Can understanding the neurobiology of body dysmorphic disorder (BDD) inform treatment?
CONCLUSIONS: There has been a recent influx of studies examining the underlying neurobiology of BDD using structural and functional neuroimaging methods. Despite obvious symptom similarities with obsessive-compulsive disorder (OCD), no study to date has directly compared the two groups using neuroimaging techniques. Studies have established that there are limbic and visual cortex abnormalities in BDD, in contrast to fronto-striatal differences in OCD. Such data suggests affect or visual training maybe useful in BDD. PMID: 26129816 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - June 30, 2015 Category: Psychiatry Authors: Rossell SL, Harrison BJ, Castle DJ Tags: Australas Psychiatry Source Type: research

Are psychiatrists trained to be leaders in mental health? A survey of early career psychiatrists.
CONCLUSIONS: Leadership skills training in the education of psychiatrists should contain both practical experience with leadership and management roles and formal teaching sessions on leadership and management skills development. Suggestions for improvement of the leadership and management skills education in the training of psychiatrists have been formulated. PMID: 26129817 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - June 30, 2015 Category: Psychiatry Authors: van Zeist-Jongman A Tags: Australas Psychiatry Source Type: research

Emil Kraepelin's ideas on transcultural psychiatry.
CONCLUSION: Kraepelin assumed that illnesses with exterior causes depended on the type of stimulants widely used in a given culture. Since he found little evidence for progressive paralysis, he concluded that European brains were particularly prone to sequelae of syphilis. For endogenous psychoses he postulated differences in both symptoms and courses, depressions being rarer and milder, and ceasing sooner. By contrast, he found dementia praecox (mainly covered by the concept of schizophrenias later) to be the most prevalent mental illness in Java, explicitly different in form from that in Europe. PMID: 26129818 [PubM...
Source: Australasian Psychiatry - June 30, 2015 Category: Psychiatry Authors: Steinberg H Tags: Australas Psychiatry Source Type: research

Social anxiety disorders in clinical practice: differentiating social phobia from avoidant personality disorder.
CONCLUSIONS: A constellation of symptoms can be identified that may distinguish AVPD from SAD, with key features being a strong and pervasively negative self-concept, a view of rejection as equating to a global evaluation of the individual as being of little worth and a sense of not fitting in socially that dates from early childhood. It is important to identify the presence of AVPD in order to anticipate potential problems with engagement and retention in therapy, to target treatment interventions and optimise outcome. PMID: 26129819 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - June 30, 2015 Category: Psychiatry Authors: Lampe L Tags: Australas Psychiatry Source Type: research

Borderline Personality Disorder in the perinatal period: early infant and maternal outcomes.
CONCLUSIONS: These findings offer preliminary evidence to be considered by clinicians in developing treatments and services for the perinatal care of women with Borderline Personality Disorder and their infants. Further research is required in order to develop evidence informed clinical guidelines for the management of women with Borderline Personality Disorder and their infants. PMID: 26133812 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - June 30, 2015 Category: Psychiatry Authors: Blankley G, Galbally M, Snellen M, Power J, Lewis AJ Tags: Australas Psychiatry Source Type: research

Gut feelings 2. Mind, mood and gut in inflammatory bowel disease: approaches to psychiatric care.
CONCLUSIONS: IBD is a chronic, debilitating and potentially body integrity altering condition with significant morbidity and a slight increase in mortality. Co-morbidity with anxiety and depression is common. Onset in the younger years can disturb development. Psychotherapy may be most useful for addressing fatigue, pain and assisting with coping. There is a lack of evidence to guide treatment of depression in this population. PMID: 26133813 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - June 30, 2015 Category: Psychiatry Authors: Keightley P, Pavli P, Platten J, Looi JC Tags: Australas Psychiatry Source Type: research

Using Star Wars' supporting characters to teach about psychopathology.
CONCLUSIONS: Using the minor characters as a springboard for teaching has the benefit of students not having preconceived notions about them. Characters can be used to approach teaching about ADHD, anxiety, kleptomania and paedophilia. PMID: 26104772 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - June 23, 2015 Category: Psychiatry Authors: Friedman SH, Hall RC Tags: Australas Psychiatry Source Type: research

The importance of least restrictive care: the clinical implications of a recent High Court decision on negligence.
CONCLUSIONS: The Court's finding underlines the importance of clinicians documenting their clinical reasoning around why their negotiated management plan was the option least restrictive of the patient's freedom and most protective of his or her human rights. PMID: 26104773 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - June 23, 2015 Category: Psychiatry Authors: Ryan CJ, Callaghan S, Large M Tags: Australas Psychiatry Source Type: research

Communication skills in psychiatry training.
CONCLUSIONS: The report reveals significant gaps exist and highlights the need for advanced communication skills training for mental health clinicians, particularly about communicating a diagnosis and/or prognosis of schizophrenia. A new communication skills training framework for psychiatry is described, based on that used in oncology as a model. This model promotes applied skills and processes that are easily adapted for use in psychiatry, providing an effective platform for the development of similar training programs for psychiatric clinical practice. PMID: 26104774 [PubMed - as supplied by publisher] (Source: Aus...
Source: Australasian Psychiatry - June 23, 2015 Category: Psychiatry Authors: Ditton-Phare P, Halpin S, Sandhu H, Kelly B, Vamos M, Outram S, Bylund CL, Levin T, Kissane D, Cohen M, Loughland C Tags: Australas Psychiatry Source Type: research

Treating OCD: what to do when first-line therapies fail.
CONCLUSIONS: There is a paucity of research on how to manage OCD patients who fail to respond adequately to first line therapies. High-dose selective serotonin reuptake inhibitors (SSRIs) and clomipramine have good evidence-based data. Combinations of SSRIs have little support in clinical trials, but the combination of SSRIs and clomipramine can be helpful: careful clinical and cardiac monitoring is required. Certain adjunctive antipsychotics have a reasonable evidence base in OCD, but their use also needs to be weighed against the potential side effect burden. In patients with substantial generalised anxiety symptoms, clo...
Source: Australasian Psychiatry - June 23, 2015 Category: Psychiatry Authors: Castle DJ, Bosanac P, Rossell S Tags: Australas Psychiatry Source Type: research

Psychological treatment of obsessive compulsive disorder: an update.
CONCLUSIONS: Cognitive behaviour therapy (CBT), incorporating exposure and response prevention, remains the non-pharmacological treatment of choice for OCD. Recent developments highlight the importance of family involvement in adult OCD treatment, and the use of alternative 'third-wave' interventions. Internet-delivered CBT may provide an opportunity to overcome barriers to effective treatment, such as distance and lack of trained clinicians. PMID: 26104776 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - June 23, 2015 Category: Psychiatry Authors: Crino RD Tags: Australas Psychiatry Source Type: research

Reactions to driving cessation: a qualitative study of people with dementia and their families.
CONCLUSIONS: The preliminary findings highlight the need for a more comprehensive process for driving cessation in those with dementia, with closer links to regulatory bodies, and increased support for their families/carers. PMID: 26104777 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - June 23, 2015 Category: Psychiatry Authors: Chacko EE, Wright WM, Worrall RC, Adamson C, Cheung G Tags: Australas Psychiatry Source Type: research

ECT and lithium in old age depression - cause or treatment of rapid cycling?
CONCLUSIONS: Ceasing lithium prior to ECT may carry a risk of URC or UURC in BPAD1. PMID: 26104778 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - June 23, 2015 Category: Psychiatry Authors: Huber JP, Burke D Tags: Australas Psychiatry Source Type: research

Examining Mental Health Act usage in an urban emergency department.
CONCLUSIONS: Police and ambulance MHA certification was a poor predictor of admission. Least restrictive measures were predominantly the outcome. Delegating ED physicians with authorised medical officer status assisted in facilitating this process. Formalised education and training on the principles and practicalities of MHA legislation should be ongoing for all professionals involved. PMID: 26104779 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - June 23, 2015 Category: Psychiatry Authors: Derrick K, Chia J, O'Donovan S, Emerton A, Hamlyn M, Wand T Tags: Australas Psychiatry Source Type: research

Psychological treatments for trichotillomania: Update and future directions.
CONCLUSIONS: Advances in the understanding of the phenomenology of trichotillomania has led to the augmentation of behavioural treatments with dialectical behaviour therapy and acceptance and commitment therapy. Further studies of treatment component efficacy and cognitive behavioural models are required. PMID: 26104780 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - June 23, 2015 Category: Psychiatry Authors: Rehm I, Moulding R, Nedeljkovic M Tags: Australas Psychiatry Source Type: research

Families of returned defence force personnel: a changing landscape of challenges.
CONCLUSIONS: The challenges faced by defence force personnel when returning from deployment arise within a family context. Clinicians should thoroughly assess these factors in families following deployment, but also recognise family strengths and resilience to these challenges. PMID: 26104781 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - June 23, 2015 Category: Psychiatry Authors: Berle D, Steel Z Tags: Australas Psychiatry Source Type: research

Clinical characteristics and mental health outcomes for women admitted to an Australian Mother-Baby Unit: a focus on borderline personality disorder and emotional dysregulation?
CONCLUSIONS: Admission to this Mother-Baby Unit on mothers' self-report scales showed improvement in mothers' mental health and the relationship that they have with their infant. Given the high prevalence of borderline personality disorder and emotional dysregulation identified within the population, treatment implications and possible consequences for the infant are discussed for this client group. PMID: 26070637 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - June 11, 2015 Category: Psychiatry Authors: Yelland C, Girke T, Tottman C, Williams AS Tags: Australas Psychiatry Source Type: research

How should we manage anxiety in patients with schizophrenia?
CONCLUSIONS: Further research is required to guide treatment guidelines for anxiety in people with schizophrenia. PMID: 26059036 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - June 9, 2015 Category: Psychiatry Authors: Bosanac P, Castle D Tags: Australas Psychiatry Source Type: research

The relationship between bipolar disorders, anxiety, and trauma - implications for clinical practice.
CONCLUSIONS: The presence of multiple anxiety disorders in bipolar spectrum patients may indicate heightened risk of an underlying personality disorder. Replication in a larger and more representative sample is needed. PMID: 26059037 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - June 9, 2015 Category: Psychiatry Authors: Kuiper S, McAulay C, McLean L, Malhi G Tags: Australas Psychiatry Source Type: research

One hundred years of lessons about the impact of war on mental health; two steps forward, one step back.
CONCLUSION: Recent decades of research highlight the delayed impact of combat exposure and its long-term neurobiological consequences. PMID: 26041842 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - June 3, 2015 Category: Psychiatry Authors: McFarlane AC Tags: Australas Psychiatry Source Type: research

Australasian contributions to the "shell shock" literature of World War I.
CONCLUSIONS: AW Campbell, Elliot Smith, Carmalt Jones and AG Butler made significant contributions, and several 'frontline doctors' recorded astute observations. PMID: 26041843 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - June 3, 2015 Category: Psychiatry Authors: Macleod S Tags: Australas Psychiatry Source Type: research

Latest guidelines for the management of the anxiety disorders - a report from The International Anxiety Disorders Society Conference, Melbourne 2014.
CONCLUSIONS: Guidelines for anxiety disorder management should be applied with caution in clinical practice settings. PMID: 26041844 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - June 3, 2015 Category: Psychiatry Authors: Hood SD Tags: Australas Psychiatry Source Type: research

Australian and new zealand psychiatry and the world psychiatric association.
PMID: 26014621 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 31, 2015 Category: Psychiatry Authors: Herrman H Tags: Australas Psychiatry Source Type: research

An interview with Professor Herrman.
PMID: 26014622 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 31, 2015 Category: Psychiatry Authors: Amos A Tags: Australas Psychiatry Source Type: research

Substance use disorders in New Zealand adults with severe mental illness: descriptive study of an acute inpatient population.
CONCLUSIONS: Substance misuse in New Zealand patients with severe mental illness is common, particularly among younger patients and Maori, and differentially distributed across diagnoses. PMID: 26014623 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 31, 2015 Category: Psychiatry Authors: Dharmawardene V, Menkes DB Tags: Australas Psychiatry Source Type: research

Vortioxetine.
Authors: PMID: 26014624 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 31, 2015 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

Book review: Hypochondriasis and health anxiety: a guide for clinicians.
PMID: 26014625 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 31, 2015 Category: Psychiatry Authors: Thibodeau MA, Asmundson GJ Tags: Australas Psychiatry Source Type: research

Book review: Pass OCI (MOCI) Exam in Psychiatry: Techniques and Structure You Need.
PMID: 26014626 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 31, 2015 Category: Psychiatry Authors: Kelly K Tags: Australas Psychiatry Source Type: research

Correspondence with GPs.
PMID: 26014627 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 31, 2015 Category: Psychiatry Authors: Brown P Tags: Australas Psychiatry Source Type: research

"Equivalent other" scholarly projects.
"Equivalent other" scholarly projects. Australas Psychiatry. 2015 Jun;23(3):309-10 Authors: Ryan CJ PMID: 26014628 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 31, 2015 Category: Psychiatry Authors: Ryan CJ Tags: Australas Psychiatry Source Type: research

Smoking ban in psychiatric wards raises safety and ethical issues.
PMID: 26014629 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 31, 2015 Category: Psychiatry Authors: Subramaniam A Tags: Australas Psychiatry Source Type: research

Clarifying the diagnosis of myocarditis in a patient on clozapine.
PMID: 26014630 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 31, 2015 Category: Psychiatry Authors: Goodison G, Siskind D, Harcourt-Rigg C, Hipgrave W, Burrage M, Kiff S, Wallace M Tags: Australas Psychiatry Source Type: research

Paliperidone depot: another treatment option for delusional parasitosis.
PMID: 26014631 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 31, 2015 Category: Psychiatry Authors: Bansal R, Lehmann-Waldau F, McClay J Tags: Australas Psychiatry Source Type: research

The Dynamic Appraisal of Situational Aggression does not predict aggression in young patients.
PMID: 26014632 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 31, 2015 Category: Psychiatry Authors: Matthew L Tags: Australas Psychiatry Source Type: research

The DASA:YV assists the appraisal of imminent aggression risk in young patients.
PMID: 26014633 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 31, 2015 Category: Psychiatry Authors: Kasinathan J, Marsland C, Batterham P, Gaskin C, Adams J, Daffern M Tags: Australas Psychiatry Source Type: research

Erratum.
Authors: Abstract Erratum for STRESS AND PSYCHOLOGY: by Paddy Burges Watson. Australasian Psychiatry April 2015 23: 182, doi: 10.1177/1039856214568228 The publisher would like to apologize for the error that occurred in this verse in the print version of the April 2015 issue. The online version of the issue shows the verse as it should have appeared in print. PMID: 26014634 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 31, 2015 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

From the president.
Authors: PMID: 26014635 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 31, 2015 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

From the chief executive officer.
Authors: PMID: 26014636 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 31, 2015 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

Obituary: dr geoffrey conron (1935 - 2015).
Authors: PMID: 26014637 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 31, 2015 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

Obituary: dr william h orchard (1929 - 2014).
Authors: PMID: 26014638 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 31, 2015 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

2012 fellowship program evaluation outcomes and report.
Authors: PMID: 26014639 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 31, 2015 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

Outcomes of the review into the structure of Faculties, Sections and Special Interest Groups.
Authors: PMID: 26014640 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 31, 2015 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

New fellows.
Authors: PMID: 26014641 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 31, 2015 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

Upcoming RANZCP conferences and events.
Authors: PMID: 26014642 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 31, 2015 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

Accumulating too much stuff: what is hoarding and what is not?
CONCLUSIONS: Hoarding is an adaptive behaviour. When hoarding is excessive and interferes with people's lives, it is a disorder. A central feature of hoarding disorder is accumulation of items due to unwillingness to discard them. This must be distinguished from abnormal accumulation of material caused by poor motivation or unawareness concerning the need to discard. PMID: 26023166 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 28, 2015 Category: Psychiatry Authors: Snowdon J Tags: Australas Psychiatry Source Type: research

Anti-N-methyl-D-aspartate encephalitis - a case study of symptomatic progression.
CONCLUSION: Early diagnosis is important for a favourable prognosis. PMID: 26023167 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 28, 2015 Category: Psychiatry Authors: Bowes E, Levy F, Lawson J, Mandalis A, Mohan A, Shannon Weickert C Tags: Australas Psychiatry Source Type: research

Predicament suicide: an update.
CONCLUSION: The term predicament suicide was initially applied when the individual without mental disorder completed suicide to escape intolerable circumstances. Subsequently, painful untreated or unresponsive mental disorder was conceptualized as an internal predicament and the term was applied to all suicide. It continues to be used in both the restricted and broad forms. Our group has substantiated the restricted form by describing suicide in the setting of financial loss, forced marriage and other predicaments. The broad form gave rise to the Operationalized Predicaments of Suicide tool for use in quantitative research...
Source: Australasian Psychiatry - May 28, 2015 Category: Psychiatry Authors: Pridmore S, Auchincloss S, Walter G Tags: Australas Psychiatry Source Type: research

Hypochondriasis: treatment options for a diagnostic quagmire.
CONCLUSIONS: The removal of hypochondriasis from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition and its replacement with two new diagnostic entities have been controversial. It appears that the Eleventh Revision of the International Classification of Diseases will take a more cautious approach and emphasise the links between hypochondriasis, obsessive-compulsive disorder and other anxiety disorders. The cornerstone of any treatment approach to hypochondriasis is establishing a good therapeutic relationship with the patient. Psychological treatments, especially cognitive-behavioural therapy, have b...
Source: Australasian Psychiatry - May 27, 2015 Category: Psychiatry Authors: Starcevic V Tags: Australas Psychiatry Source Type: research

Assessment and treatment of hoarding disorder.
CONCLUSIONS: Hoarding disorder is defined by clear diagnostic criteria. It can be a severe and disabling disorder that can pose significant safety risks to the individual and to others. Management is often challenging, due to the poor level of insight that people with hoarding disorder often have. Psychological approaches tend to adapt cognitive-behavioural approaches, in order to specifically target areas such as impaired decision-making and motivation. Several trials of pharmacological agents have been conducted, but the limitations of these studies call for further research. PMID: 26019288 [PubMed - as supplied by ...
Source: Australasian Psychiatry - May 27, 2015 Category: Psychiatry Authors: Brakoulias V, Milicevic D Tags: Australas Psychiatry Source Type: research

Generalized anxiety disorder: psychopharmacotherapy update on a common and commonly overlooked condition.
CONCLUSIONS: The diagnostic criteria for GAD need to be refined, to better reflect its clinical features and to make GAD more clinically useful. Various pharmacological agents are effective for GAD and to some extent, allow a tailored treatment approach. In addition to effectiveness, the choice of medication is influenced by the speed of therapeutic action, tolerability and habit-forming properties. PMID: 26023165 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 27, 2015 Category: Psychiatry Authors: Starcevic V Tags: Australas Psychiatry Source Type: research