Improving patient flow in acute psychiatric wards: enhanced bed management and trusted assessment.

Aims And Method: In three localities in a mental health trust in England, an enhanced bed management team was established to improve patient flow and reduce out-of-area placements. Trusted assessments were provided to support risk management and conflict resolution. Two measures of flow were compared before and after the team was established.

Cognitive behaviour therapy for withdrawal from antidepressant medication: a single case series.

Background: Research has clearly established the efficacy of pharmacotherapy and cognitive behaviour therapy (CBT) for depression. There is less literature addressing cessation of treatment, such as relapse during withdrawal from antidepressant medication.

Aims: The current study examines the role of psychological constructs that may influence relapse or fear of relapse and lead to resumption of medication.

Antipsychotic-induced hyperprolactinemia and delusion of pregnancy.

The authors describe 12 patients with antipsychotic-induced hyperprolactinemia. Six patients had erroneous ideas of being pregnant (four delusional and two non-delusional) temporally associated with hyperprolactinemia and resolving as prolactin levels returned to normal. The remaining six patients did not develop such ideas.