People affected by trauma present in a number of different settings (Solomon et. al., 1997), sometimes immediately after the trauma, and sometimes much later when they are experiencing the effects of traumatic stress, depression, anxiety or other mental health difficulties. When trauma leads to an individual developing a post traumatic stress reaction, there is not [read the full story…]
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…]
Childhood trauma and abuse is the smoking of psychiatry. As a risk factor for mental illness it is comparable to how smoking a pack of cigarettes per day increases the risk of lung cancer and heart disease. As an adult psychiatrist I see the consequences of poor starts to life and do my best to [read the full story…]
The NICE guideline on common mental disorders (PDF) was published back in May 2011, which means that it only included evidence published up until the end of 2010. This is a fast moving field, so NICE have now put out an evidence update, which focuses on new evidence published from Sept 2010 to Oct 2012. This [read the full story…]
People who suffer from post-traumatic stress disorder (PTSD) often have nightmares that relive the experience and these can sometimes be as terrifying as the original trauma. These nightmares can be very difficult to treat effectively as there are few options available. A team of researchers from the Mayo Clinic have published a systematic review that [read the full story…]
Nearly a year ago I blogged about a promising but small RCT, which showed that Trauma-focused cognitive behavioural therapy may help young children with post traumatic stress disorder (PTSD). The blog generated a fair bit of feedback from readers and so I’ve been on the look out ever since for a systematic review that brings [read the full story…]
Women who experience intimate partner abuse (IPA) often suffer from mental health problems as a result. Post-traumatic stress disorder (PTSD), depression and fear of further attacks are all common and understandable responses. Despite this, there are not many longitudinal studies that follow a group of women over a period of time and assess what interventions [read the full story…]
Many people struggle with anxiety disorders such as panic disorder, social phobia, and Posttraumatic Stress Disorder (PTSD). Moreover, about 30% of us have an anxiety disorder at some point in our life (Kessler et al 2005) but most people never receive treatment. Self-help interventions may provide a solution when people are unable or unwilling to [read the full story…]
The mental health needs of victims of violence are going unrecognised and there is a lack of joined-up services to support their needs, according to the Royal College of Psychiatrists. People who are injured in or affected by physical violence, including sexual violence, are at risk of developing mental health problems such as post-traumatic stress [read the full story…]
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…]
