

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

3 years

I know people will be lamenting the end of summer, but the slight chill and mist in the early morning air with the promise of autumn round the corner makes me happy

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

1 year

I SEE YOU, knowing you will always get away with putting your hands and your propositions where they're not wanted because female trainees are scared of harming their careers by calling it out. I SEE YOU, everyone who ever said "oh he's just like that" 5/10

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

1 year

The men who have bullied, undermined, dismissed, patronised and groped me and done far worse to so many more: I SEE YOU. I see you and your kind at every level of seniority, I see you when you think I don't, and I see that others see you too. 9/10

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

1 year

I SEE YOU, men who like to present themselves as woke supporters of women, undermining your female colleagues behind closed doors, backslapping and going drinking with your bros. I SEE YOU promoting and protecting each other, giving each other awards & accolades 6/10

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

4 years

‘Gate keeping’. How is this so widespread? Patients are not unwelcome intruders who should be prevented from breaching our defences! We are talking about vulnerable people and whether or not they can be admitted to hospital or otherwise access care. This language is not ok.

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

4 years

It’s not just psychiatry - it’s very widespread. As a liaison psychiatrist I challenge a lot of referrers who say things like “we’re not sure if it’s just behavioural”. I tend to ask directly what they mean by “behavioural” or tell them that all behaviour is behavioural. 1/2

Nuwan Dissanayaka

@nuwandiss

4 years

“Behavioural” is an ignorant word used by clinicians in psychiatry designed to avoid any attempt at understanding and helping a person who is clearly in distress

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

1 year

@autisticpuffin @Madnotbad60 Please be assured that a number of us within the college were opposed to its message, some tried to stop its publication. The eventual compromise was that a (critical) response was allowed to be published alongside it. It’s awful.

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

4 years

Suicide rates in females under 20 are the highest they’ve been in 40 years. Incredibly sobering statistic from @ProfLAppleby in @NCISH_UK webinar today.

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

3 years

I think my own mental health requires that I take a Twitter break for a little bit. I'm ok, just want to make sure it stays that way

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

4 years

Risk assessment nonsense: “Guarantee their safety” “Fleeting suicidal thoughts” “Low risk” All phrases whose purpose is to allay the clinician’s own anxiety rather than to reliably predict risk.

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

2 years

Is anyone else completely sick of giving/hearing online talks? I’m trying to be understanding, think of the environmental & infection control benefits plus those for whom online is easier for any reason. But I just want to interact with an audience. I don’t enjoy this 🙁

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

4 years

First of all, all of us, whichever angle we’re approaching from, would do well to remember the human beings in all of this. Whatever you think about clinicians who share their experience and whatever they call themselves, they are humans with vulnerabilities. Be kind >

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

3 years

I wrote a small thing about stuff

BMJ Patient Editor

@BMJPatientEd

3 years

"Several people have called my actions “courageous”; various others have suggested that I would be a better psychiatrist for this new insight I’ve gained into my patients’ experiences. I vehemently disagree with both views." #BMJOpinion by @DrChloeBeale

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

2 years

I honestly didn’t think I’d ever get here. Bar a brief lockdown relapse, I’ve been a healthy weight & discharged from ED services for almost 3 years. Still never really thought I’d let go of the desire to be underweight again

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

3 years

Hello, I’m a psychiatrist in a medical drama. I analyse everyone, have inappropriate relationships with my patients, and occasionally eat them.

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

2 years

This seems incredibly common with personality disorder diagnosis in particular. The fact that THIS diagnosis is something you can’t face sharing with the patient you’re labelling speaks volumes about what you think of them & what this label means to you.

Emily♡

@ItsEmilyKaty

2 years

Dear professionals. If you diagnose someone with something, tell them. I’ve heard so many people say they found out their diagnosis in a letter not even addressed to them. I found out I was (mis)diagnosed with a personality disorder in a discharge letter. Please tell them.

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

11 months

Lovely time discussing ‘Is Psychiatry Working?’ with @FemiMind and @HoratioClare at #HayFestival2023 today! (Spoiler alert: no it isn’t)

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

10 months

Anyone who cares about the dignity & care of psychiatric pts should be deeply disturbed by this. Surveillance is NOT a solution to dangerous staffing levels or poor treatment. This is another measure designed to protect staff under the guise of protecting patients @StopOxevision

National Survivor User Network

@NSUNnews

10 months

Almost 350 people have signed the @StopOxevision petition. Please continue to share and sign to ask @NHSEngland and mental health trusts to halt the rollout of @Oxehealth 's Oxevision surveillance technology whilst an independent review is conducted:

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

1 year

Lea Valley 50k.

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

1 year

I SEE YOU, men who coerce and abuse the women in their personal lives before taking to the public stage to denounce such actions. We see you. 7/10

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

2 years

STOP. STRATIFYING. SUICIDE. RISK.

louis appleby

@ProfLAppleby

2 years

Unequivocal on risk assessment tools in today’s self-harm guidance from @NICEComms . My colleague Nav Kapur was expert adviser.

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

3 years

I forgot myself momentarily and started tweeting about psychiatry again. I do apologise. Here are the kittens.

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

2 years

Remember how at the end of the year Twitter was all ‘three things I’ve achieved in 2021’? Yeah well I’ve eaten 54 Cadbury Creme Eggs so far this year and it’s still over a month till Easter.

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Dr Chloe Beale 🏳️‍🌈🏳️‍⚧️

@DrChloeBeale

2 years

Compelling arguments presented for letting patients record consultations, in a really engaging talk. If we don’t worry about people’s capacity to consent to us taking notes, why do we fret about their capacity to make their own recording? #RCPsychIC #RCPsychIC22

Royal College of Psychiatrists

@rcpsych

2 years

Next up is Dr Adeola Akinola from Pennine Care NHS Foundation Trust, University of Manchester speaking on ‘Clinical and ethical considerations for the recording of mental health consultations’ #RCPsychIC

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