The trip of a lifetime: hallucinogen persisting perceptual disorder.
CONCLUSIONS: Patients with perceptual disturbance can present in various clinical settings, and HPPD is an under-recognised diagnostic possibility. Delayed or misdiagnosis prolongs profound functional impairment and social decline, and predisposes the patient to the development of anxiety and depression and related increased risk of suicide. PMID: 28836813 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - August 1, 2017 Category: Psychiatry Authors: Anderson L, Lake H, Walterfang M Tags: Australas Psychiatry Source Type: research

'Not quite out of the woods': potential for misdiagnosis of delayed neurologic syndrome of carbon monoxide poisoning as relapse of mental illness.
CONCLUSIONS: In cases of carbon monoxide poisoning it is important to consider the delayed neurologic syndrome as misdiagnosis could lead to inappropriate treatment and worsened outcome. PMID: 28836814 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - August 1, 2017 Category: Psychiatry Authors: Bhagwat S, Bruxner G Tags: Australas Psychiatry Source Type: research

An audit of patient aggression in an adult psychiatric unit: 2013-2014.
CONCLUSIONS: Aggressive incidents more than doubled over 12 months. Substance use appeared to be a major factor associated with aggression. These findings have implications for service provision and training. Further research is needed to better understand and manage substances in psychiatric settings. PMID: 28836819 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - August 1, 2017 Category: Psychiatry Authors: Ewing C, Phillipou A, Castle D Tags: Australas Psychiatry Source Type: research

A review of ECG and QT interval measurement use in a public psychiatric inpatient setting.
CONCLUSIONS: There was very limited risk assessment for QT prolongation in a public hospital psychiatric inpatient unit, with less than 20% of patients having an ECG performed. Our study supports an association between QT-prolonging drugs and a clinically significant prolonged QT interval; however, a larger study with routine ECG screening is required. PMID: 28836822 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - August 1, 2017 Category: Psychiatry Authors: Berling I, Gupta R, Bjorksten C, Prior F, Whyte IM, Berry S Tags: Australas Psychiatry Source Type: research

Amelioration of mild and moderate depression through Pranic Healing as adjuvant therapy: randomised double-blind controlled trial.
CONCLUSIONS: These results give first the evidence that PH can aid as an adjuvant therapy for depressed people. PMID: 28836826 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - August 1, 2017 Category: Psychiatry Authors: Rajagopal R, Jois SN, Mallikarjuna Majgi S, Anil Kumar MN, Shashidhar HB Tags: Australas Psychiatry Source Type: research

Navigating the social synapse: the neurobiology of bedside manner.
CONCLUSIONS: Good bedside manner is proposed as the ability of a clinician to navigate the social synapse and make a patient feel at ease. Findings from neurobiology suggest that good bedside manner needs to be a more considered component of effective psychiatric health care. PMID: 28836828 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - August 1, 2017 Category: Psychiatry Authors: Parnas S, Isobel S Tags: Australas Psychiatry Source Type: research

An alternative aide-m émoire to assist in the clinical assessment of suicidal patients: comment on Alyami et al.
An alternative aide-mémoire to assist in the clinical assessment of suicidal patients: comment on Alyami et al. Australas Psychiatry. 2017 Aug;25(4):414-415 Authors: Large M, Myles H, Ryan CJ PMID: 28747108 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 28, 2017 Category: Psychiatry Authors: Large M, Myles H, Ryan CJ Tags: Australas Psychiatry Source Type: research

The changing face of posttraumatic stress disorder in modern warfare.
CONCLUSIONS: The relationship between PTSD, mild traumatic brain injury, unmanned aerial vehicle operations and women in combat examined. It was concluded that there are significant changes in how contemporary combat veterans may present with PTSD. PMID: 28747109 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 28, 2017 Category: Psychiatry Authors: Wallace D, Heffernan K Tags: Australas Psychiatry Source Type: research

No role for benzodiazepines in posttraumatic stress disorder until supported by evidence.
PMID: 28747110 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 28, 2017 Category: Psychiatry Authors: Guina J, Nahhas RW, Welton RS Tags: Australas Psychiatry Source Type: research

PTSD: the need to use emerging knowledge to improve systems of care and clinical practice in Australia.
PMID: 28747111 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 28, 2017 Category: Psychiatry Authors: McFarlane AC, Bryant RA Tags: Australas Psychiatry Source Type: research

Book review: The Ethics of Suicide The Ethics of Suicide Battin Margaret Pabst Oxford , Oxford University Press, Oxford , 2015 ISBN 978-0-19-513599-2.
PMID: 28747112 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 28, 2017 Category: Psychiatry Authors: Pridmore S Tags: Australas Psychiatry Source Type: research

Developing a metformin prescribing tool for use in adults with mental illness to reduce medication-related weight gain and cardiovascular risk.
CONCLUSIONS: A novel, easy-to-use, one-page reference has been developed for busy clinicians that can be laminated and displayed in consulting rooms and psychiatric inpatient units to address weight gain and obesity associated with antipsychotic medications in people with mental illness. PMID: 28747113 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 28, 2017 Category: Psychiatry Authors: Smith C, Myles H, Galletly C Tags: Australas Psychiatry Source Type: research

Prevalence, characteristics and management of headache experienced by people with schizophrenia and schizoaffective disorder: a cross sectional cohort study.
CONCLUSIONS: Headache is a common complaint in people with schizophrenia/schizoaffective disorder with most fitting recognised diagnostic criteria for which effective interventions are available. No one in this sample was receiving best-practice care for their headache. PMID: 28747114 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 28, 2017 Category: Psychiatry Authors: Connaughton J, Wand B Tags: Australas Psychiatry Source Type: research

Where pseudo-hallucinations meet dissociation: a cluster analysis.
CONCLUSIONS: History of childhood trauma and variability in derealisation/depersonalization scores were better predictors of external, negative, uncontrollable voices than diagnosis of BPD or PTSD. The potential links between dissociative states and pseudo-hallucinations are discussed. PMID: 28747115 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 28, 2017 Category: Psychiatry Authors: Wearne D, Curtis GJ, Genetti A, Samuel M, Sebastian J Tags: Australas Psychiatry Source Type: research

Upcoming RANZCP conferences.
Authors: PMID: 28747116 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 28, 2017 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

From the President.
Authors: PMID: 28747117 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 28, 2017 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

New Fellows.
Authors: PMID: 28747118 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 28, 2017 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

New College Literature Review: Powers and duties of psychiatrists in Australia and New Zealand Mental Health Acts.
Authors: PMID: 28747119 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 28, 2017 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

A perspective on the contribution of animal models to the pharmacological treatment of posttraumatic stress disorder.
CONCLUSIONS: Currently available animal models reproduce most PTSD symptoms and are validated by existing therapeutics. However, novel therapeutics are needed for this disorder as not one drug alleviates all symptoms and many have side effects that lead to non-compliance among PTSD patients. The true translational power of animal models of PTSD will only be demonstrated when new therapeutics acting through novel mechanisms become available for clinical practice. PMID: 28747120 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 28, 2017 Category: Psychiatry Authors: Bertaina-Anglade V, O'Connor SM, Andriambeloson E Tags: Australas Psychiatry Source Type: research

Assessment of yoga as an adjuvant treatment for combat-related posttraumatic stress disorder.
CONCLUSIONS: A range of benefits were observed after yoga, consistent with the theoretical construct for the long history of yoga as a strategy to reduce stress and promote well-being. PMID: 28747121 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 28, 2017 Category: Psychiatry Authors: McCarthy L, Fuller J, Davidson G, Crump A, Positano S, Alderman C Tags: Australas Psychiatry Source Type: research

From the CEO.
Authors: PMID: 28747122 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 28, 2017 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

College releases new position statement on mental health legislation and the role of psychiatrists.
Authors: PMID: 28747123 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 28, 2017 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

An interview with Prof A McFarlane on PTSD.
PMID: 28747124 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 28, 2017 Category: Psychiatry Authors: Amos A Tags: Australas Psychiatry Source Type: research

New College resources for managing your practice.
Authors: PMID: 28747125 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 28, 2017 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

Book review: Music Therapy in Mental Health for Illness Management and Recovery Music Therapy in Mental Health for Illness Management and Recovery Silverman Michael Oxford : Oxford University Press , 2015 ; 330 pp. ISBN 978-0198735366.
PMID: 28747126 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 28, 2017 Category: Psychiatry Authors: Bloch S Tags: Australas Psychiatry Source Type: research

Thoughts on 'Redefining residential rehabilitation in Australia'.
PMID: 28747127 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 28, 2017 Category: Psychiatry Authors: Parker S, Siskind D, Dark F Tags: Australas Psychiatry Source Type: research

College opposes 10 year moratorium.
Authors: PMID: 28747128 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 28, 2017 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

Talking with Dr Kym Jenkins.
Authors: PMID: 28747129 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 28, 2017 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

Out, out, damned blind spot! The problem of anxiety with dynamic psychotherapy.
CONCLUSIONS: Psychoanalysis maintained its role in understanding the condition, despite the lack of evidence base and the repeated finding from many therapists of a failure to control symptomatology. It is suggested that psychodynamic psychotherapy suffered from a failure to recognise what components of its practice were aesthetically attractive concepts rather than evidence-based medicine and outcome measures, and is an important issue in considering its future directions. PMID: 28718660 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 1, 2017 Category: Psychiatry Authors: Jeyasingam NR Tags: Australas Psychiatry Source Type: research

Zoophilia in an adolescent with high-functioning autism from Sri Lanka.
CONCLUSION: We postulate that his persistent social difficulties contributed to the development of a paraphilic disorder. Unlike with his RRBs, he was markedly distressed about this sexual behaviour. Further research is required to explore this rarely reported, potential association. PMID: 28714321 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 1, 2017 Category: Psychiatry Authors: Chandradasa M, Champika L Tags: Australas Psychiatry Source Type: research

Activity-based funding in mental health: a disastrous path.
CONCLUSIONS: ABF leads to an exponential growth in health care spending as it encourages diagnostic inflation and overproductivity. It also leads to fraud and an increased bureaucracy that goes hand in hand with demoralisation among health workers. And finally, the increasing treatment claims leads to the reintroduction of productivity limitations, waiting lists and ultimately austerity measures in order to halt the untamed growth of spending. PMID: 28703688 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 1, 2017 Category: Psychiatry Authors: de Jong G Tags: Australas Psychiatry Source Type: research

Supervision: 'a random bag of arrangements'? Perspectives from psychiatrists on how to improve clinical teaching.
CONCLUSIONS: Suggestions to improve clinical teaching and supervision included defining supervisor teaching competencies, instituting evidence-based faculty development, a feedback structure and strengthening leadership support for workplace-based education. PMID: 28703689 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 1, 2017 Category: Psychiatry Authors: Cheung G, Stephan A Tags: Australas Psychiatry Source Type: research

What's to be done when 'foul whisp rings are abroad'? Gossip and rumour in health organisations.
CONCLUSION: The concept of a sentinel function for gossip and rumour in health organisations is proposed as a topic worthy of further research. PMID: 28703690 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 1, 2017 Category: Psychiatry Authors: O'Connor N, Kotze B, Storm V Tags: Australas Psychiatry Source Type: research

Characteristics and outcomes of patients with drug overdose requiring admission to Intensive Care Unit.
CONCLUSION: Personality disorders or schizophrenia were independent predictors of patients with multiple overdose presentations. Preventative strategies focusing on these patients may reduce the incidence of their hospital presentations and ICU admissions. PMID: 28703691 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 1, 2017 Category: Psychiatry Authors: Athavale V, Green C, Lim KZ, Wong C, Tiruvoipati R Tags: Australas Psychiatry Source Type: research

Publish or perish: Dr Victor Webster and cardiazol treatment in Western Australia, 1937-1938.
CONCLUSIONS: Webster made a genuine contribution to the introduction of cardiazol treatment in Australia, and his story illustrates the need to publish early findings of new physical therapies. PMID: 28703692 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 1, 2017 Category: Psychiatry Authors: Martyr P Tags: Australas Psychiatry Source Type: research

Fetal Alcohol Syndrome Disorder: diminished responsibility and mitigation of sentence.
CONCLUSION: The increased use of the 2016 Australian guide to the diagnosis of fetal alcohol spectrum disorder should be encouraged to enable clinicians to not only diagnose and manage Fetal Alcohol Syndrome Disorder, but also counsel families to prevent it. PMID: 28699765 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 1, 2017 Category: Psychiatry Authors: Scott R Tags: Australas Psychiatry Source Type: research

Variability amongst urine toxicology amphetamine readings with concurrent administration of fenofibrate.
CONCLUSIONS: It is evident that different pathology laboratories may utilise different commercial urine drug-screen immunoassays in their toxicology analysis, with variability in the test specificities. Despite the relatively high prevalence of substance misuse in the population of psychiatric inpatients, there exists a need for increased vigilance towards the possibility of false-positive amphetamine results owing to likely cross-reactivity of fenofibrate with the test reagents. In cases where there is uncertainty when correlating clinically, or where false positives are suspected, gold-standard urine-sample analysis by m...
Source: Australasian Psychiatry - July 1, 2017 Category: Psychiatry Authors: Dadlani N, Farrar A, Jones G Tags: Australas Psychiatry Source Type: research

Divided we fall: clinicians and academic psychiatrists need to stand together.
CONCLUSIONS: Clinicians and academic psychiatrists can stand together on important matters, but it takes initiatives from local leaders to overcome the structural barriers between health services and the universities. An example is given of united action by clinicians and academic psychiatrists to address a crisis within a state mental health system. First, psychiatrists undertook independent health services research that compared the state system with those in other Australian and international jurisdictions. The comparative data was used to generate solutions, which were presented at every level from ministerial offices ...
Source: Australasian Psychiatry - July 1, 2017 Category: Psychiatry Authors: Allison S, Bastiampillai T, Battersby M Tags: Australas Psychiatry Source Type: research

Neurofeedback as an adjunct therapy for treatment of chronic post-traumatic stress disorder related to refugee trauma and torture experiences: two case studies.
Conclusions Neurofeedback as an adjunct to trauma-informed therapy may help to remediate chronic PTSD relating to refugee experiences. If replicated then improvements demonstrated in this population would be generalisable to all chronic PTSD. PMID: 28699778 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 1, 2017 Category: Psychiatry Authors: Askovic M, Watters AJ, Aroche J, Harris AWF Tags: Australas Psychiatry Source Type: research

The rate of mental health service use in New Zealand as analysed by ethnicity.
CONCLUSIONS: These ethnically associated apparent differences in the rates of schizophrenia and depression need both confirmation and explanation. PMID: 28691522 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 1, 2017 Category: Psychiatry Authors: Tapsell R, Hallett C, Mellsop G Tags: Australas Psychiatry Source Type: research

Reflections of a psychiatric mercenary: on being a locum.
CONCLUSIONS: Australasian psychiatric locums work mostly in rural areas or small towns where it is difficult to recruit and retain consultants or to cover for leave. The qualities appreciated in locums are their presence, the ability to start work quickly, flexibility, therapeutic caution and advocacy. The personal benefits are income, adventure and learning. While there are difficulties and frustrations, being a locum is interesting and exciting for those inclined to step out of their comfort zone. PMID: 28691523 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 1, 2017 Category: Psychiatry Authors: Perkins C Tags: Australas Psychiatry Source Type: research

Dr Digby Moynagh (1911-1963) and the Graylands Day Hospital, 1959-1965.
CONCLUSIONS: The Graylands Day Hospital and Digby Moynagh both contributed towards the process of psychiatric deinstitutionalisation in Australia. PMID: 28691524 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 1, 2017 Category: Psychiatry Authors: Martyr P Tags: Australas Psychiatry Source Type: research

Gender dysphoria in Klinefelter's syndrome: three cases.
CONCLUSIONS: These three reports are further examples of gender dysphoria in Klinefelter's syndrome. The role of biological factors in gender identity is affirmed. Caution is urged in prescribing testosterone. PMID: 28696129 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 1, 2017 Category: Psychiatry Authors: Davies GW, Parkinson J Tags: Australas Psychiatry Source Type: research

Spectrum of care: Current management of childhood autism spectrum disorder (ASD) in New Zealand.
CONCLUSIONS: Since the launch of the NZ ASD Guidelines, significant progress has been made. However, further work is needed to ensure services for children and adolescents with ASD are accessible, well-coordinated and focussed on both assessment and intervention. PMID: 28696130 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 1, 2017 Category: Psychiatry Authors: Thabrew H, Eggleston M Tags: Australas Psychiatry Source Type: research

Partial dopamine agonist-induced pathological gambling and impulse-control deficit on low-dose aripiprazole.
CONCLUSIONS: When commencing a patient on aripiprazole the possibility of emergence of problem gambling and other impulse-control deficits should be monitored, even in those with no history of similar behaviours and even on a low dose. PMID: 28696131 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 1, 2017 Category: Psychiatry Authors: Peterson E, Forlano R Tags: Australas Psychiatry Source Type: research

Unlikely reformer: Dr Henry Calvert Barnett (1832-1897).
CONCLUSIONS: Barnett's contribution to mental health service development in Western Australia was genuine and worthwhile, and should be recognised. PMID: 28696132 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - July 1, 2017 Category: Psychiatry Authors: Martyr P Tags: Australas Psychiatry Source Type: research

Use of mental-health services by Australian medical students: a cross-sectional survey.
CONCLUSION: A high proportion of students with self-reported mental-health problems had accessed services. However, barriers were also identified. Access to mental-health services needs to be improved, and strategies aimed at reducing stigma and raising awareness of mental-health issues should be encouraged by medical faculties. PMID: 28675041 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - June 1, 2017 Category: Psychiatry Authors: Ryan G, Marley I, Still M, Lyons Z, Hood S Tags: Australas Psychiatry Source Type: research

Book Review: Madness in civilization: a cultural history of insanity Madness in civilization: a cultural history of insanity Scull Andrew Princeton University Press , Princeton, NJ . 2015 , 448 pp. ISBN 978-0-691-17344-3 pbk.
PMID: 28675052 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - June 1, 2017 Category: Psychiatry Authors: Bloch S Tags: Australas Psychiatry Source Type: research

Psychiatric disorders and suicide attempts among adolescents victimized by school bullying.
CONCLUSIONS: Bullying victimization is a risk factor for depression, psychosis, and suicide ideation and attempts. The findings warrant an early intervention and suicide prevention program for victimized students and anti-bullying policies in schools. PMID: 28675054 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - June 1, 2017 Category: Psychiatry Authors: Bang YR, Park JH Tags: Australas Psychiatry Source Type: research

Bridging the ocean: Kiribati Australia alliance in mental health.
CONCLUSION: The international exchange was a positive experience for both the Kiribati participants and their Australian colleagues. Knowledge transfer was achieved in a short time, and service development appropriate and realistic for the Kiribati environment was planned. PMID: 28658967 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - June 1, 2017 Category: Psychiatry Authors: Ryan B, Viane M, Timmins F, Smith A, Anstey C Tags: Australas Psychiatry Source Type: research