Treatment of excessive alcohol use in people with psychotic disorders: Non-intervention specific improvements

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The literature on the efficacy of psychological treatments for excessive drinking is vast, but investigations into effectiveness of these treatments in individuals with other clinical diagnoses are considerably more limited. A recent paper published in Acta Psychiatrica Scandinavica reviewed the effectiveness of manual guided treatments for excessive alcohol consumption in individuals with a psychotic disorder. [read the full story…]

New systematic review finds limited evidence for non-drug treatments for ADHD

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Attention deficit hyperactivity disorder (ADHD) is common with a prevalence of between 5 and 8%. It is often thought of as a problem with young people and is most commonly diagnosed in individuals while they are attending school. Unfortunately ADHD can have disruptive effects across the lifetimes of those affected. It can be and is [read the full story…]

Treatment of bipolar in specialised outpatient mood disorder clinics substantially reduces readmissions to psychiatric hospitals

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There is a limited amount of good quality research being published about bipolar disorder, particularly investigating the early stages. Bipolar is associated with a high risk of relapse and this risk of relapse increases with the number of previous episodes. Observational studies suggest that early intervention may improve both course and outcome, but currently progression [read the full story…]

Mindfulness shows promise as treatment for health anxiety

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Most of us care about our health (something we elves encourage) but for up to 5% of people, worrying about health has become a significant problem in itself. Severe health anxiety, or hypochondriasis, is said to exist when someone holds a strong fear of having a serious disease, despite all medical assurances to the contrary. [read the full story…]

NICE publish first guideline for psychosis and schizophrenia in children and young people

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Everyone who read the extracts from Michael Schofield’s memoir, published by the Guardian on January 19th, must surely have been moved by the sometimes harrowing description of his daughter Janni who was diagnosed with child-onset schizophrenia aged just 7 years old. Janni is an exception, as schizophrenia generally starts between the ages of 15 and [read the full story…]

Problem solving therapy may help people with adjustment disorders partially return to work, according to Cochrane

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Work-related stress is everywhere these days. Obviously us elves are pretty much immune, but looking at the Bristol Stress and Health at Work Study (Smith 2000) I can see that more than 50% of human respondents reported being extremely, very or moderately stressed at work. You lovely people do suffer from lots of emotional and [read the full story…]

Check out the new BITE-sized mental health summaries from the NIHR CLAHRCs

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Anyone who’s spent any time at all on the Mental Elf website, or any of the other National Elf Service sites, knows that we elves love succinct and focused summaries that are easy to read and quick to digest. It’s always a delight to see other groups publishing similar resources, so I’ve decided today to [read the full story…]

CBT and other psychotherapies can help children with PTSD in the short-term, but more evidence is needed according to Cochrane

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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…]

Growing evidence for talking treatments to help pathological gamblers

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Pathological gambling is defined by DSM-IV as a disorder of impulse control which includes a preoccupation with gambling, failed attempts to reduce gambling, and restlessness or irritability when prevented from gambling. It is likely to be reclassified as an addictive disorder in DSM-V. Gambling is something that most adults dabble in from time to time. [read the full story…]

Uncertainty over what works best to prevent relapse of childhood depression

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Much of the research about depression in children and adolescents focuses on how to treat the illness during the acute phase. This review from the Cochrane Depression, Anxiety and Neurosis Review Group is more concerned with the ways in which interventions can be used to prevent relapse or recurrence of depressive disorders. The review looks specifically at two [read the full story…]