Anxiety


New Research Questionnaires

Can you help with our research aimed at validating two new scales to measure mood and anxiety symptoms? The goal is to involve as broad an age range (from 18 upwards) as possible, equal representation of males and females, and people from different cultural and educational backgrounds. The title of the study is: Pilot observational […]

Alcohol use and health

The UK National Institute of Clinical Excellence issued a statement on alcohol use in response to the Department of Health new proposed guidance on alcohol use. Both make interesting reading. The bottom line as already widely publicized, is that men should drink no more than 14 units of alcohol per week, and pregnant women should […]

PTSD

There were a few articles of interest that I came across this week on PTSD. THe first was a study by Deng et al looking at PTSD in patients with adult congenital heart disease. They found very high rates of PTSD (11-20%) among this patient group at a tertiary referral centre, and also point out […]

Collaboration with American Clinic Tokyo

I am pleased to announce that Tokyo Mental Health is now collaborating with American Clinic Tokyo to offer counseling and psychotherapy to the foreign community and bilingual Japanese people in Tokyo and the surrounding area. If you wish to see a UK-licensed psychiatrist for counseling or psychotherapy in Tokyo, please contact either Tokyo Mental Health […]

Gender Identity

Interesting article on Medscape (here) this week that highlights changing attitudes to the medical treatment of people with gender identity dysphoria. The trend seems to be towards an increasingly biological view of the issue. Certainly some of the very positive reported outcomes for such patients are encouraging. The Royal College of Psychiatrists in UK has […]

Guidance on management of Alcohol misuse disorders

<p>Reviewing guidance on alcohol misuse disorders, I see that UK National Institute for Clinical Excellence (NICE) has 3 documents on this topic. All are worth reading. One focuses on alcohol-related disorders, one on harmful use and dependence itself, and one on public health approaches including screening. The most striking point is how common alcohol harmful […]

What talking therapy for me?

There are many types of so-called talking therapy and with each practitioner claiming that `their` particular brand of talking therapy is the most effective, it can be quite difficult to work out which type of counseling or psychotherapy is the right one for you. In an age when health providers aspire to provide provide personalized […]

NICE Guidance on menopause

Amid much controversy the UK National Institute for Clinical Excellence published guidance (available here) on the diagnosis and management of menopause yesterday. This covers some mental health aspects, and most controversially, the prescribing of HRT. This easy to read guidance would be an excellent place to start for women troubled by menopausal symptoms.

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 […]