Mixed amphetamine salts might be the best treatment to reduce ADHD symptoms in adults

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A new Cochrane review has found 7 randomised controlled trials that investigate the efficacy of amphetamine derivatives against placebo or an active intervention. Attention Deficit Hyperactivity Disorder (ADHD) is a childhood onset psychiatric disorder that can persist into adulthood in up to 50% of patients. From a clinical point of view, ADHD is characterized by hyperactivity, [read the full story…]

Early intervention for psychosis: updated Cochrane review remains inconclusive

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The Cochrane Scizophrenia Group have updated the systematic review that brings together all randomised controlled trials (RCTs) designed to prevent progression to psychosis in people showing prodromal symptoms, or to improve outcome for people with first-episode psychosis. The reviewers found 18 RCTs this time around, but (as is often the case with systematic reviews) the [read the full story…]

1 in 5 patients prescribed clozapine experience nocturnal enuresis (bed-wetting)

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This cohort study conducted by the Intensive Medicines Monitoring Programme (IMMP) in New Zealand, set out to determine more accurately the rates of nocturnal enuresis in patients on clozapine and other atypical antipsychotics (olanzapine, quetiapine and risperidone). Prescription data for clozapine, olanzapine, risperidone and quetiapine were returned from pharmacies throughout New Zealand directly to the [read the full story…]

Barriers to good management of depression in primary care: the views of GPs and nurses

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A research team from the Institute of Psychiatry in London have conducted a systematic review of qualitative and quantitative studies of General Practitioners’ and Practice Nurses’ attitudes to managing depression in primary care. They found 7 qualitative and 10 quantitative studies, none of which looked at depressed people with co-morbid physical illness. Two contrasting understandings of depression were [read the full story…]

Royal College of Psychiatrists launches new website to help people return to work after mental illness

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The Royal College of Psychiatrists has launched a new online resource offering information and guidance about returning to work after a period of mental ill-health. The Work and Mental Health website is divided into four main parts, and is aimed at workers, carers, employers and clinicians. Each section signposts relevant information and provides useful links [read the full story…]

Trauma-focused CBT reduces anxiety and post-traumatic stress disorder in children exposed to intimate partner violence

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This small randomised controlled trial conducted in Pittsburgh set out to compare community-provided trauma-focused cognitive behavior therapy (TF-CBT) with usual community treatment for children with intimate partner violence (IPV)-related posttraumatic stress disorder (PTSD) symptoms. The trial randomised 124 children (7-14 year olds) to receive 8 sessions of TF-CBT or usual care (child-centered therapy). A number of [read the full story…]

Better prescribing for schizophrenia requires guidelines, frequent academic activities and a relaxed working environment

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People with schizophrenia are sometimes prescribed multiple antipsychotic drugs, even though clinical guidelines rarely recommend this course of action. This cross-sectional observational study from Denmark explored the reasons behind this prescribing practice in two treatment centres; one that had high rates of antipsychotic polypharmacy and the other that had low rates. The researchers sent a [read the full story…]

The common core principles for supporting people with dementia

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The Department of Health has commissioned Skills for Care and Skills for Health to produce new guidance for health and social care professionals who work with people who have dementia. The publication provides guidance for leaders and managers, commissioners and training and education leads to develop a workforce that can create dementia friendly settings. It [read the full story…]

Commitment to review care for people with dementia on antipsychotic medication

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The Dementia Action Alliance has launched a call to action on the use of antipsychotic drugs for people with dementia: All people with dementia who are receiving antipsychotic drugs should receive a clinical review from their doctor to ensure that their care is compliant with current best practice and guidelines and that alternatives to medication have been [read the full story…]

WordsMatter: a new website to help promote fair mental health reporting

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Unbalanced and prejudicial reporting of mental health issues creates a climate of stigma and discrimination against people who experience mental health problems. This is a major barrier in terms of their everyday lives and can significantly hamper their recovery. There is a gap in terms of a web-based project that allows people to praise and [read the full story…]