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NHS and Health

News and stories about NHS and health.

What to expect after good quality treatment for OCD

Professor Paul Salkovskis

This week is OCD Awareness Week, and each day we will be publishing a different account of Obsessive-Compulsive Disorder.

During OCD Awareness Week we have heard some honest and candid stories from some brave people, some of whom have commented that they know they will always have to live with OCD. So we asked an OCD specialist to talk to us about recovery and if people will always have OCD. Professor Paul Salkovskis shares his view...

What to expect after good quality treatment for OCD: Recovery, Cure, Resolution or just learning to live with it?
By Professor Paul Salkovskis (Professor of Clinical Psychology and Applied Science, Department of Psychology, University of Bath).

For OCD Awareness week 2016, I have tried to briefly tackle this tough issue at the request of OCD-UK. This is just a short piece written quickly, so please forgive me for the various things I have undoubtedly left out, and for the misunderstanding which may arise from my clumsy phrasing. 

Article posted on: Sat, 15/10/2016 - 1:31pm Read more...

CBT and Me: Learning to live with my dark thoughts

CBT & Me: Learning to live with my dark thoughts is a blog written by Nick Arnold and recently published on the BBC Three website. This blog is a fantastic piece of writing that explains his journey of discovery that OCD is not just about being a neat freak and his experience of CBT treatment at the Centre for Anxiety Disorders and Trauma (CADAT). A blog that is well worth a read, especially if you are new to dealing with OCD.

Article posted on: Fri, 09/09/2016 - 10:48am Read more...

Your Right to Choose - NHS Mental Health Treatment Provider

In April 2014, the then coalition government established legislation for people with mental health conditions to have the same legal right as those with physical health conditions to choose their health care provider.

The NHS stated that patients in England have the legal right to choose any clinically appropriate mental health provider that has a contract with any Clinical Commissioning Group (CCG) or NHS England for the service required.

Partly because of the way the NHS England guidance was interpreted by many different health professionals and NHS services, the legislation is not something that has been widely publicised or is known about.

As we first reported to OCD-UK members in the last member’s magazine, we have been speaking with NHS England's 'Patient Choice' team to clarify the legislation and how people seeking treatment for OCD or BDD can implement it.

At the moment when a patient requires treatment they are automatically referred (or they can sometimes self-refer) to their local service within the same CCG area that they are registered with a GP. For the majority of people that will be fine, and travel restrictions may mean they can only access local services anyway. However, for others where travel is not restrictive, there may be occasions where they may wish to be referred to a different NHS service for their treatment.

Article posted on: Thu, 18/08/2016 - 1:48pm Read more...

Reclaiming travel costs for NHS treatment

Did you know that if you are referred for NHS specialist treatment or diagnostic tests by your doctor or other health professional that you may be eligible to claim a refund of reasonable travel costs under the Healthcare Travel Costs Scheme (HTCS)?

Reasonable travel costs will usually be considered public transport (cheapest tickets, so not first class) or if driving, the mileage rate used by your local CCG. You may also be able to reclaim unavoidable parking, toll or congestion charges. Taxi costs are not usually eligible for reimbursement, so would need to be agreed in advance.

The ability to reclaim travel costs is perhaps most helpful for those that have to travel out of their local area to attend specialist OCD treatment at one of the national OCD clinics in London or Bristol, but you may also be eligible to reclaim travel costs for OCD treatment at other locations. It's important that the cost of travel does not become a barrier to quality treatment, so please do reclaim your travel expenses if you are eligible.

Article posted on: Fri, 20/05/2016 - 11:47am Read more...

Nottinghamshire Recovery College Course - Living well with obsessions and compulsions

We are delighted to have partnered with Nottinghamshire Recovery College to run a brand new course ‘Living well with obsessions and compulsions’ which is aimed at helping people with OCD or and helping people understand the differences between OCD and everyday obsessions. The new six-week course will begin at the Nottinghamshire Recovery College in June and will be co-facilitated by OCD-UK trustee Nick Marlow.   

Article posted on: Mon, 16/05/2016 - 1:42pm Read more...

Antipsychotic augmentation in SSRI treatment refractory OCD

In 2006, the National Institute of Clinical and Health Excellence (NICE) guidelines for Obsessive Compulsive Disorder (OCD) recommended anti-psychotics as a class for SSRI treatment resistant OCD. Since then there as been much discussion and controversy around the effectiveness of anti-psychotics medications for the treatment of OCD, with one research project suggesting they were ineffective, faring little better than a placebo.

In a more recent research trial led by Dr David Veale, a research trial aimed to systematically review and conduct a meta-analysis on the clinical effectiveness of atypical anti-psychotics augmenting an SSRI. Two studies found aripiprazole and risperidone can for some be effective in the short-term for those who failed to respond to previous treatment with CBT and SSRI medications. The trial found that risperidone and aripiprazole can be used cautiously at a low dose as an augmentation agent in non-responders to SSRIs and CBT but should be monitored at 4 weeks to determine efficacy.

Article posted on: Mon, 23/02/2015 - 3:35pm Read more...

Perinatal OCD: New intensive CBT service at CADAT

Dr Challacombe presenting at OCD-UK conference

The Centre for Anxiety Disorders and Trauma (CADAT) known to many as the Maudsley, is both a local and a national specialist service for Obsessive-Compulsive Disorder. They are now offering intensive CBT for women with OCD who are pregnant or who are in the first postnatal year. For those women who fit this criteria, the OCD may have developed during this time or be more longstanding OCD.

Article posted on: Mon, 23/02/2015 - 3:07pm Read more...

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