Peter Tyrer – författare

Practitioners in Community Mental Health Teams (CMHTs) frequently find that traditional forms of support are ineffective when offered to patients with personality disorder. This book considers the various difficulties encountered, with reference to current thinking about the origins, maintenance and treatment of personality disorder. Written by practitioners for practitioners, it provides a framework for developing effective care plans with minimal use of technical terms and jargon. Rather than promote an approach based on a single theoretical model, consideration is given to ways in which different approaches can be effectively combined within a multi-disciplinary team. The book is divided into two sections. The first outlines recent government initiatives relating to personality disorder and introduces key theories underlying psychological and biological treatments. The second focuses specifically on the role of the CMHT in relation to patients with these difficulties, including: the assessment of personality functioningdeveloping coherent plans for treatment and supportoptimising the therapeutic relationshipmanaging self-harming behaviourparticular challenges faced by CMHTs, and how to overcome themthe views of service usersinvolving family, friends and carers.Personality Disorder and Community Mental Health Teams deals with the reality of services today. It is essential reading for all mental health practitioners in CMHTs working with people with personality disorder.

Practitioners in Community Mental Health Teams (CMHTs) frequently find that traditional forms of support are ineffective when offered to patients with personality disorder. This book considers the various difficulties encountered, with reference to current thinking about the origins, maintenance and treatment of personality disorder. Written by practitioners for practitioners, it provides a framework for developing effective care plans with minimal use of technical terms and jargon. Rather than promote an approach based on a single theoretical model, consideration is given to ways in which different approaches can be effectively combined within a multi-disciplinary team. The book is divided into two sections. The first outlines recent government initiatives relating to personality disorder and introduces key theories underlying psychological and biological treatments. The second focuses specifically on the role of the CMHT in relation to patients with these difficulties, including: the assessment of personality functioningdeveloping coherent plans for treatment and supportoptimising the therapeutic relationshipmanaging self-harming behaviourparticular challenges faced by CMHTs, and how to overcome themthe views of service usersinvolving family, friends and carers.Personality Disorder and Community Mental Health Teams deals with the reality of services today. It is essential reading for all mental health practitioners in CMHTs working with people with personality disorder.

This is a book of psychiatry at its most practical level. It answers the sorts of questions psychiatrists ask on a daily basis. What treatments are available for the condition this patient has? What is the evidence for the effectiveness of each of these treatments? Is there any value in combinations of treatment? And, can I be sure that the evidence and recommendations are free from bias? This handy pocket reference summarises the key elements of the Cambridge Textbook of Effective Treatments in Psychiatry. The text has been revised to provide the most up-to-date evidence for treatment decisions, with an accompanying summary table for each chapter to reinforce the recommendations. It is an essential guide for mental health professionals of all disciplines as well as medical students and trainees.

Rapid changes are taking place in the practice of psychiatry and nowhere is this more pronounced than in its community aspects. Although much that has changed sometimes appears to have done so without adequate forethought or research there is already a considerable body of knowledge that underscores recent developments. In this book, first published in 1995, prominent researchers in this expanding subject debate the implications of knowledge derived from a variety of sources, and look ahead to impending developments that will need further research enquiry. The chapters are wide in scope and topical in content and the discussions after each are frank and informative. This book will be of help to all those involved in the organisation of psychiatric care.

This is a book of psychiatry at its most practical level. It aims to answer the sorts of questions psychiatrists ask on a daily basis. What treatments are available for the condition that I think this patient has? What is the relative value of each of these treatments? Are there any other treatments that I should be considering if a first approach has failed? Is there any value in combinations of treatment? And, can I be sure that the evidence and recommendations I read are free from bias? The content is organised into three sections covering disease classification, the major treatment modalities and the application of these treatments to the wide range of psychiatric diagnoses. All professionals in mental health want to give the best treatments for their patients. This book provides clinicians with the knowledge and guidance to achieve this aim.

The 11th revision of the International Classification of Diseases (ICD-11) is now published and all countries of the world will be asked to implement it in practice. The ICD-11 has made significant revisions to the classification of mental health disorders, which have real-world implications for clinical practice. This volume provides a clear overview of the major changes to the main psychiatric classifications that will have an impact on clinicians in their day-to-day practice. Each chapter is authored by an authority in the field, who has also been involved in the revision to the classification. The book also covers disorders that have been newly added to the ICD-11, such as Gaming Disorder, Binge-Eating Disorder, Complex PTSD, Prolonged Grief Disorder and more. This is an essential text for mental health professionals internationally, to help them make sense of the new classification, and how best to put it in to practice.

This new book, drawing on the author’s distinguished career in front-line psychiatric practice, describes how to bring patient and prescriber together in an active partnership whereby there is better understanding of the positive and negative elements of drug prescription. At present there is a gap between expectations, with doctors not always able to admit their ignorance of some aspects of drug action, and patients kept unaware of these uncertainties. Balanced decision-making with joint involvement is needed to separate those drugs that are needed regularly to maintain health, those that are only needed when required and those that are mere fashion accessories. Greater care is needed over the explanation of the first prescription, the expected duration of treatment and the plans for eventual withdrawal. The consequence of a better partnership will be less over-prescribing, a reduction of polypharmacy and a lessened need for deprescribing, the planned systematic reduction of drug treatment that has got completely out of control.Concentrating on routine prescribing for psychiatric and mental health disorders rather than unusual conditions and illustrated with real-life anecdotes and case histories, this is essential reading for trainee and practising psychiatrics, general practitioners and pharmacists.

This new book, drawing on the author’s distinguished career in front-line psychiatric practice, describes how to bring patient and prescriber together in an active partnership whereby there is better understanding of the positive and negative elements of drug prescription. At present there is a gap between expectations, with doctors not always able to admit their ignorance of some aspects of drug action, and patients kept unaware of these uncertainties. Balanced decision-making with joint involvement is needed to separate those drugs that are needed regularly to maintain health, those that are only needed when required and those that are mere fashion accessories. Greater care is needed over the explanation of the first prescription, the expected duration of treatment and the plans for eventual withdrawal. The consequence of a better partnership will be less over-prescribing, a reduction of polypharmacy and a lessened need for deprescribing, the planned systematic reduction of drug treatment that has got completely out of control.Concentrating on routine prescribing for psychiatric and mental health disorders rather than unusual conditions and illustrated with real-life anecdotes and case histories, this is essential reading for trainee and practising psychiatrics, general practitioners and pharmacists.

This book explores nidotherapy: the systematic process of changing the physical, social, and personal environment for clients who have failed to respond fully to conventional treatments.Peter Tyrer argues that clients with personality disorders can improve enormously when placed in the right environment and introduces the process of nidotherapy. The chapters explore methods of matching the patient to the environment, modification of the environment, and patient adaptation, along with case examples and a glossary of key terms. Additionally, the use of ICD-11 classification to understand all aspects of a person’s personality is explored to assess personality difficulty, social prescribing, and treatments for severe personality disorder.This book is essential for psychiatrists, clinical psychologists and mental health professionals who treat personality disorders, as well as graduate students in clinical psychology courses.

This book explores nidotherapy: the systematic process of changing the physical, social, and personal environment for clients who have failed to respond fully to conventional treatments.Peter Tyrer argues that clients with personality disorders can improve enormously when placed in the right environment and introduces the process of nidotherapy. The chapters explore methods of matching the patient to the environment, modification of the environment, and patient adaptation, along with case examples and a glossary of key terms. Additionally, the use of ICD-11 classification to understand all aspects of a person’s personality is explored to assess personality difficulty, social prescribing, and treatments for severe personality disorder.This book is essential for psychiatrists, clinical psychologists and mental health professionals who treat personality disorders, as well as graduate students in clinical psychology courses.

Personality disorder affects more than 10% of the population but is widely ignored by health professionals as it is viewed as a term of stigma. The new classification of personality disorder in the ICD-11 shows that we are all on a spectrum of personality disturbance and that this can change over time. This important new book explains why all health professionals need to be aware of personality disorders in their clinical practice. Abnormal personality, at all levels of severity, should be taken into account when choosing treatment, when predicting outcomes, when anticipating relapse, and when explaining diagnosis. Authored by leading experts in this field, this book explains how the new classification of personality disorders in the ICD-11 helps to select treatment programmes, plan long-term management and avoid adverse consequences in the treatment of this patient group.

Anxiety is everywhere and almost everyone knows what it is and has suffered from it. For the specialist it is nonetheless a confusing and complex subject in which psychological and pharmacological theories and treatments clash repeatedly, and there is great uncertainty over its classification and causes. This book by a clinician and research worker who has been involved in the treatment of anxiety for over 30 years aims to combine the important factors of anxiety into an integrated framework which allows the biological, psychological and social aspects of anxiety to be incorporated.

Selection of the best outcome measures is a crucial step in psychiatric research. There are excellent instruments available for most areas of interest and researchers are often faced with a confusing choice. Getting it right will save you time and money, affect the validity and comparability of your results and, ultimately, improve the impact of your publications. This booklet, extracted from the third edition of Research Methods in Psychiatry and with a new foreword and introduction, will help guide you through the crucial process of selecting the rating scales to use in your research. Crucially, each scale is listed with its citation rate as a guide to its popularity among the research community and the potential comparability of results.

We all think about the environment when treating mental illness, but we regard it as secondary to helping symptoms and behaviour. Nidotherapy is the collaborative and systematic process of changing the physical, social and personal environment for people who have failed to respond fully to conventional treatments. It can be given by therapists unqualified in other specific treatment interventions and is highly cost effective, and so offers great advantages in health services constrained by cost pressures. This new edition has been fully revised, and includes new chapters on the principles of nidotherapy, the evidence for its effectiveness, its use in intellectual disability and those of limited mental capacity, the skills needed for nidotherapy, the economic benefits and common misconceptions. This comprehensive guide shows how nidotherapy can be used across the range of mental disorders and gives evidence for its value.

This book provides a comprehensive overview of, and best practice evidence-based guidance on, the prevention and management of aggression and violence by patients with mental disorder across a variety of different settings and specialist patient groups. General aspects of violence management are covered, alongside both pharmacological and psychological interventions. In this second edition, first edition chapters have been fully revised and greatly expanded with new chapters on working with violence in children, criminal and youth justice liaison and diversion systems, forensic psychiatry and adult inpatient secure settings, the relationship between violence and mental health inequality in the Black, Asian and Minority Ethnic communities, service user involvement in training, and engagement with patients and carers. It will be of use to a wide range of mental health professionals working in community, in-patient and forensic (including prison) settings, as well as clinicians dealing with potentially violent incidents day-to-day.

Common mental illnesses have been diagnosed separately in recent years, but what is seldom understood is that they are all linked together, often much more closely than other disorders. In particular, combined anxiety and depression linked to personality disturbance, generally known as neuroticism, is very common. In the absence of awareness of its importance, this frequently leads to wrong clinical decisions and poor outcomes for patients. This book focuses on the concept of neurosis, tracing its history as a concept, its abolition from the DSM, the purpose and importance of the Nottingham Study of Neurotic Disorder, the re-definition of neurosis as the general neurotic syndrome, and its recently updated evidence base. Written for psychiatrists, psychologists and researchers, this book shows how recognising these combined common disorders is absolutely necessary for mental health practice, and urges that it is time that we re-examine our treatment priorities.

It is 1967. A mysterious disease appears in an English town. People fall down suddenly, poleaxed, and many die. Is it caused by a bacterium, a virus, a poison? Nobody knows, and top doctors squabble over its cause. But then two junior doctors and a young anthropology student, who has recovered from the disease, join together. The three investigators continue their work to find out the cause of the disease, a virus whose worst effects are only shown in those who are very anxious. They think they have found the cause and the solution. But will they be in time? This is a gripping dystopian tale, very much relevant to events unfolding today and written by Emeritus Professor of Community Psychiatry at Imperial College, London, Peter Tyrer whose long-standing interest in the connections between mental and physical health informed the novel.