MonthJanuary 2020

Reading of the Week: Cuijpers on Depression Treatment (WP); Also, Suicide (NEJM), and Sinyor on DeRozan & Depression (Star)

From the Editor

How to treat depression? How do we approach suicide? Who is the greatest Raptor of all time?

This week, we consider three pieces.

In the first selection, Pim Cuijpers (Vrije Universiteit Amsterdam) and his co-authors do a network meta-analysis of depression treatment, weighing psychotherapy, pharmacotherapy, and the combination of the two. They find: “combined treatment is more effective than psychotherapy or pharmacotherapy alone in the short‐term treatment of moderate depression, and there are no significant differences between psychotherapy and pharmacotherapy.”

In a short New England Journal of Medicine paper, Drs. Seena Fazel (Oxford University) and Bo Runeson (Karolinska Institutet) review a topic of relevance to all clinicians: suicide. “Management of suicidality calls for a comprehensive approach to assessment and treatment.”

TORONTO, ON - SEPTEMBER, 25 DeMar DeRozen poses for photos. It was media day for the Toronto Raptors at their training facility, the BioSteel Centre. Coaches and players met with media, answered questions and had a variety of photographs taken. (Richard Lautens/Toronto Star via Getty Images)Yes, we talk about basketball this week

Finally, in the third selection, the University of Toronto’s Dr. Mark Sinyor writes about basketball and his favourite Raptor – and, yes, stigma.

DG

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Reading of the Week: Too Few Psychiatrists? Anderssen on the Gap in Access (Globe); Also, Cuijpers on Success in Depression Treatment (Expert Review)

From the Editor

After a break, the Readings are back. In the coming weeks, we will consider important papers on depression treatment, cannabis, help for the homeless, and more.

This week, there are two selections.

In the first selection, we consider the new Globe and Mail essay by reporter Erin Anderssen on the supply (or the lack of supply) of psychiatrists across Canada. This essay does a sparkling job of pulling together stories and reports, and includes an overview of the literature. It paints a familiar, if unsettling, picture of need unmatched by availability, and includes interviews and original data analysis.

She writes: “The modern psychiatrist can’t be everywhere. So they should be where Canadians need them most.”

We summarize the essay and some of the larger questions raised.

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In the second selection, the Vrije Universiteit Amsterdam’s Pim Cuijpers writes about depression and treatment. Thinking about successful care, he asks a simple question: “When patients seek treatment, is a reduction of depressive symptoms really what they want, or do patients have other goals as well?”

DG

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Reading of the Week: The Best of 2019

From the Editor

It’s an annual Reading of the Week tradition. As one year draws to a close and we start the next, we pause, take stock, and consider the best selections of the past 12 months.

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We can also think about the Readings, mental health care policy, and what to expect in 2020.

So, let’s start with the not-so-big picture: the Reading of the Week has completed another year. For the first time, in the spring, I did a formal evaluation with the help of Faisal Islam (of CAMH Education). Among the survey results: the Readings enjoy a 97% satisfaction rate. Nice. And many readers had good suggestions, which I’m looking forward to using.

And in the big picture: 2019 was a year when further progress was made in the public discourse on mental illness. More people spoke about their personal experiences. Governments across Canada committed themselves to mental health reforms. But it wasn’t all great: moments also reminded us of the work that must be done, especially around stigma, even among prominent Canadians.

The 2019 selections of the Readings included some sparkling and important research. As I have commented before, I find psychiatric journals to be more interesting and more relevant with each passing year (and, at this point, I’ve seen a few passing years).

Does cannabis help with the treatment of mental illness? How does Ramadan affect the mental health of our Muslim patients? Does VR and other new technologies offer hope in the treatment of anxiety and other mental disorders?

These important questions were asked by researchers, and their papers help inform our work as clinicians.

And so with an eye on the future, let’s look back at the last year. Enjoy.

Please note that there will be no Reading for the next two weeks.

DG

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