Patients with first episode psychosis often relapse after initial remission, so it is perhaps surprising that treatment guidelines for the condition are generally based on poor quality evidence. Antipsychotic drugs are frequently discontinued, but clinicians don’t have ready access to information that shows how to determine which patients can be successfully tapered off of antipsychotic [read the full story…]
A report into the care received by patients with anxiety and depression across more than 350 NHS-funded psychological therapy services in England and Wales has revealed good overall standards of care, but substantial variation in quality. The National Audit of Psychological Therapies (NAPT), commissioned by the Healthcare Quality Improvement Partnership (HQIP) and carried out by [read the full story…]
This new guideline published today suggests that psychological interventions should be offered to people who self-harm to help them overcome their behavioural problems. Specifically it recommends that healthcare professionals should offer 3-12 sessions of a psychological intervention that is specifically structured for people who self-harm. The intervention should aim to reduce self-harm and should be [read the full story…]
The purpose of this brief review was to look at the conclusions of reviews published in the last ten years into the effectiveness of psychotherapy with people with learning disabilities. The authors conclude that from the findings of those reviews, there is evidence that psychotherapy with people with learning disabilities can be moderately effective, in [read the full story…]
Mindfulness as described in modern psychology relates to a way of people bringing complete attention to their present experience and involves responding to that experience with a non-judgmental attitude.The authors of this study wanted to review the adaptation and application of mindfulness-based psychotherapeutic practices for people with learning disabilities. They provide an overview of the [read the full story…]
The authors of this paper set out to look at rates of sexual abuse and interpersonal trauma in people with learning disability. They hoped to explore the relationship between such trauma and psychological distress and to describe a psychotherapeutic intervention for such people. The findings from a review of the literature suggested an inverse relationship [read the full story…]
This paper set out to describe the value of using family systems theory as a meta-theory in psychotherapy with people with persons with learning disabilities and their families at different stages of the family life cycle. Family systems theory views the family as an emotional unit and uses systems thinking to describe the complex interactions [read the full story…]
It’s a sad fact of life that as people get older they sometimes find themselves living a lonely lifestyle; cut off from stimulating social networks and all of the activities and benefits that friendships entail. Social exclusion and a lack of frequent interaction may predict impaired cognition in the older members of the population. Researchers [read the full story…]
This week’s British Medical Journal features a review of depression in later life. The authors bring together recent systematic reviews, meta-analyses, and randomised controlled trials to summarise best current knowledge about the diagnosis and management of patients who develop depression in later life. The review addresses the following questions: What is late life depression and [read the full story…]
The evidence-base for psychodynamic psychotherapy is growing. A meta-analysis by Shedler published in early 2010 showed that the effect sizes for psychodynamic therapy can be as large as for other ’empirically supported treatments’. However, there are fewer high quality studies available that look at the effectiveness of these therapies for young people. This systematic review [read the full story…]
