The dose-response association between psychological distress and mortality, new BMJ meta-analysis shows the link

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There is an increasing body of evidence showing that depression and anxiety are linked with other health conditions like cancer and cardiovascular disease. I’ve blogged about the link between depression and stroke, and there are a number of other studies that show an association between psychological distress (the symptoms of depression and anxiety) and mortality, [read the full story…]

Treating depression and anxiety with the benzodiazepine alprazolam: new Cochrane review recommends caution

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Antidepressants and psychotherapies are the mainstay for treating depression, but another option is the benzodiazepine drug alprazolam, which is recommended for treating depression when anxiety is also involved. Some doctors prescribe a short course of benzodiazepines to help depressed and anxious patients, but this is not supported by NICE guidance. High-potency tranquillisers like alprazolam are [read the full story…]

Does self-help treatment for anxiety disorders work?

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Many people struggle with anxiety disorders such as panic disorder, social phobia, and Posttraumatic Stress Disorder (PTSD). Moreover, about 30% of us have an anxiety disorder at some point in our life (Kessler et al 2005) but most people never receive treatment. Self-help interventions may provide a solution when people are unable or unwilling to [read the full story…]

Women who work long hours are at risk of depression and anxiety

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It seems logical that people who work long hours and have a stressful job are more likely to suffer from depression, yet epidemiological studies that have investigated the links between long working hours and depression have reported inconsistent findings. The Whitehall II prospective cohort study followed nearly 3,000 British staff from across 20 civil service [read the full story…]

Improving the mental health of victims of violence: new guidance from the Royal College of Psychiatrists

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The mental health needs of victims of violence are going unrecognised and there is a lack of joined-up services to support their needs, according to the Royal College of Psychiatrists. People who are injured in or affected by physical violence, including sexual violence, are at risk of developing mental health problems such as post-traumatic stress [read the full story…]

Mindfulness-based stress reduction programmes help reduce anxiety, depression and stress

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Mindfulness has become a popular self-management technique to relieve stress and cope with busy day-to-day lifestyles. This review defines mindfulness as the ability to “non-judgementally observe sensations, thoughts, emotions and the environment, while encouraging openness, curiosity and acceptance”. It looks specifically at a technique called Mindfulness-Based Stress Reduction (MBSR) programmes, which is a training programme [read the full story…]

The evidence remains weak for using CBT to help children who have suffered sexual abuse

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Child sexual abuse is a widespread social problem, which can cause a range of mental health conditions including fear, anxiety, post-traumatic stress disorder, behavioural problems, inappropriate sexual behaviour and an increased risk of psychological problems in adulthood. Cognitive behavioural therapy is often used to help children (and their non-offending parent) to manage the conditions that [read the full story…]

NICE clinical case scenarios aim to help GPs improve diagnosis and management of common mental health disorders

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NICE has developed a series of case studies for GPs to help apply the recommendations from the Common mental health disorders guideline to practice. The case studies which are informed by clinical experience, include contributions from GPs, clinical psychologists and psychiatrists to help GPs when considering the range of treatments and approaches that are recommended [read the full story…]

Telephone-based treatments can help children with disruptive behaviour and anxiety

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Many children suffer from disruptive behaviour or anxiety disorders, but access to care for this group is notoriously poor because there are so many barriers to receiving help.  Psychotherapy takes time and there remains a lack of funding and a dearth of trained professionals to deliver quality care.  Added to this is the stigma experienced [read the full story…]

Targeted psychotherapies work best for children and adolescents with anxiety disorders, according to major new meta-analysis

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Around 10% of children are diagnosed with anxiety disorders before the age of 16 and for many this can be a long lasting problem that has a major impact on their development. There’s lots of research in this field and many systematic reviews have been conducted to assess the effectiveness of talking treatments for this [read the full story…]