Mental health articles

OF mental health care and mentally ill

research report

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 […]

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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 […]

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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 […]

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The role of nurses in child and adolescent services

The Audit Commission document Children in Mind  described a four-tier model for the delivery of child and adolescent services. Tier 1 services are provided by primary care and other front-line services offering advice for mild to moderate problems and promoting mental health. Tier 2 services are generally provided by specialist professionals working on their own […]

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Child and adolescent mental health problems in primary care

Although childhood psychiatric disorders are relatively common, only 1 in 10 of cases is seen in specialist mental health services for children. Two to 5 per cent of children attending primary care during any one year present with emotional or behavioural disorders. Pre-school children present predominantly with oppositional deficient disorder, while school-age children present with […]

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Early childhood mental health information

Mental health problems in childhood Pre-school problems Pre-school problems such as sleep problems, tantrums and feeding problems are relatively common. Moderate to severe behavioural problems have been found in 7 per cent with mild problems in a further 15 per cent, with a slight male excess. Disorders starting in pre-school years can persist into later […]

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Classification of child and adolescent psychiatric disorders

The present system of classification for child and adolescent psychiatric disorders has focused primarily on symptomatology rather than aetiology. In child psychiatry, organic disorders in which psychiatric disorders arise secondary to physical causes are rare. Multi-axial classification takes into account different aspects of a patient’s disorder and classifies the disorder along different axes giving a […]

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Hypochondriasis case study

Case study: hypochondriasis Terry is a 37-year-old married bank manager. He had developed a range of symptoms which caused him to fear that he had a brain tumour as he was having ‘migraine attacks’, blurred vision, dizziness, nausea and panic. Over time and following a range of investigations (CT scan, pathology tests, EEG) his beliefs […]

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Panic attacks case study

Case study: panic disorder Sharon was a 26-year-old single woman with a history of panic attacks that occurred out of the blue, including at night. Her first panic attack occurred some five years earlier while she was studying for her final exams at university. At that time she experienced intense symptoms of a pounding heart, […]

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Case study on PTSD

Case study: post-traumatic stress disorder Sean is a 37-year-old lorry driver in the army, who was involved in a civilian rescue following a coach crash. He was the first rescuer on the scene and climbed into the crashed coach when it was still unstable and when petrol was pouring out of the tank. While climbing […]

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