Riccardo De Giorgi
MD, DPhil, MRCPsych
Clinical Lecturer (post-CCT)
- Clinical Lecturer (post-CCT)
- Honorary Consultant in General Adult Psychiatry
Repurposing immuno-metabolic drugs in mental disorders
I am a post-CCT Clinical Lecturer at the University of Oxford Department of Psychiatry, and Honorary Consultant in General Adult Psychiatry at Oxford Health NHS Foundation Trust. In Oxford, I am a tutor in psychiatry and regularly teach medical students and trainees about the topics of research methodology and critical appraisal, psychopharmacology, and mood disorders. I am also Adjunct Professor at the University of Salento, Italy. I serve as Elected Council Member for the British Association of Psychopharmacology, EDI Ambassador at the NIHR Oxford Health Biomedical Research Centre, and BJPsych Journal Club Co-Coordinator for The BJPsych. I am Section/Associate Editor for the BJPsych, BJPsych Adv, BMJ Mental Health, and BMJ Connections Mental Health.
I enjoy the interplay between clinical practice and research, which drives me to be a determined clinician and inspires my academic interests. I am interested in neuropsychopharmacology and the evidence-based treatment of mental illness, especially mood disorders. There is increasing evidence that immunological and metabolic factors play a role in the pathophysiology of cognitive and mental disorders. Repurposing commonly used medical treatments (e.g., anti-inflammatory or metabolic interventions) may therefore benefit those patients who respond poorly to conventional treatments and who might be identifiable a priori through measurement of immunological and metabolic markers.
Currently, I am working on experimental medicine studies for the repurposing of drugs with immuno-metabolic activity (e.g., statins, GLP1-RAs) in mental disorders. This work is informed by collaborative projects in evidence synthesis and pharmacoepidemiology with several other research teams at the department. I look at early markers of response, such as neuropsychological changes, as well as immuno-metabolic peripheral markers, to validate the use of these drugs in further clinical trials.
Recent publications
Psychedelics in mental healthcare show growing interest but uneven evidence.
Journal article
Sarang M. and De Giorgi R., (2026), BMJ, 393
Dose-response considerations in transdiagnostic antidepressant effects of lurasidone: response to Chen et al: commentary, Ghenciulescu & De Giorgi.
Journal article
Ghenciulescu A. and De Giorgi R., (2026), Br J Psychiatry, 1 - 2
Disparities in diabetes treatment and monitoring for people with and without mental disorders: a systematic review and meta-analysis.
Journal article
Wagner E. et al, (2026), Lancet Psychiatry, 13, 112 - 124
The distinctive psychopathology of NMDAR-antibody encephalitis compared with primary psychoses: an international, multicentre, retrospective phenotypic analysis.
Journal article
Al-Diwani A. et al, (2026), Lancet Psychiatry, 13, 47 - 61
The renin angiotensin system in cognitive flexibility: Effects of single-dose losartan on task-switching in healthy volunteers
Preprint
Prasad D. et al, (2025)
