1,545 results match your criteria: "Royal College of Psychiatrists; email: amarshah@nhs.net.[Affiliation]"

Objectives: Patient involvement in mental health professional education is required by policy but lacks a robust evidence base. The impact of involvement in education on patients with mental health conditions may differ from that of patients with other conditions. This study aims to review the impact of involvement in mental health professional education on the patients with mental health conditions involved.

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Background: Due to its rapid antidepressant effect, ketamine has recently been clinically translated for people with treatment-resistant depression. However, its cognitive profile remains unclear, particularly with repeated and higher doses. In the present study, we report the cognitive results from a recent large multicentre randomised controlled trial, the Ketamine for Adult Depression Study (KADS).

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Managing Binge Eating Disorder in a Young Adolescent Female: Barriers to Treatment and Recommendations.

Cureus

February 2024

Family Medicine, Leeds General Practitioner Confederation, Leeds, GBR.

Article Synopsis
  • Binge eating disorder (BED) is a common behavioral disorder in the U.S., affecting nearly 3% of people, and involves chronic overeating.
  • A case study highlights an adolescent girl with BED who faced financial barriers to specialized treatment and instead received medication management from a psychiatrist.
  • The girl's successful treatment combined bupropion and family therapy, demonstrating that primary care providers can effectively support patients lacking access to specialized care for BED.
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Objective: Trainees and Fellows of the Royal Australian and New Zealand College of Psychiatrists (RANZCP) work in complex interpersonal and organisational environments. Engagement in supervision can be a helpful way for trainees and Fellows to achieve interpersonal, professional, and organisational success. Supervision comes in many forms depending on the stage and state of one's career.

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Aims And Method: We conducted a cross-sectional survey to examine how undergraduate psychiatry is taught and assessed across medical schools in the UK that have at least one cohort of graduated students.

Results: In total, 27 medical schools completed the survey. Curriculum coverage of common mental disorders, assessment skills and mental health law was broadly consistent, although exposure to psychiatric subspecialties varied.

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- for the art and science of psychiatry.

Australas Psychiatry

April 2024

Academic Unit of Psychiatry and Addiction Medicine, The Australian National University School of Medicine and Psychology, Canberra Hospital, Canberra, ACT, Australia.

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Differences in psychological treatment outcomes by ethnicity and gender: an analysis of individual patient data.

Soc Psychiatry Psychiatr Epidemiol

September 2024

CORE Data Lab, Centre for Outcomes Research and Effectiveness, Research Department of Clinical, Educational and Health Psychology, University College London, Gower Street, London, UK.

Purpose: There are discrepancies in mental health treatment outcomes between ethnic groups, which may differ between genders. NHS Talking Therapies for anxiety and depression provide evidence-based psychological therapies for common mental disorders. This study examines the intersection between ethnicity and gender as factors associated with psychological treatment outcomes.

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Article Synopsis
  • The research emphasizes the need for a multidisciplinary approach to address the challenges of neuropsychiatric illnesses, linking neurology and psychiatry based on shared neurobiological and genetic factors.
  • It critiques traditional diagnostic frameworks that struggle to differentiate between neurological and psychiatric issues, affecting diagnosis and treatment plans.
  • The study advocates for improved collaboration between neurologists and psychiatrists, exploring both pharmacological and non-pharmacological treatment strategies for a more integrated care model.
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Impact of mhGAP-IG training on primary care physicians' knowledge of mental, neurological and substance use disorders in Iraq.

BJPsych Int

February 2024

Specialty Trainee in Psychiatry, Bradgate Mental Health Unit, Leicestershire Partnership NHS Trust, Leicester, UK. Email:

To address the growing need for good-quality mental health service provision to patients in Iraq, mhGAP-IG 2.0 training in mental, neurological and substance use (MNS) disorders was delivered for primary care physicians in May-June 2022 by the Royal College of Psychiatrists (RCPsych) volunteers scheme. An innovative hybrid model was used to deliver this training to improve engagement compared with virtual training alone.

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Acute behavioural disturbance: what's in a name?

BJPsych Open

February 2024

Chief Medical Officer, West London NHS Trust, UK; Cognition, Schizophrenia and Imaging Laboratory, Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK; Department of Psychiatry, Imperial College London, UK; and Department of Psychiatry, University College London, UK.

Acute behavioural disturbance (ABD) is a highly contentious topic, with debate about its validity as a construct. Particular concerns have been raised about how it places societal problems 'in' people - disproportionately from minority ethnic backgrounds - medicalising being a victim of violence. The author reflects on his experiences 'with' ABD.

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Before the COVID-19 pandemic, the prevalence and severity of psychiatric disorders among sexual and gender diverse (SGD) young people was greater than in their heterosexual/cisgender peers. We systematically reviewed literature examining the prevalence, severity, and risk factors for psychiatric disorders among SGD young people aged 25 and under during the pandemic. Four databases (MEDLINE, PsycInfo, Scopus and Web of Science) were searched.

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Ethical and respectful debate in scientific publishing.

Australas Psychiatry

February 2024

Editor, Royal College of Psychiatrists (UK) and The British Journal of Psychiatry, London, UK; Specialty of Psychiatry, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia; and Department of Psychiatry, University of Oxford, Oxford, UK.

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OPCAT: How an international treaty regarding torture is relevant to the Australian mental health system.

Aust N Z J Psychiatry

May 2024

Department of Psychiatry, School of Clinical Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, VIC, Australia.

The United Nations Subcommittee on the Prevention of Torture visits signatory nations to the Optional Protocol to the Convention against Torture and other Cruel, Inhuman or Degrading Treatment or Punishment (OPCAT). Its role is to monitor and support signatory nations in implementing and complying with the Convention against Torture and other Cruel, Inhuman or Degrading Treatment or Punishment (CAT). In October 2022, the United Nations Subcommittee on the Prevention of Torture visited Australia but was barred from visiting mental health wards in Queensland and all detention facilities in New South Wales leading to the termination of its visit.

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Estimating life expectancy and years of life lost for autistic people in the UK: a matched cohort study.

Lancet Reg Health Eur

January 2024

UCL Research Department of Clinical, Educational and Health Psychology, Division of Psychology and Language Sciences, 1 - 19 Torrington Place, London, WC1E 7HB, UK.

Background: Previous research has shown that people who have been diagnosed autistic are more likely to die prematurely than the general population. However, statistics on premature mortality in autistic people have often been misinterpreted. In this study we aimed to estimate the life expectancy and years of life lost experienced by autistic people living in the UK.

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Schizophrenia is a severe psychiatric disorder associated with significant comorbidities and early mortality. People with schizophrenia have a greater predisposition to the top 6 modifiable global mortality (cardiometabolic) risk factors as defined by the World Health Organization (compared with the general population). These are driven by genetic, lifestyle and disease factors, and obesogenic antipsychotic medications.

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Background: Mental health-related stigma occurs among the public and professionals alike. The lived experience of mental illness has been linked to less stigmatising attitudes. However, data on psychiatrists and the relationship between stigmatising attitudes and psychotherapeutic activity or case discussion groups remains scarce.

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The advent of dopamine (D2) receptor-blocking medications over 70 years ago, ushered in a new era of biological treatment for schizophrenia. However, we argue that little subsequent progress has been made in translating this into fulfilled and fulfilling lives for people with schizophrenia. This Viewpoint asks why this is the case, and suggests ways forward for capitalising on extant and emerging new treatments for psychotic disorders, to the betterment of the lives of people living with schizophrenia.

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Background: Stigma related to mental illness (and its treatment) is prevalent worldwide. This stigma could be at the structural or organizational level, societal level (interpersonal stigma), and the individual level (internalized stigma). Vulnerable populations, for example, gender minorities, children, adolescents, and geriatric populations, are more prone to stigma.

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Physical health metrics are essential for establishing the effectiveness of eating disorder treatment.

Lancet Psychiatry

February 2024

Oxford Health NHS Foundation Trust, Cotswold House, Warneford Hospital, Oxford OX3 7JX, UK; Faculty of Eating Disorders, Royal College of Psychiatrists, London, UK. Electronic address:

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Background: The increasing prevalence and acuity of mental disorders among children and adolescents have placed pressure on services, including inpatient care, and resulted in young people being admitted at-distance or to adult wards. Little empirical research has investigated such admissions.

Objective: To determine the incidence, clinical characteristics and 6-month outcomes of patients aged 13-17 years old admitted at-distance (>50 miles from home or out of region) to general adolescent psychiatric wards or to adult psychiatric wards.

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UK adult ADHD services in crisis.

BJPsych Bull

February 2024

South West Yorkshire Partnership NHS Foundation Trust, Wakefield, UK.

The UK's services for adult attention-deficit hyperactivity disorder (ADHD) are in crisis, with demand outstripping capacity and waiting times reaching unprecedented lengths. Recognition of and treatments for ADHD have expanded over the past two decades, increasing clinical demand. This issue has been exacerbated by the COVID-19 pandemic.

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Article Synopsis
  • Direct-acting antiviral treatments for hepatitis C have led to a hopeful public health push in Australia, supported by government funding for universal access to treatment.
  • Concerns about treatment costs for both governments and individuals have emerged, influencing how cured patients perceive their experiences with treatment.
  • The article explores how notions of cost affect patients' views, portraying them as less deserving of care and reinforcing inequalities in health access despite the promise of effective treatment.
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Professor David Skuse: a gentleman and a scholar.

BJPsych Int

November 2023

Professor of Psychiatry, Academic Department of Psychiatry, Kolling Institute, Northern Clinical School, Faculty of Medicine and Health, The University of Sydney, New South Wales, Sydney, Australia. Email:

Stepping down after a decade of service as editor of this journal, this brief testimonial recognises the pivotal contributions made by Professor David Skuse and highlights his stellar career achievements as an academic.

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Background: Psychotic disorders are severe and prevalent mental health conditions associated with long-term disability, reduced quality of life, and substantial economic costs. Early Intervention in Psychosis (EIP) services aim to provide timely and comprehensive treatment for psychotic disorders, and EIP service input is associated with improved outcomes. However, there is limited understanding of the specific components of EIP care that contribute to these improvements.

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