Should we be offering mindfulness-based cognitive therapy to all patients with residual depressive symptoms?

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Mindfulness-based cognitive therapy (MBCT) is a group training approach that aims to prevent relapse and recurrence of depression. It combines mindfulness techniques with cognitive therapy and research shows that it is effective at reducing depressive symptoms as well as preventing relapse. The NICE depression guideline recommends that MBCT is offered to people who have experienced [read the full story…]

Community-based outreach may reduce mental health problems in women who experience intimate partner abuse

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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…]

MoodGym no better than informational websites, according to new workplace RCT

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In these times of austerity, there is a lot of interest in computerised cognitive behavioural therapy (cCBT) as a treatment for people with depression and anxiety. It is hoped that this cheap and easy to deliver intervention can help to reduce the long waiting lists for face-to-face talking treatments. I’ve regularly blogged about cCBT over [read the full story…]

CBT for people at ultra-high risk of psychosis: new RCT shows promise

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Early intervention services for psychosis are aimed at people aged 14-35 who are experiencing a first episode of psychosis or at risk of doing so. The teams that work in this area usually include psychiatrists, psychologists, community psychiatric nurses, social workers and support workers. The NICE schizophrenia guideline recommends that early intervention services are offered [read the full story…]

Assertive outreach no better than standard care at preventing further suicide attempts in young people

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Regular close contact with specially trained staff is generally regarded as the best course of treatment for someone who has recently attempted to kill themselves, in order to prevent a repeat suicide attempt. Of course it can be difficult to engage with this group of patients after-treatment, but recent research suggests that assertive and motivational [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…]

Can online fantasy games help young people overcome depression?

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Computerised cognitive behavioural therapy is a popular topic for research at the moment. We’ve seen a number of systematic reviews and large scale trials published over recent years, but the vast majority focus on adults with depression, so it’s hard to know how applicable the results are to adolescents. Of course, most young people are [read the full story…]

Can vitamin D supplementation help relieve the symptoms of depression?

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This week in The British Journal of Psychiatry, researchers in Norway have published results from their randomised controlled trial studying the effects of vitamin D on depressive symptoms in otherwise healthy adults. The study, directed by Dr Marie Kjaergaard and a team of doctors out of the University Tromsø in Norway, found that vitamin D [read the full story…]

Here is the evidence for exercising if you are depressed

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Ooh, what a palaver over the depression and exercise story!  Such a lot of words have been written about the study published in the BMJ last week, including by me. The study itself was well conducted but frankly disappointing (for us readers and the researchers themselves), finding as it did that a specific treatment to [read the full story…]

‘Exercise doesn’t help with depression’ – have the headline writers got it wrong again?

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Back from my 5-mile run around the woodland yesterday morning I sat down to catch up on the latest elf stories. Many of the national newspapers reported on a new randomised controlled trial published in the BMJ, which studied ‘facilitated physical activity’ for people with depression. The headlines seemed to be in agreement: Exercise ‘no [read the full story…]