Monthly Archives: October 2015


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 […]

NICE guidance on assessment and management of Bipolar Affective Disorder

The UK National Institute of Clinical Excellence published revised guidance on the assessment and management of Bipolar Affective Disorder (or just `Bipolar Disorder`) in September last year. This is a condition which involves both episodes of depression and episodes of mania. Bipolar depression requires different treatment strategies than unipolar depression. The guidance also lays out […]