Richard Whale

ORCID: 0000-0003-0478-7296
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About
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Research Areas
  • Bipolar Disorder and Treatment
  • Schizophrenia research and treatment
  • Neurotransmitter Receptor Influence on Behavior
  • Tryptophan and brain disorders
  • Stress Responses and Cortisol
  • Mental Health and Psychiatry
  • Electroconvulsive Therapy Studies
  • Treatment of Major Depression
  • Hepatitis C virus research
  • Pharmaceutical studies and practices
  • Electrolyte and hormonal disorders
  • Psychiatric care and mental health services
  • Liver Disease Diagnosis and Treatment
  • Pituitary Gland Disorders and Treatments
  • HIV Research and Treatment
  • HIV/AIDS Research and Interventions
  • Receptor Mechanisms and Signaling
  • Natural Compound Pharmacology Studies
  • Hormonal Regulation and Hypertension
  • Sleep and Wakefulness Research
  • Obsessive-Compulsive Spectrum Disorders
  • Growth Hormone and Insulin-like Growth Factors
  • Mental Health Treatment and Access
  • Mental Health Research Topics
  • Child and Adolescent Psychosocial and Emotional Development

Brighton and Sussex Medical School
2015-2024

Sussex Partnership NHS Foundation Trust
2015-2024

University of Sussex
2021

Whale Museum
2021

University of South Wales
2010

University College Hospital
2010

University College London
2010

Mill View Hospital
2010

Leeds General Infirmary
2009

University of Brighton
2006

Evidence for the effectiveness of treatments in early-onset psychosis is sparse. Current guidance treatment mostly extrapolated from trials adult populations. The UK National Institute Health and Care Excellence has recommended evaluation clinical cost-effectiveness antipsychotic drugs versus psychological intervention (cognitive behavioural therapy [CBT] family intervention) combination these psychosis. aim this study was to establish feasibility a randomised controlled trial monotherapy,...

10.1016/s2215-0366(20)30248-0 article EN cc-by-nc-nd The Lancet Psychiatry 2020-07-07

Background Neuroendocrine studies of brain serotonin (5-HT) function in depression generally show evidence impaired 5-HT but it is disputed whether or not this impairment resolves with clinical recovery. Aims To use the endocrine response to selective 5-HTreuptake inhibitor, citalopram, study acute and recovered depressed subjects relative healthy controls. Method We used a double-blind, placebo-controlled design measure prolactin cortisol responses citalopram (10 mg intravenously) patients...

10.1192/bjp.180.1.24 article EN The British Journal of Psychiatry 2002-01-01

One year of antipsychotic treatment from symptom remission is recommended following a first episode psychosis (FEP).To investigate the effectiveness commonly used medications in FEP.A retrospective cohort study naturalistic patients (N=460) accepted by FEP services across seven UK sites. Treatment initiation to all-cause discontinuation determined case files.Risk greatest within 3 months initiation. Risperidone had longest median survival time. No significant differences were observed time...

10.1192/bjpo.bp.116.002766 article EN cc-by-nc-nd BJPsych Open 2016-09-01

Antipsychotic long-acting injectable (LAI) medication has an important place as a treatment option in schizophrenia with evolving evidence to support clinical benefit over oral medication. Paliperidone palmitate is recently licensed LAI. We studied naturalistic cohort of all identifiable patients who initiated paliperidone LAI specific United Kingdom region (Sussex) from first availability up January 2013 (n = 179). Favorably, 60% the continued beyond 12 months initiation. Schizophrenia...

10.1097/jcp.0000000000000385 article EN Journal of Clinical Psychopharmacology 2015-08-11

Acute tryptophan depletion (ATD) decreases levels of central serotonin. ATD thus enables the cognitive effects serotonin to be studied, with implications for understanding psychiatric conditions, including depression.To determine role in conscious (explicit) and unconscious/incidental processing emotional information.A randomized, double-blind, cross-over design was used 15 healthy female participants. Subjective mood recorded at baseline after 4 h, when participants performed an explicit...

10.1007/s00213-010-1897-5 article EN cc-by-nc Psychopharmacology 2010-06-30

Background Brain serotonin (5-HT) function is abnormal in major depression, but the involvement of different 5-HT receptor subtypes has been little studied. The availability selective ligands now makes it possible to test sensitivity 1D receptors patients with depression. Aims aim study was use agonist, zolmitriptan, depression before and after treatment reuptake inhibitors (SSRIs). Method We measured growth hormone response zolmitriptan (5 mg orally) SSRI treatment. A matched sample healthy...

10.1192/bjp.178.5.454 article EN The British Journal of Psychiatry 2001-05-01

Summary Remission is a new research outcome indicating long-term wellness. not only sets standard for minimal severity of symptoms and signs (resolution); it also how long need to remain at this level (6 months). Individuals who achieve remission from schizophrenia have better subjective well-being functional outcomes than those do not. Research suggests that can be achieved in 20–60% people with schizophrenia. There some evidence the usefulness as an indicator clinicians, service users...

10.1192/apt.bp.108.006411 article EN Advances in Psychiatric Treatment 2010-03-01

When psychosis emerges in young people there is a risk of poorer outcomes, and access to evidence-based treatments paramount. The current evidence base limited. Antipsychotic medications show only small benefit over placebo, but experience more side effects than adults. There sparse for psychological intervention. Research needed determine the clinical effectiveness cost-effectiveness intervention versus antipsychotic medication combined treatment adolescents with psychosis.

10.3310/hta25040 article EN publisher-specific-oa Health Technology Assessment 2021-01-01
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