CPD Online eNewsletter December 2016

Welcome to the December 2016 CPD Online eNewsletter




Here at CPD Online over the past 18 months we have invested even more resources in keeping our modules up to date and topical, and we are pleased to report that over two-thirds of our 190 modules have been either published or updated/reviewed within the past 2 years. Our aim is to keep this proportion growing by updating even more of our existing modules, whilst continuing to publish regular new content. Where else can you find this level of up-to-date and peer reviewed learning at your fingertips?


Why not try some of our recently updated modules, such as Working through interpreters, Psychiatric aspects of dizziness, First-episode psychosis: Part 1 and Part 2 or The psychosocial management of self-harm: Part 1 and Part 2.


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Educational feature:


Therapeutic boundaries and opportunities

By Dr Elspeth Pike, CPD Online Trainee Editor


Many psychiatrists were drawn to this speciality because of the importance of therapeutic relationships with our patients. As our practice, and the environment we practice in, continues to evolve psychiatrists can face a number of challenges affecting the therapeutic relationship.


While building good therapeutic relationships with our patients is a cornerstone of psychiatric care, there is always the need to maintain appropriate boundaries. In their new module Dr Neil Margerison and Professor Susan Bewley explore the difficult topic of boundary violations and sexual exploitation. Their module explores the potential harm to patients associated with boundary violations and aims to equip doctors to recognise, manage and avoid situations in which these may occur.


We all know that excellent communication skills are essential for any doctor and those of us practising psychiatry are perhaps more dependent on these skills than other specialties. As our communities continue to develop in exciting ways it is important that we continue to develop our understanding of the cultures around us and how culture interacts with our patients’ (and our own) experience of mental health and illness. 


Professor Jeremy Coid speaks to the complex relationship between extremism, religion and psychiatric morbidity in his podcast discussing his recent research in this area. CPD Online have also recently published a module on cultural psychiatry which helps to define what cultural psychiatry is, and explores how culture relates to mental health. The module aims to explore the cultural influence on psychopathology and how this can affect clinical decision making.


We are hopeful that these resources will inspire and challenge all of us to continue to improve practice.



New modules:


Family interventions in psychosis

People with psychosis experience difficulties with social functioning and tend to have small social networks, however many will have informal caregiving relationships with relatives. This module provides an overview of the impact of the caregiving role and the clinical needs of psychosis patients who have regular contact with families. It also provides a summary of family-based interventions and evaluates their role in optimising patient outcomes.


Cultural psychiatry

Mental health and illness is a subjective experience and a social process, thus culture plays a crucial role in clinical presentation, assessment, treatment, planning and compliance. This module will determine what cultural psychiatry is, and explore how culture relates to mental health. You will also learn about the cultural influence on psychopathology and gain a better understanding of the use of cultural information in clinical decision making.


Boundary violations and sexual exploitation: recognition, avoidance and management 

All clinical professionals need to comprehend and work within professional boundaries which must be understood, observed and respected by doctors as all violations pose a risk of harm to patients. This module uses case examples to help you identify good practice in doctor-patient relationships, recognise and describe boundary violations and their associated harms, and learn how to avoid and manage such situations  

                                        where they have occurred.



Updated modules:


Working through interpreters

All UK psychiatrists should understand the basic principles of interpreter-mediated interviews. This module aims to offer an introduction to the concept of interpreter-mediated interviews, exploring the common errors and pitfalls and offering advice on how to avoid them. It considers the use of relatives or other unqualified people as interpreters, reviews the role of bilingualism and provides practical tips for working with interpreters. 


First-episode psychosis: Parts 1 and 2

Understand the meaning of first-episode psychosis, the rationale behind early intervention, and how to approach the diagnosis and assessment of the condition. In the second part of this module you can find out more about the presentation and outcomes of first-episode psychosis, the specific treatment approaches, and the service models for early intervention and their effectiveness.



The psychosocial management of self-harm: Parts 1 and 2

Self-harm is a common behaviour that brings thousands to casualty departments each year in the UK and Ireland. Self-harm carries a risk of completing suicide that lasts for many years, and risk is particularly high for those who repeat self-harm. In the first part of this module, the evidence for interventions to reduce the repetition of self-harm is reviewed. In the second part, you can follow two clinical vignettes that illustrate the use of psychosocial interventions in practice.



New podcast:


Extremism, religion and psychiatric morbidity

What sociological factors can lead people to adopt extremist views or commit terrorist activities? What is the relationship between extremism, religion and depression? In this podcast Professor Jeremy Coid discusses these questions and talks to Raj Persaud about the findings of his study into extremist views among young British men.



Forthcoming modules:


  • Identification and treatment of health anxiety: Parts 1 and 2
  • A guide to medico-legal report writing with a specific focus on asylum-seekers
  • Severe and enduring eating disorders
  • Mindfulness based cognitive therapy
  • The care of transgender people


View our most popular modules and podcasts



New from BJPsych Advances:


Highlights of the November issue:


Assessing and managing hallucinations in children and adolescents

Recent studies found surprisingly high rates (about 10%) of hallucinatory experiences among children, most commonly in the absence of psychiatric disorder. Dominguez & Garralda detail the clinical assessment of hallucinations in children and adolescents and address therapeutic interventions. They describe hallucinations in psychotic (schizophrenia spectrum and affective) and non-psychotic (emotional and behavioural) psychiatric disorders.


Transcranial magnetic stimulation in clinical practice

Transcranial magnetic stimulation (TMS) is an established, safe and effective option for adults with severe clinical depression that does not respond to antidepressants. Hardy et al explain the use of TMS in clinical practice.





Call for topics!


We are always keen to hear your ideas for new module and podcast topics. Information about writing for CPD Online can be viewed on our Contribute page.


We are also looking to commission a module on the following topic:


  • Using CPD Online in your peer group


If you are interested in contributing or if you would like to make a topic suggestion, please contact cpdonline@rcpsych.ac.uk



Don't forget...


Spread the word to your junior colleagues: CPD Online's sister site Trainees Online (TrOn) is a great resource and revision tool for trainees preparing for their MRCPsych exams. It is currently free to access for trainees and other College Members.


Did you know current CPD Online subscribers are eligible for a heavily discounted rate on the British Association for Psychopharmacology's Online CPD resource? See your My CPD Online page for details.


Subscribe to or renew with CPD Online – subscriptions can start from any point during the year.



With best wishes,

The CPD Online Team



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