Reletter
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Rational Psychiatry

Thomas Reilly

A monthly newsletter about psychiatric research.

Platform
Substack
PricingOnly free issuesPublishesMonthly
Issues54Founded4 years agoLast Issue19 days ago
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rationalpsychiatry.substack.com
Artwork for Rational Psychiatry

Latest Issues

For your attention, May 2026

Journals

  1. Women and psychosis: a guide to evidence-based, hormone-informed care. My colleague Bodyl Brand has written a Lancet Psychiatry article (I’m a co-author), arguing that our approach to psychosis cannot be sex-neutral. We nee...
19 days ago
23
6

Pregnancy sickness isn't psychological

My wife was sick throughout both her pregnancies. It’s not an exaggeration to say she vomited every day and struggled to eat a meal without retching. She tried various anti-emetics - cyclizine, metoclopramide, ondansetron - with little succ...

a month ago
36
10

For your attention, April 2026

Journals

  1. Automating thematic review of prevention of future deaths reports: concordance study of a child-suicide analysis using large language models. Very practical use of LLMs from my old registrar, now Professor Dan Joyce.

2....

a month ago
26
6

Against introspection

Does this look like a man with no inner world?

Marc Andreessen, the venture capitalist and tech mogul, has been widely ridiculed for not introspecting:

You don’t have any levels of introspection?

Yes. Zero. As little as possible....

2 months ago
60
19

Hidden milestones

I passed my DPhil viva.1 Adam Rochussen will tell you this doesn’t mean much, but it meant something to me.

This final milestone of my DPhil journey was surprisingly enjoyable. My internal examiner Beata Godlewska had done each of my asse...

3 months ago
56

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  • Thomas Reilly

    I'm a psychiatrist doing a DPhil at the University of Oxford, interested in how hormones affect mental health. These view do not represent my employers, funders, or professional bodies. Leave me anonymous feedback - admonymous.co/thomasreilly

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