The literature on the efficacy of psychological treatments for excessive drinking is vast, but investigations into effectiveness of these treatments in individuals with other clinical diagnoses are considerably more limited. A recent paper published in Acta Psychiatrica Scandinavica reviewed the effectiveness of manual guided treatments for excessive alcohol consumption in [read the full story...]
Most of us care about our health (something we elves encourage) but for up to 5% of people, worrying about health has become a significant problem in itself. Severe health anxiety, or hypochondriasis, is said to exist when someone holds a strong fear of having a serious disease, despite all [read the full story...]
Approximately 15% of adults in Europe drink alcohol to excess, at levels that are likely to affect their health. Most of these people are not alcohol dependent and do not require intensive treatment such as detox and aftercare, but many of them would benefit from a ‘nudge’ to reduce their [read the full story...]
A year ago I blogged about the new mental health commissioning guides that the Joint Commissioning Panel for Mental Health (JCP-MH) had published for GPs. The JCP-MH is a collaboration between public sector organisations, charities and professional bodies. Their aim is to “inspire commissioners to improve mental health and wellbeing, [read the full story...]
A great deal of time and money has been spent on improving the diagnosis and management of depression and self-harm in primary care. The evidence tells us that collaborative care and case management can be effective approaches, which is all well and good, but these complex interventions are not always [read the full story...]
Postnatal (or postpartum) depression is moderate to severe depression that affects women just after they have given birth. It’s a relatively common illness, affecting 7-15% of childbearing women. Suffering from depression in the first few weeks of motherhood can have a significant impact, not just on the health of the [read the full story...]
I really enjoyed the discussion in the Guardian over the weekend about poor quality trials and pharmaceutical industry techniques that overhype their drugs in an attempt to shift units. Ben Goldacre’s new Bad Pharma book is well worth a read. New reviews about antidepressants come thick and fast and it’s [read the full story...]
Comorbidities are common in mental health and the relationship between physical and mental health conditions appears to be bidirectional. Having a chronic physical condition like diabetes can increase your risk of depression (by as much as 3 times). Having an enduring mental health problem such as psychosis can take 15-20 [read the full story...]
Back from my 5-mile run around the woodland yesterday morning I sat down to catch up on the latest elf stories. Many of the national newspapers reported on a new randomised controlled trial published in the BMJ, which studied ‘facilitated physical activity’ for people with depression. The headlines seemed to [read the full story...]
All general practices will be interested in this 4-page document from the Royal College of General Practitioners, which will help them respond to the Department of Health strategic objective about domestic violence. The guidance provides an overview to help general practices develop their own domestic abuse policy. It also includes [read the full story...]
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