Associate Professor Lisa Lampe
School of Medicine and Public Health
- Phone:(02) 4033 5691
Lisa completed her undergraduate medical degree at the University of Western Australia. She joined the Family Medicine Program (as it was known then) to train for General Practice, but after several interesting years felt increasingly drawn to the psychological aspects of medicine. Accordingly she joined the Royal Australian and New Zealand College of Psychiatrists Fellowship Training Program, gaining her Fellowship in 1992. She completed a PhD at the University of Sydney in 2017.
In 1992, in her senior registrar year, Lisa joined the Clinical Research Unit for Anxiety Disorders (CRUfAD) at St Vincent's Hospital, Sydney. Clinical responsibility for the social phobia treatment program led to a career long interest in this and related anxiety disorders. Her affiliation with CRUfAD continued until 2006. This setting provided opportunities for involvement in world class clinical research and treatment, and expert clinical supervision enabled Lisa to develop her CBT skills to a high level of expertise. CRUfAD, established and led by Scientia Professor Gavin Andrews, AO, presented a model of evidence-based treatment, clinical research, staff support and collaboration that has greatly influenced not just Lisa, but a generation of researchers and clinicians.
After gaining her FRANZCP in 1993, Lisa began some part-time private practice in addition to continued work at CRUfAD. She developed an Anxiety Treatment Program for Evesham Clinic, modelled on that at CRUfAD, and has recently been supported to develop an an anxiety treatment clinic within Hunter New England Mental Health which will have a key focus on teaching.
Lisa joined the Mental Health Review Tribunal as a part-time member in 2002, and was recently re-appointed to continue as a member.
In 2006 Lisa closed her private practice and completed a series of locum appointments, including some very rewarding experiences in Launceston, Tasmania and other regional settings.
Contemporaneously with her academic appointments from 2008 onwards, Lisa has been appointed as a Staff Specialist (Academic) within local health services. These roles combined teaching, research support and clinical responsibilities.
Lisa was a tutor and later lecturer in the Master of Psychological Medicine Program at the University of NSW from 1996 until discontinuation of the program in 2002. Thereafter she maintained a teaching association with UNSW as a conjoint lecturer.
In 2008, Lisa decided to move to a full-time academic position and was appointed as a Senior Lecturer at the Northern Clinical School of the University of Sydney Medical School. Working at USyd was a very enriching experience, due to the high calibre of academic and professional staff, all willing to share their expertise.
Also in 2008 Lisa joined the Committee for Examinations (CFE) in the RANZCP. She fulfilled roles as Deputy Chair of the Written Examination Subcommittee and Deputy Chair of the CFE before being elected Chair in 2012. Through her role as Block Coordinator of psychiatry teaching at USyd and Chair of the CFE, Lisa became interested in assessment. Skilled and innovative experts in assessment at both USyd and the RANZCP, keen to share their experience, fuelled this interest and created opportunities to build knowledge and expertise.
Family reasons prompted a move to the Hunter New England region and the availability of an exciting academic opportunity in the Joint Medical Program within the Faculty of Medicine and Public Health provided the perfect opportunity to complete the move. In the JMP, Lisa has a role as Year 2 Coordinator at UON for the new MD Joint Medical Program.
Other academic highlights include:
- membership of working parties reviewing the diagnostic criteria for social phobia and creating the RANZCP clinical practice guidelines for social phobia, panic disorder and generalised anxiety disorder.
- co-authorship of two textbooks on anxiety disorders, one of which has been translated into six languages.
- contribution to the development of an online training course on the nature, recognition and treatment of anxiety disorders.
Community affiliations and public education
Lisa has an enduring history of links with consumer and carer organisations. She is a member of the Anxiety Disorders Reference Committee of the Mental Health Association of NSW and has frequently spoken at educational sessions at the invitation of consumer and carer groups. She has participated in a number of public radio and TV programs on anxiety, is sole author of a book on managing anxiety and co-author of a book on managing depression and anxiety for the general public.
- Doctor of Philosophy, University of Sydney
- Bachelor of Medicine, Bachelor of Surgery, University of Western Australia
- anxiety disorders
- cognitive behaviour therapy
- medical education
Fields of Research
|110319||Psychiatry (incl. Psychotherapy)||60|
|130209||Medicine, Nursing and Health Curriculum and Pedagogy||40|
|Title||Organisation / Department|
|Associate Professor||University of Newcastle
School of Medicine and Public Health
|Dates||Title||Organisation / Department|
|10/03/2008 - 17/04/2017||
Senior Lecturer in Psychiatry
Lisa contributed to the work of the Sydney Medical School in several roles and through membership of a number of committees. She was the Coordinator of the Psychiatry clinical block with responsibility for teaching and assessments. Based at Northern Clinical School, she was a member and later Chair of the Student Support Committee. She was a member of the Admissions Committee for the Sydney Medical School and various committees responsible for oversight of the medical program. Lisa initiated online delivery of psychiatry lectures, developed a webinar on personality disorders, and introduced innovations in learning activities, such as peer-led teaching.
|The University of Sydney
Sydney Medical School
|1/01/1999 - 31/12/2001||
Lecturer in the Master of Psychological Medicine program, open to medical graduates.
|University of New South Wales
|Dates||Title||Organisation / Department|
Chair, Committee for Examinations
Lisa was appointed to the Committee for Examinations (CFE) in 2008, and in 2012 was elected as Chair of the Committee. The CFE develops and oversees the centrally administered summative assessments in the RANZCP 2012 Fellowship Program. This includes an MCQ-type paper (computer-based), an Essay-style written paper (moving to computer in 2018), the Psychotherapy Written Case (in which candidates document a supervised case of psychotherapy), the Scholarly Project (an account of a research undertaking), and an Objective Structured Clinical Examination (OSCE). Lisa works closely with the Examinations Team to review the performance of each examination, and this ongoing collaboration, together with the opportunity while at the University of Sydney to work closely with the Assessment Unit, has given her a keen interest and high level of expertise in assessment.
|Royal Australian and New Zealand College of Psychiatrists|
The Mental Health Review Tribunal is a specialist quasi-judicial body
constituted under the Mental Health Act 2007. It has a wide range of
powers that enable it to conduct mental health inquiries, make and
review orders, and to hear some appeals, about the treatment and care of
people with a mental illness. My role is as a psychiatrist member of civil division panels which comprise a lawyer, psychiatrist and suitably qualified community member. Through this work I contribute to the care of persons with serious mental illness and gain an appreciation of treatment in a range of locations around NSW.
|Mental Health Review Tribunal
|Dates||Title||Organisation / Department|
|17/04/2017 -||Staff Specialist (Academic)||Hunter New England Local Health District
|1/06/2008 - 31/03/2017||
Staff Specialist (Academic)
My role including teaching and supervision of trainees in the Royal Australian and New Zealand College of Psychiatrists (RANZCP) Fellowship Training Program, and a clinical role as consultant psychiatrist in the Wahroonga Rehabilitation Service, a multidisciplinary team providing specialist mental health rehabilitation in the community .
|Northern Sydney Local Health District
Mental Health Drug and Alcohol Service
|Dates||Title||Organisation / Department|
Specialist Coordinator of Training
Hunter New England Training in Psychiatry (HNET) exists within the Hunter New England Local Health District and provides a formal education course to trainee psychiatrists enrolled in the Royal Australian and New Zealand College of Psychiatrists (RANZCP) Fellowship Training Program. HNET is the only regional based psychiatry training program in Australia and New Zealand and its trainees have an enviable record of success in the RANZCP examinations. HNET has appointed a number of Coordinators of Training who have specialist areas of expertise within psychiatry. My areas of expertise are assessments and cognitive behaviour therapy.
|Hunter New England Training in Psychiatry
Three Minute Thesis
The University of Sydney
Northern Clinical School Teaching Award for Psychological Medicine
Sydney Medical School, The University of Sydney
|Year||Title / Rationale|
Travelling Scholar, RANZCP Victorian Branch
Fellows from the RANZCP with particular clinical or research interests have the opportunity to be selected by Branches via Branch committees to travel to a state within Australia or New Zealand to exchange new ideas and information about developments in the field.
For publications that are currently unpublished or in-press, details are shown in italics.
Journal article (48 outputs)
Fernando I, Rajasuriya M, Lampe L, 'Pattern-based formulation: clinical case 5', Australasian Psychiatry, 27 86-89 (2019) [C1]
© The Royal Australian and New Zealand College of Psychiatrists 2018. Objective: To demonstrate how the Pattern-based Formulation can be used to integrate biological, psychologica... [more]
© The Royal Australian and New Zealand College of Psychiatrists 2018. Objective: To demonstrate how the Pattern-based Formulation can be used to integrate biological, psychological and sociocultural factors in constructing the case formulation in a patient who developed schizophrenia and post-psychotic depression. Conclusions: Three new patterns are introduced and used to construct a comprehensive case formulation. This expands the suite of patterns in the pattern-based method of psychiatric case formulation, and further demonstrates its broad utility as an educational resource in psychiatry training.
Lampe L, Malhi GS, 'Avoidant personality disorder: Current insights', Psychology Research and Behavior Management, 11 55-66 (2018) [C1]
© 2018 Lampe and Malhi. Avoidant personality disorder (AVPD) is a relatively common disorder that is associated with significant distress, impairment, and disability. It is a chro... [more]
© 2018 Lampe and Malhi. Avoidant personality disorder (AVPD) is a relatively common disorder that is associated with significant distress, impairment, and disability. It is a chronic disorder with an early age at onset and a lifelong impact. Yet it is underrecognized and poorly studied. Little is known regarding the most effective treatment. The impetus for research into this condition has waxed and waned, possibly due to concerns regarding its distinctiveness from other disorders, especially social anxiety disorder (SAD), schizoid personality disorder, and dependent personality disorder. The prevailing paradigm subscribes to the ¿severity continuum hypothesis¿, in which AVPD is viewed essentially as a severe variant of SAD. However, areas of discontinuity have been described, and there is support for retaining AVPD as a distinct diagnostic category. Recent research has focused on the phenomenology of AVPD, factors of possible etiological significance such as early parenting experiences, attachment style, temperament, and cognitive processing. Self-concept, avoidant behavior, early attachments, and attachment style may represent points of difference from SAD that also have relevance to treatment. Additional areas of research not focused specifically on AVPD, including the literature on social cognition as it relates to attachment and personality style, report findings that are promising for future research aimed at better delineating AVPD and informing treatment.
Andrews G, Bell C, Boyce P, Gale C, Lampe L, Marwat O, et al., 'Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the treatment of panic disorder, social anxiety disorder and generalised anxiety disorder', Australian and New Zealand Journal of Psychiatry, 52 1109-1172 (2018) [C1]
© The Royal Australian and New Zealand College of Psychiatrists 2018. Objective: To provide practical clinical guidance for the treatment of adults with panic disorder, social anx... [more]
© The Royal Australian and New Zealand College of Psychiatrists 2018. Objective: To provide practical clinical guidance for the treatment of adults with panic disorder, social anxiety disorder and generalised anxiety disorder in Australia and New Zealand. Method: Relevant systematic reviews and meta-analyses of clinical trials were identified by searching PsycINFO, Medline, Embase and Cochrane databases. Additional relevant studies were identified from reference lists of identified articles, grey literature and literature known to the working group. Evidence-based and consensus-based recommendations were formulated by synthesising the evidence from efficacy studies, considering effectiveness in routine practice, accessibility and availability of treatment options in Australia and New Zealand, fidelity, acceptability to patients, safety and costs. The draft guidelines were reviewed by expert and clinical advisors, key stakeholders, professional bodies, and specialist groups with interest and expertise in anxiety disorders. Results: The guidelines recommend a pragmatic approach beginning with psychoeducation and advice on lifestyle factors, followed by initial treatment selected in collaboration with the patient from evidence-based options, taking into account symptom severity, patient preference, accessibility and cost. Recommended initial treatment options for all three anxiety disorders are cognitive¿behavioural therapy (face-to-face or delivered by computer, tablet or smartphone application), pharmacotherapy (a selective serotonin reuptake inhibitor or serotonin and noradrenaline reuptake inhibitor together with advice about graded exposure to anxiety triggers), or the combination of cognitive¿behavioural therapy and pharmacotherapy. Conclusion: The Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the treatment of panic disorder, social anxiety disorder and generalised anxiety disorder provide up-to-date guidance and advice on the management of these disorders for use by health professionals in Australia and New Zealand.
Fernando I, Lampe L, 'Case formulation using pattern-based formulation (PBF) methodology: clinical case 4', Australasian Psychiatry, 26 662-666 (2018) [C1]
© The Royal Australian and New Zealand College of Psychiatrists 2018. Objectives: To provide a further example of the utility of the pattern-based model in formulation, and to int... [more]
© The Royal Australian and New Zealand College of Psychiatrists 2018. Objectives: To provide a further example of the utility of the pattern-based model in formulation, and to introduce some further patterns. Methods: A case study was carried out using the Pattern-based Formulation (PBF). Results: Based on the case of a patient with a past history of trauma who developed late onset somatic symptoms, post-traumatic stress disorder and major depression, the PBF approach enabled development of a comprehensive formulation to explain the patient¿s current presentation. Four patterns were utilised. Conclusions: The PBF method of using patterns as building blocks enables development of a psychobiological formulation that can accommodate considerable complexity. PBF represents a broadly applicable method that may assist psychiatry trainees and others to develop good quality formulations.
Lampe L, Sunderland M, 'Social phobia and avoidant personality disorder: Similar but different?', Journal of Personality Disorders, 29 115-130 (2015)
© 2015 The Guilford Press. Avoidant personality disorder (AvPD) is regarded as a severe variant of social phobia (SP), consistent with a dimensional model. However, these conclusi... [more]
© 2015 The Guilford Press. Avoidant personality disorder (AvPD) is regarded as a severe variant of social phobia (SP), consistent with a dimensional model. However, these conclusions are largely drawn from studies based on individuals with SP, with or without comorbid AvPD. The present study hypothesized that there are qualitative differences between AvPD and SP that are undermined by limiting research to participants with SP. The authors sought to test this hypothesis by comparing three groups¿SP only, AvPD only, and SP+AvPD¿using data extracted from an epidemiological sample of 10,641 adults aged 18 years and over. Screening questions were used in the epidemiological survey to identify ICD-10 personality disorders; from this the author developed a proxy measure for DSM-IV AvPD. Axis 1 diagnoses, including DSM-IV SP, were identified using the Composite International Diagnostic Interview (CIDI). In this sample, the majority of those with AvPD did not also have SP: The authors found 116 persons with AvPD only, 196 with SP only, and 69 with SP+AvPD. There was little difference between any of the groups on sex, marital status, employment, education, or impairment variables. The SP+AvPD group reported more distress and comorbidity than the SP only and AvPD only groups, which did not differentiate from each other. More feared social situations were endorsed in the SP only group compared to the AvPD only group. Although the finding of few differences between SP only and AvPD only groups among the variables measured in this epidemiological survey fails to provide support for the hypothesis of qualitative differences, the finding that the AvPD only group appears more similar to the SP only group than to the SP+AvPD group also fails to provide support for the alternative continuity hypothesis. The greater distress and additional comorbidity with depression associated with SP+AvPD may be due to the additional symptom load of a second disorder rather than simply representing a more severe variant of social phobia. The use of a proxy for AvPD is a limitation of the study. Future studies should focus on broader clinical variables that have been proposed as qualitatively different between these disorders, and on the possible genetic and environmental factors that might help explain such differences.
Lampe L, 'Social anxiety disorders in clinical practice: Differentiating social phobia from avoidant personality disorder', Australasian Psychiatry, 23 343-346 (2015)
Objective: To outline the problems around overlap between social phobia (SAD) and avoidant personality disorder (AVPD) and provide guidelines that may assist clinicians to differe... [more]
Objective: To outline the problems around overlap between social phobia (SAD) and avoidant personality disorder (AVPD) and provide guidelines that may assist clinicians to differentiate these conditions. Conclusions: A constellation of symptoms can be identified that may distinguish AVPD from SAD, with key features being a strong and pervasively negative self-concept, a view of rejection as equating to a global evaluation of the individual as being of little worth and a sense of not fitting in socially that dates from early childhood. It is important to identify the presence of AVPD in order to anticipate potential problems with engagement and retention in therapy, to target treatment interventions and optimise outcome.
Pham TD, Oyama-Higa M, Truong CT, Okamoto K, Futaba T, Kanemoto S, et al., 'Computerized assessment of communication for cognitive stimulation for people with cognitive decline using spectral-distortion measures and phylogenetic inference', PLoS ONE, 10 (2015)
© 2015 Pham et al. Therapeutic communication and interpersonal relationships in care homes can help people to improve their mental wellbeing. Assessment of the efficacy of these d... [more]
© 2015 Pham et al. Therapeutic communication and interpersonal relationships in care homes can help people to improve their mental wellbeing. Assessment of the efficacy of these dynamic and complex processes are necessary for psychosocial planning and management. This paper presents a pilot application of photoplethysmography in synchronized physiological measurements of communications between the care-giver and people with dementia. Signal-based evaluations of the therapy can be carried out using the measures of spectral distortion and the inference of phylogenetic trees. The proposed computational models can be of assistance and cost-effectiveness in caring for and monitoring people with cognitive decline.
Kuiper S, Fritz K, Tanious M, Bargh D, Coulston C, Curran G, et al., 'Psychiatric tertiary referral and clinical decision making', Australian and New Zealand Journal of Psychiatry, 48 219-223 (2014)
Malhi GS, Coulston CM, Fritz K, Lampe L, Bargh DM, Ablett M, et al., 'Unlocking the diagnosis of depression in primary care: Which key symptoms are GPs using to determine diagnosis and severity', Australian and New Zealand Journal of Psychiatry, 48 542-547 (2014)
Objective: Diagnosing depression in primary care settings is challenging. Patients are more likely to present with somatic symptoms, and typically with mild depression. Use of ass... [more]
Objective: Diagnosing depression in primary care settings is challenging. Patients are more likely to present with somatic symptoms, and typically with mild depression. Use of assessment scales is variable. In this context, it is uncertain how general practitioners (GPs) determine the severity of depressive illness in clinical practice. The aim of the current paper was to identify which symptoms are used by GPs when diagnosing depression and when determining severity. Method: A total of 1760 GPs participated in the RADAR Program, an educational program focusing on the diagnosis and management of clinical depression. GPs identified a maximum of four patients whom they diagnosed with depression and answered questions regarding their diagnostic decision-making process for each patient. Results: Overall, assessment of depression severity was influenced more by somatic symptoms collectively than emotional symptoms. Suicidal thoughts, risk of self-harm, lack of enjoyment and difficulty with activities were amongst the strongest predictors of a diagnosis of severe depression. Conclusions: The conclusions are threefold: (1) collectively, somatic symptoms are the most important predictors of determining depression severity in primary care; (2) GPs may equate risk of self-harm with suicidal intent; (3) educational initiatives need to focus on key depressive subtypes derived from emotional, somatic and associated symptoms. © The Royal Australian and New Zealand College of Psychiatrists 2013.
Malhi GS, Fritz K, Coulston CM, Lampe L, Bargh DM, Ablett M, et al., 'Severity alone should no longer determine therapeutic choice in the management of depression in primary care: Findings from a survey of general practitioners', Journal of Affective Disorders, 152-154 375-380 (2014)
Background The treatment of depression in primary care remains suboptimal for reasons that are complex and multifactorial. Typically GPs have to make difficult decisions in limite... [more]
Background The treatment of depression in primary care remains suboptimal for reasons that are complex and multifactorial. Typically GPs have to make difficult decisions in limited time and therefore, the aim of this study was to examine the management of depression of varying severity and the factors associated with treatment choices. Method Nested within a primary care educational initiative we conducted a survey of 1760 GPs. The GPs each identified four patients with clinical depression whom they had treated recently and then answered questions regarding their diagnosis and management of each patient. Results Comorbid anxiety, sadness and decreased concentration appeared to direct the management of depression toward psychological therapy, whereas comorbid pain and a patient's overall functioning, such as the ability to do simple everyday activities, directed the initiation of pharmacological treatment. The use of antidepressants with a broader spectrum of actions (acting on multiple neurotransmitters) increased from mild to severe depression, whereas this did not occur with the more selective agents. SSRIs were prescribed more frequently compared with all other antidepressants, irrespective of depression severity. Limitations GPs chose the RADAR programme and therefore they were potentially more likely to have an interest in mental health compared to GPs who did not participate. Conclusions GPs do not appear to be determining pharmacological treatment based on depression subtype and specificity, but rather on the basis of the total number of symptoms and overall severity. While acknowledging important differences between primary care and specialist practice, it is suggested that guidelines to assist GPs in matching treatment to depression subtype may be of practical assistance in decision-making, and the delivery of more effective treatments. © 2013 Elsevier B.V.
Malhi GS, Lampe L, Coulston CM, Tanious M, Bargh DM, Curran G, et al., 'Mixed state discrimination: A DSM problem that won×', Journal of Affective Disorders, 158 8-10 (2014)
Background DSM's replacement of 'mixed episodes' with 'mixed features' has ironically created a specifier, which potentially lacks specificity because it ... [more]
Background DSM's replacement of 'mixed episodes' with 'mixed features' has ironically created a specifier, which potentially lacks specificity because it overlooks two key symptoms: psychomotor agitation and distractibility. Therefore, the present study examined the presence of psychomotor agitation and distractibility across the mood disorder spectrum. Methods Two hundred patients were diagnosed and assigned to one of three groups (depression, bipolar spectrum disorder (BDspectrum) and bipolar disorder) based on clinical evaluation by a psychiatrist. On the basis of MDQ scores, the depression group was then further subdivided into two groups: unipolar depression (UP) and mixed depression (UPmix). These four groups were then compared to examine the relative distribution of psychomotor agitation and distractibility. Participants underwent a clinical evaluation by a psychiatrist and completed a series of questionnaires. Results Increased distraction, racing thoughts, and increased irritability were the most commonly reported manic symptoms amongst the unipolar depression group. Further, UPmix and BDspectrum had significantly higher psychomotor agitation and distractibility than the other two groups. Limitations The present study depended on self-report measures and did not include standardised measures of distractibility and psychomotor agitation. Future research needs to examine pure unipolar patients without any manic symptoms to clarify further how different this group would be from those with mixed features. Conclusions The present findings suggest that distractibility and psychomotor agitation may represent the core of mixed states, as they are more common in patients with mixed depression and bipolar spectrum disorder than patients diagnosed with unipolar depression and bipolar I disorder. Future research and clinical implications are discussed. © 2014 Elsevier B.V.
Malhi GS, Fritz K, Coulston CM, Lampe L, Bargh DM, Ablett M, et al., 'Severity alone should no longer determine therapeutic choice in the management of depression in primary care: Findings from a survey of general practitioners', JOURNAL OF AFFECTIVE DISORDERS, 152 375-380 (2014)
Lampe L, Coulston CM, Berk L, 'Psychological management of unipolar depression', Acta Psychiatrica Scandinavica, 127 24-37 (2013)
Objective: To be used in conjunction with 'Pharmacological management of unipolar depression' [Malhi et al. Acta Psychiatr Scand 2013;127(Suppl. 443):6-23] and 'Lif... [more]
Objective: To be used in conjunction with 'Pharmacological management of unipolar depression' [Malhi et al. Acta Psychiatr Scand 2013;127(Suppl. 443):6-23] and 'Lifestyle management of unipolar depression' [Berk et al. Acta Psychiatr Scand 2013;127(Suppl. 443):38-54]. To provide clinically relevant recommendations for the use of psychological treatments in depression derived from a literature review. Method: Medical databases including MEDLINE and PubMed were searched for pertinent literature, with an emphasis on recent publications. Results: Structured psychological treatments such as cognitive behaviour therapy and interpersonal therapy (IPT) have a robust evidence base for efficacy in treating depression, even in severe cases of depression. However, they may not offer benefit as quickly as antidepressants, and maximal efficacy requires well-trained and experienced therapists. These therapies are effective across the lifespan and may be preferred where it is desired to avoid pharmacotherapy. In some instances, combination with pharmacotherapy may enhance outcome. Psychological therapy may have more enduring protective effects than medication and be effective in relapse prevention. Newer structured psychological therapies such as mindfulness-based cognitive therapy and acceptance and commitment therapy lack an extensive outcome literature, but the few published studies yielding positive outcomes suggest they should be considered options for treatment. Conclusion: Cognitive behaviour therapy and IPT can be effective in alleviating acute depression for all levels of severity and in maintaining improvement. Psychological treatments for depression have demonstrated efficacy across the lifespan and may present a preferred treatment option in some groups, for example, children and adolescents and women who are pregnant or postnatal. © 2013 John Wiley & Sons A/S. Published by Blackwell Publishing Ltd.
Kuiper S, Mclean L, Fritz K, Lampe L, Malhi GS, 'Getting depression clinical practice guidelines right: Time for change?', Acta Psychiatrica Scandinavica, 128 24-30 (2013)
Objective: As part of a series of papers ['Chronobiology of mood disorders' Malhi & Kuiper. Acta Psychiatr Scand 2013;128(Suppl. 444):2-15; and 'It's time ... [more]
Objective: As part of a series of papers ['Chronobiology of mood disorders' Malhi & Kuiper. Acta Psychiatr Scand 2013;128(Suppl. 444):2-15; and 'It's time we managed depression: The emerging role of chronobiology' Malhi et¿al. Acta Psychiatr Scand 2013;128(Suppl. 444):1] examining chronobiology in the context of depression, this article examines recent western clinical practice guidelines (CPGs) for the treatment of depression with respect to the recommendations they make, in particular as regards chronobiological treatments, and briefly considers the implications of their methodology and approach. Method: Five international treatment guidelines, which had been published in the past 5¿years, were identified, representing North American and European views. Chosen guidelines were reviewed by the authors, and the relevant recommendations were distributed for discussion and subsequent synthesis. Results: Most current guidelines do not address chronobiology in detail. Chronotherapeutic recommendations are tentative, although agomelatine is considered as an option for major depression and bright light therapy for seasonal affective disorder. Sleep deprivation is not routinely recommended. Conclusion: Recommendations are limited by the lack of reliable therapeutic markers for chronotherapeutics. Current evidence supports use of light therapy in seasonal depression, but in non-seasonal depression there is insufficient evidence to support reliance on chronotherapeutics over existing treatment modalities. © 2013 John Wiley & Sons A/S.
Lampe LA, Hagiwara T, 'Man vs. machine: Utility of a computerized structured diagnostic tool in clinical practice', Australian and New Zealand Journal of Psychiatry, 47 190-191 (2013)
Lampe L, Jenkins K, 'OCI examination, RANZCP', Australian and New Zealand Journal of Psychiatry, 47 1089-1090 (2013)
Walter G, Soh NLW, Jaconelli SN, Lampe L, Malhi GS, Hunt G, 'Medical students' subjective ratings of stress levels and awareness of student support services about mental health', Postgraduate Medical Journal, 89 311-315 (2013)
Purpose To descriptively assess medical students' concerns for their mental and emotional state, perceived need to conceal mental problems, perceived level of support at univ... [more]
Purpose To descriptively assess medical students' concerns for their mental and emotional state, perceived need to conceal mental problems, perceived level of support at university, knowledge and use of student support services, and experience of stresses of daily life. Study design From March to September 2011, medical students at an Australian university were invited to complete an anonymous online survey. Results 475 responses were received. Students rated study and examinations (48.9%), financial concerns (38.1%), isolation (19.4%) and relationship concerns (19.2%) as very or extremely stressful issues. Knowledge of available support services was high, with 90.8% indicating they were aware of the university's medical centre. Treatment rates were modest (31.7%). Students' concerns about their mental state were generally low, but one in five strongly felt they needed to conceal their emotional problems. Conclusions Despite widespread awareness of appropriate support services, a large proportion of students felt they needed to conceal mental and emotional problems. Overall treatment rates for students who were greatly concerned about their mental and emotional state appeared modest, and, although comparable with those of similarly aged community populations, may reflect undertreatment. It would be appropriate for universities to address stressors identified by students. Strategies for encouraging distressed students to obtain appropriate assessment and treatment should also be explored. Those students who do seek healthcare are most likely to see a primary care physician, suggesting an important screening role for these health professionals.
Coulston CM, Bargh DM, Tanious M, Cashman EL, Tufrey K, Curran G, et al., 'Is coping well a matter of personality? A study of euthymic unipolar and bipolar patients', Journal of Affective Disorders, 145 54-61 (2013)
Background: Euthymic bipolar disorder (BD) patients often demonstrate better clinical outcomes than remitted patients with unipolar illness (UP). Reasons for this are uncertain, h... [more]
Background: Euthymic bipolar disorder (BD) patients often demonstrate better clinical outcomes than remitted patients with unipolar illness (UP). Reasons for this are uncertain, however, personality and coping styles are each likely to play a key role. This study examined differences between euthymic BD and UP patients with respect to the inter-relationship between personality, coping style, and clinical outcomes. Methods: A total of 96 UP and 77 BD euthymic patients were recruited through the CADE Clinic, Royal North Shore Hospital in Sydney, and assessed by a team comprising Psychiatrists and Psychologists. They underwent a structured clinical diagnostic interview, and completed self-report measures of depression, anxiety, stress, personality, coping, social adjustment, self-esteem, dysfunctional attitudes, and fear of negative evaluation. Results: Compared to UP, BD patients reported significantly higher scores on levels of extraversion, adaptive coping, self-esteem, and lower scores on trait anxiety and fear of negative evaluation. Extraversion correlated positively with self-esteem, adaptive coping styles, and negatively with trait anxiety and fear of negative evaluation. Trait anxiety and fear of negative evaluation correlated positively with eachother, and both correlated negatively with self-esteem and adaptive coping styles. Finally, self-esteem correlated positively with adaptive coping styles. Limitations: The results cannot be generalised to depressive states of BD and UP, as differences in the course of illness and types of depression are likely to impact on coping and clinical outcomes, particularly for BD. Conclusions: During remission, functioning is perhaps better 'preserved' in BD than in UP, possibly because of the protective role of extraversion which drives healthier coping styles. © 2012 Elsevier B.V.
Lampe L, 'Drug treatment for anxiety', Australian Prescriber, 36 186-189 (2013)
Antidepressants are recommended as firstline when pharmacotherapy is required for anxiety disorders. Selective serotonin reuptake inhibitors are effective in all anxiety disorders... [more]
Antidepressants are recommended as firstline when pharmacotherapy is required for anxiety disorders. Selective serotonin reuptake inhibitors are effective in all anxiety disorders, and selective and noradrenaline reuptake inhibitors in most anxiety disorders. They are the drugs of first choice. With the exception of obsessive compulsive disorder, there is little evidence of a dose- response relationship with antidepressants and many patients will respond to standard doses. Anxiety is generally slower to respond to treatment than depression and clinicians should avoid rapid dose escalation. The outcomes are likely to be enhanced if patients receive cognitive behavioural therapy in addition to pharmacotherapy. Benzodiazepines are not the first-line treatment for anxiety disorders.
Lampe L, Fritz K, Boyce P, Starcevic V, Brakoulias V, Walter G, et al., 'Psychiatrists and GPs: Diagnostic decision making, personality profiles and attitudes toward depression and anxiety', Australasian Psychiatry, 21 231-237 (2013)
Objectives: The objective of this article is to explore diagnostic decision making around psychological symptoms presenting to general practitioners (GPs) and psychiatrists, ident... [more]
Objectives: The objective of this article is to explore diagnostic decision making around psychological symptoms presenting to general practitioners (GPs) and psychiatrists, identify attitudinal and personality factors of possible relevance in these decisions, and compare GPs and psychiatrists to help identify potential educational targets. Methods: GPs and psychiatrists attended separate peer-facilitated workshops in which two case presentations were discussed. Decision making was explored by structured questions embedded in the workshop, with responses recorded by electronic keypad technology. Participants completed demographic questionnaires and measures of personality and attitudes to depression. Results: GPs and psychiatrists accorded emphasis to different elements of the history, and assigned different diagnoses based on the same set of symptoms. Both groups relied on non-pharmacological management for milder psychological symptoms; GPs were less likely to make a diagnosis of bipolar disorder. Traits of Extraversion and Agreeableness were associated with greater ease in treating depression. Conclusions: Differences in diagnostic decision making likely reflect the different contexts of specialist and generalist practice. Educational targets may include information about key symptoms to assist in diagnostic precision, but further information is needed to determine the best match between diagnostic processes, context and outcome. An awareness of the role of personality factors may help when designing education and support programs. © The Royal Australian and New Zealand College of Psychiatrists 2013.
Wilson I, Griffin B, Lampe L, Eley D, Corrigan G, Kelly B, Stagg P, 'Variation in personality traits of medical students between schools of medicine', MEDICAL TEACHER, 35 944-948 (2013) [C1]
Jones MP, Eley D, Lampe L, Coulston CM, Malhli GS, Wilson I, et al., 'Role of personality in medical students' initial intention to become rural doctors', AUSTRALIAN JOURNAL OF RURAL HEALTH, 21 80-89 (2013) [C1]
|Show 45 more journal articles|
Conference (7 outputs)
|2019||Forbes M, Lampe L, Nguyen D, Jenkins K, Suetani S, 'BURNING OUT, BURNING IN AND BURNING AROUND: LET'S TALK ABOUT OUR OWN WELFARE IN PSYCHIATRY', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY (2019)|
|2019||Lampe L, 'Presenter 2', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY (2019)|
|2019||Forbes M, Lampe L, Nguyen D, Jenkins K, Suetani S, 'Presenter 4', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY (2019)|
|2015||Lampe L, Ferguson J, 'Ranzcp 2015 Examination Information Sesion APPROACHING THE CRITICAL ESSAY QUESTION AND THE MODIFIED ESSAY QUESTIONS IN THE RANZCP WRITTEN EXAMINATION', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY (2015)|
|Show 4 more conferences|
Grants and Funding
|Number of grants||7|
Click on a grant title below to expand the full details for that specific grant.
20191 grants / $32,545
Increasing the ease and quality of mental health assessments and triaging using a mobile application: implementation in Telepsychiatry$32,545
Mental health triage refers to the process whereby persons referred for a mental health assessment receive an early assessment to determine acuity and identify the most appropriate point of care. Teams associated with the Mental Health Line and the Northern Mental Health Emergency Care Rural Access Program (NMHEC-RAP) currently provide this service in the Hunter New England LHD by telephone or video. A tool to assist in triaging patients referred to the Mental Health Line has the potential to save clinician time, increase the speed of response to consumers and contribute to the quality of mental health assessments. This project funds the trial in a telehealth (telepsychiatry) setting of a tool in development and near completion (funded by a previous improvement grant).
Patients who are referred to the Mental Health Line service for a mental health assessment will be invited to participate in the trial. Those who consent will be randomised to assessment as usual or the trial intervention. Those in the intervention arm will be sent a link to complete a questionnaire online. The questionnaire will gather data around the reason for referral, current and past problems, current and past treatments, and information about social supports. Participants will be invited to nominate a carer to contribute information via a separate online carer questionnaire. Participants will then go through the triage process, but the clinician will have available to them the data from the participant plus or minus carer.
Information gained from this trial will assist in the refinement of the triaging tool. Once the tool is finalised, funding will be sought to trial it locally in a range of Emergency Department settings. Availability of such a tool in these locations has the potential to increase the quality, safety and timeliness of mental health assessments in under-serviced areas.
Funding body: Hunter New England Health LHD, NSW Health
|Funding body||Hunter New England Health LHD, NSW Health|
Fernando I, Lampe L, Sanson-Fisher R, Carey M, Oldmeadow C, Reeves P, Collard P, Gupta R, Simpson K, Mathew C, Conrad A, Murphy F, Eriksson S, Towney J.
|Scheme||Improvement Grant Scheme|
|Type Of Funding||C2210 - Aust StateTerritoryLocal - Own Purpose|
20181 grants / $31,572
Increasing the ease and quality of acute referrals to specialist psychiatric care and initial assessment using an internet-based application$31,572
Funding body: Hunter New England Area Health Service
|Funding body||Hunter New England Area Health Service|
Irosh Fernando, Lisa Lampe, Cyriac Mathew
|Type Of Funding||Other Public Sector - Local|
20171 grants / $9,051
Funding body: Hunter Medical Research Institute
|Funding body||Hunter Medical Research Institute|
|Scheme||HMRI Brain and Mental Health Research Program|
|Type Of Funding||Internal|
20102 grants / $75,900
Funding body: Medical Deans
|Funding body||Medical Deans|
Michael Jones, Lisa Lampe, Carissa Coulston, Gerry Corrigan, Cathy McMahon, Diann Eley, Pamela Stagg, Ian Wilson, Barbara Griffin, John Humphreys
|Type Of Funding||Aust Competitive - Non Commonwealth|
Funding body: The University of Sydney
|Funding body||The University of Sydney|
Anthony Harris, Lisa Lampe, Gin Malhi, Rola Ajjawi
|Scheme||Teaching Improvement and Equipment Scheme|
|Type Of Funding||Grant - Aust Non Government|
20081 grants / $14,000
Funding body: NSW Institute of Psychiatry
|Funding body||NSW Institute of Psychiatry|
Lisa Lampe, John Baird, Chris Basten, Rocco Crino, Natasha Davis, Peter McEvoy, Brian O'Grady
|Scheme||Education Support Fund|
|Type Of Funding||Other Public Sector - State|
20001 grants / $305,000
Funding body: Department of Health and Aging
|Funding body||Department of Health and Aging|
Andrews JG et al including myself
|Type Of Funding||C2120 - Aust Commonwealth - Other|