Wake and Light Therapy for depression

We are now offering RAPID – the Rapid Acting Programme in Depression at the Priory Hospital North London. It consists of Wake and Light Therapy. This is a pioneering treatment, which as far as I am aware is not available at any other hospital in the UK. Early controlled trials and case series suggest about 60% of patients may respond …

Tree Planting in Singapore

Honoured to plant a tree at the Institute of Mental Health whilst teaching in Singapore. I thought I would ham it up with panama hat and bow tie. There are wonderful gardens all over Singapore and I strongly recommend a visit to the Botanical Gardens.               If you ever visit the Institute of Mental …

Buzzfeed article on “Homosexual OCD”

In response to article on treating Homosexual OCD http://www.buzzfeed.com/patrickstrudwick/worlds-leading-anxiety-expert-offers-treatment-for-people-wh#.ohNlwmOGwL I am NO defender of Charles Linden – see for example my colleague Professor Salkovskis ’s blog) https://psychonoclast.wordpress.com/2014/05/13/the-lindn-method-paul-salkovskis-up-to-date-conclusion-may-2014/. However I am worried that the Buzzfeed article highlights the lack of understanding about the nature of Obsessive Compulsive Disorder (OCD). Some people with OCD may have obsessional fears about being gay (when …

NICE Evidence Update

I chaired the NICE Evidence Update on OCD and BDD which is now published and can be downloaded from here  http://www.evidence.nhs.uk/evidence-update-47 The team searched for all trials conducted since the guidelines were published  in 2005 (i.e. the search was for the past 10 years). The quality of the trials varies with a lot of  small studies – there are a …

Ugly Duckling Cartoon

    The Ugly Duckling – Reproduced by kind permission of PRIVATE EYE magazine and Len Hawkins When I first saw this cartoon, I groaned. I though that the cartoonist had misunderstood the nature of BDD, which is of course defined as a preoccupation and marked distress with a perceived defect which is not noticeable to others. However this cartoon …

Comment on risperidone v CBT for OCD study

Risperidone and CBT for OCD An important paper was published by Blair Simpson et al (2013) in the USA last week   http://dx.doi.org/10.1001/jamapsychiatry.2013.1932 The paper describes a controlled trial in which 100 people with OCD who had received a SSRI medication for at least 3 months and had moderate OCD symptoms were randomized to receive either (A) risperidone (an anti-psychotic) or …

Shortlisted BMJ Mental Health Team of the Year

Our Anxiety Disorders Residential Unit has been shortlisted for the British Medical Journal’s Mental Health Team of Year! The award ceremony will be on May 9th – you can’t vote – it’s up to the judges! Our innovation stems from development of a therapeutic community at the unit based on a compassionate mind and positive reinforcement and integration of our Occupational Therapy into the intensive CBT …

ICD-11 for OCD at WHO, Geneva

I am honoured to be invited to the World Health Organisation in Geneva. Our group’s task is revise the criteria for diagnosing Obsessive Compulsive and related disorders for the 11th revision of International Classification of Diseases (ICD) due in 2014. Sounds boring but it is important! We are reminded that even US Government recognizes the ICD rather than DSM manual. I …

“Tainted” bishops and OCD

The Church of England is tieing itself in knots with the concept of “taint” to allow dioceses to opt out from male bishops who have ordained female vicars or male bishops have been ordained by a female bishop/vicar etc (and have therefore been contaminated?). This seems to me to be similar to physical or moral contamination in Obsessive Compulsive Disorder. …

OCD Book review

OCD book review http://j.mp/KGQVEU  Probably sad but true but the reviews on Veet for Men Hair Removal  on amazon.co.uk are just hilarious http://tinyurl.com/csfwobx