Raj Persaud talks to...

These podcasts are extended versions of those on the main College site. They are specially edited for CPD Online and include a podcast module test in order for you to gain CPD certification. There is free access to the recordings themselves, but you need to be a CPD Online subscriber in order to take the test and gain certification. Please note that the views of the interviewees are not necessarily those of the Royal College of Psychiatrists.


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June 2009: Self harm: Non-suicidal self-injury

In this telephone interview, Dr David Klonsky discusses self harm; non-suicidal self-injury, outlining what we mean by self harm, its prevalence and discussing ways of making an assessment and assessing severity. More...

6/9/2009 | Download

May 2009: Predicting and preventing common mental illness

In this podcast, Professor Michael King describes the first risk algorithm for major depression that he and colleagues have recently developed, modelled along the lines of risk algorithms for cardiac disease and other illnesses. More...

5/15/2009 | Download

April 2009: Developing communication in the therapeutic setting

In this telephone interview, Dr Rose McCabe discusses the importance of communication for the therapeutic relationship, the role of communication among non-specific effects and she describes how we can go about improving communication in the therapeutic setting as a means to improving patient outcome. More...

3/27/2009 | Download

March 2009: Mentoring

Dr Amy Iversen talks on the topical subject of mentoring, highlighting the value it can bring to both mentee and mentor. Speaking from personal experience, she advises on the issues to bear in mind when setting up a mentoring programme; highlights qualities which make for a good mentor; and describes typical problems to occur. Discussing evidence to support mentoring she also emphasises the need for further research if we are to take mentoring forward in medicine. More...

3/23/2009 | Download

February 2009: CBT approaches to the treatment of paranoid thoughts

In this podcast, Dr Daniel Freeman gives an introduction to the cognitive behavioural approach for dealing with paranoid thoughts. More...

2/11/2009 | Download

January 2009: Assessment of suicide ideation, risk of suicide and self harm

In this telephone interview, Dr Matthew Nock discusses the clinical assessment of suicide ideation and behaviour, and raises some of the problems faced by clinicians in this challenging field. He discusses in detail the development of a test known as the implicit association test which may be used in the future to help measure suicide risk without the need to rely on a patient’s self report. Talking about the common mistakes made by clinicians during clinical interview he also flags the importance of understanding a patient’s motivation and the need for clinicians to continue to develop predictive skills in assessing what is otherwise considered relatively unpredictable behaviour. More...

1/12/2009 | Download

December 2008: Borderline Personality Disorder

In this podcast Martin Bohus gives an overview of Borderline Personality Disorder (BPD), explaining the condition in terms of its features and symptoms, and describing a number of psychological treatments available including that of his own specialty, Dialectical Behavioural Therapy. He also addresses the limited evidence for medical treatments. He discusses theories of aetiology including links with genetics and childhood physical traumatisation. More...

12/10/2008 | Download

November 2008: Providing mental health care in low resource environments

Vikram Patel gives an illuminating account of the practice of psychiatry in extreme low resource environments. He talks about the steps necessary to establish effective mental health care, describing first the assessment of needs, the importance of measuring the types of illness, prevalence and impact on daily life and the importance of efficient resourcing when planning. Whilst talking about the problems associated with institutions that still exist in some parts, he also talks about the beneficial work being carried out by other mental health care organisations. He is encouraging of the contribution that psychiatrists from more developed areas can make by working in these low resource environments. More...

10/29/2008 | Download

October 2008: Malingering

In this podcast, Dr Gerald Rosen talks about malingering and the motivations that can lead to simulated psychiatric disorder. He explains how to deal with a suspected case and how to achieve the best outcome whilst maintaining the therapeutic relationship, providing case examples and advice from his own wealth of clinical experience. More...

9/30/2008 | Download

September 2008: Schizophrenia - the glutamatergic hypothesis

Jean Théberge talks about the glutamatergic hypothesis of schizophrenia and discusses in some detail his study on Longitudinal grey-matter and glutamatergic losses in first-episode schizophrenia (Théberge et al, 2007). More...

8/31/2008 | Download

August 2008: Neurobiology of ADHD

Approximately 2-5% of children suffer from ADHD and in this podcast, Dr Katia Rubia begins by answering the question What is ADHD?, addressing the triad of symptoms - age inappropriate inattention, hyperactivity, impulsiveness - and raising some diagnostic and cultural issues. She then goes on to discuss in detail brain development and the neurobiological implications. More...

8/20/2008 | Download

July 2008: The neuropsychology of schizophrenia

Robert Schug, based at the University of Southern California, talks about the neuropsychology of schizophrenia. In particular he discusses the approach in relation to those schizophrenics who go on to develop personality disorder problems of the antisocial type. More...

7/18/2008 | Download

June 2008: Phenomenology

In this podcast Dr Gareth Owen gives an overview of phenomenology in psychiatry, discussing some of the historical background to the development of the discipline, some of the problems and how it relates in comparison with other disciplines such as a biological or psychological approach to a psychiatric disorder. He also touches on how we can bring a phenomenological undestanding into our daily practice. More...

6/4/2008 | Download

May 2008: Anxiety disorders in children

Approximately one in ten children suffer from anxiety disorders, and in this podcast Professor Ronald Rapee gives a broad overview of the different kinds of anxiety disorders common in children. He also discusses how anxiety disorders in children compare with those in adults, and highlights the nature of findings from epidemiological studies. He talks about some of the steps in diagnosis, and the aetiology behind anxiety disorders, including genetic and behavioural factors. Treatment is also touched on as well as some of the pitfalls to beware of when diagnosing and treating anxiety in children. More...

5/29/2008 | Download

May 2008: Gene-environment interactions

In this podcast, Professor Jim van Os discusses the importance of gene-environment interactions in the understanding of the aetiology of psychiatric disorders. He talks about the influence of environmental factors as the causes of psychiatric disorders as well as the genetic basis for psychiatric disorder, and discusses significant laboratory research findings as evidence for their interactions. More...

5/15/2008 | Download

The management of Eating Disorders

April 2008: The management of eating disorders

Professor Gerald Russell explores the issues surrounding the diagnosis and management of Eating Disorders. Outlining the different kinds of eating disorders that occur he also highlights the limitations of current classifications. He explores how psychiatrists make diagnoses and the factors that may make a diagnosis difficult. He goes on to discuss the important steps to take when planning the treatment and effective management of Eating Disorders. More...

4/1/2008 | Download

March 2008: Self-harm

Mr Robert Young explores the issue of deliberate self-harm including suicide and attempted suicide. He discusses the epidemiology and risk factors involved and some of the psychiatric theories behind self-harm. He also talks about the kind of evidence base and psychiatric research available and identifies the reseach needs that would benefit the field, particularly with respect to psychiatric treatments, interventions and towards tackling the causes of self-harm. More...

3/25/2008 | Download

March 2008: Amphetamine-type stimulant drugs - a dangerous trend?

Professor Hamid Ghodse discusses the history of legally available amphetamine-type drugs and the staggering rise in their use, showing how mental health professionals need to be aware of the societal trends and professional attitudes that can lead to over-prescription and its damaging effects. More...

3/1/2008 | Download

Seclusion

January 2008: Seclusion

In this telephone interview, Dr Stephen Elsom talks from Australia on the topical issue of seclusion as an intervention for containing uncontrolled, disturbed behaviour of psychiatric patients. He discusses the research evidence regarding the use of seclusion and current thinking surrounding this practice. He also talks about methods that can be helpful to reduce the rate of seclusion used as an intervention. More...

1/8/2008 | Download

December 2007: The clergy and psychiatry - an impossible mix?

Dr Gerard Leavey explores some of the myths and truths surrounding the relationship between psychiatry and the clergy, looking at ways in which they can work together more effectively. More...

12/17/2007 | Download

December 2007: Cross-cultural research

Dr Niall Crumlish talks about his experience of cross-cultural research in Malawi, providing valuable advice to anyone considering how to go about planning and conducting such research. He discusses the implications and practicalities of working in an area where psychiatric health is under-studied, some of the limitations, as well as the many rewards. More...

12/12/2007 | Download

December 2007: Employment and schizophrenia

Dr Steven Marwaha discusses some of the issues surrounding the topic of employment and schizophrenia, including different kinds of employment services and support available to those with schizophrenia, and also rates and correlates of employment for people with the illness. More...

12/11/2007 | Download

November 2007: Psychiatry and Public Health: links between the environment and public health

Dr Lisa Page discusses the provision of Public Health services in the UK and the implications of environmental hazards and incidents on Psychiatry and psychogenic illness. More...

11/27/2007 | Download

July 2007: Auditory hallucinations: insights from neuroimaging

Professor Peter Woodruff discusses the latest research findings and neuroimaging techniques which uncover the underlying neurobiological processes behind auditory hallucinations. More...

7/27/2007 | Download

July 2007: Rehabilitation psychiatry: principles and practice

Dr Frank Holloway discusses his new book “Enabling Recovery: The Principles and Practice of Rehabilitation Psychiatry”, which focuses on the patient-centred approach and emphasises the importance of incorporating the medical model of psychiatry with a more socio-psychological model. More...

7/25/2007 | Download

July 2007: Attachment and how it relates to psychiatry

Dr Helen Minnis discusses the issue of attachment in psychiatry and the importance of attunement in the caregiving relationship, taking a look at the current controversies over child care and giving guidance for psychiatrists on how to work with attachment difficulties. More...

7/25/2007 | Download

July 2007: Combating stigma and discrimination against people with mental illness

Professor Graham Thornicroft discusses the issue of stigma, looking at the current research and asking what can be done at local and national levels as well as by psychiatrists themselves to combat the stigmatisation of people with mental illness. More...

7/5/2007 | Download

May 2007: The methodology of case-control studies

Professor Matthew Hotopf discusses how to minimise bias in case-control studies and looks at solutions to the problems of recruiting, how many subjects to use and why it is important to report recruitment methods. More...

5/18/2007 | Download

April 2007: Insight - how is it related to mental disorder?

Professor Anthony David talks about the associations between insight and mental disorders, particularly schizophrenia. More...

4/23/2007 | Download

February 2007: Professionals sharing service user information with carers (Dr Vanessa Pinfold)

Vanessa Pinfold discusses the importance of sharing service user information with carers, giving pointers on how to do this without breaking patient confidentiality. She emphasises the importance of professional judgement in decisions over what information to share or withhold and suggests strategies for improving current practices. More...

2/26/2007 | Download

February 2007: Auditory verbal hallucinations: are they adequately described by current cognitive models? (Dr Paul Allen)

Dr Paul Allen challenges current thinking on the aetiology of auditory verbal hallucinations, describing how current cognitive and physiological models may be insufficient to account for these internal experiences. More...

2/26/2007 | Download

January 2007: Early onset psychosis - new findings on prevalence, needs and service provision (Dr Leonie Boeing)

Dr Leonie Boeing talks about her recent study and its findings, discussing some common problems experienced by adolescents with psychosis, management of their needs and current shortcomings in care provision. More...

1/23/2007 | Download

January 2007: Violence and schizophrenia: a realistic look at the risks, contributing factors and management (Professor John Gunn)

Professor John Gunn challenges some common notions of the relationship between mental illness and homicide, taking a detailed look at the possible contributing factors towards violent behaviour in people with schizophrenia. Some questions posed are: Who is most at risk of attack? What happens in court? What should consultants consider in the management of patients with schizophrenia who may become violent? More...

1/23/2007 | Download

December 2006: Assessing and communicating violence risk (Dr Mike Doyle)

Dr Doyle discusses the main approaches to assessing risk for violence and critiques how clinicians communicate risk judgements. More...

12/22/2006 | Download

December 2006: Empathy - what does it involve and how does it relate to psychiatry? (Dr Quinton Deeley)

Dr Quinton Deeley talks about the skills and abilities involved in empathy and which psychiatric disorders are most closely linked to it. More...

12/19/2006 | Download

Nov 2006: Two podcast interviews - "Service user involvement in service initiatives – a constructive approach" (Dr Mike Crawford) and "Can crisis teams and assertive outreach teams reduce admissions?" (Prof Gyles Glover)

In this podcast we have combined two recordings: the second recording follows on immediately from the first. When you have finished listening, you can take the module test to gain CPD accreditation. More...

11/22/2006 | Download

Nov 2006: Two podcast interviews - "Randomised controlled drug trials - how objective is the evidence?" (Prof Clive Adams) and "A look at the incidence of schizophrenia and how it relates to the aetiology of the illness" (Dr Craig Morgan)

In this podcast, we have combined two recordings: the second recording follows on immediately from the first. When you have finished listening, you can take the module test to gain CPD accreditation. More...

11/20/2006 | Download

Oct 2006: Dr Mike Slade

This podcast takes a look at the recovery focus system and discusses the role of mental health professionals within the Recovery Model. More...

10/24/2006 | Download

Oct 2006: Prof Ming T. Tsuang

In this podcast Professor Ming T. Tsuang talks to Dr Persaud about family constellation patterns for schizophrenia and how we can tease out the differences between environmental and genetic factors. More...

10/24/2006 | Download

 

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