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Recent research: 3 studies on internet-delivered therapy, 2 on speed of antidepressant response, and 1 on therapy effectiveness

Here are three studies (for all abstracts & links see below) highlighting the increasingly encouraging results being reported for internet-delivered psychological interventions.  Van't Hof, Cuijpers et al report on " ... a systematic review of meta-analyses on the efficacy of self-help interventions, including internet-guided therapy, for depression and anxiety disorders". They conclude that the 13 meta-analyses indicate "self-help methods are effective in a range of different disorders, including depression and anxiety disorders. Most meta-analyses found relatively large effect sizes for self-help treatments, independent of the type of self-help, and comparable to effect sizes for face-to-face treatments" (see below for abstracts and links to the six research papers mentioned).  Riper, Kramer et al describe how an experimental internet-delivered self-help alcohol reduction intervention transferred well to being made more generally available.  The authors conclude that " ...

Exeter pre-conference workshop: Ed Watkins on CBT treatment for anxious & depressive rumination

Exeter.  I really like the way that the British Association for Behavioural and Cognitive Psychotherapies (BABCP) conferences rotate around a whole series of UK university towns.  This is the 37th BABCP Annual Conference, and I guess I've been to a dozen or more of them over the years.  They tend to follow a similar pattern - beginning with a choice of optional one day workshops, followed by two and a half days or so of conference proper.  There are about 20 one day workshops to choose from this year, and I've plumped for Ed Watkins's "CBT to treat anxious and depressive rumination" (click on the workshop title for a fuller description).

Walking in Glen Affric: emotions, anxiety & risk (third post)

Today was huge.  I woke early, cold.  It had been such a clear, starlit night.  My socks, that I'd washed through in the stream and tried to dry a bit yesterday, had frozen solid.  So too my walking boots with hard frozen laces.  Rub and mould the socks till I can get them onto my feet, and back into the sleeping bag to warm them a bit.  Dawn & frozen socks

Handouts & questionnaires for depression information

Here are a few handouts that I've put together over the years to provide background information about depression.  The development & maintenance diagram is probably the handout here that I use most - both to explain issues about depression and also for many other psychological disorders as well. 

Development & maintenance of distressed states - I use this Powerpoint diagram a lot when discussing with people why they are in a distressed state.  The diagram applies to depression but it also applies to nearly all other distressed psychological states as well.  It can be helpful in highlighting the importance of maintaining, precipitating and vulnerability factors.  I also point out that therapeutic gains can be made working with all three of these general sets of factors - for example, emotional processing work for past experience (both precipitating and vulnerability factors) and more standard cognitive-behavioural approaches for maintaining factors. 

Recent research: a mixed bag of six papers on anxiety

Here are half a dozen papers with anxiety relevance.  The first couple are about the interaction between genetic vulnerability (or resilience) and childhood experience.  The Stevens et al paper is an update on the large body of research looking at psychological genetic vulnerability/resilience in macaque monkeys and how this interacts with parenting quality to lead, or not lead, to emotional and neurophysiological disturbances in adulthood.  The Battaglia paper particularises this gene/environment investigation by looking at the connections between early human childhood separation anxiety, loss of a parent, and panic disorder in adulthood.  

Handouts & questionnaires for increasing access to psychological therapies (IAPT) outcomes toolkit, an upgrade

Over nearly 35 years of practice as a doctor and psychotherapist I've assembled a collection of 300 to 400 handouts and questionnaires that I use in my work.  I'm gradually uploading most of these handouts to this website so people can use any that they'd like to.  The collection is searchable in the Good Knowledge section of the site at Handouts, questionnaires and other leaflets.  Of the twenty two subsections on this part of the website, one of the more frequently visited areas is the Increasing access to psychological therapies (IAPT) outcomes toolkit.  This is a pretty full hand of cards for the recommended IAPT assessment measures.  I've recently updated the list of downloadable questionnaires available by including:

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