Psychodynamic therapy: time for a new approach?

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Mark Smith summarises a recent narrative review about the effectiveness of psychodynamic therapy for depression, anxiety disorders, eating disorders, somatic disorders and other mental health conditions.

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Medication for self-harm: new Cochrane review finds very limited evidence to support its use

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Dochka Hristova reports on a new Cochrane review of pharmacological interventions for self-harm in adults, which looks at the treatment effect on repetition of self-harm of antidepressants, antipsychotics, mood stabilisers and dietary supplements.

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Does tobacco use cause psychosis?

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Marcus Munafo appraises a recent systematic review and meta-analysis of prospective, case-control and cross-sectional studies, which finds that daily tobacco use is associated with an increased risk of psychosis and an earlier age at onset of psychotic illness.

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Mood Matters: mood instability is common and associated with poor outcomes

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Farhana Mann summarises an observational study of mood instability in people with mental illness, which explores its relationship with days spent in hospital, frequency of admissions, the likelihood of being sectioned and the chance of being prescribed antipsychotics and mood stabilisers.

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Social media, cyberbullying and young people: what can the evidence tell us so far?

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Sarah Knowles questions how much a new scoping review can tell us about the prevalence and effect of cyberbullying on children and young people.

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Joining the dots: mental and physical health

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Lia Ali and colleagues from the IMPARTS project present the findings of their group discussions about a recent review of mortality in mental disorders. Along the way she discusses the staff training they carried out and the tweet chat they ran to consider the implications of this research, both to individuals and on the global burden of disease.

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Psychotherapies for depression in children and young people

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Shirley Reynolds considers the findings of a recent network meta-analysis, which investigates the comparative efficacy and acceptability of psychotherapies for depression in children and adolescents.

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Crisis of faith? Instead of CBT, we should be worrying about meta-analyses

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Ioana Cristea appraises a recent meta-analysis, which examines whether the treatment effects of CBT have decreased over time. She finds a study with such significant limitations, that her blog ends up questioning the objectivity and reliability of meta-analyses.

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The antipsychotic drugs don’t work for anorexia nervosa

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Helen Bould appraises a recent meta-analysis of second-generation antipsychotics for anorexia nervosa, which finds that the drugs don’t lead to weight gain or improve eating disorder symptoms. So why are antipsychotics being used in this group of patients?

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Population screening for dementia

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Rosalyn Nelson reports on a recent systematic review about population screening for dementia, which highlights the negative attitudes of patients, carers and health care professionals towards screening. She asks: what are the risks of ignoring diagnosis?

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