Mental health

Recognising and managing OCD in primary care

Obsessive compulsive disorder (OCD) affects approximately 2%...

July 2022

The role of medicines in the management of depression in primary care

A selective serotonin reuptake inhibitor (SSRI) is usually the...

May 2021

Benzodiazepines and zopiclone: is overuse still an issue?

Despite being recommended for short-term use only, and usually...

February 2021

Withdrawing patients from long-term use of benzodiazepines or zopiclone

Stopping benzodiazepine or zopiclone treatment in people who...

February 2021

Case study: ten men addicted to Ayurvedic medicines (Kamini and Barshasha) presenting for opioid substitution treatment

We present a special edition “Case of the week” submitted by...

September 2020

National report: The use of antipsychotic medicines in older people

The purpose of this report is to provoke thought and discussion...

May 2020

Understanding the role of palliative care for people with advanced dementia

Advanced dementia is a terminal condition for which palliative...

April 2020

Symptom management in palliative dementia care

Physical symptoms commonly experienced by people with advanced...

April 2020

Managing the behavioural and psychological symptoms of dementia

Most people with dementia develop behavioural and psychological...

April 2020

Recognising and managing early dementia

Dementia (mate wareware - see below) is a growing healthcare...

February 2020

Age-related cognitive decline: prevention and future planning

Declining cognitive function can be a difficult topic to raise...

February 2020

Diagnosing and managing perinatal depression in primary care

The consequences of perinatal depression* can be severe. Suicide...

November 2019

Somatisation: demystifying the “ghost in the machine”

Somatisation is a maladaptive functioning of an organ system,...

October 2019

Depression or distress? Examining SSRI prescribing in primary care

Differentiating short-term psychological distress from depression...

October 2019

Motivational interviewing in primary care

Motivational Interviewing is a way of building and strengthening...

September 2019

The funded brand of lamotrigine is changing

Changes in funded brands of antiepileptic medicines can lead...

August 2019

Aripiprazole prescribing changes: Special Authority approval no longer required, new sole-subsidised brand

From 1 June, 2018, aripiprazole can be prescribed without Special...

June 2018

Suicide prevention: what can primary care do to make a difference?

"The most critical elements in helping those with suicidal ideation...

November 2017

The role of medicines in the management of depression in primary care

A selective serotonin reuptake inhibitor (SSRI) is usually the...

October 2017

I dream of sleep: managing insomnia in adults - Part 1

bpacnz recognises that the assessment and management of insomnia...

October 2017

I dream of sleep: managing insomnia in adults - Part 2

bpacnz recognises that the assessment and management of insomnia...

October 2017

Clozapine: safe prescribing

In 2014, bpacnz published an article on the safer prescribing...

September 2017

Alcohol misuse: how to help patients in primary care

This article has been superseded by: Assessment and management...

May 2016

Medicine use in youth mental health

This report provides an overview of dispensings of medicines...

April 2016

The role of medicines for the treatment of depression and anxiety in patients aged under 18 years

Psychological and behavioural approaches are the cornerstone...

March 2016

Overuse of benzodiazepines: still an issue?

February 2016

Addressing mental health and wellbeing in young people

February 2016

Managing frequently encountered mental health problems in young people: non-pharmacological strategies

Young people experience a variety of mental health conditions....

December 2015

Addressing mental health and wellbeing in young people

This is the first of a series of articles which will examine...

October 2015

Overuse of benzodiazepines: still an issue?

Benzodiazepines may be considered as a short-term treatment...

March 2015

Medicine updates

This article has been archived. If you would like access...

December 2014

Identifying and managing addiction to opioids

The increased use of opioid analgesics in recent years, particularly...

October 2014

Helping patients cope with chronic non-malignant pain: it’s not about opioids

The role of opioids in the management of chronic non-malignant...

September 2014

Atypical antipsychotics: one fully subsidised brand for quetiapine, risperidone and olanzapine

This article has been archived. If you would like access...

July 2014

Bipolar disorder: Identifying and supporting patients in primary care

Bipolar disorder can be challenging to diagnose and manage....

July 2014

Fluoxetine brand change: Arrow-Fluoxetine sole subsidised brand from 1 July

This article has been archived. If you would like access...

June 2014

Managing patients with dementia: What is the role of antipsychotics?

Concerns have been raised, both in New Zealand and internationally,...

December 2013

Beating the blues

“Beating the Blues” is a web-based cognitive behavioural programme...

November 2013

News updates

Comparing results between different blood glucose meters | Beating...

June 2013

Sleep disturbances: managing parasomnias in general practice

The term "parasomnia" describes a group of sleep disorders associated...

November 2012

Looking back, looking forward: key messages 2005 – 2011

This report highlights four key prescribing and laboratory testing...

March 2012

Prescribing citalopram safely: an update

Evidence of adverse cardiac effects associated with citalopram...

February 2012

Upfront: Vulnerable children and young people in New Zealand

In this conclusion to the series on abused and neglected children...

December 2011

Upfront: Mental health issues in adolescents who have experienced abuse and neglect

In the fourth article in our series on vulnerable children and...

November 2011

Prescribing atypical antipsychotics in general practice

The use of atypical antipsychotics such as quetiapine and olanzapine...

November 2011

Upfront: Infant mental health and child protection

The third article in our series on vulnerable children and young...

October 2011

Upfront: Detecting child abuse in general practice

This second article in our series on children and young people...

September 2011

Upfront: Meeting the needs of children and young people in New Zealand who have been abused and neglected

Nearly one quarter of New Zealand children and young people...

August 2011


Assessment and management of Depression in Older Adults References...

July 2011

Management of depression in older people

Older people respond well to treatments for depression. The...

July 2011

Causes and Diagnosis of Depression in Elderly People

Depression is common in older adults, although not as prevalent...

July 2011


Appendices for Assessment and management of Depression in Older...

July 2011

News in brief

This article has been archived. If you would like access...

February 2011

Antenatal depression

Unrecognised or untreated depression during pregnancy poses...

November 2010


Appendices for Depression in the antenatal and postnatal p...

November 2010

Purpose and introduction

The purpose of this journal is to examine the assessment and...

November 2010


References for Depression in the antenatal and postnatal p...

November 2010

Postnatal depression

Depressive symptoms in the postnatal period represent a range...

November 2010

The pharmacological management of Alzheimer’s disease: The place of donepezil

From November 1, 2010 donepezil will be funded without Special...

August 2010

Suicide prevention in Māori youth

The rate of suicide in young Māori males is higher than...

June 2010

Recognising and managing mental health problems in Māori

Mental health problems are common in Māori, yet there is...

June 2010

Substance misuse and addiction in Māori

It is estimated that substance misuse and other addictions are...

June 2010

Antipsychotics in people with dementia: an update

The Antipsychotics in Dementia (A4D) programme was launched...

March 2010


Appendices for Depression in Young People

January 2010

Management of depression in young people in primary care

A stepped care approach is used with the intensity of treatment...

January 2010

Key Messages & Introduction

Evidence indicates that early interventions in a number of mental...

January 2010

Recognition and Assessment of Common Mental Disorders in Young People

In this section the clinical features of the common mental disorders...

January 2010


References for Depression in Young People BPJ special edition...

January 2010

Generalised anxiety disorder in adults

Anxiety disorders are the most frequently seen mental disorder...

December 2009

Management of Depression in Primary care

Most adults with depression present with mild depression and...

July 2009

Introduction to adult depression

Mental disorders are extremely common with over one third of...

July 2009

Pharmacological Management of Depression in Adults

All antidepressant drugs are approximately equal in effectiveness,...

July 2009

Appendices for BPJ-SE Adult Depression

Adult depression: Apendices

July 2009

Adult depression: References

Adult depression: References

July 2009

Assessment of Depression in Adults in Primary Care

Adapted from: Identification of Common Mental Disorders and...

July 2009

Prescription drug misuse: how to identify and manage drug seekers

Although an increasing problem in general practice, identifying...

September 2008

Upfront: The nature of our nurture

How genes and the environment work together to predict disease...

September 2008

Antipsychotics for dementia

Notification and details of an educational programme on the...

August 2008

Clozapine: A reminder about safe and effective use

Although clozapine is a specialist prescribed drug, GPs still...

June 2008

Managing insomnia

There is a more recent article on managing insomnia. See:...

June 2008

Māori mental health

Improving Māori mental health is a government health priority....

June 2008

Snippets: Anticonvulsants & Salbutamol

This article has been archived. If you would like access...

June 2008

The investigation and management of nocturnal enuresis

Nocturnal enuresis, or bedwetting, is a common condition which...

June 2008

Ten minute tutorial

Adding a pop-up alert for patients on clozapine.

June 2008

Snippets: Varenicline & Smoking

Varenicline and suicidal behaviour. Wider access to quit cards.The...

May 2008

Should antidepressants be used to treat depression in children and adolescents?

Depressive disorder is a major health issue for young people,...

April 2008

Upfront: Evidence based medicine

The dilemma of practicing evidence based medicine when it keeps...

April 2008

Dilemmas: Depression in elderly people

Depression in elderly people can be a significant cause of disability...

February 2008

Brand change update: Ritalin SR now available by special access

This article has been archived; for a copy of the original,...

December 2007

Dear Dave

Does the "seven day rule" still apply with the concomitant...

September 2007

Dear Dave

Can Sumatriptan be used safely with SSRIs? Can you ever use...

August 2007

Clozapine - Safe and Effective Use

Clozapine is the gold-standard treatment for people with schizophrenia...

April 2007

Changing to a Generic Drug

An explanation of the issues around the switching of patients...

March 2007

Drug Interactions with Antidepressants

Table of important drug interactions with antidepressant ...

March 2007

Depression causes presentation and treatment

Review of the causes, symptoms and treatment of depression.

March 2007

Key messages on the use of SSRIs

Key messages on the use of SSRIs.

March 2007

Mental Health Foundation

Mental Health Foundations aims and key services.

March 2007

The CYP450 System

An overview of the CYP450 system with particular reference to...

March 2007

ADHD: The Primary Care role

The role of primary care clinicians in improving outcomes for...

February 2007

CARM Reports; Serotonin Syndrome and Neuroleptic Malignant Syndrome

Covers the symptoms and causes of Serotonin Syndrome and Neuroleptic...

February 2007

Dear Dave

Can smoking cessation affect the dose of antipsychotics?Do statins...

February 2007

Lithium in General Practice

In this article we provide an overview and guidance on the management...

February 2007

Practice Debate: antipsychotics in the treatment of dementia

This article covers the role and safety concerns of antipsychotics...

February 2007

Ten minute audit

Identifies patients on Lithium using MedTech

February 2007

Dear Dave

SSRIs can increase the risk of bleeding disorders, especially...

December 2006

TCAs are useful for depression and neuropathic pain

Tricyclic antidepressants (TCAs) are an effective alternative...

December 2006

Ten minute audit

Identifies people under the age of 18 years on paroxetine to...

October 2006

Depression antidepressant update

Venlafaxine: how and when to use | Antidepressants for elderly...

October 2006


Pharmacogenetics: relevance in the treatment of depression

October 2006

Substance misuse in adolescents: alcohol, cannabis & other drugs

The risk of injury or death during adolescence is two to three...

February 2012

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