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Complementary and alternative treatments in psychiatric out-patients

Published online by Cambridge University Press:  02 January 2018

Richard Sankar
Affiliation:
Moorgreen Hospital, Southampton
Peter Childs
Affiliation:
Hawthorn Lodge, Moorgreen Hospital, Botley Road, West End, Southampton SO30 3JB, email: peter.childs@hantspt-sw.nhs.uk
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Abstract

Type
The columns
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists, 2009

The use of complementary or alternative medicines or treatments in the general population is high – in the UK some 46% can be expected to use one or more in their lifetime (Reference Bishop and LewithBishop & Lewith, 2008). Despite the popularity of alternative treatments, we were unable to find any data examining usage among psychiatric patients. To investigate this, we conducted a survey of out-patient attenders at our general psychiatry clinics; 87 consecutively attending patients were asked about their use of alternative therapies.

We found that 8 (9%) patients were using complementary or alternative treatments: 3 aromatherapy oils, 1 oil of evening primrose, 1 chondroitin, 1 homeopathy, 1 Reiki therapy and 1 patient using a compound called Adutwumwaa Bitters. This preparation contains rauwolfia vomitoria, from which reserpine is obtained. Reserpine can cause depression through monamine depletion in synaptic vesicles.

We advocate that psychiatrists should routinely ask about the use of alternative treatments when assessing patients, as often patients do not volunteer this information to their doctors (Reference KamerowKamerow, 2007). It is possible that certain preparations or therapies may interact with medical treatments. This may contribute to the development, or exacerbation, of a psychiatric disorder.

References

Bishop, F. L. & Lewith, G.T. (2008) Who uses CAM? A narrative review of demographic characteristics and health factors associated with CAM. Evidence-Based Complementary and Alternative Medicine, 13 March, doi:10.1093/ecam/nen023.CrossRefGoogle Scholar
Kamerow, D. (2007) Wham bam thank you CAM. BMJ, 335, 647.CrossRefGoogle ScholarPubMed
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