CBT for depression in primary care: gold standard, or one option among many?

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Does CBT really outperform other treatments for depression in primary care settings? A recent systematic review suggests patients may have more options than we think.

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Healing takes time: Can cognitive therapy for PTSD help young people in CAMHS? Insights from DECRYPT

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PTSD in young people is common, complex, and often entangled with depression, anxiety, and multiple traumatic experiences. A major new UK trial (DECRYPT) tested whether a structured form of trauma-focused cognitive therapy (CT-PTSD) can work in real CAMHS settings for those with the most severe difficulties.

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Psychological interventions effective for improving mental health and sleep following complex trauma

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In her debut blog, Delia Ciobotaru explores a network meta-analysis which finds that psychological treatments are effective in reducing PTSD symptoms experienced by people with complex trauma.

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Psychosocial interventions for negative symptoms in psychosis

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Rachel Upthegrove reviews a new systematic review and meta-analysis of psychological and psychosocial interventions for negative symptoms in psychosis.

This is the third in a new series of Mental Elf blogs produced in partnership with the British Journal of Psychiatry.

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Antidepressants and psychotherapy for OCD in adults: network meta-analysis

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Alan Underwood summarises a recent network meta-analysis of medication and talking treatments for OCD (obsessive-compulsive disorder) in adults.

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IPT and CBT best for depression in children and young people, says network meta-analysis

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Laura Hemming summarises a recent network meta-analysis of psychotherapies for depression in children and young people, which finds that Interpersonal Psychotherapy (IPT) and Cognitive Behavioural Therapy (CBT) were significantly more efficacious than other psychotherapies at post-treatment and follow-up.

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Psychotherapies for depression in children and young people

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Shirley Reynolds considers the findings of a recent network meta-analysis, which investigates the comparative efficacy and acceptability of psychotherapies for depression in children and adolescents.

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Cognitive therapy plus antidepressants for depression

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Patrick Kennedy-Williams highlights a new large-scale RCT of combined cognitive therapy plus antidepressants for major depressive disorder. The trial finds that this combination is effective, but only in patients with severe non-chronic depression.

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Cognitive therapy is a non-stigmatising intervention for people at risk of psychosis

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Criteria to identify subgroups experiencing an at-risk mental state (ARMS) have been developed and are widely adopted internationally, but this has fueled recent debates about unintended stigmatising consequences of identifying and providing treatment to people at risk of psychosis. While the Early Detection and Intervention Evaluation 2 (EDIE-2) trial has shown that cognitive therapy (CT) [read the full story…]

Gains made from CBT for men with learning disabilities and sexually abusive behaviour maintained at longer-term follow up

A well constructed trial adding to growing evidence base for effectiveness of CBT for people with mild to moderate learning disabilities

Cognitive behavioural therapy has been recognised as the leading method of treatment for non-disabled men who have committed sexual offences, but men with learning disabilities are often excluded from such treatment groups. However, there is a growing body of evidence of the effectiveness of this approach for men with learning disabilities as well. There have [read the full story…]