Borderline personality disorder improves with dialectical behaviour therapy and general psychiatric management

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Talking treatments are a key component of the therapy offered to people with borderline personality disorder and there are now a number of studies that point to the importance of these interventions for this complex and hard to manage condition. A new randomised controlled trial conducted by a research team from the Centre for Addiction [read the full story…]

Psychological therapies can help reduce pain in children with painful conditions

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Any parent whose child has a chronic or life-threatening illness will attest to the fact that it can be a worrying, stressful and exhausting journey. Parents can struggle to juggle caring for their child with work, social and other commitments. This can lead to parents suffering from mental health problems themselves, in addition to the [read the full story…]

New Cochrane review points to best psychotherapies for borderline personality disorder

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The NICE guideline on borderline personality disorder (BPD) tells us more about what not to use to treat the condition than it does really help to recommend proven therapies. The guideline recommends the following: “Do not use brief psychological interventions (of less than 3 months’ duration) specifically for borderline personality disorder or for the individual [read the full story…]

Psychotherapy for adults with learning disabilities requires a more rigorous evidence base

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We posted last year about a review of the literature on the effectiveness of psychotherapy with people with learning disabilities which suggested that there was evidence that it could be moderately effective. However, the authors urged some caution as the studies they reviews did not include any randomised controlled trials. This current review summarises the [read the full story…]

How should we personalise treatment for adults with depression?

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One of the criticisms that health professionals sometimes make of evidence-based research is that individual studies or reviews do not apply to the specific patient they are caring for. Of course, each patient is unique with their own values and preferences, as well as their own particular clinical characteristics, genetic make-up, biological markers and sociodemographic [read the full story…]

Psychosis and schizophrenia in children and young people: NICE starts consultation

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The two month consultation period for the new NICE guideline on psychosis and schizophrenia in children and young people has now begun. You must be registered as a stakeholder to comment on the guideline and you have until 27th September 2012 to make your views known. The guideline is aimed at clinicians and service commissioners [read the full story…]

Modular psychotherapy may be the answer for young people with comorbid depression, anxiety and conduct problems

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Young people with mental health problems often suffer from comorbidity, i.e. a complex mix of different conditions like depression, anxiety and conduct problems. Clinical research very often investigates specific treatments (e.g. CBT) for single disorders (e.g. depression) and guidelines and manuals are then developed for clinicians to help them treat these individual conditions. The problem [read the full story…]

New Dutch guideline seeks to reduce unnecessary prescribing of antidepressants to people with depressive symptoms

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I don’t normally blog about non-English language publications, but this new evidence-based guideline from the Dutch College of General Practitioners caught my eye yesterday. The guidance says that antidepressants should only be given as a first line treatment to people with severe depression and that those who only have depressive symptoms should be given a [read the full story…]

Are the specific techniques used by different psychotherapists likely to help people with depression?

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Non-directive supportive therapy (NDST) has been defined as “a psychological treatment in which therapists do not engage in any therapeutic strategies other than active listening and offering support, focusing on participants’ problems and concerns” (Arean et al., 2010). We know from research studies that there are many types of psychological therapy that work well in [read the full story…]

CBT is no better than other psychosocial therapies for people with schizophrenia, according to new Cochrane review

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NICE guidance recommends offering CBT (cognitive behavioural therapy), family therapy and arts therapies for people with schizophrenia: Offer CBT to all people with schizophrenia. This can be started either during the acute phase or later, including in inpatient settings. – Taken from 1.3.4.1 in Schizophrenia (CG82). NICE, March 2009. However, CBT is still not widely [read the full story…]