Antidepressant withdrawal or depression relapse? International guidelines on antidepressant discontinuation are unclear

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Adele Framer summarises a systematic review which finds that major guidelines on antidepressant discontinuation only give clinicians vague guidance on distinguishing withdrawal from relapse.

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Autism and psychiatrists: experience, knowledge and attitudes revealed in new survey

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Eloise Stark looks at a recent online survey which seeks to understand psychiatrists’ knowledge, attitudes and experiences in identifying and supporting their patients on the autism spectrum.

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Person-centred care: challenges and changes to the training of psychiatrists

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“A significant number of people receiving psychiatric care are not treated with the utmost dignity within our services that a true ‘person-centred’ approach would ensure.”

Linda Gask summarises a new report from the Royal College of Psychiatrists on person-centred care and its implications for training in psychiatry.

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Psychiatrists and psychologists: who are they and what do they do?

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Pamela Jacobsen and Golnar Aref ask themselves “Who do they think we are?” as they reflect on a recent qualitative study about public perceptions of psychiatrists and psychologists.

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It’s good to talk: training psychiatrists to improve communication with patients

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John Baker evaluates the recent TEMPO cluster RCT, which explores training to enhance psychiatrist communication with patients who live with psychosis.

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Is it bipolar disorder or borderline personality disorder?

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Murtada Alsaif considers the challenges facing psychiatrists in diagnosing bipolar disorder or borderline personality disorder. He reports on a recent qualitative study that explores the practical experience of psychiatrists and nurses and concludes that clinical diagnostic practice cannot reliably distinguish the two conditions.

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When to see a child and adolescent psychiatrist: recent RCPsych guidance

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Emily Stapley summarises the recent Royal College of Psychiatrists guidance on child and adolescent psychiatry, which sets out the standards to which child and adolescent psychiatrists work.

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Community treatment orders and the limits of freedom

Erstwhile Mental Elf blogger, Ian Cummins, Senior Lecturer in Social Work at Salford University, joins the Social Care Elf to examine a study on the perspectives of service users, psychiatrists and carers on community treatment orders.

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It’s not what you say: Examining the non-verbal behaviours of psychiatrists and patients

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Chris Pell considers the findings of a recent observational study of non-verbal behaviour and communication in meetings of psychiatrists and patients with schizophrenia.

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Learning Disability Psychiatrists support DoLS but raise some concerns about bureaucracy

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The Mental Capacity Act (2005) was amended in 2007 with the addition of the deprivation of liberty safeguards (DoLS). They exist n the code of practice and came into force in April 2009. The safeguards are there to make sure that if anyone is unable to consent to care or treatment, there are systems in [read the full story…]