The Challenge of VR for voices in psychosis

shutterstock_2510161587

We’ve been talking about VR for voices for more than a decade. Are the results finally catching up with the hype? A new multi-site RCT from Denmark tests a refined, immersive version of AVATAR therapy for people with schizophrenia who continue to hear distressing voices despite medication.

[read the full story...]

Racism and psychosis: how discrimination shapes mental health risk

mark-konig-kn68FkEstR8-unsplash

People from racialised communities face higher risks of psychosis, yet racism itself is rarely studied. A new umbrella review shows why discrimination needs to be recognised as a genuine risk factor, not just a background influence.

[read the full story...]

Predicting psychiatric hospitalisation using routinely-collected measures

feat

Psychiatric hospitalisation can save lives, but it also carries major personal and economic costs. Could early warning scores help predict who’s most at risk, allowing for earlier, more targeted support? This new BMJ Mental Health study by Taquet and colleagues explores the potential.

[read the full story...]

Targeting distressing mental imagery in psychosis: a neglected but promising area for intervention

A hand in silhouette

What if therapy focused not on thoughts or voices, but on the vivid images that often accompany them? The iMAPS-2 trial tested a novel imagery-focused therapy for psychosis, showing it’s safe, acceptable, and ready for a full-scale trial.

[read the full story...]

Doubling of respiratory deaths in people with severe mental illness

Man,Got,Urgent,Alert.,Emergency,And,Urgent,From,Working,Calling.

People with severe mental illness are more than twice as likely to die from respiratory disease than those without. This new systematic review highlights the scale of the problem and why action on public health and social inequality is just as vital as stop-smoking advice.

[read the full story...]

Should you start metformin whenever you start antipsychotics?

feat

Guidelines say metformin can help prevent weight gain from antipsychotics like olanzapine, but this large UK study shows it’s rarely prescribed. What’s stopping us?

[read the full story...]

Treating ADHD in psychosis: What does the evidence say about safety?

Minimalist,Transparent,Venn,Diagram,–,Yellow,And,Orange,Circle,Overlapping

How safe is it to treat ADHD in people with schizophrenia spectrum disorders? New long-term data offers pragmatic reassurance, but also some warnings.

[read the full story...]

Clozapine and infection risk: new evidence from Hong Kong’s 20-year cohort study

Someone coughing and holding there hand up to ward off people

Clozapine is described as the gold standard treatment for schizophrenia but a new cohort study suggests it is associated with an increased risk of infections, particularly in older patients, further solidifying the case for holistic care.

[read the full story...]

Spotting the storm before it breaks: mapping the prodrome of severe mental illness

Storm,Cloud,Coming,Over,The,Local,Road.

People with severe mental illness often face years of poor health before diagnosis. A new study uses machine learning and clinical notes to map the early warning networks of symptoms that could help us intervene earlier.

[read the full story...]

Widening the lens on delusions: a global meta-analysis shows our scales miss many common themes

A camera lens and shutter in close up

This big meta-analysis pooled 155 studies from 37 countries and found many more delusional themes than standard assessment tools capture. Clinicians should watch for “non-classical” content, and researchers should widen how we measure delusions.

[read the full story...]