Watching what you eat: does mindfulness work for binging and weight loss?

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Helen Bould tells us that mindfulness may do many things, and is queuing up to take its place with CBT as the panacea of mental illness, but in her view it cannot yet lay claim to solving binge eating.

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Program of regular exercise may be beneficial in reducing depression in older adults

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The evidence-base supporting the use of exercise for depression is ever growing. Susie Johnson reports on a recent systematic review that adds to the discussion, but it’s not without its own limitations.

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We don’t know if general health advice improves physical health for patients with serious mental illness

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For me, one of the most infuriating aspects of health care is the relegation of mental health problems, and mental health services, as secondary to physical health. There are a myriad of examples of this, from the classic stigma that people with mental health problems receive compared to those with physical health problems (fantastically illustrated [read the full story…]

Preventing workplace depression: are there universal interventions that work?

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Mental health in the workplace is an area that we’ve blogged about a few times before. This blog features a recent review by Tan et al on workplace interventions for depression. Mental disorders are the leading cause of sickness absence (Harvey, 2009 and Henderson, 2011), and depression in particular is predicted to be the leading [read the full story…]

Which (if any) drugs should we use for agitated or aggressive behaviour in dementia?

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This is a dilemma I frequently face when I am called out to see someone with dementia on the ward or living in a nursing home. On the one hand I am thinking that anything I use can potentially have serious side-effects and will probably lead to increased health risks and increased mortality. On the [read the full story…]

Antidepressants work by changing emotional processing

The road to recovery can be long and people need time and space to

For people who are suffering from a severe depression, antidepressants are a very effective treatment, but how they work is still not fully understood.  The basic biochemistry of how one dose of the drug affects one part of the nervous system is known, e.g. increasing serotonin levels at the synapse by preventing it from being [read the full story…]

Health Promoting Schools can improve some areas of health, but more research is needed

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My grandfather had a nearly religious conviction of the value of physical activity. No weekend was complete without a strenuous bout of outdoor exercise, regardless of the weather.  New England gets cold and damp, and his five children would prepare themselves for winter excursions with some reluctance. ‘Healthy body, healthy mind!’ my grandfather would say, exhorting them [read the full story…]

Should we be prescribing medication to help people with alcohol use disorders?

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Alcohol Use Disorders (AUDs) are common, chronic conditions which cause substantial harm to the individual and society. They are associated with substantial morbidity (Schuckit, 2009) and responsible for approximately 4% of all deaths annually. The approximate cost of AUDs to the National Health Service is upwards of £3 billion per year. Less than one-third of [read the full story…]

Does stigma impact on help seeking behaviour?

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Just over a decade ago, a research study of rural mental health services in the north Midlands of the UK, recognised the importance of community mental health services and workers operating in a sensitive, non-stigmatising way (Crawford and Brown, 2002). The study made the connection between mental health stigma and service use. The authors described mental health [read the full story…]

Spoilt for choice? Four new Cochrane reviews on antipsychotics for schizophrenia

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Schizophrenia is a crippling condition characterised by psychotic experiences such as delusions and hallucinations. It can be hugely debilitating for the patient and their family and it can also be an enormous challenge for psychiatrists and other health and social care professionals who are responsible for providing care and support to the service user. Currently, [read the full story…]