Would you like to write for the Mental Elf?

We want you!

We’re looking for people who share our commitment to delivering quality-filtered updates of emerging evidence that focus on the needs of health and social care professionals. It would also help if you like elves! You might be a subject specialist, a clinician, a researcher, a student or even an information scientist. If you want to use your [read the full story…]

SSRI use in pregnancy does not increase the risk of stillbirth, neonatal mortality or post-neonatal mortality

Newborn baby and mother

Studies have shown that the prevalence of depression in pregnant women is 7-19%. Being depressed during pregnancy can result in preterm delivery, which can in turn lead to illness and even death of the newborn child. Researchers have struggled to single out the causes of these risks. Is it the depression, the medical treatment being [read the full story…]

Cerebrolysin is a promising treatment for vascular dementia, but more research is needed, according to new Cochrane review

Pig

Vascular dementia is the second most common type of dementia after Alzheimer’s disease. It’s caused by damage to the network of blood vessels supplying the brain. Some symptoms are similar to those associated with Alzheimer’s and stroke, but in particular people with vascular dementia often experience difficulty thinking quickly, concentrating and communicating, as well as [read the full story…]

Individual CBT, with or without family CBT, could be the best first line treatment for people at high risk of schizophrenia

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Schizophrenia is a debilitating illness that affects an estimated 25 million people worldwide. People with the condition can experience a huge amount of disability (both social, physical and psychological), but we know that early intervention can help reduce the duration of the illness and prevent further episodes of relapse. People with schizophrenia usually experience a [read the full story…]

‘Controlled comforting’ and ‘camping out’ are safe long-term techniques for babies with sleep problems

Crying young child in cot

Hands up who doesn’t have an opinion about the best way to help babies get to sleep? It’s been a hotly contested topic in recent years, at dinner parties and playgrounds across the land. Behavioural sleep techniques have been shown to be effective at reducing sleep problems in infants and the associated maternal depression in the [read the full story…]

NICE publish new evidence summary on harmful drinking and alcohol dependence

Woman drinking alcohol

NICE have published a new evidence summary (PDF) on the problems associated with alcohol misuse, which augments the clinical guideline (PDF) that came out 2 years ago. This is a fast moving area, so quite a significant amount of research has been produced in the last 2 years, which may have an impact on clinical [read the full story…]

NICE publish first guideline for psychosis and schizophrenia in children and young people

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Everyone who read the extracts from Michael Schofield’s memoir, published by the Guardian on January 19th, must surely have been moved by the sometimes harrowing description of his daughter Janni who was diagnosed with child-onset schizophrenia aged just 7 years old. Janni is an exception, as schizophrenia generally starts between the ages of 15 and [read the full story…]

More guides to help GPs commission mental health services

Do you tell your patients with knee osteoarthritis to exercise?

A year ago I blogged about the new mental health commissioning guides that the Joint Commissioning Panel for Mental Health (JCP-MH) had published for GPs. The JCP-MH is a collaboration between public sector organisations, charities and professional bodies. Their aim is to “inspire commissioners to improve mental health and wellbeing, using a values based commissioning [read the full story…]

Problem solving therapy may help people with adjustment disorders partially return to work, according to Cochrane

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Work-related stress is everywhere these days. Obviously us elves are pretty much immune, but looking at the Bristol Stress and Health at Work Study (Smith 2000) I can see that more than 50% of human respondents reported being extremely, very or moderately stressed at work. You lovely people do suffer from lots of emotional and [read the full story…]

NICE publish new evidence summary on psychosis with coexisting substance misuse

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The NICE guideline on psychosis with coexisting substance misuse was published in 2011, which means it’s now nearly 3 years out of date. This is because guidelines take many months to produce, so by the time they are published the evidence in them is 1 year old at best. Some NICE guidelines are supplemented by [read the full story…]