Anxiety

Anxiety and Panic

This section covers anxiety and panic attacks, causes, treatment and support.

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Engaging families in the management of adolescent self-harm.Adolescent self-harm is an emerging public health challenge. It is associated with later psychiatric and substance use disorders, unemployment and suicide. Family interventions have been effective in... 25/05/2018
A qualitative study of a blended therapy using problem solving therapy with a customised smartphone app in men who present to hospital with intentional self-harm.Blended therapy is the integration of internet-based treatment and psychotherapy in the treatment of psychiatric disorders. It has been described as 'any possible combination of regular face-to-face... 25/05/2018
Tobacco cessation interventions for young people.Most tobacco control programmes for adolescents are based around prevention of uptake, but teenage smoking is still common. It is unclear if interventions that are effective for adults can also help... 25/05/2018
L-methylfolate cannot yet be recommended as an add-on treatment in schizophrenia.Accumulating evidence indicates that one-carbon metabolism dysregulation, manifesting in low folate levels and elevated homocysteine levels, frequently occurs in patients with schizophrenia.1... 25/05/2018
Different communication strategies for disclosing a diagnosis of schizophrenia and related disordersDelivering the diagnosis of a serious illness is an important skill in most fields of medicine, including mental health. Research has found that communication skills can impact on a person's recall... 25/05/2018
Chlorpromazine versus penfluridol for schizophrenia.The efficacy of chlorpromazine, a benchmark antipsychotic, has not been fully assessed in direct comparison with different individual antipsychotics. Penfluridol is another old antipsychotic with a... 25/05/2018
Amisulpride augmentation in clozapine-unresponsive schizophrenia (AMICUS): a double-blind, placebo-controlled, randomised trial of clinical effectiveness and cost-effectivenessWhen treatment-refractory schizophrenia shows an insufficient response to a trial of clozapine, clinicians commonly add a second antipsychotic, despite the lack of robust evidence to justify this... 25/05/2018
Yoga versus non-standard care for schizophrenia.Yoga is an ancient spiritual practice that originated in India and is currently accepted in the Western world as a form of relaxation and exercise. It has been of interest for people with... 25/05/2018
Interventions for obtaining and maintaining employment in adults with severe mental illness, a network meta-analysisPeople with severe mental illness show high rates of unemployment and work disability, however, they often have a desire to participate in employment. People with severe mental illness used to be... 25/05/2018
Receptor antibodies are found in a small subgroup of patients with first-episode psychosis, but their clinical relevance is unknownAntineuronal antibody-mediated encephalitis frequently presents with prominent psychiatric features. It has been hypothesised that antineuronal antibodies may play a pathophysiological role in... 25/05/2018
Benzodiazepines for psychosis-induced aggression or agitationAcute psychotic illness, especially when associated with agitated or violent behaviour, can require urgent pharmacological tranquillisation or sedation. In several countries, clinicians often use... 25/05/2018
A systematic review of network meta-analyses for pharmacological treatment of common mental disordersQuestion Network meta-analyses (NMAs) of treatment efficacy across different pharmacological treatments help inform clinical decision-making, but their methodological quality may vary a lot depending... 25/05/2018
Anticholinergic medication for antipsychotic-induced tardive dyskinesia.Antipsychotic (neuroleptic) medication is used extensively to treat people with serious mental illnesses. However, it is associated with a wide range of adverse effects, including movement disorders.... 25/05/2018
Benzodiazepines for antipsychotic-induced tardive dyskinesiaTardive dyskinesia (TD) is a disfiguring movement disorder, often of the orofacial region, frequently caused by using antipsychotic drugs. A wide range of strategies have been used to help manage TD,... 25/05/2018
Risperidone versus other antipsychotics for people with severe mental illness and co-occurring substance misuse.Up to 75% of people with serious mental illness (SMI) such as schizophrenia and bipolar disorder have co-occurring substance use disorders (dual diagnosis). Dual diagnosis can have an adverse effect... 25/05/2018
Pharmacotherapy for social anxiety disorder (SAnD).Recognition is growing that social anxiety disorder (SAnD) is a chronic and disabling disorder, and data from early trials demonstrate that medication may be effective in its treatment. This... 25/05/2018
Wellbeing and mental health: applying All Our HealthEvidence and guidance to enable healthcare professionals make improvements against wider factors that affect health and wellbeing in mental health. 25/05/2018
Heart rate variability in bipolar disorder and borderline personality disorder: a clinical reviewHeart rate variability (HRV) in psychiatric disorders has become an increasing area of interest in recent years following technological advances that enable non-invasive monitoring of autonomic... 25/05/2018
Multiple indicators of ill health are evident in people with psychosisThere is a very strong association between mental and physical illness that challenges the typical focus of healthcare systems on either mental or physical disorders.1 The relationship between... 25/05/2018
Adjunctive avatar therapy for mentalization-based treatment of borderline personality disorder: a mixed-methods feasibility studyBackground Borderline personality disorder (BPD) is characterised by severe instability in emotions, identity, relationships and impulsive behaviour. One contributing factor to BPD is deficient... 25/05/2018
Identifying perinatal depression with case-finding instruments: a mixed methods study (BaBY PaNDA - Born and Bred in Yorkshire PeriNatal Depression Diagnostic Accuracy).Perinatal depression is well recognised as a mental health condition but < 50% of cases are identified in routine practice. A case-finding strategy using the Whooley questions is currently... 25/05/2018
Effects of total fat intake on bodyweight in children.As part of efforts to prevent childhood overweight and obesity, we need to understand the relationship between total fat intake and body fatness in generally healthy children. To assess the... 25/05/2018
Own mother's milk significantly decreases the risk of bronchopulmonary dysplasia.OMM has substantial health benefits for VLBW infants including decreased sepsis, necrotising enterocolitis (NEC) and retinopathy of prematurity.1 2 Limited studies have evaluated the effects of OMM... 25/05/2018
Patient reminder and recall interventions to improve immunization ratesImmunization rates for children and adults are rising, but coverage levels have not reached optimal goals. As a result, vaccine-preventable diseases still occur. In an era of increasing complexity of... 25/05/2018
Parent-infant room-sharing is complex and important for breastfeedingNight-time parenting is a critical part of life that is understudied. The need to improve the evidence base for health recommendations so that parents have improved opportunity for informed... 25/05/2018
Cerebral palsy in children and young people.This quality standard covers diagnosing, assessing and managing cerebral palsy in children and young people under 25. It describes high-quality care in priority areas for improvement. 25/05/2018
Skin-to-skin care is an effective and safe intervention to reduce procedural pain in neonatesUnrelieved pain caused by invasive procedures in early life is associated with detrimental outcomes in all major organ systems and has lasting implications for impairment of biobehavioural and... 25/05/2018
Faltering growth: recognition and management of faltering growth in children.This guideline covers recognition, assessment and monitoring of faltering growth in infants and children. It includes a definition of growth thresholds for concern and identifying the risk factors... 25/05/2018
School dental screening programmes for oral healthSchool dental screening refers to visual inspection of children's oral cavity in a school setting followed by making parents aware of their child's current oral health status and treatment needs.... 25/05/2018
Father-infant skin-to-skin contact appears to be beneficial, however paternal experiences of this need to be exploredSkin-to skin contact within neonatal intensive care has its origin in Columbia, due to a history of lack of incubators and mothers abandoning their fragile premature and/or sick infants. Today,... 25/05/2018
Safe, sustainable and productive staffing: an improvement resource for mental healthWe've developed this resource to help commissioners and providers of NHS-commissioned services create, review and sustain, safe and effective specialist mental health services. The document aims to... 25/05/2018
Personality and interpersonal behaviour may impact on burnout in nursesMuch has been said about the negative impact of burnout on nurses' health, but the causes of this phenomenon are still unclear. Shimizutani and colleagues1 found that neuroticism was related to... 25/05/2018
Problem-based, peer-to-peer global mental health e-learning between the UK and Somaliland: a pilot study.Background WHO's mental health gap action programme intervention guide (mhGAP-IG) is an evidence-based tool aimed at front-line health workers in low-income and middle-income countries (LMICs). Its... 25/05/2018
The Fifteen Steps Challenge Quality from a patient's perspective: An mental health toolkitThis document, focusing on the mental health inpatient healthcare setting, is part of a suite of toolkits for 2 External 0 0 0 The Fifteen Steps Challenge false ... 25/05/2018
Mental health statistics for England: prevalance, services and fundingHow common are mental health problems? How long do people wait to access therapy for depression and anxiety? Do mental health services work for everyone? How much is spent on mental health services? 24/05/2018
The perinatal mental health care pathwaysThis document sets out policy drivers and strategic context for transforming perinatal mental health care, as well as pathways to deliver transformation. It provides services with evidence on what... 24/05/2018
The Gouvernment's green paper on mental health: failing a generationThe Government's proposed Green Paper on Transforming Children and Young People's Mental Health lacks ambition and will provide no help to the majority of those children who desperately need it, say... 24/05/2018
Independent review of the mental health act: interium reportThe independent review of the Mental Health Act was set up to look at how the legislation in the Mental Health Act 1983 is used and how practice can improve. The interim report gives an update on... 24/05/2018
After a diagnosis of dementia: what to expect from health and care servicesThis document is for anyone diagnosed with dementia and the people who care for them. It has details about what support they should get. It includes information about: what is in a care... 24/05/2018
Getting my life back: occupational therapy promoting mental health and wellbeingThe current situation: About one in six people experience a common mental health problem each week and over 85% of people first disclose their problem to their GP. Despite this only 5% of mental... 24/05/2018
The most effective antidepressants for adults revealed in major reviewThe review provides new evidence which may help people decide which antidepressant to choose first-line for moderate to severe depression. However, it did not assess antidepressants compared to other... 24/05/2018
Carer support and involvement in secure mental health services.This toolkit aims to provide clear information for carers, service users, service providers and commissioners about how carers of people who use secure mental health services should be engaged with,... 24/05/2018
Stress: are we coping?This report looks at the prevalence of stress in the UK and its implications. It also focuses on what people can do to manage and reduce stress and sets out recommendations for the government in... 15/05/2018
Alcohol and mental health: policy and practice in EnglandThis report highlights that people who have difficulties with alcohol and mental health are still not getting the help and support they need. It is based on a survey and seminar session held with... 27/04/2018

Links & Resources

NICE Guidance:

CG 113 Generalised anxiety disorder and panic disorder in adults: management. January 2011

CG 159 Social anxiety disorder: recognition, assessment and treatment. May 2013

Journal of Anxiety Disorders (Contains Open Access content)