Welcome to the August 2016 CPD Online eNewsletter




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. A recent CPD Online podcast (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 use of these substances. The module also examines the role and use of these substances in wider, non-clinical, culture and society.


Staying with social and cultural factors the Gender, madness and society in 20th century Britain module aims to provide an insight in to the factors that influenced ideas about mental illness through 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 and multi-agency management.


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.



Revised module:


Recognising autism spectrum disorders in children with normal-range intelligence [Fully updated and revised by Leticia Gutierrez-Galve and Ramya Srinivasan September 2015]

In recent years autism specialists have come to recognise that many children with characteristics of autism have intelligence within the normal range. Learn how to identify the features of autism particularly in children with normal intelligence through video and other interactive means.


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.




Don’t forget to tell your junior colleagues about CPD Online’s ‘sister site’ Trainees Online (TrOn) – 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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