Child sexual abuse is a widespread social problem, which can cause a range of mental health conditions including fear, anxiety, post-traumatic stress disorder, behavioural problems, inappropriate sexual behaviour and an increased risk of psychological problems in adulthood. Cognitive behavioural therapy is often used to help children (and their non-offending parent) to manage the conditions that [read the full story…]
NICE clinical case scenarios aim to help GPs improve diagnosis and management of common mental health disorders
NICE has developed a series of case studies for GPs to help apply the recommendations from the Common mental health disorders guideline to practice. The case studies which are informed by clinical experience, include contributions from GPs, clinical psychologists and psychiatrists to help GPs when considering the range of treatments and approaches that are recommended [read the full story…]
Telephone-based treatments can help children with disruptive behaviour and anxiety
Many children suffer from disruptive behaviour or anxiety disorders, but access to care for this group is notoriously poor because there are so many barriers to receiving help. Psychotherapy takes time and there remains a lack of funding and a dearth of trained professionals to deliver quality care. Added to this is the stigma experienced [read the full story…]
Targeted psychotherapies work best for children and adolescents with anxiety disorders, according to major new meta-analysis
Around 10% of children are diagnosed with anxiety disorders before the age of 16 and for many this can be a long lasting problem that has a major impact on their development. There’s lots of research in this field and many systematic reviews have been conducted to assess the effectiveness of talking treatments for this [read the full story…]
Web-based CBT is equal to face-to-face CBT at reducing anxiety in adolescents, accordingly to randomised controlled trial
I’ve blogged about computerised cognitive behavioural therapy (CCBT) a few times over recent months and highlighted research that shows it is effective in treating a range of mental health conditions. Research shows that most young people do not seek treatment for anxiety problems. There are lots of good quality reviews and trials that support the [read the full story…]
Self-help interventions are effective treatments for social phobia and panic disorder, says new meta-analysis
The demand for psychological therapies far outstrips the supply and in this ongoing period of austerity we surely need to produce some cost-effective alternatives. One method that patients can attempt pretty much on their own is self-help provided through books, CDs, DVDs and websites. This new systematic review claims to be the first to bring [read the full story…]
Psychological therapy services demonstrate benefits for patients but further improvement is needed
A report into the care received by patients with anxiety and depression across more than 350 NHS-funded psychological therapy services in England and Wales has revealed good overall standards of care, but substantial variation in quality. The National Audit of Psychological Therapies (NAPT), commissioned by the Healthcare Quality Improvement Partnership (HQIP) and carried out by [read the full story…]
Quetiapine monotherapy helps people with generalised anxiety disorder, but side effects may limit its use
People with generalised anxiety disorder (GAD) often fail to achieve remission (recovering fully from their disease) despite standard treatments. This systematic review examines the efficacy and tolerability of second-generation antipsychotics (SGAs) for generalised anxiety disorder as either: augmentation therapy, i.e. using it alongside other treatments monotherapy, i.e. using it as a stand-alone treatment The reviewers [read the full story…]
Second generation antidepressants all equally effective in treating social anxiety disorder, according to new systematic review
With a lifetime prevalence of about 12% and a 12-month prevalence of around 4%, social anxiety disorder is the most prevalent anxiety disorder and one of the most common psychiatric conditions. This systematic review conducted by researchers from the Federal University of Rio de Janeiro in Brazil, aimed to assess the effectiveness of different second [read the full story…]
Study suggests people with depression and anxiety have lower use of oral health services and greater tooth loss
A previous systematic review has shown that People with severe mental illnesses like schizophrenia or bipolar disorder are over three times more likely to lose their teeth. Another large cross-sectional study from the USA has now been published that looks at the associations among depression, anxiety, use of oral health services, and tooth loss. This [read the full story…]