Systematic review: which anti-psychotic medication is the best?

Pills

Schizophrenia is considered a chronic long-term debilitating condition, affecting about 1% of the population. There has been considerable debate about which of the anti-psychotic medications are the best treatments. The debate has usually been structured around typical (older) and atypical (newer) anti-psychotic medications. The revised NICE guidelines (2009) moved towards a more neutral stance between [read the full story…]

Summing up suicide data in bipolar disorder

Sad thoughtful woman

People with bipolar disorder are found to be at greater risk of suicide compared to the general population. Clinicians should be more vigilant for signs of suicidality in this patient group. Suicide, the taking of one’s own life, sadly is the cause of death for around 5,500 people in the United Kingdom each year. In [read the full story…]

We need to know more about how to help adults who have experienced trauma

A graphic of PTSD concepts

People affected by trauma present in a number of different settings (Solomon et. al., 1997), sometimes immediately after the trauma, and sometimes much later when they are experiencing the effects of traumatic stress, depression, anxiety or other mental health difficulties. When trauma leads to an individual developing a post traumatic stress reaction, there is not [read the full story…]

Meta analysis of antidepressants vs talking therapies: another example of ‘All Must Have Prizes’?

Depression

Patients presenting to their GP with a mental health problem are likely to be offered medication, in the form of antidepressants, and/or a ‘talking therapy’, such as counselling or CBT. This is because we know that both those broad categories of treatments (drugs and psychological therapies) are effective in reducing symptoms. However, it’s less clear [read the full story…]

Systematic review exposes the lack of evidence for psychosocial interventions in patients with head and neck cancer

The Dental Elf

Today we feature a blog from our good friend, The Dental Elf, whose remit includes Head and Neck cancers. The psychological impacts of such cancers can be devastating, so we were interested to see a systematic review looking at the impact of psychosocial interventions on anxiety, depression and quality of life. Unfortunately, the bottom line [read the full story…]

Systematic review finds that tricyclics do not benefit children with depression

A girl

Clinical depression is one of the most common mental health problems occurring in children and adolescents. It is often accompanied or followed by additional negative outcomes, including social and academic problems, anxiety and substance use. Many depressed adolescents continue to have recurring problems throughout adulthood. A variety of antidepressant drugs, such as tricyclics and selective [read the full story…]

Music interventions to replace sedatives for preoperative anxiety?

Does this make you feel anxious?

In the Woodland we have previously looked at musical interventions for agitation in dementia and depression. In June 2013 the Cochrane Collaboration published a systematic review of musical interventions for preoperative anxiety. As may be expected, people awaiting surgical procedures often experience high levels of anxiety. This anxiety is important as it can result in [read the full story…]

Evidence-based youth psychotherapies: better than usual care, but only for less severe cases

Young people experiencing distress often fall through the cracks of a system built around diagnosis. Is treating the struggle, not the label, the answer?

Young people presenting with psychopathology may receive a wide range of treatments, such as family or cognitive behavioural therapy, skills training or behavioural contracting. Clearly it is important to know which of these interventions are best supported by evidence that they are effective in treating the presenting problem. Since some treatments have a significant evidence [read the full story…]

Barriers to parenting programmes for children with behavioural problems: recommendations from parents and professionals

A child not listening

Disruptive behaviour problems (DPB) such as conduct problems or being oppositional and defiant affect a large proportion of young children. Many of these early behavioural problems predict negative outcomes such as underachieving at schools, future unemployment and criminal behaviour. Treatment of DPBs often begins during the school years once the condition is well-established, and when [read the full story…]

Transcranial magnetic stimulation (rTMS) enhances response to antidepressants: a rather flawed meta-analysis

An image of a brain

It’s a well-known fact that elves are allergic to unhappiness, so the fact that there are at least 350 million sufferers of depression worldwide1 is quite a problem. That’s before we’ve even mentioned the crippling mortality, morbidity and economic impact that depression causes. The trouble is, our treatments for depression aren’t perfect. Less than a [read the full story…]