ADHD in adults: diagnosing & treating this common problem
Originally added on Wed, 09/03/2011 - 17:35Last updated on Thu, 07/04/2011 - 06:28
I only recently came across the important article "European consensus statement on diagnosis and treatment of adult ADHD: The European Network Adult ADHD" published in the open access journal BMC Psychiatry last autumn. I suspect that most mental health professionals working with adults are poor at recognising and treating Attention Deficit Hyperactivity Disorder (ADHD) - and I certainly include myself in this company!
BABCP spring meeting: collaborative case conceptualization - including positive psychology (third post)
Originally added on Sat, 10/04/2010 - 05:00Last updated on Tue, 27/04/2010 - 04:50
BABCP spring meeting: collaborative case conceptualization - cross-sectional & longitudinal (second post)
Originally added on Fri, 09/04/2010 - 08:21Last updated on Tue, 27/04/2010 - 04:49
Yesterday, in "BABCP spring meeting, first post", I described my initial thoughts arriving at the "Collaborative case conceptualization" workshop. Well, now it's Friday morning. A very social time yesterday evening after the workshop. Slept on a friend's couch. It's fairly bright and early now and their kids haven't yet emerged. How was yesterday's workshop?
BABCP spring meeting: collaborative case conceptualization - introduction (first post)
Originally added on Thu, 08/04/2010 - 06:31Last updated on Tue, 27/04/2010 - 04:48
So here I am sitting in a cafe at Euston station. I came in on the sleeper half an hour or so ago. I slept well, which was a blessing. I love it. A full day's work yesterday, travel while asleep, well set up for a full day today. Sleepers don't always work out so well, but my old tricks of aiming to be pretty tired when I get on board and using earplugs seemed effective this time. I didn't even resort to the further favourite of having a good slug of whisky before tucking in to the rather narrow bunk.
Three interesting websites: DSM-5 development, group therapy, and 'get self-help'
Originally added on Tue, 06/04/2010 - 04:22Last updated on Wed, 07/04/2010 - 04:54
Here are three websites that I have recently found interesting. The first two are possibly more for therapists, while the third can be very helpful for therapists and general public alike.
Recent research: free June edition of "Clinical Psychology: Science and Practice" focuses on bipolar disorder
Originally added on Thu, 02/07/2009 - 11:21Last updated on Mon, 27/07/2009 - 11:42
The June edition of the journal "Clinical psychology: science and practice" focused on bipolar disorder. This is very valuable and the fact that all the articles are freely viewable in full text makes the publication even more helpful. As Youngstrom & Kendall write in their introductory article (see below) "Knowledge about bipolar disorder is rapidly advancing. One consequence is that current evidence about the diagnostic definitions, prevalence, phenomenology, associated features and underlying processes, risk factors and predictors, and assessment or treatment strategies for bipolar disorder is often markedly different than the conventional wisdom reflected even in recent textbooks and clinical training." Karam & Fayyad (see below for all articles mentioned, with abstracts and links) discuss diagnosis and the boundaries of the bipolar spectrum. Merikangas & Pato review recent research on bipolar epidemiology and write "During the past decade, there has been increasing recognition of the dramatic personal and societal impact of bipolar disorder I and II (DSM-IV).
Handouts & questionnaires for depression information
Originally added on Mon, 02/03/2009 - 07:40Last updated on Wed, 18/03/2009 - 07:43
Here are a few handouts that I've put together over the years to provide background information about depression. The development & maintenance diagram is probably the handout here that I use most - both to explain issues about depression and also for many other psychological disorders as well.
Development & maintenance of distressed states - I use this Powerpoint diagram a lot when discussing with people why they are in a distressed state. The diagram applies to depression but it also applies to nearly all other distressed psychological states as well. It can be helpful in highlighting the importance of maintaining, precipitating and vulnerability factors. I also point out that therapeutic gains can be made working with all three of these general sets of factors - for example, emotional processing work for past experience (both precipitating and vulnerability factors) and more standard cognitive-behavioural approaches for maintaining factors.
Handouts & questionnaires for social anxiety
Originally added on Mon, 03/11/2008 - 11:37Last updated on Wed, 19/11/2008 - 06:51
Here are a collection of information sheets, handouts and questionnaires about social anxiety disorder. As I write in the "Diagnosis & background facts" sheet below - "About 7% of the population qualify for a full formal diagnosis of social anxiety disorder in any one year, but even those who suffer from what qualifies as only a partial syndrome can have their lives significantly affected. Social anxiety disorder makes sufferers more vulnerable to subsequent depression and, when comorbid, the depression tends to be more severe and more resistant to treatment. There may well also be comorbidity with other anxiety disorders. Social anxiety disorder is frequently not diagnosed even though it is disabling and well worth treating."
Diagnosis & background facts - this handout gives the criteria for a DSM-IV diagnosis of social phobia/ social anxiety disorder. It also gives the abstracts of four research studies illustrating how common and troublesome social anxiety can be.
Handouts & questionnaires for “outcomes toolkit” (IAPT)
Originally added on Mon, 27/10/2008 - 05:08Last updated on Fri, 02/01/2009 - 10:10
The "Improving Access to Psychological Therapies" (IAPT) initiative is very ambitious and exciting. It states its principal aim is to support English Primary Care Trusts in implementing "National Institute for Health and Clinical Excellence" (NICE) guidelines for people suffering from depression and anxiety disorders. IAPT go on to say that "At present, only a quarter of the 6 million people in the UK with these conditions are in treatment, with debilitating effects on society."
One aspect of this carefully planned initiative is strong encouragement to assess and monitor the progress of those who are getting help. Visiting the IAPT "Outcomes Toolkit and FAQ" web page provides access to several freely downloadable documents. The emphasis is on good assessment measures that are free to use. See below:
IAPT Outcomes Toolkit 2008/9 PDF - this 81 page 1.1Mb Adobe PDF is the September 08 version with amended IAPT Paper Based Data Set Questionnaires.
Handouts & questionnaires for summary, reflection, screening, progress charts, empathy & confidence, and more
Originally added on Mon, 06/10/2008 - 09:56Last updated on Mon, 06/10/2008 - 12:35
Here are a series of forms that I use almost every session with clients, or for screening and orientation at the start of therapy: