Antidepressants work by changing emotional processing

The road to recovery can be long and people need time and space to

For people who are suffering from a severe depression, antidepressants are a very effective treatment, but how they work is still not fully understood.  The basic biochemistry of how one dose of the drug affects one part of the nervous system is known, e.g. increasing serotonin levels at the synapse by preventing it from being [read the full story…]

Bridging the gap: low intensity collaborative care for patients with recent cardiac events can improve mental health and quality of life

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There are many interfaces in mental health services, such as the one between physical and mental health. Where there are interfaces, there are inevitably gaps for patients to fall through. Consequently opportunities are missed to treat mental health problems in those with physical health problems. There is mounting evidence for the effectiveness of Collaborative Care (CC) [read the full story…]

The cost-effectiveness of liaison psychiatry: the case of RAID

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Liaison psychiatry brings together medical and psychiatric staff in hospital wards and emergency departments, with the aim of more adequately addressing comorbidities between physical and mental health. It’s something that’s been discussed in the Woodland before, with recommendations for wider implementation. The Guardian recently published an article discussing the findings of a recent study and [read the full story…]

Should we be prescribing medication to help people with alcohol use disorders?

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Alcohol Use Disorders (AUDs) are common, chronic conditions which cause substantial harm to the individual and society. They are associated with substantial morbidity (Schuckit, 2009) and responsible for approximately 4% of all deaths annually. The approximate cost of AUDs to the National Health Service is upwards of £3 billion per year. Less than one-third of [read the full story…]

Bullying and cyberbullying increase the risk of suicidal ideation and suicide attempts in adolescents

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Bullying is just not good for you.  Here on Mental Elf, we’ve already picked some great examples of studies demonstrating this.  André blogged about how bullied children are more likely to develop psychosis, and how bullies are at higher risk for teen pregnancy, and not so long ago, I told you how Wolke et al demonstrated that [read the full story…]

A new model for schizophrenia?

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Schizophrenia is a complex disorder (or, more likely, group of disorders) that has reality distortion at its core. Efforts to establish the cause of schizophrenia have been ongoing for more than a century, and many models have come and gone in that time (not for nothing has schizophrenia been called ‘the graveyard of neuropathologists’ (Plum, [read the full story…]

Corpulence and compassion: weight bias among professionals treating eating disorders

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We elves are kept continually up to date with equality and diversity training, having had many centuries to build a society that rises above such petty differences, but we remain curious about the many aspects of stigma and its effects on humans. New avenues for research are constantly opening up, with studies continuing to highlight how [read the full story…]

Does stigma impact on help seeking behaviour?

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Just over a decade ago, a research study of rural mental health services in the north Midlands of the UK, recognised the importance of community mental health services and workers operating in a sensitive, non-stigmatising way (Crawford and Brown, 2002). The study made the connection between mental health stigma and service use. The authors described mental health [read the full story…]

Is telephone peer support for the prevention of postnatal depression worth the cost?

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. Peer support has been a hot topic in the woodland recently. Although there appears to be a lack of evidence to support the clinical effectiveness of peer support interventions for people with severe mental illness, such as bipolar disorder and schizophrenia, it is an approach that is highly valued by many. It might be [read the full story…]

Childhood nightmares, night terrors, sleepwalking and psychotic experiences

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I was a terrible sleeper as a child. I remember lying awake on one particular occasion because I had read a book about space and thought that the sun might swallow up the earth. I was intrigued then, when I was asked to review a paper for the Mental Elf about parasomnias and childhood psychotic [read the full story…]