Cutting across diagnostic categories: Does stimulant medication improve ADHD symptoms in children with autism spectrum disorder?

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Until fairly recently, it was thought that autism spectrum disorder (ASD; previously known as PDD or pervasive developmental disorder) and attention deficit hyperactivity disorder (ADHD) were two entirely separate childhood-onset conditions and that they could not both be diagnosed in one individual. Numerous studies in the last decade have shown that, in reality, a number of [read the full story…]

The cost of living? Early childhood interventions could reduce the impact of socio-economic inequalities on the mental health of children and young people

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In the current economic climate in many countries across the world, the impact of socio-economic inequalities on mental health has become an important topic, not only in terms of supporting people, but in terms of planning a public health response to a rising concern. Poverty and low economic status is known to affect various aspects [read the full story…]

Weak evidence from recent review suggests there is no harm when using exercise to treat anorexia nervosa

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Exercise is usually promoted as a healthy behaviour, with government guidelines on how much we should all do per week. At the right levels many people find exercise an enjoyable way to improve their health, but is this always the case? For a particular group of people who have problems with eating and weight, this [read the full story…]

CAM: Many of us are using it, despite poor evidence. Whats going on?

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Complementary and alternative medicine (CAM) therapies are often perceived to be as effective as conventional treatments, more “natural”, less expensive, have fewer side-effects and are easily available without a prescription. But do these perceptions match up with the reality? Can CAM therapies be helpful additions to conventional treatments? This alludes to an interesting sociological question [read the full story…]

Systematic review of fluphenazine for schizophrenia: 50 years of learning not that much

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Antipsychotic medications are often the first line of treatment for schizophrenia and have been effective at treating florid symptoms such as delusions and hallucinations. Fluphenazine was one of the first antipsychotics to become available on the market and has now been appearing on prescriptions for over 5 decades. Despite the arrival of newer generations of [read the full story…]

Lithium prevents suicide in mood disorders, according to updated systematic review

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Mood disorders include schizoaffective, dysthymia, rapid cycling, unipolar and bipolar disorders. People with mood disorders have a 30 times higher risk of suicide than the general population. Recent Mental Elf blogs have summarised the data on suicide risk and bipolar disorder, and shown that one key treatment is lithium which appears to have a robust evidence [read the full story…]

Cochrane review says there’s insufficient evidence to tell whether fluoxetine is better or worse than other treatments for depression

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Depression is common in primary care and associated with a substantial personal, social and societal burden. There is considerable ongoing controversy regarding whether antidepressant pharmacotherapy works and, in particular, for whom. One widely-prescribed antidepressant is fluoxetine (Prozac), an antidepressant of the selective serotonin reuptake inhibitors (SSRI) class. Although a number of more recent antidepressants are [read the full story…]

Cognitive dissonance and positive health behaviours: a systematic review shows dissonance-based interventions can be successful

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Most of us have heard of cognitive dissonance although the term is often used incorrectly. I’m sure when you find out you thought you were using it correctly but weren’t, you’ll feel bad. Cognitive dissonance refers to a state of psychological discomfort that arises from conflicting attitudes or beliefs. For example you may have a [read the full story…]

What sort of therapy helps children affected by sexual abuse? New Cochrane Review finds that more research is needed

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Childhood sexual abuse has a devastating impact on many of the children and adolescents who are affected by it. It is a significant problem worldwide and has the potential to have serious negative impacts on mental health and physical health. Experiencing childhood sexual abuse often has negative impacts on the individual’s ability to function socially, [read the full story…]

Systematic review of dropout rates from clinical trials of methylphenidate for adult ADHD

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Attention deficit hyperactivity disorder (ADHD) is characterised by inattention, excessive activity levels and impulsive behaviours. Although it is an early developmental condition and is associated with childhood, in many instances, it is a lifelong condition. ADHD in adulthood is increasingly being recognised. Clinical guidelines and research suggest that the stimulant drug methylphenidate can reduce ADHD [read the full story…]