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3. Struggling with depression, anxiety, or insomnia despite medication and therapy tweaks? 🚑 The problem may not be the treatment—it’s the target. In this short lesson, consultant psychiatrist Dr Sanil Rege reveals the PACES framework (Perception, Activity, Cognition, Emotion/Reward, Sleep) and shows how clear, functional goals turn stalled care into real recovery. #PsychiatrySimplified #MentalHealth #Depression #Anxiety #Therapy #Medication #PACES #TreatmentGoals 👉 5 Targets to Fix Before Your Mental Health Treatment Can Work 1. Define clear goals – vague aims like “I just want to feel better” don’t guide treatment; specify what doing better looks like. 2. Stabilise first – calm hyper-arousal, regulate sleep, and settle emotions before starting deeper therapy. 3. Target functional domains – focus on perception, activity, cognition, emotion, reward/hedonic drive, and sleep (PACES), not just the label. 4. Match tools to timing – the right medication or therapy at the right stage (e.g. treat sleep/arousal before deep psychotherapeutic work). 5. Track progress as feedback, not failure – each layer removed reveals the next; adjust goals and treatment based on what emerges. ► Key takeaways 0:00 Why aimless treatment fails 1:01 Diagnosis ≠ Target: the biggest clinical blind spot 1:30 The 7 domains clinicians can actually modulate (PACES) 2:13 Short- vs long-term goals: stabilise first, then build 2:51 Matching meds & therapy to the right domain 4:10 One action step to start seeing progress today ► Why watch? • Learn why antidepressants, mood stabilisers, or CBT can miss the mark • Discover how to set specific functional goals that accelerate recovery • Understand the “peel-the-onion” principle—improvement is feedback, not failure • Get a practical roadmap you can discuss with your own clinician 👉 Resource: 3-hour masterclass at Academy.psychscene.com: https://www.academy.psychscene.com/co... 🔔 Subscribe for weekly, evidence-based insights that simplify psychiatry and bridge brain-mind-body care. Relevant Resources: PACES Model: • The 5 Brain Functions You Need for Mental ... 👉Psychiatry Training: https://www.academy.psychscene.com 🎓RESOURCES BY PSYCH SCENE: 🌐The Academy by Psych Scene: PSYCHIATRY EDUCATION REDEFINED https://academy.psychscene.com/ Revolutionary psychiatry learning. 🌐Psych Scene Hub: PSYCHIATRY TEXTBOOK OF THE FUTURE https://psychscenehub.com/ The Hub is devoted to making you a better mental health professional. Our team of academic and clinical experts bring you powerful summaries, videos and interviews in psychiatry and neurosciences. 🌐Psych Interview Online: REAL WORLD SKILLS FOR REAL WORLD SUCCESS https://www.psychinterview.com/ The Psych Interview online courses offer high-quality training to help you improve your psychiatric interview skills through self-study. 🌐Psych Scene Online: THE ONLINE COURSES TO HELP YOU SUCCEED https://ranzcpexams.psychscene.com/ Learn at your own pace with the RANZCP Written Exam prep online courses. 🌐Psych Scene: THE PSYCHIATRY TRAINING EXPERTS https://psychscene.com/ Psych Scene offers specialised training and professional development for Psychiatry Trainees, Psychiatrists, General Practitioners and Mental Health Practitioners. -- 📱SOCIALS Subscribe for weekly videos on Psychiatry and Neuroscience: Facebook: / psychscenehub Instagram: / psychiatry.excellence – 👋 LET’S CONNECT! Follow Sanil Rege on LinkedIn: / sanilrege