
https://www.theguardian.com/commentisfree/2023/may/14/the-definition-of-mental-health-has-been-widened-so-much-that-its-now-almost-meaningless?CMP=share_btn_url
Read more: The Conflation of Psychological Suffering and Severe Mental Illness: Why Clarity Matters
Online Course for Front-line Mental Health Professionals that will help them understand Psychotic States and improve Risk Assessment.
Therapeutic relationships are fundamental to high-quality mental health care. Yet, mental health clinicians constantly face the delicate balance between providing the least restrictive care and ensuring patient safety. This challenge hinges on accurately assessing patients' risk—a highly dynamic assessment influenced by the patient's environment, perception of care, and mental state.
This paper is based on the author’s experience of working with a particular group of female/male trans children and young people who present a similar clinical profile: a fragile ego prone to fragmentation and concrete thinking. Often, there is evidence of a grievance over the failed ideal object, which is internalized, projected into the body, and then attacked. Faced with the developmental challenge of sexuality at puberty, young adults withdraw to a psychic retreat designed to halt development. This paper focuses on the development of a trans identity in defence against an underlying fear of depressive anxieties and psychic collapse. It describes the ongoing assessment of Joanne, a 19-year-old biological female who wanted to be known as Luke in therapy and wished to transition in the belief that this was the only way she could have a life.
https://www.bps.org.uk/psychologist/we-need-inquiry-not-inquisition
https://www.theguardian.com/uk-news/article/2024/aug/12/doctor-warned-valdo-calocane-could-kill-three-years-before-nottingham-stabbings
Predicting future behaviour is challenging, and it’s often easier to identify mistakes in hindsight than to foresee them. Despite these limitations, risk assessment remains crucial in mental health care, requiring us to evaluate potential risks as accurately as possible. For me, effective risk assessment is deeply rooted in a thorough clinical evaluation that considers the patient’s history, including patterns of illness behaviour, while also seeking to understand the person behind the often-bizarre symptoms. Although predicting behaviour is difficult, the strongest predictor of future actions is typically past behaviour, as patterns frequently repeat.
In my experience, drawn from years of reviewing forensic and mental health case studies, I’ve encountered numerous instances where serious consequences arose due to missed psychotic states. Denial and rationalisation often obscure these states, leading to care failures.
Read more: The Link Between Risk Assessment and Clinical Assessment
“If you can dream—and not make dreams your master; if you can think—and not make thoughts your aim; If you can meet with triumph and disaster and treat those two impostors just the same.” — Rudyard Kipling
The Olympic medal haul fills us with national pride, with more to come from the Paralympics. This success sparks renewed calls for increased participation and praise for lottery funding, which has been instrumental in Team GB’s achievements. While the benefits of sporting triumphs are evident, the hidden costs often go unnoticed. What are the downsides of being an elite athlete? The demands of a professional sports career—physical, mental, and emotional—are intense. These pressures can lead to burnout, anxiety, depression, and identity crises, issues often overlooked in the glamour of sports.
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