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Welcome to the February
2016 CPD Online e-newsletter
CPD Online Trainee Editor - Are you an ST4/5
interested in gaining experience in eLearning? We are looking for
someone with good IT skills and an eye for detail to join the
Advisory Board of CPD Online as Trainee Editor, assisting the
Editor, Podcast Editor and staff editors with a variety of tasks.
The successful candidate would be involved in the production of
modules and podcasts (including conducting podcast interviews),
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Twitter – Follow us
Rational or reasonable?
By Dr Stuart Leask, CPD Online
We all come across ‘common sense’
approaches which are actually unreasonable. For example, patients
having medications changed after years of efficacy because they
have become unwell again, or medications increased to address
symptoms A, B and C being reviewed as successful 6 weeks later
because symptoms D, E and F have diminished. The former confuses
antipsychotics controlling fluctuating brain chemistry with
antibiotics fighting bacterial resistance, and the latter –
terrifyingly common in psychiatric practice – can feel like honest
pragmatism, but is of course chaotic nonsense.
In a busy clinical career it is easy to allow
one’s eye to slip off the ball occasionally, and therefore
important to focus from time to time on the state of the art.
Whether you wish to brush up on a tremendously common symptom
aspects of dizziness: a question of balance), or would
prefer reflecting on future developments (Psychedelic
drug therapy in psychiatry), CPD Online is there to help
you distinguish between superficially credible myths and reasonable
Treating depression in later life
Depression in later life is common but
treatable. Learn how with thorough physical examination and
appropriate investigations, use of rating scales, and knowledge of
available treatments and their adverse effects, you can diagnose
and manage the condition effectively. This is a substantial
revision of a previous module, by new authors.
Use of seclusion can be controversial. We
therefore have a huge responsibility as psychiatric professionals
to ensure that its use is judicious. Learn the principles
underlying the application of seclusion, the measures that can be
taken to minimise its use, the appropriate medical input for safely
conducting a seclusion review, the essential components of the
multidisciplinary care plan for the patient in seclusion, and some
of the legal issues involved.
Become a better leader in group situations
– find out how to use different models of leadership flexibly
according to the situation, how to foresee and manage bias and help
others do the same, and how to take a pragmatic approach to achieve
the best possible outcomes even when you lack influence, time or
resources. The module will take you through three case studies to
aid your learning.
Ethical and legal challenges within children's mental healthcare:
Part 1 – duty of care and rights and
Part 2 – decision-making, consent and
capacity [Fully updated and
revised by the author November 2015]
Understand law and ethics within CAMHS, the rights and duty of
care of those involved, and how you can balance children and young
people’s rights with those of their parents. In
part 2 you will learn whose consent you should seek, what to do
when decision-makers disagree, how to assess capacity to consent,
and what laws you should act within when assessing and treating
children and young people.
delusions be explained?
Professor Richard Bentall talks to Raj Persaud
about the various theories of delusions, focusing on early
attachment theories and so-called 'tricky' cases of delusions.
Metabolic syndrome and schizophrenia
Management of hyperprolactinemia in
Monitoring and managing the renal adverse
effects of lithium
View our most popular modules and
Highlights of the January
applications of mindfulness in paediatric
Mindfulness is a neglected topic in psychotherapy for young people
with psychological disorders and/or chronic physical conditions.
Carona et al discuss, with practical examples, some of the
challenges in delivering mindfulness interventions in paediatric
settings, including the age-appropriateness of mindfulness
exercises and taking a parent–child perspective.
Aaron Vallance explores confidentiality in
child and adolescent mental health services, particularly when the
clinician has to decide whether to maintain or to breach it.
Ethical principles and legal and regulatory frameworks (relating to
human rights, case law and General Medical Council guidance) are
outlined, hypothetical case scenarios are used to illustrate how to
apply the principles discussed, and practical suggestions on how to
share information are explored.
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