CPD Online eNewsletter October 2014

Welcome to the October 2014 CPD Online eNewsletter




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Don't forget #WorldMentalHealthDay on 10th October – how will you show your support? http://t.co/L2IYUyFmBY


Chris Hoy launches Stand Together mental health stigma campaign. A step in the right direction http://t.co/elUqNzTFoM 


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Educational feature:

Transition: barrier or opportunity

By Dr Suhaib Bin Bilal Hafi, CPD Online Trainee Editor


Transition: barrier or opportunity?

Since the inception of the word ‘Psychiatry’ by Johann Christian Reil in 1808, the specialty has evolved. Psychiatry has developed from Kraepelin’s idea of disease classification, which has fundamentally shaped the way we practice psychiatry. The explosion of knowledge and the complex nature of mental disorders have led to the ever-increasing specialisation of psychiatry, which continues to evolve and expand today. A prime example is that of interventional psychiatry, a relative newcomer which focuses on providing treatments for resistant mental disorders by non-invasively (ECT) and invasively (deep brain stimulation) stimulating the brain. 


This specialist approach to psychiatry has led to an increase in the number of interfaces. This can interrupt continuity of care and has made transition between specialties inevitable for our patients. Listening to an expert patient, it was apparent that such transitions can be particularly challenging for people with mental illness. The question of whether the benefits of the sub-specialist treatment outweigh the risks in contemporary mental health services is still hotly debated. As described by Rosen et al (2013), protagonists argue that specialisation reflects an evolving evidence base for delivery systems that are most effective; whereas generalists cite the risks of specialisation to continuity of care and therapeutic relationships. What is not in doubt is that transitions are a challenge. With changes in mental health services provision, it is more important than ever to support patients with mental illness in their transition between services.


One of our new modules on CPD Online, Transferring care between age-specific services: young people’s transitions, reminds us of this challenge that we face, and explores how we can best provide support to young people with mental health problems. This can readily be generalised to other interfaces between psychiatric specialties.



New modules:


Managing the adverse effects of clozapine


Clozapine is recommended for treatment-resistant schizophrenia, but concerns over adverse effects can lead to delayed treatment and premature withdrawal. Improve your understanding of the drug’s potential adverse effects, gain confidence in alleviating them and learn effective management strategies.

Transferring care between age-specific services: young people’s transitions   Transferring care between age-specific services: young people’s transitions

Healthcare transitions faced by young people with mental health problems and disorders can be extremely challenging, and managing the transitions well is vital. Dr Moli Paul, Professor Swaran Singh and Dr Cathy Street set out the principles of good practice and key aspects of the law. Case studies facilitate reflection on how personal clinical practice and service development might be improved.

New podcasts:


Dr Richard Brown talks about his 'integrative cognitive' model of medically unexplained symptoms and discusses the practical implications regarding treatment.


Dr Raj Persaud discusses the meaning and underlying psychological constructs of optimism with Dr Rebecca McGuire-Snieckus, author of the Psychiatric Bulletin paper Hope, Optimism and Delusion.


Professor Adrian Furnham discusses his book, co-authored with Ian MacRae, High Potential: How to Spot, Manage and Develop Talented People at Work, focussing on what talent really is and recognising how it differs from leadership.


Dr Amy Manley talks to Dr Kate Saunders about her study on psychiatric assessment of mood instability using qualitative methods to explore the patient experience of the assessment process.


Forthcoming modules:

Social media and mental health

Social functioning in schizophrenia 



New from Advances in Psychiatric Treatment:


Alcohol and cognitive impairment

Psychosocial interventions for dementia   Psychosocial interventions for dementia: from evidence to practice
The evidence base for psychosocial interventions for people with dementia and their carers is not yet robust enough to indicate which interventions are most suited for which environment. However, Patel et al find that music therapy, aromatherapy, life story work, animal-assisted therapy and post-diagnosis/carer support work show promising results.



Don’t forget to tell your junior colleagues about CPD Online’s new ‘sister site’ Trainees Online (TrOn) – currently free to access for trainees and other College Members.


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


With best wishes,

The CPD Online Team






© 2020 Royal College of Psychiatrists