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...]

The role of siblings in children’s mental health

Brother and sister

When you were young(er), did you also engage in personality predictions with your peers based on order in the family? For example, that the oldest of three siblings would be the bossiest and the youngest the most spoiled? Almost everyone (90% of us) have one or more siblings. And we know they play an important role [read the full story...]

Long-acting antipsychotics cost-effective for treatment of schizophrenia, but evidence inconsistent

shutterstock_95098696

Here at Mental Elf HQ we’re expanding our skill set to include economics. Understanding the best way to value health and health care, and improving health outcomes with budget constraints in mind, are the key pastimes of economics elves. We hope to bring you the latest economic evidence in the field of mental health and to [read the full story...]

The case for Chinese herbal medicine in the treatment of depression

Chinese herbs

More people are seeking alternatives to traditional mental health care and as a result, knowledge about the use of complementary therapies by people with mental illness is increasing – particularly for those experiencing anxiety and depression. A recent survey of women with depression revealed that there is a push for more “natural approaches” that match [read the full story...]

User-led research asks if the 2008 Care Programme Approach supports mental health service user understandings of recovery

Men communicating using a can on a string

The Care Programme Approach (CPA) has been in operation in England since 1991. The revised 2008 CPA (PDF) is for people with mental health problems who are at risk or have complex support needs. It requires agencies involved to work together to provide services through an individual care plan. ‘Recovery’ is being promoted as a [read the full story...]

Inappropriate use of antipsychotics to treat behavioural and psychological symptoms of dementia is likely to be more prevalent in care homes and low-income households

Senior man sitting with hand on head

Antipsychotics were discovered as an effective treatment for schizophrenia in the 1950s, but their use was expanded despite lack of supporting evidence, to treat other patient groups.  This included treating aggression, agitation and other behavioural and psychological symptoms of dementia (BPSD). There is evidence that these distressing symptoms can often be prevented or managed without [read the full story...]

Alcohol consumption accounted for 19,500 cancer deaths in the US in 2009

Doctor with pint of beer

Alcohol, together with tobacco and obesity, is one of the most important modifiable causes of morbidity and premature mortality, and is estimated to account for around 4% of deaths worldwide. This study attempted to clarify the number of alcohol-attributable cancer deaths in the United States, and the years of potential life lost in this way. [read the full story...]

The cardiovascular safety of dementia medications: a cross national study

Dice with broken heart

Two of the most widely available medicines for dementia in the UK are cholinesterase inhibitors and a N-methyl-D-aspartate (NMDA) receptor antagonists (NHS, 2013).  Both drugs are popular because they have been found to lead to improvements in dementia symptoms (Raina 2008). However, some have raised concerns about the safety for patients. These concerns are partly [read the full story...]

Psychosocial and psychological interventions can prevent postpartum depression, says new Cochrane review

Pensive woman

The period after giving birth to a child can be difficult for women and in the first twelve weeks after childbirth 13-19% of women will experience post-partum depression (O’Hara 1996, Gaynes 2005). Post-partum depression is bad news – not only does it increase the chance of the mother going onto develop a severe clinical depression [read the full story...]

Short-term recovery from mild cognitive impairment is possible, but an increased risk of further cognitive decline remains

Dementia

The symptoms of mild cognitive impairment (MCI) include problems with cognitive functioning such as day-to-day memory. In some individuals it is the first sign of dementia, whereas in others it may be due to resolvable factors such as being the side-effect of medication (Alzheimer’s Society, 2012). At present it is unclear how many people with [read the full story...]