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Rational Psychiatry

Thomas Reilly

A monthly newsletter about psychiatric research.

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Substack
PricingOnly free issuesPublishesMonthly
Issues55Founded4 years agoLast Issue8 days ago
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Latest Issues

Are British psychiatrists racist, or not?

‘Why anti-racism kills’ was the headline in The Spectator. Similar sentiments were expressed in Unherd, The Telegraph, Wrong Side of History, and GB News. All refer to the Nottingham attacker, Valdo Calocane, who killed three people and inj...

8 days ago
19
11

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...
a month ago
24
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...

2 months ago
38
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....

2 months 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
62
19

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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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