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I would ask the Dr’s for the reasons, chances of success/improvement and evidence base for treatments. As they seem private, you may have a chance at actually getting a response. That would be my starting point, because I’d want them to show my how this was worth my time (and money).

And just asked the others to green light it. Which they did.

Stealing this. Might get it tattooed. Or email it to Paul Garner.

Mad how his personal view and the COFFI one, where he’s on the committee, are basically the same.

To be fair I think the headline here where they say “it’s not groundbreaking” would put off the casual observer. The tv/print news media made a big deal of it being amazing, groundbreaking etc patients crying with joy that to start out with “acktshually* it isn’t groundbreaking” sets the tone...

Did you eat lunch? - with adjustments I ate a bit less than usual* *Usually I eat three Mars bars and a Domino’s medium pizza with coke. Today I ate one less Mars bar. Am I thin yet?

I think you’re spot on actually. I think we road test these questions but instead of activity we say food!

You’re right. I’m so fed up of the fundamental misunderstanding that “today” isn’t a “new day” or “clean slate” it’s a day with a history of struggles, pain and symptoms. Every day is. This basic cookie-cutter approach has as much use as those diets you used to get in the newspaper/magazine...

I see the usual “are you stressed? don’t get stressed” tm NHS advice is at play here.

There is some thought and anecdotal evidence that GLP1 meds reduce impulsivity somehow. This seems to have possibilities for use with various addictions, possibly ADHD and I can see how it might help with bipolar. People seem to want something which works for one thing to cure everything these...

Again, it’s reinforced by society. They are doing “good” work and they are “good” people, middle to upper class, working in the NHS with the less fortunate.

Why would there be a top personality trait though? It’s a job like any job, and a range of people will study for it and progress in it. A personality trait isn’t requisite for the role, and even if it were, we all know lots of examples of people who don’t seem to be in the right line of work...

The problem is that BPS fits with the cultural hegemony, which makes it easy to perpetuate as people are primed to accept that healthy = good and so good=healthy, I am good and I am healthy, I must be healthy because I am good. This is why people have an absolute fit if they exercise and eat...

So it’s still a problem for women, it just isn’t the exact problem that was specified.

Only if you ensure you add “not all men” otherwise the debate gets hijacked by “I don’t do that/a woman was as bad/but <insert whataboutery>” there has to be about 75% of any debate of women’s issues overtaken by these diversions so the women don’t get to speak about what’s affecting them...

What about medications that aren’t predominantly prescribed to women? Where drugs are tested on men and women is that data separated? https://news.uchicago.edu/story/women-are-overmedicated-because-drug-dosage-trials-are-done-men-study-finds

That’s because you’re a man. Have you ever been advised to have a baby to resolve a medical concern? It’s not a race to the bottom, medical care is woeful but we also know it’s worse for women, and for people of colour and the disabled. There are a wealth of studies, a recent one on how women of...

It’s the same except you get random extra advice about having a baby or losing weight

People think “I can’t still be having these symptoms, I’m having a mental breakdown” I’ve spoken to medical doctors who have this and they think they’re having a nervous breakdown. They’re not, these are the symptoms of disease. Thanks Paul! Good to know people shouldn’t think it’s mental?

Maybe he’s an unreliable narrator/advisor/commentator