Nuwan Dissanayaka @nuwandiss Twitter profile | Pikagi

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Nuwan Dissanayaka

@nuwandiss

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1,206

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Consultant Psychiatrist Leeds Assertive Outreach Team, Buddhist and proud dad. Thoughts are my own (as much as we can ever own our thoughts!)

Leeds, England

Joined September 2013

Don't wanna be here? Send us removal request.

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@nuwandiss

Nuwan Dissanayaka

5 years

Voices from Assertive Outreach are seldom heard. Here is Conrad and his mum talking about their experiences. If you’ve got a couple of minutes the full video is here

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Assertive Outreach Team - Conrad Tuttin's story

Here's Conrad telling his story about how our Assertive Outreach Team have helped him to stay out of hospital, giving him and his mum the freedom to enjoy th...

www.youtube.com

@LeedsandYorkPFT

Leeds & York Partnership NHS Foundation Trust

@LeedsandYorkPFT

5 years

Conrad talks about our Assertive Outreach Team and how they helped him stay out of hospital, giving him and his mum the freedom to enjoy their life together. Watch the full video: . Thanks to @endstigmaleeds , Conrad and Pat and @nuwandiss #MentalHealth

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@nuwandiss

Nuwan Dissanayaka

4 years

For anyone who’s ever said “But where are you really from?”

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Nuwan Dissanayaka

19 days

She may look different and she may have an MBE but Rachel Riley is no different to this guy Both jumping to attribute the attacks in Australia to Islamism without justification Hateful and divisive

@TRobinsonNewEra

Tommy Robinson 🇬🇧

@TRobinsonNewEra

20 days

It’s not a major incident , it’s fucking JIHAD

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Nuwan Dissanayaka

1 year

. @BBCNews is there a reason why you are not giving this huge junior doctor protest the airtime it deserves? This would seem important especially given the current questions about your impartiality

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Nuwan Dissanayaka

4 years

Seen on FB Have a word with yourself! Do you think NHS workers are travelling to work every day in their uniforms? 🙄

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Nuwan Dissanayaka

10 months

Wow! Finally someone said it to her on TV 👏🏽👏🏽👏🏽

@implausibleblog

Farrukh

@implausibleblog

10 months

"The magazine Kate Andrews works for was owned by that Barclay fellow who lives in Jersey and doesn't pay tax here.. It poisons our national conversation to have these people who don't live here and don't pay tax here having such a powerful voice. Social media gives a voice to…

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Nuwan Dissanayaka

1 year

A little reminder for those with amnesia who blame nurses instead of the Tories for putting patients at risk

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Nuwan Dissanayaka

1 year

. @BBCNews why was this not newsworthy? The majority of the public (who pay for you) support the junior doctors You know that right?

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@nuwandiss

Nuwan Dissanayaka

7 months

The very ill people I see in psychiatry miss lots of appointments Because they are very ill

@PippaCrerar

Pippa Crerar

7 months

Rishi Sunak’s leadership pledge to fine people £10 for missing a GP or hospital appointment is also understood to be back on table…

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Nuwan Dissanayaka

3 months

This goes entirely against the ethos of my field Assertive Outreach Even a rudimentary understanding of severe mental illness is enough to know that some people who are very ill either can’t/won’t engage Engagement is a two way street and removing support is simply unethical

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Nuwan Dissanayaka

1 year

“Personality Disorder” is not an area I specialise in but the last few days has been exhausting dealing with the prejudice from clinicians around this diagnosis. It certainly is a diagnosis of exclusion

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Nuwan Dissanayaka

2 years

“We don’t need any more psychiatric beds” Said nobody ever on the frontline who knows how poorly the people are on acute wards these days Or anyone faced with having to keep similarly ill people in the community with unacceptable levels of risk What do these people know?

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@nuwandiss

Nuwan Dissanayaka

4 years

My 15 year old just told me that when he plays for the cricket first team “old White men” sledge him calling him a Paki and making jokes about bacon (thinking he’s a Muslim) Go on then, tell me #racism is much better these days 🤷🏽‍♂️

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@nuwandiss

Nuwan Dissanayaka

1 year

Exactly this The argument that Johnson put forward that hosting leaving drinks gatherings was an essential part of his job during the restrictions is ridiculous and deeply offensive

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@nuwandiss

Nuwan Dissanayaka

5 years

Every psychiatrist with any integrity should be calling this out despite their worries about being “political” especially those with influence. It’s truly disgusting for the most powerful man in the world to be spreading misinformation and worsening mental health stigma

@politico

POLITICO

5 years

Reporter: What executive actions are you prepared to take on guns? Trump: I do want people to remember the words 'mental illness'. These people are mentally ill.. I think we have to start building institutions again.. We can't let these people be on the streets

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Nuwan Dissanayaka

3 years

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@nuwandiss

Nuwan Dissanayaka

3 years

#NHSMail passwords 🙄

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@nuwandiss

Nuwan Dissanayaka

1 year

You and I weren’t treated like lackeys like today’s junior doctors You picked your side so don’t act like you’re still part of the medical workforce And for the record, it’s your appalling government’s neglect of the NHS and its staff that puts patients at risk

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Nuwan Dissanayaka

3 years

When you’ve known someone for years and get along really well, the death of a patient can feel like the death of an old friend. I respect the professional boundaries but that doesn’t stop it being just awful. Tough week 🥲

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Nuwan Dissanayaka

4 years

Pretty sure my boy has #coronavirus & our self-isolation makes it very likely I’m going to get it too But testing would really help me know for sure, if as an NHS consultant, I really need to be off for 2 weeks Instead, even if I get symptoms, I’m left guessing about immunity

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@nuwandiss

Nuwan Dissanayaka

19 days

Wonder if Rachel Riley, Julia Hartley Brewer and Tom Tugendhat will be retweeting this? Probably as likely as Tommy Robinson doing so

@BladeoftheS

BladeoftheSun

19 days

Faraz Tahir was the only Muslim involved in the Sydney attacks yesterday. He was the Security Guard who tried to stop the attack and he became the only male victim. Spread his name, his sacrifice saved many lives.

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Nuwan Dissanayaka

4 years

Don’t hate me in my hoodie 🙏🏽

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Nuwan Dissanayaka

3 years

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Nuwan Dissanayaka

4 years

I accepted a parcel for a neighbour. The delivery driver didn’t ask my name but put a card through her door. It said her parcel had been signed for by “Patel”. When she told me she said she was disgusted and had already put a complaint in. That’s what White allies do 👍🏽

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Nuwan Dissanayaka

3 years

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Nuwan Dissanayaka

5 years

Meet my patients who've been left out of the mental health conversation | Society | The Guardian

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Meet my patients who've been left out of the mental health conversation

Vinny has been violent, Leanne hears voices, and Harry is paranoid. How does the vogue for wellbeing help those with serious mental illness?

www.theguardian.com

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Nuwan Dissanayaka

3 years

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Nuwan Dissanayaka

4 years

@alderton_liz And this doesn’t capture second waves...

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Nuwan Dissanayaka

3 years

Maybe #MentalHealthAwarenessWeek could include *something* about Severe Mental Illness Stigma, exclusion, poverty, homelessness, exploitation and abuse and premature death might not make for pretty posters or catchy tweets ...but it’s the reality I see every day

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Nuwan Dissanayaka

1 month

. @DavidLammy throughout your show you have referred to mental illness as mental health They are not the same thing The pervasive conflation of mental illness, mental health and “wellbeing” is a big part of the mess we’re in (Oh, I’m a psychiatrist btw)

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@nuwandiss

Nuwan Dissanayaka

4 years

Got the green light to see my kids today Happy happy happy ☺️

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@nuwandiss

Nuwan Dissanayaka

3 months

Every mental health trust had an Assertive Outreach Team in the past The context to the tragic story here is very familiar to staff working in my field

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Nottingham attacks: Triple killer had history of mental health problems

A court hears Valdo Calocane had been detained four times before the fatal attacks in Nottingham.

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@nuwandiss

Nuwan Dissanayaka

4 years

Didn’t realise my article was published in the Yorkshire Evening Post last week until a patient in clinic told me “It was fantastic!” So kind & it means everything @LeedsandYorkPFT @munro_sara @DrSueP1 @skalidindi1 @DrG_NHS @raj_psyc @wendyburn @DrAdrianJames @originalbboland

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Nuwan Dissanayaka

1 year

Why are people too thick to see the Tories’ NHS strategy? @wesstreeting @Keir_Starmer you need to do better at pointing this out rather than courting Telegraph readers

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Nuwan Dissanayaka

3 years

So, now we’re looking to diagnose Personality Disorder at the age of 6? Why not go all out and label people in utero? 🙄

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Nuwan Dissanayaka

2 years

The conflation of mental well-being and mental illness disadvantages those with severe illness And those in charge of the redesign of mental health services seem to be very ignorant of this This doesn’t bode well

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@nuwandiss

Nuwan Dissanayaka

1 month

How many of us recognise this? • No beds • Inexperienced staff/inadequate supervision • Poor understanding of psychosis • Snapshots with no appreciation of the nature of an illness • Communication failure • Managerial impotence SYSTEMIC

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Mental health trust failings contributed to Norfolk man’s death, coroner finds

Christopher Sidle was refused crisis admission to hospital despite warnings and died after self-harming

www.theguardian.com

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@nuwandiss

Nuwan Dissanayaka

5 years

My daughter’s first oil painting 💕

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@nuwandiss

Nuwan Dissanayaka

2 years

. @Femi_Sorry No idea how you stayed so patient with this man’s ignorance Which racist rock has he been living under

@Femi_Sorry

Femi

2 years

The Right think they can weaponise Kemi Badenoch's skin colour to pretend she can't be part of the UK's racism problem. With @iancollinsuk

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Nuwan Dissanayaka

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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Nuwan Dissanayaka

8 months

No comment about the individual circumstances here but… Sadly I don’t think this is just about mental health services being overstretched They were far less stretched when I was training 20+ years ago, but the culture was the same We are just not getting it right

@strugglingmeds2

strugglingmedic

@strugglingmeds2

8 months

Her last ever tweet, I don’t even know what to say- heartbroken doesn’t cover it and mental health services in this country are so unbelievably broken and overstretched, it’s so unfair💔💔

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@nuwandiss

Nuwan Dissanayaka

2 years

The truth behind Russia’s influence in UK democracy is more relevant than ever. This is well worth a watch

@PeterStefanovi2

Peter Stefanovic

@PeterStefanovi2

2 years

Boris Johnson’s Government trying to suppress the Russia report, misrepresenting its finds & ignoring all of its recommendations is all the more important this morning

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@nuwandiss

Nuwan Dissanayaka

2 years

We don’t just need more psychiatric beds We don’t just need better community MH services We don’t just need better resourced social care We need ALL OF THE ABOVE

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@nuwandiss

Nuwan Dissanayaka

4 years

I’m back 💪🏽 Thanks for all your kind words My job is amazing but every now and then something unbelievably sh*tty happens which brings the harshest of realities of SMI into sharp focus Lots of clinician bashing on here but we’re not robots, we care loads and we feel pain too🙏🏽

@nuwandiss

Nuwan Dissanayaka

4 years

Sometimes this job breaks my heart 💔

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Nuwan Dissanayaka

3 years

Spent my afternoon visiting patients who were for years repeatedly detained under the Mental Health Act Those days are long gone and they’re getting on with their lives. I dare any pen pusher to tell me Assertive Outreach done properly doesn’t work 👊🏽

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@nuwandiss

Nuwan Dissanayaka

11 days

Patients ‘begging’ for help as leak reveals thousands die under community mental health services | The Independent

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Leaked NHS figures reveal 15,000 died in care of mental health trusts in one year

Exclusive: NHS figures leaked by whistleblower suggest more than 15,000 patients died in care of community mental health services in just one year – with desperate families forced to ‘beg’ for...

www.independent.co.uk

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Nuwan Dissanayaka

1 year

Next week is the NHS is going to announce its plan to get millions off insulin or is it just necessary mental health medicine that’s being stigmatised?

@AllieHBNews

Allie Hodgkins-Brown

1 year

Thursday’s TIMES: “NHS plan to help millions stop using antidepressants” #TomorrowsPapersToday

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Nuwan Dissanayaka

3 months

The Trust involved here is not alone • Short term care • Poor recognition of the nature of SMI • Failure to engage *with* patients • Poor continuity between ward and community •Poor understanding of the MHA •Unrealistic expectations of GPs •And a lack of compassion

@nuwandiss

Nuwan Dissanayaka

3 months

This goes entirely against the ethos of my field Assertive Outreach Even a rudimentary understanding of severe mental illness is enough to know that some people who are very ill either can’t/won’t engage Engagement is a two way street and removing support is simply unethical

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Nuwan Dissanayaka

4 years

I wonder who of those saying we have enough psychiatric beds and that the patients there can mostly be looked after in the community has spent much time on acute psychiatric wards recently. The level of acuity might surprise them. But who are frontline clinicians to argue? 🤷🏽‍♂️

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Nuwan Dissanayaka

1 year

I’m pretty good at being pragmatic but right now I despair at the state of mental health services and the complete lack of care and compassion for some patients

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Nuwan Dissanayaka

2 years

@egsteve1 . @wesstreeting Maybe he just needs to focus a little more?

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Nuwan Dissanayaka

2 years

Maybe the senior commissioners responsible for slashing mental health beds (and consistently telling clinicians we were just using them inefficiently) should be made to accept similar sleeping arrangements until they think again…

@AshcroftBen

Ben Ashcroft

2 years

Got moved to Barnsley last night. Told I had a room. Get here and no bed. Put in a room with a mattress and chair and told I can't leave it for at least 2 days. This is an absolute piss take. Been in Hospital since Wednesday. 36 hours in 136. Now here. Fucked off...

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Nuwan Dissanayaka

1 year

Our Assertive Outreach Team sees so many people like this & we are usually their only support I’ve unsuccessfully tried to highlight the need & wonder if even this awful tragedy will lead to meaningful change? Severe mental illness is being neglected

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Vulnerable woman lay dead in Surrey flat for more than three years

Laura Winham, 38, had severe mental illnesses and was ‘abandoned’ by NHS and social services, family allege

www.theguardian.com

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@nuwandiss

Nuwan Dissanayaka

4 years

When it’s cold and miserable it’s time to get cooking ☺️

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Nuwan Dissanayaka

3 years

Are all “Asian Others” having this for breakfast? If not, they’re missing out! 😋 Happy Sri Lankan New Year everyone 🙏🏽

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Nuwan Dissanayaka

4 years

Quote from someone using mental health services “If a White guy throws a chair they take the chair away ...but if a Black guy throws a chair they take the Black guy away” Yup. I’ve heard this before. And I’ve seen it happen Don’t tell me mental health services aren’t racist

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Nuwan Dissanayaka

3 months

@DrSdeG @LucyGoBag It also needs the right approach for those who are psychotic and too ill to engage with services My field, Assertive Outreach, exists for a reason and was scrapped in many places by short sighted managers trying to save 💰 CMHT is never going to be enough for some patients

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Nuwan Dissanayaka

5 years

I’m only a jobbing psychiatrist but my observation over the last decade is that the level of illness related risk in the community has increased massively. Cuts to community services, no beds and a culture of premature discharge are to blame. The rise in detentions reflects this

@ProfLAppleby

louis appleby

5 years

What is actual evidence that #mentalhealth services are risk averse? #MHAReview itself says it's anecdotal. In fact evidence tells us our problems are risk recognition, checklists, safety culture & dynamic, personal nature of risk.

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@nuwandiss

Nuwan Dissanayaka

4 years

Mental healthcare is critical right now. Like physical healthcare it’s a matter of life and death And contrary to some tweets I’ve seen colouring books don’t figure in my list of priorities

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@nuwandiss

Nuwan Dissanayaka

1 month

Possibly an unpopular view but I don’t think conflating mental illness, mental health and “wellbeing” has helped anyone’s understanding It has made Stride’s ridiculous comments easier to sell to those ignorant of the seriousness of mental illness Anyone filling PIP forms knows

@Telegraph

The Telegraph

1 month

🔴 Britain’s approach to mental health is in danger of having “gone too far” and “normal anxieties of life” are being labelled as an illness, the Work and Pensions Secretary has warned.

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Nuwan Dissanayaka

4 months

💯 We see a lot of very ill people with psychosis in Assertive Outreach who have been repeatedly discharged from community psychiatric services for “disengaging” They often reappear via a Mental Health Act assessment frequently after something bad happening

@drraja_

Raja Adnan Ahmed

4 months

When mental health clinic appointments are missed by patients, we shouldn't simply off-list them. As there is a possibility that the patient is too unwell to attend the appointment. People undergoing a mental health crisis may not have enough energy, motivation, or…

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Nuwan Dissanayaka

1 year

Is it just me or are there more deaths of young women in mental health services these days? I’m often confused by the current “expert” advice around “therapeutic risk taking” It just feels like risk taking which really isn’t working

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Nuwan Dissanayaka

5 years

After 22 years together today I had to say goodbye to my old friend Rocco 💔

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Nuwan Dissanayaka

2 years

Anyone think the NHS staffing crisis due to Covid isn’t a big issue? I’m on call today and you are wrong pal…

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Nuwan Dissanayaka

3 years

Seeing a fair few posts saying how much mental health services have improved in the last few years Have I imagined less beds, less staff, more detentions, more privatisation, patients warehoused in OOA placements, massive physical health disparities and institutional racism?

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Nuwan Dissanayaka

1 year

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Nuwan Dissanayaka

6 years

The diversity of Mental Health Tribunal panels needs serious attention. I’ve given medical evidence at four hearings this week and all but one of the panel members have been older white British men

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Nuwan Dissanayaka

4 years

Saturday tweet 😂

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Nuwan Dissanayaka

9 months

The reality is, when you go through the medical records of those diagnosed with personality disorder, chances are you won’t find a thorough assessment which evidences the diagnosis So this conversation about criteria is already beyond that poor level of assessment

@Keirwales

Keir Harding

9 months

Here's a thread no one has asked for looking at this from the recent #RCPsychIC conference. Is it BPD or CPTSD? Let's have a look 👇👇👇

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Nuwan Dissanayaka

10 months

Thoughts?

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Nuwan Dissanayaka

13 days

Knew a nurse who took a job doing work assessments She told me about the culture She’s a good person and didn’t last five minutes amidst that cruelty

@Shrink_at_Large

Dr Jay Watts

@Shrink_at_Large

14 days

"Specialist teams linked to the benefits system will instead assess the sick and decide how best to keep them in work." What DWP Health Assessors whose work is so bad that most claimants win at appeal? Who trigger so many with questions such as 'why haven't you killed yourself?"

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Nuwan Dissanayaka

1 month

Doctor demands overhaul of NHS psychiatric care after brother’s death | Psychiatry | The Guardian

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Doctor demands overhaul of NHS psychiatric care after brother’s death

Exclusive: Katie Sidle warns of more avoidable deaths without major changes after inquest identified missed chances to save sibling

www.theguardian.com

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Nuwan Dissanayaka

4 years

Giving people what they want rather than what we think they need might just work sometimes? Too much of this in the UK even before this crisis. Offering psychological and “well being” support without meeting basic workplace needs and addressing the root causes of burnout

@wendyburn

Wendy Burn CBE (She/her)

4 years

This is very interesting. Staff in China dealing with COVID didn’t want psychological intervention, they asked for more rest without interruption and enough protective supplies.

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Nuwan Dissanayaka

4 years

Coronavirus: 'Profound' mental health impact prompts calls for urgent research - BBC News No mention of the impact on those already living with psychosis The lack of parity *within* mental health services couldn’t be any clearer

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Coronavirus: 'Profound' mental health impact prompts calls for urgent research

Concerns over increased anxiety and isolation are already affecting the public, two surveys suggest.

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@nuwandiss

Nuwan Dissanayaka

11 months

The most mentally unwell are neglected by the conflation of mental illness and “well being” These measures won’t fix that Fix staffing yes but create enough beds, stop out of area private profiteers, fund community mental health teams and focus on physical health in SMI

@DrRosena

Dr Rosena Allin-Khan

11 months

Labour will revolutionise mental health treatment across the country. We will: 🗓️Guarantee treatment within a month 🚸Put a mental health specialist in every school 🏘️Put an open access mental health hub in every community 👩‍⚕️Recruit thousands more staff

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Nuwan Dissanayaka

2 years

Vegetarian option 🤣

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Nuwan Dissanayaka

3 years

Tell me you work in the #NHS without telling me you work in the NHS

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Nuwan Dissanayaka

4 years

An actual professional at work

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Nuwan Dissanayaka

3 months

And this is how far we’ve come Bland mental health awareness campaigns that ignore psychosis and mental health organisations who deny violence related to severe mental illness… Mean that when these tragedies happen demonisation and not compassion is still the go to response

@FHawksworth

Fliss Hawksworth

3 months

@nuwandiss I was appalled by the judges comments that the man should be punished when he's clearly ill and the system had failed.

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Nuwan Dissanayaka

1 year

Who pays these people to spout such drivel? Things are very tough in mental health services right now “We need more tech to tackle burnout” said no frontline colleague I know - ever

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Nuwan Dissanayaka

5 years

Going full on cat dad in anticipation of my kitten arriving. Oh dear 😬

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Nuwan Dissanayaka

7 months

@implausibleblog And here’s the ever so welcoming Tory London mayoral candidate…

@BestForBritain

Best for Britain

@BestForBritain

7 months

Tory mayoral candidate Susan Hall "does not recall" amplifying racist tweets and says she liked photos of Enoch Powell because she wants London to be free of traffic jams. "Some people are offended and some people aren't". This may be the greatest hour of radio ever. ~AA

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Nuwan Dissanayaka

3 years

I have seen nothing in the national plans for Community Mental Health Transformation that convinces me that anything has changed in improving the offer for really ill people with SMI who struggle to engage with services Why were they not prioritised?

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@nuwandiss

Nuwan Dissanayaka

2 years

Who funds the Institute of Economic Affairs? And why on earth does #BBCQT continue to platform them?

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@nuwandiss

Nuwan Dissanayaka

5 years

I’m not a Corbynite but it will be utter hypocrisy if those who slammed her awful deal and voted against her today vote for her tomorrow. How can such snakes be taken seriously?

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@nuwandiss

Nuwan Dissanayaka

3 months

Happens in mental healthcare too Endless cycles of unproven “innovation” instead of doing what we know works if we resource it properly

@HelenRSalisbury

Dr Helen Salisbury

@HelenRSalisbury

3 months

On keeping patients out of hospital and new 'integrated neighbourhood teams'. Could we just restore our district nurse numbers, down by nearly 50% in the last 15 years?

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@nuwandiss

Nuwan Dissanayaka

5 years

. @JeffreyGuterman please inform your countrymen and women - we don’t call Johnson “Britain Trump”, he was elected by 0.14% of the electorate and many of us don’t think he’s “a good man”, and we definitely don’t either like or need Trump over here

@BBCPolitics

BBC Politics

5 years

"We have a really good man who's going to be the prime minister of the UK now, Boris Johnson. He's tough, he's smart... they call him Britain Trump" Donald Trump compares himself to the new Tory leader, saying he'll do "a good job" as PM [tap to expand]

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@nuwandiss

Nuwan Dissanayaka

5 months

The fact that the young man reported to have ended his life on the #BibbyStockholm is a doctor who had a bright future ahead of him might be an inconvenient truth for hateful fearmongering racist politicians All life is precious but he doesn’t fit their stereotype at all

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@nuwandiss

Nuwan Dissanayaka

4 years

If you do can you please mention mental illness, particularly severe mental illness. Those I see with psychosis are struggling at the moment and completely crowded out of the conversation. And let’s have some new faces instead of the usual suspects who are always in the spotlight

@DrRosena

Dr Rosena Allin-Khan

4 years

Next week is Mental Health Awareness Week. I was thinking about hosting a couple of video chats with influential people who have spoken about mental health. Everyone would be invited to take part and feed into the discussion. What do you guys think?

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@nuwandiss

Nuwan Dissanayaka

2 years

Inpatient treatment is framed by those in charge as a failure of community services It isn’t, it’s often the right intervention And just like community care it should be tailored to the person, holistic, based on clinical need and have continuity with the rest of the system

@AgnesAyton

Agnes Ayton 💙

2 years

We need to reform inpatient treatment. It needs to be a part of integrated care pathway, with consistent psychological support. Not standalone.

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@nuwandiss

Nuwan Dissanayaka

1 year

GPs get a lot of stick on here and when I rang mine yesterday and got the usual “ring at 8am”, I was ready to join in… BUT I rang at 8am, GP was brilliant, sent for X rays and bloods. All done before lunchtime Don’t relish the likely diagnosis but can’t fault the service

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@nuwandiss

Nuwan Dissanayaka

4 years

Sorry but this is the moment I stopped taking anything Jenny Harries said seriously

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@nuwandiss

Nuwan Dissanayaka

3 years

After *numerous* unsuccessful visits, calls & contacts with concerned family I finally got to see a patient. Couldn’t tolerate me in the flat so we walked to a park. Love to know how this work which we take for granted in Assertive Outreach fits in the community MH service plans!

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@nuwandiss

Nuwan Dissanayaka

2 years

This is not a victory for diversity. As a British Asian I take no pride in this and it means nothing to me or my kids He’s a British Asian who has been quietly complicit with the most racist policies we’ve seen in a long time

@gabyhinsliff

gabyhinsliff

2 years

Britain is within touching distance now of having its first PM of British Asian heritage & whatever reservations you may have about Sunak/his politics, that’s a big moment. How many kids would get to grow up seeing that.

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@nuwandiss

Nuwan Dissanayaka

3 years

Don’t know a single frontline clinician who doesn’t agree with this Yet we’ve been gaslighted year upon year by centralised spreadsheet-loving non-clinicians whose stock response is to blame us for not using the available beds properly

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@nuwandiss

Nuwan Dissanayaka

3 years

If this is “woke” then count me *in* ✊🏽

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@nuwandiss

Nuwan Dissanayaka

5 years

Boris Johnson's idea that hard work cures mental illness is totally absurd - and a worrying indication of things to come || He’s clueless 🙄

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@nuwandiss

Nuwan Dissanayaka

4 years

Oh brother! There’s no hope for these Klan fools

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@nuwandiss

Nuwan Dissanayaka

3 years

Moving

Tweet media one

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@nuwandiss

Nuwan Dissanayaka

1 year

What a plank

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