Disordered eating in older people: some causes and treatments [Articles]
This overview considers causes of disordered eating, including eating disorders, in older people. Eating disorders are becoming more common in older adults and research has shown a related mortality of 21%. The wide range of medical and pharmacological causes of weight loss in older people means that eating disorders may go undetected, occurring insidiously and surreptitiously. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - September 1, 2017 Category: Psychiatry Authors: Aziz, V. M., Rafferty, D., Jurewicz, I. Tags: Articles Source Type: research
Functional near-infrared spectroscopy in psychiatry [Articles]
This article provides a review of the theoretical background of fNIRS, key principles of its applications in psychiatry and its limitations, and shares a vision of its future applicability in psychiatric research and clinical practice. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - September 1, 2017 Category: Psychiatry Authors: Lai, C. Y. Y., Ho, C. S. H., Lim, C. R., Ho, R. C. M. Tags: Articles Source Type: research
Thought disorder [Refreshment]
We review thought disorder in psychopathology, including how one can assess it clinically, useful psychometric measures and its clinical importance. In the final section we discuss how recent studies in neuropsychology and neuroimaging have helped understand the mechanisms of abnormal speech and languages in psychotic illnesses. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - September 1, 2017 Category: Psychiatry Authors: Passby, L., Broome, M. R. Tags: Refreshment Source Type: research
Schizophrenia is not a kind of PTSD: COMMENTARY ON... DOES CHILDHOOD TRAUMA PLAY A ROLE IN THE AETIOLOGY OF PSYCHOSIS? [Commentary]
Coughlan & Cannon’s article provides a helpful review of the current state of evidence regarding the connection between childhood trauma and psychotic-like symptoms. This commentary focuses on the clinical implications by noting that much of the data comes from studies in non-patient populations and to some extent depends on the underlying assumption of the continuum model of psychosis. I reconsider the presented data focusing purely on clinical diagnoses of psychosis, and consider the implications of the association between trauma and psychosis by looking at the evidence base for specific trauma-focused therapie...
Source: Advances in Psychiatric Treatment - September 1, 2017 Category: Psychiatry Authors: Matthews, P. R. L. Tags: Commentary Source Type: research
Not a one-way street: COMMENTARY ON... DOES CHILDHOOD TRAUMA PLAY A ROLE IN THE AETIOLOGY OF PSYCHOSIS? [Commentary]
Coughlan & Cannon have provided an extremely useful review, highlighting the evidence for the association between childhood trauma and psychosis. This is relevant to those working with individuals with psychosis across all age ranges. This commentary discusses further some of the points raised, the complexity of the association and developmental aspects. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - September 1, 2017 Category: Psychiatry Authors: Davies, E. J. Tags: Commentary Source Type: research
Does childhood trauma play a role in the aetiology of psychosis? A review of recent evidence [Articles]
There has been a resurgence of interest in the role of childhood trauma in the aetiology of psychosis. In this review, recent findings on the association between childhood trauma and a continuum of psychotic symptoms are presented. Evidence of the association between specific childhood trauma subtypes and psychotic symptoms is examined, with a brief discussion of some current hypotheses about the potential mechanisms underlying the associations that have been found. Some practice implications of these findings are also highlighted. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - September 1, 2017 Category: Psychiatry Authors: Coughlan, H., Cannon, M. Tags: Articles Source Type: research
Why sex is important: background for helping patients with their sexual lives [Articles]
Therapy for sexual problems is not solely based on findings from scientific studies; much of it has to do with intuitive knowledge that comes from personal and clinical experience. The author suggests that an ideal way to begin education about helping with patients’ sexual identity, sexual function and relational concerns is to consider why sex is important. Answering this question illuminates the subtle roles sexual behaviour play in our lives. These roles are explained by providing clinically based responses to twelve questions: How are adults nurtured in sexual relationships? How is psychological intimacy created?...
Source: Advances in Psychiatric Treatment - September 1, 2017 Category: Psychiatry Authors: Levine, S. B. Tags: Articles Source Type: research
Clinical staging models: from general medicine to mental disorders [Articles]
Revisions of international classification systems for mental disorders have focused on improving the reliability of diagnostic criteria. However, the uncertain validity of the current diagnostic categories means that they do not always fulfil their key purposes, namely to guide treatment and predict outcomes. This is especially true when traditional diagnostic approaches are applied to adolescents and young adults with emerging illnesses. A clinical staging model, similar to those used in general medicine, could improve diagnosis in psychiatry and aid treatment decision-making, especially if applied to individuals aged abo...
Source: Advances in Psychiatric Treatment - September 1, 2017 Category: Psychiatry Authors: Scott, J., Henry, C. Tags: Articles Source Type: research
Controversy over exercise therapy for chronic fatigue syndrome: continuing the debate [Round the corner]
EDITOR’S SUMMARY
In a recent Round the Corner, Mitchell commented on a Cochrane Review of exercise therapy for chronic fatigue syndrome (CFS). One of the trials included in that review, and discussed by Mitchell, was the PACE trial. In this month’s Round the Corner we are publishing a response we received from authors of the PACE trial (Chalder, White & Sharpe), together with Mitchell’s reply. Ed. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - September 1, 2017 Category: Psychiatry Authors: Chalder, T., White, P. D., Sharpe, M., Mitchell, A. J. Tags: Round the corner Source Type: research
New from CPD Online [CPD Online]
(Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - September 1, 2017 Category: Psychiatry Tags: CPD Online Source Type: research
Management of antipsychotic-induced hyperprolactinaemia [Articles]
This article discusses the various management options, such as reducing the dose of antipsychotic medication, switching to a prolactin-sparing antipsychotic and adding aripiprazole to the treatment regimen. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - July 3, 2017 Category: Psychiatry Authors: Gupta, S., Lakshmanan, D. A. M., Khastgir, U., Nair, R. Tags: Articles Source Type: research
HIV infection and its psychiatric manifestations: a clinical overview [Articles]
Highly active antiretroviral therapy (HAART) has led to a reduction in HIV-related morbidity and mortality, and the life expectancy of HIV-positive individuals has improved significantly. It is therefore becoming more likely that clinicians will encounter patients with psychiatric manifestations of the disease. This review summarises the evidence on prevalence, manifestations and treatment of psychiatric conditions in HIV-positive adults. The most prevalent psychiatric illness in this population is depression (35.6%), followed by substance misuse, anxiety, psychosis, adjustment disorder and bipolar affective disorder. Neur...
Source: Advances in Psychiatric Treatment - July 3, 2017 Category: Psychiatry Authors: Knights, M. J., Chatziagorakis, A., Buggineni, S. K. Tags: Articles Source Type: research
Managing aggression in epilepsy [Articles]
Behavioural changes associated with epilepsy can be challenging for patients and clinicians. Evidence suggests an association between aggression and epilepsy that involves various neurophysiological and neurochemical disturbances. Anti-epileptics have variable effects on behaviour and cognition that need consideration. Early detection and careful consideration of history, symptomatology and possible common comorbid psychiatric disorders is essential. Appropriate investigations should be considered to aid diagnosis, including electroencephalogram (EEG), video EEG telemetry and brain imaging. Optimising treatment of epilepsy...
Source: Advances in Psychiatric Treatment - July 3, 2017 Category: Psychiatry Authors: Elnazer, H. Y., Agrawal, N. Tags: Articles Source Type: research
Compassion-focused therapy with children and adolescents [Articles]
This article describes the applications of CFT in paediatric populations. Specifically, the following developmental considerations are discussed: the unique importance of parent–child and attachment relationships for the development of self-compassion, being open to compassion from others and being compassionate to others; the potential effect of compassion training on the maturing brain (affective regulation systems); and the therapeutic targeting of shame and self-criticism to alleviate psychological distress and enhance the effectiveness of cognitive–behavioural interventions. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - July 3, 2017 Category: Psychiatry Authors: Carona, C., Rijo, D., Salvador, C., Castilho, P., Gilbert, P. Tags: Articles Source Type: research
Ethical dilemmas in psychiatry: when teams disagree [Articles]
We describe the ethical issues that arose in relation to a significant difference of opinion between team members about using nasogastric clozapine in the treatment of a severely ill patient. We discuss how conflicting emotions and perspectives within teams acquire ethical significance and how negotiation and reflection are essential for good-quality ethical reasoning to take place. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - July 3, 2017 Category: Psychiatry Authors: Silva, E., Till, A., Adshead, G. Tags: Articles Source Type: research
