Hello and welcome to another edition of Best 5 Reads. Lets begin!
When did psychiatry begin? Was it with the discovery of the unconscious? Or was it the discovery of neurotransmitters? As it turns out, healers have been treating mental disorders for thousands of years. Modern psychiatry reflects some, but not all, the values and concepts held by early civilizations. Ancient Greek, Indian, Chinese, Egyptian, Hebrew, European, Arabic, and other cultures explored dimensions of mental and physical health and disease.
Health systems across the global north have tended to view digital interventions purely in terms of increasing access to psychologically-informed support or treatment or reducing costs. Innovators tend to see such developments as ‘disruptions’ that might change at a fundamental level the models and systems by which mental health support is delivered, with potential to even make such services obsolete. Both look to scale as the goal, either through organisational and systematic implementation or through consumer choice. Both have an ambition to go big or go home; often in contrast to their actual number of users.
To date, most of the heat in this new digital industrial revolution has focused upon either prevention or upon the points at which mental illness crosses over with common challenges of living, such as mild depression or anxiety. In the first systematic review of digital mental health implementation for interventions aimed at those with a diagnosis of psychosis or bipolar disorder, published in The Lancet Psychiatry this week, Golnar Aref-Adib and colleagues ask ‘what do we know about implementing these digital wonders?’ The answer, it turns out for people with those conditions using digital interventions, is that we don’t know very much at all. Mainly because we’ve not actually tried very much.
To reduce medicine to a few pixels on a screen, a lab result, and a virtual clinic is to miss the patient as a whole person, says Dr. Jonathan Glass
Outpatient mental health service use has increased among US adults, but many with serious psychological distress still go untreated, new research shows.
Investigators conducted a comprehensive literature review to determine whether CBT is the most effective form of psychotherapy for children with anxiety disorders.
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