Alcohol misuse

Guidance on management of Alcohol misuse disorders

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 […]

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 […]

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 […]

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 […]