eNewsletter

Welcome to the August 2016 CPD Online eNewsletter

 

News:

 

Did you attend this year's RCPsych International Congress? We are pleased to say that we conducted some great podcast interviews with key speakers, and these are all available to listen to for free on CPD Online. Subscribers can also answer the associated MCQs to obtain 0.5 CPD credits per podcast. See the 'Latest podcasts' section below for more details.

 

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Educational feature:

 

Interesting and challenging times for our profession

By Dr Elspeth Pike, CPD Online Trainee Editor

 

It is often stated that the phrase “May you live in interesting times” is an ancient Chinese curse. The exact origins of the phrase are unclear, perhaps reflecting the confusion often associated with “interesting times”. It has even been suggested that the phrase actually has British origin, and certainly we are currently living in very interesting times! The disruption and excitement of these times often provide important lessons which can continue to guide, and improve, our current practice long after life has returned to a more settled state.

 

CPD Online provides a number of resources to encourage you to explore the interesting and challenging times faced by our profession. For example, a recent CPD Online podcast entitled The fate of psychiatric patients under National Socialism, recorded at the RCPsych Congress 2016, examines the role of doctors in Germany under National Socialism and questions if similar atrocities could ever happen again.

 

The Psychedelic drug therapy in psychiatry module reviews recent and historical investigations of the potential therapeutic uses of these substances, and also examines their role and uses in wider, non-clinical culture and society. And staying with social and cultural factors, the Gender, madness and society in 20th century Britain module aims to provide an insight into the factors that influenced ideas about mental illness throughout the 20th century, and how these historical beliefs can impact current practice.

 

We hope that these modules encourage you to continue to reflect on how we as a profession, and as individuals, practice.

 

 

New modules:

 

Hoarding disorder: symptoms, diagnosis and management

Traditionally, hoarding was considered a symptom of obsessive-compulsive disorder (OCD), but hoarding disorder was introduced in DSM-5 in 2013 as a new diagnostic entity. This module covers the clinical presentation of hoarding disorder, as well as its epidemiology and aetiology. It also explains how to carry out a diagnostic assessment and covers the current best evidence-based strategies for treatment.

 

Rapid tranquillisation in children and adolescents

Learn how to manage violence in young people and adolescents and grasp the rapid tranquillisation guidance for this age group. The module covers the different classes of medication and their routes of administration, as well as post-treatment monitoring and special circumstances that require additional consideration when rapid tranquillisation is used.

 

 

Updated modules:

 

The armed forces and mental health: Part 2 – mental healthcare for veterans  

This module provides useful information to those who may deliver mental health support to military veterans. It covers the epidemiology of mental disorder in service personnel and explains the challenges associated with working in war zones and returning to society as a veteran. The module also provides an overview of the mental health schemes available to support veterans and their families.

 

Social functioning in schizophrenia

Although this field has been extensively studied, the exact nature of the deficits in social functioning in schizophrenia is not clearly established. This module provides a helpful summary of the current understanding, providing opportunities to watch leading researchers in the field express their views. It also considers the clinical importance of the issue and provides information on the assessment process.

 

 

New podcasts:

 

The following podcast interviews were recorded at the 2016 RCPsych International Congress:

 

Crystalline methamphetamine: risks, harms and interventions

In recent years, concerns about crystalline methamphetamine use have increased in multiple countries. Taking the drug regularly can lead to dependence, anxiety, depression and psychosis. Professor Michael Farrell discusses the associated harms, and the possible preventative strategies that can be adopted.

 

People who hear voices – what happens to them?

Dr Kelly Diederen discusses the findings of her latest research, which follows up a group of adults who hear voices but who are not formally diagnosed as psychotic. What happens to these people over a period of time?

               

Omega-3 fatty acids and depression

Dr Brian Hallahan discusses the key findings of his meta-analysis, which pools together all the data accumulated on omega-3 highly unsaturated fatty acids in an attempt to cut through to the truth about omega-3s and depression.

               

The fate of psychiatric patients under National Socialism

Prior to and during World War 2, more than 200,000 patients with mental illness or learning disability were killed, often by their own doctors. President of the German Society of Psychiatry, Psychotherapy and Psychosomatics, Professor Frank Schneider, discusses the lessons that can be learned from this dark period in history.

 

 

Forthcoming modules:

 

  • Diagnosing bipolar depression
  • Catatonia: a guide for clinicians
  • Boundary violations and sexual exploitation: recognition, avoidance and management.

 

View our most popular modules and podcasts

 

 

New from BJPsych Advances:

 

Highlights of the July issue:

 

Ketamine as a rapid antidepressant: the debate and implications

Researchers have found that intravenous ketamine infusion has a rapid antidepressant effect and have therefore proposed ketamine as a novel antidepressant. Ho & Zhang debate this proposed use, considering the drug’s addictive potential, ethical concerns about prescribing a hallucinogen, the evidence base and motives behind ketamine trials.

 

Lessons from akrasia in substance misuse: a clinicophilosophical discussion

Radoilska & Fletcher explore the philosophical concept of akrasia (weakness of will) and demonstrate its relevance to clinical practice. In particular, reflecting on fictional case vignettes they challenge an implicit notion of individuals' control over their actions that might impede recovery from substance misuse.

 

 

 

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 modules on the following topics:

 

  • Rapid tranquillisation of the acutely disturbed patient (update to existing module)
  • Using CPD Online in your peer group
  • The media's impact on women (the female mind)

  • Reproductive and sexual health in psychiatric care.

 

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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