Mental illness


English Psychiatrist in Tokyo receives Japan Medical License

Tokyo Mental Health is pleased to announce that Dr Andrew Kissane, our English psychiatrist, has received a Japanese Medical License to practice medicine and psychiatry in Japan. Dr Kissane provides English psychiatric services at Tokyo Psychiatry Clinic hosted by American Clinic Tokyo. The Tokyo Psychiatry Clinic can provide the full range of psychiatric services in […]

The prevalence of mental health problems

A reuters article last week reported that according to a release from Mayor Bill de Blaiso’s office ahead of his mental-health initiative, one in five adult New Yorkers suffer from depression, substance misuse, suicidal thoughts or other psychological disorders every year. This seems to have caused some surprise in some quarters but the figure is […]

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 […]

Workouts for depression at Moodgym

There is a growing evidence base behind several online cognitive-therapy-based interventions for major depressive disorder. Among my patients Moodgym seems to be the most popular. I cannot recommend this free service enough for patients with depression. Please give it a go.

What is counseling and psychotherapy?

NHS Choices is an excellent website providing reliable information on health matters, including mental health, for the general public both inside and outside of the UK. I discovered that their website (link here) has some very nice and simple descriptions of what counselling (counseling for our US colleagues) and psychotherapy are, also including a description […]

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 […]

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 […]

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