NICE publish first clinical guideline on social anxiety disorder

Social humiliation

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 and some will see it [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

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. Therefore ensuring long-term maintenance treatment [read the full story...]

NICE publish dementia commissioning guide: practical advice for commissioners

Senior couple

NICE have published a new guide to help commissioners provide evidence-based care for people with dementia. Providing care for our ageing population seems not to have been out of the news in recent years and rightly so, especially as the headline stories are frequently not positive. A recent Care Quality Commission report found that people [read the full story...]

The latest evidence from NICE on the longer-term management of self-harm

Young woman thinking

The NICE guideline on the longer-term care and treatment of self-harm was published in November 2011 and contains research published up until January 2011. A group of experts including psychiatrists, psychologists and social workers has compiled an evidence update looking at the high quality research that has been published in the last two years (from [read the full story...]

NICE publish first guideline for conduct disorders and antisocial behaviour in children and young people

Angry young boy

Conduct disorders are the most common reason why children are referred to mental health services and it’s estimated that around 5% of all UK children aged 5-16 have a diagnosis of the condition. Around half of the young people affected by conduct disorders go on to have a serious mental health problem as an adult. [read the full story...]

NICE publish new evidence summary on harmful drinking and alcohol dependence

Woman drinking alcohol

NICE have published a new evidence summary (PDF) on the problems associated with alcohol misuse, which augments the clinical guideline (PDF) that came out 2 years ago. This is a fast moving area, so quite a significant amount of research has been produced in the last 2 years, which may have an impact on clinical [read the full story...]

NICE publish first guideline for psychosis and schizophrenia in children and young people

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Everyone who read the extracts from Michael Schofield’s memoir, published by the Guardian on January 19th, must surely have been moved by the sometimes harrowing description of his daughter Janni who was diagnosed with child-onset schizophrenia aged just 7 years old. Janni is an exception, as schizophrenia generally starts between the ages of 15 and [read the full story...]

NICE publish new evidence summary on psychosis with coexisting substance misuse

nhs evidence eye

The NICE guideline on psychosis with coexisting substance misuse was published in 2011, which means it’s now nearly 3 years out of date. This is because guidelines take many months to produce, so by the time they are published the evidence in them is 1 year old at best. Some NICE guidelines are supplemented by [read the full story...]

NICE evidence summary on the unlicensed and off-label use of melatonin for sleep disorders in children with ADHD

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NICE have recently started publishing a series of evidence summaries looking at unlicensed and off-label medicines. The second summary in the series looks at the use of prolonged-release melatonin tablets as a treatment for sleep disorders in children and young people with attention deficit hyperactivity disorder (ADHD). Future mental health summaries include ‘Quetiapine for generalised [read the full story...]

NICE recommends an integrated approach for the care of people with drug use disorders

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NICE have published a new quality standard aimed at supporting the recovery for adults with drug use disorders, including opioids, cannabis, stimulants and other drugs. This set of documents on drug use disorders now sits beside the existing NICE quality standards on dementia, depression in adults, alcohol dependence and service user experiences of adult mental [read the full story...]