NICE evidence update: Interventions to reduce substance misuse among vulnerable young people

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The National Institute for Health and Care Excellence (NICE) have recently searched for any new evidence that may be relevant to a public health guideline published in 2007; ‘Interventions to reduce substance misuse among vulnerable young people’. In this blog I summarise the new evidence that has emerged and highlight whether or not it is likely [read the full story…]

Spoilt for choice? Four new Cochrane reviews on antipsychotics for schizophrenia

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Schizophrenia is a crippling condition characterised by psychotic experiences such as delusions and hallucinations. It can be hugely debilitating for the patient and their family and it can also be an enormous challenge for psychiatrists and other health and social care professionals who are responsible for providing care and support to the service user. Currently, [read the full story…]

“Psychokiller, qu’est-ce que c’est”. The risk of violent re-offending among prisoners with psychotic experiences

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In England and Wales, the Mental Health Act (1983, revised 2007) allows for the detention of individuals to hospital for a period of assessment (Section 2) or treatment (Section 3) if it is deemed that they suffer with a mental disorder of a nature or degree sufficient to warrant admission to hospital and it is necessary [read the full story…]

Is depression research asking the right questions? Your chance to get involved

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A new national survey about depression has just launched. It’s organised by an impressive group of partners, who want to improve care, support and treatment for people affected by depression. Depression affects 1 in 10 adults in any year, and can have debilitating consequences. We know that research can improve lives; improve diagnosis, treatments, care and [read the full story…]

Cochrane review finds no good quality evidence for common medicines used to treat sleep problems in Alzheimer’s Disease

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People with dementia caused by Alzheimer’s Disease (ADD) (which is estimated to be around three quarters of people with dementia) often suffer from sleep disturbances.  These symptoms cause distress to the person with dementia and to their carers, increase the likelihood of admission to a care home, and are also very difficult for care home [read the full story…]

Critical illness and risk of psychiatric diagnosis

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Out in the woodland we are pleased that recent advances in medical care mean that more patients are surviving critical illnesses within intensive care units (ICU).  “But what does that have to do with the Mental Elf?” I hear you say. Well, we Mental Elves are wondering whether this advancement in medical technology and technique are actually putting people [read the full story…]

RCT shows CBT is more effective than psychoanalytic psychotherapy for treating bulimia nervosa, but that’s only half the story

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I had actually heard about this Danish study, published recently by Poulsen et al. (2014) in the American Journal of Psychiatry, before it landed in my inbox. The findings are interesting because they highlight the debate surrounding the comparative efficacy of psychological treatments. What is most striking though, is how the study itself challenges the [read the full story…]

Why do GPs over prescribe benzodiazepines? Synthesis of qualitative studies

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Benzodiazepines are used to treat insomnia, anxiety and chronic back pain due to their sedative and muscle relaxing effects. They’ve got a sting in the tail though and can cause memory disruption, loss of coordination and dependence if used long term. It’s therefore recommended that other treatments, such as psychological interventions, are tried first and [read the full story…]

Cannabis, cigarette smoking and psychosis: do we need a rethink?

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The relationship between cannabis and psychosis has been one of the hottest topics in psychiatry over the last decade, and with good reason. Policy-makers still disagree on whether cannabis should be legalised or how it should be classified, with Uruguay being the most recent country to legalise it. Drawing broadly from work initiated by Robin [read the full story…]

Approximately 1 in 6 children develop PTSD after trauma exposure

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How many children develop Post Traumatic Stress Disorder (PTSD) after a traumatic experience such as an assault, a car crash, war or disaster? William Yule, one of the godfathers of child traumatic stress research, once pointed out that rates reported in separate studies varied from 0 to 100%. So what is on average the rate [read the full story…]