Pain is not an uncommon experience during orthodontic treatment, and has been reported as a cause of treatment discontinuation. The aim of the study was to assess the efficacy of a cognitive behavioural therapy (CBT) intervention for patients experiencing pain during orthodontic treatment. Eligible patients were randomised into three groups CBT intervention(n=150), ibuprofen intervention(n=150), and [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…]
Group CBT is an effective treatment for depression, but the evidence remains quite weak
The NICE depression guidance recommends a stepped-care model for treating mild to moderate depression (see figure 11 below). A considerable amount of funding has gone towards the Improving Access to Psychological Therapies initiative in England, but despite this the availability of individual therapy remains limited and relatively few people with depression receive the kind of [read the full story…]
Preventing and managing violence in mental health and criminal justice populations: results of a new systematic review
The public perception of mental health and violent behaviour has often been influenced by poor media coverage and a focus on specific crimes committed by people with psychosis. There’s a nice summary of work in this area on the Mind website, which includes a number of enlightening stats, including this one: The fear of random [read the full story…]
Different types of psychotherapy for different types of depression: a summary of best current knowledge
Mental Elf readers have been voting for their favourite topics and top of the list at present are psychological therapies and depression. Us elves like to give people what they want, so here’s a review conducted by researchers in the Netherlands that summarises what we know about the effectiveness of different types of psychotherapy in [read the full story…]
Adding CBT to drug therapy helps children with OCD who don’t respond to antidepressants alone
Obsessive compulsive disorder (OCD) is a condition that is usually associated with obsessive thoughts and compulsive behaviour. It’s one of the most common mental health problems in young people, with an estimated 5% of children and teenagers suffering from the chronic condition. Studies have shown that SSRI antidepressants and cognitive behavioural therapy (CBT) are both [read the full story…]
Trauma-focused cognitive behavioural therapy may help young children with post traumatic stress disorder
Recent studies have shown that pre-school children can be affected by post traumatic stress disorder (PTSD) and that the condition can last for years even after treatment. Good quality randomised trials have shown that trauma-focused cognitive behavioural therapy can be a very effective treatment for older children and adolescents with PTSD, but there have been [read the full story…]
The most effective treatments for preventing relapse in first episode psychosis: a new systematic review and meta-analysis
Patients with first episode psychosis often relapse after initial remission, so it is perhaps surprising that treatment guidelines for the condition are generally based on poor quality evidence. Antipsychotic drugs are frequently discontinued, but clinicians don’t have ready access to information that shows how to determine which patients can be successfully tapered off of antipsychotic [read the full story…]
Adding cognitive behaviour therapy to drug treatment helps children with obsessive compulsive disorder
Children with obsessive-compulsive disorder (OCD) are often prescribed antidepressant drugs (serotonin reuptake inhibitors – SRI), but many only partially respond to this treatment. This randomised controlled trial conducted by researchers from the University of Pennsylvania School of Medicine, examined the effects of augmenting the antidepressant medication with cognitive behaviour therapy (CBT). The trial was quite [read the full story…]
Cognitive reframing may help reduce anxiety, depression and stress in carers of people with dementia
Cognitive reframing is a technique used to reduce unrealistic or irrational thoughts and think in a more constructive way instead. It’s used as part of cognitive behavioural therapy. Carers of people with dementia sometimes respond inappropriately to the behaviour of the person with dementia. The stress and pressure of caring for their loved one may [read the full story…]