Antidepressant withdrawal syndromes: time to grasp the nettle?

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Andrew Shepherd appraises and summarises a systematic review of antidepressant withdrawal symptoms after SSRI discontinuation, which leads him to reconsider his own clinical practice.

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Away from crime and into treatment: diversion and aftercare for drug-using offenders

The review showed some evidence of publication bias

Can we steer drug-using offenders away from crime and into treatment? Chris Sampson explores a study of the cost-effectiveness of diversion and aftercare programmes for offenders using class A drugs.

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Poor oral health and severe mental illness: what are the links?

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Helge Hasselmann summarises a recent systematic review of poor oral health and severe mental illness (SMI), which found that people with SMI were 2.8 times more likely to have lost all their teeth, and had more missing, decayed or filled teeth.

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Psychotherapy for depression in primary care. Better evidence please…

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Andrew Shepherd summarises a recent systematic review of the effectiveness of psychotherapy for depression in primary care, which contains a lot of data but leaves him feeling rather deflated.

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Mini-Cog for dementia diagnosis in the community

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Clarissa Giebel writes her debut Mental Elf blog about a recent Cochrane systematic review of the Mini-Cog for the diagnosis of Alzheimer’s disease dementia and other dementias within a community setting.

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Searching for the cost of bipolar disorder

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Bipolar disorder is associated with high economic costs…or is it? Chris Sampson reports on a new systematic review, which highlights limitations in our understanding.

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Diagnostic test accuracy of first rank symptoms for schizophrenia

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Raphael Underwood summarises a recently updated Cochrane systematic review, which aimed to systematically evaluate the accuracy of first rank symptoms for diagnosing schizophrenia.

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Compulsory community treatment results in no significant difference in service use, social functioning or quality of life

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Rebecca Syed appraises and summarises an updated Cochrane review of compulsory community treatment and involuntary outpatient treatment for people with severe mental disorders. The review finds just 3 trials, which show that CCT results in no significant difference in service use, social functioning or quality of life.

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Parent Infant Psychotherapy: a gap in the evidence

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Paul Ramchandani assesses the latest Cochrane review on Parent Infant Psychotherapy for improving parental and infant mental health, which finds little evidence to support the claim that PIP is an evidence-based treatment.

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