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  • Gender identity and children with autism spectrum disorder

    Consultant Psychiatrist Ruth Bevan introduces Gender Dysphoria and Gender Identity Disorder and discusses the assessment and treatment of Gender Identity Disorder in people with Autism Spectrum Disorder.

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  • Does an internet gaming disorder prospectively predict psychiatric symptoms?

    A minority of children and adolescents develop addiction-like engagement in gaming that is associated with impaired function.1 Preliminary data suggest that affected children with these symptoms, indicating an Internet Gaming Disorder (IGD), might present with more symptoms of common psychiatric disorders than those without an IGD.

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  • Adoption and attachment: A parent’s perspective Part 2

    I work as a psychiatrist, and I had a year’s experience of CAMHS psychiatry and I already had two thriving birth children when my adopted daughter came into our lives. None of this had prepared me for the challenges I faced when my daughter moved in.

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  • Neurodevelopmental Disorders cover image

    Neurodevelopmental Disorders

    This edition of The Bridge concentrates on Neurodevelopmental Disorders. Research, particularly on treatments in children within the neurodevelopmental arenas is limited and in many ways behind general mental health research for children or adults.

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  • Sleep cover image

    Sleep Editorial

    This edition of The Bridge concentrates on sleep, a poignant reminder that I am editing this on a 6am train to London having shortened my own sleep cycle and feeling rather sleep deprived on this dark winter morning.

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  • Cover image

    Depression, Self-harm and Suicide Editorial

    This edition of The Bridge focusses on depression, self-harm and suicidal thoughts. These are important clinical topics.

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    Psychological resilience in young people – Editorial

    Having spent a lot of time on a camp bed in a paediatric ward with young people and their families, some of whom were inpatients for weeks on end and facing huge physical challenges, it has made me wonder a great deal about the elements of psychological resilience in young people. This is a theme for this edition.

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  • Prescribing in the dark: off-label drug treatments for children with insomnia

    Insomnia is a common problem in children with neurodevelopmental disabilities (NDDs), and has a profound effect on quality-of-life.

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  • Diagnostic framework for attachment disorders needs improving

    Reactive and Disinhibited Attachment Disorders (RAD and DAD) occur when infants and young children have not been able to form an attachment to their primary caregiver, but questions have been raised as to whether these disorders are being over-diagnosed in adopted children.

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  • Digital health interventions for the young: meeting expectations?

    The number of digital health interventions for mental health disorders is increasing, but research from Chris Hollis and colleagues suggests that the clinical benefits and cost-effectiveness are unclear. Consistent methods of reporting and evaluation are required to extract definitive conclusions from clinical trials.

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