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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.
Twitter – Follow us
Therapeutic boundaries and
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
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
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
Family interventions in
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
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
Boundary violations and sexual
exploitation: recognition, avoidance and
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.
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
First-episode psychosis: Parts 1
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.
Extremism, religion and
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.
View our most popular modules and podcasts
Highlights of the November
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
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.
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
If you are interested in contributing or if you would like to
make a topic suggestion, please contact email@example.com
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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