Common antidepressants associated with increased risk of postpartum haemorrhage

shutterstock_18257986

Postpartum haemorrhages are serious birth complications that represent one of the leading causes of maternal mortality and morbidity. While incidences of postpartum haemorrhages have risen steadily in the past decades (in the US alone, numbers increased from 2.3% to 2.9% from 1994 to 2006), there is little evidence as to why. Antidepressants – especially selective [read the full story…]

#MindfulnessMonday – Mindfulness proves effective in depression and anxiety, but is not superior to traditional CBT

shutterstock_115208812

Last week, Kirsten Lawson blogged about mindfulness-based stress reduction as a treatment for breast cancer.  We have featured a number of blogs on mindfulness in the last couple of years, including a piece about the use of Mindfulness-based cognitive therapy (MBCT). MBCT is recommended by NICE to prevent relapse in people who have already experienced three [read the full story…]

The overall incidence of eating disorders increased between 2000 and 2009, says new register-based UK study

Screen Shot 2013-10-08 at 17.10.26

Eating disorders are chronic conditions associated with high mortality and morbidity as highlighted by a previous Mental Elf blog in 2011. Eating disorders are categorised into three main groups: i. Anorexia Nervosa (AN), ii. Bulimia Nervosa (BN) and iii. Eating Disorder Not Otherwise Specified (EDNOS). Using ICD 10 criteria, EDNOS includes atypical AN and atypical BN as well [read the full story…]

CAM: Many of us are using it, despite poor evidence. Whats going on?

alt therapies

Complementary and alternative medicine (CAM) therapies are often perceived to be as effective as conventional treatments, more “natural”, less expensive, have fewer side-effects and are easily available without a prescription. But do these perceptions match up with the reality? Can CAM therapies be helpful additions to conventional treatments? This alludes to an interesting sociological question [read the full story…]

A meta-analysis of cognitive-behavioral therapy for adult depression: the winner takes it all?

shutterstock_139773457

Cognitive-behavioral therapy (CBT) is widely researched and recommended as an evidence-based treatment for adult depression, but despite the strength of research comparing CBT approaches with other forms of care, there are few recent systematic reviews on this topic. Cuijpers and collaborators provide such a review in a recent meta-analysis published in The Canadian Journal of [read the full story…]

Systematic review of fluphenazine for schizophrenia: 50 years of learning not that much

shutterstock_141125920

Antipsychotic medications are often the first line of treatment for schizophrenia and have been effective at treating florid symptoms such as delusions and hallucinations. Fluphenazine was one of the first antipsychotics to become available on the market and has now been appearing on prescriptions for over 5 decades. Despite the arrival of newer generations of [read the full story…]

#MindfulnessMonday – Mindfulness-based stress reduction works for patients with breast cancer

Patients with breast cancer commonly have lots on their mind (psychological distress)

Within the woodland October is a month of themes. Many of you will be familiar with #Stoptober, which always helps any elves who sneak round the the back of the woodshed, to give up smoking. You may be less aware of our #MindfulnessMonday activities that will be sprinkled across the month; showcasing the potential benefits that [read the full story…]

Mental and substance use disorders are the leading cause of non-fatal illness worldwide

shutterstock_116343610

Data from the largest and most comprehensive survey of causes of illness worldwide has been published in the Lancet. This paper represents the latest analysis of the data set collected in the Global Burden of Diseases, Injuries, and Risk Factors Study 2010 (GBD 2010) and focuses on the global burden of illness due to mental [read the full story…]

New Australian guidelines for the treatment of ASD and PTSD in children

shutterstock_129436619

Do not use psychological debriefing when a child has been exposed to a traumatic event such as assault or a major car crash. And if you treat a child who has developed Posttraumatic Stress Disorder (PTSD) due to trauma, do not use pharmacotherapy either (that is, not as a first line treatment). Rather, apply the [read the full story…]

Lithium prevents suicide in mood disorders, according to updated systematic review

shutterstock_128461481

Mood disorders include schizoaffective, dysthymia, rapid cycling, unipolar and bipolar disorders. People with mood disorders have a 30 times higher risk of suicide than the general population. Recent Mental Elf blogs have summarised the data on suicide risk and bipolar disorder, and shown that one key treatment is lithium which appears to have a robust evidence [read the full story…]