As you may have read in our earlier blog, feeling unusually low in mood or depressed is common following critical illness or injury.
We often meet patients who are feeling uncharacteristically low or depressed, particularly following a hospital admission. Given the difficulty patients often encounter in accessing high quality psychological treatments, they may consider trialling anti-depressant medication as an alternative. However, this may not be recommended. For mild-moderate depression psychological treatments are advised (NICE, 2009). National Guidelines (which provide treatment recommendations in the UK) recommend that anti-depressant medication is only prescribed for patients experiencing moderate-severe depression, alongside a psychological treatment.
Furthermore, evidence suggests that anti-depressant medication may not be as effective as first thought. A recent article in the British Medical Journal (BMJ) has been published by Jakobsen et al. (2020), comparing the effectiveness of anti-depressant medication to placebo. A placebo effect occurs when an improvement is produced by a placebo treatment, which cannot be attributed to the placebo itself and therefore must be due to the patient’s belief in that treatment.
In this review paper, Professor Kirsch and colleagues found that anti-depressant medication had a statistically significant benefit when compared with placebo, but not a clinically meaningful benefit. This means that while statistical software was able to detect a benefit, it was such a small effect that on average the benefit was not experienced by patients as noticeable or meaningful.
Furthermore, anti-depressants were found to increase some unwanted side effects. These findings build on other important papers reporting similar results, for example Cipriani et al (2018).
If the average effect of anti-depressant medication is found to be generally small, this inevitably means that some patients at one end of the scale may benefit significantly while a comparable proportion of patients at the other end of the scale may incur unwanted side effects. While anti-depressant medications have an important role in the treatment plans for some people, is clear from these analyses and National Guidelines is that patients who are experiencing mild-moderate low mood should primarily consider accessing a psychological therapy, rather than anti-depressant medication. At Rethink Health we specialise in providing brief, evidence based psychological treatments for adults experiencing depression and other psychological difficulties.
For more information about Psychology Services in Cancer and Clinical Psychology Services visit rethink health.
Mental health issues are still ignored by a huge population of India.
Even the ones suffering, sometimes, just ignore it, either due to responsibilities or judgments that others might pass.
Clinical Psychologist & Psychotherapist in India are very low in number, but they try to reach each of their patients.
If at any point in life, you think that you might need help regarding something that is personally disturbing you, be it about your sexuality, body image, or anything, always go for a Qualified Mental Health Professional in India as they would help you in the most wholesome way possible.
Restraining yourself due to an inner conflict is not the right way to live your life, visit https://www.holisticallyyours.info/, a site that has been developed to introduce a Clinical Psychologist & Psychotherapist in India that will help you to overcome all your mental health issues with proper therapy.
Feeling low or anxious is not uncommon following admission to an intensive care unit.
This brief blog aims to raise awareness of some of the difficulties patients and their families can encounter following an admission to intensive care.
You may also be interested to read this article from the national press:More than 170,000 patients are admitted to intensive care each year in the UK – and the number of admissions in 2020-21 is likely to be substantially higher.
Patients often experience pain, thirst, sleep deprivation, distressing hallucinations, delusions and disorientation, undergo multiple invasive medical procedures and experience side effects from potent drugs.A state of short-term confusion called ‘delirium’ is thought to be common in intensive care patients, affecting about 40% of patients.
Delirious patients can also sometimes appear depressed, lethargic or withdrawn – this can be easily confused with depression or low mood.As a result of the stressors associated with an intensive care admission, about 40% of patients discharged from critical care experience problems with anxiety or depression and about 23% patients report post-traumatic stress.
Many patients also experience changes to their thinking skills, such as memory, attention or the ability to find the right word.For many patients, these common psychological responses improve independently in the 2-4 weeks following discharge from hospital.
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According to a research report "Cognitive Assessment and Training Market by Assessment Type (Pen- and Paper-Based, Hosted, Biometrics), Component, Application (Clinical Trial, Screening & Diagnostics, Brain Training, Academic Research), Vertical, and Region - Global Forecast to 2021", published by MarketsandMarkets, the cognitive assessment and training market size is expected to grow from USD 1.98 Billion in 2016 to USD 8.06 Billion by 2021, at a Compound Annual Growth Rate (CAGR) of 32.3%.Browse 63 market data tables and 47 figures spread through 150 pages and in-depth TOC on "Cognitive Assessment and Training Market - Global Forecast to 2021"The major forces driving this market are aging global population, increasing awareness about brain fitness, and advancements in technology.
The growing market for cognitive solutions and increasing demand for brain training by next-generation tech-savvy population are contributing to the growth of the cognitive assessment and training market.Download PDF Brochure: https://www.marketsandmarkets.com/pdfdownloadNew.asp?id=1039Clinical trials in terms of application is expected to hold the largest market share in the cognitive assessment and training market during the forecast periodClinical trials are mainly used to identify, measure, or monitor cognitive impairments and cognitive changes.
The assessment of cognitive functions is an integral part of decision-making during clinical drug development, as certain drugs can have an impact on the cognitive capabilities of the brain.
The market is expected to contribute the highest revenue for vendors offering clinical trials.Education vertical is expected to grow at the highest CAGR in the marketCognitive assessment solutions and services are used in the education vertical for screening prospective candidates for schools or colleges.
The leading cognitive assessment and training vendors for this vertical are Pearson Assessment and CogniFit.North America is expected to contribute to the largest market share and Asia-Pacific to grow at the highest CAGRNorth America is expected to hold the largest market share and to dominate the cognitive assessment and training market from 2016 to 2021, due to the increasing awareness among population about adopting medication for cognitive diseases.
The new generation in this region is more concerned toward the benefits of cognitive training, which is not just limited to patients with cognitive dysfunctions.
