The Cochrane Schizophrenia Group

Processing the process: Systematic Reviews

By Angelique Bodart, Editorial Assistant for the CSzG

As you look through the Cochrane Library > Schizophrenia and Psychosis you notice that the one thing you were hoping to find isn’t there but you know for a fact that there’s trials out there looking at that exact thing.  Why is there not a systematic review on that topic?  Because you or another clinician have not contacted us to ask to write one, or perhaps it is being done behind the scenes you just don’t know it yet.  As we have seen from Prescribing as a junior doctor: do we know what we think we know? and The Clozapine rollercoaster, systematic reviews are very important to doctors, they are also very important to patients, as they enable both to make an informed decision about how to treat schizophrenia or at least support recovery and stability.  Unfortunately systematic reviews of drugs, therapies, ECT, hospitalisation procedures etc. don’t happen by magic.  They happen because someone has contacted us with an interest they wish to pursue, to establish the usefulness of, with other like-minded people. Read the rest of this entry »

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The Clozapine rollercoaster

By Mahesh Jayaram, CSzG Editor and Clinical Consultant Psychiatrist

This is my first ever blog, hence not sure how I go about writing this, however here it goes….
My life as a psychiatrist often involves dealing with people who present with difficulties that even after years of knowing someone takes me aback. Not knowing what challenge will present itself is what makes my job interesting keeps me going. Sometimes though, there is the frustration of coming across the same problem that has confronted me before and not having the right solutions. Patients suffering from schizophrenia have to deal with not only their symptoms, which can often be intrusive and disabling but also with the consequences of suffering from the illness, stigma and impact, it has on their lives. In addition, the medications that are available for this condition are imperfect and cause unacceptable side effects. Read the rest of this entry »

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