Bullying is bad for your mental health, even if you are the bully

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Clinicians and mental health researchers have long recognised that there is a link between traumatic experiences in childhood and symptoms of psychosis or non-clinical psychotic experiences presenting in adolescence or adulthood. One type of traumatic experience is the experience of abuse, whether physical, emotional or social in nature.  When it comes to bullying, any or [read the full story…]

Meditation programmes may improve anxiety, depression and pain but better quality research is needed, says systematic review

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There’s little doubt about it – meditation is in vogue. In fairness, it probably always has been. However, clinical and research interest in the effects of meditation programmes on psychological wellbeing has grown considerably in recent years. The development of mindfulness-based interventions has no doubt driven much of this interest. For example, running a PubMed keyword [read the full story…]

Psychiatric illnesses and some chronic physical illnesses are associated with an increased risk of self-harm and suicide

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Last month, the Department of Health published the ‘Closing the Gap’ report, which highlighted the importance of better integration of physical and mental health care at every level. The report specifically flagged up the need for frontline services to respond better to people who self-harm, and cited statistics that emphasise the cyclical nature of the [read the full story…]

Self-management: mapping the strategies used by people with depression

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While it is predicted that depression will achieve the status of the biggest disease burden in the Western World before too long, providing access to evidence-based clinical interventions (medicines and talking treatments) for this growing number of people is a source of concern. Supporting people to take steps to actively self-manage their symptoms and condition [read the full story…]

Lithium is less expensive than olanzapine in treatment-resistant depression, but has unclear clinical benefits

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Treatment-resistant depression (TRD) still represents a challenge to psychiatric practice. Since patients have usually failed at least two antidepressants, drugs originally prescribed for other conditions are often tried as an augmentation (Souery er al., 2006). Amongst them, lithium (a mood-stabiliser used in the treatment of bipolar disorders) as well as atypical antipsychotics (AAPs, indicated for [read the full story…]

Trying to understand brain networks associated with depression is hampered by how variable the condition is

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At the start of using neuroimaging to try and understand mental health problems, the focus was on a specific area of the brain that might be different.  As the methods have become more sophisticated, the ability to look at how different areas of the brain are linked into functional networks has developed.  Whilst damage to [read the full story…]

Be Mindful of the Gap: What we know about ‘third wave’ cognitive behavioural therapies compared to other psychological therapies

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Breathe. Hold in your mind your view of what constitutes the most effective psychological therapy for acute depression. Try not to identify with your favourite therapy but simply observe it and let it be. Wish it well. And breathe again. This was not the approach of the Cochrane Depression, Anxiety and Neurosis Group when it [read the full story…]

Systematic review identifies key parenting factors associated with adolescent depression and anxiety

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Parenting is a tough gig. As a mum of three, I can honestly say that nothing in my everyday professional life comes close to the trials and tribulations of guiding small people through toddlerhood and beyond. Parenting advice comes thick and fast from all corners, most of it unsolicited, some of it anecdotal, much of [read the full story…]

“Everyone’s a winner, all must have prizes!” but which psychotherapy for depression wins, if any?

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Previous meta-analyses in the field of depressive disorders have yielded mixed conclusions about which the most efficacious treatment is.  Within the process of any therapy, there are universal features such as; the therapeutic relationship, rationale for treatment, a patient and therapist belief in treatment, a confidential and respectful space for the patient and so on.  [read the full story…]

No evidence that behavioural therapies are any better than other psychological therapies for depression

Depression is a big problem.  In fact, it’s the third leading cause of disease burden worldwide (WHO, 2004 – as cited in Shinohara et al, 2013) and the largest source of nonfatal disease burden in the world (Ustun, 2004 – as cited in Shinohara et al, 2013).   What’s more, the number of people affected by it [read the full story…]