Search results for ‘Subject term:"mental health problems"’ Sort:
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Anxiety disorders: QS53
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2014
- Place of publication:
- Manchester
This quality standard covers the identification and management of anxiety disorders in primary, secondary and community care for children, young people and adults. These include generalised anxiety disorder, social anxiety disorder, post-traumatic stress disorder, panic disorder, obsessive-compulsive disorder and body dysmorphic disorder. The standard sets out the following four quality statements: people with a suspected anxiety disorder receive an assessment that identifies whether they have a specific anxiety disorder, the severity of symptoms and associated functional impairment; people with an anxiety disorder are offered evidence-based psychological interventions; they are not prescribed benzodiazepines or antipsychotics unless specifically indicated; and people receiving treatment for an anxiety disorder have their response to treatment recorded at each treatment session. (Edited publisher abstract)
Attention deficit hyperactivity disorder: QS39
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2013
- Place of publication:
- Manchester
This quality standard covers the diagnosis and management of attention deficit hyperactivity disorder (ADHD) in children aged 3 years and older, young people and adults. The standard comprises seven statements that describe high quality care for service users. These are: children and young people with symptoms of ADHD are referred to a specialist for an assessment; adults with symptoms of ADHD who have not had a diagnosis in childhood are referred to a specialist for an assessment; adults who had ADHD when they were younger and who still have symptoms of ADHD are referred to general adult psychiatric services; parents and carers of children and young people with symptoms of ADHD who meet NICE eligibility criteria are offered a referral to a parent training programme to help them manage their child’s behaviour; children and young people with moderate ADHD are offered a referral to a psychological group treatment programme; people with ADHD who are starting medication have their initial medication dose adjusted by a specialist, who should also check how well the medication is working; and people who are taking medication to treat ADHD have their medication reviewed by a specialist at least once a year. (Edited publisher abstract)
“My penis is shrinking and people can tell”: a confusing case of apparent body dysmorphic disorder
- Author:
- HOLMAN Warren Dana
- Journal article citation:
- Social Work in Mental Health, 9(1-6), 2011, pp.319-335.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Body dysmorphic disorder (BDD) is characterised by an intense preoccupation with a slight or imagined defect in physical appearance. BDD is a severely debilitating disorder which curtails social involvement, derails a developing positive sense of self, and often predisposes those afflicted to chronic mental health problems. It usually begins in adolescence and, even with treatment, tends to become long term and debilitating. This article starts by describing BDD, including its clinical course, aetiology, and treatment. It then presents a case of a young man who believed that his penis was shrinking. Although this case does not end neatly or well, that illustrates the uncertain work of diagnosing and treating the disorder and provides lessons for social workers.
Psychodynamics and psychotherapy of pseudoseizures
- Author:
- KALOGJERA-SACKELLARES Dalma
- Publisher:
- Crown House
- Publication year:
- 2004
- Pagination:
- 269p.
- Place of publication:
- Carmarthen
This book provides a classification scheme, which permits the clinician to reduce complex clinical material to a few well-defined and coherent pseudoseizure syndromes. The major theme of the work is the influence of trauma in the genesis of pseudoseizures along with treatment implications. The author offers a psychodynamic model for understanding pseudoseizure syndromes by utilizing and synthesizing concepts drawn from three different schools of psychodynamic theory and therapy: psychoanalytic theory, object relations theory and self psychology. Practical guidance and techniques are offered for handling situations that might be encountered while conducting therapy as well as a valuable summary of the neurological features of pseudoseizure syndromes.
Motiveless malignity: problems in the psychotherapy of psychopathic patients
- Author:
- ALVAREZ Anne
- Journal article citation:
- Journal of Child Psychotherapy, 21(2), August 1995, pp.167-182.
- Publisher:
- Routledge
This article attempts to draw attention to the difference between the states of mind and inner worlds of neurotic, borderline and psychopathic patients, with reference to different types of destructiveness: anger in the neurotic patient; desperate vengeful hatred in the borderline paranoid; and a cold addiction to violence in the psychopath. Although most patients refuse to stay put in the neat schematic categories outlined, they do seem to appreciate and to need the therapist's recognition of the specific quality of these vastly different states of mind.
Bipolar disorder: the assessment and management of bipolar disorder in adults, children and young people in primary and secondary care: CG185
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2014
- Place of publication:
- Manchester
This guideline covers the recognition, assessment and management of bipolar disorder in children, young people and adults. It includes specific recommendations for diagnosis in children and young people because presentation in these age groups can be complicated by other conditions such as ADHD. The recommendations apply to people with bipolar I, bipolar II, mixed affective and rapid cycling disorders. The guideline highlights the key priorities for implementation in relation to: care across all phases of bipolar disorder; recognising and managing bipolar disorder in adults in primary care; managing mania or hypomania in adults in secondary care; managing bipolar depression in adults in secondary care; managing bipolar disorder in adults in the longer term in secondary care; and recognising, diagnosing and managing bipolar disorder in children and young people. (Edited publisher abstract)
Depression in adults quality standard: QS8
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2011
- Place of publication:
- Manchester
This quality standard covers the assessment and clinical management of persistent subthreshold depressive symptoms, or mild, moderate or severe depression in adults (including people with a chronic physical health problem). It describes markers of high-quality, cost-effective care that, when delivered collectively, should contribute to improving the effectiveness, safety and experience of care for people with depression in the following ways: preventing people from dying prematurely; enhancing quality of life for people with long-term conditions; helping people to recover from episodes of ill health or following injury; ensuring that people have a positive experience of care; and treating and caring for people in a safe environment and protecting them from avoidable harm. (Edited publisher abstract)
Working within the medical model
- Author:
- FREETH Rachel
- Journal article citation:
- Therapy Today, 18(9), November 2007, pp.31-34.
- Publisher:
- British Association for Counselling and Psychotherapy
Assessment, diagnosis and treatment are at the heart of the medical model. This is at odds with the relationship-centred psychological therapies - and raises many questions for those working in healthcare settings. The author argues that it is important for those therapists whose orientations are not aligned to the medical model to gain and understanding of the model and to be ready with clear arguments as to why mental health services should be more welcoming of non-medical model therapies.
Pandora's box: the effect of diagnostic disclosure on a depressed patient
- Author:
- LEBOLT Jonathan
- Journal article citation:
- Clinical Social Work Journal, 30(3), Autumn 2002, pp.281-291.
- Publisher:
- Springer
- Place of publication:
- New York
There is little literature on the effect of disclosure of psychiatric diagnosis on treatment. A case is presented in which the therapist suggests a depressed patient may be bipolar. Three concepts are utilized to understand the resultant impasse: empathic failure, intersubjective disjunction, and projective identification, and the subjugating third.
Prescriptive psychotherapy: alternatives to diagnosis
- Author:
- BEDI Robinder Paul
- Journal article citation:
- Journal of Psychotherapy in Independent Practice, 2(2), 2001, pp.39-60.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
The purpose of this paper is to introcuce uninformed mental health professionals to traditional prescriptive psychotherapy and to highlight potential client factors which can guide the selection of particiular interventions, relational stances, approaches, and orientations. Although some would be quick to point out that almost all mental health professionals advocate tailoring interventions to fit the client, true prescriptive psychotherapists employ direct empirical evidence in tailoring and do not limit themselves to one or just a few orientations. To aid in this endeavour, the three most prominent and theoretically devloped systems of prescriptive psychotherapy (Multimodal psychotherapy, systematic treatment selection and stage-based psychotherapy), and two particularly useful categories of idiographic factrs (the therapeutic relationship and the client's worldview) are introduced and discussed.