The management of young people who self-harm by New Zealand Infant, Child and Adolescent Mental Health Services: cutting-edge or cutting corners?

CONCLUSIONS: Although it is reassuring that many ICAMHS are using evidence-based approaches to address self-harm in young people, there is concerning variability in the way these therapies are delivered. Improvement in training in key modalities, further research into therapist performance and continuous evaluation of workforce development are needed to maximise the effectiveness of proven interventions and provide NZ young people with the state-of-the-art service they deserve. PMID: 29357671 [PubMed - as supplied by publisher]
Source: Australasian Psychiatry - Category: Psychiatry Authors: Tags: Australas Psychiatry Source Type: research

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One thing I shared with my wife Rachel about a year into our relationship was the time I suffered a nervous breakdown in graduate school. It would be an important moment in any relationship because I shared the time in my life when I was most vulnerable and at my weakest point. Did I technically suffer a nervous breakdown? I’m not sure, all I remember is the turning point came when I drove home late one night, collapsed on my kitchen floor and started crying uncontrollably. Up to that point, I had developed a quasi-schizophrenic outlook on life and could no longer bear the weight of the world-view I constructed. In p...
Source: Psych Central - Category: Psychiatry Authors: Tags: Borderline Personality Personal Stories Stigma Suicide Antidepressants Borderline Personality Disorder college Delusions Life Transition Nervous Breakdown Paranoia Psychosis Shame Stigmatization Source Type: news
In this study, using multiple linear regression analysis, we found that decreased emotion coping appraisal of resilience in young adults was explained by an increased tendency to update beliefs about cue–outcome associative probability in a volatile environment and the increase in the parental verbal abuse experienced in early childhood. The total scores of resilience appraisals were also explained in the same manner (see Supplementary Tables 4 and 7). In addition, we did not find any effect of gender on the results both with whole subject (Figure 4) and in the gender-matched subgroup (see Supplementary Figure 3).Not...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Conclusion It is clear that clinically, there is still much to be learnt about alexithymia and its relationship with a range of related phenomena. Firstly, is alexithymia a continuous and stable trait independent of psychological or somatic symptomology that is developed during childhood? Or is it instead a reactive state induced by trauma and distress at any age, which serves to defend against intense and upsetting emotions? This impacts on treatment options. For example, should we be focussing on early childhood interventions which target the child's emotional environment and parenting to encourage emotional exp...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
This study will be conducted in the city of Porto Alegre in the state of Rio Grande do Sul in far-southern Brazil. This region has Portuguese, Italian, German, and African influence. It has a population of 1.4 million, and it is the 10th most populous city in Brazil. Its ethnic distribution is as follows: White (79.2%), Black (10.2%), and Pardo (multiracial) people (10.6%). Its religious distribution is as follows: Catholic (83%), Protestant (9%), and others and atheists (8%). Brazil is a country with a high level of religiosity, and it is common for people to associate improvements in their health as being due to their fa...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Prolonged exposure therapy (PE) is a highly efficacious and effective treatment for posttraumatic stress disorder (PTSD). In addition to reducing PTSD symptoms, PE ameliorates a wide-variety of related symptoms, including anxiety, depression, functional impairment, mild suicidal ideation, and anger. Furthermore, PE is effective in patients with comorbid conditions, including dissociation, substance use, borderline personality disorder and psychosis. How does PE achieve these outcomes? Emotional processing theory (EPT) is the conceptual model from which PE was derived. Three key concepts were originally proposed as indicato...
Source: Journal of Psychotherapy Integration - Category: Psychiatry & Psychology Source Type: research
Stereoelectroencephalography (SEEG) vs.Mindstrong HealthMood Monitoring via Invasive Brain Recordings or Smartphone SwipesWhich Would You Choose?That's not really a fair question. The ultimate goal of invasive recordings is one of direct intervention, by delivering targeted brain stimulation as a treatment. But first you have to establish a firm relationship between neural activity and mood. Well, um, smartphone swipes (the way you interact with your phone) aim to establish a firm relationship between your “digital phenotype” and your mood. And then refer you to an app for a precision intervention. Or to your t...
Source: The Neurocritic - Category: Neuroscience Authors: Source Type: blogs
 The transition from youth to adult is a difficult one for most people, filled with unexpected events and changes that we are ill-prepared for. Many find themselves seriously lacking not only the life skills needed, but also the psychological and emotional tools that would make this huge change easier. Our guest this week explains how we can use mindfulness to develop these tools and make adulting much less intimidating. Subscribe to Our Show! And Remember to Review Us! About Our Guest Lara Fielding is a clinical psychologist in Los Angeles, and an adjunct professor at Pepperdine Graduate School of Ed...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: General Mindfulness Students The Psych Central Show Adulthood adulting Gabe Howard Transition Vincent M. Wales Source Type: blogs
 Growing up with a mentally ill parent can be a traumatic experience for any child. For Ally Golden, her mother’s mental illness was major depression, later diagnosed as borderline personality disorder. Ally’s book, A Good Soldier, chronicles her life growing up in this environment, with a mentally ill mother who frequently threatened suicide, and the psychological trauma that resulted for her. Decades later, her mother carried out her threat. Listen to hear Ally’s fascinating story. Subscribe to Our Show! And Remember to Review Us! About Our Guest Ally Golden is the author ...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Borderline Personality General Relationships The Psych Central Show Gabe Howard Suicide Vincent M. Wales Source Type: blogs
ConclusionsGlia are most probably activated in primates with self ‐injury, and are therefore potential novel targets for therapeutics.
Source: Journal of Intellectual Disability Research - Category: Disability Authors: Tags: Special Issue Source Type: research
Conclusion We must take steps to recognize psychological trauma among our partners and ourselves, establish a supportive culture of understanding and help seeking, and realize that we are ineffective in caring for others if we do not first help ourselves. Highly effective treatments are available. References Boffa JW, Stanley IH1, Hom MA. PTSD symptoms and suicidal thoughts and behaviors among firefighters. J Psychiatr Res. 2017;84:277­–283. Substance Abuse and Mental Health Services Administration. (Sept. 4, 2014.) Substance use and mental health estimates from the 2013 National Survey on Drug Use and He...
Source: JEMS Special Topics - Category: Emergency Medicine Authors: Tags: Exclusive Articles Resiliency Operations Source Type: news
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