| Critical Analysis / Appraisal |
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Randomised Controlled Trials and Systematic Review
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Meta-Analysis
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Number Needed to Treat (NNT)
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Confidence Intervals
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Appraisal of Diagnostic Tests
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Qualitative Study
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Basic Statistics
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Statistics
This paper explains correlation, regression, probability, confidence intervals and measures of effect in a succinct manner.
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Survival Analysis
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Economic Analyses - Basics
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Cost Acceptability Curves in Economic Analysis
This is purely for further reading and relevant for Consultant Psychiatrists making economic decisions or evaluating Cost-Effectiveness studies. This depth is not required for the purposes of the exam.
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Antipsychotics - Which one is better?
This article is an excellent article where the authors analyse the various biases and suggest improvements to minimise these in Drug Trials. A very useful article to go through reinforcing the importance of critical appraisal in reading papers.
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The Placebo effect
An extremely thorough review where the author has put in alot of hard work and produced a fascinating read. Reiterates the fact that placebo is not 'no treatment'.
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| Schizophrenia |
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Pharmacological Management of Schizophrenia
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Clozapine Resistant Schizophrenia
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CATIE Trial
Influential independent effectiveness study sponsored by the National Institute of Mental Health (NIMH, USA) that threw up some interesting results. This was complemented by the CUtLASS study in the UK, a Cost Utility study. Both these studies force us to think about the way we view Atypical and Typical antipsychotics. Are atypical antipsychotics really better than typical antipsychotics? For a critical discussion read this paper by Lewis and Lieberman.
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Depression in Schizophrenia
The article is an excellent summary of depression in schizophrenia and its management. Particularly important is the distinction between depression and negative symptoms.
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Cognition and Schizophrenia
With the increasing recognition of cognitive deficits in schizophrenia, this article provides a succinct summary of evidence for cognitive impairments and its management. Recognition is important due to its impact on psychosocial rehabilitation.
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Schizophrenia and Violence
This article will be of benefit for forensic psychiatrists and for forensic clinical cases. Prof Paul Mullen has outlined the factors increasing the risk of violence and strategies in managing violence.
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Psychosis in Old Age
Useful article that succinctly summarises clinical features and management of psychosis in old age.
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First Episode Psychosis - Detection
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First Episode Psychosis- Management
Although published in 2001, The article still provides a good template for the main issues in management of first episode psychosis. New evidence can then be integrated within the outlined principles.
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Catatonia
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RANZCP Conference (2010) - Metabolic Syndrome
Presented at the RANZCP 2010 conference in New Zealand, It provides an overview of the metabolic syndrome, its complex relationship with psychiatric disorders , the role of antipsychotics and the management of Metabolic syndrome based on evidence based guidelines for management of Hyperlipidemia and type 2 diabetes. The presentation is intended to highlight the dichotomy that exists between Psychiatry and Medicine and the non-inclusion of mental disorders in the high risk categories that would prompt treatment.
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| Depression |
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Treatment Resistant Depression
This article describes the pharmacological management of treatment resistant depression based on evidence. Based on recent evidence, the STAR*D trial which is the largest independent trial to date , came up with some interesting results. Read about the STAR*D trial here . Dr Rush , one of the main investigators summarises the results here
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| Bipolar Disorder |
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BAP Guidelines for Bipolar Disorder 2009
Latest evidence for Bipolar disorder. Notice the different treatment approaches for Bipolar Depression.
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Bipolar Disorder - CANMAT guidelines
This provides the latest and up to date research on the management of bipolar disorder. The guidelines incorporate the advances in bipolar depression and are set out in the form of algorithms.Psychological strategies for maintainence therapy are also included.
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Antidepressants and bipolar disorder
The use of antidepressants in bipolar disorder is controversial . This issue was brought to light by Prof Ghaemi in this article which is a good read. The evidence suggests that antidepressants cause long term destabilsation of bipolar disorder through the kindling phenomenon.
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The STEP-BD trial
The largest independent trial for bipolar disorder also supports the above view that the role of antidepressants is limited and that antidepressants do no better than placebo in bipolar depression.
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More evidence against antidepressants
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Bipolr Disorder -Pregnancy and Postpartum
Excellent article on Management of Bipolar disorder in pregancy and postpartum .Useful as a general reference tool but also for exam going candidates as it is often asked in OSCE's.
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Bipolar Disorder - CBT
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Compliance and Compliance therapy
This article about compliance is not specific to bipolar disorder despite being included under this sub-section. The article provided a good overview of reasons affecting compliance and principles of adherence/compliance therapy.
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IPSRT
This article provides an overview of the role of circadian rhythms in the genesis of psychiatric disorders , the principles of which are a part of the IPSRT for Bipolar Disorder.
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| Forensic Psychiatry |
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Stalking
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Management of Stalking Victims
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Forensic Report Writing
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| Psychology |
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Cognitive Behavioural Therapy -Theory and Practice
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CBT in Older Age Group
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Mindfulness
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Motivational Interviewing
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Dialectical Behavioural Therapy (DBT)
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| Addiction Psychiatry |
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Alcohol Dependence - Management
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Alcohol Detoxification
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Drug Dependence - Management
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Drug Misuse in Pregnancy
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Pathological Gambling - Assessment and Treatment
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Pathological Gambling - RANZCP statement
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| Ethics |
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End of Life Decisions
Detailed Guidelines on End of Life issues
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Capacity and its Assessment
Article on Capacity mainly within the United Kingdom setting but the same principles apply to Australia, Canada and the U.S .
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Capacity Assessment - Older Adults
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Capacity assessment in C&A's
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Confidentiality in Adolescents
This article gives a number of real life scenarios about making health care decisions for adolescents and the ethical issues arising in such cases.
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Testamentary Capacity
Article on Testamentary capacity within the American context but the principles can be applied to any setting.
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| Old Age Psychiatry |
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Molecular Biology of Alzheimer's Disease
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Cholinesterase inhibitors in Dementia
An older article but nonetheless valuable summary about cholinesterase inhibitors in dementia
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Parkinson's Disease and Psychiatry
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Palliative Care in Dementia
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| Child and Adolescent Psychiatry |
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C and A Psychiatry- ADHD and Affective Disorders
This article provides you with a succinct review of ADHD and Affective disorders in children . The focus is mainly on current evidence based treatments and issues rather than the diagnostic assessment. Nevertheless, it is extremely useful as a educational tool for a quick revision of child and adolescent issues.
The next article focusses on Autism, OCD, Schizophrenia, Tourette's and Anxiety
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C and A Psychiatry- Schizophrenia, OCD, Autism
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Adult ADHD
An excellent article for those wanting to know more about the current status of Adult ADHD and the controversies around this.
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Making decisions - Ethical challenges in Children
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| Essay Writing |
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ADHD debate
A stimulating debate from two experienced Child and Adolescent Psychiatrists about the validity. This article is useful for exam going candidates to improve their essay writing skills by combining both arguments to provide a balanced view on ADHD.It has to be noted that the exam essay requires a discursive method as opposed to an argumentative method as adopted in this article.
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Psychiatry and the pharmaceutical industry
A useful article for essay writing . The style is often in the first person , however in the exam this has to be modified to the third person as it is not meant to be an opinion piece. Nonetheless , a number of themes within the editorial are relevant to essay writing in the exam.
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Health implications of a size zero culture
This is an excellent editorial which provides not only a number of important themes in essay writing but also provides a format and style that is applicable to the critical essay. The first two paragraphs( background and introduction) provide an ideal way of putting the essay into perspective and then guiding the examiner to the most important aspects that will be covered in the main body of the essay. Definitely worth a read !!
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Patient choice in psychiatry
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Risk, Psychiatry and The Military
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Psychiatric Illness and Society
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Psychiatry and The Pharmaceutical Industry
An article by Joanna Moncrieff , who is well known for her outspoken views on the relationship between psychiatry and pharma. For the purposes of the essay , it is important to present a balanced view however.
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Personality disorder - An Illness?
Useful article that outlines the concept of illness and how it applies to personality disorder. The concepts can be widened for psychiatry as a whole and incorporated in many essay topics.
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Distinction between Mental and Physical Illness
A must read. Outlines the dichotomy that pervades medicine.
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Stigma in Psychiatry
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Essay tips
Essay Tips by Dr Lillian Ng and Dr Mark Burns
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