A Patient Information Resource on Fibromyalgia

Dear Dr. <Name>,

I would like to kindly ask your attention to the information leaflet enclosed developed to give Fibromyalgia (FM) patients the latest information on how to cope with their condition. The current guidelines to managing and treating FM clearly recommend that patients (and their relatives) should learn as much as possible about it, as this is likely to help reduce any fear and anxiety it might generate (e.g., Arthritis Care, 2013; Arthritis Research, 2011). In this sense, this leaflet explains what Fibromyalgia is, what its main physical and psychological symptoms are and what treatment alternatives are currently available.

[Click to view the Fibromyalgia Leaflet]

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Using DBT for the treatment of Self-harm

1. Introduction

Characterising self-harm and implications for empirical research

1.1 What is Self-harm?

The NICE guidelines define self-harm as self-poisoning or self-injury, irrespective of the apparent purpose of the act. Other authors (e.g Whitlock, 2010) define self-harm as acts of deliberate, self-inflicted physical damage with no explicit intention of committing suicide and for reasons not socially accepted. Although self-cutting is probably the best well known method of self-harm, other methods include self-hitting (battery), pinching, scratching, biting or even burning (Greydanus and Shek, 2009). Moreover, the part of the body where self-harm is conducted varies significantly. Injuries inflicted on the face, eyes, jugular area, breast, or genitals are particularly important as they hint a greater level of psychological distress and, potentially, indicate a worse prognosis for treatment (Whitlock, 2010). Effectively, this suggests a point for consideration when analysing the effectiveness of psychological therapies.

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