Blogs


Psynary: online psychiatric assessment for depression

Psynary is an online psychiatric assessment tool that helps patients make sense of their own mental health and monitor the effectiveness of any treatment they start. There is ample evidence in the literature that treatment outcome monitoring is central to maximizing the effectiveness of any intervention, particularly treatment with medication.  Psynary aims to help patients […]

Validation in relationships

I found an interesting article on `validation` by Hall at Psychology Today (here) . It divides the techniques used for validation into 6 steps and has some worked examples. The article seems to be targeted at couples where one side feels the other is not sufficiently attentive or empathic. I would recommend the article for […]

Schizophrenia and Psychosis in children and young people

Here are the National Institute of Clinical Excellence guidance on the assessment and management of psychosis in young people. While adult services are very familiar with these disorders, due to very low frequencies in childhood, I feel that primary care child services may often not consider such diagnoses. These guidelines are simple, easy to read […]

Diagnostic manuals in Psychiatry

The controversies around the American Psychiatric Association`s DSM-5 have cast a spotlight rather on diagnostic systems in Psychiatry. While we all eagerly await publication of the WHO`s new diagnostic manual – ICD-11 – I thought it worthwhile to quickly review ICD-10. Whereas DSM-IV and DSM-5 are expensive manuals to come by, the WHO publish ICD-10 […]

Workouts for depression at Moodgym

There is a growing evidence base behind several online cognitive-therapy-based interventions for major depressive disorder. Among my patients Moodgym seems to be the most popular. I cannot recommend this free service enough for patients with depression. Please give it a go.

What is counseling and psychotherapy?

NHS Choices is an excellent website providing reliable information on health matters, including mental health, for the general public both inside and outside of the UK. I discovered that their website (link here) has some very nice and simple descriptions of what counselling (counseling for our US colleagues) and psychotherapy are, also including a description […]

Canadian Guidance on Testosterone deficiency prescribing

The Canadian Men`s Health Foundation has published guidance on the use of testosterone for treating hypogonadism in men (available here.)  The debate has in some ways paralleled the debate 15 years ago over HRT for menopausal women with both the benefits of treatment on wellbeing and the potential increase in relative risk of some diseases […]

What does the existence of dissociative identity disorder tell us about the self?

I stumbled across an old paper from the 1980s by the neuropsychologist Humphreys and the philosopher Dennett on Multiple Personality Disorder. Dennett has published much in the philosophical literature on the self and his work is always thought-provoking but I have not til now seen papers by him on psychiatry. The paper does not draw […]

New type of Psychotherapy now available at Tokyo Mental Health

Tokyo Mental Health will soon be offering Cognitive Analytic Therapy, a 3-month program of psychotherapy following on from assessment, as a further treatment option for clients who are interested in this very practical, goal-focused psychotherapy. Cognitive Analytic Therapy draws on  cognitive theory and techniques, psychodynamic theory such as as object-relations, and attachment theory. Please get in touch […]

Psychotherapy and Counseling for psychosis?

Nice reviewed it`s guidance for the prevention and management of Psychosis last year and we all look forward to new guidance in 2016. Interesting to note the current recommendations for psychotherapy and psychological treatment are for Cognitive Behavioural Therapy (CBT) for at risk mental states, and and CBT and Family Therapy for psychosis. NICE does not support […]