Full List of Hot Topics eModules

Full List of Hot Topics eModules

Select an eModule from the list below to view description & learning outcomes or to Pay and enrol

(Approved by CPsychI for 1 External or Internal CPD credit)

Premature mortality due to CVD is the most common cause of natural death in those with SMI. The reasons remain unknown though the contribution of medication, illness & lifestyle choices all contribute. The general population has seen in a decline in CVD-related mortality. The same is not true in those with SMI. Thus far, simply being aware of the problem is insufficient & there needs to be a proactive approach which involves screening and the offering of guideline concordant treatment strategies to all patients with SMI.
Learning Outcomes:
1. Understand risk factors for CVD in common SMI
2. Understand role of illness and medication in the development of CVD in SMI
3. Strategies to help those with SMI deal with CVD risk factors
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(Approved by CPsychI for 1 External or Internal CPD credit)
This talk looks at: Psychological Impacts of Trauma, Evolution of PTSD Diagnosis, Role of Medication and Therapies in PTSD, and Challenges in Clinical Care of PTSD
Learning Outcomes:
1. Understanding of normal and pathological responses to traumatic events
2. Understanding of Value and Limitations of Diagnostic Criteria
3. Understanding of Roles of Medication and Psychological Therapies in PTSD
4. Understanding of common challenges in clinical management of patients with experience of trauma
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Hot Topic eModule 3: The Change Imperative: The youth mental health paradigm as a model for mental health reform in Ireland

(Approved by CPsychI for 1 External or Internal CPD credit)
This talk will combine epidemiological evidence on the prevalence of mental ill-health among youth populations with a critique of Ireland’s current mental health policy and services. In this talk, a case will be made for rethinking and reforming existing mental health policy and service structures in Ireland, with particular reference to mental health services for young people during the developmental periods of adolescence and young adulthood.
Learning Outcomes:
1. Update on the latest epidemiological evidence on rates of mental ill-health among youth populations in Ireland and internationally
2. Introduction to the youth mental health paradigm and current opinion on the rationale for youth mental health reforms internationally
3. Overview of the youth mental health model of care as a potential blueprint for mental health reform in Ireland
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(Approved by CPsychI for 1 External or Internal CPD credit)
This talk addresses the high rates of serious mental illness presenting to prisons in Ireland and the steps taken to identify and divert people with severe mental illness to healthcare.
 Learning Outcomes:
1. To gain understanding of the over-representation and accumulation of people with severe mental illness, particularly psychotic illness, in prisons.
2. To understand why people with severe mental illness are often refused bail even when charged with very minor or trivial offences for reasons to do with their mental illness rather than the offence.
3. To appreciate the large numbers of mentally ill persons who are homeless and present to prisons when actively psychotic.
4. To understand the process of screening, identification, liaison and diversion from prison which takes place at Ireland’s main remand prison.
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(Approved by CPsychI for 1 External or Internal CPD credit)
Alcohol misuse is common and devastating, with significant mortality and morbidity. In the last decade, novel interventions, pharmacotherapeutic, psychotherapeutic and technology-based are gradually transforming the treatment landscape. This presentation covers these developments and how they can be used to help current practice.
Learning Outcomes:
1. The audience will learn the background research about novel treatments in alcohol misuse.
2. The audience will learn about the breath of treatment interventions in alcohol misuse.
3. The audience will learn about application of these developments into current clinical practice.
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(Approved by CPsychI for 1 External or Internal CPD credit)
This talk covers Key PTSD maintenance factors, a brief overview of the cognitive model for PTSD, evidence base for Trauma-Focused Cognitive Behavioural Therapy (TFCBT), and specific challenges in delivering and integrating TFCBT within community mental health teams.
Learning Outcomes:
1. Understanding of the main factors that maintain PTSD
2. Understanding of the main treatment components of the cognitive model for PTSD
3. Understanding of the current evidence base for TFCBT
4. Understanding of how to integrate TFCBT into routine clinical practice
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(Approved by CPsychI for 1 External or Internal CPD credit)
In U.K. figures approximately 26% of those who commit suicide have been in contact with the mental health service. This presentation reviews statistics relating to these people and discusses how risk may be assessed, particularly regarding the relationship between historical and current risk factors. It also examines how current risk factors may be modified, both individually and in groups, to reduce the risk of suicide.
Learning Outcomes:
1. Review U.K. figures in relation to suicide, including statistics regarding diagnosis, methods, timing and mental state.
2. Understand the principles involved in assessing risk, both historical and current.
3. Understand how current risk factors may be managed in order to reduce risk.
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(Approved by CPsychI for 1 External or Internal CPD credit)
This module aims to discuss the current knowledge of the relationship between cardio-vascular disease and psychiatric disorders, and to present practical information for psychiatrists around the recognition of risk factors, symptoms, and signs of common cardio-vascular disorders in psychiatric patients, and in particular the associated ECG changes.
Learning Outcomes:
1. To understand the relationship between psychiatric disorders and cardio-vascular disorders
2. To recognise the risk of heart disease in psychiatric patients
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(Approved by CPsychI for 1 External or Internal CPD Credit)
The issue of decriminalisation of cannabis is a complex one. This presentation reviews the international experience of varying degrees of decriminalisation and legalization and also some of the difficulties encountered in interpreting the outcomes, particularly when the change in legislation is not accompanied by an increase in health resources. It also reviews the effect cannabis use may have on young people and explores what is required before a decision to decriminalise is made.
Learning Outcomes:
1. Understand patterns of cannabis use and review international strategies and treaties in relation to its use
2. Understand principles and terminology underlying the concept of decriminalisation
3. Understand the experience of other countries and the complexities involved in interpreting outcomes
4. Understand the impact of cannabis use on adolescent users
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(Approved by CPsychI for 1 External or Internal CPD credit)
This module aims to discuss the methodology of early detection and treatment of individuals at high risk of mental illness, with specific reference to young people at ultra-high risk of schizophrenia.
Learning Outcomes:
1. To understand the risk and vulnerability factors for psychosis
2. To identify those individuals who are at risk for psychosis
3. To apply this in a clinical setting and to know what assessment and management strategies are appropriate to achieve the best possible outcomes for this population
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(Approved by CPsychI for 1 External or Internal CPD credit)
Psychiatric advance directives (PAD) aim to assist a mental health service user indicate treatment preferences to be applied when unwell. They are significantly more complex instruments than advance directives in general healthcare. This presentation will outline the features of PADs and explore their feasibility in the Irish context.
Learning Outcomes:
1. An understanding of the background and development of PAD
2. Requirements for an acceptable PAD
3. Exploring the potential and pitfalls of PADs in the Irish mental health context
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(Approved by CPsychI for 1 External or Internal CPD credit)
The presentation aims to provide an understanding of cyberbullying, its prevalence and the many forms it takes among children and adolescents. It will explore also the risk factors and motives involved and the serious mental health effects which it has. In addition based on our current knowledge it will outline best practice in relation to prevention and intervention of cyberbullying among children and adolescents.
Learning Outcomes:
1. Understand the nature of cyberbullying
2. Understand the risk factors associated with cyberbullying
3. Understand the impact of cyberbullying on the mental impact of children and adolescents
4. Understand the factors needed for effective prevention and intervention of cyberbullying
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(Approved by CPsychI for 1 External or Internal CPD credit)
This lecture discusses the interface between psychiatry and the Law – legal report writing.
The author advises on screening referrals, identifying how to decide if a referral fits your particular expertise. He gives tips on pre-assessment preparation, and advises on the thorny issues of consent and confidentiality in this context. Practical consideration of the structure and format of the court report itself is followed by an expert’s view of the role of an expert witness. Relevant legal principles and documents are noted, as are possible changes that may occur with law reform. Finally, the author gives us the benefit of his hindsight with some more tips based on his experience of report writing.
1. Register with data protection committee
2. Legal cover
3. Never proof read at night
4. Stick to past tense for interview and mental state
5. Present tense for your opinion
6. Medical records or present tense.
Learning Outcomes:
1. Instructions on ‘Taking Instructions’
2. Issues of Consent and Confidentiality when writing reports
3. How to prepare a report for court
4. Advice on being an Expert Witness
5. Accountability as an expert witness
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(Approved by CPsychI for 1 External or Internal CPD credit)
In psychiatry, drug treatment is the therapeutic mainstay for schizophrenia. Nobody disputes the importance of early detection and treatment by drugs and social interventions of people at risk of psychosis. Nonetheless, there is no clear-cut definition of what constitutes remission in psychosis, as symptomatic remission may not coincide with functional remission. Failure to attain functional remission, frequently manifest in continuing social withdrawal or the non-achievement of vocational milestones is often a continuation of poor pre-morbid functioning that can remain resistant to drug treatment and CBT.
This state of affairs does not surprise the psychoanalyst who differently understands the persistence or ‘indestructability’ of psychotic symptomatology, positive or negative. Positive symptoms, despite their evident psychopathological and often alarming presentation, represent an attempt at recovery, a form of ‘meaning-making’ in the face of what we name the Lacanian Real. Negative symptoms such as perplexity, poverty of speech and thought disorder, indicate that the psychotic’s encounter with the Real is less mediated. Jacques Lacan (1901 – 1981) proposed that the struggle with the Real is at the heart of subjectivity. The difference between, on the one hand, a science of the universal where a patient is diagnosed as suffering from schizophrenia and, on the other hand, a science of the particular where someone who speaks schizophrenically is encouraged to speak to a highly specialized listener should be worthy of our attention.
Learning Outcomes:
1. A psychoanalytic understanding of the certainty of the delusion, the purpose it serves and its psychopathology
2. An understanding of the complications attached to the social bond in psychosis and implications for the therapeutic relationship
3. An understanding of the concept of the Real
4. Possible models for psychoanalytic treatment within the mental health service.
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(Approved by CPsychI for 1 External or Internal CPD credit)
In a consideration of expressed emotion and stress, this lecture looks at the link between the brain and stress and also its relevance to schizophrenia. It begs the questions: What is expressed emotion and can we influence it, and how will that inform practice.
A study of social stress investigates the effect on the amygdala of city living, and we consider how this and other psychosocial stressors could prime sensitised dopamine systems in schizophrenia to cause relapse. If we could unprime the system what interventions would we use to do this?
This leads us look at stress research, family communication and mastering problem solving. We look at BFT (behavioural family therapy) and in particular the Meriden Family Programme, and the author shares his personal experience with this model.
The important aspects of family intervention are noted – therapeutic alliance, information sharing and support. Finally, helpful advice is offered on how to develop this approach within a service structure.
Learning Outcomes:
1. Understanding the biological basis for the link between stress and relapse in schizophrenia.
2. The psychiatrist’s journey in trying to engage with families of people with schizophrenia.
3. Current perspectives on what works to reduce stress and EE for families, and how to mould it for your service structure.
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(Approved by CPsychI for 1 External or Internal CPD credit)
Rehabilitation Medicine and Psychiatry specialties interface when the patient develops one of a range of common mood disorders but also when psychosis and bi polar disorders develop after brain injury. Effective rehabilitation depends on the patient being able to engage with their rehabilitation programme. Psychiatry is therefore an essential part of effective rehabilitation. This presentation will address the experience gained with a supportive psychiatric service at NRH and Beaumont and how that service might be structured in Ireland.
Learning Outcomes:
1. Challenges the psychiatrist faces in treating patients with severe disability.
2. The structure and function of an Acquired Brain Injury Neurobehaviour clinic.
3. Acquired Brain Injury Agitation – Do rehabilitation medicine specialists/geriatricians and psychiatrists see it and solve it differently.
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(Approved by CPsychI for 1 External or Internal CPD credit)
This is a concise practical review of the most commonly used antipsychotic medications. Dr Kenny revises the main points in history, neurochemistry and therapeutic effects of antipsychotics. He also summarizes the primary potential adverse effects of antipsychotics and how to monitor and manage them effectively.
Learning Outcomes:
1. Improved knowledge on medications currently being used in clinical practice
2. Awareness of the side effect profiles and adverse effects of neuroleptic medication
3. Clinical use of Neuroleptic medication in treating non – psychotic illnesses.
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(Approved by CPsychI for 1 External or Internal CPD credit)
In his recent Hearing Voices: The History of Psychiatry in Ireland Professor Brendan Kelly writes: ‘In the early twentieth century, the pre-eminent intellectual movement of the day, psychoanalysis, conspicuously failed to grab the imagination of psychiatrists in Ireland as much as it did elsewhere ..’ (p. 170) This presentation proposes that this was a missed opportunity but that today something of crucial importance for psychiatric practice in Ireland in the early twenty-first century can be gained from attending to the findings of psychoanalysis with confidence that it can provide an understanding of and a clinical technique for the handling of aspects of mental life of patients and practitioners that otherwise escape attention and care. The presentation invites psychiatric practitioners to consider the assumptions regarding psychopathology that inform and direct practice, what it is that concerns us in the work that we do and what it is that has us engaged in this kind of work.
Learning Outcomes:
1. Recognition of the difference between the psychoanalytic account of mental functioning and the other accounts (psychological, biological, developmental) with particular focus on the concept of unconscious mental functioning
2. Engagement with the question of the consequences for the practitioner in their practice of either taking on or refusing the psychoanalytic account
3. Consideration of assumptions on the part of the practitioner regarding the relation between the normal and the pathological
4. Ability to consider the psychoanalytic thesis that mental life is intimately connected to the realm of the sexual in both psychopathology and the ‘normal’
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(Approved by CPsychI for 1 External or Internal CPD credit)
This module examines the epidemiology, aetiology and diagnostic indicators of dementia in Down Syndrome. Evidence based biological treatment and psychosocial management are discussed with reference to relevant literature. Practical tips for assessing and managing behavioural disturbances are offered.
Learning Outcomes:
1. Diagnosis of dementia in people with Intellectual disability
2. How to manage the psychiatric and behavioural sequelae of dementia in people with intellectual disability
3. To gain an understanding of some of the complex issues involved such as the communication of diagnosis, capacity for treatment and end of life issues
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(Approved by CPsychI for 1 External or Internal CPD credit)
This talk is particularly pitched at those Consultant Psychiatrists who see people with intellectual disability intermittently as part of their practice.
This module firstly provides a comprehensive overview of the aetiology, epidemiology and diagnosis of intellectual disability. This is followed by practical guidance about how to approach an assessment for mental illness in people with intellectual disability and useful resources are referenced. The assessment and management of problem behaviour is also discussed.
Learning Outcomes:
Knowledge
– Know how to define intellectual disability and associated conditions
– Know the aetiology and the prevalence of intellectual disability of different severities
– Know best practice in assessment and treatment of mental illness
Skills
– Communication strategies with people with ID
– Assessment of psychiatric disorder in people with intellectual disability
– Treatment of psychiatric disorder in people with intellectual disability
Attitudes
– Recognise vulnerability of people with ID
– Onus to maximise communication
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(Approved by CPsychI for 1 External or Internal CPD credit)
In this presentation Dr O’Driscoll defines traumatic brain injury and explores its epidemiology, classification, and different syndromes associated with it. He also describes the psychiatric sequelae of traumatic brain injury and how we can diagnose and manage them.
Learning Outcomes:
– Types of brain injury
– The clinicopathological relationship of brain injury
– Rehabilitation focus
– Medico-legal issues
Coming Soon!

(Approved by CPsychI for 1 External or Internal CPD credit)
This presentation will outline the different scenarios in which a psychiatric occupational assessment may be requested and the different approaches appropriate for each. Various psychiatric conditions will be discussed in relation to their likelihood of rendering a patient temporarily or more permanently disabled. The role of credibility assessment will be explored.
Learning Outcomes:
– Know the different contexts regarding Occupational Assessment
– Differentiate between short-term and long-term Disability
– Know the likelihood of disability for different conditions
– Appreciate the importance of credibility assessment
Coming Soon!

(Approved by CPsychI for 1 External or Internal CPD credit)
In this video, Dr Harte presents a succinct account of gender dysphoria. Dr Harte discusses the transcultural aspects, classification systems and historical development of the disorder. Dr Harte also touches on the epidemiology of the disorder with emphasis on the diagnostic paradigm and treatment paradigm shifts.
Learning Outcomes:
– An understanding of the changing prevalence of gender variance in populations around the world
– An understanding of the diagnostic paradigms shift in gender dysphoria
– An understanding of current clinical assessment and management guidelines for people with gender dysphoria
Coming Soon!

(Approved by CPsychI for 1 External or Internal CPD credit)
This talk looks at community- and clinic-based research on psychotic experiences, psychotic symptoms and psychosis risk syndromes. It describes a systematic approach to assessing (attenuated and full threshold) psychotic symptoms, and discusses the clinical significance and management of psychosis risk syndromes.
Learning Outcomes:
– Understand the clinical significance of psychotic experiences in the community and in the clinic
– Be able to apply a structured approach to your assessment of psychotic symptoms (SOCRATES)
– Know the different types of psychosis risk syndromes
– Know about treatment approaches for psychosis risk syndromes
Coming Soon!