Valproate? Lithium comes first: COMMENTARY ON... COCHRANE CORNER [Round the Corner]
Maintenance drug treatment in bipolar disorder is a key component of management. There is clinical uncertainty about the relative efficacy of valproate, either alone or in combination, particularly in comparison to lithium. This month’s Cochrane corner review aimed to summarise the best evidence available. This commentary puts the findings into their clinical context and updates them in the light of subsequent analyses and the recent revision of the NICE guidelines on bipolar disorder. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - January 5, 2015 Category: Psychiatry Authors: Attenburrow, M. J., Smith, K. Tags: Round the Corner Source Type: research
Valproic acid, valproate and divalproex in the maintenance treatment of bipolar disorder [Cochrane Corner]
(Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - January 5, 2015 Category: Psychiatry Authors: Cipriani, A., Reid, K., Young, A. H., Macritchie, K., Geddes, J. Tags: Cochrane Corner Source Type: research
New from CPD Online [CPD Online]
(Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - January 5, 2015 Category: Psychiatry Tags: CPD Online Source Type: research
Mindfulness-based training in residential settings: rationale, advantages and obstacles [Articles]
The past few decades have witnessed the synthesis of Buddhist mindfulness practice with the Western psychological paradigm, leading to the development of a variety of mindfulness-based interventions. These are delivered to various populations to treat a wide range of physical and psychological disorders, and several protocols have been implemented and evaluated, mostly, if not exclusively, in open or out-patient treatment settings. Little attention has been given to the definition of criteria, guidelines and protocols for the use of mindfulness in residential settings such as in-patient psychiatric wards, secure and forens...
Source: Advances in Psychiatric Treatment - November 3, 2014 Category: Psychiatry Authors: Didonna, F., Bhattacherjee, S. Tags: Articles Source Type: research
Drug and alcohol addiction: new challenges [Articles]
There have been many developments in addiction psychiatry over the past decade. Some of these are political, such as preference for recovery-/abstinence-based programmes. Prohibition is becoming increasingly unrealistic, especially considering the effective legalisation of recreational cannabis in Uruguay and two US states. Legal highs and diversion of prescribed drugs (such as methadone, gabapentinoids, methylphenidate and benzodiazepines) are now a major problem. Furthermore, diversion of opioid drugs that are prescribed for pain is reaching epidemic proportions, causing a significant change in the nature of patients bei...
Source: Advances in Psychiatric Treatment - November 3, 2014 Category: Psychiatry Authors: Luty, J. Tags: Articles Source Type: research
Evaluating malingering in cognitive and memory examinations: a guide for clinicians [Articles]
This article describes these factors and gives guidance on the appropriate reporting of findings. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - November 3, 2014 Category: Psychiatry Authors: Tracy, D. K. Tags: Articles Source Type: research
Balancing risk requires a balanced approach: COMMENTARY ON... SEVERE AND ENDURING EATING DISORDERS: RECOGNITION AND MANAGEMENT [Commentary]
Paul Robinson’s article provides an excellent summary of some of the challenges faced by clinicians working with patients with severe and enduring eating disorders (SEED) and outlines a robust approach to the recognition and management of this complex group of patients. This commentary expands on some of the points raised, adds some further views and suggests a tailored approach to establishing a therapeutic alliance with patients and carers. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - November 3, 2014 Category: Psychiatry Authors: Jones, W. R., Morgan, J. F. Tags: Commentary Source Type: research
Severe and enduring eating disorders: recognition and management [Articles]
Patients with severe and enduring eating disorders (SEED) may constitute a specific group. It is proposed that patients with anorexia nervosa (SEED-AN) or bulimia nervosa (SEED-BN) that requires the regular attention of a multidisciplinary team and is of a duration known to have a low recovery rate should be included in the SEED group. These patients present with a combination of severe symptoms and long-term illness, and may experience serious chronic physical sequelae (e.g. osteoporosis and renal failure), marked social isolation and stigma. Their carers suffer from the stress of caring for them over a prolonged period. ...
Source: Advances in Psychiatric Treatment - November 3, 2014 Category: Psychiatry Authors: Robinson, P. Tags: Articles Source Type: research
Cognitive-friendly hospitals: a leap from Flat Earthers to Galileo: COMMENTARY ON... MANAGING DELIRIUM IN EVERYDAY PRACTICE [Commentary]
General hospitals and hospices see mostly older people, many of whom have dementia and multiple pathologies: delirium is common, costly and damaging. Informed and kindly care can reduce the incidence of delirium and hasten its resolution. O’Connell et al demand ownership of this phenomenon by the whole hospital. This will require a turnabout of philosophy, management and training for all professions. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - November 3, 2014 Category: Psychiatry Authors: Jolley, D. Tags: Commentary Source Type: research
Managing delirium in everyday practice: towards cognitive-friendly hospitals [Articles]
Providing optimal healthcare for increasingly elderly hospital populations who have high rates of cognitive disorder is a great challenge. Using delirium as an example, we describe how improved management of acute cognitive problems through a multifaceted hospital-wide programme can promote cognitive-friendly hospital environments. A specific plan of action is described that spans interventions in day-to-day clinical care of individual patients all the way to wider organisational practices. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - November 3, 2014 Category: Psychiatry Authors: O'Connell, H., Kennelly, S. P., Cullen, W., Meagher, D. J. Tags: Articles Source Type: research
Legalising assisted suicide: keeping sight of the fundamental issues: COMMENTARY ON... CROSSING THE RUBICON? [Commentary]
Assisting another person’s suicide is a criminal offence in England and Wales, although the offence is rare and the law allows for charges not to be brought where there has been no criminal intent. Campaigners for ‘assisted dying’ want something else – a law licensing assisted suicide in advance for certain groups of people in certain circumstances. The present law has been challenged in the courts, hitherto unsuccessfully, as incompatible with article 8 of the European Convention on Human Rights. The Supreme Court has taken the view that, given its social policy implications, this is a matter that ...
Source: Advances in Psychiatric Treatment - November 3, 2014 Category: Psychiatry Authors: Preston, R. Tags: Commentary Source Type: research
Crossing the Rubicon? Legal developments in assisted suicide [Articles]
This article does not seek to debate the profound ethical arguments that surround this emotive subject, but instead to portray how the law, through court judgment and legislative proposals, has wrestled with opposing views, particularly over the past decade or so, as the impact of the Human Rights Act has presented unique challenges. Some of our closest European neighbours have diverse legislation that could influence our own legislature, and, from across the Atlantic, the Oregon Death with Dignity Act is being mirrored in proposals to change the law in the UK. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - November 3, 2014 Category: Psychiatry Authors: Welsh, S. F. Tags: Articles Source Type: research
Antidepressant treatment for postnatal depression [Cochrane Corner]
(Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - November 3, 2014 Category: Psychiatry Authors: Molyneaux, E., Howard, L. M., McGeown, H. R., Karia, A. M., Trevillion, K. Tags: Cochrane Corner Source Type: research
New from CPD Online [CPD Online]
(Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - November 3, 2014 Category: Psychiatry Tags: CPD Online Source Type: research
Correction [Correction]
(Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - September 1, 2014 Category: Psychiatry Tags: Correction Source Type: research
