Once symptoms stabilise after a first episode of psychosis, should medication continue? A four-year RCT explores the risks and rewards of dose reduction.
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Suicide risk following involuntary psychiatric care remains elevated for years, with highest risk in the first month. Personality disorder patients face greatest long-term vulnerability.
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No drugs are officially approved for borderline personality disorder, yet prescribing is widespread. This systematic review explores why clinicians prescribe, the pressures they face, and what it means for patient care.
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Beta-blockers like propranolol are being prescribed more often for anxiety in UK primary care, even though they don’t appear in national guidelines. This new qualitative study explores why GPs turn to them, and what that says about evidence, safety, and patient choice.
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Angelica Tong summarises a recent Chinese review of perinatal depression screening and international guideline recommendations, which finds that routine screening and referrals for perinatal depression were not widely adopted in clinical practice.
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Lucy Purnell summarises a systematic review of clinical psychological guidance for perinatal mental health from the UK, Australia and Canada.
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A group of MSc students at UCL summarise a study exploring the secondary mental health care treatment patients with comorbid PTSD and suicidality receive in London.
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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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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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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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