Apathy secondary to stroke is more frequent than depression

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Some days even the most committed of Elves can be a little reluctant to return to work in the woodland. What must it be like though to feel like that every day?  Apathy (diminished motivation, lack of emotion, interest or concern) is thought to be a frequent complication of stroke associated with poorer outcomes, but [read the full story…]

Treatment of excessive alcohol use in people with psychotic disorders: Non-intervention specific improvements

Image of a person inside a wine bottle

The literature on the efficacy of psychological treatments for excessive drinking is vast, but investigations into effectiveness of these treatments in individuals with other clinical diagnoses are considerably more limited. A recent paper published in Acta Psychiatrica Scandinavica reviewed the effectiveness of manual guided treatments for excessive alcohol consumption in individuals with a psychotic disorder. [read the full story…]

Systematic review finds that suicide risk for prisoners with bipolar disorder may be lower than other mental disorders

Prison wall

In prisons, suicide is the leading cause of mortality (estimated at 3-5 times the general population). Mental health disorders are known to increase the risk. Generally, suffering from a bipolar disorder increases the risk of attempted or completed suicide when compared to the general population. So it would be expected that prisoners with bipolar disorder [read the full story…]

New systematic review finds limited evidence for non-drug treatments for ADHD

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Attention deficit hyperactivity disorder (ADHD) is common with a prevalence of between 5 and 8%. It is often thought of as a problem with young people and is most commonly diagnosed in individuals while they are attending school. Unfortunately ADHD can have disruptive effects across the lifetimes of those affected. It can be and is [read the full story…]

Valuing mental health as much as physical health: new report from the Royal College of Psychiatrists

Parity

The Royal College of Psychiatrists has today published what they are calling a landmark report on achieving parity between mental and physical health. The report, Whole-Person Care: From Rhetoric to Reality, defines parity as valuing mental health equally with physical health. It highlights the significant inequalities that exist between physical and mental health care, including [read the full story…]

A practical guide to social media in mental health practice

This review highlights a huge range of predictors of treatment response that varying widely in their clinical utility.

This new 30-page guide (PDF) is a must read for any health and social care professionals who are thinking about getting more involved with social media. Twitter remains a terrifying prospect for many professionals working in health and social care, but in my experience it’s very rare for someone to actually give it a go, [read the full story…]

Couple-based interventions may help improve the psychological wellbeing of cancer patients and their partners, but more research is needed

For Better Or Worse

Cancer diagnosis and treatment can have negative consequences for the psychological wellbeing of patients and their caregivers. This blog will summarise a systematic review on whether couple-based interventions make a difference for couples affected by cancer (Regan, 2012). The review tried to answer three questions: What is the efficacy of couple-based interventions on depression, anxiety, [read the full story…]

Meta-analysis shows a small increased risk of brain haemorrhage in people taking SSRIs

Bleeding brain

Depression is a serious mental health threat proclaimed to be the greatest disease burden in the industrialised world by 2020 (Simon, 2003). In the pharmaceutical combat against depression, selective serotonin reuptake inhibitors (SSRIs) are the current treatment of choice. Indeed, SSRIs are the most prescribed antidepressant medicine (Helms & Eric, 2006). As the name suggests, they increase [read the full story…]

Do folic acid supplements in pregnancy prevent autism in children? A new cohort study suggests there is a link but more evidence is needed

Pregnant belly

For many mums-to-be it is advised that taking regular folic acid supplements during pregnancy, and whilst trying to conceive, has significant health benefits for their unborn baby, namely around reducing the risk of neural tube defects such as spina bifida (NHS, 2013). However, do these supplements also affect the risk of the unborn baby developing [read the full story…]

Treatment of bipolar in specialised outpatient mood disorder clinics substantially reduces readmissions to psychiatric hospitals

Outpatients

There is a limited amount of good quality research being published about bipolar disorder, particularly investigating the early stages. Bipolar is associated with a high risk of relapse and this risk of relapse increases with the number of previous episodes. Observational studies suggest that early intervention may improve both course and outcome, but currently progression [read the full story…]