Mental health articles

OF mental health care and mentally ill

treatment

Why some clients don’t engage with their care and treatment

Some clients do not engage with their care and treatment because: •Clients vary in their willingness and ability to engage. Much depends on their previous experience, both of life and of services, and the extent to which their mental ill-health affects their capacity to cooperate with the help offered. •Services themselves have created significant barriers […]

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Personality disorder treatment options

This section outlines the main treatment approaches adopted when working with people with personality disorders and discusses their relative efficacy. Behavioural and cognitive approaches There is evidence that behavioural and cognitive approaches can be effective in the treatment of people with personality disorders. The main approaches evaluated include schemafocused therapy, dialectical behaviour therapy  and long-term […]

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Anorexia Nervosa Treatment and management Options

Arguably this is one of the most difficult phases to bridge in the management of anorexia nervosa. The first hurdle usually is for carers, friends, teachers and colleagues to express their concerns for the individual’s health and to suggest that it is important to seek help. The interpersonal process of the meeting is a critical […]

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encopresis in children treatment

Encopresis or faecal soiling is the voiding of faeces in inappropriate places and usually involves the soiling of the child’s clothes. At the age of 7, the prevalence in boys is 2.3 per cent and 0.7 per cent in girls with a male:female ratio of almost 3.5:1. By the age of 11, less than 1 […]

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enuresis treatment in teens

Enuresis treatment in teens. A detailed assessment should include a full psychiatric assessment. Physical causes need to be excluded and urinary microscopy and culture carried out in all cases. Treatment is unlikely to be successful unless the child and family are motivated. Behavioural interventions as well as pharmacological treatments have proven to be effective. Using […]

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Treatment of mental health problems in childhood

The long-lasting biological basis for the problems needs to be emphasized to teachers and parents. Support for the family is crucial regarding management of the child. Parents need to adopt a consistent attitude to parenting with clear guidelines for acceptable behaviour. Simple time-out procedures can be used for unacceptable behaviour. Encouraging the child’s sustained attention […]

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bulimia nervosa treatment articles

Summary of evidence on treatment efficacy for bulimia nervosa Psychotherapy Systematic reviews have found that CBT versus remaining on waiting list reduces specific eating disorder symptoms and non-specific symptoms, for example, depression. One systematic review and one subsequent RCT  have found that other psychotherapy (non CBT) versus waiting list improved symptoms. CBT more effective than […]

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Treatment and management of obsessive-compulsive disorder

Obsessive-compulsive disorder (OCD) is a chronic condition and needs long-term commitment to its management. Cognitive behavioural therapy, advice on management, involving carers and parents and medication have all shown to be effective. Exposure and response prevention has been shown to be effective in reducing symptoms. Advice to parents about how to respond to their child’s […]

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tourette’s syndrome treatment

Tourette’s syndrome Treatment For the milder versions, explanation and reassurance to teacher, parents and the child has been shown to be sufficient. Parents benefit from contact with self-help groups. The mainstay of treatment is medication; the most commonly used ones being haloperidol, pimozid and sulpiride. Clonidine has also shown to be beneficial, particularly when Tourette’s […]

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Treatment in primary care and pathways of care

In the NSF for Mental Health there is the suggestion that some eating disorders might be treated in primary care. However, there is very little evidence to support the efficacy of interventions in primary care. Indeed, such interventions may serve to maintain the disorder. A Dutch survey of 108 patients with eating disorders showed that […]

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