NICE publish first clinical guideline on social anxiety disorder

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 [read the full story...]

Can functional brain imaging of social judgments shed light on the gender imbalance in autism spectrum disorder?

It is well-documented that there are gender differences in mental health (see for example this Men’s Health Forum publication (PDF) about key mental health issues affecting men). In early development, boys are at a significantly higher risk than girls for meeting diagnostic criteria for autism spectrum disorder (ASD), as well as [read the full story...]

Methadone for opioid detoxification as effective as other medications, but all have high relapse rates

Dependence on opiates (a group of drugs including heroin, morphine, and methadone) can be highly destructive for both the individual and for the people around them. Heroin addiction in particular is associated with major health risks, co-morbid mental health problems, and a wide-range of social issues. Attempting to stop opiate [read the full story...]

Study shows that adolescents with symptoms of depression and suicidality are more at risk of unhealthy romantic relationships in adulthood

Clinical depression is unfortunately relatively common in adolescence with a prevalence of about 5%. The rates of suicide per 100,000 are around 12.0 for females and 14.2 for males aged 15-24 years with suicidality (thoughts or uncompleted attempts at suicide) likely to be higher. Research and clinical experience suggests issues [read the full story...]

Anxiety is a common negative psychological outcome after stroke. How does this impact on the patient?

Every year an estimated 152,000 people in the UK suffer a stroke (for more general information go to the Stroke Association website). Quality of life post stroke is not only influenced by physical impairment but also by psychological factors. Although anxiety disorders are the most common mental health problem globally, the [read the full story...]

Illegal drug use during pregnancy is associated with a host of complications for both Mother and baby

The potential dangers of illegal drug use are never far from the media spotlight, and drug use during pregnancy may be associated with particular health problems both for the Mother and baby. Drug use during pregnancy has been linked with a number of negative outcomes, for example, cocaine use has [read the full story...]

Childhood trauma and abuse is the smoking of psychiatry

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 [read the full story...]

Community treatment orders fail to reduce psychiatric readmissions for people with psychosis

Community treatment orders (CTO’s) provide compulsory supervision outside of psychiatric hospital. They require patients to accept clinical monitoring in the community and enable them to be recalled to hospital for assessment if necessary. They do not authorise forcible treatment; however whilst on a CTO a patient may be ordered to [read the full story...]

Nature vs. nurture: the case of depression. How do your genetic make up and life experiences affect your chances of developing depression?

One of the first lectures I attended at Medical School was an introduction to the “nature vs. nurture” debate. I recall the general consensus was a bit of both, however it wasn’t until many years later and well into my public health career that I began to see the value [read the full story...]

New guideline says lithium still appears to have the most robust evidence base as a long-term treatment for bipolar disorder

Bipolar disorder features as one of the top ten disabling disorders for working age adults. There are numerous risks including suicide, increased mortality and reduced social functioning associated with the disorder. Key to enabling recovery is preventing acute episodes from occurring, with each episode increasing the risk of future ones. [read the full story...]

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