Can brain imaging help predict who will respond to CBT versus antidepressants?

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A major challenge in the treatment of depression is that only a proportion of people respond to the first treatment they try.  For example, with antidepressants only 40% of people will see their symptoms fall to a level that can be considered a recovery.  Trying further treatments after the first one does not work can [read the full story…]

Cost effectiveness analysis finds stepped care to be cheaper and more effective than CBT for bulimia nervosa

Bulimia concept - apple in mirror

Bulimia nervosa (BN) is an eating disorder; the diagnosis of which requires: persistent preoccupation with eating and an irresistible craving for food, episodes of overeating in which large amounts of food are consumed over a short period of time and potentially attempts to counteract the “fattening” effects of food by self-induced vomiting or laxative abuse. [read the full story…]

More frequent psychotherapy may lead to better depression outcomes, says new meta-analysis

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Psychological therapies such as cognitive behaviour therapy, interpersonal psychotherapy, behavioural activation, problem-solving and possibly psychodynamic therapy have been clearly shown to be effective in the treatment of adult depression. However it is not clear, how long such a therapy should last, how many sessions are optimal and what the best intensity of psychotherapy is. A [read the full story…]

Are the current approaches to treating traumatised kids actually making them better?

Teddy bear in war zone

More and more research is telling us about the long-term negative consequences of trauma and adversity in childhood with correlations between childhood trauma and poor mental and physical health outcomes across the lifespan. So, it makes sense that there should be a good evidence base for treating the effects of childhood trauma. In February this [read the full story…]

The latest evidence from NICE on depression in children and young people

Young boy on roundabout

The NICE guideline for depression in children and young people was published way back in September 2005.  Any elf worth his salt will tell you that a whole heap of evidence has been published since then, so it’s good to see an evidence update appear this week from NICE, which brings together research published from 17th [read the full story…]

NICE publish first clinical guideline on social anxiety disorder

Social humiliation

I wonder if the timing of this publication was planned to be so close to the release of DSM-5, but this debut guidance on social phobia (now known as social anxiety disorder) is certainly going to ruffle some feathers. It fuels the discussion about the medicalisation of human personality traits and some will see it [read the full story…]

CBT is better than nothing for older adults with depression, but so is any form of active support

Old man stretching

Depression is such a widely known issue now that it barely needs introduction. It’s something we Elves have covered with interest, looking at the effectiveness of various treatments, like psychotherapy, medication and exercise. For older adults though, there remains a somewhat hazy picture of what treatments work best. Most of the evidence base for the [read the full story…]

Treatment of excessive alcohol use in people with psychotic disorders: Non-intervention specific improvements

Image of a person inside a wine bottle

The literature on the efficacy of psychological treatments for excessive drinking is vast, but investigations into effectiveness of these treatments in individuals with other clinical diagnoses are considerably more limited. A recent paper published in Acta Psychiatrica Scandinavica reviewed the effectiveness of manual guided treatments for excessive alcohol consumption in individuals with a psychotic disorder. [read the full story…]

So many treatments for major depression to choose from. How does individual interpersonal psychotherapy compare to the rest?

Crossroads

Talking therapies for mental disorders are an ever-expanding field, with variations in treatments appearing all the time. It can be hard to know which treatment path to recommend to a patient, or which one you might choose for yourself. Major depressive disorder (MDD) is characterised by episodes of low mood, loss of self-esteem and interest [read the full story…]

Individual CBT, with or without family CBT, could be the best first line treatment for people at high risk of schizophrenia

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Schizophrenia is a debilitating illness that affects an estimated 25 million people worldwide. People with the condition can experience a huge amount of disability (both social, physical and psychological), but we know that early intervention can help reduce the duration of the illness and prevent further episodes of relapse. People with schizophrenia usually experience a [read the full story…]