Practitioner Resources      A range of articles and tools to aid your practice and continuing professional development.

Australian Guidelines for the Treatment of Adults With Acute Stress Disorder and Posttraumatic Stress Disorder

ACPMH Guidelines for ASD and PTSD: Information for People with ASD and PTSD, their Families and Carers.

By D. A. Clark and A. T Beck: The Guilford Press, New York, 2009. Clark and Beck are recognized the world over for their clinical, empirical, and theoretical contributions to cognitive therapy. The text they have produced reflects their extraordinary expertise and experience for advanced clinicians, while remaining readily accessible for novice students. This comprehensive text provides exceptional coverage of modern cognitive models of anxiety, case formulations, and disorder-specific treatment protocols. The details within the compendium span five anxiety disorders described within the current, well-recognized Diagnostic and Statistical Manual, Fourth Edition, Text Revision: panic disorder, social phobia, generalized anxiety disorder, obsessive-compulsive disorder, and post-traumatic stress disorder. As noted by the authors, the text functions as a revision to Anxiety disorders and phobias: A cognitive perspective (Beck, Emery, & Greenberg, 1985), designed to include the more than two decades of research and advancement since publication. To that end, the current text represents not only the current state-of-the-art in cognitive therapy, but also serves as a brilliant summary for cognitive researchers.

Chrissie Verduyn, Director of Clinical Psychology and Co-Clinical Director of Salford and Manchester, (England) Community Mental Health Center; Julia Rogers, a Case Manager at nearby Bolton Community Mental Health Centre; and Alison Wood, a child psychiatrist at Pine Lodge Young People’s Centre, Chester, team up to produce what they term an ‘‘accessible guide’’ to recognizing and treating depression in young people. Their book covers issues such as preparing children and adolescents, often collectively termed ‘‘young people,’’ into the treatment process. Sections on goal setting, cognitive assessment and formulation, a discussion of possible solutions for problems often faced by therapists, and various strategies for encouraging parents and agencies to support therapy are well covered.

Danger ideation reduction therapy (DIRT) for obsessive compulsive disorder (OCD) is a new intervention focusing on providing corrective information, and is the subject of a new comprehensive guide to treatment for compulsive washing. The components of DIRT are well presented in this manual-based treatment and the documentation includes dialogues, fi lmed interviews with workers in dangerous occupations, and fact sheets to persuade the client to exchange beliefs about danger for beliefs about safety. The book is well organized and user friendly. Clinical trials have shown DIRT to be an effective treatment. Although DIRT as a stand alone therapy seems to offer some advantages over conventional CBT, it may function currently more as an adjunct to help cognitive restructuring. DIRT certainly encourages us to rethink some assumptions about the use of corrective information in treating OCD.

Trainees new to cognitive-behavioural therapy (CBT) often worry about their capacity to do the technical interventions for which CBT is best known. How does one use a thought record to change key assumptions? What is an exposure hierarchy, and how is it made? What is the best way to carry out behavioural activation? When they begin treating patients with CBT, they soon discover that the tough part of CBT is not really technique, but rather the choices the therapist makes during the therapy: choosing what to target, choosing when to do so, choosing which interventions would be the most fruitful.

‘‘I am glad we’re on the same page.’’ ‘‘Are you thinking what I’m thinking?’’ ‘‘You feelin’ me?’’ ‘‘You know what I mean?’’ ‘‘I know what you’re going through.’’ Both inside the clinic and out, every day we hear empathic phrases, offer empathic statements and discuss empathy: shared meaning, experience, thoughts, feelings, mimicked behaviors. Yet, for all of our reflection on empathy—the meaning and nature of this phenomenon are poorly understood and controversy seems to follow the term’s use. Take, for example, the fiery criticism President Obama received when in 2009 when he announced that empathy was one of the main criteria by which he would select a Supreme Court nominee (Baker 2010). Also consider Heinz Kohut, who, even in the final days of his life, worked diligently to correct ‘‘abuses’’ and better explain what he meant by the therapeutic use of empathy (Strozier 2004, p. 376). Into the lively discussion on the nature and meaning of empathy arrives Jean Decety and William Icke’s extraordinary interdisciplinary compilation The Social Neuroscience of Empathy.

The Australian Psychological Society Limited (the Society) adopted this Code of Ethics (the Code) at its Forty-First Annual General Meeting held on 27 September 2007 and it remains extant today. It provides the ethical framework for Psychologists working within Australia.

Better Access to Psychiatrists, Psychologists and General Practitioners through the Medicare Benefits Schedule (Better Access) initiative.

The DASS is a 42-item self report instrument designed to measure the three related negative emotional states of depression, anxiety and tension/stress. It is in the public domain and may be downloaded from this website with an attached scoring sheet.

All persons registered under the Health Practitioner Regulation National Law (the National Law) as in force in each state and territory, and who practice psychology, must have appropriate professional indemnity insurance (PII) arrangements in place, according to the Psychology Board of Australia’s (the Board) Professional indemnity insurance arrangements registration standard (the PII standard). This includes psychologists providing direct psychological care, supervisors, managers of clinics, and psychologists who work in management, administration, research, advisory or regulatory or policy development roles. It also includes provisional psychologists who practice under supervision.

These guidelines for advertising of regulated health services (the guidelines) have been jointly developed by the national boards under s. 39 of the Health Practitioner Regulation National Law 2009 (the National Law)1. The purpose of the guidelines is to provide guidance about the interpretation of the provisions of the National Law that apply to advertising of regulated health services. Under the National Law, a regulated health service means ‘a service provided by, or usually provided by a registered health practitioner.

This MH book is for practitioners helping veterans with common mental health problems. Prepared for the Department of Veterans’ Affairs by Dr John Cooper, Associate Professor David Forbes, Associate Professor John Pead, Andrea Phelps Jacinta Cubis (Editor) of the Australian Centre for Posttraumatic Mental Health.

This clinical guideline describes methods of preventing, identifying, diagnosing and treating delirium. In particular, the guideline focuses on preventing delirium in people identified to be at risk, using a targeted, multicomponent, non-pharmacological intervention that addresses a number of modifiable risk factors (‘clinical factors’).

This guideline makes recommendations on the assessment and management of bedwetting in children and young people. The guidance applies to children and young people up to 19 years with the symptom of bedwetting.

This guideline covers both ‘pure’ GAD, in which no comorbidities are present, and the more typical presentation of GAD comorbid with other anxiety and depressive disorders in which GAD is the primary diagnosis. NICE is developing a guideline on case identification and referral for common mental health disorders that will provide further guidance on the identification and treatment of comorbid conditions

This guideline makes recommendations on the diagnosis, assessment and management of harmful drinking and alcohol dependence in adults and in young people aged 10–17 years.

This guideline covers the assessment and management of adults and young people (aged 14 years and older) who have a clinical diagnosis of psychosis with coexisting substance misuse.

The intention of this guideline, which is focused on primary care, is to improve access to services (including primary care services themselves), improve identification and recognition, and provide advice on the principles that need to be adopted to develop appropriate referral and local care pathways. It brings together advice from existing guidelines and combines it with new recommendations concerning access, assessment and local care pathways for common mental health disorders.

This guideline covers the recognition, referral and diagnosis of autism in children and young people from birth up to 19 years.

This guideline offers best practice advice on the care of adults, children and young people who self-harm.

This guideline offers best practice advice on the care of children, young people and adults with epilepsy.

This guideline makes recommendations on the identification, treatment and management of depression in adults aged 18 years and older, in primary and secondary care. This guideline covers people whose depression occurs as the primary diagnosis.

NICE clinical guideline 91 on depression in adults with a chronic physical health problem. This guideline makes recommendations on the identification, treatment and management of depression in adults aged 18 years and older who also have a chronic physical health problem (such as cancer, heart disease, diabetes, or a musculoskeletal, respiratory or neurological disorder).

By Roger R. Rosa and Michael J. Colligan on behalf of the U.S. Department of Health and Human Services.

Prepared on behalf of a multidisciplinary Working Group by Nicholas Horrocks MSc and Roy Pounder MD DSc FRCP on behalf of the Royal College of Physicians of London. This Guide was also published in Clinical Medicine 2006 Vol 6.