CliveUK

CliveUK

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All Content by CliveUK

  1. Liquid Thorazine Shortage?

    CliveUK replied to PRNMEDS's topic in Psychiatric

    I think thorazine is called chlorpromazine over here Don. As one of the older antipsychs, I really can't remember when I saw it last used - ages and ages

  2. What's Your State Hospital Policy R/T BPD/O?

    CliveUK replied to autumn-moon's topic in Psychiatric

    Ah, these are the tensions you have to live with as a nurse. You can't "make" people better, they do that for

  3. CNA is a cutter

    CliveUK replied to lovingtheunloved's topic in Psychiatric

    Self-injury is just another form of coping mechanism for some people. You say later on in this thread that she says she has gone down the therapy route and found it useless. Seems to me like she has...

  4. Reducing the Brain, Ignoring the Soul

    CliveUK replied to finness's topic in Psychiatric

    Me too StuPer. ECT is a controversial treatment, but in terms of side-effects, it's probably safer than some

  5. Reducing the Brain, Ignoring the Soul

    CliveUK replied to finness's topic in Psychiatric

    StuPer - I've never advocated for meds alone as a treatment for depression. My feelings are that the chemical imbalances which are a feature of depression may - when the depression is still "mild to...

  6. Reducing the Brain, Ignoring the Soul

    CliveUK replied to finness's topic in Psychiatric

    StuPer - it is rather convenient, isn't it, that certain schools of counselling/therapy consider themselves too mysterious and unquantifiable to be researched adequately? Which allows them to get...

  7. Reducing the Brain, Ignoring the Soul

    CliveUK replied to finness's topic in Psychiatric

    Over here, the counselling and therapy industry is totally unregulated, except through informal, voluntary regulation by organisations representing therapists of various flavours. This is why I have...

  8. Reducing the Brain, Ignoring the Soul

    CliveUK replied to finness's topic in Psychiatric

    There is next to no evidence for the effectiveness of "counselling". And seeing as "counsellors" don't even need to be licensed or registered to set their service up, you could be allowing rank...

  9. schizophrenia

    CliveUK replied to stephera's topic in Psychiatric

    Hypothetically. In fact, none of the studies has demonstrated conclusively that ventricular enlargement is a feature of

  10. ? about personal responsibility

    CliveUK replied to MQ Edna's topic in Psychiatric

    In the field of psychiatry, I don't think you can ever say "OK that's it, we've done all we can". It's the nature of the beast, and I would be strongly opposed to any measures which, basically,...

  11. schizophrenia

    CliveUK replied to stephera's topic in Psychiatric

    Short answer - no. Long answer -

  12. Antidepressants and children-New Info

    CliveUK replied to lsyorke's topic in Psychiatric

    Horses for courses, I suppose. Some kids get on with them, others don't. I guess the point is that the drugs companies should have been upfront and honest about the side effects, allowing patients a...

  13. Group Therapy Ideas

    CliveUK replied to Delz's topic in Psychiatric

    Is there published evidence Hukilau - do you have a

  14. Risperdal, gynecomastia and galactorrhea in adolescent males

    CliveUK replied to stevierae's topic in Psychiatric

    Don't most antipsychotics interfere with prolactin levels, hence the galactorrhoea some women experience and the erectile dysfunction in men? Would that lead to gynaecomastia? I owuld have thought...

  15. Psychiatric side effects monitoring form

    CliveUK replied to sbic56's topic in Psychiatric

    The Liverpool University Neuroleptic Side Effect Rating scale (Day et al 1996) sounds like the kind of thing you're after. It's a 51 item checklist of side effects and patients are asked to rate how...

  16. Group Therapy Ideas

    CliveUK replied to Delz's topic in Psychiatric

    Your reply assumes that process groups are effective for acutely-ill patients. I have yet to see any evidence that this is the

  17. Scared

    CliveUK replied to sammilynn's topic in Psychiatric

    Don't worry about screwing up - all of us have done it at some time or other. Nobody expects you to be perfect. If you have the yearning to be a psychiatric nurse, then I say go for

  18. Group Therapy Ideas

    CliveUK replied to Delz's topic in Psychiatric

    I would like to see the reference that says brain surgery is beyond the scope of practice of nurses. I've never seen it, and yet it is generally accepted that it is, and nobody would be advocating...

  19. Group Therapy Ideas

    CliveUK replied to Delz's topic in Psychiatric

    I don't think psychotherapeutic groups are at all appropriate for acute inpatients, nor do I think it appropriate for untrained nursing staff to be blundering about trying to run them. Specific...

  20. What's Your State Hospital Policy R/T BPD/O?

    CliveUK replied to autumn-moon's topic in Psychiatric

    Acute in-patient units are not appropriate for more than a very short-term crisis admission for people with BPD. However, over here in the UK, I'm sure it's the same as over there in the US: BPD...

  21. Electric Shock Therapy

    CliveUK replied to Mazzi's topic in Psychiatric

    The outcomes stack up pretty well, actually. Here in the UK, ECT is only given for recalcitrant depression that hasn't responded to antidepressant

  22. Electric Shock Therapy

    CliveUK replied to Mazzi's topic in Psychiatric

    Over here in the UK, we have an organisation called NICE (National Institute for Clinical Excellence) who have evaluated ECT and produced useful guidance to its use and efficacy. You can download a...

  23. Please help with paranoid family member

    CliveUK replied to ernurse2244's topic in Psychiatric

    We have two examples of her behaviour that lead you to think she might be mentally ill: - one seems to me to be a heightened concern about an ex-partner. Perhaps the ex was abusive (her description...

  24. Mental health and fantasy

    CliveUK replied to susanna's topic in Psychiatric

    Interesting take on mental illness, but I'm afraid I don't think delusional thinking can be classed as 'fantasy', not unless you accept that any belief (such as the world being round, needing oxygen...

  25. Please help with paranoid family member

    CliveUK replied to ernurse2244's topic in Psychiatric

    Hmm - well, my first thought is what qualifications does your counsellor have that make her able to decide your DIL is "paranoid", without having seen her or heard her side of the story? I would be...