Antidepressant withdrawal or depression relapse? International guidelines on antidepressant discontinuation are unclear

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Adele Framer summarises a systematic review which finds that major guidelines on antidepressant discontinuation only give clinicians vague guidance on distinguishing withdrawal from relapse.

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Treating PTSD in adults: EMDR and trauma-focused CBT still lead the way

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Nada Abou Seif summarises a network meta-analysis which finds that EMDR and trauma-focused CBT remain the most effective ways to treat adult PTSD.

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Stratified care versus stepped care for depression: which is more effective?

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Sarah Watts reviews a cluster randomised clinical trial investigating the effectiveness of stratified care compared to stepped care for depression, which has implications for IAPT services.

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Supporting the supporters: peer support in early intervention in psychosis

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In her debut blog, Natalie Kashirsky explores a qualitative study finding valuable mechanisms of peer support in early intervention in psychosis services.

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Why CBT can fail those with OCD: service users’ perspectives

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In his debut blog, Lawson Taylor summarises a preprint qualitative study that explores the views of service users with OCD or panic disorder, and tries to offer some answers as to why CBT does not work well for some people.

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Living in anxious times? The rise of anxiety disorders in the UK

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Alice Grishkov and Derek Tracy explore a recent paper, which finds that generalised anxiety disorder is on the rise in the UK, especially in young women.

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Cost-effectiveness of CBT for depression: uncertainty remains

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Chris Sampson reviews a recent US study which looks at the cost-effectiveness of CBT versus second-generation antidepressants for the initial treatment of major depressive disorder.

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How consistent are international treatment guidelines for bipolar disorder?

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Steven Marwaha publishes his debut blog on a review article that asks if there is consensus across international evidence-based guidelines for the management of bipolar disorder.

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Oral Health should have same priority as general health in care homes says NICE

Quality of life measures are one way of finding out how people are feeling about and experiencing their new life in a care home.

This new guidance from NICE focuses on improving and maintaining residents’ day-to-day oral healthcare, ensuring staff are properly trained to confidently look after the oral health needs of residents, and there is adequate access to dental services when needed

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Better together: how collaborative working can improve outcomes for patients with depression and diabetes

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The link between depression and diabetes mellitus (DM) is well established. Around 20% of patients with DM meet diagnostic criteria for depression. The National Institute for Health and Care Excellence (NICE) issued guidance impressing the importance of diagnosing and treating depression in long-term conditions such as DM (NICE, 2009). However, depression in the presence of [read the full story…]