Most of us care about our health (something we elves encourage) but for up to 5% of people, worrying about health has become a significant problem in itself. Severe health anxiety, or hypochondriasis, is said to exist when someone holds a strong fear of having a serious disease, despite all medical assurances to the contrary. [read the full story…]
The NICE guideline on common mental disorders (PDF) was published back in May 2011, which means that it only included evidence published up until the end of 2010. This is a fast moving field, so NICE have now put out an evidence update, which focuses on new evidence published from Sept 2010 to Oct 2012. This [read the full story…]
Anxiety disorders are identified by NICE clinical guidelines as a common mental health issue. The term refers to a range of disorders including generalised anxiety disorder, panic disorder, post-traumatic stress disorder (PTSD), obsessive-compulsive disorder (OCD), and social anxiety disorder. The typical treatment plan consists of medication and/or psychotherapy, however NICE acknowledges that access to psychological [read the full story…]
Depression and anxiety are common conditions in adolescence that can lead to persistent and life-long mood and anxiety disorders for some people. One theory is that prenatal maternal stress can contribute to depression in young people (the so called fetal programming hypothesis). The notion here is that pregnant women who experience stress may send messages to their foetus [read the full story…]
People with schizophrenia often experience psychological distress and anxiety. This can have a knock on impact on the positive (delusions and hallucinations) and negative (apathy, social withdrawal, cognitive impairments) symptoms of schizophrenia. As a result, there’s lots of interest in psychosocial approaches that may help patients relax. These include talking treatments like CBT, as well [read the full story…]
The stigma and shame associated with mental illness can prevent people from seeking help. This can lead to much poorer outcomes as patients may often miss out on vital treatment early on in their illness. A number of theories have been put forward to explain why certain groups (e.g. young people, men, refugees) seem less [read the full story…]
The new batch of Cochrane systematic reviews are published today and there are a couple of important new mental health reviews that I’ll be blogging about over the next few days. First comes a piece of research looking at the effectiveness of collaborative care for patients with depression or anxiety. Collaborative care involves a range [read the full story…]
NHS Evidence have published an evidence update on generalised anxiety disorder in adults. Evidence updates are summaries of selected high quality evidence that has appeared since the relevant guideline was published, in this case NICE clinical guideline 113 ‘Generalised anxiety disorder and panic disorder (with or without agoraphobia) in adults: management in primary, secondary and community care’ [read the full story…]
In these times of austerity, there is a lot of interest in computerised cognitive behavioural therapy (cCBT) as a treatment for people with depression and anxiety. It is hoped that this cheap and easy to deliver intervention can help to reduce the long waiting lists for face-to-face talking treatments. I’ve regularly blogged about cCBT over [read the full story…]
Young people with mental health problems often suffer from comorbidity, i.e. a complex mix of different conditions like depression, anxiety and conduct problems. Clinical research very often investigates specific treatments (e.g. CBT) for single disorders (e.g. depression) and guidelines and manuals are then developed for clinicians to help them treat these individual conditions. The problem [read the full story…]
