Antidepressant treatment is associated with a variety of side effects, including emotional changes, weight gain or fatigue. As pharmaceutical treatment has evolved, clinicians have become increasingly aware of another major adverse effect of modern antidepressants: sexual dysfunction. Current figures estimate that up to every second patient will, at some stage, experience reduced sexual function, which [read the full story…]
Maternal depression is a serious mental health condition and does not only affect the mental health of the mother, but also the physical health of her children. One meta-analysis found that up to 19% of women in developed countries experienced an episode of depression in the 3-month prenatal period (Gavin et al., 2005). More specifically, [read the full story…]
Depression in teenagers is a significant problem, with serious and potentially fatal consequences. Estimates of how many teenagers have depression at any one time vary between countries, but overall about 4-5% of mid to late teens worldwide are thought to experience clinical depression every year (Thapar et al, 2012). Much of the current knowledge of [read the full story…]
It is well known that tobacco is the leading cause of preventable death in the world (WHO, 2011). However, the associations between smoking and mental health are less well established. Smokers often want to quit, but the belief that cigarettes can be used to regulate mood can often deter them, and this is especially true [read the full story…]
I have been procrastinating about writing this blog for a while. This is, in part, caused by hesitancy about involving myself in the CBT for psychosis (CBTp) debate. Regular readers of the Mental Elf will be aware that in recent months Jauhar and colleagues presented results of a meta-analysis that called into question the effectiveness [read the full story…]
De-institutionalisation, the advent of community care and development of psychotropic medicines are implicated in the reduction in hospital bed numbers and mean length of stay. There remains a huge variance in length of stay and outcomes across the UK and beyond (NHS Confederation, 2011). Figures on length of stay and service configuration are difficult to [read the full story…]
Imagine the following scenario: you have been feeling really down for quite a while and think the time has come to get some help. You book an appointment with your doctor and tell her how you’re feeling. She doesn’t make eye contact, she thrusts a leaflet and a prescription at you and tells you to [read the full story…]
On 14th May 2010, when Kenneth Clarke returned to the Ministry of Justice, the prison population in England and Wales was 85,009. When he had previously been Home Secretary in 1992-93, the average prison population had been 44,628 (Prison Briefing 2010). This represents a 90% increase in a period when crime rates were generally falling. The [read the full story…]
Tobacco use is the single most important preventable cause of mortality and morbidity in developed countries. However, what is less widely appreciated is that as the overall prevalence of smoking has declined, tobacco use has become an increasingly important driver of health inequalities. For example, the prevalence of smoking in the United Kingdom has declined [read the full story…]
Depression is a common problem in adolescence, with statistics showing that around 20% of young people will go through at least one clinically depressive episode by the age of 18 years. Given the significant impairment and deleterious consequences of depression, sustained efforts have been dedicated to preventive and early intervention. In a recent large trial [read the full story…]
