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Robert Howard

@profrobhoward.bsky.social
5.8K followers 2.4K following 643 posts

UCL Old Age Psychiatrist. Evidence-based treatments for dementia, psychosis, depression and anxiety in older people. Running for RCPsych President, see details here profrobhoward.com Still enjoying Twitter but here we all are.

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Robert Howard @profrobhoward.bsky.social · 31/10/2025
ECT really does save lives. Our new SR/MA shows reduced mortality in people receiving ECT versus a comparator treatment. We didn't show a reduction in suicides but you probably wouldn't expect to be able to.
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Robert Howard @profrobhoward.bsky.social · 26/10/2025
Almost Japan in Norfolk this mornin.
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Robert Howard @profrobhoward.bsky.social · 18/09/2025
Grey old view from the train this morning.
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Robert Howard @profrobhoward.bsky.social · 14/09/2025
Beautiful autumn light on our morning walk with watchful roe deer.
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Robert Howard @profrobhoward.bsky.social · 12/09/2025
Layla. Not really happy on trains, even when she can travel First Class.
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Robert Howard @profrobhoward.bsky.social · 11/09/2025
Twitter still has impressive potential for interaction.
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Robert Howard @profrobhoward.bsky.social · 30/08/2025
At Lord Leicester’s secret beach hut in Holkham Woods. Lots of squirrels and rabbits this afternoon.
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Robert Howard @profrobhoward.bsky.social · 30/08/2025
Happy post-lunch nap.
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Robert Howard @profrobhoward.bsky.social · 29/08/2025
Hedgerows already filled with autumn berries. Densest crop of sloes that I can remember.
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Robert Howard @profrobhoward.bsky.social · 26/08/2025
It’s a Van Gogh kind of morning in Peckham.
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Robert Howard @profrobhoward.bsky.social · 25/08/2025
Yuto Satake returns to Japan today after a productive year at UCL. My son commissioned his artist friend to produce this to commemorate his visit and secret support for Layla to sit on forbidden sofas.
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Robert Howard @profrobhoward.bsky.social · 25/08/2025
Don’t recommend having one of these under an open bedroom window. Mrs H and myself exhausted after a night of vivid and weird dreams.
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Robert Howard @profrobhoward.bsky.social · 24/08/2025
Seen in our hall this afternoon.
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Robert Howard @profrobhoward.bsky.social · 23/08/2025
Her pint.
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Robert Howard @profrobhoward.bsky.social · 23/08/2025
Wonderful Wells beach.
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Robert Howard @profrobhoward.bsky.social · 23/08/2025
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Robert Howard @profrobhoward.bsky.social · 23/08/2025
It’s always playtime at the weekend when Layla has us around.
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Robert Howard @profrobhoward.bsky.social · 23/08/2025
This.
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Robert Howard @profrobhoward.bsky.social · 22/08/2025
Neighbours believe our house is haunted. Just taken this as I walked back after a walk with Layla. It does look a bit spooky…
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Robert Howard @profrobhoward.bsky.social · 22/08/2025
Me in The Times today, talking about the dodgy presentations of Alzheimer’s drug data at AAIC.
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Robert Howard @profrobhoward.bsky.social · 21/08/2025
Morning view from the train at Blackfriars on a very grey day.
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Robert Howard @profrobhoward.bsky.social · 19/08/2025
She had a drastic haircut last week.
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Robert Howard @profrobhoward.bsky.social · 19/08/2025
Look again at the green lines for the early and delayed start groups. They appear to be converging towards 36 months. We are not told the 95% confidence intervals, but I bet they overlapped by 36 months. This would argue against disease course modification and any benefits from early starting Rx.
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Robert Howard @profrobhoward.bsky.social · 19/08/2025
First, the comparison we are led to is between participants who received lecanemab in the first 18 months of the RCT and then opted for open treatment AND two unrandomised, uncontrolled historical cohorts. Second, what happened to the important delayed start trial, shown at last year's AAIC?
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Robert Howard @profrobhoward.bsky.social · 19/08/2025
What's not to like about this image, presented at AAIC and touted as showing lasting and expanding (maybe, even clinically important) efficacy of lecanemab treatment through 48 months of treatment - but only if you start treatment early and don't stop?
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Robert Howard @profrobhoward.bsky.social · 30/01/2025
For @suzanne-reeves.bsky.social a lovely little friend on the Underground platform at Warren Street.
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Robert Howard @profrobhoward.bsky.social · 28/01/2025
Today’s energy.
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Robert Howard @profrobhoward.bsky.social · 11/01/2025
Snowdrops already.
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Robert Howard @profrobhoward.bsky.social · 11/01/2025
These roe deer live in our garden and field behind the house. They know Layla well and how to stay just out of reach of her.
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Robert Howard @profrobhoward.bsky.social · 10/01/2025
Passing her ball back and forth to us without leaving her basket.
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Robert Howard @profrobhoward.bsky.social · 10/01/2025
I’m asking if anyone knows more about the status and safety of our colleague, Dr Abu Safiya. Whilst he is not the only Gazan doctor detained by Israel, it’s difficult to not be very concerned about his detention and treatment.
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Robert Howard @profrobhoward.bsky.social · 10/01/2025
Even after 10 years at UCL, still get a buzz coming to work in Tottenham Court Road every morning.
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Robert Howard @profrobhoward.bsky.social · 05/01/2025
Stop whatever you are doing and just play.
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Robert Howard @profrobhoward.bsky.social · 05/01/2025
Sound asleep and then someone in the room says “chocolate”.
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Robert Howard @profrobhoward.bsky.social · 17/12/2024
South Asian colleagues have been the backbone of many NHS mental health services since the 1950s. Great to see their experiences explored and celebrated in Dinesh Bhugra and Rina Arya’s excellent new book.
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Robert Howard @profrobhoward.bsky.social · 15/12/2024
Layla’s had enough.
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Robert Howard @profrobhoward.bsky.social · 14/12/2024
Wonderful moonlight in our garden.
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Robert Howard @profrobhoward.bsky.social · 14/12/2024
After days of wind, gloom and drizzle - a perfect winter late afternoon walk at Glandford.
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Robert Howard @profrobhoward.bsky.social · 12/12/2024
Intriguing box at the roadside between patient visits in Primrose Hill.
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Robert Howard @profrobhoward.bsky.social · 11/12/2024
Some very good news for people who want to follow postgraduate training in London (and those of us who enjoy training them).The Resident Doctor Distribution Programme was always a spiteful initiative. We need to create new posts, not just shuffle around.
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Robert Howard @profrobhoward.bsky.social · 11/12/2024
Some kind of funky film wall has appeared next to the lifts in our offices.
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Robert Howard @profrobhoward.bsky.social · 10/12/2024
Ready for a chilly morning walk with my son.
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Robert Howard @profrobhoward.bsky.social · 07/12/2024
This is mostly how Layla has dealt with today’s weather.
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Robert Howard @profrobhoward.bsky.social · 07/12/2024
We have the local Men’s Shed Group on site today. Their fellowship and industry are something to behold.
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Robert Howard @profrobhoward.bsky.social · 02/12/2024
A reproduction of The Maze, backlit so you can see previously difficult to view details, is now on display in the Maudsley Board Room. Although an image we all know, this representation is beautiful.
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Robert Howard @profrobhoward.bsky.social · 02/12/2024
We’ve fired up the chandelier (which either came from Bridewell or what is now the Imperial War Museum when it was Bethlem).
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Robert Howard @profrobhoward.bsky.social · 02/12/2024
Preparing for the exhibition of Charlotte Johnson’s paintings at Bethlem Museum, opening on 11th December. My favourite belonged to the late Raymond Levy who looked after her at the Maudsley in the 1970s. Do come to the free exhibition.
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Robert Howard @profrobhoward.bsky.social · 02/12/2024
Interviewing for a new Chair of Trustees for Bethlem Museum. What an amazing and historic space the Bethlem Boardroom is!
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Robert Howard @profrobhoward.bsky.social · 01/12/2024
Before the rain came, it was a beautiful morning.
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Robert Howard @profrobhoward.bsky.social · 01/12/2024
My sister’s dog enjoyed them. Layla very wary.
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