Monthly Archives: October 2015


Fake memories

Here is a fascinating paper by Shaw et al that really highlights how inaccurate episodic memory can be, and, maybe more worryingly, how easy it can be to create false memories in healthy subjects. This must have significant implications for how the past is explored in counseling and psychotherapy.

Modulating cravings

This article by Khemiri et al published online in European Neuropsychopharmacology reports some evidence regarding an experimental drug with potential future uses for alcohol dependence. This work seems to have grown out of preliminary evidence of the impact of aripiprazole and modafinil on alcohol use and reinforcing behavior. I think the effects of medications on […]

Augmenting treatment for older adults with depression

A study in the Lancet in September by Lenze et al (link here) suggests that augmenting treatment using a neuroleptic for older patients with treatment resistant depression is effective and well-tolerated. This is a popular treatment strategy in younger patients and it is interesting to see evidence for it in older patients.

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 […]

Counseling for Depression in Oncology services

A number of very high profile publications originating from collaboration between Oxford and other UK groups  in Lancet journals from 2008-2014, the SMaRT Oncology studies, are having a significant impact on how the importance of counseling and a collaborative care approach is seen in cancer services. It seems combining collaborative care and counseling for depression […]

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 […]

Both cognitive and psychodynamic psychotherapy effective for Panic Disorder?

A study by Milrod et al published here suggests that CBT was the most effective treatment for panic disorder, but of note, a manualized version of psychodynamic psychotherapy for panic disorder was also effective. Nice to see psychodynamic psychotherapy receiving scientific appraisal.