#HealthXPh Transcript
Healthcare social media transcript of the #HealthXPh hashtag.
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See #HealthXPh Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Jarvin Tan @Jetlax Jarivn here, signing in for #HealthXPh |
 | Stephanie Miaco, M.D. @StephMiaco Good evening everyone! :-) Welcome to the weekly #HealthxPH tweetchat, on the prevention of Suicide. We're fresh from #HCSMPH2018 and we've missed you all week! Steph from the Philippines, hosting tonight's chat. How are you all doing? :-) https://t.co/WK6j1ZsAxb |
 | Helen Madamba @helenvmadamba Helen here, OBGYN of PLHIVs in Cebu, signing in for #healthxph tweetchat on preventing suicides. Good evening! https://t.co/sX359LoVKD |
| Stephanie Miaco, M.D. @StephMiaco @Jetlax Hi Jarvin! Good to see you here! :-) How are you? #healthxph |
| Stephanie Miaco, M.D. @StephMiaco @samcastaneda_ Thanks Sammy! :-) Good evening! #healthxph |
| Jarvin Tan @Jetlax I don't think I could have asked for a better week, so time to pay it forward! Here to talk about suicide prevention tonight! #HealthXPh #MoveForMH https://t.co/cufLZEgAkk |
 | Dr. Gia Sison @giasison Let’s do this! It’s about time we talk about what we can do to address suicide thanks for moderating @thestreetgazer! #healthxph |
| Helen Madamba @helenvmadamba @thestreetgazer Hi there Stephanie! Very relevant issue pervadin society today... glad we're talking about this on #healthxph |
| Stephanie Miaco, M.D. @StephMiaco @helenvmadamba Hi Doc H! :-) Very pretty! :-D How are you? And I'll say it again, I love your look! #healthxph |
| Jarvin Tan @Jetlax @thestreetgazer That thing I pm'd you po is very much a go now! We're gunning for an August MOU signing and I'm just super excited <3 #HealthXPh |
 | Ourlad Tantengco @drdrlads Dropping by the #healthxph chat tonight. Lads, medical student from the Philippines. But now here at Izumi, Osaka! |
| Stephanie Miaco, M.D. @StephMiaco @helenvmadamba Thank you! Looking forward to get insights from everyone's side of the healthcare "pond". #healthxph |
| Stephanie Miaco, M.D. @StephMiaco @Jetlax Bravo! I super feel the good vibes from you! :-) haha! #healthxph |
| Jarvin Tan @Jetlax RT @giasison: Let’s do this! It’s about time we talk about what we can do to address suicide thanks for moderating @thestreetgazer! #healthxph |
 | Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba Good Saturday all. I'm Shereese tweeting in from Maryland, USA #healthxph https://t.co/dBXy80m6iK |
 | Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Chuck! Here for #healthxph (and just tweeted wrong link!, which I deleted, will try again!) https://t.co/oncK9JbiUE |
 | Iris Thiele Isip Tan MD, MSc @endocrine_witch Hello #HealthXPH ! |
| Stephanie Miaco, M.D. @StephMiaco @drdrlads Ahh! Japanese for now, eh? Super good to hear from you lads! I hope everything is well over there! :-) #healthxph |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Chuck, #Ohio, 4 #healthxph tweetchat on #suicide BTW I'm hosting related #socialVR event in August: Can #VR Combat Loneliness? #PublicHealth Perspectives @AltspaceVR Noon, August 22 EDT https://t.co/F3QAFO6CoM #HealthSystemsChat Pls register to attend: w/ OR w/o headset! #2018PHI |
| Stephanie Miaco, M.D. @StephMiaco @Jetlax Great! The last message I got was putol pa... :-) But will check again! :-) #healthxph |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch @ShereesePubHlth Hello Shereese!! #healthxph |
| Helen Madamba @helenvmadamba @thestreetgazer Thank you very much Stephanie, I was among beautiful people today... attended a wedding of our friend #healthxph https://t.co/3xLqCUExCs |
 | 𝓛𝓲𝓼𝓪 t. 🐳🗺🧭 @rheumarhyme 今晩! Good evening, #healthxph! |
| Helen Madamba @helenvmadamba @Jetlax @thestreetgazer Hi Jarvin! #healthxph |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch @drdrlads Hello Lads!! #healthxph |
| Stephanie Miaco, M.D. @StephMiaco @raymondnaguit @Youth4MH Hello RJ! :-) Fellow Siszt.. and babyfaced edition ng #healthxph. haha. Good to see you! #healthxph |
 | Winlove Mojica, MD @theskinsensei @thestreetgazer Mabuhay! Winlove here, Dermatologist from the Philippines! 👑 #HealthXPh |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @endocrine_witch Hello #Healthxph https://t.co/xOTeO5O4G9 |
| Helen Madamba @helenvmadamba @Jetlax Share with us your advocacy and what we can do to help with suicide prevention #healthxph |
| Stephanie Miaco, M.D. @StephMiaco @giasison HI Doc Gia! :-) Thanks! And good to see you too! :-) #healthxph |
| Jarvin Tan @Jetlax @helenvmadamba @thestreetgazer Hello po Doc Helen! Nice to see you tonight #HealthXPh |
 | Jerome Cleofas, PhD, RN (he/they) ♥️🧡💛💚💙💜 @SocioJCleofasRN Hello! Jerome here! Nurse and health social scientist from Manila :) Happy Saturday Evening sa lahat! #healthxph |
 | Silakbo PH @SilakboPH Hello Doc! Hello Twitter! This is Rissa (@rscrnl) of Silakbo PH signing in for #HealthxPH. Tonight's topic is quite sensitive, but necessary to engage in discourse about. https://t.co/5Jza3XjUSw |
| Stephanie Miaco, M.D. @StephMiaco @theskinsensei Hello Winlove! :-) #healthxph |
| Ourlad Tantengco @drdrlads @thestreetgazer Hai siszt. Doing great here in Japan. Am staying with Filipina poster parent on weekends, it helps me not to be homesick #healthxph |
| Jarvin Tan @Jetlax Excited to discuss this important issue tonight, esp among the youth! #HealthXPh #MoveForMH https://t.co/0o3f76nmqj |
| Ourlad Tantengco @drdrlads @endocrine_witch Hi Maam Iris! #healthxph We have a great topic tonight. Excited to learn from everyone |
| Helen Madamba @helenvmadamba @ShereesePubHlth @endocrine_witch hello there Shereese! I had a very toxic week, with very little sleep and patients in critical condition... glad I got a day respite from the hectic pace. Missing my Siszts from #healthxph #sepanx! How was your week? |
 | Youth for Mental Health Coalition, Inc. @youth4mh Join the discussion tonight! Use #HealthxPH to participate. https://t.co/KVv3T6erw5 |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch Miss the #HealthXPH team. Just last week we were all together at #hcsmph2018 https://t.co/ssaxH5uT3v |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO RT @Youth4MH: Join the discussion tonight! Use #HealthxPH to participate. https://t.co/KVv3T6erw5 |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch RT @Youth4MH: Join the discussion tonight! Use #HealthxPH to participate. https://t.co/KVv3T6erw5 |
| Stephanie Miaco, M.D. @StephMiaco With the recent turn of events, #healthxph wanted to keep up with the relevant issues and decided to tackle a topic that we may have all encountered once or twice in our careers/lives. We shall begin tonight's chat with our first topic: T1: https://t.co/jN51YPvUs8 |
| Jarvin Tan @Jetlax Though I suppose somber and alarmed with stories and incidents, but nevertheless, still encouraged and optimistic that many dedicated people are working hard and together on this as well #HealthXPh #MoveForMH |
| Stephanie Miaco, M.D. @StephMiaco @Youth4MH Hello, and thank you for accepting the invitation! :-) #healthxph |
| Helen Madamba @helenvmadamba @drdrlads hello Lads! how's the weather in Japan? #healthxph |
| Stephanie Miaco, M.D. @StephMiaco @SilakboPH @rscrnl Hi Rissa! Good to see you! Thank you for accepting the invitation! #healthxph |
| Ourlad Tantengco @drdrlads @helenvmadamba Hello Doc H. It's 20degC here. A bit cold for me po. #healthxph |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch Are you online @rdahildahil_ hope you can join #healthxph tweet chat |
| Dr. Gia Sison @giasison Sharing T1 for #healthxph https://t.co/Qxaqy10fgC |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO RT @thestreetgazer: With the recent turn of events, #healthxph wanted to keep up with the relevant issues and decided to tackle a topic that we may have all encountered once or twice in our careers/lives. We shall begin tonight's chat with our first topic: T1: https://t.co/jN51YPvUs8 |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch RT @thestreetgazer: With the recent turn of events, #healthxph wanted to keep up with the relevant issues and decided to tackle a topic that we may have all encountered once or twice in our careers/lives. We shall begin tonight's chat with our first topic: T1: https://t.co/jN51YPvUs8 |
| Helen Madamba @helenvmadamba @ShereesePubHlth Wow Shereese! You're beautiful, happy to see you "face to face" #healthxph |
| Stephanie Miaco, M.D. @StephMiaco @drdrlads @helenvmadamba That's actually, perfect... if you were here in the Philippines. :-) #healthxph |
| Jarvin Tan @Jetlax T1 Whether it be just 2 nights ago or 2 weeks ago, any case of attempt of or death by suicide has always been heavy for me, even more so when it's people I know and love #HealthXPh #MoveForMH https://t.co/NMQyIEKP4C |
| Stephanie Miaco, M.D. @StephMiaco RT @endocrine_witch: Are you online @rdahildahil_ hope you can join #healthxph tweet chat |
| Helen Madamba @helenvmadamba @endocrine_witch Hi mam Iris, guru digital learning! #healthxph |
| Stephanie Miaco, M.D. @StephMiaco RT @Jetlax: Though I suppose somber and alarmed with stories and incidents, but nevertheless, still encouraged and optimistic that many dedicated people are working hard and together on this as well #HealthXPh #MoveForMH |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch T1. As an endocrinologist, I have encountered depression in #diabetes. Some of my patients have sought my help/support. #healthxph |
| Winlove Mojica, MD @theskinsensei @thestreetgazer T1 #HealthXPh Anxiety and depression are leading risk factors for high risk behavior - substance use and hypersexuality. This is a driver for HIV. |
| 𝓛𝓲𝓼𝓪 t. 🐳🗺🧭 @rheumarhyme For patients specifically, I sense some form of depression when they keep coming back. Even when there isnt anything wrong. Like they want me to find something. #HealthxPh https://t.co/5nLHVlpYns |
| Helen Madamba @helenvmadamba @raymondnaguit @Youth4MH @thestreetgazer Hi RJ, excited to listen to you. This is your advocacy. #healthxph would love to learn about how we can contribute to preventing suicide and promoting mental health! |
 | Marie Ennis-O'Connor @JBBC @endocrine_witch great picture! #healthxph |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch @rdahildahil_ Hi :) hope #MentalHealthPH can join the conversation tonight at #healthxph |
| Ourlad Tantengco @drdrlads @endocrine_witch How do you manage depression for your patients Doc? When is the time you refer them to psych? #healthxph |
| Dr. Gia Sison @giasison T1 Many of the cases of depression I encounter are from individuals that are pressured by society to fulfill a certain “image”, also stemming out unfortunately from family. #healthxph |
| Helen Madamba @helenvmadamba @theskinsensei @thestreetgazer hello Winlove, Mwah! #healthxph |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch @JBBC Thanks Marie! #healthxph |
| Silakbo PH @SilakboPH T1. Speaking from experience: there are times when you stop seeing the point in your endeavors, goals and even your entire life. Suicidality often comes from stressors/emotional turmoil—just like physical pain, the default reaction is to just. Want. To. Make. It. Stop. #HealthxPH |
| Jarvin Tan @Jetlax T1 Before the experiences tho, I came across this commentary on suicide prevention & d "90% statistic" https://t.co/eOiBGbLFZ3 Basically, no matter % suicides caused by MH conditions, it shouldn't make us think that "Tx is the only solution to the problem of suicide #HealthXPh |
| 𝓛𝓲𝓼𝓪 t. 🐳🗺🧭 @rheumarhyme Then when I ask if they are concerned about something, ...here we go. The floodgates open. Then they mention sometimes they feel other consultations are too fast and hurried. #HealthxPh |
| Marie Ennis-O'Connor @JBBC @beergernfries such an important point about concealing depression and suicidal thoughts - makes it very difficult to identify and help - what are your thoughts around how we can change this #healthxph |
| Helen Madamba @helenvmadamba @DrJeromeCleofas hello Jerome, we meet again! I hope we don't reach moral panic on suicides among the youth tonight, or at least we can figure out a solution. #healthxph |
| Ourlad Tantengco @drdrlads @giasison So we need to address from both ends. Decrease the pressure from envt and increase tolerance/resilience of patients. What do you think Doc? #healthxph |
| Winlove Mojica, MD @theskinsensei @thestreetgazer T1 The anxiety and depression in the LGBT community stem from fear of rejection by their families and peers once they reveal their gender identity and sexual orientation. #HealthxPH |
| Helen Madamba @helenvmadamba @drdrlads are there still cherry blossoms? #healthxph |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch @drdrlads I ask if they are willing to talk with a psychiatrist. Some of them are already seeing one. The older generation generally prefer not to. #healthxph |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch RT @theskinsensei: @thestreetgazer T1 The anxiety and depression in the LGBT community stem from fear of rejection by their families and peers once they reveal their gender identity and sexual orientation. #HealthxPH |
| Stephanie Miaco, M.D. @StephMiaco @louiedanbriones Hello Louie Dan! Thanks for joining and accepting the invitation! :-) #healthxph |
| Dr. Gia Sison @giasison I agree and more push towards action. #healthxph https://t.co/r2PSpf1VZN |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch RT @JBBC: @beergernfries such an important point about concealing depression and suicidal thoughts - makes it very difficult to identify and help - what are your thoughts around how we can change this #healthxph |
| 𝓛𝓲𝓼𝓪 t. 🐳🗺🧭 @rheumarhyme But for rheuma patients specifically, since most of our patients have chronic illnesses & some are movement/joint related, hence we see this a lot #Healthxph https://t.co/5nLHVlpYns |
| Stephanie Miaco, M.D. @StephMiaco RT @endocrine_witch: @drdrlads I ask if they are willing to talk with a psychiatrist. Some of them are already seeing one. The older generation generally prefer not to. #healthxph |
| Helen Madamba @helenvmadamba In my practice, counselling is important in disclosing the results of HIV test to assess suicide risk. #healthxph https://t.co/j948KrcuYm |
| Ourlad Tantengco @drdrlads @jimlopez875 suicidal thoughts and ideation are grounds for admission right? so will we refer them right away? #healthxph @thestreetgazer |
| Silakbo PH @SilakboPH T1 (cont). Also, there are certain medications which have "heightened feelings of suicidality" as a symptom, such as SSRIs. I really felt that when I was first prescribed Lexapro in 2014. #HealthxPH |
| Jerome Cleofas, PhD, RN (he/they) ♥️🧡💛💚💙💜 @SocioJCleofasRN @helenvmadamba Hi Doc Helen and Amen, we need to address the issue. Because the suicide victims are getting younger. #healthxph |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba T1 Its been my experience that listening cannot be overstated. Often a shift in one's disposition, from manic to suicidal can be so slight a thing, only those truly in tune to the individual's baselines can recognize it. #healthxph https://t.co/q8IyHp7dr2 |
| Jarvin Tan @Jetlax T1 But one thing that keeps me going is remembering the feeling of extreme anguish and despair, and how kind souls were willing to invest love, time, and effort to pull me out The days when we are able to now extend the same to others on grander scales give us hope #HealthXPh |
| Stephanie Miaco, M.D. @StephMiaco @theskinsensei This is very true...I can imagine the prolonged stress in these situations. #healthxph |
| Stephanie Miaco, M.D. @StephMiaco RT @ShereesePubHlth: T1 Its been my experience that listening cannot be overstated. Often a shift in one's disposition, from manic to suicidal can be so slight a thing, only those truly in tune to the individual's baselines can recognize it. #healthxph https://t.co/q8IyHp7dr2 |
| Ourlad Tantengco @drdrlads @TawengMd I agree, the whole family is affected. And caregiver fatigue is super real. They also need help #healthxph |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch T1 One patient I had broke down and cried as I was asking about her HbA1c (a routine question) that I was caught by surprise. #healthxph |
 | [######] @ThoughtAndRant RT @giasison: T1 Many of the cases of depression I encounter are from individuals that are pressured by society to fulfill a certain “image”, also stemming out unfortunately from family. #healthxph |
| 𝓛𝓲𝓼𝓪 t. 🐳🗺🧭 @rheumarhyme On a more personal level, I do have friends who suffer from depression. But I think its worse when they dont know why theyre sad. A friend just describes it as sometimes shed like it if she doesnt wake up tomorrow. #healthxph https://t.co/5nLHVlpYns |
| Ourlad Tantengco @drdrlads @helenvmadamba No more Doc H. Rainy season here already #healthxph |
| Jarvin Tan @Jetlax @drdrlads @jimlopez875 @thestreetgazer I believe there is a misconception (and even I had this for a while) that suicidal ideation is black and white "want to die" vs "don't wanna die" A great thesis by UPM BehSci grad showed this can be stratified and some ppl with SI realize they in fact, don't wanna die #HealthXPh |
| Helen Madamba @helenvmadamba @thestreetgazer @drdrlads 20 degrees would be colder than aircon... I hated that cold weather when I was in New York. I think i had a bit of depression... #healthxph |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @helenvmadamba As are you. #Healthxph https://t.co/MSpF2Out6G |
| Stephanie Miaco, M.D. @StephMiaco @drdrlads @jimlopez875 Potential harm to self, potential harm to others, and the social emergency aspect were grounds for admission during training. This is also the case in general. #healthxph |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch RT @ShereesePubHlth: T1 Its been my experience that listening cannot be overstated. Often a shift in one's disposition, from manic to suicidal can be so slight a thing, only those truly in tune to the individual's baselines can recognize it. #healthxph https://t.co/q8IyHp7dr2 |
 | Kenn Samala @Keniji @thestreetgazer Hi #healthxph , thanks for this timely topic. The prob with anxiety and or depression is that it affects patients' health seeking behavior - esp compliance to meds |
| Winlove Mojica, MD @theskinsensei @thestreetgazer T1 When you are indoctrinated that something is wrong with you at a young age, you carry that your entire life. This is the too familiar story of my patients. I have experienced it too #HealthXPh |
| Marie Ennis-O'Connor @JBBC Tagging @Diario1Cuidador on this tweetchat topic. He knows a lot about the subject of carer fatigue #healthxph https://t.co/mIE7SvpSVP |
| Stephanie Miaco, M.D. @StephMiaco Keeping up with the deluge of shared information here...keep them coming! All your insights are being seen and shared. #healthxph |
| Jarvin Tan @Jetlax @SilakboPH These do need to be acknowledged and people properly briefed on them. The way we explain it is the mood and energy improve before suicidal ideations. So the person has more willpower/energy to carry out ideations for a period of time #HealthXPh |
| Stephanie Miaco, M.D. @StephMiaco @Jetlax @drdrlads @jimlopez875 Would you be able to share that research, Jarvin? Very interested in it. #healthxph |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @helenvmadamba @endocrine_witch Remember to take care of yourself so that you can care for others #Healthxph |
| Jarvin Tan @Jetlax @SilakboPH ^With the above, though 0.7% might be a small number, it still needs to be counselled and monitored. Good news is data shows that on average, this only is a trend for 24 year olds and below. The trend actually reverses beyond 25 :) #HealthXPh |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch @Keniji @thestreetgazer Hello Ken!! I’ve had patients express hopelessness that they feel their medications aren’t really helping. #healthxph or sometimes it’s the financial burden of being sick too. |
| Stephanie Miaco, M.D. @StephMiaco @Keniji Very well said! Thank you for joining this tweetchat, we appreciate all this. Through this, we are learning from each other. #healthxph |
| Winlove Mojica, MD @theskinsensei @thestreetgazer T1 Since I have experienced the anxiety and depression, I have learned to quickly pick up signs in my patients. I have a low threshold for referring to psychiatry. Almost all of the time, they feel thankful for the referral. #HealthxPH |
| Ourlad Tantengco @drdrlads @Keniji @thestreetgazer Agree, sometimes patients no longer want to see the doctor because of anxiety of the disease they might have. Once they knew their disease they might get even more depressed. #healthxph |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch @TawengMd I agree. Maybe @thestreetgazer may have something to say about this. #healthxph |
| Stephanie Miaco, M.D. @StephMiaco T1. At some point, there will be that patient who tells you that they no longer want to go on and that they are no longer going to accept further therapy or treatment. It is at moments like these that #suicide leaves you temporarily feeling helpless. #healthxph |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch RT @theskinsensei: @thestreetgazer T1 Since I have experienced the anxiety and depression, I have learned to quickly pick up signs in my patients. I have a low threshold for referring to psychiatry. Almost all of the time, they feel thankful for the referral. #HealthxPH |
| Helen Madamba @helenvmadamba @louiedanbriones telemetry is intensive care, right? Focus should also be given to explaining to family about the patient's condition. Grieving can lead to depression too. #healthxph |
| Jarvin Tan @Jetlax @thestreetgazer @drdrlads @jimlopez875 I wish, but waiting for it to be published before he shares. It's a mixed method on suicidal ideation. Many people who reported suicidal ideation were found to actually not have desire to die, and flowchart was drawn on path a student takes before reaching SI #HealthXPh |
| Kenn Samala @Keniji @endocrine_witch @thestreetgazer Agree Ma'am. The problem is multifaceted and I guess as physicians handling them, it's impt that we pick up subtle clues as to their over all mental wellness #healthxph |
| 𝓛𝓲𝓼𝓪 t. 🐳🗺🧭 @rheumarhyme I agree with this! Re: friend. At first I was in a panic like i NEED to do something. Should I provide a solution for the problem? But she seemed to respond best to one thing: LISTENING. No judgements, No solutions, No analysis. #HealthxPh https://t.co/XgGWppOPxk |
| Helen Madamba @helenvmadamba @theskinsensei @thestreetgazer when a person feels he/she is not accepted, this can lead to lowered self worth and depression, and eventually to suicide ideations. #healthxph |
| Jarvin Tan @Jetlax This + stigma. Two most frequent reasons I encounter regularly #HealthXPh #MoveForMH https://t.co/jD7qhIJoLe |
| Kenn Samala @Keniji @drdrlads @thestreetgazer This is very true Lads. I personally see them a lot in our clinics (onco). #healthxph |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch @louiedanbriones I have seen that too. Most don’t want to feel they are a burden to their family. #healthxph |
| Stephanie Miaco, M.D. @StephMiaco @kanatakahashi_ Hey there Kana! :-) Congratulations, by the way, are in order. :-) #healthxph Join in! |
| Helen Madamba @helenvmadamba @TawengMd family therapy. death and dying is a blessed period in the family cycle and can be healing time if counselling can be provided. this can avert depression and disagreements. #healthxph |
| Winlove Mojica, MD @theskinsensei @helenvmadamba @thestreetgazer Low self esteem is a risk factor for risky behavior. Who better to build up self esteem of kids than their parents? :) #HealthXPh |
| Stephanie Miaco, M.D. @StephMiaco @Keniji @drdrlads Depression is a comorbid illness, and I believe that there will always be a point where, despite one's resilience, one will have felt hopeless and helpless. #healthxph |
| Jarvin Tan @Jetlax Mental health penetrates all aspects of physical health, just as physical health can also greatly impact mental health. Recent study showed 10% of depressions preventable by exercise #HealthXPh #MoveForMH #GalawForMH https://t.co/cPYN4qpUTi |
| Silakbo PH @SilakboPH @Jetlax Ahhhh that's why. I was 20 at the time! Wasn't briefed iirc, but at least it all makes sense now huhu #healthxph |
| Jarvin Tan @Jetlax RT @raymondnaguit: |
| Helen Madamba @helenvmadamba #healthxph @ShereesePubHlth having foot reflex to relieve my "panuhot" or what they call cold areas in the body. Massage is my vice, my self care... https://t.co/esEq79vFEr |
| Ourlad Tantengco @drdrlads @Jetlax @thestreetgazer @jimlopez875 my mentor toxicologist and PhD in clinical psych share that in his research and experience patients who say "ayoko na mabuhay" tend to really push through with suicide than those who say "gusto ko na mamatay" #healthxph |
| Stephanie Miaco, M.D. @StephMiaco The second topic will be more relevant, as it will open up the discussion on how suicides and suicidal declarations have challenged us. #healthxph T2: In your opinion, what are the biggest challenges to detection of symptoms and proper treatment of the depression and suicide? |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch T2 I’ve heard patients express feelings of doom when their lab results are not at goal and they’ve done everything they can. Have to reassure them #HealthXPH |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @endocrine_witch: T2 I’ve heard patients express feelings of doom when their lab results are not at goal and they’ve done everything they can. Have to reassure them #HealthXPH |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch RT @drdrlads: @Jetlax @thestreetgazer @jimlopez875 my mentor toxicologist and PhD in clinical psych share that in his research and experience patients who say "ayoko na mabuhay" tend to really push through with suicide than those who say "gusto ko na mamatay" #healthxph |
| Jarvin Tan @Jetlax @SilakboPH We are working towards the day that for questions like this, anyone can simply walk up to a botika and ask a pharmacist without having to wait in line + pay extra $$$ Can't wait @PhilPharmacists @PPA_Psychiatry :) #HealthXPh #MoveForMH |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @rheumarhyme: I agree with this! Re: I agree with this! Re: friend. At first I was in a panic like i NEED to do something. Should I provide a solution for the problem? But she seemed to respond best to one thing: LISTENING. No judgements, No solutions, No analysis. #HealthxPh https://t.co/XgGWppOPxk |
| Silakbo PH @SilakboPH Signal boosting RPh @Jetlax's useful information, RE suicidality as a symptom of SSRIs! #HealthXPH https://t.co/KVJSyUs0Kd |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch @drdrlads @Jetlax @thestreetgazer @jimlopez875 That’s an interesting point. Maybe @DrJeromeCleofas can comment as a sociologist. #healthxph |
| Kenn Samala @Keniji @thestreetgazer @drdrlads Indeed, it's a very tricky illness that affects people from all walks of life. #healthxph #depression |
| Helen Madamba @helenvmadamba @giasison I saw something on facebook about the Obama policy on discipline in schools... those kids who bully and those kids who commit crime are not "punished" because they have rights too/ #Healthxph this might worsen the incidence of suicide among the youth. |
| Ourlad Tantengco @drdrlads @endocrine_witch sometimes we become preoccupied and so focused with the goals for diagnostic values po. we tend to forget the big picture, the quality of life of the patients. #healthxph |
| Jarvin Tan @Jetlax The 2004 stat cited by DOH in 2011 does not differ significantly from Rivera et al. (2017)'s paper: it's still really stigma (a cycle that progresses to fear of discrimination and label avoidance+poor help-seeking) and lack of awareness #HealthXPh #MoveForMH https://t.co/kV803ZukvR |
| Winlove Mojica, MD @theskinsensei @jimlopez875 This emotional support or "love" is mistaken by the LGBT community and the people around them (as part of stereotype thinking) as sex. When the sex is gone, people want to feel "loved" again. So people eventually jump from one partner to the next #HealthXPh |
| Jerome Cleofas, PhD, RN (he/they) ♥️🧡💛💚💙💜 @SocioJCleofasRN T2. I guess, in my case as a teacher, I (and some of my co-teachers) experienced talking to a student who show signs of depression. But when we elevate the matters to the parents, usually they deny, and even get angry at us for meddling #healthxph https://t.co/IAzccSDcCQ |
| Helen Madamba @helenvmadamba @drdrlads @jimlopez875 @thestreetgazer yes, suicide ideations should be handles seriously and suicide precautions taken. refer to trained health professionals immediately. #healthxph |
| Jarvin Tan @Jetlax @SilakboPH For context, guidelines cite this as an infrequent thing and only up to 24! But regardless, important monitoring for the first week or so of antidepressant regimen! :) #MoveForMH #HealthXPh |
| Stephanie Miaco, M.D. @StephMiaco T2 I believe that there are still some HCPs who do not feel confident enough in treating depression, or dealing with suicidal ideations that they may tend to dismiss it. These patients fall through the cracks. #healthxph |
| Ourlad Tantengco @drdrlads @endocrine_witch @Jetlax @thestreetgazer @jimlopez875 @DrJeromeCleofas And in his practice, he sees a lot of chemical ingestion in age group of 17-24 years old. He gets a lot of referrals from private and public hospitals. #healthxph |
| Stephanie Miaco, M.D. @StephMiaco RT @helenvmadamba: @drdrlads @jimlopez875 @thestreetgazer yes, suicide ideations should be handles seriously and suicide precautions taken. refer to trained health professionals immediately. #healthxph |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba T2 Depression can be hard to detect because the struggle is internal and personal for the affected. Also, stigmas cause sufferers to become great actors, hiding s/s even from HCPs. #healthxph https://t.co/iLSfKUyosy |
| Winlove Mojica, MD @theskinsensei @helenvmadamba @thestreetgazer Agree. But the approval of parents, reasonable or not, is topmost priority in many cultures esp ours, unfortunately. #HealthxPH |
 | Marjorie Joy Napod Viniegra 💖 @marjviniegra RT @raymondnaguit: |
| Kenn Samala @Keniji @thestreetgazer T2: It gets tricky here bec admittedly, as physicians treating patients, we tend to overlook their psychological well being bec we are pre occupied with treating their disease. I, myself is guilty of this #healthxph |
| Helen Madamba @helenvmadamba @drdrlads @TawengMd Can caregiver fatigue also lead to depression? in our health system, caregiver fatigue is prevalent, more the norm or rule than the exception. #healthxph |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Reminded of #AaronBeck 's #cognitivetherapy "personal scientist" technique... get patient to question assumptions (that it's their fault) leading to negative belief, and then also assume true, and show consequences are not as negative as supposed (that they are doomed) #healthxph https://t.co/AiC6bNazVu |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch @drdrlads I’ve had patients also ask me why I don’t get angry when they don’t reach treatment targets. Bec apparently some doctors do :( #healthxph |
| Stephanie Miaco, M.D. @StephMiaco @rheumarhyme @endocrine_witch @drdrlads @Jetlax @jimlopez875 @DrJeromeCleofas Still a passive ideation, though. I hope he gets help too. #healthxph |
| Ourlad Tantengco @drdrlads @jimlopez875 Agree. It also helps when they have people who also had the same experience and were able to get out of the suicidal tendencies #healthxph |
| Silakbo PH @SilakboPH RT @Jetlax: @SilakboPH We are working towards the day that for questions like this, anyone can simply walk up to a botika and ask a pharmacist without having to wait in line + pay extra $$$ Can't wait @PhilPharmacists @PPA_Psychiatry :) #HealthXPh #MoveForMH |
| Jarvin Tan @Jetlax My worst, worst experience with this hit me totally from behind. I had read DSM. I had read CANMAT, CPNP, you name it But I never ever saw it coming. Only beyond thankful the choice was made to tell me. @raymondnaguit knows how devastated I was that night #HealthXPh #MoveForMH |
| Jerome Cleofas, PhD, RN (he/they) ♥️🧡💛💚💙💜 @SocioJCleofasRN T2. As a performance artist, I find it challenging to decipher a co-artist's piece. Like "is their a codified messaged buried in the figurative language in his poem?" It's hard to know if it's the person or the persona talking. #healthxph |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch RT @rdahildahil_: |
| 𝓛𝓲𝓼𝓪 t. 🐳🗺🧭 @rheumarhyme T2: for me biggest challenge is stigma & misconceptions. I kept recommending that a relative to seek professional help, but a much older relative chastised me about it. Just because Im a doctor daw eh dapat psych na agad. Its not part of what I do daw. #HealthxPh |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch RT @DrJeromeCleofas: T2. As a performance artist, I find it challenging to decipher a co-artist's piece. Like "is their a codified messaged buried in the figurative language in his poem?" It's hard to know if it's the person or the persona talking. #healthxph |
| Silakbo PH @SilakboPH RT @thestreetgazer: T1. At some point, there will be that patient who tells you that they no longer want to go on and that they are no longer going to accept further therapy or treatment. It is at moments like these that #suicide leaves you temporarily feeling helpless. #healthxph |
| Stephanie Miaco, M.D. @StephMiaco RT @rdahildahil_: |
| Stephanie Miaco, M.D. @StephMiaco RT @theskinsensei: @helenvmadamba @thestreetgazer Agree. But the approval of parents, reasonable or not, is topmost priority in many cultures esp ours, unfortunately. #HealthxPH |
| Jarvin Tan @Jetlax @thestreetgazer @rheumarhyme @endocrine_witch @drdrlads @jimlopez875 @DrJeromeCleofas Given this, we need to disseminate our Philippine suicide first aid guidelines more. hoping it can be integrated in all allied health courses and SHS health classes too https://t.co/6nMlHbmhGS #HealthXPh #MoveForMH |
| Silakbo PH @SilakboPH RT @rdahildahil_: |
| Silakbo PH @SilakboPH RT @Jetlax: The 2004 stat cited by DOH in 2011 does not differ significantly from Rivera et al. (2017)'s paper: The 2004 stat cited by DOH in 2011 does not differ significantly from Rivera et al. (2017)'s paper: it's still really stigma (a cycle that progresses to fear of discrimination and label avoidance+poor help-seeking) and lack of awareness #HealthXPh #MoveForMH https://t.co/kV803ZukvR |
| Jerome Cleofas, PhD, RN (he/they) ♥️🧡💛💚💙💜 @SocioJCleofasRN @endocrine_witch @drdrlads @Jetlax @thestreetgazer @jimlopez875 An anthropologist once told me that Filipinos' world views lean towards dualism. So, I guess maybe that's why people infer that way. #healthxph |
| Stephanie Miaco, M.D. @StephMiaco This is all so true. The reality of it is very challenging for us in the mental health field. #healthxph https://t.co/Z45ni4pEhW |
| Stephanie Miaco, M.D. @StephMiaco RT @Jetlax: @thestreetgazer @rheumarhyme @endocrine_witch @drdrlads @jimlopez875 @DrJeromeCleofas Given this, we need to disseminate our Philippine suicide first aid guidelines more. hoping it can be integrated in all allied health courses and SHS health classes too https://t.co/6nMlHbmhGS #HealthXPh #MoveForMH |
| Kenn Samala @Keniji @thestreetgazer T2: It is a 14-item self administered questionnaire (7 questions each on anxiety and depression). It's convenient to administer as it only takes around 2-5 mins to complete. #healthxph |
| 𝓛𝓲𝓼𝓪 t. 🐳🗺🧭 @rheumarhyme ...fast forward a couple of months later, aforementioned older relative txts me inquiring of possible psych referrals ... because the symptoms had gotten worse. 😩 #HealthxPh |
| Jarvin Tan @Jetlax T2 Whenever I come across cases of suicidal ideations or attempts, I do what I can as per the guidelines But I'm realizing now I'm only just 1 person, and so invested more in incorporating suicide first aid into pharmacy curriculum so more are capacitated #HealthXPh #moveForMH |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Sometimes tradition cognitive therapy is criticized for downplaying emotional dimension (assumes emotions are reactions to cognitive appraisal? necessarily true?) However, potentially good fit for some "hyper-rational" personalities... IMO #Healthxph https://t.co/xgEx3bY49I |
| Helen Madamba @helenvmadamba Sharing T2 #healthXPH https://t.co/zsQpupHQQt |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch @rheumarhyme The older generation may still think that seeing a psychiatrist is only for those with psychosis. Si Sisa ata ang peg bago pumayag na marefer. #healthxph |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch RT @DrJeromeCleofas: @endocrine_witch @drdrlads @Jetlax @thestreetgazer @jimlopez875 An anthropologist once told me that Filipinos' world views lean towards dualism. So, I guess maybe that's why people infer that way. #healthxph |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch RT @Jetlax: @thestreetgazer @rheumarhyme @endocrine_witch @drdrlads @jimlopez875 @DrJeromeCleofas Given this, we need to disseminate our Philippine suicide first aid guidelines more. hoping it can be integrated in all allied health courses and SHS health classes too https://t.co/6nMlHbmhGS #HealthXPh #MoveForMH |
| Ourlad Tantengco @drdrlads @endocrine_witch @rheumarhyme I agree, we also need to educate them about the different psychiatric conditions. And not all of them present with psychotic features #healthxph |
| 𝓛𝓲𝓼𝓪 t. 🐳🗺🧭 @rheumarhyme RT @Jetlax: @thestreetgazer @rheumarhyme @endocrine_witch @drdrlads @jimlopez875 @DrJeromeCleofas Given this, we need to disseminate our Philippine suicide first aid guidelines more. hoping it can be integrated in all allied health courses and SHS health classes too https://t.co/6nMlHbmhGS #HealthXPh #MoveForMH |
| Jerome Cleofas, PhD, RN (he/they) ♥️🧡💛💚💙💜 @SocioJCleofasRN @Jetlax @thestreetgazer @rheumarhyme @endocrine_witch @drdrlads @jimlopez875 I agree with curricular integration. SHS students are bombarded with so much stress. It's unbelievable what K12 requires them to accomplish. That's why we have a lot of mental health concerns among our students #healthxph |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch RT @Keniji: @thestreetgazer T2: @thestreetgazer T2: It is a 14-item self administered questionnaire (7 questions each on anxiety and depression). It's convenient to administer as it only takes around 2-5 mins to complete. #healthxph |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Like mine! 😂 #Healthxph https://t.co/EROUhWQqP4 |
| Jarvin Tan @Jetlax @wareFLO If the particular instance of suicidal ideation is due to an underlying clinical depression, CBT would be a perfect fit Evidence is great in general, and I glimpsed a paper I forgot to read on its positive effects on suicidality, specifically #MoveForMH #HealthXPh |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch RT @drdrlads: @endocrine_witch @rheumarhyme I agree, we also need to educate them about the different psychiatric conditions. And not all of them present with psychotic features #healthxph |
| Stephanie Miaco, M.D. @StephMiaco RT @DrJeromeCleofas: @Jetlax @thestreetgazer @rheumarhyme @endocrine_witch @drdrlads @jimlopez875 I agree with curricular integration. SHS students are bombarded with so much stress. It's unbelievable what K12 requires them to accomplish. That's why we have a lot of mental health concerns among our students #healthxph |
| Jarvin Tan @Jetlax @DrJeromeCleofas @thestreetgazer @rheumarhyme @endocrine_witch @drdrlads @jimlopez875 June 21. The Philippine Mental Health Act will lapse into law. There are provisions specifically for this! #MoveForMH #HealthXPh |
 | Nico Baguio @nicobaguio RT @SilakboPH: Hello Doc! Hello Twitter! This is Rissa (@rscrnl) of Silakbo PH signing in for #HealthxPH. Tonight's topic is quite sensitive, but necessary to engage in discourse about. https://t.co/5Jza3XjUSw |
| Helen Madamba @helenvmadamba There's a difference between negative and positive suicide ideations #Healthxph https://t.co/HhCWBQTMrR |
| Stephanie Miaco, M.D. @StephMiaco @drdrlads @endocrine_witch @rheumarhyme Yes, definitely! Education reduces ignorance and fear of #Psychiatric Implications. #Healthxph |
| Winlove Mojica, MD @theskinsensei T2 One big challenge is the healthcare’s worker’s knowledge on the reality and validity of mental health disorders. I really believe depression is underdiagnosed and commonly misdiagnosed as laziness/lack of grit. #HealthxPH https://t.co/ii4WB4SnoX |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch RT @Jetlax: @DrJeromeCleofas @thestreetgazer @rheumarhyme @endocrine_witch @drdrlads @jimlopez875 June 21. The Philippine Mental Health Act will lapse into law. There are provisions specifically for this! #MoveForMH #HealthXPh |
| Silakbo PH @SilakboPH T2. Lack of awareness and accessibility: Most people don't know where to go to get help, and for lower-income Filipinos, mental health may not be a priority when basic needs are a struggle to fulfill. #healthxph |
| Stephanie Miaco, M.D. @StephMiaco T3 is up! T3: What online and offline maneuvers can you suggest to improve the diagnosis and treatment of depression and correspondingly, the prevention of suicide? #healthxph |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @endocrine_witch @rheumarhyme Its not just the older generations. In minority and female pops in the US, stigmas discourage sufferers from seeking treatment, while millennials wear it as a badge of courage. #Healthxph https://t.co/7JtXQfSIAR |
| Ourlad Tantengco @drdrlads @SilakboPH Even with access, I know someone from a certain medical school. Does not want to be seen by psychiatrist in their university hospital because it will spread to the college community for sure. problem with confidentiality. #healthxph |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch RT @ShereesePubHlth: @endocrine_witch @rheumarhyme Its not just the older generations. In minority and female pops in the US, stigmas discourage sufferers from seeking treatment, while millennials wear it as a badge of courage. #Healthxph https://t.co/7JtXQfSIAR |
| 𝓛𝓲𝓼𝓪 t. 🐳🗺🧭 @rheumarhyme Agree. While Im all for courage and strength of independence in “I can do this!” ...there is no shame in asking for a helping hand. #HealthxPh https://t.co/Z0mIDqpqbW |
| Stephanie Miaco, M.D. @StephMiaco I agree with this... also, possibly because of the fear (and false notion) that "talking about it might encourage the individual to carry out his plans", which, I have to say, is still very much a concern of some HCPs. #healthxph https://t.co/6sUsPOfJlu |
| Winlove Mojica, MD @theskinsensei @raymondnaguit Agree. It will take a brave youth to say " Mom I need to see a psychiatrist " #HealthXPh |
| Helen Madamba @helenvmadamba @Jetlax that's why all need to work together so that we all provide an enabling environment to address the root cause of suicidal ideations and provide support. help is just a tweet, a text, a pm or a call away. #Healthxph |
| Stephanie Miaco, M.D. @StephMiaco RT @drdrlads: @SilakboPH Even with access, I know someone from a certain medical school. Does not want to be seen by psychiatrist in their university hospital because it will spread to the college community for sure. problem with confidentiality. #healthxph |
| 𝓛𝓲𝓼𝓪 t. 🐳🗺🧭 @rheumarhyme RT @ShereesePubHlth: @endocrine_witch @rheumarhyme Its not just the older generations. In minority and female pops in the US, stigmas discourage sufferers from seeking treatment, while millennials wear it as a badge of courage. #Healthxph https://t.co/7JtXQfSIAR |
| Jarvin Tan @Jetlax RT @raymondnaguit: |
| Silakbo PH @SilakboPH T2 (cont.) Another challenge to proper detection and treatment is of course the stigma against MH issues. For instance, they may disclose to trusted friends/loved ones who are not as equipped to handle the disclosure, and receive an unfavorable reaction from them. #HealthxPH |
| Jarvin Tan @Jetlax RT @helenvmadamba: @Jetlax that's why all need to work together so that we all provide an enabling environment to address the root cause of suicidal ideations and provide support. help is just a tweet, a text, a pm or a call away. #Healthxph |
| Stephanie Miaco, M.D. @StephMiaco That is very encouraging to hear about millennials, of course. They are a different breed, more outspoken, I suppose some older generations might find it off-putting in the first place. How much more when they would talk about depression and suicide. #healthxph https://t.co/Hn7kOODgw4 |
| Jarvin Tan @Jetlax RT @SilakboPH: T2 (cont.) Another challenge to proper detection and treatment is of course the stigma against MH issues. For instance, they may disclose to trusted friends/loved ones who are not as equipped to handle the disclosure, and receive an unfavorable reaction from them. #HealthxPH |
| Stephanie Miaco, M.D. @StephMiaco RT @SilakboPH: T2 (cont.) Another challenge to proper detection and treatment is of course the stigma against MH issues. For instance, they may disclose to trusted friends/loved ones who are not as equipped to handle the disclosure, and receive an unfavorable reaction from them. #HealthxPH |
 | Ⓜ𝓪𝕀Ａ𝓜𝕊ᑕ卄𝒾𝔢Ƒ #AngatBuhayNGO 🌷 @MaiaMschief #ALDUB35thMonthsary I hope you guys can check this out. #MoveForMH #Healthxph https://t.co/taKpx5LVZX |
| Stephanie Miaco, M.D. @StephMiaco RT @raymondnaguit: |
| Helen Madamba @helenvmadamba @theskinsensei @thestreetgazer Yes, many of my patients don't disclose to their parents and their families for fear of rejection... na itatakwil sila. It's sad. Family should be the first people to run to for help. #HealthxPH |
| Stephanie Miaco, M.D. @StephMiaco Many of us, including yourself, are working to make things safer, and more comfortable to be able to say this out loud to their families, as opposed to years ago. #Healthxph https://t.co/ht8CjJIcxE |
| Marjorie Joy Napod Viniegra 💖 @marjviniegra RT @raymondnaguit: |
| Winlove Mojica, MD @theskinsensei @drdrlads @endocrine_witch @rheumarhyme Yes! Must stress that. Having a mental health disorder doesn't mean automatic psychosis :) #HealthXPh |
 | FilipinoMentalHealth @FMHISF RT @thestreetgazer: Inviting everyone to tonight's #Healthxph #tweetchat: Inviting everyone to tonight's #Healthxph #tweetchat: Breaking down the Walls: Dealing with Challenges to the Prevention of Suicides https://t.co/9iREugKqwZ Let’s discuss this tonight at 9PM PHT/9AM US EST! Looking forward to your insights from your respective experiences! |
| Helen Madamba @helenvmadamba @Keniji @thestreetgazer When patients undergo miscarriage or lose their babies, we need to always include in our medical "checklist" if the mother needs additional help, screen if she needs special support. #healthxph putting oneself in the patient's shoes will help you empathize and identify risks. |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch RT @thestreetgazer: Many of us, including yourself, are working to make things safer, and more comfortable to be able to say this out loud to their families, as opposed to years ago. #Healthxph https://t.co/ht8CjJIcxE |
| Jerome Cleofas, PhD, RN (he/they) ♥️🧡💛💚💙💜 @SocioJCleofasRN I remember one time, our poetry group was invited by an NGO to a "mental health advocacy" program to perform. To our horrors, the host exclaimed, "sino dito ang depressed? PALAKPAKAN!" It was triggering! #healthxPH |
| Silakbo PH @SilakboPH RT @raymondnaguit: |
 | 💚❤Eve Dezzi Eve's💚❤ 🔛⏳ @evelyn121083 RT @MaiaMschief: #ALDUB35thMonthsary I hope you guys can check this out. #MoveForMH #Healthxph https://t.co/taKpx5LVZX |
| Stephanie Miaco, M.D. @StephMiaco T3 is up! This discussion was meant to pool together our ideas: T3: What online and offline maneuvers can you suggest to improve the diagnosis and treatment of depression and correspondingly, the prevention of suicide? #healthxph |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch @helenvmadamba @theskinsensei @thestreetgazer Hence I strive to keep communication lines open with my two sons, 11 and 15. #healthxph |
| Jarvin Tan @Jetlax T3 For depression, start young. In MH (and even health in general) it's about boosting protective factors and minimizing risk factors - school, community, family, peers, religious/spiritual sector, etc, and promoting awareness of *all* options available + access #HealthXPh https://t.co/E7RgLYlBOC |
| Marjorie Joy Napod Viniegra 💖 @marjviniegra RT @raymondnaguit: |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch RT @rdahildahil_: |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @thestreetgazer: That is very encouraging to hear about millennials, of course. They are a different breed, more outspoken, I suppose some older generations might find it off-putting in the first place. How much more when they would talk about depression and suicide. #healthxph https://t.co/Hn7kOODgw4 |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Excellent #healthxph topic all! #suicide Important & timely. Gotta head out early w/@HealthITdog & wife to video a parade! Last year I had 13.4K #Periscope viewers! #cbuspride #ColumbusPride #Pride2018 Here is last years #periscope360 #360video #Livestream #livestreaming #cbus https://t.co/AzvmPhOw0o |
| Helen Madamba @helenvmadamba @endocrine_witch @drdrlads Even the scolding that patients receive when they arrive at the ER in terrible condition can aggravate fear and helplessness. we tend to forget that patients go thru a lot just to get to the ER. our fear for the patient's life overshadows our show of concern #HealthxPH |
| Stephanie Miaco, M.D. @StephMiaco @theskinsensei @drdrlads @endocrine_witch @rheumarhyme Well said. Please RT to spread the word. :-) Seriously, there are still some individuals who stigmatize psychiatric treatment by thing this is still so. #healthxph |
| Stephanie Miaco, M.D. @StephMiaco RT @fateundermined: |
| FilipinoMentalHealth @FMHISF RT @thestreetgazer: With the recent turn of events, #healthxph wanted to keep up with the relevant issues and decided to tackle a topic that we may have all encountered once or twice in our careers/lives. We shall begin tonight's chat with our first topic: T1: https://t.co/jN51YPvUs8 |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch RT @thestreetgazer: @theskinsensei @drdrlads @endocrine_witch @rheumarhyme Well said. Please RT to spread the word. :-) Seriously, there are still some individuals who stigmatize psychiatric treatment by thing this is still so. #healthxph |
| Silakbo PH @SilakboPH @raymondnaguit This is so true! I know some people who are seeing pdocs behind their parents' backs because they don't believe in mental healthcare. One popular form of stigma: the older generation is fond of saying that we're weak because of our increased attention to MH issues. #healthxph |
| Helen Madamba @helenvmadamba @drdrlads @jimlopez875 that reminds me of the needs to create a support group for HIV-positive mothers. I don't know if there is one already. If there is, please add me! #HealthxPH |
| Stephanie Miaco, M.D. @StephMiaco @imMcRyan @Jetlax @drdrlads @jimlopez875 Sorry to hear about your uncle. It is never easy. #healthxph |
| Jarvin Tan @Jetlax T3 Suicide will go beyond mental health and touch on other aspects as well. Incorporating red flags of suicide into education + proper way to do suicide first aid will raise vigilance and awareness, but... #HealthXPh |
| Stephanie Miaco, M.D. @StephMiaco RT @raymondnaguit: |
| 𝓛𝓲𝓼𝓪 t. 🐳🗺🧭 @rheumarhyme Offline/IRL: Observe well. In a hurried/harassed/suppper busy day at a clinic, even when you are doing everything correct medically, the patient may still come out depressed. #HealthxPh https://t.co/QHwSSRBx29 |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch RT @raymondnaguit: |
 | Lane @Flolaleng RT @raymondnaguit: |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch RT @helenvmadamba: @Keniji @thestreetgazer When patients undergo miscarriage or lose their babies, we need to always include in our medical "checklist" if the mother needs additional help, screen if she needs special support. #healthxph putting oneself in the patient's shoes will help you empathize and identify risks. |
| Helen Madamba @helenvmadamba @endocrine_witch @theskinsensei @thestreetgazer I imagine it is difficult to be a mother, when your kids have a different "language" #healthxph yes, in that case you should be your child's best friend. |
| Silakbo PH @SilakboPH RT @Jetlax: T3 For depression, start young. In MH (and even health in general) it's about boosting protective factors and minimizing risk factors - school, community, family, peers, religious/spiritual sector, etc, and promoting awareness of *all* options available + access #HealthXPh https://t.co/E7RgLYlBOC |
 | Arianne Pastoral 💖💝💕 @heyitsariannep RT @giasison: T1 Many of the cases of depression I encounter are from individuals that are pressured by society to fulfill a certain “image”, also stemming out unfortunately from family. #healthxph |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Will investigate! PS honored to be able to say I trained w/the father of #cognitivetherapy #aaronbeck! (while working a computer simulation of #depression!) #Healthxph https://t.co/0SNS954is5 |
| Jarvin Tan @Jetlax T3 For a more preventive approach to suicide and taking from what I remember on my friend's thesis, a students' spiraling out of control begins when psychosocial factors overwhelm them (stress-diasthesis) AND then they are rejected when they seek help. #HealthXPh #MoveForMH |
| Jerome Cleofas, PhD, RN (he/they) ♥️🧡💛💚💙💜 @SocioJCleofasRN T3. Empower teachers, barangay health workers and middle level managers of companies to detect and refer mental health concerns of their students, community members and employees respectively #healthxph https://t.co/i4itGXzReh |
| Kenn Samala @Keniji @helenvmadamba @thestreetgazer Indeed Ma'am. Psychological well-being should be part of patient's management so we can really say that we provide a holistic care. #healthxph It is an often overlooked aspect of treatment |
| Winlove Mojica, MD @theskinsensei T3 an online support group does wonders! My Twitter account was made specifically for the LGBT and PLHIV community. You will be surprised how helpful people are here. Amazing! @edbusim @Kaskade08 @JJhumantorch @iamfivefootsix #HealthXPh https://t.co/cqHpkpeMiY |
 | Sanford Jeames; DHA, FASCO(He, Him) @JeamesSailor @thestreetgazer T1. As a cancer clinician & advocate, many discussion about #depression has occured. It's due 2 despair & exasperation from treatment. I have not had anyone indicate #suicide to me. It's a hard admission of vulnerability. We need 2 be ready for it. #healthxph |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO RT @Jetlax: @wareFLO If the particular instance of suicidal ideation is due to an underlying clinical depression, CBT would be a perfect fit Evidence is great in general, and I glimpsed a paper I forgot to read on its positive effects on suicidality, specifically #MoveForMH #HealthXPh |
| Sanford Jeames; DHA, FASCO(He, Him) @JeamesSailor RT @thestreetgazer: T1. At some point, there will be that patient who tells you that they no longer want to go on and that they are no longer going to accept further therapy or treatment. It is at moments like these that #suicide leaves you temporarily feeling helpless. #healthxph |
| 𝓛𝓲𝓼𝓪 t. 🐳🗺🧭 @rheumarhyme THIS! re: recent celebrity suicides. Some people I know commented: “Grabe, 40s, succesful, may pera, nakuha pa nilang ~?!” #HealthxPh https://t.co/ATgGNZk0NH |
| Silakbo PH @SilakboPH RT @Jetlax: T3 For a more preventive approach to suicide and taking from what I remember on my friend's thesis, a students' spiraling out of control begins when psychosocial factors overwhelm them (stress-diasthesis) AND then they are rejected when they seek help. #HealthXPh #MoveForMH |
| Helen Madamba @helenvmadamba @thestreetgazer @drdrlads @endocrine_witch @rheumarhyme Awareness leads to understanding. Understanding leads to compassion. Compassion leads to empathy. Empathy leads to acceptance. #HealthxPH |
| Jarvin Tan @Jetlax T3 Meaning fighting stigma on suicide specifically will make people more open to *listen nonjudgmentally* to peers, students, etc. This will keep them from spiraling into suicidality in the first place! (++ increasing protective factors like peer support) #HealthXPh #MoveForMH https://t.co/77dlaEEtVj |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch RT @JeamesSailor: @thestreetgazer T1. As a cancer clinician & advocate, many discussion about #depression has occured. It's due 2 despair & exasperation from treatment. I have not had anyone indicate #suicide to me. It's a hard admission of vulnerability. We need 2 be ready for it. #healthxph |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch RT @theskinsensei: T3 an online support group does wonders! My Twitter account was made specifically for the LGBT and PLHIV community. You will be surprised how helpful people are here. Amazing! @edbusim @Kaskade08 @JJhumantorch @iamfivefootsix #HealthXPh https://t.co/cqHpkpeMiY |
| Winlove Mojica, MD @theskinsensei @endocrine_witch @helenvmadamba @thestreetgazer It's the first line of defense for mental health disorder - good communication between children and parents ❤️ #HealthXPh |
| Helen Madamba @helenvmadamba @Keniji @thestreetgazer if you have 30 patients lined up in the clinic, I doubt many physicians would consider to provide counselling. Sad to note. #HealthxPH |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch @JeamesSailor @thestreetgazer Hi Sanford! #healthxph |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch RT @helenvmadamba: @thestreetgazer @drdrlads @endocrine_witch @rheumarhyme Awareness leads to understanding. Understanding leads to compassion. Compassion leads to empathy. Empathy leads to acceptance. #HealthxPH |
| 𝓛𝓲𝓼𝓪 t. 🐳🗺🧭 @rheumarhyme @rdahildahil_ @endocrine_witch Or people dismissing them as “Mag-Pray ka kasi”.... #healthxph |
| Jerome Cleofas, PhD, RN (he/they) ♥️🧡💛💚💙💜 @SocioJCleofasRN T3. Also, we must orient the creative minds behind the teleseryes, movies and series that overly romanticize depression and suicide. Media must be compelled to deliver these topics responsibly. #HealthXPh https://t.co/i4itGXzReh |
| 𝓛𝓲𝓼𝓪 t. 🐳🗺🧭 @rheumarhyme RT @helenvmadamba: @thestreetgazer @drdrlads @endocrine_witch @rheumarhyme Awareness leads to understanding. Understanding leads to compassion. Compassion leads to empathy. Empathy leads to acceptance. #HealthxPH |
| Jarvin Tan @Jetlax @wareFLO Wow, that's amazing! i-CBT seems to be an upandcoming intervention, esp in areas with limited access to professionals. CANMAT 2016 guidelines for major depressive disorder has a good summary of the evidence for CBT in chapter 2, if I'm not mistaken on chapter nnumber #HealthXPh |
| Stephanie Miaco, M.D. @StephMiaco T3: Online: Make it a point to learn about depression, ask well thought-out questions to those who express that they want to commit suicide to help them get help. Offline: Take care of yourself both physically and mentally, so you can be healthy enough to help. #healthxph |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba Friends, I'm on the road and keep losing signal. So, this is where I leave you. Take care of yourselves; take care of others. Don't throw shade, throw kindness, as we can never know the internal struggles of our fellow humans. Take care. #healthxph https://t.co/ueHi8ZXQw2 |
| Stephanie Miaco, M.D. @StephMiaco RT @helenvmadamba: @thestreetgazer @drdrlads @endocrine_witch @rheumarhyme Awareness leads to understanding. Understanding leads to compassion. Compassion leads to empathy. Empathy leads to acceptance. #HealthxPH |
| Helen Madamba @helenvmadamba @theskinsensei I was talking to my girlfriends in Davao, and they shared their experiences on postpartum depression. Sadly, their relative automatically labelled them as "nag iinarte" or seeking attention. The prevalence of postpartum depression is increasing, need screening #healthxph |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch @rheumarhyme @rdahildahil_ I find that people say a lot of things bec they feel uncomfortable when someone expresses suicidal thoughts. They don’t know how to handle the disclosure. #healthxph |
| Stephanie Miaco, M.D. @StephMiaco @helenvmadamba @drdrlads @endocrine_witch @rheumarhyme How both very Zen and Yoda, doc H. :-) #healthxph |
| Stephanie Miaco, M.D. @StephMiaco RT @rdahildahil_: |
| Kenn Samala @Keniji T3: Information (and its accessibility) is key. We should take advantage of the wealth of information available nowadays and use them accordingly #healthxph https://t.co/v8EZrPrkS8 |
| Helen Madamba @helenvmadamba @thestreetgazer Spreading GOOD VIBES like what mommy @giasison is doing... it helps! #HealthxPH |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch RT @DrJeromeCleofas: T3. Also, we must orient the creative minds behind the teleseryes, movies and series that overly romanticize depression and suicide. Media must be compelled to deliver these topics responsibly. #HealthXPh https://t.co/i4itGXzReh |
| Silakbo PH @SilakboPH T3. Integrate MH into the education system. Please. Mental health education can (1) help MI sufferers assume a more objective stance on what they're thinking and feeling; (2) ultimately lessen the stigma, myths and misconceptions that are so rampant in the PH #HealthxPH |
| Stephanie Miaco, M.D. @StephMiaco RT @DrJeromeCleofas: T3. Also, we must orient the creative minds behind the teleseryes, movies and series that overly romanticize depression and suicide. Media must be compelled to deliver these topics responsibly. #HealthXPh https://t.co/i4itGXzReh |
| Iris Thiele Isip Tan MD, MSc @endocrine_witch RT @rdahildahil_: |
| Helen Madamba @helenvmadamba @imMcRyan @jimlopez875 @thestreetgazer @Jetlax @drdrlads It has allowed us to put a face to suicide. It started with Robbin Williams, I think. We can talk about it more. #HealthxPH |
| Jarvin Tan @Jetlax @imMcRyan @jimlopez875 @thestreetgazer @drdrlads I'm sorry to hear about your uncle. #HealthXPh |
| 𝓛𝓲𝓼𝓪 t. 🐳🗺🧭 @rheumarhyme Thinking about online. Im not sure. Im personally paranoid about social media. But I still prefer twitter over FB or IG. 🤷🏻♀️ #HealthxPh in the vastness of the twitterverse I feel its a great place to not be judged. (Well, most of the time) https://t.co/QHwSSRBx29 |
| Jarvin Tan @Jetlax RT @SilakboPH: T3. Integrate MH into the education system. Please. Mental health education can (1) help MI sufferers assume a more objective stance on what they're thinking and feeling; (2) ultimately lessen the stigma, myths and misconceptions that are so rampant in the PH #HealthxPH |
| Helen Madamba @helenvmadamba @TawengMd @thestreetgazer Or have somebody you can call to address counselling needs. #HealthxPH |
| Jerome Cleofas, PhD, RN (he/they) ♥️🧡💛💚💙💜 @SocioJCleofasRN @helenvmadamba @Keniji @thestreetgazer I hope we see the day when we'll have enough health man power for the people. #healthxph |
| Stephanie Miaco, M.D. @StephMiaco To be perfectly honest, I was reading every single point...and they were all excellent! Wow, I feel very honored to have hosted our very enthusiastic twitter meeting tonight...because I learned a lot, and I know you all did too. Thank you for sharing your experiences! #healthxph |
| Jarvin Tan @Jetlax RT @ShereesePubHlth: Friends, I'm on the road and keep losing signal. So, this is where I leave you. Take care of yourselves; take care of others. Don't throw shade, throw kindness, as we can never know the internal struggles of our fellow humans. Take care. #healthxph https://t.co/ueHi8ZXQw2 |
| Helen Madamba @helenvmadamba Wahoo! Power up, WInlove! #HealthxPH https://t.co/C2fAGiCxjl |
| Silakbo PH @SilakboPH T3 (cont.) As for what we can do as individuals both online and offline: Clean up your socmed feeds of anything toxic, anything that always just makes you feel bad. A good support system is also key! #HealthxPH |
| Kenn Samala @Keniji @helenvmadamba @thestreetgazer And as non experts in the field (Psychiatry) it's really hard to squeeze everything in just one sitting. One thing I did is to let the patients answer the HADS questionnaire while waiting and I tally their score when it's their turn. #healthxph |
| Jerome Cleofas, PhD, RN (he/they) ♥️🧡💛💚💙💜 @SocioJCleofasRN T3: Online: they may be hard to find, but some people do present their red flags in their socmed posts. And if they do, I will gently approach them via DM #healthxph |
| Helen Madamba @helenvmadamba @Jetlax @wareFLO what is i-CBT and CANMAT? #healthxph |
| Helen Madamba @helenvmadamba love this! note to self... #healthxph https://t.co/gNvheoGN3R |
| Kenn Samala @Keniji @helenvmadamba @thestreetgazer Once I detect a patient with possible anxiety/and or depression, I spend more time with them and refer to Psychiatry (once with their consent). #healthxph |
 | 𝓝𝓪𝓽𝓻𝓲𝓬𝓮𝓡 😷🇨🇦❤️ 🥀 @NatriceR RT @helenvmadamba: @Keniji @thestreetgazer if you have 30 patients lined up in the clinic, I doubt many physicians would consider to provide counselling. Sad to note. #HealthxPH |
| Silakbo PH @SilakboPH T3 (cont.) There have been many MH awareness events, campaigns and projects, but it all still starts with the immediate social network and environment. Isolation, unsupportiveness and inadequate access to mental health resources are insidious and can be disastrous. #HealthxPH |
| Stephanie Miaco, M.D. @StephMiaco This post deserves a follow-up write-up...collating all our inputs from tonight. In behalf of #healthxph, I would like to thank everyone for joining in tonight, and being very helpful for one another. Mental Health Awareness has a long way to go, but we'll GET THERE. |
| Kenn Samala @Keniji @TawengMd Agree. We must also take care of the 'carers' #healthxph :) |
| Helen Madamba @helenvmadamba @theskinsensei just the face to face, am trying to create a FB support group but the consent is tricky. how do you do it @theskinsensei ? #HealthxPH |
| Jarvin Tan @Jetlax @helenvmadamba @wareFLO i-CBT is internet-based cognitive behavioral therapy po! Reminiscent of telepsychiatry program done in Quezon(?), CBT itself focuses on teaching skills to cope better, deal w/ maladaptive thought patterns. Therapy in general shown to induce change at epigenetic level #HealthXPh |
| Kenn Samala @Keniji @DrJeromeCleofas @helenvmadamba @thestreetgazer My hope too is that psychological wellness be an integral part of our management, and not as an add on or after thought. It's a huge challenge, but talking about it and recognizing its imptance are hopefully the first steps in making it happen #healthxph |
| Stephanie Miaco, M.D. @StephMiaco @helenvmadamba @Keniji Very sad indeed. Quick screening might be needed. #healthxph |
| 𝓛𝓲𝓼𝓪 t. 🐳🗺🧭 @rheumarhyme My friend txted me constantly when she had PPD! At first I was panicking because: 1) Im not a mom, 2) I dont know much about PPD! Thankfully I just always answrd her texts, even tho I didnt really have a solution. Listening does work somewhat. :) #healthxph https://t.co/NYeaQFFJOy |
| Helen Madamba @helenvmadamba @Jetlax @wareFLO thank you for explaining it to me. #healthxph |
| Jarvin Tan @Jetlax @helenvmadamba @wareFLO CANMAT is the Canadian Network for Mood and Anxiety Treatments. They publish clinical practice guidelines for major depressive disorder and other depressive disorders (2016), bipolar disorder (2018 with ISBD), and anxiety and anx.related disorders (2015) #HealthXPh |
| Jarvin Tan @Jetlax @helenvmadamba @wareFLO Happy to help po! #HealthXPh |
| Winlove Mojica, MD @theskinsensei @helenvmadamba I'm part of several FB Groups. Most of the members have alter accounts, so we don't know who is who expect those who are comfortable coming out with their status. #HealthxPH |
| Stephanie Miaco, M.D. @StephMiaco Thank you, this is very encouraging. Though it might seem like a tedious task to put in more time with such a busy schedule, this may make all the difference. :-) #healthxph https://t.co/G60975Q9sB |
| Stephanie Miaco, M.D. @StephMiaco RT @Keniji: @helenvmadamba @thestreetgazer And as non experts in the field (Psychiatry) it's really hard to squeeze everything in just one sitting. One thing I did is to let the patients answer the HADS questionnaire while waiting and I tally their score when it's their turn. #healthxph |
| Silakbo PH @SilakboPH RT @rdahildahil_: |
| Helen Madamba @helenvmadamba @rheumarhyme a cousin who had PPD told me that just texting me how she felt was already therapeutic because I would always respond. It was better than writing on her diary. #healthxph our presence, sometimes, is enough. |
| Stephanie Miaco, M.D. @StephMiaco @TawengMd You're welcome, doc! And good to see you here! Good night to Baby S! <3 #healthxph |
| 𝓛𝓲𝓼𝓪 t. 🐳🗺🧭 @rheumarhyme THIS. 👏🏼👏🏼👏🏼 #healthxph https://t.co/CKt2Is5FeX |
| Sanford Jeames; DHA, FASCO(He, Him) @JeamesSailor @endocrine_witch @thestreetgazer Hello Iris, I'm sorry I was late to discussion. Very necessary at this time. We have to open up discussions around #SuicidePrevention I'm grateful for @giasison and many of you. It's so vital to admit vulnerability, even as professionals. #healthxph |
| Kenn Samala @Keniji @thestreetgazer @helenvmadamba This topic is very close to my heart as I did a study on both HIV and Cancer patients using the HADS tool. I asked for patients' feedback after and they find the screening tool easy to follow and do (they're done in less than 5 mins) #healthxph |
| Helen Madamba @helenvmadamba @thestreetgazer Great #Healthxph tweetchat tonight, Stephanie! Await the post-chat blogpost :-) have a great weekend everyone! You are beautiful people! |
| Sanford Jeames; DHA, FASCO(He, Him) @JeamesSailor RT @helenvmadamba: @thestreetgazer Spreading GOOD VIBES like what mommy @giasison is doing... it helps! #HealthxPH |
| 𝓛𝓲𝓼𝓪 t. 🐳🗺🧭 @rheumarhyme RT @Keniji: @DrJeromeCleofas @helenvmadamba @thestreetgazer My hope too is that psychological wellness be an integral part of our management, and not as an add on or after thought. It's a huge challenge, but talking about it and recognizing its imptance are hopefully the first steps in making it happen #healthxph |
#HealthXPh content from Twitter.