Are the current approaches to treating traumatised kids actually making them better?

Teddy bear in war zone

More and more research is telling us about the long-term negative consequences of trauma and adversity in childhood with correlations between childhood trauma and poor mental and physical health outcomes across the lifespan. So, it makes sense that there should be a good evidence base for treating the effects of childhood trauma. In February this [read the full story…]

Are you really at risk of attack by someone with schizophrenia?

Do not cross

By Rebecca Syed, King’s College London.  A violent attack by someone who is mentally ill quickly grabs the headlines. And it’s usually implied that mental illnesses are a preventable cause of violent crime. Tackle that and we can all sleep safer in our beds. But by pressuring mental health services to focus on the risk [read the full story…]

The latest evidence from NICE on depression in children and young people

Young boy on roundabout

The NICE guideline for depression in children and young people was published way back in September 2005.  Any elf worth his salt will tell you that a whole heap of evidence has been published since then, so it’s good to see an evidence update appear this week from NICE, which brings together research published from 17th [read the full story…]

Pay for performance improves treatment implementation, not outcomes, for adolescent substance use disorders

Money in the spotlight

The NHS has entered the era of GP-led commissioning of services, and providers will be required to submit data on key indicators such as quality of care and survival rates. This echoes some aspects of a 2001 report by the Institute of Medicine in the USA Crossing the Quality Chasm, which emphasised the need to [read the full story…]

Healthy Active Lives (HeAL): tackling premature death in young people with psychosis

Teenage girl holding up her hand

The Healthy Active Lives (HeAL) international consensus statement aims to reverse the trend of people with severe mental illness dying early by tackling risks for future physical illnesses pro-actively and much earlier. The statement is being launched today by the Royal College of Psychiatrists, at a special event focusing on achieving parity between mental and [read the full story…]

The DSM-5 and the complexities and capitalising of classification

Textbook

Today we feature another guest blog from Professor Simon Hatcher’s excellent blog. We’ll be posting one blog every month from Simon who is Full Professor of Psychiatry at The University of Ottawa – Editor. Well it’s not actually a journal article but as everyone and their dog has an opinion on the launch of DSM-5 (the Fifth [read the full story…]

Meta-analysis finds medium-sized deficit for IQ-change in schizophrenia patients

lightbulb brain

When Kraepelin first described the symptoms of the disorder we now call schizophrenia, he drew particular attention towards the deterioration of cognitive function he observed in his patients and named their condition “dementia praecox”. To this day, cognitive deficits are still regarded as one of the key features of schizophrenia (and related diagnoses), and it [read the full story…]

Perceived freedom of choice and the experiences of carers of older adults with mental health problems

Freedom of choice

Family and friends often play a very important role in supporting older people with long-term, severe mental health problems. It is estimated that 25% of the 6 million carers in the UK are supporting someone with a mental health problem (Carers Trust, 2007). Stress has been cited as having a major impact on the wellbeing [read the full story…]

Limited evidence suggests that co-morbid chronic physical illness may not increase risk for recurrence in depression

Depression

There is a widespread clinical presumption that people who have both major depressive disorder (MDD) and a co-morbid chronic physical illness represent a ‘double trouble’ group. This leads to the expectation that the depression prognosis for these people would be poor with increasing likelihood of recurrence. Evidence supports the view that depression is prevalent among [read the full story…]

Intensive cognitive training may help to prevent cognitive decline

Brain exercising with weights

Cognitive decline describes increasing problems with memory, comprehension, language and mental agility. Mild cognitive impairment means that a person has cognitive decline beyond that which might be expected for their age, but generally do not experience problems with everyday living (Alzheimer’s Society, 2012). Dementia has similar symptoms, but these are more severe and people with [read the full story…]