Mental health articles
OF mental health care and mentally ill
March, 2013
Factors associated with poor prognosis in anorexia nervosa
The chance of relapse or a poorer outcome is based on the following factors, which include: −Age of onset (younger do better) +Duration of illness +Severity of weight loss +Hyperactivity, vomiting +Bulimia and purging +Obsessive-compulsive symptoms −Hysterical personality +Difficulty with weight gain in the ward environment/short duration inpatient treatment −Ability to get weight into […]
Tags: anorexia nervosa
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Treatment efficacy: generalized anxiety disorder
Treatment efficacy: generalized anxiety disorder The NHS Centre for Reviews and Dissemination’s meta-analysis of the comparative efficacy of treatments for generalized anxiety disorder (2002e) found that both CBT and pharmacotherapy (predominantly drugs classed as benzodiazepines) are ‘effective treatments for GAD and that both yielded relatively large effect sizes on measures of anxiety severity at posttreatment’. […]
Tags: anxiety, disorder, generalized anxiety disorder, treatment
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Principles and practice of cognitive behaviour therapy
The cognitive theories and treatments in use today have generally followed on from Beck’s original theories. Broadly speaking, cognitive approaches to emotional disorders focus on two main areas of a person’s experience; the appraisals a person makes while in a situation, and the information processing biases that occur. In anxiety, appraisals that are made generally […]
Tags: behaviour, cognitive, cognitive behaviour therapy, therapy
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Body Dysmorphic Disorder Stories
Case study: body dysmorphic disorder Susan is a 33-year-old hairdresser who attended her GP following a recent bout of ill-health involving panic attacks, low mood, attempted suicide and avoidance of leaving the house. The problem began six weeks earlier when she developed a light rash (which she called spots) over her neck area. She believed […]
Tags: body dysmorphic disorder, disorder
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Diagnosis Criteria for Anorexia Nervosa
Criteria for diagnosis of anorexia nervosa Current classification and definition (the main points of ICD1O (WHO 1992) and DSM-IV (APA 1994) combined) body weight at least 15 per cent below that for normal/expected age and height: in children this is weight below the second percentile; weight loss is self-induced; self-perception of being too fat; absence […]
Tags: anorexia nervosa, diagnosis criteria
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DSM-IV Bulimia Nervosa Diagnosis
Criteria for diagnosis of bulimia nervosa. Current classification and definition (the main points of ICD1O (WHO 1992) and DSM-IV (APA 1994) combined) A persistent compulsion to overeat accompanied by a sense of lack of control. The overeating consists of more than 1000 calories – more than others would eat during a similar 2-hour period. These […]
Tags: bulimia nervosa, diagnosis, DSM-IV
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Case study: generalized anxiety disorder
Case study: generalized anxiety disorder Andrew was a 49-year-old tradesman who reported feeling worked up, tense and worried for most of his waking day. He had difficulty sleeping, particularly getting off to sleep. His chief complaint was that he was unable to stop worrying about ‘stupid little things’ that, he considered, most people would take […]
Tags: anxiety, case study, disorder, generalized anxiety disorder
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Treatment efficacy: health anxiety
Unfortunately, neither The NHS Centre for Reviews and Dissemination nor the Cochrane Database of Systematic Reviews databases have examined the efficacy of treatments for health anxiety. However, a review of the clinical trials registered on the Cochrane Controlled Trials Register suggests that CBT approaches are effective. Two recent clinical trials (Bouman and Visser 1998; Visser […]
Tags: anxiety, Health, treatment
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Principles of treatment in child and adolescent psychiatry
Once a comprehensive assessment has been completed, the child and parents need to be involved in drawing up a treatment plan. The successful rate of treatment will depend on the extent to which they feel their wishes, fears and anxieties have been addressed during the initial meetings. It is useful for the therapists and the […]
Tags: adolescent, child, psychiatry, treatment
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Chronic fatigue syndrome symptoms
Chronic fatigue syndrome This is a condition in which severe disabling fatigue persists for over six months (three months in children) and is associated with a variety of other associated symptoms unexplained by primary physical or psychiatric causes. The most significant complaint on presentation is one of fatigue often preceded by a flu-like illness from […]
Tags: chronic, chronic fatigue syndrome, fatigue, symptoms
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