The Lancet Psychiatry in conversation with

• Ilaria Costantini and Francesca Solmi on young people's body dissatisfaction and mental health

  Body dissatisfaction has been rising among adolescents in recent years, and so have symptoms and diagnoses of mental disorders. To help us know what to do about increasing youth mental ill health, we need better understandings of what is driving it, but causal factors are hard to pin down. In this episode, Ilaria Costantini and Francesca Solmi talk about their new study that uses a longitudinal twin study to disentangle the genetic and environmental factors in the associations between adolescent body dissatisfaction and later symptoms of eating disorder and depression. We think about why body dissatisfaction is such a key factor and talk about ways it could be tackled.Click here to read the full article: https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(25)00333-5/fulltext?dgcid=tlcom_podcast_acq-december25_lanpsyContinue this conversation on social!Follow us today at...https://thelancet.bsky.social/https://instagram.com/thelancetgrouphttps://facebook.com/thelancetmedicaljournalhttps://linkedIn.com/company/the-lancethttps://youtube.com/thelancettv

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• Melissa DelBello on metformin for youth with bipolar disorder

  Weight gain is a typical side-effect of taking antipsychotics and can have a big impact on people. But for young people with bipolar disorder, metformin isn't commonly prescribed alongside an antipsychotic. In this episode, Melissa DelBello describes a huge randomised trial in the USA on metformin for young people with bipolar disorder taking antipsychotics, looking at its effects over a 2-year period.Click here to read the full article: https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(25)00273-1/fulltextContinue this conversation on social!Follow us today at...https://thelancet.bsky.social/https://instagram.com/thelancetgrouphttps://facebook.com/thelancetmedicaljournalhttps://linkedIn.com/company/the-lancethttps://youtube.com/thelancettv

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• Camilla Rosan on the COS-P perinatal mental health intervention

  Up to 1 in 4 women and birthing parents experience perinatal mental health difficulties, but there isn't enough evidence around interventions that could help them, especially interventions that work with the parent-infant bond or that focus on a broad range of mental health difficulties rather than specific disorders. Camilla Rosan talks about what's needed in perinatal mental health services, and tells us about the trial she just led on Circle of Security-Parenting (COS-P), a group intervention for birthing parents with infants aged under 1 year.Read the full article:https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(25)00263-9/fulltext?dgcid=buzzsprout_icw_podcast_October_25_lanpsyContinue this conversation on social!Follow us today at...https://thelancet.bsky.social/https://instagram.com/thelancetgrouphttps://facebook.com/thelancetmedicaljournalhttps://linkedIn.com/company/the-lancethttps://youtube.com/thelancettv

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• Juan Carlos Bazo Alvarez and Claudia Cooper on antipsychotics and dementia

  People living with dementia often have behavioural and psychiatric symptoms, such as agitation, and when these are severe, antipsychotics can be prescribed. Guidelines recommend prescribing antipsychotics at the lowest possible dose for the shortest possible time, but does this really happen in practice? Juan Carlos Bazo Alvarez and Claudia Cooper's research team looked at primary care data from the UK, to assess prescribing practice, and found that prescriptions are higher and for longer than is recommended. In the podcast, we talk about their study and how things could be improved.Read the full article:https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(25)00261-5/fulltext?dgcid=buzzsprout_icw_podcast_September_25_lanpsyContinue this conversation on social!Follow us today at...https://thelancet.bsky.social/https://instagram.com/thelancetgrouphttps://facebook.com/thelancetmedicaljournalhttps://linkedIn.com/company/the-lancethttps://youtube.com/thelancettv

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• Kasia Machaczek, Scott Teasdale, and Joe Firth on lifestyle interventions

  Why is physical health so important for people with mental illness? In this episode, we talk about a new paper on lifestyle interventions for people with mental illness, covering which aspects of those interventions are beneficial for physical and mental health, and looking at key recommendations for how to implement these interventions in mental health settings. Kasia Machaczek, Scott Teasdale, and Joe Firth talk about their new paper on this topic, which extends the work of a 2019 Lancet Psychiatry Commission on physical health in people with mental illness.Read the Commission:https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(25)00170-1/fulltext?dgcid=buzzsprout_icw_podcast_August_25_lanpsyContinue this conversation on social!Follow us today at...https://thelancet.bsky.social/https://instagram.com/thelancetgrouphttps://facebook.com/thelancetmedicaljournalhttps://linkedIn.com/company/the-lancethttps://youtube.com/thelancettv

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