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
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)
Epilepsy and mental health disorders: current challenges and potential solutions.
Journal article
De Giorgi R. et al, (2025), Br J Psychiatry, 1 - 8
