Amy Green

Amy Green
Amy Green is an Academic Clinical Lecturer at the University of Bristol. She is currently working as an Advanced Trainee in General Adult Psychiatry and hopes to specialise in Liaison Psychiatry ultimately. Her research interests are in the comorbidity of chronic physical health conditions and mental health problems, medically unexplained symptoms, epidemiology and addictions. She has completed an MA in Physiological Sciences at University of Oxford, an MBChB at the University of Bristol and is a member of the Royal College of Psychiatrists.

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CBT for insomnia in psychiatric populations: an effective alternative to hypnotics?

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Amy Green
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Amy Green appraises a systematic review of CBT for insomnia (CBTi) in people with comorbid mental illness, which concludes that cognitive behaviour therapy could be an effective alternative to hypnotics. However, concerns about the review methodology cast some doubt on the findings.

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Are autism and ADHD associated with antidepressants or maternal depression? The debate continues…

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Amy Green summarises a retrospective observational study that finds prenatal antidepressant exposure is associated with risk for ADHD, but not autistic spectrum disorders. She considers this complex topic and works out what it all means for pregnant women with depression.

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Prenatal SSRI exposure and autism risk: a dilemma for mums-to-be with depression

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Amy Green summarises a population-based study of young children which looks at prenatal exposure to SSRI antidepressants and the social responsiveness symptoms of autism.

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Mindfulness-based cognitive therapy may reduce the demand for primary care visits

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Can’t get an appointment with your GP? Don’t stress, mindfulness-based cognitive therapy may help by reducing the demand for primary care visits by distressed patients, according to a new study in the Journal of Psychosomatic Research.

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Bridging the gap: low intensity collaborative care for patients with recent cardiac events can improve mental health and quality of life

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There are many interfaces in mental health services, such as the one between physical and mental health. Where there are interfaces, there are inevitably gaps for patients to fall through. Consequently opportunities are missed to treat mental health problems in those with physical health problems. There is mounting evidence for the effectiveness of Collaborative Care (CC) [read the full story…]

Off to a good start. Are self-help interventions effective for people with comorbid physical and mental health problems?

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The ideal treatment for common mental health problems in those with chronic physical illness would have to be reliable, easy to deliver, inexpensive and accessible by a group of people whose physical impairment may affect treatment adherence. NICE guidelines (CG90 Depression; the treatment and management of depression in adults) recommend self-help interventions (SHIs) based on [read the full story…]

Physical health monitoring in serious mental illness is a priority in psychiatry, but where is the evidence that it works?

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It is widely acknowledged that individuals with serious mental illnesses (SMI) such as schizophrenia, bipolar disorder and severe depression have increased rates of mortality, due to poor physical health. As well as reducing quality of life and function and decreasing life expectancy, physical illness can worsen these mental illnesses. The reasons for this include lifestyle [read the full story…]

Better together: how collaborative working can improve outcomes for patients with depression and diabetes

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The link between depression and diabetes mellitus (DM) is well established. Around 20% of patients with DM meet diagnostic criteria for depression. The National Institute for Health and Care Excellence (NICE) issued guidance impressing the importance of diagnosing and treating depression in long-term conditions such as DM (NICE, 2009). However, depression in the presence of [read the full story…]

Seeing is believing; how does family presence during cardiopulmonary resuscitation affect psychological outcomes for family members?

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There are around 60,000 out-of-hospital cardiac arrests in the UK every year. Some of these events occur in the presence of relatives who may witness the cardiopulmonary resuscitation (CPR) by the resuscitation team (you can find out more about CPR at the Resuscitation Council’s website). The emotional consequences of this for the relatives and the [read the full story…]

All scales are not equal; which is the best for detecting depression after stroke?

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Roughly 33% of stroke sufferers also develop depression at some point. This may be an under-estimate of the problem, as depression is difficult to detect in people with poor physical health. If missed, depression can led to reduced quality of life, increased disability and a worsening of physical symptoms. There are a whole host of [read the full story…]