Dr David Foreman

What follows is an archive of some of the contributions made to social media by Dr David Foreman, Child and Family Psychiatrist. The full and necessary context for all of these contributions can be found on the author’s twitter timeline @Foreman1David where he introduces himself as follows: “Child(ish) psychiatrist: (New) Culture Editor BJPsych Bull., NICE TAC member. Enjoys debating & cocktails, planning to join science/culture dots & more.” The GMC Register confirms that Dr David Foreman is reigistered and licenced to practise and that his Responsible officer is Peter Lees, Faculty of Medical Leadership and Management.

This archive – which appears to present a pattern of language – has been shared for one reason alone: to encourage respectful and constructive communications by all.

In December of 2018 The Royal College of Psychiatrists and the British Psychological Society came together to confirm a common set of ideals and principles. These were published in the Lancet and included the principle that “good debate” should be “respectful and constructive”.

A reminder of the full set of Royal College of Psychiatrists values:

Dr Kate Lovett, the Current Dean for the Royal College of Psychiatrists, shared this advice on the 5th January 2020: “The General Medical Council are the medical regulator and have clear guidelines re use of social media. Most employers also have policies they require employees to abide by.”

The following statements have all been made openly on social media by Dr David Foreman:

Dr David Foreman [12 July 2017] “Pill shaming has become an art form”

Dr David Foreman [16 Sept 2019] “It’s often forgotten that the disorders ECT treats also produce cognitive impairments, which may be more severe than ECT’s”

Dr David Foreman [29 Sept 2019] “There seems to be a campaign to determine that Antidepressants are toxic and addictive, excessive certainty in disseminating preliminary results can cause harm”

Dr David Foreman [4 January 2020]  shared the following GMC guidelines: “35, You must work collaboratively with colleagues, respecting their skills and contributions;  36 .You must treat colleagues fairly and with respect; 37. You must be aware of how your behaviour may influence others within and outside the team.”

Dr David Foreman [9 January 2020]: “I agree we should be careful about language. If someone needs an antidepressant to remain symptom free then the dependence relates to the disorder, not the drug.”

Dr David Foreman [9 May 2020] “Bought this. Classic of the future: Medical Model in Mental Health by Dr Ahmed Samei Huda” and later said “Samei you have created a medical classic, and demonstrated that scholarship still matters.” [Personal comment: I disagree, this is my review of this Text Book.]

Dr David Foreman [24 June 2020] In a discussion about PHQ9 SCREENING tool “Most research suggests, unsupported, GPs miss most cases of depression”. [Personal comment: at the time of writing, nearly 1 in 5 Scots are on antidepressants, many of whom are taking them long term and beyond the period for which there is evidence base. England is not far behind in terms of prescribing antidepressants].

I would suggest that this comment, made in the BMJ by Richard Smith it’s former Editor is worth kleeping in mind: “Psychiatry seems to have lost its way… The response should not be to refuse to listen to criticisms… but to listen to and use them as a stimulus to deep examination of current practice.”