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Kim Farrant's sophomore feature--about a woman who becomes obsessed with a young girl--both rests on and revitalises the tropes of the thriller genre, deploying the requisite twists and toying with [...]

Community-based rehabilitation services in Malaysia have been established with the introduction of the National Mental health Act 2001. The Health Ministry's aims of providing a comprehensive community care encountered difficulties due to the lack of support for the primary and secondary health care services. Given the lack of study into the challenges faced by individuals with mental illnesses, an apparent need has arisen to conduct a qualitative study to better understand the experiences and the psychological well-being of these individuals. The aim of this research is to investigate the psychological distress faced and experienced by these residents with mental illnesses in one of the community-based rehabilitation centres and to explore the problems they encounter. A total of eight residents were interviewed using a semi-structured interview approach. The findings revealed an obvious neglect of the residents' psychological and social well-being. They felt the need for family support and social acceptance, to preserve their integrity and to get the understanding of the caregivers and the stigmatization that comes with mental illnesses. Mental health services should incorporate an integrative approach of public acceptance of these people living with mental illnesses by providing appropriate psychological services and facilities., Author(s): Sew Kim Low [sup.1] , Wan Ying Lee [sup.1] , Christoper Selvaraj Jacob [sup.1] Author Affiliations: (Aff1) 0000 0004 1798 283X, grid.412261.2, Department of Psychology and Counselling, Faculty of [...]

Poststroke cognitive impairment is considered one of the main complications during the chronic phase of ischemic stroke. In the adult brain, the hippocampus regulates both encoding and retrieval of new information through adult neurogenesis. Nevertheless, the lack of predictive models and studies based on the forgetting processes hinders the understanding of memory alterations after stroke. Our aim was to explore whether poststroke neurogenesis participates in the development of long-term memory impairment. Here, we show a hippocampal neurogenesis burst that persisted 1 month after stroke and that correlated with an impaired contextual and spatial memory performance. Furthermore, we demonstrate that the enhancement of hippocampal neurogenesis after stroke by physical activity or memantine treatment weakened existing memories. More importantly, stroke-induced newborn neurons promoted an aberrant hippocampal circuitry remodeling with differential features at ipsi--and contralesional levels. Strikingly, inhibition of stroke-induced hippocampal neurogenesis by temozolomide treatment or using a genetic approach (Nestin-[Cre.sup.ERT2]/NSE-DTA mice) impeded the forgetting of old memories. These results suggest that hippocampal neurogenesis modulation could be considered as a potential approach for treatment of poststroke cognitive impairment., Introduction Stroke is one of the leading causes of death and disability worldwide, affecting millions of lives every year. In the past few decades, advances in prevention and healthcare have [...]

Le taux des assauts sexuels envers les femmes est scandaleusement eleve au Canada et les etudiantes sur les campus sont particulierement exposees a la victimisation. Il est reconnu que les assauts sexuels entrainent des irregularites au niveau de la sante mentale qui ont le pouvoir de raviver la victimisation. C'est pourquoi les survivantes doivent etre soignees immediatement apres l'assaut si on veut empecher ces troubles de se manifester. Une conscientisation feministe permet aux femmes de voir les realites sociales de leur assaut et detournent le blame quand elles commencent a comprendre la vaste structure patriarcale qui appuie la violence envers les femmes. De plus l'education feministe donne aux femmes un langage qui leur permet de construire un recit autour de leur experience et de le partager avec un auditoire compatissant qui favorisera la guerison. L'auteure propose aux campus canadiens d'orienter les etudiantes qui ont survecu vers une conscience feministe qui leur permettra de se guerir des experiences traumatisantes reduisant ainsi les effets negatif sur leur sante mentale et minimiser les risques de revictimisation., As one of the most severe forms of trauma, sexual assault contributes to multiple long-lasting physical and emotional consequences across a woman's life span (Bryan et al. 223; Campbell et [...]

Byline: Seema. Rani, Sandeep. Grover, Aseem. Mehra, Swapnajeet. Sahoo Sir, Chloroquine and hydroxychloroquine (HCQ) have emerged as a treatment option for the coronavirus disease 2019 (COVID-19) infection. The intake of [...]

From our beginnings, psychiatry has functioned at the intersection of medicine and the broader society--serving not only to treat psychiatric disorders but also to help prevent patients from harming themselves [...]

Telepsychiatry has its roots in Europe. In the 1920s and into the 1940s radio consultations were performed between European countries and sailors onboard ships or people on isolated islands who [...]

Animal-assisted therapy has grown in popularity over the past few decades, with both psychologist and physical therapists using a variety of critters--including dogs and dolphins--to help their patients. Horses are [...]

Background In low-income countries, care for people with mental, neurological, and substance use (MNS) disorders is largely absent, especially in rural settings. To increase treatment coverage, integration of mental health services into community and primary healthcare settings is recommended. While this strategy is being rolled out globally, rigorous evaluation of outcomes at each stage of the service delivery pathway from detection to treatment initiation to individual outcomes of care has been missing. Methods and findings A combination of methods were employed to evaluate the impact of a district mental healthcare plan for depression, psychosis, alcohol use disorder (AUD), and epilepsy as part of the Programme for Improving Mental Health Care (PRIME) in Chitwan District, Nepal. We evaluated 4 components of the service delivery pathway: (1) contact coverage of primary care mental health services, evaluated through a community study (N = 3,482 combined for all waves of community surveys) and through service utilisation data (N = 727); (2) detection of mental illness among participants presenting in primary care facilities, evaluated through a facility study (N = 3,627 combined for all waves of facility surveys); (3) initiation of minimally adequate treatment after diagnosis, evaluated through the same facility study; and (4) treatment outcomes of patients receiving primary-care-based mental health services, evaluated through cohort studies (total N = 449 depression, N = 137; AUD, N = 175; psychosis, N = 95; epilepsy, N = 42). The lack of structured diagnostic assessments (instead of screening tools), the relatively small sample size for some study components, and the uncontrolled nature of the study are among the limitations to be noted. All data collection took place between 15 January 2013 and 15 February 2017. Contact coverage increased 7.5% for AUD (from 0% at baseline), 12.2% for depression (from 0%), 11.7% for epilepsy (from 1.3%), and 50.2% for psychosis (from 3.2%) when using service utilisation data over 12 months; community survey results did not reveal significant changes over time. Health worker detection of depression increased by 15.7% (from 8.9% to 24.6%) 6 months after training, and 10.3% (from 8.9% to 19.2%) 24 months after training; for AUD the increase was 58.9% (from 1.1% to 60.0%) and 11.0% (from 1.1% to 12.1%) for 6 months and 24 months, respectively. Provision of minimally adequate treatment subsequent to diagnosis for depression was 93.9% at 6 months and 66.7% at 24 months; for AUD these values were 95.1% and 75.0%, respectively. Changes in treatment outcomes demonstrated small to moderate effect sizes (9.7-point reduction [d = 0.34] in AUD symptoms, 6.4-point reduction [d = 0.43] in psychosis symptoms, 7.2-point reduction [d = 0.58] in depression symptoms) at 12 months post-treatment. Conclusions These combined results make a promising case for the feasibility and impact of community- and primary-care-based services delivered through an integrated district mental healthcare plan in reducing the treatment gap and increasing effective coverage for MNS disorders. While the integrated mental healthcare approach does lead to apparent benefits in most of the outcome metrics, there are still significant areas that require further attention (e.g., no change in community-level contact coverage, attrition in AUD detection rates over time, and relatively low detection rates for depression)., Author(s): Mark J. D. Jordans 1,2,*, Nagendra P. Luitel 2, Brandon A. Kohrt 2,3, Sujit D. Rathod 4, Emily C. Garman 5, Mary De Silva 6, Ivan H. Komproe 7,8, [...]

Kleptomania occurs in 0.3%-0.6% of the population and is defined as 'the recurrent failure to resist impulses to steal items even though the items are not needed for personal use [...]

Byline: Aylin. Gunesli, Cagatay. Andic, Ozlem. Alkan, Ilknur. Erol, Halil. Suner Seckel syndrome and Moyamoya diseases are different entities that rarely associated with each other. Several cases presenting with both [...]

The pharmacological management of psychiatric disorders has been revolutionized since chlorpromazine became available in 1955. Newer psychotropics have added years to the life of people suffering with mental illness, and [...]

For three years, I was medical director of a specialized adolescent inpatient unit at West I Virginia University (WVU). All patients were court-ordered for 12-month stays. Three admission criteria were [...]