Sertraline-induced periorbital purpura: a case report.
CONCLUSION: Abnormal bleeding after treatment with an SSRI should be kept in mind, and alternative non-SSRI drugs of choice in such cases would be more appropriate. More extensive and comprehensive studies focusing on hemostasis and bleeding disorders are needed for SSRIs such as sertraline. PMID: 25964653 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 11, 2015 Category: Psychiatry Authors: Kayhan F, Eken ZE, Uguz F Tags: Australas Psychiatry Source Type: research

Pseudohallucinations versus hallucinations: wherein lies the difference?
CONCLUSIONS: Researchers have started to describe pseudohallucinations along a continuum. We build on this dimensional approach and suggest a collaborative nomenclature for subtyping. PMID: 25948509 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 6, 2015 Category: Psychiatry Authors: Wearne D, Genetti A Tags: Australas Psychiatry Source Type: research

Merging perspectives: obstacles to recovery for youth from refugee backgrounds with comorbidity.
CONCLUSIONS: This study has implications for how we engage these young people in services, prioritise areas of care and effectively treat and support refugee youth experiencing comorbidity. These findings emphasise the need for a combined therapeutic casework approach, addressing needs such as social connectedness, housing, education and employment. PMID: 25944761 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 5, 2015 Category: Psychiatry Authors: Posselt M, Procter N, de Crespigny C, Galletly C Tags: Australas Psychiatry Source Type: research

Mentalization-based intervention to recurrent acute presentations and self-harm in a community mental health service setting.
CONCLUSIONS: MBI with consumers with BPD appears to be compatible with recovery-focused psychiatric case management and was accepted by consumers. The case managers perceived that no harm was rendered in terms of deliberate self-harm and acute service utilization. The MBI led to a sense of improved therapeutic alliance in case managers working with consumers. PMID: 25944765 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 5, 2015 Category: Psychiatry Authors: Bosanac P, Hamilton B, Beatson J, Trett R, Rao S, Mancuso S, Castle D Tags: Australas Psychiatry Source Type: research

Day program for young people with anorexia nervosa.
CONCLUSIONS: These findings provide further evidence that day programs can assist in weight restoration and improvements in psychological aspects of AN in adolescents and young adults. PMID: 25948510 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 5, 2015 Category: Psychiatry Authors: Green J, Melvin GA, Newman L, Jones M, Taffe J, Gordon M Tags: Australas Psychiatry Source Type: research

The epidemiology of amphetamine type stimulant-related admissions in Albany, Western Australia: 2008-2013.
CONCLUSION: The number of recognised ATS-related presentations is increasing at Albany Health Campus. A broad age range and comparatively high proportion of women were hospitalised. These patients have complex needs and many had multiple ATS-related admissions. PMID: 25944762 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 4, 2015 Category: Psychiatry Authors: Ridley K, Coleman M Tags: Australas Psychiatry Source Type: research

The therapeutic use of postcards in a mental health support group.
CONCLUSION: This use of postcards proved therapeutic in unexpected ways and was very well accepted. PMID: 25944763 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 4, 2015 Category: Psychiatry Authors: Treloar A Tags: Australas Psychiatry Source Type: research

Here and Now Aboriginal Assessment: background, development and preliminary evaluation of a culturally appropriate screening tool.
CONCLUSION: The HANAA is a culturally appropriate and useful tool for the screening of SEWB among Aboriginal adults. It can also be used for teaching and training purposes of mental health and other professionals working with Aboriginal people. PMID: 25944764 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - May 4, 2015 Category: Psychiatry Authors: Janca A, Lyons Z, Balaratnasingam S, Parfitt D, Davison S, Laugharne J Tags: Australas Psychiatry Source Type: research

Advance statements in the new Victorian Mental Health Act.
CONCLUSION: Advance statements being enshrined in legislation is another step in the direction of recovery-oriented service provision for persons with mental illness. The challenge for services will be to develop systems and processes that promote increased uptake of these instruments to empower persons with mental illness to participate in their treatment. PMID: 25922444 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - April 28, 2015 Category: Psychiatry Authors: Saraf S Tags: Australas Psychiatry Source Type: research

Clinical update on frontotemporal dementia: diagnosis and treatment.
CONCLUSIONS: General psychiatrists can apply their skills to support patients, carers, GPs and allied health workers in comprehensive care of persons with FTD. PMID: 25907795 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - April 23, 2015 Category: Psychiatry Authors: Mocellin R, Scholes A, Walterfang M, Looi JC, Velakoulis D Tags: Australas Psychiatry Source Type: research

The abandonment of the RANZCP OCI - and why we may live to regret it.
CONCLUSION: Education and professional identity formation are not synonymous. Applying educational evidence alone to assessment design may mean an opportunity for trainees to demonstrate qualities previously assessed at the OCI is lost. This may have negative consequences for the quality of RANZCP trained psychiatrists and for our patients. The OCI is a flawed instrument but the new system will be flawed in different and possibly more important ways. PMID: 25907796 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - April 23, 2015 Category: Psychiatry Authors: Flynn B Tags: Australas Psychiatry Source Type: research

Vortioxetine: A multimodal antidepressant or another selective serotonin reuptake inhibitor?
CONCLUSIONS: Vortioxetine is a serotonin reuptake inhibitor with additional serotonergic receptor effects of uncertain significance; hence, its classification as 'multimodal'. The half-life is about 2.75 days and steady state requires about 14 days. Metabolism is hepatic and involves cytochromes 2D6 and 3A4/5. Antidepressant efficacy in major depressive disorder has been established in registration studies, but the effectiveness of vortioxetine in 'real world' patients and in comparison to other antidepressants needs further investigation. The recommended dose range is 5-20 mg. Nausea, constipation and vomiting are the mos...
Source: Australasian Psychiatry - April 23, 2015 Category: Psychiatry Authors: Keks NA, Hope J, Culhane C Tags: Australas Psychiatry Source Type: research

Conducting psychotherapy with an interpreter.
CONCLUSIONS: Working with interpreters in psychotherapy is a complex process. These findings may benefit clinicians providing psychotherapy to patients using interpreters. PMID: 25903374 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - April 22, 2015 Category: Psychiatry Authors: Kuay J, Chopra P, Kaplan I, Szwarc J Tags: Australas Psychiatry Source Type: research

A qualitative study of sexual minority young people's experiences of computerised therapy for depression.
CONCLUSIONS: Consumer perspectives are increasingly being sought and this user input is especially useful for improving services. Our study provides important in-depth feedback on Rainbow SPARX from the perspective of sexual minority youth, and it highlights that computerised therapies can be successfully modified for groups traditionally under-served by mainstream mental health interventions. PMID: 25881962 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - April 16, 2015 Category: Psychiatry Authors: Lucassen MF, Hatcher S, Fleming TM, Stasiak K, Shepherd MJ, Merry SN Tags: Australas Psychiatry Source Type: research

Homicides by older offenders in New South Wales between 1993 and 2010.
CONCLUSIONS: Homicide by an older person is rare, and more commonly involves a man killing a family member. Correctional facilities will increasingly have to consider the needs of older people serving long sentences. PMID: 25881963 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - April 16, 2015 Category: Psychiatry Authors: Reutens S, Nielssen O, Large M Tags: Australas Psychiatry Source Type: research

Why it's time to recognise Indigenous peoples in the Constitution.
CONCLUSION: The Australian Constitution fails to recognise Indigenous peoples, and still enables discrimination against them. This provides a sound case for changing the document. PMID: 25838554 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - April 2, 2015 Category: Psychiatry Authors: Williams G Tags: Australas Psychiatry Source Type: research

Defragmenting paediatric anorexia nervosa: the Flinders Medical Centre Paediatric Eating Disorder Program.
CONCLUSION: While the programme is still in its infancy, it is hoped that our model of care can provide a sustainable, long term contribution to the management of paediatric eating disorders. PMID: 25838555 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - April 2, 2015 Category: Psychiatry Authors: Suetani S, Yiu SM, Batterham M Tags: Australas Psychiatry Source Type: research

From medical students to fellows, a focus on education and training.
PMID: 25802368 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - March 28, 2015 Category: Psychiatry Authors: Nash L Tags: Australas Psychiatry Source Type: research

Bipolar II - not just Bipolar 'lite'.
PMID: 25802369 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - March 28, 2015 Category: Psychiatry Authors: Amos A Tags: Australas Psychiatry Source Type: research

Thank you to our reviewers.
Authors: PMID: 25802370 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - March 28, 2015 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

Mood disorders.
Authors: PMID: 25802371 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - March 28, 2015 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

Stress and psychology.
PMID: 25802372 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - March 28, 2015 Category: Psychiatry Authors: Burges Watson P Tags: Australas Psychiatry Source Type: research

Book review: Psychiatry: Past, Present, and Prospect.
PMID: 25802373 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - March 28, 2015 Category: Psychiatry Authors: Suetani S Tags: Australas Psychiatry Source Type: research

Book review: Psychiatry: Past, Present, and Prospect.
PMID: 25802374 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - March 28, 2015 Category: Psychiatry Authors: White RT Tags: Australas Psychiatry Source Type: research

Book review: A Break in the Wall.
PMID: 25802375 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - March 28, 2015 Category: Psychiatry Authors: Harari E Tags: Australas Psychiatry Source Type: research

Madness at movies: psychopathology in 1968 Pasolini's Theorem.
co MJ PMID: 25802376 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - March 28, 2015 Category: Psychiatry Authors: Marques JG, Adão F, Branco MJ Tags: Australas Psychiatry Source Type: research

From the president.
Authors: PMID: 25802377 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - March 28, 2015 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

From the CEO.
Authors: PMID: 25802378 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - March 28, 2015 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

Obituary: dr peter Michael graham (1941-2014).
Authors: PMID: 25802379 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - March 28, 2015 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

RANZCP calls for recognition of Aboriginal and Torres Strait Islanders.
Authors: PMID: 25802380 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - March 28, 2015 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

PIF essay competition draws in record entries.
Authors: PMID: 25802381 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - March 28, 2015 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

New fellows.
Authors: PMID: 25802382 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - March 28, 2015 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

Upcoming RANZCP conferences and events.
Authors: PMID: 25802383 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - March 28, 2015 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

Working alliances not loggerheads: understanding and addressing dissonance between families and treating teams in older people's mental health.
CONCLUSIONS: To prevent and manage dissonance, its causes need to be identified and understood. Routinely 'thinking family' first, then 'knowing' and 'hearing' the family are crucial steps to enhancing communication with families. PMID: 25788570 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - March 18, 2015 Category: Psychiatry Authors: Jones C, Peisah C Tags: Australas Psychiatry Source Type: research

Psychiatrists' awareness of partial- and non-adherence to antipsychotic medication in schizophrenia: results from the Australian ADHES survey.
CONCLUSIONS: Lack of adherence to antipsychotic medication remains a problem. More proactive management is required, to improve adherence and long-term outcomes. PMID: 25783668 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - March 17, 2015 Category: Psychiatry Authors: Kulkarni J, Reeve-Parker K Tags: Australas Psychiatry Source Type: research

A qualitative evaluation of leadership development workshops for mental health workers from four Pacific Island Countries.
CONCLUSIONS: The strong partnerships developed between NSWIOP and the Ministry of Health in all four countries contributed to the success of the training. Leadership Development Programs are an important aspect of building capacity in the mental health services of Pacific Island Countries. PMID: 25783669 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - March 17, 2015 Category: Psychiatry Authors: Fung P, Montague R Tags: Australas Psychiatry Source Type: research

Stopping the run-around? A study of services for people with comorbid mental health and substance use disorders in northern Adelaide.
CONCLUSION: Our real-world study demonstrates the lack of a clear pathway for people to access existing services. Further, changes occur frequently as government funded services generally reorganise every couple of years, and NGO services come and go according to funding. There is a need for a central, widely available database for mental health and AOD services. More services addressing comorbid mental health and AOD disorders are required. PMID: 25783670 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - March 17, 2015 Category: Psychiatry Authors: Cairney I, Galletly C, de Crespigny C, Liu D, Moss J, Procter N Tags: Australas Psychiatry Source Type: research

Overcoming the gender gap: increasing gender diversity, scientific scholarship and social legitimacy of our profession.
CONCLUSIONS: The gender gap in Royal Australian and New Zealand College of Psychiatry leadership influences the perception, social legitimacy, problem-solving capacity and scientific direction of our field. We could improve equality in our college committees and conference speakers by adopting strategies used by governments and other professional associations. PMID: 25762699 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - March 11, 2015 Category: Psychiatry Authors: Golding PM Tags: Australas Psychiatry Source Type: research

The Board evaluation: method, findings and recommendations.
CONCLUSIONS: An evaluation of the Board in the first half of its initial term indicates that the Board and the new governance processes are developing well. There appears to be a healthy group dynamic and effective working relationships with the Chief Executive Officer and management. A number of priority areas emerged for the Board's attention. The nature and low level of response from the wider membership indicate a low level of engagement in governance matters. It also seems that there are low levels of 'governance literacy' and that a different approach, perhaps facilitated focus groups, may be a more effective method ...
Source: Australasian Psychiatry - March 11, 2015 Category: Psychiatry Authors: O'Connor N Tags: Australas Psychiatry Source Type: research

Hesitancies in saying 'No'
CONCLUSION: Various factors contribute to this hesitancy and when understood and acknowledged, may serve to return the clinician to the task at hand. PMID: 25688129 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 16, 2015 Category: Psychiatry Authors: Little J Tags: Australas Psychiatry Source Type: research

Surveying clinician perceptions of risk assessment and management practices in mental health service provision.
CONCLUSION: The confidence that clinicians placed in risk assessment and management practices (despite an absence of evidence) is disconcerting. Given the dominance of risk assessment and management, health services mandating such practices have a duty to inform employees of the current evidence base for this approach in reducing risk. PMID: 25688130 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 16, 2015 Category: Psychiatry Authors: Wand T, Isobel S, Derrick K Tags: Australas Psychiatry Source Type: research

Documentation of medication changes in inpatient clinical notes: an audit to support quality improvement.
CONCLUSIONS: Revealing substantial gaps in communication about medication changes during psychiatric admission, this audit sheds light on a previously undescribed source of medication error, warranting attention. Further research is needed to examine barriers to best practice, to support design and implementation of quality improvement activities but in the interim, attention should be addressed to development and articulation of content and procedures for documentation. PMID: 25676212 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 12, 2015 Category: Psychiatry Authors: Peusschers E, Twine J, Wheeler A, Moudgil V, Patterson S Tags: Australas Psychiatry Source Type: research

Use of the urine drug screen in psychiatry emergency service.
CONCLUSIONS: Qualitative urine drug screens provide limited additional information compared to history taking and has minimal impact on clinical management decisions in a psychiatry emergency service. PMID: 25676213 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 12, 2015 Category: Psychiatry Authors: Akosile W, McDermott BM Tags: Australas Psychiatry Source Type: research

Testifying in a mock court: the experiences of forensic advanced trainees.
CONCLUSIONS: The importance of a well-written report, good preparation and anxiety management were significant learning points. PMID: 25676214 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 12, 2015 Category: Psychiatry Authors: Ng LL, Friedman SH Tags: Australas Psychiatry Source Type: research

The therapeutic use of 'no'
CONCLUSION: Embedded within a philosophy of care, the use of 'no' benefits both parties in the therapeutic endeavour. PMID: 25676215 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 12, 2015 Category: Psychiatry Authors: Little J Tags: Australas Psychiatry Source Type: research

Malaysian medical students' perceptions of a film to promote psychiatry as a career.
CONCLUSIONS: Despite conveying a positive image of psychiatry, promotional films may have limited impact in changing students' attitudes towards psychiatry and in increasing interest in psychiatry as a career. PMID: 25676216 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 12, 2015 Category: Psychiatry Authors: Vasudevan U, Bharathy A, Koay JM, Panikulam JJ, Saleem F, Hassali A, Russell V Tags: Australas Psychiatry Source Type: research

Trajectory to Fellowship: Further examination of the road to becoming a psychiatrist.
CONCLUSIONS: For those who attained Fellowship, the median training time was 6.1 years. It was common for trainees to attain Fellowship in the minimum time of 5 years. Delaying the completion of assessments or examinations contributed to the expanded time to attain Fellowship Training, as did part-time training and breaks in training. PMID: 25676217 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 12, 2015 Category: Psychiatry Authors: Jurd S, Fletcher S, Halley E Tags: Australas Psychiatry Source Type: research

A radical psychiatrist and the law: the forensic career of Reg Ellery.
CONCLUSION: Ellery, a radical activist, attacked judges on the grounds that they could not be relied on to produce proper judgements or understand the social and psychiatric basis from which crime arose. Ellery's views were strongly influenced by his support for communism, and he regarded the Soviet Union as a model society that should be emulated. Ellery paid the penalty of losing his hospital position. However, there is no evidence that this affected his medico-legal work, and he continued to assess forensic cases until the end of his career. Some of Ellery's more interesting cases are discussed. PMID: 25673352 [Pub...
Source: Australasian Psychiatry - February 11, 2015 Category: Psychiatry Authors: Kaplan RM Tags: Australas Psychiatry Source Type: research

Managing bipolar II disorder: some personal perspectives.
CONCLUSIONS: It is suggested that bipolar II disorder is categorically distinct from bipolar I, in lacking any psychotic features during contrasting mood states and thus allowing that its management should not necessarily extrapolate strategies used to manage bipolar I disorder. If valid, in addition to there being less of a need to prescribe antipsychotic drugs, the differing mood stabilizers may have quite differing gradients of efficacy across the bipolar I and II disorders. PMID: 25657304 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 5, 2015 Category: Psychiatry Authors: Parker G Tags: Australas Psychiatry Source Type: research

Diagnosing bipolar II disorder: some personal perspectives.
CONCLUSIONS: This review argues for bipolar II disorder as differing categorically from bipolar I disorder, and details cross-sectional and longitudinal clinical features found useful in facilitating its diagnosis. PMID: 25653300 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 4, 2015 Category: Psychiatry Authors: Parker G Tags: Australas Psychiatry Source Type: research