Psykiatrien i Region Syddanmark

Discontinuation of antidepressants can be a complex process which requires an understanding of underlying neurobiological mechanisms, withdrawal symptoms, and individual risk profiles. Current clinical guidelines provide limited details on tapering strategies. The new Maudsley Deprescribing Guidelines highlight two key aspects: withdrawal symptoms occur more frequently, are more severe, and persist longer than previously recognized; and these risks can be reduced through a slow, hyperbolic tapering process. The aim of this review is to present these principles for antidepressant tapering.

Med udgangspunkt i 13 gruppeinterviews med i alt 31 fransk- og tyskstuderende fra tre danske universiteter belyses i denne artikel de studerendes kognitioner om sproglæring, både som proces (”at lære et sprog”) og som produkt (”at bruge et sprog” / sprogfærdighed) med særligt fokus på mundtlighed, og det diskuteres med afsæt i lærerkognitionsteori, hvorledes den sproglæringsopfattelse, som de studerende læser ud af sproguddannelserne, påvirker hele uddannelsessystemet. En udpræget fælles motiverende faktor for at studere sprog hos de studerende er forventningen om, at deres kommunikative kompetencer på det respektive fremmedsprog vil blive styrket. Imidlertid viser analysen af de studerendes kognitioner netop sproglæringselementet på uddannelserne som relativt fraværende og, når det forekommer, som et afkoblet element fra sproguddannelsernes andre fagelementer. De studerende oplever, at det er deres eget ansvar at forbedre deres sprogfærdighed og peger på et udlandsophold som stedet, hvor deres forventning om at blive bedre til sproget indfries. På denne måde bliver sproglæringsprocessen erfaringsbaseret og derudover afkoblet indholdsundervisningen, og produktet, sprogfærdigheden, synes at skulle komme af sig selv på de studerendes eget ansvar og særligt i forbindelse med udlandssemestret. Selvom Sprogløftet til en vis grad understreger denne oplevelse af afkoblethed, ser de studerende det også som en meget velkommen indsats.

ECT is a well-established treatment for adults with mood disorders. The use of ECT in child and adolescent psychiatry is, however, less common, although there is a need for effective treatment of mania when the medical treatment has been exhausted. This case was made to elaborate on the experiences from a clinical department, and the focus was on the effectiveness of ECT in treatment-resistant mania. In line with previous studies, the two cases presented show the positive effect of ECT with few side effects. However, further research is still needed.

Attention Deficit Hyperactivity Disorder (ADHD) often coexists with problematic substance use, such as harmful use or dependency. In this review, studies estimate a 21% prevalence of ADHD among individuals with problematic substance use, who often exhibit earlier substance initiation, faster dependency transitions, and higher relapse risks. Diagnosis and treatment are challenging due to overlapping symptoms and comorbidities, but integrated, case-managed approaches combining psychosocial, pharmacological, and therapeutic interventions show promise in improving outcomes for this vulnerable population.

Attention deficit hyperactivity disorder (ADHD) is increasingly diagnosed in adults. The diagnostic process is complex, emphasising the need for specialised assessments due to the disorder's intricate symptomatology and frequent comorbidities. This review presents an outline for a structured diagnostic process, as is the importance of considering comorbid conditions, as they can obscure ADHD symptoms. It is central to adhere to updated clinical guidelines to enhance diagnostic accuracy and treatment efficacy for adults with ADHD.

HovedbudskapVed Avdeling for rus-og avhengighetsbehandling ved Oslo universitetssykehus har vi utviklet en kunnskapsbasert fagprosedyre for fysisk aktivitet i dgnbehandling.Prosedyren gir pasientene mulighet til oppleve fysiske, psykiske og sosiale helsegevinster, samtidig som den sikrer struktur, kvalitet og faglig forankring.Den kan ogs styrke helsepersonells kompetanse i motivere og

Studies on cancer loci by use of twin data reveal sources of variation in risk. The Nordic twin and cancer registries contain the largest cohort of population representative twins ever studied with more than median 40 years of follow-up. This article considers findings that show influences on familial risk and demonstrates the strengths of the matched case co-twin design for unraveling important risk factors of cancers. Studies using twin data will expectedly continue to provide insights into cancer epidemiology and genetics for the benefit of prevention and treatment.