CBT: mindful moments - a five-minute mindfulness strategy [Refreshment]
Mindfulness is increasingly being recommended to help patients with recurrent depression and anxiety stay well. However, current treatment recommendations ask a lot in terms of commitment, with around 100 hours of practice and learning over a 2-month period. There is therefore increased interest in approaches that deliver key mindfulness skills in a shorter time frame. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - March 1, 2016 Category: Psychiatry Authors: Wilson, A., Williams, C. Tags: Refreshment Source Type: research
Severe and enduring somatoform disorders: recognition and management [Articles]
We describe the obstacles encountered in identifying these patients as well as methods of assessment and management. Treatment pathways best suited to managing this large and as yet untended group of patients are described. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - March 1, 2016 Category: Psychiatry Authors: Bass, C., Pearce, S. Tags: Articles Source Type: research
Personalised approaches to pharmacotherapy for schizophrenia [Articles]
The traditional approach to selecting antipsychotic medication involves little more than trial and error. Recent advances in genetics and molecular science offer the hope of a ‘personalised medicine’ approach to antipsychotic development and prescribing in schizophrenia. Personalised medicine is the practice of tailoring medical treatment to the individual characteristics of each patient. In schizophrenia, this will involve the identification of more homogeneous subsets of patients through the application of genetics, epigenetics, proteomics and metabolomics, neuroimaging and other biomarkers, and the use of th...
Source: Advances in Psychiatric Treatment - March 1, 2016 Category: Psychiatry Authors: Lally, J., MacCabe, J. H. Tags: Articles Source Type: research
Is liaison psychiatry effective in primary care?: COMMENTARY ON... COCHRANE CORNER [Round the corner]
‘Collaborative care’ (involving a case manager) and ‘primary care liaison’ or ‘consultation liaison’ (with no case manager) are models of liaison psychiatry in primary care. Here, I briefly consider the evidence for collaborative care, discuss Gillies et al’s Cochrane review on consultation liaison, and suggest avenues for future study and development of liaison psychiatry in primary care. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - March 1, 2016 Category: Psychiatry Authors: Mitchell, A. J. Tags: Round the corner Source Type: research
Consultation liaison in primary care for people with mental disorders [Cochrane corner]
(Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - March 1, 2016 Category: Psychiatry Authors: Gillies, D., Buykx, P., Parker, A. G., Hetrick, S. E. Tags: Cochrane corner Source Type: research
New from CPD Online [CPD Online]
(Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - March 1, 2016 Category: Psychiatry Tags: CPD Online Source Type: research
Correction [Correction]
(Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - January 4, 2016 Category: Psychiatry Tags: Correction Source Type: research
Gaining approvals for mental health research in the NHS [Articles]
When embarking on mental health research it is often necessary to apply for approvals from one or more review bodies to ensure that the research is ethical and that the safety and well-being of participants are safeguarded. This can be complicated and time consuming, particularly to those unfamiliar with the process. In this article we describe the approvals commonly required for National Health Service-based research involving patients and endeavour to clearly explain what is involved at each stage. We then highlight some of the main considerations, including ethical aspects, which are particularly pertinent to conducting...
Source: Advances in Psychiatric Treatment - January 4, 2016 Category: Psychiatry Authors: Cooper, M., Eyre, O., Doherty, J., Bevan Jones, R. Tags: Articles Source Type: research
Evidence-based mental health and e-learning: a guide for clinicians [Articles]
The internet provides access to what is often a bewildering array of medical knowledge on mental health, some (but not all) of which is evidence based. As well as information for clinicians, there has been a dramatic increase in the variety and quality of information available for patients and carers. In this article we discuss the advantages and limitations of the types of information available, with suggested sites and strategies for assessing their relative merits. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - January 4, 2016 Category: Psychiatry Authors: Smith, K. A., Tomlin, A., Cipriani, A., Geddes, J. R. Tags: Articles Source Type: research
CBT: making effective plans [Refreshment]
We describe a practical approach that provides a structure for step-by-step planning, engaging the patient and promoting planned change. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - January 4, 2016 Category: Psychiatry Authors: Osborne, D., Williams, C. Tags: Refreshment Source Type: research
Towards a more just insanity defence: recovering moral wrongfulness in the MNaghten Rules [Articles]
This article describes how the M’Naghten Rules, which govern the law of insanity in England and Wales, came into existence. In relation to knowledge of the wrongfulness of the alleged act, the article reveals how the Court of Appeal has sought to limit the defence, whereas the courts of first instance, and a number of other jurisdictions, have adopted interpretations of the Rules that accord more closely with the law of insanity as it existed at the time of Daniel McNaughtan’s trial and that the Rules were probably meant to formulate. Three cases are used to illustrate the difficulties resulting from the positi...
Source: Advances in Psychiatric Treatment - January 4, 2016 Category: Psychiatry Authors: Rix, K. J. B. Tags: Articles Source Type: research
How evolution can help us understand child development and behaviour [Articles]
The traditional disease model, still dominant in psychiatry, is less than ideal for making sense of psychological issues such as the effects of early childhood experiences on development. We argue that a model based on evolutionary thinking can deepen understanding and aid clinical practice by showing how behaviours, bodily responses and psychological beliefs tend to develop for ‘adaptive’ reasons, even when these ways of being might on first appearance seem pathological. Such understanding has implications for treatment. It also challenges the genetic determinist model, by showing that developmental pathways h...
Source: Advances in Psychiatric Treatment - January 4, 2016 Category: Psychiatry Authors: Swanepoel, A., Sieff, D. F., Music, G., Launer, J., Reiss, M., Wren, B. Tags: Articles Source Type: research
'Shhh! Please dont tell... Confidentiality in child and adolescent mental health [Articles]
This article explores confidentiality in the context of child and adolescent mental health services (CAMHS), particularly when the clinician is having to make decisions on whether to maintain or to breach it. Ethical principles (both deontological and consequentialist) and legal and regulatory frameworks (relating to human rights, case law and General Medical Council guidance) are outlined. Four hypothetical case scenarios are used to illustrate how to apply such principles: when a young person seeks confidential access to treatment, and when he or she discloses information that could signify a risk to self, to others or f...
Source: Advances in Psychiatric Treatment - January 4, 2016 Category: Psychiatry Authors: Vallance, A. K. Tags: Articles Source Type: research
Therapeutic applications of mindfulness in paediatric settings [Articles]
Mindfulness is a meditation practice defined as a specific way of paying attention. It has been adapted from Buddhist traditions to Western secular use (e.g. in stress reduction, health promotion, treatment of psychological disorders). Despite its widespread application in adult populations, mindfulness remains a neglected topic in the psychological interventions designed for children and adolescents with psychological disorders and/or chronic physical conditions. In paediatric settings, a parent–child perspective may be useful in facilitating processes of adaptation and in improving paediatric outcomes. However, the...
Source: Advances in Psychiatric Treatment - January 4, 2016 Category: Psychiatry Authors: Carona, C., Moreira, H., Silva, N. Tags: Articles Source Type: research
Psychiatric assessments on medical wards: a guide for general psychiatrists [Articles]
Psychiatric assessments on medical wards of a general hospital are complicated by various factors, including the lack of privacy, medical illness-related factors such as cognitive deficits and communication barriers, and the vagueness of the referral question asked. In this article, we try to guide general psychiatrists who do not routinely carry out such assessments through practical steps from receiving the referral to signing off the case. The key differences in the process and content of psychiatric assessments are discussed, as are diagnostic dilemmas. Subtle aspects of communicating the outcome of the assessments to ...
Source: Advances in Psychiatric Treatment - January 4, 2016 Category: Psychiatry Authors: Segal, T., Ranjith, G. Tags: Articles Source Type: research
