Alfred Perera's blog

Designing a good clinical study of Depression

In practice less than half of young people affected by severe depression in the the UK get seen and most of these young people have to wait  few months for therapy. This not an acceptable situation.

Neuro-imaging cannot reveal a characteristic representation of the depressed brain for all young people with depression. Although the diagnosis of depression can be made clinically there are other factors at play within the individual like the presence of other physical or mental health problems and adverse or challenging social circumstances. 

Social Media: Part 1

It is now 2020. Happy New Year to you all!
In the last 25 years there has been remarkable advancement in telecommunications over the internet. Emailing and internet chat rooms have now joined with instant picture messaging and vlogs. You Tubers and celebrities and politicians have been able to harness the power of the internet to project their images, strengthen their message and enhance thier popularity. Through the internet some people can influence the world.

Child Maltreatment

Child Maltreatment by way of emotional abuse, neglect, physical and sexual abuse is common in the world. In the UK at least 10% of children have suffered one or more of these forms of maltreatment or abuse and in the USA five children die each day from abuse.

 

Brexit and Depression

 

 

There had to be an article on Brexit as the nation is going through it together. In my work over the last few years I have met a few young people who have been very upset by Brexit but the majority are more interested in their social media accounts, gaming and K-pop. The experience of depression sits in the context of the what is happening at home, in the school, in the (online) community and in society as a whole.

Should we prescribe training schedules for everyone?

In the next few weeks I will be making the transition to teaching young people Taekwondo, which I took up in 2011 at the age of 39 years. This morning I went on a one hour training session to consider how I would teach students correctly, everything I know. Maybe martial arts teachers should transfer their martial arts awesomeness to their students. I have had great teachers in the martial arts and I had been particularly inspired by Master Derek Sumner of UK and more recently by Master Jeong In-Choul of South Korea.

Relationships

Relationships are very important.

In our work in treating young people with depression it is important to form a therapeutic relationship with them.

During the interview the young people tell us their story in which they often describe what had happened and what had one wrong in relationships especially if there has been trauma, abuse, betrayal, shame and bullying.

When anyone shares such details about their life, they are putting alot of trust in us. Trust between young people and the therapist, psychologist and doctor is vital.

England won the Cricket World Cup yesterday!

After a close game of cricket at Lord's the scores were tied at 241 after England just ran out of batsman chasing the target set by New Zealand. The tie was resolved by the Super Over in which each team had one over to score more runs. As it turned out both teams scored 15 runs and England were awarded the win on the basis of more boundaries scored in the super over.

Wow!

Even if you don't understand ticket it was a hard fought game won by the smallest of margins. It was exciting and I hope it will inspire many children and young people to take up sport.

ADHD and Addictive Behaviour

Two years ago I gave a talk in London to esteemed colleagues and friends on this subject.

In cases where young people are using Class A drugs there are clear safeguarding issues because young people in these contexts are exploited the same of these drugs through their participation in the illegal economy, in organised crime.gang culture and sex working.

Global Suicide Trends: Still one person every 40 seconds

Suicide is not a rare event if the World Health Organisation (WHO) estimates that 800 000 - 1 000 000  people die by suicide in the world each year. There is regional variation in suicide rates across the world. In 2016 just over 222 000 young people aged 10-29 years were recorded as having committed suicide. According to WHO Global Health Estimates 2016, in the 15-29 year old group, suicide accounted for about 200 000 deaths compared to 400 000 deaths by road traffic accidents. Of these statistics about 125 000 young men had died by sucide, compared to 170 000 by interpersonal violence.

How do Psychiatrists, Psychologists and Nurses cope?

If we can understand this issue then parents and teachers can learn from us and apply the positive messages in their interactions with their children. About 10% of children under the age of 10 years in the UK have one or more diagnosable mental illnesses which impair their progress in education and the social world. About 10% of all children are subject to maltreatment in the UK.

THE HEALTH SYSTEM IS NOT STAFFED WITH ENOUGH PEOPLE TO MEET DEMANDS AND THE NEEDS OF THESE CHILDREN.

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