Childhood trauma and abuse is the smoking of psychiatry. As a risk factor for mental illness it is comparable to how smoking a pack of cigarettes per day increases the risk of lung cancer and heart disease. As an adult psychiatrist I see the consequences of poor starts to life and do my best to [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…]
People who suffer from post-traumatic stress disorder (PTSD) often have nightmares that relive the experience and these can sometimes be as terrifying as the original trauma. These nightmares can be very difficult to treat effectively as there are few options available. A team of researchers from the Mayo Clinic have published a systematic review that [read the full story…]
Nearly a year ago I blogged about a promising but small RCT, which showed that Trauma-focused cognitive behavioural therapy may help young children with post traumatic stress disorder (PTSD). The blog generated a fair bit of feedback from readers and so I’ve been on the look out ever since for a systematic review that brings [read the full story…]
Women who experience intimate partner abuse (IPA) often suffer from mental health problems as a result. Post-traumatic stress disorder (PTSD), depression and fear of further attacks are all common and understandable responses. Despite this, there are not many longitudinal studies that follow a group of women over a period of time and assess what interventions [read the full story…]
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…]
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…]
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 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…]
The demand for psychological therapies far outstrips the supply and in this ongoing period of austerity we surely need to produce some cost-effective alternatives. One method that patients can attempt pretty much on their own is self-help provided through books, CDs, DVDs and websites. This new systematic review claims to be the first to bring [read the full story…]
