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Black Dog Institute Institute Dog Black ReportAnnual

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Black Dog Institute Report 2012 .org.au biteback www. institute.org.au blackdog www. TURNING VISION INTO REALITY The Black Dog Institute is poised to expand our life-saving activities and have a positive impact on the mental health of all Australians.

With the support of government, business and the community, the Black Dog Institute will:

DIAGNOSE mood disorders accurately and early

TREAT mood disorders using innovative, effective and accessible strategies

PREVENT the onset of mood disorders through understanding of the risk factors and delivering prevention programs

REDUCE the impact of mood disorders and save lives

We invite you to join us on our journey

Black Dog Institute© 2012 ABN 12 115 954 197 Black Dog Institute is a company limited by guarantee postal address Hospital Road, Prince of Wales Hospital, Randwick NSW 2031 telephone 61 02 9382 4530 facsimile 61 02 9382 8208 email [email protected] website www.blackdoginstitute.org.au cover Mathew Johnstone design [email protected] studio p3.unsw.edu.au print [email protected]

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2 Black Dog Institute Annual Report Contents Chairman’s Report...... 4 2012 Executive Director’s Report...... 6 What is the ‘Black Dog’?...... 8 General Manager’s Report...... 10 Research...... 12 Bipolar Disorder...... 12 Depression...... 16 Suicide Prevention...... 18 eHealth...... 21 Positive Psychology and Resilience...... 23 Systems Neuroscience...... 24 Neurostimulation...... 26 Psychosocial Research...... 28 Healthy Brain Ageing...... 29 Perinatal Depression...... 30 Workplace Mental Health...... 32

Clinical Services...... 34

Education and Community Programs...... 38 Writing Competitions and Books...... 42 Developing Countries Program...... 46 Development and Fundraising...... 48 Communications...... 51 The Black Dog Institute Website...... 53 The Black Dog Index...... 54 Creative Development...... 56 The Black Dog Institute International Lectures...... 57 Our People...... 59 Special Acknowledgements...... 62 UNSW School of Psychiatry 50th Anniversary...... 64 Financial Report...... 66 The Institute and Pharmaceutical Companies...... 68 Research Funding...... 69 Publications...... 72 Conference Presentations and Educational Meetings.... 75 Donations and Bequests...... 78 Bequest Form ...... 80

3 Chairman’s Report

4 In 2012 the Black Dog Institute has revitalised, Coupled with this are our fruitful relation- adopting a strategic plan that places a strong focus on ships with partner organisations to improve our reach high quality research as the foundation for improving nationally and internationally and the ties we have with outcomes for patients suffering mood disorders such other research institutions and mental health service as depression and bipolar disorder. providers. After a decade of growth under its found- Collaboration is the key to getting results in ing executive director, Professor Gordon Parker, the the health sphere. An example of this is our produc- Institute is now an established international leader tive partnership with The Health-Science Alliance, in its field. With the appointment of Professor Helen Australia’s first Academic Health Science Centre, based Christensen as a distinguished successor to Professor on the UNSW/Randwick public hospital campuses. The Parker, we are expanding our research programs. Alliance comprises nine of the country’s top medi- Our model is based on the presumption that cal research institutes and health care providers and quality research leads to new discoveries. In turn, is working toward harnessing and integrating the discoveries translate into clinical treatments, impact- research, education, training and clinical expertise of ful school, workforce and community programs, and each partner to maximise optimal health outcomes for improved health policies. patients and the community. Our continued growth has been supported The Institute also depends on the generosity from many quarters. We have a dynamic and dedicat- of individuals and corporations. One such supporter ed Board, drawn from the private, public and academ- and good friend of the Institute, the late Albert Hunt, ic sectors, that provides a skilful contribution to meet sadly lost his life in a motor vehicle accident this year. our high expectations. This year, we had two founding His financial support kick-started many initiatives which board members retire – Mr Nicholas Cowdery, former in years to come will be recognised as the impetus to Director of Public Prosecutions for NSW, and Associate providing significant improvements for people with Professor Meg Smith, from the University of Western mood disorders. Albert was a great character and a Sydney, after providing outstanding service for the champion for better mental health services, particu- best part of 11 years. We thank them warmly for their larly in the bush. We will miss him. On behalf of the unstinting efforts and generosity of talent and time. Board I extend our sincere condolences to Albert’s We are indeed fortunate to have a remarkable family. team of people working for and dedicated to the Insti- We look ahead with hope and conviction as we tute. We salute them and acknowledge the inspiration strive to accelerate understanding of the basic biologi- that they provide. In this regard we are pleased to cal causes of depression and suicide, and develop treat- have our first full-time General Manager in Will ments and interventions accordingly. It is a long journey Bonney, who brings impressive business acumen, pas- but full of promise and possibility. sion and enormous energy to the role. We are also indebted to the ongoing support from the NSW Ministry of Health, the Common- wealth Department of Health and Ageing (DoHA) and Peter Joseph AM the National Health and Medical Research Council Chairman (NHMRC).

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Executive Director’s Report

In 2012, the Black Dog Institute consolidated a decade of clinical and research excellence by conducting a formal evaluation to identify our strengths and refine our mission. Through this process we sought input from mental health consumers, our funders, prominent researchers, policy makers and our own staff. This input formed the basis of a comprehensive strategic plan that will underpin the delivery of our mission – To improve the lives of people affected by mood disorders through translational research, clinical expertise and education programs. Unlike many other research-based institutions, the Black Dog Institute is truly translational. This means our research is designed to directly and rapidly lead to improvements in clinical practice and education. We do not research for research sake, rather we proac- tively identify and target community need and partner with other organisations to ensure maximum impact and efficiency. I am pleased to say our community focus and recognised research expertise has resulted in

6 significant government research funding. This includes adolescent care. Wherever possible, our research a highly prestigious NHMRC Program grant for re- outcomes will be made accessible nationally. Our search into bipolar disorder, led by Professors Mitchell, education and workplace programs will be delivered Schofield, Parker and Breakspear, and the establish- across Australia using evidence-based materials. We ment of an NHMRC Centre of Research Excellence will be targeting groups such as young people and in Suicide Prevention led by myself and supported indigenous Australia where we know risk is high and by leading researchers and clinicians from around outcome is promising. Australia. Further new funding has been obtained to 2012 was a momentous year for the Black Dog investigate suicide ideation, new depression treat- Institute and 2013 is poised to be even more exciting. ments, neuroimaging and mental health screening. I hope you enjoy learning about our work and feel Whilst the research may seem diverse, the central inspired to join us on our journey. goal is to improve the lives of people who suffer from depression and bipolar disorder. The challenge for 2013 is to expand our efforts to accommodate the needs of a large country.

We know that mental health issues are on the rise in Helen Christensen Australia and current management programs are not Executive Director, Black Dog Institute optimal. Our eHealth programs such as myCompass have already reached tens of thousands of individuals directly and will continue to do so. We are planning new clinics in brain stimulation, depression, bipolar disorder, psychological practice and web-based

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What is the Black Dog?

About the Institute The Black Dog Institute is a world leader in the in teenagers. We are conducting clinical trials into new diagnosis, treatment and prevention of mood disor- treatment methods as well as conducting ground- ders such as depression and bipolar disorder. Founded breaking imaging studies to ‘see’ what happens to the in 2002, the Institute is an independent not-for-profit brain when depression strikes. organisation that combines expertise in clinical man- While diagnosis and treatment is of utmost agement with cutting-edge research. importance, the Black Dog Institute also places em- One in five Australians are affected by mental phasis on teaching people to recognise the symptoms illness every year, with one of the most common of of mood disorders in themselves and others, as well these being depression. It touches people of all ages as providing them with the right psychological tools to and from all walks of life, and places an enormous hold the ‘black dog’ at bay. burden on individuals, families, workplaces and the The Black Dog Institute is a collaborative health system. organisation that partners with universities, health Living with the ‘black dog’ (as Winston Churchill services and community groups across the country. labelled his depression) can be overwhelming, a feel- We focus on access – running education programs in ing of being trapped in a dark haze. It can manifest regional areas and providing a number of clinically- as extreme lethargy, irritability or sadness. In extreme endorsed training programs both for health care cases, it can result in thoughts of suicide or self-harm. professionals and workplaces. But there is hope. Our patron is Her Excellency, the Governor of The Black Dog Institute’s research program New South Wales, Professor Marie Bashir AC CVO. extends from risk identification genomic studies to development of websites to enhance mental resilience

8 Our vision is to develop the best translational research institute to lower the impact of mood disorders.

LOGO: Our Mission, Values and Philosophy The striking Black Dog Institute logo that cap- Our mission is to identify, prevent and treat tures the famous Churchill symbol – the ‘V’ for victory mood disorders to improve outcomes. gesture and the shadow of the black dog’s head – was We value: developed by Mr John Bevins. □□ Compassion and respect □□ Excellence and innovation □□ Transparency and equity □□ Collaboration and professionalism.

The Institute’s philosophy: The highest quality research leads to new discoveries. Discoveries translate into clinical treatments, school, workforce and community programs and health policies. Training health professionals and providing knowledge to patients, families, carers and communities increases impact. Working with partner organisations improves reach nationally and internationally.

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General Manager’s Report

In 2012 the Institute undertook a thorough re- 3. To ensure that Black Dog Institute is view of its strategy and directions, stakeholder percep- a leader in new mental health devel- tions and general population awareness. This process opments, health reform and health resulted in a strategic plan from 2012 to 2015, driving technology the Institute’s efforts toward population-based impact. 4. To create sustainable education activities Within this strategy, Black Dog Institute has the by building on the Institute’s strengths in following key objectives: training health care professionals, work- 1. To strengthen research performance places, schools and communities and to and broaden the range of fields in create new models of delivery which Black Dog Institute has recog- 5. To ensure the Institute remains a nised expertise financially sustainable and accountable 2. To deliver a range of effective, cutting- organisation, a partner of choice and a edge and sustainable clinical services in great place for staff to work. depression and bipolar disorder, brain Consistent with its history, the Institute remains stimulation, step-up/step-down eHealth committed to conducting high quality research to interventions and ongoing psychologi- provide the evidence-base for improved prevention, cal services that build on and compli- intervention and recovery tools and models of care. ment research excellence The consumer is at the centre of everything we do.

10 Stretch targets are included in the strategic to the prevention, treatment and recovery from mood plan, including increasing our sphere of influence and disorders for all Australians. overcoming geographic barriers. To this end, we are Finances and Audit working with and through other high quality mental The Institute was returned to a sustainable health service providers to broaden our education financial footing throughout 2012 by re-aligning reach and significantly increase our impact all around research, clinical and education activities in line with Australia and the world. revenue. In 2012 we have seen a dramatic increase in Ernst & Young once again conducted the the number of corporate partners with whom we are external annual audit of the Institute’s accounts for the engaged with workplace programs. These partner- year ended 30 June 2012. A concise version of these ships are based on generating value by assisting com- accounts is provided in this report. The Institute is panies to better address depression in the workplace grateful for the work undertaken by Ernst & Young un- on a commercial basis. der the leadership of the Audit Partner, Mr Rob Lewis. The range of offerings the Institute provides to different segments of the population to improve outcomes from anxiety, depression and bipolar disorder continues to expand in breadth and sophistication. Will Bonney Our commitment is to provide ongoing improvements General Manager Black Dog Institute 2 201 G O D K C A L B

Research

Bipolar Disorder Research Leaders – Professor Philip Mitchell, Professor Gordon Parker, Associate Professor Vijaya Manicavasagar, Mr Dusan Hadzi-Pavlovic, Research Manager, Kristy Delmas Dr Gloria Roberts

Bipolar disorder is the name used to describe a set of ‘mood swing’ conditions, the most severe form of which used to be called ‘manic depression’. One in 75 Australians suffer from bipolar disorder but current practices to identify people with the disorder are extremely poor. Whilst we know that bipolar disorder has high heritability (70-80 per cent of cases occur in people with close family relations with bipolar disorder) we also know that the environment must play an important role. The Black Dog Institute is at the forefront of new research; working to pinpoint the genetic and environmental risk factors associated with bipolar disorder and investigating new and more effective ways of managing the condition.

12 Research activity from 2012 includes: Reduced emotional regulation shown in people with bipolar disorder and schizophrenia Identifying brain activation differences in peo- – This study examined brain function during self-reg- ple at risk of bipolar disorder – This study ulation of negative emotional experience in patients investigated functional brain activity in young people with bipolar disorder and schizophrenia as both these at increased genetic risk for bipolar disorder. It was patient groups show cognitive deficits in brain regions found that whole-brain corrected analyses revealed that would normally function to self-regulate emotion. a highly specific and significant lack of recruitment of The study looked to see if there were similar abnor- particular regions of the brain in the high-risk partici- malities in prefrontal brain regions in these patient pants compared to the others. This impaired function groups and the results showed that neither patient may represent a trait marker of vulnerability to bipolar group was able to reduce their own negative experi- disorder. ence to the degree that healthy controls could. Triggers of mania and depression in Can mindfulness be a useful adjunct young adults with bipolar disorder – The research treatment for bipolar disorder? – This study identified triggers of bipolar ‘highs’ or bipolar ‘lows’ in compared the efficacy of Mindfulness-Based Cogni- young adults with bipolar disorder. Researchers also tive Therapy (MBCT) plus treatment as usual (TAU) to looked at whether the events that led to mania or TAU alone for patients with bipolar disorder over a hypomania were the same as those that led to depres- 12-month follow-up period. Analysis of data found no sion. The most common triggers of mania/hypomania significant differences between the groups, either on were emotional change and sudden changes in sleep/ time to first recurrence of a mood episode, total num- wake times. Depressive events were closely linked to ber of recurrences, or Montgomery-Asberg Depres- stress, including injury and sleep deprivation. Men- sion Scale or Young Mania Rating Scale scores over struation triggered depression in women with bipolar the 12-month follow-up. We concluded that, while disorder. MBCT did not lead to significant reductions in time to relapse, total number of episodes or mood symptom severity at 12-month follow-up, there was some evi- 2 201 G dence for an effect on anxiety symptoms. O D K C A L B

Bipolar Kids ‘n’ Sibs Study

Professor Philip Mitchell

How do you identify those at risk and what are What we know is that about 80 per cent of the subtle first signs of developing the condition? And, bipolar disorder is hereditary. About 10 per cent of how do you identify those who are resilient and who people with bipolar disorder take their lives, and, in will not go on to develop bipolar disorder? Australia, about 10 per cent of bipolar sufferers make The University of New South Wales (UNSW) one suicide attempt every year. Also, about half of and the Black Dog Institute are taking part in the larg- bipolar sufferers do not take or do not regularly take est international study of its type to pinpoint the risk their medication. factors associated with bipolar disorder. In Australia, around two hundred 12 to Heading the Australian effort is Professor Philip 30-year-olds are being recruited to take part in the Mitchell, from the Black Dog Institute and the UNSW Bipolar Kids ’n Sibs Study and researchers are looking School of Psychiatry, who is conducting the study in at all the biological factors that may contribute to the collaboration with four major research institutions in illness, including a patient’s DNA, using brain-imaging, the United States – Johns Hopkins University in Bal- psychological testing, clinical evidence and history of timore and the Universities of Michigan, Indiana and drug use. Washington.

14 ...80 per cent of bipolar disorder is hereditary...... 10 per cent of people with bipolar disorder take their lives...... 10 per cent of bipolar sufferers make one suicide attempt every year

Professor Philip Mitchell

“We are tracking participants who have at least Professor Mitchell said the Bipolar Kids ’n Sibs one relative with bipolar disorder or who are sufferers Study was in its third year and patients are checked themselves,” said Professor Mitchell. He believes there every year, while every two years brain scans are is a growing body of evidence that the earlier the repeated to look at changes in the brain over time. treatment, the better the outcome. New recruits, aged between 12 to 30 years, “What we have found so far is that young peo- are still being sought. To participate or obtain more ple with a family history of bipolar disorder respond information, phone 1800 352 292 or email: bipolar- less adaptively to emotional experiences. This gives us [email protected] a strong lead in our goal of developing strategies for early intervention and prevention with those persons who are at risk.”

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Depression Research Leaders – Professor Gordon Parker, Professor Helen Christensen, Mr Dusan Hadzi-Pavlovic, Dr Alex Wilde

One in seven Australians will experience Research activity from 2012 includes: depression in their lifetime. It is generally acknowl- Treating insomnia to prevent depres- edged that depression is a common experience and sion – The NHMRC-funded ‘Good Night Study’ was that we have all felt ‘depressed’ about something launched in late 2012. It uses a web-based training occurring in our lives – while sometimes we just feel program aimed at improving mental wellbeing and ‘down’ for no reason at all. However, depression reducing depression by teaching people to sleep can be an illness when our mood state is severe, for better for the 1 in 10 Australians who report problems instance if the ‘down’ mood lasts two weeks or more with either falling asleep or staying asleep, a propor- and interferes with our ability to function at home or tion that rises steeply for people who have depression at work. and anxiety. Preliminary trials of this specialised web- The Black Dog Institute has built a reputa- based program called SHUTi (Sleep Healthy Using The tion as a leading world authority in the diagnosis and Internet), developed by Associate Professor Lee Rit- treatment of depression. Our research has formed the terband from the University of Virginia, US, show that basis of many new treatment paradigms and is now this method, which combines changes in behaviour, also shedding light on how to prevent or minimise information about sleep ‘hygiene’ and a fresh view of depression onset. the problem, is effective in improving sleep, reducing depression and increasing mental wellbeing.

16 Determining melancholic from non-mel- Implications of genetic tests for psychi- ancholic depression – This study aimed to separate atric illness – It is now possible to link a person’s ge- features that are different for ‘melancholic’ and ‘non- netic ‘markers’ to their risk of developing a particular melancholic’ depression. It is suggested that ‘melan- disease and to sell such tests direct to the consumer. cholic’ depression (about 10 per cent of depressive Since the information may influence life-changing disorder) is a more biological illness and that the bulk health decisions, it is very important to ensure that of depressive disorder can be categorised as ‘non- there is sound evidence to support the use of any par- melancholic’, with the latter more closely associated ticular genetic test. Advantages of such tests are that with stress and personality factors. The Sydney Mel- early protection such as medication and therapies can ancholia Prototype Index developed by the research- be implemented, hopefully lowering risk, and some ers found that ‘non-melancholic’ participants in the genetic tests can also predict medication response. study had more anxiety disorders, a higher number of Disadvantages include that such tests can increase stressors and were more likely to have a personality rather than diminish stigma, and cause unnecessary style that could predispose them to non-melancholic distress and discrimination in instances where the ill- depression. Clinician ratings of patients were found ness/condition never develops. to be more accurate than ratings made by patients of their own mood state.

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Suicide Prevention Research Leaders – Professor Helen Christensen, Dr Fiona Shand, Dr Bregje Van Spijker

Every day at least six Australians die from sui- Research activity from 2012 includes: cide and a further 30 people will attempt to take their Preventing suicide in young indigenous own life. In fact, Australians are more likely to die from people – Work has begun on a new a mobile phone suicide than skin cancer; yet we know comparatively ‘App’ to help young indigenous people to deal with su- little about the processes that lead to suicide and how icidal thoughts and psychological distress. The App will and when to intervene effectively. use evidence-based psychological strategies adapted Black Dog Institute research is looking for from acceptance and commitment therapy and answers to this problem and concentrating on the de- dialectical behaviour therapy. Consultations suggest velopment of evidence-based intervention programs that much of the proposed content is already being that will save lives. Much of our activity in this area delivered to young indigenous people in face-to-face focuses on groups who we know have a higher risk of interventions and that an App may overcome barriers suicide such as indigenous people. Complementing to help-seeking such as cost, stigma, lack of anonym- this work will be pioneering research conducted within ity, and poor access to services. This project is being the prestigious new NHMRC Centre for Research developed in partnership with HITnet, the Young and Excellence. This work will combine research study data Well Cooperative Research Centre, the UNSW Muru to identify suicide risk factors in Australia, develop new Marri Indigenous Health Unit, UNE, Alive & Kicking interventions for suicidal ideation, and model research Goals! in the Kimberley, and Thoughtworks, and will be data with the aim of adapting policy to ensure funding piloted in 2013. is directed accordingly.

18 Living with Deadly Thoughts – This web- Community-based study of suicidal based program is being developed by Professor Helen thoughts – This study examined the psychological Christensen and Dr Bregje Van Spijker. It is based on a predictors of suicidal ideation and suicide attempt, program currently successfully used in the Netherlands using Joiner’s Interpersonal Theory of Suicide. The and uses simple but engaging modules to help people researchers found support for the concept that the understand and manage suicidal thoughts before risk for suicide increases when multiple psychological they become significantly life-threatening. We know factors come into play. These include feeling hopeless, that many people do not access treatment when they experiencing isolation even though you might want to first experience suicidal thoughts and want to remain belong, and perceiving that you are a burden on those anonymous. This application is a confidential way to around you. The innovation of the study rests in the obtain clinical and effective treatment. A trial of this testing of this model within a community sample as new program will commence in early 2013. most previous research has been restricted to clinical samples.

Researchers (left to right) Rebecca Ridani, Professor Helen Christensen and Dr Fiona Shand have taken on the challenge to better understand the complex pathways that lead to suicide

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NHMRC Centre for Research Excellence in Suicide Prevention

Researchers at the Black Dog Institute and the who believes people at risk are highly vulnerable and University of NSW, in partnership with the Brain and often don’t get the help they need. Mind Institute, The University of Sydney, the Queens- This fresh approach aims to identify the land Institute for Medical Research, The Australian way in which access to eHealth services may lead National University, and The University of Melbourne to decreased suicide risk within different local areas have been awarded a prestigious NHMRC Centre for and amongst different age groups. It includes much Research Excellence to determine how best to save needed investigations into cyber bullying in young people from suicide. Researchers from Otago and people, and indigenous mental health. Auckland Universities are also involved. New theories are emerging about what risks The five-year $2.5million grant will enable lead to suicide. Re-using data from a multitude of desperately needed research into the best way to studies will allow us to test these theories. deliver interventions to those at risk, developing a bet- Ultimately, the aim is to develop and recom- ter understanding of the complex pathways that lead mend evidence-based programs of intervention that to suicide and encouraging help seeking in groups will be accessible and effective to anyone who needs known to be high risk such as adolescents, people liv- help. ing with mental illness and construction workers. Work has already begun on eHealth initiatives Chief Investigator and Executive Director of aiming to build resilience in young people and edu- the Black Dog Institute, Professor Helen Christensen, cate people about living with suicidal thoughts. These believes research is urgently needed if we are to re- are expected to be launched in 2013. duce rates of suicide in Australia. The view is shared by Australian Minister for Mental Health, Mark Butler MP,

20 eHealth Research Leaders – Professor Helen Christensen, Associate Professor Judy Proudfoot, Associate Professor Vijaya Manicavasagar, Professor Gordon Parker

eHealth refers to the delivery of health services Research activity from 2012 includes: via electronic technologies such as computers, mobile Launch of myCompass – myCompass is phones and tablets. A clinically proven alternative a web-based, self-help program delivered via mo- to face-to-face consultations, eHealth interventions bile phones and computers for people with mild to provide the public with evidence-based information, moderate depression, anxiety or stress. Funded by education, support and treatment when, where and the Australian Government, the program provides how they want. Not only convenient and cost effective, a unique way for people to monitor their moods, it also reduces barriers to accessing services that result triggers and behaviours in ‘real time’ and in natural from social disadvantage, stigma and living in areas settings. Launched mid-2012, more than 9,000 people where there are few mental health services. from Australia and all over the world have signed up. Black Dog Institute eHealth programs are now myCompass is a free and confidential service. See providing free and accessible treatment and diagnos- www.mycompass.org.au for more information. tics to tens of thousands of people across Australia. All of our programs are developed and evaluated by clini- Pictured are the myCompass team (left to cians and research specialists to ensure they remain right) Cesar Anonuevo, Mary-Rose Birch, Alexis updated and relevant to the community using them. Whitton, Associate Professor Judy Proudfoot and Dr Janine Clarke

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Federal Minister for Mental Health and Ageing, Mark Butler, at the launch of the myCompass program

Black Dog Mood Assessment Program Stepped care intervention for Austral- (MAP) proves clinically effective – This research ian youth – This program, to be introduced in 2013, examined the usefulness of the Mood Assessment aims to provide an early intervention service to young Program (MAP) 12 months after an online version for people at risk of depression and anxiety. Referred patients was made available for access by Austral- from community organisations or through self-referral, ian health practitioners. Feedback from nearly 10,000 young people will be assessed and offered one of patients indicated that the great majority judged the three streams of evidence-based interventions for MAP as straightforward to complete. Some profes- anxiety and depression, including web-based inter- sionals also offered their judgments. Responses ventions. A range of support from healthcare pro- supported the acceptability of the MAP to patients fessionals will also be offered. The progress of each and its utility to clinicians in relation to diagnostic and young person will be monitored to check if they need formulation issues, as well as in advancing communi- to be ‘stepped up’ to a different intervention. cation between practitioners and their patients. In addition, the MAP has been shown to improve efficiency and time management in assessing those with a mood disorder.

22 Positive Psychology and Resilience Research Leader – Associate Professor Vijaya Manicavasagar

The Black Dog Institute is committed to BITE BACK is a world-first online positive promoting resilience-building as a key ingredient in psychology website specifically designed for ado- breaking the cycle of mood disorders. To this end the lescents. An engaging interactive tool, BITE BACK concept of resilience-building forms an integral part of aims to help young people work to their full potential all our clinical, community and professional education by recognising their strengths, learning to become programs. more mindful and improving their appreciation of Our community programs for young people life. It includes activities, blogs, interviews, videos and such as ‘HeadStrong’ and ‘BITE BACK’, together information on a variety of domains including social with our workplace talks, offer practical suggestions for relationships, gratitude, and mindfulness. BITE BACK resilience-building as universal preventions for mood is an open, freely available website [www.biteback.org. disorders. And our professional education programs au] for general practitioners, psychologists and youth workers ensure that health professionals are mindful of both ‘recovery’ and ‘prevention’ as conjoined strategies in helping people with mood disorders.

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Systems Neuroscience Research Leaders – Associate Professor Michael Breakspear, Dr Tjeerd Boonstra

The Systems Neuroscience team The discipline of systems neuroscience covers (left to right) Kees De Leeuw, Stew- the basic principles of large-scale brain dynamics, how art Heitmann, Associate Professor these arise from (and reshape) cortical architectures, Michael Breakspear, Tjeerd Boon- and how they underpin cognitive operations, such as stra, Angela Langdon and Saeid perception, inference and motor control. Mehrkanoon They also contribute to our understanding of major mental illnesses such as mood disorders, schizophrenia, autism and dementia. Understanding of these disorders requires employing – and further advancing – cutting-edge neuroscience techniques and their applications.

24 Research activity from 2012 includes: Neural mechanisms of intermuscular coherence: Implications for the rectification of Hemodynamic travelling waves in hu- surface electromyography – This study employed man visual cortex – Functional magnetic reso- a computational model to look at the role of the mo- nance imaging (fMRI) experiments have advanced tor unit action potential (MAUP) on the translation of our understanding of the structure and function ‘oscillatory activity’. (Oscillatory activity plays a crucial of the human brain. Dynamic changes in the flow role in corticospinal control of muscle synergies.) This and concentration of oxygen in blood are observed was tested and compared to test results from inter- experimentally in fMRI data via the blood oxygen muscular coherence between bilateral leg muscles. level dependent (BOLD) signal. Since neuronal activity The model shows that the effect of electromyogra- induces this hemodynamic response, the BOLD signal phy rectification depends on the uniformity of MUAP provides a non-invasive measure of neuronal activity. shapes. The data provided support for a heteroge- Understanding the mechanisms that drive this BOLD neous distribution of MUAPs which implies that the response is fundamental for accurately inferring the shape of MUAPs is an essential parameter to reconcile underlying neuronal activity. The goal of this study is experimental and computational approaches. to systematically predict spatiotemporal hemodynam- ics from a biophysical model, then test these in a high resolution fMRI study of the visual cortex. Using this theory, we predict and empirically confirm the exist- ence of hemodynamic waves in cortex – a striking and novel finding.

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Neurostimulation Research Leaders – Professor Colleen Loo, Dr Donel Martin

Neurostimulation refers to using different alert. The treatment has no known serious side effects mechanisms to stimulate brain cells in order to treat and is suitable for patients seeking an alternative to and manage psychiatric disorders such as bipolar medication or those who are unable to tolerate anti- disorder and depression. Traditionally, the only treat- depressant drugs or Electroconvulsive Therapy (ECT). ment option within this sphere was electroconvulsive The neurostimulation team are also research- therapy (ECT) which is not a suitable treatment for ing the use of ketamine to help relieve depression. Tra- everyone. ditionally used for anaesthesia or sedation, ketamine Research at the Black Dog Institute is leading led to dramatic improvements in people suffering the way into new forms of neurostimulation, includ- clinical depression, evident from within hours of the ing transcranial Direct Current Stimulation (tDCS). This treatment to a day later. involves stimulating frontal areas of the brain with very small currents while patients remained awake and

26 Professor Colleen Loo demonstrating transcranial Direct Current Stimulation (tDCS)

Research activity from 2012 includes: Ketamine as a neuroprotective agent in ECT – This study investigated the neuroprotective and Effects of brain stimulation on memory synergistic effects of adjunctive sub-anaesthetic doses and brain activity in depression – Advances in of the drug ketamine with ECT. Participants prescribed non-invasive electrical stimulation of ongoing brain right-unilateral ultrabrief ECT were randomly assigned activity – such as transcranial direct current stimulation to receive ketamine or saline placebo with their an- (tDCS) – continue to offer new hope for the treatment aesthesia and were assessed on cognitive, safety, and of major depression. Yet the mechanisms of clinical antidepressant efficacy outcomes. It was found that change are unknown. In this study, we investigated the the addition of ketamine significantly increased the acute effects of tDCS treatment on cortical activity in speed of antidepressant response over the first week patients with depression whilst they performed a diffi- of treatment – however efficacy outcomes were the cult memory task. The brain mechanisms measured in same between ketamine and placebo by the end of response to the task may indicate an improvement of the ECT course. Ketamine was not shown to have any selective attention directly after tDCS treatment. This neuroprotective advantage in this study. Finally, the study underlines the promise of functional brain imag- use of adjunct sub-anaesthetic ketamine in this study ing tests in understanding and monitoring response to did not produce any significant psychomimetic side brain stimulation treatment. effects.

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Psychosocial Research Research Leader – Professor Kay Wilhelm

Psychosocial research crosses research Research activity from 2012 includes: boundaries to employ holistic thinking in health and On a blue note: Why depressed people welfare. It promotes scholarship and research with a listen to music – Research suggests that negative strong practice and policy focus in response to the mood may be associated with attraction to negative complex demands on health services. It positions the emotion in music, a finding that runs counter to mood individual in networks of interpersonal relationships, management theory. Despite such evidence, no study organisations, and wider systems. Research is attuned has examined how and why depressed people listen to and draws on the social and psychological sciences, to music. Qualitative thematic analysis was con- political theory, social policy, philosophy and cultural ducted with textual responses from 294 online survey studies and aims to impact on the wider community as respondents (148 with depression and 146 without). well as the individual. Findings revealed that depressed people were more likely to use music to reflect or express emotion, while those without depression were more likely to use music for energy and inspiration. Negative emotion in music enabled some to attend to negative emotion, with subsequent dissipation of negative mood. For others, it was connected with negative cognition and a worsening of negative mood.

28 Managing Depression Growing Older A guide for professionals and carers

‘Greying of the Black Dog’ Kerrie Eyers, Gordon Parker and Henry Brodaty Healthy Brain Ageing Research Leaders – Professor Henry Brodaty, Professor Perminder Sachdev

An estimated eight per cent of older adults in Changing topological patterns in normal Australia experience depression and the number will ageing – Researchers examined normal ageing from increase as the population ‘greys’. the perspective of topological patterns of structural Black Dog Institute partners with affiliate brain networks constructed from two healthy age organisations such as the UNSW Centre for Healthy cohorts 20 years apart. We then constructed struc- Brain Ageing to find answers to help older Australians tural brain networks using 90 cortical and subcortical live a productive and healthy life in these golden years. regions as a set of nodes, and further analysed the topological properties of the age-specific networks. Research activity from 2012 includes: We found that the brain structural networks of both Reducing behavioural and psychological cohorts had small-world architecture, and the older symptoms of dementia in the community – Non- cohort (age range 64-68) had lower global efficiency pharmacological interventions delivered by family but higher local clustering in the brain structural net- caregivers have the potential to reduce the frequency works compared with the younger cohort (age range and severity of behavioural and psychological symp- 44-48). The older cohort had reduced hemispheric toms of dementia, with the effect at least equalling asymmetry and lower centrality of certain brain that of pharmacotherapy. regions, but that of the prefrontal cortex (PFC) was not different. These structural network differences may provide the basis for changes in functional connectivity and cognitive function as we age and may explain the development of cognitive disorders and depression in old age.

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Perinatal Depression Research Leader – Professor Marie-Paule Austin

In recent years, the term ‘postnatal’ depression Research activity from 2012 includes: has been replaced by the term ‘perinatal’ depression Detection and management of mood to encompass the period from conception until 12 disorders in the maternity setting – Researchers months postpartum. This reflects a wider understand- put together evidence-based guidelines about mood ing of the natural history of this condition and its far- disorders arising in the ‘perinatal’ period (from reaching impact on sufferers, their partners and other conception to the first year after birth) arising in up to members of the family. 13 per cent of women and causing significant prob- Depression affects around 10 per cent of lems to the adjustment of the mother, baby, partner women in the antenatal period and an increasing and wider family. The guidelines’ aim is to educate number of studies are finding links between significant health professionals to be more confident about when depression and anxiety during pregnancy, and adverse and how to intervene when they think a woman is suf- outcomes for both mother and baby. Detecting fering from serious levels of depression or anxiety. depression and anxiety during pregnancy creates an Major depressive disorders in the peri- opportunity to intervene early and reduce the longer- natal period – This population-based study aimed term impact of these conditions. to investigate hospital admission of major depressive disorders during the perinatal period. Birth records from 1 July 2002 to 31 December 2004 in the NSW Midwives Data Collection were linked with records for the same period from the NSW Admitted Pa- tients Data Collection. Overall, risk of admission rose significantly across the entire first postpartum year and remained elevated up to 24 months postpartum. This study has significant implications for policy and service planning for women with depressive disorders in the perinatal period. 30 How you Volunteering for Research Studies

The online Volunteer Research Register (VRR) can help is on the Black Dog Institute website. The VRR allows people to register their interest in participating in mental health research studies. It has been designed to securely store details such as a person’s name, contact details and some basic information including date of birth, whether a person has ever been diagnosed with a mental health problem, and if they have previously participated in a Black Dog Institute research study. When a research study starts, we will search the register for people who might be suitable and email them information about it as well as an invitation to take part should they be interested. You can join the 1800 other people donating their time to research by registering at www.blackdogvolunteers.org.au.

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Workplace Mental Health Research Leader – Dr Samuel Harvey

One of the most powerful ways in which men- While the economic consequences of mental tal illness leads to social exclusion is via its impact on illness in the work place are dramatic, the importance occupational function. In recent decades in most de- of the association between work and mental health veloped countries, mental disorders have taken over goes well beyond this. Those without work are almost from musculoskeletal problems as the leading cause always financially dependent and prevented from of sickness absence and long-term work incapac- playing a full and active role in society. Being in work ity. However, sickness absence forms only part of the is associated with lower prevalence of depression and economic costs associated with mental illness. There lower incidence of suicide. The adverse economic and is increasing evidence that many individuals suffering health effects of ‘worklessness’ are felt not only by from mental disorders, such as depression, will remain the individuals who are not working, but also by their at work but will be under-performing in their usual families and children. There is good evidence that in roles. Thus, once the costs of reduced productivity and most situations the benefits of work for an individual’s increased staff turnover are added to the cost of ab- mental and physical health outweigh any risks. senteeism, the annual work-related cost of depression in Australia is estimated to be $12.6 billion.

32 ... the annual work-related cost of depression in Australia is estimated to be $12.6 billion...

The Black Dog Institute, working together Initially, the Workplace Mental Health Re- with UNSW, has secured funding from NSW Health search Program will focus on the mental health of for a three-year program of research focused on the NSW emergency workers, but it is hoped that over relationship between work and mental health. This time it will expand to consider the entire working age research program is being led by Dr Samuel Harvey, population. Emergency workers have a key role in our an academic psychiatrist who has recently returned to society, but their work is often stressful and dangerous Australia after spending 10 years working in the UK. and significant numbers of emergency workers have His post at the Black Dog Institute and UNSW is the difficulties with mental illness as a result. The aims of first clinical academic position in workplace mental the new program of research are relatively broad, but health in Australia and one of the very few academic include trying to establish ways of identifying which positions world-wide to focus specifically on the rela- emergency workers are at risk of developing men- tionship between mental health and work. tal health problems, considering ways of increasing worker resilience and preventing mental disorders, and testing new interventions to help promote early identification and return to work amongst unwell emergency workers.

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Clinical Services

Clinical leaders (left to right) Associate Professor Vijaya Manicavasagar, Professor Helen Christensen, Professor Philip Mitchell, Dr Paul Friend and Professor Colleen Loo

34 The Black Dog Institute has an ambitious plan to establish a network of expert clinics providing an Depression Clinic expanded range of services for patients suffering The Depression Clinic has been a flagship of mood disorders. the Institute’s activities for the past decade. Already, the Institute operates a Depression Through this clinic, the Institute provides high- Clinic (headed by Dr Paul Friend) and a Bipolar Disor- quality comprehensive assessments of patients. The der Clinic (headed by Professor Philip Mitchell) which patient and their family/friends receive a thorough are highly regarded by referring doctors, their patients explanation of their condition and the recommended and friends. management plan. In turn, the referring doctor In 2012, the demand for clinical assessment receives a detailed medical report and management increased significantly and the Institute feels there plan for his patient. The service is available to any is scope for other clinical services, headed by their person who is registered with Medicare and referred research leaders in the different fields, namely: by a medical practitioner. □□ Web-based adolescent care (Professor The Depression Clinic has also established, Helen Christensen) once a month, a similar clinic service in Tamworth. □□ Psychological practices (Associate Pro- The Clinic is currently exploring the use of fessor Vijaya Manicavasagar) video conferencing to provide this service to other □□ Brain stimulation (Professor Colleen regional areas of New South Wales and elsewhere in Loo). Australia. The following additional information is provided on the different clinical services. 2 201 G O D K C A L B

Bipolar Clinic Web-Based Adolescent Care The Bipolar Clinic is conducted by Professor Evidence suggests that the needs of young Mitchell, who is also Head of the UNSW School of Psy- people with sub-threshold depressive and anxiety dis- chiatry, and Professor Loo. A comprehensive assess- orders are largely unmet. They often fail to seek help ment is undertaken of patients and in a similar manner through resourcing issues within their region or fail to to the Depression Clinic, management strategies are meet entry criteria for existing mental health services. provided to the referring doctor and other clinicians The Institute believes these young people are involved in the care of the patient. ‘falling through the gaps’ and may progress to being The proposed network of expert clinics will victims of more severe mood disorders. provide the scope to have improved clinical outcomes Intervening early may reduce the downstream tailored around the latest evidence-based research. costs associated with the progression of these sub- threshold syndromes into full blown disorders and improve the overall quality of life for the young person. Interventions delivered over the internet (also known as web-based interventions) have been shown to be effective in treating depression and anxiety in both adults and young people. This approach is relatively cost-effective, can be delivered anywhere at any time and can overcome traditional access barriers.

36 Psychological Practices Brain Stimulation In recent times, Associate Professor Mani- The Brain Stimulation Clinic would encompass cavasagar has overseen the expansion of psychologi- novel treatments, including Transcranial Magnetic cal services within the various project streams at the Stimulation (TMS), transcranial Direct Current Stimula- Institute. The new emphasis is on offering an ongoing tion (tDCS) and the drug Ketamine (currently used as clinical psychology service to patients referred by an anaesthetic and in pain management). Black Dog Institute psychiatrists as well as by direct In addition, this clinic would also be a tertiary referrals from general practitioners and psychiatrists referral service for psychiatrists requiring a second ex- in the community. In particular, these referrals would pert opinion on the use of Electroconvulsive Therapy comprise patients with complex mood disorders. (ECT), typically for patients with depression who have As part of this new charter, research will be not responded to standard treatment with ECT. Refer- conducted into novel psychological interventions. This rals are to the head of the clinic, Professor Loo, and will enable the Institute to gather pilot data for devel- must be from a psychiatrist. oping broader research questions and to seek funding through conventional funding bodies, corporate spon- sorship or by direct donations to projects.

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Education and Community Programs

New Education Stream Professional Education and The Black Dog Institute is establishing a Training team consolidated Education stream to facilitate expanded In 2012, the Black Dog Institute expanded services and a greater national presence. the scope and the range of Education and Training Our education programs have been in high programs. demand for several years, as shown in the separate Feedback from health professionals who par- reports presented below. ticipated in these courses is overwhelmingly positive From 2013, the Black Dog Community and as they believe their management of mood disorders Professional teams will combine to gain maximum with their patients has improved significantly. benefit from translating research findings into patient The Institute’s Professional Education and outcomes for different audiences across the workforce, Training (PET) team is responsible for the provision of the community at large and health professionals. accredited mental health education of: The new model will improve the Institute’s in- □□ General Practitioners and GP registrars fluence and ability to engage in expansionary activities □□ Psychologists such as grant applications and establishing formal col- □□ School Counsellors laborations with the Commonwealth and other States □□ Nurses and Territories, as well as other not-for-profit bodies. □□ Allied Health professionals □□ Clinicians working with young people.

R.E.A.C.H. Support group facilitators (pictured on left); a group of participants (pictured on right) who attended an education workshop in the grounds of the Black Dog Institute at Randwick

38 Our programs are based on more than 20 two-hour sections, which can be run consecutively on years of research and clinical findings. Our experi- one day, or individually over three evenings. These enced Institute psychiatrists, GPs and psychologists sections are titled: Co-morbid Depression and Alcohol, deliver face-to-face workshops throughout NSW and Depression in the Elderly, and Resistant Depression. in some capital cities nationwide. Funded by partici- Further underlying our efforts in rural commu- pant fees, our programs are independent of input nities, the Institute, in partnership with the Rural and from pharmaceutical companies. Remote Area Psychologists Program (RRAPP), hosted In 2012 alone, our team has trained around 80 rural psychologists from 22-24 August for their 2,500 health professionals. annual conference. In addition to delivering a number This year the team has added to the suite of Psychology and Youth professional education of Black Dog Institute health professional programs programs, the Institute has created the opportunity to with the development and launch of two six-hour GP further extend our relationship with RRAPP and work workshops: Managing Anger and Dealing with Anxiety together to improve mental health outcomes in the Disorders. rural community. Our focus for the future development of new Special Thanks to: programs is to reach multi-disciplinary groups of Our team of program facilitators health professionals in order to create a feeling of □□ Divisions of General Practice/ Medicare Locals teamwork, especially in rural and remote areas, and □□ Royal Australian College of General Practition- increase knowledge and understanding between the ers QI&CPD staff various different practitioners. □□ General Practice Mental Health Skills Collabo- We have begun the process of developing a ration new multi-disciplinary program called Depression Di- □□ Australian College of Rural and Remote Medi- lemmas, for GPs, psychologists and, potentially, social cine workers and mental health nurses. This will be a six- □□ General Practice Conference and Exhibition hour accredited program delivered in three separate □□ Australian Psychological Society. 2 201 G O D K C A L B

Community Programs

The goal of the Community Programs team is the Qantas Foundation, and has continued its strong to help all Australians recognise the signs and symp- growth. The program has been taken up by mental toms of mood disorders and encourage them to seek health service providers including Lifeline and Centac- help, by providing education and reducing stigma. are, who are also able to offer it to their clients as part Our community education programs in 2012 of their services. In 2013 we will be building on this reached over 11,000 participants, and ranged from success by offering the program to service provider hands-on resilience building workshops to conference organisations across Australia. presentations and educational seminars. We delivered The HeadStrong program national rollout presentations and workshops in a number of rural was launched in 2012. Funded by the nib Foundation, locations including Cobar, Moree, Tamworth, Casino, the program provides a set of easy to use tools for Albury, Cooma, Griffith, Mt Gambier and Alice Springs. secondary school teachers to educate students about Our R.E.A.C.H. (Responsibility, Educa- mood disorders and how to seek help. The core of the tion, Acceptance, Connection and Hope) support program is a set of colourful and humorous images by group program in 2012 was funded by a grant from Matthew Johnstone, which breathe life into the topic

40 and make it attractive for both teachers and students Some of our volunteer Community Presenters to learn about mood disorders. Content is tied to (far left) at a 2012 training day. the teaching curriculum of each State’s educational Youth presenters (bottom left hand corner) system, and each State will receive a tailored version of having fun at a training day while these other the curriculum resource during the rollout. photographs are examples of people helping Volunteers: Our volunteers are a great asset raise awareness and support for the Black Dog and are able to provide a very personal account of Institute at different community events in 2012 the impact of mood disorders and a message of hope alongside the information being presented. They also provide us with the ability to reach many more people than we could on our own, and we are grateful for their fantastic support.

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Writing Competitions and Books New South Wales Minister for Mental Health, Kevin Humphries, with the runner-up in the writing competition, Rachel Witton

Walking the Tightrope – Caring for tions: What worked best, what didn’t work and what Someone with Depression or Bipolar did you learn? Disorder While depression can be very isolating, The impact of depression is like the tremors individuals fighting this private battle are often sur- of an earthquake. While one in five Australians will rounded by those who love them – family, friends, and personally experience clinical depression or a bipolar colleagues all looking for practical and sensitive ways disorder over their lifetime, there are the families, to show their support. friends and work colleagues who are also drawn into The 2012 writing competition was conducted the crisis. with the support of Carers Australia, Mental Health Often, it is these people on the perimeter who Carers ARAFMI NSW Inc. and Hunter Institute of Men- selflessly reach out to assist those who are living with tal Health’s national initiative, Partners in Depression. a mood disorder, offering their time, acceptance, sup- The winning entrant from Sydney, who wished port and hope. to remain anonymous, received a cash prize of $2,000 In searching for strategies to deal with mood for her essay titled Caring. In 1500 words this writer disorders, the 2012 Black Dog Institute Writing Com- paints a vivid account of how she cares for her hus- petition put the spotlight on the powerful stories that band. come from Carers, with a particular focus on the ques- Second prize, $1,000, was won by Ms McGee Noble from Fitzroy in Victoria for her essay, titled

42 ‘You’re in a relationship; your needs are important. He may not be able to give you everything, and often he will have nothing (or close to nothing) to give. But if you can express how he can help you and he can give you something (no matter how small), then you have a little more to give back to him when the day has taken its toll.’

From the winning entry in Black Dog Institute’s annual writing competition: 2012’s topic tapped into the experience of carers.

Walking the Tightrope. Third prize of $500 was adolescents, the elderly, perinatal depression and awarded to Ms Hannah Bretherton from Maroubra, tackling mood disorders in the workplace, as well as NSW, for her essay Crowded House. mastering depression and bipolar disorder; resulting in the publication of five (soon to be six) books by Highly Commended: distinguished publishing companies. □□ The Rollercoaster Ride – Rachael Witton, People have commented that most books on Noosa Heads, Qld depression and bipolar disorder have been □□ Bridging the Shadows Together – Hannah written from the outside looking in. Drawing together Chim, Epping, NSW perceptions and personal accounts from those who □□ Untitled – name withheld, Ngunnaul, ACT have experienced such mood disorders – whether □□ The Closed Door – name withheld, Darling- personally or in this case, as a Carer – allows us to hurst, NSW reverse this approach. □□ Enough Hope for Two – name withheld, Av- ‘Inside out’ views offer rich information that as- alon Beach, NSW. sists in breaking down the mysteries and management Over the past eight years the writing competi- of mood disorders and these are particularly appreci- tion has focused on a wide range of topics, including ated by general readers.

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Author and Publications Consultant, Kerrie Eyers

Book awarded the 2012 Book of the “While there are the predictable challenges Year prize that come with age – changing roles, irrelevance, loneliness, health and financial problems – self-aware- In 2012, the Institute launched a book titled ness and the support of others helps to chart a course ‘Managing Depression Growing Older: A Guide for through these shoals.” Professionals and Carers’ by Kerrie Eyers, Gordon The aim of the book is to reduce stigma about Parker and Henry Brodaty (Allen & Unwin, Sydney). It depression and ageing and to give the ‘invisible peo- is based on numerous research findings and underpins ple’ – the elderly with depression – and their carers a the Institute’s focus on resilience and healthy ageing. voice. The book has been awarded the 2012 Book of the The book outlines the warning signs of mental Year prize by the Australasian Journal on Ageing. illness, symptoms of ‘clinical’ depression and promi- Currently life expectancy at 65 years has nent risk factors. In addition, there is an extensive list increased by 10 years, to 18 or more additional of what an older person who is depressed can do to years. This latest book is timely in showing that those help themselves, including tapping into help net- growing older today have more choices than did any works such as general practitioners, local church and previous generation and that depression is not the community groups and maintaining a formal written invariable companion of those who are 65 years and wellness plan. older. The book was described by NSW Minister for “More than 90 per cent of people can an- Mental Health, Kevin Humphries, as an important tool ticipate an older age that is, in the main, fruitful and in the battle against the stigma and discrimination that satisfying,” said Professor Helen Christensen, Executive unfortunately still surrounds mental health. Director of the Black Dog Institute, when launching the book this year. However, Professor Christensen cautioned, “We need to plan ahead to achieve an effective, financially secure, healthy, engaged and content older age.”

44 Summary of the revised edition of In the revised edition, new chapters cover ‘Bipolar II Disorder: Modelling, comorbidity, over-represented personality styles, illness ‘trajectories’ and distinguishing bipolar II from person- Measuring and Managing’. ality-based emotional dysregulation states. Evidence Second edition, 2012. Edited by Professor Gordon for different clinical management options is reviewed Parker and published by Cambridge University Press. in detail, and two clinical management models are presented and then debated. This book is essential The lifetime risk of developing bipolar II reading for all health professionals managing mood disorder is five to seven per cent, yet the condition disorders and informative to patients seeking informa- is often poorly detected. Mood elevation states are tion about their condition and treatment options. less extreme than in bipolar I disorder although the depressive episodes are usually severe. When correctly treated, the outcome is positive, but bipolar II is often poorly managed, resulting in a high suicide rate. This is the only academic and clinical management review focusing entirely on bipolar II, scrutinising history, epidemiology, burden and neurobiology and including an extensive clinical debate by international experts about effective management strategies.

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Developing Countries Program

Developing countries across the Asia-Pacific According to Associate Professor Vijaya Mani- Region have limited mental health training for primary cavasagar, the Black Dog Institute Project Director, the care providers, resulting in mood disorders being program is helping build capacity amongst local per- largely undiagnosed and untreated. sonnel by providing education about evidence-based To help alleviate the problem, a Developing high quality treatments for mood disorders and by Countries Program was initiated in which the Black training participants to train other health professionals. Dog Institute was able to share its expertise with senior Our thanks are extended to The Chris Molner health clinicians from these countries. Bequest, AusAid, the Ministries of Health in Pacific In 2008 the first group of 14 health profes- Island countries and the World Health Organisation sionals, from Sri Lanka, Fiji, Papua New Guinea and Pacific Islands Mental Health Network (WHO PIMHnet) Solomon Islands, came to Sydney for an intensive for their support. training program. The program has continued on a regular basis and in 2012 a group of 11 clinicians, from Fiji, Samoa, Solomon Islands, Tokelau, Tonga and the Maldives, brought the total to nearly 50 participants who have received training.

46 EXERCISE YOUR MOOD

As part of the campaign to raise awareness for the Exercise your Mood in 2012, the Black Dog Institute was represented in two of the world’s iconic open water relay swims. On 21 July, a team travelled to Lake Tahoe in California to compete in the Trans Tahoe Relay swim run by the Olympic Club. The team consisted of Alexander Studzinski, Joey Pedraza, Peter Thiel, Codie Grimsey, Trent Grimsey, and Ridge Grimsey. The race attracted 183 teams this year. The Blackdog team led the race from the start, and won in the record time of 3 hours 11 minutes. On 1 September, two teams competed in the Maui Channel Swim. The first team consisted of Codie Grimsey, Ridge Grimsey, Alexander Studzinski, Xavier Desharnais, Rhys Mainstone and Peter Thiel. This Black Dog team again led the race from the start to finish first in the record time of 2 hours 47 minutes. The second team (pictured left to right) of Luke Morgan, Shelly Clarke, Millie Joseph, Elizabeth Sloane, Lachlan Benson and Peter Joseph also managed to finish the gruelling race.

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Development and Fundraising

Community fundraisers spearheaded our participating this year and $255,745 raised for the efforts in 2012 to increase awareness about mood Black Dog Institute. disorders and raise funds to help support the delivery Congratulations go out to ride founder Steve of services to those in need. Andrews and his volunteer supporters, including State No challenge seems too great. As well as an- ride leaders across Australia who worked tirelessly to nual community events like the City2Surf or the Black- make the 2012 event a huge success. A very big thank more’s Running Festival, we have had fundraisers run a you also to Channel Nine, and reporter Simon Bouda, marathon in Antarctica and another across the Sahara, who participated in the ride and was the highest indi- ride a horse from Braidwood in southern New South vidual fundraiser. The fantastic media coverage each Wales to Melbourne and ride a rickshaw across Asia. morning by weatherman, Steve Jacobs, on the Today Behind these challenges are often the personal Show, and nightly reports on television news through- stories about battling with a mood disorder or trying out the ride, really helped to increase the profile of this to come to terms with the loss of a loved one through national event. We are pleased to have supported the tragic circumstances. growth of the Black Dog Ride over the past four years Fundraising for the right cause and helping to for the awareness it has helped to generate. raise awareness can be a healing experience. It is also The 2012 Zoo2Zoo Bike Ride is another a humbling experience for everyone involved with the annual community event that helps increase aware- Black Dog Institute as we hear these personal stories ness in NSW each year. This year the Zoo2Zoo riders and see first-hand the impact on the families of those endured one of the toughest days in Zoo2Zoo history who suffer. with snow, torrential rain and howling winds to com- Following on are some of their stories: bat along the way. Total funds raised were well over The 2012 Black Dog Ride to the Red $100,000 and warm thanks go out to the volunteer Centre was a great success, with more than 400 riders organisers Andrew McKay, Jim Scollon, Andrew Back

48 and Grant Hittman. Our gratitude also to Andy Hinks could have imagined that such an iconic event would and the QBE Foundation for their continuing support. be cancelled at the last minute as a result of extreme Our Ambassador Ed Fernon competed this weather conditions caused by hurricane Sandy. year in the Pentathlon at the London Olympics. His Fortunately, they still went ahead and ran a marathon gruelling training regime in the months leading up together on the streets of New York, raising nearly to the Olympics and during the event would have $30,000. been more than enough for most people. But on his The Josh Davies Memorial Golf Day is an return Ed was straight back into the saddle preparing initiative of the Davies family in memory of their son for his epic horse ride from Braidwood to Melbourne Josh. This is their second annual event and it raised Following the Legend of Archer. Ed’s efforts raised more than $15,000 for the Black Dog Institute. They over $50,000 for the Institute and created significant awareness and media coverage as he travelled along Black Dog Institute Rural Project Manager, the bicentennial route through NSW and Victoria to Christopher Rule (pictured on left in the orange Healesville. singlet), led by example as a participant in the The New York Marathon is an iconic Blackmore’s Running Festival. Black Dog Insti- international event and when the McFadden family tute ambassador Michelle Bridges, for the City- approached us to run for the Black Dog Institute in 2Surf (centre) with some of the Institute’s other memory of their father we were very pleased to be participants in the event. (Top Right) Former able to spread our wings to far shores. Their journey Miss Universe Australia, Rachel Finch, was our in helping to destigmatise the issue of depression and ambassador for the Yoga Aid Challenge. their bravery in talking about the impact of suicide to (Bottom right) Chairman, Peter Joseph and the media, as well as their amazing fundraising sup- Executive Director, Professor Helen Christensen, port was humbling to say the least. However, no one happily accept a cheque from Steve Andrews

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have now established The Jed Project which aims to (Olympian/swimmer), John Konrads (Olympian/swim- eradicate youth suicide, and we applaud their courage mer), Bridie O’Donnell (cycling), Ky Hurst (Olympian in speaking publicly about their loss to help others. swimmer, ironman), Peter Thiel (swimmer), Stephanie This year we welcomed the support of Michelle Gilmore (surfing), Preston Campbell (rugby league), Bridges as our Ambassador in the City2Surf and Lara Tamsett (athletics), Richard Harry (rugby union), Rachel Finch as our Ambassador in the international Rachel Finch (celebrity yoga instructor), Michelle Yoga Aid Challenge. These combined events raise Bridges (author, exercise and fitness expert), Ben and hundreds of thousands of dollars for the Institute each Nathan Smith (rugby league), Ed Fernon (Olympian/ year as well as creating widespread awareness as our modern pentathlete), and Federal politicians, Andrew fundraisers reach out through their own networks to Robb, Peter Dutton, Amanda Rushworth, Peter Wright, promote the reasons for their challenge. We are so Christopher Pyne and Simon Crean. appreciative of each and every individual who chooses There are many hundreds of people and to support us as well as the organisers of these huge organisations that support us each year – far too public events. many to be named individually in this report. Without The Parramatta Eels rugby league team you, we would not be able to offer the valued services chose to support the Black Dog Institute throughout we provide, nor conduct leading-edge research. So their 2012 season, and players Ben and Nathan Smith THANK YOU once again for your much appreciated have been wonderful Ambassadors helping, as role support. models in the community, to talk about depression and how to seek help through their association with the Institute. This year we welcomed a number of new corporate partners to the Institute. Juniper The future of fundraising is online! Networks are supporting a Chair for our BITE BACK And communicating through social youth online program. Veritas Event Management media channels is vital to the has very generously produced dozens of new videos success of any business, including for use on our website to extend our eHealth offering. PR and Communications agency MAGNUS have not-for-profits. again contributed significant pro bono support to The Institute has invested in our assist us with delivering our messages to various online capability this year with media and corporate audiences over the last year. It many new improvements on our is the support of generous companies such as these website and opportunities for our that help us to raise our profile and increase our supporters to be involved. fundraising capability and we thank them for their If you haven’t seen the changes, commitment in these difficult financial times. please check them out on www. Our ambassadors again gave willingly of their blackdoginstitute.org.au and help time to support the Black Dog Institute in 2012. Our special thanks is extended to Geoff Huegill (Olympian/ us spread the ‘e’ word. swimmer), David Spindler (golf), Andrew Johns (rugby league), Brendan Capell (swimming), Libby Trickett

50 Communications

Sharing our stories In a country the size of Australia it just isn’t The activities of supporters and fundrais- possible for Black Dog Institute representatives to ers were profiled widely in the media in 2012. The be everywhere at once. Rather than restricting our Black Dog Ride to the Red Centre received wonderful activities, we are increasingly turning to the media and television coverage through the support of Channel online communities to spread the word. 9, and Olympian Ed Fernon completed his fundraising Legend of Archer ride to much fanfare generated by Black Dog Institute in the news multiple television, radio and print stories. The work of the Institute is regularly featured in media outlets across the country. From promotion Research in plain English of our regional education talks to the national launch Not everything that Black Dog Institute of new clinical programs, we actively engage with achieves makes it into the mainstream media. Institute journalists to ensure our messages are accurate and researchers are continuously advancing our under- relevant. standing by publishing findings in scientific journals, There were a number of high profile media launching clinical trials or developing new manage- stories featuring Black Dog Institute research in 2012. ment regimes. Of particular note was the launch of the myCompass To make sure our supporters are kept updated online self-help program which was reported on radio, on all our achievements we have implemented a TV and print across the country. The inaugural Black weekly research update that is shared via the website Dog Index, launched by Professor, Helen Christensen, and social media. Written by experienced Black Dog was featured on the front page of The Australian and Institute volunteer Kerrie Eyers, these stories provide widely discussed on talkback and news radio. Profes- a ‘Plain English’ description of research outcomes and sor Colleen Loo and her research into brain stimula- processes. Visit the research section of the Black Dog tion treatments for depression was also publicised Institute website to stay up to date. nationally in high quality media outlets. In addition to specific research stories, Black Pictured, Head of Communications and Media, Dog Institute clinicians and researchers were regularly Gayle McNaught sought for expert comment. This is a direct reflection 2 201 G of the high regard in which they are held. O D K C A L B

The Black Dog cyber community As people spend more and more time online, Anyone is welcome to join the conversation – we are expanding our digital media channels to we’d love to meet you! ensure our supporters can interact with us and each [facebook.com/blackdoginst] other. [twitter.com/blackdoginst] Our online presence has increased dramatically [linkedin.com/company/black-dog-institute] in 2012. Thousands of people are now following and [pinterest.com/blackdoginst] sharing our social media updates, images and videos. [youtube.com/blackdoginst] Social media is a wonderful way to quickly and The last year saw some changes to the Black effectively share everything from important health Dog Institute communications team. After a decade of information, to personal stories and inspirational highly successful media and communications activity, fundraising adventures. People can now join differ- Ian Dose left the Institute in early 2012 to pursue new ent online communities depending on their interests challenges. and use our social media channels to chat with other The new Head of Communications and Media, like-minded people. It also provides effective means Gayle McNaught, brings considerable expertise in to distribute up-to-the-minute research discoveries, health and research communications gained from pre- policy changes and clinical opportunities to people vious roles at the Garvan Institute, Westmead Hospital across the country. and the Juvenile Diabetes Research Foundation.

52 The Black Dog Institute Website

The Black Dog Institute website offers quality The self-tests for bipolar disorder and depres- information and online tools to people seeking help sion were the highest ranking pages, followed by the for mood disorders. In 2012, 846,585 unique visitors main content in the depression and bipolar sections. accessed our website, an increase of 32 per cent from Improvements were made to the research the previous year. While many were from around the section of the site and visitors can now view indi- world, 68 per cent of these visitors were from within vidual profiles of our key researchers in the ‘Meet Australia. our researchers’ pages, with some containing video interviews.

2 201 G O D K C A L B

The Black Dog Index Measuring the mental health of Australians

A new measure of national mental health has According to Newspoll Chief, Martin been developed by the Black Dog Institute in response O’Shannessey, the happiest people were older, mar- to international recognition that traditional economic- ried, tertiary educated and earning over $90,000. based measures do not sufficiently reflect a country’s Conversely, depression was connected strongly with health. divorce. The Black Dog Index aims to calculate our Black Dog Institute Director, Professor Helen level of happiness and put a tally around how many Christensen, initiated the project with the aim of of us are living with depression, anxiety and suicidal broadly identifying what factors are involved with thoughts. Similar measures are formally collected in people feeling happy or unhappy. As well as giving the UK and Canada. a snapshot of rates of mental illness, the index will In 2012, Newspoll contacted over 1200 adults provide much-needed information on how to more from all walks of life around the country and asked effectively improve overall mental health and reduce them to provide a score out of 10 for a series of ques- suicide rates. tions about their mental health and personal circum- “The good news is that the inaugural Black stances (including income, marital status, education Dog Index score is quite high at 77. This means that and political views). The results were compiled into on the whole we are quite a happy bunch of people,” an overall ‘Happiness’ score out of 100 which can be says Professor Christensen. measured over time and linked with other measures “Worryingly, the index also showed that four such as unemployment or mortgage interest rates. per cent of respondents were actively troubled by

54 THE BLACK DOG INDEX

THE AUSTRALIAN, MONDAY, DECEMBER 10, 2012 16 www.theaustralian.com.au PERSONAL OZ HEALTH

THE ROUNDS KERRYN PHELPS

Depression: a two-sided challenge for sufferers and loved ones

DEPRESSIONcanbedeadly.Askingforhelp, andenablingearlyintervention,cansavelives. Ifyouarefeelingdepressedandhave thoughtaboutsuicide,pleasetakethefollowing Tim and Lisa celebrate their wedding with Tim’s parents, Carol and Geoff, last year; Tim and Lisa in Sydney yesterday, inset stepstostartfeelingbetter. Gotoyourregulardoctor,oroneyoufeel youcantrust,andtalktothemaboutareferral forprofessionalcounselling. Confideinaclosefriendorfamilymember. Knowthattalkingaboutfeelingdepressedis notasignofweakness. Stayawayfromnon-prescribeddrugsand alcohol—youmayneedyourdoctor’shelp withthis—anddisposeofanyunused medicationinthehouse(especially antidepressantsandsedatives).Youcantake Don’t thesetoyourdoctororpharmacistfordisposal. Ifyouareprescribedmedication,makesure know/ refused youareawareofanysideeffectsandarrangefor SILENT STALKER regularfollowup. SEAN PARNELL Insomecases,antidepressantmedication HEALTH EDITOR relievesfeelingsofanxietyanddepression,but inothercasesthemedicationactuallyincreases Sufferers of severe depression, especially men, often eschewTROUBLED professional BY FEELING help forLIFE fear IS HARDLY of ridicule WORTH LIVING suicidalthoughts.Thisriskisgreatestinthefirst % fewmonthsofmedication. Not at all (0) to completely (10) % 2 Tostartfeelingbetterphysically,youshould % 1 their problem,’’ Tim says. ‘‘It is an % 1 sortoutanyunresolvedhealthproblemsor illness that is misunderstood, very 0 1 2 3 4 5 6 7 8 9 10 % 1 Source: Newspoll managechronicsymptoms,eatahealthydiet much so, but it is still an illness. He % 1 andgetenoughsleep. wasn’t himself, he wasn’t the dad % 1 Youshouldalsoseektoreduceoreliminate suicide. ‘‘I even answered the % 3 phone with a happy ‘Hi, how are that I grew up with, and people At Geoff Harmer’s funeral, sourcesofstress,getoutintonaturesoyoucan % 2 you?’, not realising, and she told would have to deal with that the % 3 there weren’t enough seats for benefitfromthesunshineandfreshair,andtry me that dad had killed himself. way we were all dealing with it. But % 6 mourners in the Salvation Army toconnectinameaningfulwaywithpeople GEOFF Harmer bricked my fam- % 10 ily home in Inverell. He was, from From then it’s all a bit of a blur.’’ he couldn’t face it.’’ church so people crowded the whocareaboutyouorsharecommoninterests. Geoff had battled mental illness The family drove Geoff eight 69 down, some so badly they believe Setaregularroutinewithadayplanthat all accounts, a lovely guy, very life is barely worth living. street. for a number of years, but his fam- hours to Sydney, where doctors at Men are less likely to seek help Not a brick was laid in Inverell includessettingthealarmtogetupinthe good at his trade. With mortar and ily thought he was finally getting the St John of God Hospital Bur- that day; Geoff’s bricklayer mates morning,eatingbreakfast,lunchanddinnerat muscle, Geoff instilled in our big So Carol wasn’t surprised when and, according to the institute’s brown house the same qualities on top of it. His troubles first came wood confirmed he had severe — the same men he feared would regulartimes,andmakingtimeforexerciseand depression, anxiety and psychosis. she returned from work at lunch- executive director, Helen Chri- the townsfolk saw in him: solid, to a head late in 2010 after Geoff stensen, that is one of the reasons think less of him — were among sleep. had stopped working due to stress. Geoff stayed there for three weeks time on April 21 and her husband Makealistofjobsyouneedtodoeachday— dependable, well-presented, warm wasn’t there. they outnumber women in suicide the 300 people who turned out to In complete and utter despair, and then returned home with pay their last respects. eventhemenialtasks. of heart. He had told her he wanted to deaths four to one. He and his family lived on the Geoff — who always told the kids medication and a broader treat- Suicidal tendencies fluctuate, ‘‘For us, as a family, that was Rememberthethingsthatyouhaveenjoyed help the Salvos with a barbecue. other side of the hill — his son Tim he was fine — confessed to Carol ment schedule. After a psychotic something I wish he could have inthepastandtrytodosomethingthatyou episode six months later he But when she saw his ute was in and it is difficult for clinicians to and I were friends at school — and that he had tried to hang himself in predict what will happen to an at- seen,’’ Tim says. mightenjoy,evenforashortperiodoftime, the tree out back but failed. returned to Sydney for more treat- the garage, she looked for Geoff in ‘‘It just goes to show that what eachday. Geoff would often drive the kids to the house and then searched the risk patient. Carol’s love and support for her ment, missing a family trip to These tendencies — character- sport or dancing, anywhere they backyard where, tragically, she you think often isn’t true, and what The Black Dog Index aims neededto calculate to be. If he had our time tolevel take of happiness.husband never wavered. If we Despite Britain for Tim’s wedding to his he was thinking definitely wasn’t English sweetheart Lisa. found his body. ised by a feeling of hopelessness, of his callused hands off the trowel, his objections, and fears, she con- ‘‘It was in the tree out the back, being a burden on others, and true. When someone is so vinced himto seea localdoctor but ‘‘We felt so much support and are looking for a sign of optimism,or the steering this wheel, photograph Geoff would (an entry in a the same place he tried before thinking you would be better off distressed they think about relax with Carol or take a moment nothing much came of it. the stories people were telling at ‘‘He still thought he was all You think people except, obviously, this time it dead — aren’t enough to predict a ending their life, or being alone in their back yard. From worked,’’ Tim says. suicide. Women make more the wake were fantastic. They better off dead, they are recent Black Dog Institute photographicthere, the veteran bricklayer competition) could right, can’t that he help was just having a bad are getting better, ‘‘It was so unexpected; he was attempts, but men are more could see through all that other trot,’’ Tim says, knowing his wanting to stop the pain take in the big sky of northwestern they seem really doing so well. capable of carrying it out. stuff.’’ NSW, and the hum of cattle trucks father’s condition was worsening. Christensen says vigilance is but bring a smile to your face. That Christmas, when all mem- good, and then it ‘‘We have found out since, psy- on the highway, perhaps reflecting extremely important and having If you need help, call Lifeline’s bers of the family were back just happens chologists have told us that it hap- Makesureyoucontinuewithcounselling, on the countless people he had pens more often than not in this the correct treatment regime and 24-hour crisis line (13 11 14), Men’s together, they cornered Geoff in Line Australia (1300 78 99 78), evenaftertheimmediatecrisishaspassed.You met and homes he had built situation where you think people support network is crucial. the bedroom and pleaded with ‘‘If we’re talking about suicide Salvo Crisis Line (02 9331 2000), see maygothroughsomevulnerablefeelingsonce around town. Thankfully, Geoff was well are getting better, they seem really Eight months ago, Carol found him to get help. your doctor or visit the Black Dog youarefeelingbetter,anditisimportantto ‘‘We just saw him unravelling,’’ good, and then it just happens — prevention,wereallyneedtogetto Geoff’s body hanging from one of enough to attend the Australian Institute website buildpreventivestrategiesforthefuture.This wedding celebrations, where Tim none of us have any idea why. people way before they get to that the big trees in the yard. The world Tim says. ‘‘We were worried.’’ ‘‘We probably relaxed our www.blackdog.org.au willalsoinvolvedevelopingashort-termand Geoff felt he could handle it says his father was ‘‘actually really point — years before,’’ Christen- and, in his case, mental illness, had sen says, advocating programs in longertermwishlistofthingsyouwouldlike himself, but the main obstacle to good’’. watch a bit, if you like.’’ todo. got the better of him. The much- ‘‘The treatment was working According to the Black Dog schools and at work, and general Unfortunately,severedepressioncanmake loved husband, father of three him seeking help was his fear that The Australian, pow- information about mental health. suicidal thoughts. This translates to approximately half people would find out and think quite well,’’ Tim says. Index — an initiative of Black Dog grown-up kids, and grandfather to ‘‘Up until he committed suicide someonefeelsolost,sohopelessforthefuture less of him. Despite being known Institute and thattheywillendtheirlife.Whenthathappens, three more, was 60 when he took ered by Newspoll — there are a a million people across the country. With suicide now his life. He would have turned 61 as the Sapphire City, Inverell has he seemed to be getting a lot thosewhoareleftbehindalwaysquestion only 10,000 residents and Geoff better.’’ large number of people feeling the following week. Geoff started helping the local whethertheyshouldhavebeenmoreawareor The Saturday his father died, knew the doctors, he even knew overtakingdonesomethingmore. motor vehicle accidents as the major cause Salvation Army with its deliveries, Ifyouarethego-topersonforsomeoneyou Tim Harmer was in the back yard the counsellors. And what would his friends and the other brickies going to church and even the gym. suspectissufferingfromdepression,itwill of his Sydney home, repotting a of death in young people, these are results we need to tree, when his phone lit up with a think? probablybeunfamiliarterritoryforyou. ‘‘We tried to tell him that if Thereisacommonfallacythatifsomeoneis call from his sister Laura in take very seriously. Inverell. people held it against him it was seriousaboutsuicidethereisnothingyoucan ‘‘It was completely out of the TROUBLED BY FEELING LIFE dotostopit.Thatisnottrue—thereare IS HARDLY WORTH LIVING “Traditionally,strategiesforyoutofollow. we have kept silent on suicide to blue; unexpected, completely,’’ the graphic artist says of his father’s Jun 12 Remember,whensomeoneissodistressed Oct 12 minimise theythinkaboutendingtheirlife,orbeingthe risk of glorifying it. New evidence shows TROUBLED TOTAL

betteroffdead,theyarewantingtostopthe MEN BY ANXIETY SEX pain. Jun 12 WOMEN us that talkingRecognisethesigns:apreoccupationwith about suicide can be beneficial by Oct 12 dying,gettingtheiraffairsinorder, TROUBLED BY FEELING TOTAL 18-34

encouragingwithdrawingfromusualsocialconnections, people experiencing suicidal thoughts to MEN BLACK DOG INDEX MISERABLE OR DEPRESSED SEX 35-49

gatheringinformationorthemeanstosuicide, AGE SPOTLIGHT On a scale of zero to 10, with zero being ‘not at all’ and 10 being ‘completely’:Jun 12 WOMEN increasinglyusingdrugsoralcohol,or Oct 12 50+ seek treatment. * expressingdeeppessimismaboutthefuture. TOTAL 18-34 PRIMARY/ Takeanysuggestionofsuicideseriously:itis HIGHSCHOOL

MEN COLLEGE/ ARE YOU? SEX 35-49

“It’s myawarningsignandapleaforhelp. hope that new programs like the Black AGE APPRENTICESHIP

Raisethesubjectwiththepersonyouare Oct 12 WOMEN 50+ LEVEL UNIVERSITY EDUCATION DEGREE concernedabout:thisgivesthemthe TOTAL 18-34 PRIMARY/ Dog Index will improve public awareness about suicide HOW HAPPY DO YOU FEEL? HOW OPTIMISTIC HIGHSCHOOL < 50K

opportunitytotalkabouthowtheyarefeeling MEN

SEX 35-49 COLLEGE/ $50,000- AGE 10 andforyoutohelpthemgetthehelptheyneed. Mean, June 2012, then October 2012 APPRENTICESHIP $89,999 89

and help those people who feel life isn’t worth living Jun 12 WOMEN LEVEL 50+ UNIVERSITY INCOME

Youmightopentheconversationwithwords Oct 12 EDUCATION DEGREE $90,000+ suchas‘‘Ihavenoticedyouseemreallydown TOTAL 18-34 PRIMARY/ HOUSEHOLD 01234567 r 19-21 to contact Lifeline,lately—whatcanIdotohelpyou?’’ their GP or a friend or family mem- HIGHSCHOOL < 50K MEN COLLEGE/

Encouragethemtoventtheirnegative SEX 35-49 $50,000- AGE 10 APPRENTICESHIP $89,999 89

WOMEN LEVEL

ber to talk about itfeelings. – because help is available.” 50+ UNIVERSITY INCOME

EDUCATION DEGREE $90,000+ Tellthemthatiftheyfeellikegivinguphope, HOUSEHOLD 18-34 PRIMARY/ 01234567 theyneedtocallforhelporjustgetthroughthe HIGHSCHOOL < 50K

The Black Dog Index will be conducted by 35-49 COLLEGE/ $50,000- AGE 10 nextminuteorhour. APPRENTICESHIP $89,999 89

Ifthepersonseemsacutelysuicidal,donot LEVEL

50+ UNIVERSITY INCOME

EDUCATION DEGREE $90,000+ Source: The latest results are from a Newspoll survey of 1213 people aged 18 and over during the period Octobe Newspoll at regular leavethemalone.intervals, with results reported in PRIMARY/ HOUSEHOLD 01234567 Suicideisatragedyforthepersonwhofeltat HIGHSCHOOL < 50K thatmomenttherewasnoothersolutionto COLLEGE/ $50,000- 10 The Australian newspaper. APPRENTICESHIP $89,999 89

theirdistress,andforthepeopleclosetothem LEVEL UNIVERSITY INCOME

$90,000+ EDUCATION DEGREE

whoarelefttowonderwhattheymighthave HOUSEHOLD 01234567 donetopreventit. < 50K Ifyouarethinkingaboutsuicide,askfor $50,000- 10 help.Ifyouareaskedforhelp,knowthatyour $89,999 89 INCOME $90,000+

actionsmightsavealife. HOUSEHOLD 01234567 Kerryn Phelps is conjoint professor in the faculty of medicine, University of NSW, and a past president of the Australian Medical * First time question has been asked Association and the Australian Integrative Medicine Association. 2 201 G O If you are depressed or contemplating suicide, D K help is available at Lifeline on 131 114. C A L B

Creative Development Illustrations that help us understand

Matthew Johnstone is the very talented crea- Matthew Johnstone (pictured) has produced tive director at the Black Dog Institute. some wonderful videos for the World Health In 2012 Matthew continued his prolific work; Organisation (WHO). These are being used drawing images to bring about better understanding worldwide today to raise awareness of of mental health, while his public speaking engage- depression. Search for them on the WHO ments helped draw attention to understanding mood YouTube channel and share them on your social disorders and how to build resilience and mindfulness. media sites to show your support. One of the big projects he worked on was the suicide prevention website called ‘Living with Deadly Thoughts.’ When asked to work on this, Matthew initially thought this could be heavy weather, but in fact it was the complete opposite. “It’s going to be a wonderfully helpful website with an amazing amount of solid, life affirming information which will save lives,” he said. The other project he loved working on this year was the myCompass launch, headed by Professor Judy Proudfoot. He was particularly proud to be a part of this initiative which has attracted an outstanding response from members of the public.

56 The Black Dog Institute International Lectures

The Uses and Misuses of Psychiatric Diagnosis – Professor Allen Frances MD

Professor Allen Frances, prior Chair of the atric ‘manual’ for categorising mental disorders, the DSM-IV Task Force and Professor Emeritus, Duke DSM-I. In Europe, the International Classification of University, cogently presented his views on the prob- Diseases (ICD) also had a section on mental disorders. lems of the latest update of the DSM (Diagnostic and However, by the 1980s this psychiatric clas- Statistical Manual of Mental Disorders), DSM 5, and sification system was becoming irrelevant. Inter-rater the very real concerns evidenced by fellow profession- reliability for each diagnostic category was very low. als and members of the public. His lecture, delivered in The DSM task force partially addressed this, and also the Institute’s Robert Dean lecture theatre on June 20, developed semi-structured interviews. But the defini- was filled to overflowing. tions in the DSM are still theoretical and open to multi- Dr Frances first traced the antecedents of ple interpretations. psychiatry to more modern times and through to Particularly concerning in the DSM 5 are the the DSM. From interpreting which spiritual entity was ‘subsyndromal’ disorders; confusion about whether to angry and what was needed to appease it, manage- focus on symptoms or on behaviour; the misuse of ment of disturbed people moved from more aggres- the Manual (for example, its diagnoses are ‘built into’ sive interventions to focus on what was wrong with the judgments for US healthcare insurance); and judg- individual and how best to treat the illness. ments in the forensic area. Unprecedented numbers Early to mid 20th Century saw a growing need of adults and children are being treated for increasing to collect uniform statistics about mental disorder and numbers of possible psychiatric disorders, and there for clinicians to be able to ‘read off the same page’. are real concerns about the accuracy of the data in the This led to the development in America of a psychi- DSM 5 itself. 2 201 G O D K C A L B

Too wired to sleep? Don’t switch off, switch on: A New Research Trial by Black Dog Institute Researchers is Using the Internet to Improve Sleep

Associate Professor Lee Ritterband, Director of alternative. These techniques focus on identifying and the Behavioral Health and Technology Centre at the changing the behaviours and patterns of thinking that University of Virginia, presented his research on using interfere with good sleep. the internet to treat insomnia. Traditionally, these techniques have only been He is collaborating with the Black Dog Institute available via face-to-face clinical sessions but the on the NHMRC-funded ‘Good Night Study’ that aims ‘Good Night Study’ led by Professor Helen Christensen to use internet-based insomnia interventions to reduce at the Black Dog Institute is making it accessible to all depression and improve wellbeing. The program by taking them online. which he and others developed, called ‘SHUTi’, ena- The ‘Good Night Study’ is one of the first in the bles users to identify and monitor their sleep patterns world to investigate an online psychological interven- and to learn how to overcome insomnia. tion into insomnia and depression. Nearly everyone has experienced poor sleep The study uses a specialist internet program at some stage in their lives and it’s common to suffer developed by researchers at the University of Virginia, short periods of insomnia during illness, periods of USA. ‘SHUTi’ enables users to identify and monitor stress or travel. their sleep patterns whilst gently leading them through Unfortunately, up to one third of all Australians a series of learning modules. report ongoing problems with either falling asleep or According to Associate Professor Ritterband, staying asleep, and this proportion rises significantly preliminary results have already shown SHUTi to be for people with depression and anxiety. effective and potentially able to serve as a front line Treatment for poor sleep is often based around weapon in the battle against insomnia. medication, a solution that can only be used short term. Recent research has proven that simple cognitive behavioural techniques are a highly effective Pictured, Associate Professor Lee Ritterband

58 Our People

Black Dog Institute Board of Executive of Strategy at the MBF Group Mrs Carol Berg, BMus, MM and a partner at Accenture. Directors Mrs Berg is Chairman of the Board Mr Craig Knowles, FAPI, CPV of The Marmalade Foundation Inc. Mr Peter Joseph, AM, BComm, MBA The Hon Craig Knowles holds a She is Vice President (immediate past Chairman of the Black Dog Institute. number of advisory roles, statutory President), National Choral Association appointments, and commercial and (NSW/ACT Branch) and past Director of Also Chair, St James Ethics Centre and the Board of the Bundanon Trust. The Health-Science Alliance. Director, not-for-profit directorships: Chair, Murray Darling Basin Authority; Chair of the Advisory Council, Emergency Architects Public Officer, Company Australia. Former Chairman of Dominion Australian Centre for Photography, Mining Limited, the GPT Group and St President of the Asthma Foundation Secretary and General Manager Vincents and Mater Health Sydney. NSW and the Children’s Medical Research Institute (CMRI), Member, William Bonney MMgt FAICD Professor Helen Christensen Central Sydney Planning Committee; BA (Hons) Syd, M Psychol, PhD, FASSA, Trustee of the Hoc Mai Foundation, Senior Management and MAPS (Appointed 23 January 2012) Fellow of the Australian Property Administrative Staff Executive Director of the Black Dog Institute. Previously a senior Minister in Institute. the New South Wales Government for Finance Controller Steven Franks Also Professor of Mental Health, UNSW; 10 years: portfolios included Health, NHMRC Senior Principal Research Fel- Infrastructure and Planning, Housing, Finance Officer low; Member NHMRC Academy; Presi- Natural Resources, Forests, and Lands. Maria Kinantra dent Australasian Society for Psychiatric Professor Philip Mitchell, AM, MB BS Finance Support Officer Research; Treasurer, International Society (Hons I), MD, FRANZCP, FRCPsych Jeannie Higgins for Research on Internet Interventions; Professor Mitchell is a Scientia Professor, Head, Communications and Media Member, Australian Committee for e- and Head of the School of Psychiatry Gayle McNaught Mental Health; Emeritus Professor, The at the University of New South Wales; Australian National University. Digital Marketing Manager Convenor of Brain Sciences UNSW; Melinda Zanello (resigned 2012) Mr Douglas Snedden, BEc Consultant Psychiatrist, Prince of Wales Head, Development and Hospital; Director, Bipolar Disorder Clinic, Mr Snedden is Chair of Odyssey House Fundraising NSW; board member of Transfield Black Dog Institute; Guest Professor, Vicki Miller (resigned 2012) Services Limited, Hillgrove Resources Shanghai Jiaotong University; Member Limited, Accenture Foundation, and St of the NHMRC Academy; and Board Suzie Graham (started 4 February 2013) James Ethics Centre. Member of the Anika Foundation for Project Manager, Events and Adolescent Depression and Suicide. Mr James Blomfield, MA, MBA Fundraising Associate Professor Meg Smith Fleur Mortimer Mr Blomfield is a Strategy Manager at OAM, BA (Hons), M.Psychol, PhD, FAPS National Australia Bank. Creative Director (Resigned 2012) Matthew Johnstone Mr Nicholas Cowdery AM, QC, BA, Professor Smith was an adjunct LLB, LLD (Hons) (Resigned 2012) Publications Consultant community psychologist in the School Kerrie Eyers Mr Cowdery is the former Director of Social Sciences at the University of Annual Report Editor of Public Prosecutions for New South Western Sydney. She is President of Ian Dose Wales. He is currently a visiting Professor the Mental Health Association, NSW, of Law, and a consultant. and a community member of the Centre Manager Ms Melanie Kiely (Kneale), BBus Sci Mental Health Review Tribunal and the Christine Boyd (resigned 2012) (Hons) GAICD Guardianship Tribunal. Marian Spencer (started 2 April 2013) Ms Kiely is Executive General Man- Dr Timothy Smyth, MB, BS, LLB, MBA Receptionist Pauline Trantalis ager – Health and Wellness at HBF, Dr Smyth is a consultant, Special management consultant, director and Counsel, Holman Webb lawyers; and Domestic Services immediate past Chief Operating and Chair, Eastern Sydney Medicare Local. Teresa Silva Technology Officer at nib Health funds Formerly, he was Deputy Director- Finance Team and is a graduate of the Australian General, NSW Ministry of Health and Institute of Company Directors. She is has over 25 years experience across a former non-executive Director of the the NSW Health system. Other former Hunter United Credit Union and Chair positions: Partner, DLA Phillips Fox of the Audit Committee and a Director lawyers; Director, Australian Commission of Hybrid Strategies Pty Ltd. She is also on Safety and Quality in Health Care; a former Board Member of MBFin2life and Chairman, IPG Holdings Ltd; and and a NSW Council Member of Save International Parking Group Pty Ltd. the Children. Previously she was Group 2 201 G O D K C A L B

Post Doctoral Fellows Mr Nick Vella PROJECT AREAS Dr Tjeerd Boonstra Ms Meg Wang Dr Luke Egan Ms Alexis Whitton Research Team Dr Donel Martin Mr Adam Wright Dr Tania Perich Data Entry Clerk Director, Research Dr Gloria Roberts Penny Sawdy Professor Helen Christensen Dr Fiona Shand BA (Hons) Syd, M Psychol, PhD, Dr Alex Wilde FASSA, MAPS Community Programs PhD Students Executive Assistant Ms Justine Corry Manager, Community (Professor Christensen and Ms Julie Crabtree Programs William Bonney) Ms Kathryn Fletcher Michael Sluis Emily Selmon Mr Stewart Heitmann Program Manager, Anne Madden (resigned, 2012) Ms Kerrie-Anne Ho Volunteers Personal Assistant (Professor Mr Matthew Hyett Sarah Connor Mr Muhsin Karim Parker) Project Manager, Dr Angela Langdon Emily Selmon Karlyn Greenfields Community Education Mr Saeid Mehrkanoon Kate Hille Research Manager Mr Michael Player Kristy Delmas Ms Nicole Reilly Project Manager, Youth Research Investigators Ms Jessica Rowland Initiatives Professor Marie-Paule Austin Ms Alana Shepherd Liza Culleney (on leave) Associate Professor Michael Ms Mona Taouk Mei Li Quah Ms Kishani Townshend Breakspear Project Manager, Rural Scientia Professor Henry Brodaty Research Students Initiatives AO Ms Megan Boyd Christopher Rule Mr Rowan Burckhardt Associate Professor Ute Vollmer- Education Project Officer Mr Timothy Ghan Conna Sharnelle Cowan Ms Inika Gillis Associate Professor Brian Draper Ms Leah Girshkin Program Facilitators, Mr Dusan Hadzi-Pavlovic Mr Mark Schira Workplace Programs Mr Chiel van de Steeg Dr Caryl Barnes Dr Samuel Harvey Matthew Johnstone Senior Research Officer Professor Colleen Loo Dr Kris Kafer Ms Kathryn Fletcher Anthony Merritt Associate Professor Vijaya Research Officers Claire Nabke-Hatton Fleur Mortimer Manicavasagar Dr Angelo Alonzo Matthew Stanton Scientia Professor Philip Mitchell Ms Bettina Christl Wayne Wigham AM Dr Janine Clarke Angela Vrankic Scientia Professor Gordon Parker Ms Clare McCormack AO Dr Tania Perich Clinical Services Associate Professor Judy Research Associates Proudfoot Ms Justine Corry Clinical Director Ms Sadhbh Joyce Dr Paul Friend Scientia Professor Perminder Dr Janan Karatas Sachdev AM Medical Secretaries Ms Nicole Reilly Orla Dempsey Professor Kay Wilhelm AM Research Assistants Hayley Tierney Hospital Scientist Ms Mary-Rose Birch Consultant Psychiatrists Dusan Hadzi-Pavlovic Dr Heather Brotchie Dr Caryl Barnes Senior Lecturer, School Mr Rowan Burckhardt of Psychiatry, ARC Future Ms Michaela Davies Dr Melissa Barrett (on leave) Fellow Mr Andrew Frankland Dr Shulamit Futeran Dr Melissa Green Ms Inika Gillis Dr Michael Hong Ms Leah Girshkin Black Dog Institute Professor Colleen Loo Luke Egan Professorial Fellows Dr Rebecca Graham Scientia Professor Philip Mitchell (since November 2012) Dr Bronwyn Hegarty Ms Deserae Horswood AM Professor Maree Teesson Mr Matthew Hyett Scientia Professor Gordon Parker Professor Richard Bryant Ms Ameika Johnson (left 2012) AO Ms Cassandra Joslyn Visiting Fellows Dr Anne-Marie Rees (on leave) Dr Philip Batterham Ms Phoebe Lau Ms Stacey McCraw Dr Howe Synnott Dr Alison Calear Mr Matthew Modini Clinical Administration Dr Louise Farrer Ms Amelia Paterson Secretary Dr Bregje Van Spijker Ms Katherine Petrie Louise Dyer Brain Sciences Coordinator Mr Michael Player Clinical Psychologists Dr Karen Kool Ms Tamara Powell (left 2012) David Gilfillan (resigned 2012) Mr Yann Quide Black Dog Institute Affiliates Liz Sheppard (resigned 2012) Ms Rebecca Ridani Mr Mathew McFadden Ms Poppy Rourke (left 2012) Research Fellows Ms Jesseca Rowland Dr Tara Donker Ms Leona Tan

Katherine Petrie 60 Professional Services Web and Communications Michael Hines Officer Joy Ho Director, Psychological Sako Hampartzoumian Kim Holmes Services Leah Greenfield Erin Howard-Gillis Associate Professor Vijaya Amber Hu BITE BACK Youth Website Manicavasagar Peter Hurley Project Leader Manager, Professional Simone Isemann Associate Professor Vijaya Education and Training Trudy Jenkins Manicavasagar Katherine Dabich (on leave) Warren Jones Project Manager Phil Kairns Mood Assessment Program Jacqui Wallace Travis King (MAP) Belinda Kirley Dr Jan Orman Project Officers Rowan Burckhardt Claire Koski Mood Assessment Program Paul Lamphee Deserae Horswood Administrator Natalie Lantry Louise Dyer Nic Newling Linda Leard Education Project Officers Sarah Versitano Sarah L’Huillier Katie Denton (General David Liddle Matthew Modini Practitioner Program) (on leave) Volunteers Christie Loch Aimee Gayed (Psychology Christine Lopasinski Rebecca Acton Program) (on leave) Phoebe O’Carrigan Raja Ahluwalia Cheryl O’Grady Chilin Gieng Marissa Barnes Liezl Maritz Education Consultants – Amanda Barter Jasmine Marosvary Clinical Allyssa Beasley Brad McCarthy Dr Caryl Barnes (Workplace Maryanne Beggs Casey McDonald Programs) Lisa Bell Mark McGrath Merida Bell Dr Vered Gordon (General Katherine McGuiggan Wendy Birrell Practice Program Developer) Philippa Moore Jessicah Boh Judith Myers Dr Jan Orman (General Megan Boyd Kathleen Naish Practitioner Services Consultant) Judi Bray-Ferguson Janet Namey Program Facilitators, Jessica Brown Lucinda Napper Professional Education John Canning Stevan Nikolin Programs Mary Canning Sue Phelps Julie Allan Gary Carey Katherine Petrie Pauline Trantalis Dr Anne Camac Brent Carryer John Polar Dr Sarah Edelman Jenni Chong Sun Judy Polgar David Gilfillan Julia Collins Keira Pride Dr Guy Gordon Bernadette Connor Anne Riches Dr Vered Gordon Careena Cook Dominique Robert-Hendren Dr Margaret Gottlieb Frances Cracknell Margherita Roser Dr Kristine Kafer Tracey Cremming Susie Rust Dr Carol Kefford Craig Curtis Jamie Salton Associate Professor Vijaya Ingrid De Leede-Smith Adam Schwartz Manicavasagar Kees de Leeuw Anne Schwartz Anthony Merritt Beatrice Dowsett Dale Skinner Dr Jan Orman Zoya D’Souza Ben Smith Dr Joseph Rey Sally Edwards Nathan Smith Elizabeth Sheppard Sarah Edwards Shirley Sneddon Dr Julian Short Amy Eggleton Carly Sperring Jodie Wassner Melissa Ellis David Spindler Dr Sarah Weaver Kerrie Eyers Julia Stadum Melanie Faithfull Jason Starling Developing Countries Michael Fajardo Yuanyue Sun Kathryn Fletcher Project Carolyn Farrugia Jeanette Svehla Yang Feng Rodney Thompson Project Leader Lewis Ford Dominic Tran Associate Professor Vijaya Marion Fraser Isabelle Truong Davis Manicavasagar Dianne Gaddin Nicholas Valentine Project Manager Nyree Gale Gabrielle Waters-McKay Dr Ilse Blignault Irene Gallagher Amy Watts Gerd Garrard Participant Liaison Officers Laura Watts Tanya Glazer Marguerite Pepper Stephanie Webster Leah Greengarten Kate Cashel Stephanie Williams Lee Hagan Wayne Wigham David Hales eHEALTH Andrew Wilkinson Angela Hancock Robyn Winwood-Smith Director Karen Heagney Cheryl Wood Associate Professor Judy Tim Heffernan Kimberley Wood Proudfoot Kylie Henman Rachel Worsley Michael Henson Technical Support Analyst Jo Xu Wendy Highfield Cesar Anonuevo Brigit-te Zonta Tara Donker 61 Special Acknowledgements

Christine Boyd

Few people contributed as much as Chris- tine Boyd to the growth of the Black Dog Institute. Christine resigned in September this year after spending a quarter of a century working in the mental health field, including the past 11 years at the Black Dog Institute as Facilities Manager. Her career started in January 1987 at the Mood Disorders Unit (the Institute’s predecessor) at Prince Henry Hospital. From typewriters to computers, there wouldn’t have been too many people at the Unit and the Institute, who didn’t receive a helping hand from Christine as new technology entered our lives. It was also her influence over the years that shaped the way visitors to the Institute were greeted in such a friendly and professional manner in reception and at the clinic. While we will miss her guidance and wisdom and administrative capacity, all our best wishes go out to her as she resets her compass to new endeavours.

62 Vicki Miller David Gilfillan and Liz Sheppard

Vicki spent nearly four years as the Corpo- David’s principal role was to develop the rate Relations and Development Manager in a role psychological clinical services offered by the Black that inspired so many people to generously sup- Dog Institute. port the work of the Black Dog Institute. He joined the Institute in 2006 and a year Her energetic drive was responsible for later he became the first psychologist to work in broadening the Institute’s fundraising programs as the Depression Clinic. At first this involved indi- well as building relationships and partnerships with vidual work but later expanded to include bipolar our donors. disorder wellbeing groups which proved remark- Vicki believed the most humbling experi- ably successful. ence had been dealing with families who had lost In addition, over the past few years David, someone to suicide and come to the Institute to as a senior clinical psychologist, has also facilitated raise money to help make a difference. training programs for psychologists and health Being a southern highlander and travelling workers as well as being involved in other general to the Black Dog Institute to the city from Bowral training programs undertaken by the Institute. can be an arduous daily grind, and after making David has stepped down from his full-time such a valuable contribution, Vicki has decided to role at the Institute but will continue to be associ- find new challenges closer to home. ated with the delivery of the Institute’s professional Vicki leaves us with her heartfelt message: education and training initiatives. ‘I have enjoyed working with so many passionate Liz Sheppard, another outstanding clinical and inspiring people at the Institute and will always psychologist, has strongly supported David over consider my time there as the highlight of my the past couple of years. Liz has resigned her full- career.’ time position but, like David, is expected to under- take other part-time work for the Institute in 2013. Both wished to acknowledge that a highlight of their time at the Black Dog Institute was the opportunity to work with leading professionals in the mood disorders field, and to interact with clients from whom they have learnt much.

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UNSW School of Psychiatry 50th Anniversary

We are fortunate Many of the School’s teaching sessions to have the Head of are located at the Institute, along with Professor the UNSW School of Mitchell’s research teams. In 2012, the School Psychiatry, Professor celebrated its 50th Anniversary. Philip Mitchell, on site. The Foundation Head of the School of Psychiatry was Professor Leslie Kiloh. There have only been two others, Professor Gordon Parker, and the current Head, Professor Philip Mitchell.

64 UNSW School of Psychiatry Executive 1st Row (L-R): Professor Helen Christensen, Mrs Jennifer Robinson, Scientia Professor Henry Brodaty, Scientia Professor Gordon Parker, Scientia Professor Philip Mitchell (Head of School), Professor Gavin Andrews, Professor Vaughan Carr, Professor Kay Wilhelm 2rd Row (L-R): A/Professor Kimberlie Dean, Professor Colleen Loo, Professor Florence Levy, Dr Kristin Laurens, Dr Katerina Zavitsanou, Dr Melissa Green, Associate Professor Uté Vollmer-Conna, Professor Rhashel Lenroot, Associate Professor Vijaya Manicavasagar, Associate Professor Judy Proudfoot 3rd Row (L-R): Scientia Professor Perminder Sachdev, Community Fundraising Mr Dusan Hadzi-Pavlovic, Associate Professor Philip The Institute is a Deductible Gift Recipient. Ward, Associate Professor Zachary Steel, Dr Samuel Gifts of $2 and over are tax deductible and Harvey, Dr Michael Valenzuela, Associate Professor an official receipt will be issued. Donations Julian Troller, Associate Professor Kuldip Sidhu can be made online by credit card or EFT. Absent: Professor Marie-Paule Austin, Professor Team Black Dog is a movement of people Brian Draper, Professor Valsa Eapen, Professor like you, rallying together to raise funds and Derrick Silove, Professor Cynthia Shannon-Weickert, awareness for the Black Dog Institute. By Dr Thomas Weickert giving your time, money or influence you Below: Professor Helen Christensen with Supporters can make a real difference to the lives of Guy and Eve Sheppard those living with mental illness. The aim of Team Black Dog is to build a powerful and passionate community raising funds and awareness about mood disorders. All funds are directed to the diagnosis, treatment and prevention of mood disorders such as depression and bipolar disorder. Join us now by: 1. Creating your own fundraising event 2. Joining an existing community fitness or challenge event 3. Setting up a ‘Forget me not fund’ in memory of someone you love 4. Making a financial donation by supporting a community fundraiser.

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Financial Report

The Income Statement and Balance Sheet from the Institute’s Annual Financial Report for the year ended 30 June 2012 is set out below.

Black Dog Institute 30 June 2012 Statement of comprehensive income for the year ended 30 June 2012 30-June-2012 30-June-2011 Recurring grant from NSW Department of 1,461,300 1,425,600 Health Non-recurring grant from NSW Health 30,000 Non-recurring grant from NSW Science 825,092 664,160 and Medical Research Non-recurring grant from Commonwealth – 869,478 576,403 Mobile Tracking System Non-recurring grant from Commonwealth – -- 500,000 Strategic Mental Health AusAid Developing Countries Grant 103,173 (1,756) Federal grant from National Health and 40,419 -- Medicare Research HeadStrong Program Grant 165,000 -- Income from Higher Education Research 665,523 -- Data Collection Donations 1,360,413 1,454,876 Facility fees 472,569 384,725 Education and training fees 400,956 343,033 Revenue from fundraising events 148,430 73,435 Other revenue 127,107 125,878

Revenue 6,669,460 5,546,354

Employee benefits expense (2,482,678) (2,258,892) Depreciation and amortisation expense (254,537) (253,508) Education and training (409,375) (454,462) Professional fees (2,238,387) (2,962,742) Expenses related to fundraising event (142,772) (43,560) Other expenses (1,279,125) (1,230,780)

(Deficit)/Surplus before income tax (137,414) (1,657,590) Income tax expense -- -- (Deficit)/surplus for the period (137,414) (1,657,590) Other comprehensive income -- -- Total comprehensive income for the year (137,414) (1,657,590)

66 Black Dog Institute 30 June 2012 Statement of financial position 30-June-2012 30-June-2011 ASSETS Cash and cash equivalents 1,218,546 1,598,779 Trade and other receivables 883,504 749,873 Total Current Assets 2,102,050 2,348,652

Non-current Assets Property, plant and equipment 3,613,059 3,814,481 Trade and other receivables 172,000 -- Total Non-current Assets 3,785,059 3,814,481 TOTAL ASSETS 5,887,109 6,163,133

LIABILITIES Current liabilities Trade and other payables 365,572 504,182 Total Current Liabilities 365,572 504,182

TOTAL LIABILITIES 365,572 504,182

NET ASSETS 5,521,537 5,658,951

EQUITY Retained earnings 5,521,537 5,658,951 TOTAL EQUITY 5,521,537 5,658,951

A copy of the complete Annual Financial Report is available on application. Requests for further information should be directed to the Institute’s General Manager. The full financial report is posted on the Institute’s website: www.blackdoginstitute.org.au

The information shown relates to the Institute’s company accounts and does not include additional funds made available for research through collaborative arrangements with other organisations, including UNSW. Such details are provided under ‘Research Funding’.

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The Institute and Pharmaceutical Companies

The Institute’s policy concerning pharmaceutical companies is outlined on our website www.blackdoginstitute.org.au The Black Dog Institute Board continues to endorse the Institute operating within ethical guidelines formulated by Australian professional and regulatory organisations, as well as the requirements associated when its specialists or other staff work with pharmaceutical companies. The Institute lists below the national and international appointments and positions held by its medical staff on pharmaceutical company Advisory Boards, and seeks to maximise the diversity of these appointments. A list of the Institute’s sponsorships is also available on the website. The Black Dog Institute keeps its policy on relations with pharmaceutical companies under constant review and welcomes comment. Pharmaceutical company advisory board appointments

Professor Marie-Paule AUSTIN $3000 contribution from Pfizer to fund the St John of God Perinatal Mental Health Seminar, November 2012.

Professor Henry BRODATY Consultant: Pfizer, Novartis, Lundbeck, Janssen, Merck, Baxter, Lilly. Investigator on drug trial for Alzheimer’s disease: Sanofi, Lilly, Servier.

Professor Gordon PARKER Member of Lundbeck National Advisory Board. Advisor to Servier Pharmaceuticals. Speaker for meetings sponsored by Eli Lilly, Astra- Zeneca, Lundbeck, GlaxoSmithKline, Pfizer and Servier.

68 Research Funding New research funding for Black Dog Institute

A highlight this year was Black Dog Institute Professor David Ames, Associate Professor Julian Trol- researchers receiving prestigious NHMRC (National lor, Dr Wei Wen, Professor Bernhard Baune, Ms Teresa Health and Medical Research Council) projects grants Lee, Dr John Crawford for new research into depression, suicidal thoughts, Development and population-based validation of ageing and schizophrenia. hierarchical adaptive mental health screeners. This latest NHMRC funding was awarded to Dr Philip Batterham, Dr Matthew Sunderland, Dr Nata- Professors Helen Christensen, Colleen Loo, Perminder cha Carragher, Dr Alison Calear Sachdev and Dr Melissa Green to support new re- In collaboration with other organisations, the search starting in 2013. Visiting Black Dog Fellow Dr Institute undertakes a wide variety of research activi- Philip Batterham has also received funding for work ties as outlined below (Institute staff and affiliates are being undertaken jointly at the Black Dog Institute and shown in bold) the Australian National University. Grant Holders Austin, Reilly, Loxton, Chojenta, Milgrom NHMRC Project Grants are reviewed by scien- Granting Body Bupa Foundation Health Award tific peers and awarded according to the quality and Study Psychosocial assessment in the perinatal period: Does it improve maternal health impact of the research being undertaken. The new outcomes? Duration 2010-2012 ($248,075) research being conducted at Black Dog will enhance Grant Holders Austin, Sullivan, Highet, Morgan, our understanding of the brain and also improve our Mihalopoulos, Croft Granting Body NHMRC Linkage grant with beyondblue ability to treat and prevent mental health conditions Project The Australian perinatal mental health reforms: Using population data to evaluate in the community. These successful grants are listed their impact on service utilisation and related cost-effectiveness below. Duration 2012-2014 ($1,009,140)

Reducing suicide ideation: a randomised controlled Grant Holders Gallbally, Lewis, Buist, Austin trial of a novel web intervention. Granting Body beyondblue National Priority Driven Research Project Maternal and infant outcomes following Professor Helen Christensen, Dr Bregje van Spijker, antidepressants exposure in pregnancy Duration 2012-2014 ($216,000) Professor Andrew MacKinnon, Dr Alison Calear, Dr Grant Holders King, Kildea, Austin Philip Batterham Granting Body Canadian Institutes of Health Research An MRI study of emotional processing deficits in Project QF2011: The effects of the Queensland flood on pregnant women, their pregnancies, and childhood. their children's early development Duration October 2011-2015 (1,790,000) Professor Rhoshel Lenroot, Professor Mark Dadds, Dr Grant Holders McMahon, Austin, Jones, Rapee, Donald, John Brennan, Dr David Hawes, Dr Melissa Green, Dr Grant Granting Body NHMRC Project Grant Kristin Laurens Study Maternal anxiety in pregnancy and infant bio-behavioural regulation: Testing the foetal Epistatic genetic effects on neuroanatomical sub- programming hypothesis types of schizophrenia. Duration 2010-2012 ($556,650) Dr Melissa Green, Dr Murray Cairns, Dr Kristin Laurens, Grant Holders Kingston, Austin, Biringer, Chaput, Hegadoren, Lasiuk, MacQueen, McDonald, Professor Vaughan Carr McGrath, Schopflocher, Sword, Watts Granting Body Norliern Foundation Electrical Stimulation with a ‘Random Noise’ Pattern: Study Integrated maternal psychosocial assessment to care trial pilot (IMPACT-Pilot) A New Approach for the Treatment of Depression. Duration 2012-2013 ($124,996)

Professor Colleen Loo, Professor Philip Mitchell, As- Grant Holders Kingston, Austin, Biringer, Heaman, Hegadoren, Higgenbottom, Lasiuk, S. sociate Professor Janet Taylor McDonald, S.D. McDonald, Sword, Watts The Older Australian Twins Study (OATS) of healthy Granting Body Alberta University Study Barriers and facilitators of psychosocial brain ageing and age-related neurocognitive disorders. assessment in pregnant and postpartum women and their healthcare providers in Professor Perminder Sachdev, Dr Margaret Wright, Alberta. Duration 2012-2013 ($50,000) 69 BLACK DOG INSTITUTE ANNUAL REPORT 2012 PAGE 70 Duration Study Granting Body Grant Holders Duration Study Granting Body Grant Holders Duration Study Granting Body Grant Holders Duration Study Granting Body Grant Holders Duration Study Granting Body Grant Holders Duration Study Granting Body Grant Holders Duration Study Granting Body Grant Holders Duration Study Granting Body Grant Holders Duration Study Granting Body Grant Holders Duration Study Granting Body Grant Holders Duration Study Granting Body Grant Holder Duration Study Granting Body Grant Holder Duration Study Granting Body Grant Holders 2012-2013 ($427,619) and communicationtechnology mental healthandwellbeinguseof information 1:YoungNational Survey andWell: youngpeople’s YAW-CRC 1(2011-2012) NationalSurvey Batterham, Shand,Egan,Petrie (UNSW) Luscombe(USyd); Hickie, Davenport, 2012-2013 ($448,634) The BeyondAgeingProject: Phase2 Grants Program Bupa HealthFoundation(formally theMBFFoundation) Banati, Norrie,Amminger, Bourne Hickie, Christensen,Naismith,MacKinnon,Walker, 2009-2013 ($267,264) research intoevidence-basedprevention andpolicy Translating population-basedmentalhealthandageing NHMRC capacitybuildinggrant Christensen 2012-2013 ($7,500) ofUniversity Auckland,NewZealand Funding forVisittoBDIbyDrAnnetteBeautrais, UNSW BrainSciencesSeedFunding2013 Christensen 2012-2013 ($306,500) Uncoupled SPRFResearch Fellowship NHMRC Christensen 2012-2017 ($2,442,370) evidence intopolicyandservices Evidence-based mentalhealthplanning:Translating NHRMC Centres of Research Excellence(CRE)Grant Brodaty Andrews, Head,Gunn,Hall(chiefinvestigators), Whiteford, Degenhardt, Irkis,Vos, Eagar, Mihalopoulos, 2012-2013 ($120,000) epidemiological studies A taleof three cities:Comparisonof two CSIRO Prevention Flagship Brodaty 2012 ($40,000) ageing andage-related neurocognitive disorders The OlderAustralianTwins Study(OATS) of healthy Gold StarAward, UNSW Brodaty 2007-2012 ($3.3million) hierarchical control systems Optimizing autonomoussystemcontrol withbrain-like Australian Research Council Breakspear plusotherChiefInvestigators 2011-2016 ($3million) Group Brain NetworkRecovery James FMcDonnellCollaborativeGift Breakspear plusotherChiefInvestigators 2012-2013 ($15,000) Postpartum Women andtheirHealthcare Providers. Facilitators of PsychosocialAssessmentinPregnant and Development andTesting of and Barriers of aSurvey University Alberta Sword, Watts Higgenbottom, Lasiuk,S.McDonald,S.D. McDonald, Kingston, Austin,Biringer, Heaman,Hegadoren, 2012-2017 ($2,490,060) identification andevidenceinformed policy improved risk implementation of effectiveinterventions, Improving suicideprevention inAustraliathrough better NHMRC Centre forResearch Excellence(CRE) Christensen 2011-2012 andcontinuing($225,000) prevent suicideinIndigenouscommunities One-off fundingforamobilephoneapplicationto DOHA Christensen (associateinvestigator) , Ames , Crawford, Lee,Trollor Christensen, Duration Study Granting Body Grant Holders Duration Study Granting Body Grant Holders Duration Study Granting Body Grant Holders Duration Study Granting Body Grant Holders Duration Study Granting Body Grant Holders Duration Study Granting Body Grant Holders Duration Study Granting Body Grant Holders Duration Study Granting Body Grant Holders Duration Study Granting Body Grant Holder Duration Study Granting Body Grant Holder Duration Study Granting Body Grant Holder Duration Study Granting Body Grant Holders Duration Study Granting Body Grant Holders 2012 ($55,000) A studyof ketamine as anantidepressant treatment. Research Fellowship NSW Instituteof Psychiatry Lai 2012-2013 ($93,149) review of reviews Work anddepression/anxiety disorders: Asystematic beyondblue Christensen,Mitchell , Bryant, Harvey 2012-2017 ($2,442,370) treatment Substance Use:Translating innovativeprevention and Centre of Research ExcellenceinMentalHealthand NHMRC Centre forResearch Excellence(CRE) Christensen, Birchwood, Spring,Brady Teesson, Baker, Mills,Kay-Lambkin,Haber, Baillie, 2013-2015 ($433,889) of anovelwebintervention Reducing suicideideation:Arandomisedcontrolled trial NHMRC Project Grant Batterham Christensen, Van Spijker, Mackinnon, 2011-2016 ($92,000) Research Centre Young People, Technology &Wellbeing: Cooperative Cooperative Research Centre of Industry, Innovation, Science&Research:Department Calear, Reynolds, Christensen, Griffiths, Tait, Barney, Bennett, 2012 ($67,362) through aweb-basedself-help intervention. Living withdeadlythoughts:Reducingsuicidalthoughts Health-Project Grant(MentalHealth) Australian Rotary Christensen, Griffiths,Reynolds,Bennett 2011-2013 ($913,390.00) Major Depressive Disorder inthecommunity targeting insomniatoprevent A novelintervention NHMRC Project Grant Christensen, Glozier, Griffiths,Butler 2009-2012 ($628,039) for anxiety The effectivenessof anindicatedprevention program NHMRC Project Grant Christensen, Griffiths,Mackinnon, Kenardy 2009-2012 ($594,200) with CVD(CREDO) depression, cognitivefunctionandadherence inpeople toimprove An RCTof aweb-basedintervention Disease andDepression StrategicResearch Program Foundationandbeyondblue;Cardiovascular The Heart Hickie, Glozier, Naismith,Christensen,Neal 2012-2014 ($391,364) (SOMNA) CBTi intreating depression andanxietyinoldermen An RCTof theefficacy of adjunctiveinternet based beyondblue NationalPriorityDrivenResearch Program Ritterband Glozier, Christensen,Griffiths,Naismith,Hickie, 2010-2014 ($549,500) Adjudicating neurocognitive endophenotypes Imaging geneticsinschizophrenia andbipolardisorder: NHMRC Project Grant MitchellGreen, Schofield, Weickert, 2011-2013 ($68,377) ofchildhood indicators riskformentalillness A NSWpopulationrecord-linkage studytodetect targets andtimingforearlyintervention: Identifying MentalHealthResearch Grant Rotary Maloney, Laurens, Green 2009-2013 ($700,000) Adjudicating neurocognitive endophenotypes Imaging geneticsinschizophrenia andbipolardisorder: ARC Future Fellowship Green Farrer Calear, BLACK DOG INSTITUTE ANNUAL REPORT 2012 PAGE 71 , , Wilhelm , Crawford , Andrews Lord , Andrews, , Gates , Hadzi-Pavlovic , Christensen , Bonney , Wallace , Manicavasagar , Loo NHMRC Project Grant NHMRC Project exceptionally study of A cognitive and neuroimaging old age: Sydney Centenarian Study 2010-2012 ($826,500) Wilhelm, Weatherburn, Greenberg, Schofield, Butler, D’Este, Mitchell Carr, Grant NHMRC Partnership Project violent Reducing impulsive behaviour in repeat inhibitor reuptake using a selective serotonin offenders (Zoloft) 2010-2014 ($1,033,120) , WenSachdev, Richmond, Kochan Sachdev, Martin, Brodaty Broe, Ames, Schofield, Lee Halliday, Wright, Wen, Trollor, Program) (AWAP NHMRC/ARC Strategic Award in healthy ageing and interactions Gene-environment Study) (Twin neurodegeneration age-related 2007-2012 ($2,000,000) Schofield , Meiser, Wilde, Mitchell Projects National Priority Driven Research beyondblue risk an interactive depression Development of intervention preventive assessment and tailored for depression healthy young people at high genetic risk of and bipolar disorder 2011-2013 ($200,000) Wilhelm, Dodson, Gray, Al-Yaman, Kaldor, Levy, Butler, Allsop NHMRC Capacity Building Grant to Berrima: Building Australia-wide Broome From health and capacity in indigenous offender research deliveryhealth care 2009-2014 ($2,740,728) Proudfoot beyondblue and suicide in men depression Preventing 2013-2014 ($286,388) Sachdev, Brodaty Grant NHMRC Program early detection, and effective The prevention, in the elderly disorders neurocognitive management of 2010-2014 ($6,090,000) Mohan. Associate investigators: Martin,, Sachdev Brodaty grant Centre Dementia Collaborative Research to enhance stimulation current direct Transcranial in computer facilitated cognitive training outcomes from impairment. patients with mild cognitive 2012 ($40,000) Sachdev, Brodaty Anderson, Low, Valenzuela, Investigators: Trollor, Team Withall, Menant. Health NHMRC Capacity Building Grants in Population and Health Services Research in mental disorders of and management Prevention older Australians 2009-2013 ($2,352,525) Sachdev, Reppermund Scheme UNSW/Go8 DAAD cognitive ageing and depression Genetic associations of 2012-2013 ($17,100) , Wright, Ames, Trollor, Wen, Baune, Lee, Wen, Sachdev, Wright, Ames, Trollor, Crawford Grant NHMRC Project healthy brain of Study (OATS) The Older Australian Twin disorders neurocognitive ageing and age-related 2013-2015 ($912,222) Proudfoot Australian Government Department Government Australian Health and of Ageing BITE BACK and MyCompass 2012-2015 ($2,282,500) Granting Body Name Study Duration Grant Holder Granting Body Study Duration Grant Holders Grant Holders Granting Body Study Duration Grant Holders Granting Body Study Duration Grant Holder Granting Body Study Duration Grant Holder Granting Body Study Duration Grant Holders Granting Body Study Duration Grant Holder Granting Body Study Duration Grant Holders Granting Body Study Duration Grant Holder Granting Body Study Duration Grant Holders Granting Body Study Duration Grant HoldersGrant Granting Body Granting Study Duration ) , Manicavasagar , Martin, Bowman , Pujol, Djuric, Velakoulis, Yucel, Dragunow Yucel, Loo, Pujol, Djuric, Velakoulis, , Todaro, Elias , Todaro, , Taylor , Mitchell , Dokos , Sachdev, Mitchell NHMRC Program Grant NHMRC Program in clinical recovery neurogenesis from Role of a novel in vivo Application of during ECT: depression technology spectroscopy magnetic resonance 2011-2013 ($505,312) NHMRC Project Grant NHMRC Project for of treatments A comparative clinical efficacy trial melancholia 2010-2012 ($374,250) , Malhi and Associate Investigators, Mitchell Parker Grant NHMRC Program both the origins and the Identifying of determinants and bipolar (mood) the depressive of progression disorders 2008-2012 ($5,883,133) (AI: Loo , Breakspear , Parker , Schofield Mitchell Grant NHMRC Program Causes, prevention and bipolar disorders: Depressive innovations and treatment 2013-2017 ($7.1 million) , Christensen, Epps, Cohn, Lucey Goecke, Parker Council Australian Research Affective sensing technology for the detection and and melancholia depression monitoring of 2013-2015 ($360,000) , Hadzi-Pavlovic Parker Mitchell Lansdowne Foundation bipolar young people at high-risk of Epigenetic study of disorder 2012 ($60,000) Barlow-Stewart,Trevena, , Schofield, Mitchell Meiser, Dobbins, Christensen ARC Linkage Grant an online psycho- trial of Cluster randomised controlled educational intervention for people with a family history use in general practice for depression of 2012-2014 ($199,257) Low Department Ageing, Disabilities & Home Care of Grant Applied Research Older CALD volunteers – An untapped resource: understanding barriers and motivations to volunteering in NSW 2010-2012 ($249,206) Valenzuela, Valenzuela, Menon RANZCP New Investigator Grant stimulation enhance current Does transcranial direct in cognitive remediation computerised outcomes from – A randomised controlled patients with schizophrenia? trial in a rehabilitary setting 2012 ($5,882) Loo Grant NHMRC Project A random noise pattern: Electrical stimulation with a depression of to the treatment new approach 2013-2015 ($505,380) Menon, Loo Foundation Establishment Medical Research St George Grant stimulation enhance current Does transcranial direct in cognitive remediation computerised outcomes from A randomised controlled patients with schizophrenia? trial in a rehabilitatory setting. 2012 ($17,000) Loo Foundation Medical Research Body: Stanley Granting Current Direct transcranial trial of A controlled for unipolar and as a treatment Stimulation (tDCS) bipolar depression 2012 ($681,595) Loo Grant Equipment and Infrastructure UNSW Major Research spectroscopy Near infrared 2012 ($44,213) Granting Body Study Duration Granting Body Study Duration Grant Holders Granting Body Study Duration Grant Holders Grant Holders Grant Holders Granting Body Study Duration Granting Body Study Duration Grant Holders Grant Holders Granting Body Study Duration Granting Body Study Duration Grant Holders Grant Holders Granting Body Study Duration Granting Body Study Duration Grant Holders Granting Body Grant Holders Granting Body Grant Holders Study Duration Study Duration Grant HoldersGrant Grant Holders Granting Body Granting Body Granting Study Duration Study Duration BLACK DOG INSTITUTE ANNUAL REPORT 2012 PAGE 72 type. is listedbelow. and associates are Institutemembers inbold website. TheInstitute’s impressive research outputduring2012 as tothegeneralpublicviamediaandfactsheetsonour peer-reviewed professional andscientificpublications,aswell of itsresearch. Itsresearch findingsare widelydistributedto 0313-0. 79-85. doi:10.1007/s00127-010- and Psychiatric Epidemiology community sample.SocialPsychiatry morbidity, notmortality, inanelderly health symptoms associated with & Mackinnon,A.J. (2012).Mental Batterham, P.J., Christensen,H. 10.1111/j.1369-7625.2011.00763.x project. findings from theSCOPE for Research priorities forresearch: Qualitative Australian mentalhealthconsumers’ K.M. &Christensen,H.M.(2012). Banfield, M.A.,Barney, L.J., Griffiths, 319. doi:10.1016/j.jad.2011.11.032. of Disorders, 136,pp.310- Affective randomized controlled trial. with mooddisorders: Anonline positive writingforparticipants K. (2012).Expressive writingand Baikie, K.,Geerligs,L.& 10.1016/j.brs.2011.07.004. Brain, 5,pp.408-421.doi: Stimulation conventional electrode placements. therapy: Comparison amongthree induced byelectroconvulsive model of direct brainexcitation Dokos, S.(2012).Acomputational Bai, S.,Loo,C. 10.1111/j.1753-6405.2012.00851.x. of PublicHealth,36,pp.208-211.doi: Australian andNewZealand Journal perinatal mentalhealthinitiatives. public healthreforms: Australian E. (2012).Theneedto evaluate Austin, M-P., Reilly, N.&Sullivan, 10.1016/j.jad.2011.12.035. Disorders, 137,pp.146-150.doi: by accelerometry. of Journal Affective construct validity of theDutch CORE elderly patients: Assessmentof the Psychomotor symptoms indepressed C., Parker, G.&Stek,M.L.(2012). Attu, S.D., Rhebergen, D., Comijs,H. doi: 10.1371/journal.pcbi.1002435. Computational Biology,8,e1002435. PLoSin humanvisualcortex. Hemodynamic travelling waves M. &Breakspear, M.(2012). Robinson, P. P. A., Drysdale, Aquino, K.M.,Schira,M. 10.1016/j.brs.2011.04.006. Brain, 5,pp.208-213.doi: Stimulation transcranial direct current stimulation. excitability thansecond-daily cortical (tDCS) leadsto greater increases in transcranial direct current stimulation D.Martin, &Loo,C.K.(2012).Daily Alonzo, A. 10.3389/fphys.2012.00331. 331.doi: Fractal Physiology, 3,article models nearinstability. in Frontiers (2012). Criticalfluctuationsincortical A., Aburn, M.J., Holmes,C.A.,Roberts, J. Publications Boonstra, T.Boonstra, W. &Breakspear, M. Health Expectations. doi: The Institutepridesitselfonthequalityandquantity , Brassil,J., Taylor, J. L., , AlAbed,A.& Wilhelm, Journal Journal , 47(1), psyneuen.2011.05.010. pp. 162-166.doi:10.1016/j. Psychoneuroendocrinology, 37, as amoderator of hypnotizability. J. &Mitchell, P. B. (2012).Oxytocin R.A.,Hung,L.,Guastella, A. Bryant, doi: 10.1080/15555240.2012.725602. Behavioral Health,27,pp.272-288. organization. training withinapublicservice randomized controlled trialof brain conducting amulticentre, online, challenges andsolutionswhen Venezuala, M.(2012).Methodological Borness, C.,Proudfoot, J. & doi: 10.1152/jn.00066.2011. Neurophysiology, 107,pp.796-807. electromyography.surface of Journal Implications fortherectification of of intermuscular coherence: M. (2012).Neuralmechanisms Boonstra, T. W. &Breakspear, doi: 10.1177/1039856211432481. , 20,pp.53-56. Australasian Psychiatry Australia-Sri Lankacollaboration. management of mooddisorders: An capacity inidentificationand Sumathipala, A.(2012).Building V. Blignault, I. pone.0035091. ONE, 7,e35091.doi:10.1371/journal. effects andconsequences. pulsations–Functional by arterial of humanmusclespindle discharge Macefield, V. G.(2012).Modulation I.,Boonstra,T Birznieks, jad.2011.07.015. 139, pp.126-140.doi:10.1016/j. ofDisordersmodels. Journal , Affective Meta-review of depressive subtyping Baumeister, H.&Parker, G.(2012). 2012, Aug16. 10.1177/0004867412457997. Epub of. 46(11):1089-98.doi: Psychiatry Australian andNewZealand Journal study.anxiety: prospective cohort and theonsetof depression and Sleep disturbance, personality Christensen, H.(2012,Nov) Batterham, P., Glozier, N., jad.2012.05.021. Epub2012Jul26. 142(1-3):306-14. doi:10.1016/j. trees. ofDisorders Journal . Affective usingdecision a communitycohort in suicidal thoughtsandbehaviours (2012). Longitudinalriskprofiling for Batterham, P. &Christensen, H. a000156. of print.doi:10.1027/0227-5910/ Prevention. 30:1-9.E-pubahead andSuicide of Intervention Crisis stigma of suicide.Crisis:TheJournal andcorrelatesproperties of the of SuicideScale:Psychometric Christensen, H.(2012).TheStigma Batterham, P. J. , Calear, A.L. & , Parker, G.,Wijeratne,C.& , Manicavasagar, Journal ofJournal Workplace . W. & PLoS doi: 10.1371/journal.pcbi.1002634. Computational Biology,8,e1002634. invariance inbiologicalsystems. PLoS model of multistabilityandscale- Breakspear, M.(2012).Acanonical R., Robinson, P. A.,Ritter, P. & Freyer, F., Roberts, J. A.,Becker, 10.1016/j.jad.2011.11.033. Disorders, 136,pp.304-309.doi: Bipolar IIDisorder. of Journal Affective Temperament in andpersonality Synnott, H. Fletcher, K.,Parker, G.,Barrett, M. , Cambridge UniversityPress. (2nd ed.)(pp.70-80).Cambridge,UK: Modelling, MeasuringandManaging In G.Parker (Ed.), associated withBipolarIIDisorder. Fletcher, K.(2012).Personality styles Routledge. Professionals UK: andCarers. Growing Older H. (2012). Eyers, K.,Parker, G.&Brodaty, Unwin. Sydney,Carers. Australia:Allen& Older (2012). Eyers, K.,Parker, &Brodaty, G. H. 10.1111/j.2044-8260.2012.02038.x. Psychology, 51,pp.459-464.doi: review. of Journal British Clinical depression inlate life?Asystematic therapy atreatment optionfor computerised cognitive-behavioural & Weingardt, K.R.(2012).Is J. Crabb, R.,Cavanagh, K., NMD.0b013e318275d3cb. 200, pp.1101-1104.doi:10.1097/ andMentalof Disease Nervous , who foundagoldnugget. depressive illness–Theprospector identification of lithiumformanic Cole, N.&Parker, G.(2012).Cade’s print. doi:10.1016/j.jad.2012.07.002. Disorders. 2August.E-pubaheadof of Journal based Affective cohort. Behaviour inalarge community- of Suicidal Psychological Theory (2012). Atest of theInterpersonal- J. Christensen, H.,Batterham,P. doi: 10.2196/jmir.2206. ResearchMedical Internet , 14,e92. of Journal internet interventions. The depthanddiversity of current Tait, R.J. (2012).Beyond efficacy: G.,Thorndike,Andersson, F. P. & Christensen, H.,Calear, A.L ., 7. 10.1016/B978-0-444-59499-0.00002- of Annual,34,pp.17-24.doi: Drugs Antidepressant drugs. Chan, H.N.&Mitchell, P. B.(2012). 77. doi:10.5694/mjao12.10495. Australia Open treat depression. of MedicalJournal treatment approaches to difficult-to- Harvey, S. Chan, H.,Mitchell, P., Loo,C.K. biopsych.2012.02.009. , 72,e9-e10.doi:10.1016/j. Psychiatry ofreport a novel treatment. random noisestimulation:Case depressive disorder bytranscranial & Loo,C. Player, M.,Mitchell, P., Sachdev, P. Chan, H.,Alonzo,A. 10.1016/j.jad.2012.11.036. Disorders. E-pubaheadof print.doi: population. for anadolescentschool-based Program: Outcomes andpredictors 11). Adherence to theMoodGYM K. &Mackinnon,A.(2012,Dec Calear, A.,Christensen,H. , Griffiths, jpsychires.2012.08.023. 46, pp.1662-1666.doi:10.1016/j. ofJournal Psychiatric Research, adults aged70yearsandover. cognition incommunity-dwelling (2012). Depression, anxietyand Christensen, H.&Batterham,P. Bunce, D., Mackinnon,A., , Learmonth, D., Rafie,S. , Soubelet,A.&Mackinnon,J. . AGuideforProfessionals and Managing DepressionGrowing (2012).Treatment of major Managing Depression, (2012).Pharmacological &McCraw, S. Journal ofJournal Affective . AGuidefor , 1(Suppl.4),pp.44- Bipolar IIDisorder. Martin, D., Martin, , Side Effects Side Effects Proudfoot, (2012). Journal Journal Biological &

bmjopen-2012-001776. Open, 2,e001776.doi:10.1136/ Aqualitative study.to work: BMJ an obstacleto sickdoctors returning (2012). Shame!Self-stigmatisation as Hotopf, M.,Madan,I.&Hatch, S. Busso, L.,Chalder, T., M.,Brooks,Henderson, S. K.,del 10.3389/fncom.2012.00067. Neuroscience 67.doi: , 6,article inComputational Frontiers cortex. and traveling waves inmotor computational role forbistability Breakspear, M.(2012).A Heitmann, S.,Gong,P. & 10.3389/fnbot.2011.00005. 5.doi: Neurorobotics, 5,article in biomechanical limb.Frontiers and jointstabilityinathree-link contraction modulates damping Breakspear, M.(2012).Muscleco- Heitmann, S.,Ferns, N.& doi: 10.1093/aje/kws248. of Epidemiology deployed to Iraq. studyof UKreservists cohort deployment:A5year of military (2012). Thelong-term consequences Dandeker, C.,Fear, N.&Wessely, S. M., Hull,L.,Jones,N.,Greenberg, N., Harvey, S.B. 10.1097/YCO.0b013e32834dc147. , 25,pp.14-18.doi: in Psychiatry (2012). Melancholia. Hadzi-Pavlovic, D. &Boyce, P. journal.pone.0053244. ONE 7(12):e53244.doi:10.1371/ A randomisedcontrolled trial. of thecommunitywithdepression: group formembers online support et al.(2012)TheEffectiveness of an D. A., Griffiths, K. M., Mackinnon, A. J., Crisp, 0292-0. 297-305. doi:10.1007/s00737-012- Women’s Mental Health,15,pp. and parenting stress. Archives of maternal perinatalmooddisturbance during childhood:Associationswith M-P. (2012).Parental care andcontrol McMahon, C.,Leader, L.& Grant, K.A.,Bautovich, A., jmir.1864. Research. 14(3):e69.doi:10.2196/ trial. randomizedcontrolled exploratory seeking inelite athletes: an to promote mentalhealthhelp- (2012). Internet-based interventions Batterham, P. J. &Stanimirovic, R. Calear, A.L., Parsons, A.,Bennett,K., Christensen, H.,Mackinnon,A., Gulliver, A.,Griffiths,K.M., 12:81. doi:10.1186/1471-244X-12-81. . MedicalCouncilBritish Psychiatry and generalpsychological distress. fordepression, anxiety interventions A systematic review of help-seeking Christensen, H.&Brewer, J. L.(2012). Gulliver, A.,Griffiths,K.M., doi: 10.1016/j.jpsychores.2012.08.011. Psychosomatic Research, 73,424-429. disturbance 4yearslater. of Journal behavioural factors thatpredict sleep Christensen, H.(2012).Cognitive- Gosling, J. A., pone.0048200. 7, e48200.doi:10.1371/journal. melancholic depressions. with melancholic,atypicalandnon- and treatment outcomes inpatients Parker, G.(2012).Clinicalpatterns Asensio, D., Garcia-Campayo, J. & Gili, M.,Roca, M.,Armengol, S., fncom.2012.00044. 44.doi:10.3389/ 6, article in Computational Neuroscience, self-organised instability. Frontiers Deco, G.(2012).Perception and Friston, K.J., fpsyg.2012.00151. 151.doi:10.3389/ Science, 3,article inPerceptionexperiments. Frontiers as hypotheses:Saccades Breakspear, M.(2012).Perceptions Friston, K.J., Adams,R.,Perrinet, L.& Journal ofJournal MedicalInternet Christensen, H.,Bennett,K., Breakspear, M.& , Hatch, S.L.,Jones, Batterham, P. & , 176,pp.1177-1184. American Journal American Journal Current Opinion Current Harvey, S.B. PLoS ONE, Reilly, N., Austin, PLoS , BLACK DOG INSTITUTE ANNUAL REPORT 2012 PAGE 73

& Fletcher, & Fletcher, Alonzo, A. Christensen, Australasian Australasian Manicavasagar, Manicavasagar, , Austin, M-P. (2012). Further (2012). (2012). & Friend, P. (eKindle ed.) (pp. Journal of Medical Journal of Perinatal Mental Health: Mental Perinatal (2012). Paired associative associative (2012). Paired (2012). Personality type and (2012). Personality , Mauri, M., Cassano, G. B. & (2012). Does testing testing M. (2012). Does & Barrett, clarifyfor bimodality whether the or categorically are bipolar disorders unipolar to dimensionally different Journal of disorders? depressive Affective, 137, pp. 135-138. Disorders doi: 10.1016/j.jad.2011.09.023. A. , Rees, G., Graham, R. Parker, S. -M., Futeran, of those who A diagnostic profile on assignment a false positive return Journal measures. bipolar screening Affective, 141, pp. 34-39. of Disorders doi: 10.1016/j.jad.2012.02.026. G. & Manicavasagar, Parker, V. Medical Observer, April, depression. pp. 27-29. S. G., McCraw, Parker, Depression K. (2012). Cyclothymia. and Anxiety, 29, pp. 487-494. doi: 10.1002/da.21950. (2012). G. & Orman, J. Parker, the Black Dog Examining the utility of Assessment online Mood Institute’s in clinical practice. Program PsychiatryAustralasian , 20, pp. 49-52. doi: 10.1177/1039856211432464. A., Fletcher, G., Paterson, Parker, K., Blanch, B. & Graham, R. (2012). question’ for The ‘magic button – Would those with a mood disorder their condition? re-live they wish to Affective, Journal of Disorders 136, pp. 419-424. doi: 10.1016/j. jad.2011.11.008. K. , A., Fletcher, G., Paterson, Parker, M. & Blanch, B. (2012). Out of Hyett, a mood of the darkness: The impact time. over disorder Psychiatry, 20, pp. 487-491. doi: 10.1177/1039856212466160. Pini, S., Gesi, C., Abelli, M., Muti, M., A., Lari, L., Cardini, V. K. M. (2012). The relationship Shear, anxiety adult separation between grief in a and complicated disorder with mood cohort 453 patients of Journal of and anxiety disorders. Affective, 143, pp. 64-68. Disorders doi: 10.1016/j.jad.2012.05.026. J., M., Taylor, Player, Loo, C. cortex motor stimulation increases than effectively more excitability theta-burst stimulation. Clinical , 123, pp. 2220-2226. Neurophysiology doi: 10.1016/j.clinph.2012.03.081. N., Stallard, T., Hamborg, J., Powell, -L., Bennett, J. Burls, A., McSorley, K., Griffiths, K. M. & a web- of H. (2012). Effectiveness tool cognitive-behavioural based in the mental wellbeing improve to general population: Randomized trial. controlled , 15, e2. doi: Internet Research 10.2196/jmir.2240. X.,Protopopescu, B. (2012). N. & Barnett, Reilly, and psychosocial Screening assessment for perinatal depression, and dysfunction. In C. R. distress, Martin (Ed.), A Clinical Guide Kingdom: M&K 307-322). United Publishing. Graham, R., Hadzi- G., Graham, Parker, K., Hong, , Fletcher, D. Pavlovic, S. M. & Futeran, the utility and of examination the properties of comparative bipolar screening MSQ and MDQ Affective Journal of measures. doi: , 138, pp. 104-109. Disorders 10.1016/j.jad.2011.12.016. , Graham, R., Hadzi- G. Parker, H. Synnott, , , Friend, P. D. Pavlovic,

, p. Bipolar Bipolar (2012). (2012). Bipolar doi: Bipolar II Bipolar II Disorder. Bipolar II Disorder. Australasian Australasian A Piece of My Mind of A Piece Harvey, S. B. Harvey, Bipolar II Disorder. Bipolar II Disorder. Bipolar II Disorder. , 69, pp. 868-869. doi: , 69, pp. 868-869. Mykletun, A. & Mykletun, A disorders: mental of Prevention health. mental for workplace new era and Environmental Occupational Medicine 10.1136/oemed-2012-100846. (2012). G. Parker, . Sydney, on the Couch – A Psychiatrist Macmillan. Australia: Pan on (2012). A psychiatrist G. Parker, the other from the couch – Views Online Papers side. The Sydney 116. G. (2012). A vulnerable Parker, among Depression profession: , 110, pp. 17-21. lawyers. Precedent G. (2012). Acta is a four- Parker, Psychiatrica Acta word. letter Scandinavica, 126, pp. 476-478. doi: 10.1111/j.1600-0447.2012.01919.x. G. (Ed.) (2012). Parker, and Modelling, Measuring Disorder. Managing (2nd ed.). Cambridge, UK: Cambridge University Press. 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Take-up Greenfield, of individuals accessing a profile screening bipolar self-test web-based Affective Journal of measure. , 138, pp. 117-122. Disorders 10.1016/j.jad.2011.12.013. & Hadzi- K. G., Fletcher, Parker, (2012). Is context D. Pavlovic, everythingof clinical the definition to the Horwitz of A test depression? Journal of postulate. and Wakefield Affective, 136, pp. 1034- Disorders 1038. doi: 10.1016/j.jad.2010.11.021. . Journal , 48, (2nd Hadzi- Update on Update Mitchell, P. B., P. Mitchell, , Garfield, J., , Garfield, , Martin, , 380, Lancet M. Breakspear, D. Hadzi-Pavlovic, Translational Psychiatry, 2, Translational Katalinic, N. , Katalinic, , Katalinic, N. (2012). & Martin, D. Mental Health and Human Mental Bipolar II Disorder. Modelling, Bipolar II Disorder. & Schweitzer, I. (2012). A & Schweitzer, Loo, C. K., Sainsbury, Affective, 142, pp. 233- of Disorders 240. doi: 10.1016/j.jad.2012.04.032. Loo, C. D. ultrabrief pulse width of review therapy. electroconvulsive in Chronic Advances Therapeutic , 3, pp. 69-85. doi: Disease 10.1177/2040622311432493. Loo, C. current Could transcranial direct unexpected stimulation have treatment additional benefits in the Expert patients? Review depressed of 751-753. pp. 12, , Neurotherapeutics of D., A., Horn, Lord, pp. 483-489. doi: 10.1111/j.1440- 1754.2011.02242.x. A., Morris, R., Sparks, & T. C., Weickert, Shannon Weickert, cortico- (2012). Lack of M. J. Green, limbic coupling in bipolar disorder emotion during and schizophrenia regulation. e90. doi: 10.1038/tp.2012.16 & MacPherson, R. (2012). Ketamine & MacPherson, (2012). Ketamine R. in agent as a neuroprotective therapy: A electroconvulsive trial. randomised controlled M. (2012). Changes in & Walter, resting of community structure in unipolar brain networks state ONE , 7, e41282. doi: PLoS depression. 10.1371/journal.pone.0041282. D. & Gilfillan, V. Manicavasagar, interventions(2012). Psychological In G. Parker for Bipolar II Disorder. (Ed.), Measuring and Managing ed.) (pp. 142-150). Cambridge, UK: Cambridge University Press. T. , Perich, V. Manicavasagar, G. (2012). Cognitive & Parker, change in cognitive of predictors behaviour therapy and mindfulness- for therapy cognitive based and Behavioural depression. , 40, Psychotherapy Cognitive pp. 227-232. doi: 10.1017/ S1352465811000634. E. Z., Scimone, A., Tiwari, McAuley, E. B., Holliday, Agahi, G., Mowry, Y., A., Shannon-Weickert, G., Donald, J. P. R. & B., Schofield, P. C., Mitchell, M. (2012). Identification Fullerton, J. 8B as a sialyltransferase of generalized susceptibility gene for on and mood disorders psychotic One, 15q25-26. PLoS chromosome 7, e38172. doi: 10.1371/journal. pone.0038172. B. (2012). Bipolar P. Mitchell, disorder: The shift overdiagnosis. to Psychiatry, 57, Canadian Journal of pp. 659-665. B. (2012). Psychiatrists P. Mitchell, industry:and the pharmaceutical On a complex relationship. the ethics of Gale & F. Silove D. In M. Dudley, (Eds.), Rights (pp. 346-361). Oxford University Press. B. (2012). P. Mitchell, , Concannon, P., D. Pavlovic, S., Clarke, D., Mulcahy, P., Hutchins, A. & Hughes, Warner, Salmelainen, P., C. (2012). Practitioner characteristics and children of and the treatment deficit adolescents with attention Journal of hyperactivity disorder. and Child Health Paediatrics R., Lozano, T., L., Vos, C. J. Murray, Michaud, Naghavi, M., Flaxman, A. D., co- C., et al. (Black Dog Institute B.) (2012). author: P. Mitchell, life years (DALYs) Disability-adjusted for 291 diseases and injuries in 21 1990-2010: A systematic regions, of Burden analysis for the Global 2010. Disease Study pp. 2197-2223. doi: 10.1016/S0140- 6736(12)61689-4. bipolar disorder. Medical Observer, bipolar disorder. pp. 29-31. September, F., B., Levy, P. Mitchell, , , ,

Mitchell, Mitchell, Harvey, Harvey, & Physical Physical Loo, C. , , Martin, D. , Stewart, R., Hotopf, R., Hotopf, , Stewart, Breakspear, M. & , Breakspear, (2012). The G. Parker, & Halliday, & Halliday, Austin, M-P. , Garfield, J., Katalinic, N. , Garfield, , Alonzo, A. British Journal of Psychiatry, British Journal of , Løvvik, C. M. S., Omenås, A. N. (2012). Speed of response in response (2012). Speed of (2012). Transcranial direct current current direct (2012). Transcranial Sachdev, & Sachdev, V. , Galvez, P. Mitchell, P. 3-week,stimulation for depression: randomised, sham-controlled trial. 200, pp. 52-59. doi:10.1192/bjp. bp.111.097634. Loo, C. I. & Hadzi-Pavlovic, Schweitzer, D. ultrabrief and brief pulse width right International Journal of ECT. unilateral , pp. 1-7. Neuropsychopharmacology doi: 10.1017/S1461145712000879. Ebmeier, K. (2012). Transcranial direct direct K. (2012). Transcranial Ebmeier, stimulation in the treatment current A meta- major depression: of Medicine analysis. Psychological 42, pp. 1791-1800. doi: 10.1017/ S0033291711003059. J. A., Morley, Karim, M., Harris, J. (2012). Prior M. & Breakspear, W. evidence: How prior and present with present experience interacts decision in a perceptual information making task. ONE, 7, e37580. PLoS doi: 10.1371/journal.pone.0037580. Knudsen, A. K., Lervik, L. V., S. B. & Mykletun, A. (2012). A comparison / fatigue syndrome chronic of with other myalgic encephalopathy observational An disorders: study. Society of the Royal Journal of Medicine Short, 3, p. 32. doi: Reports 10.1258/shorts.2011.011167. C., J. Knudsen, A. K., Skogen, S. B. Harvey, M. & Moran, P. (2012). Personality (2012). Personality M. & Moran, P. mental common disorders, disability of receipt and disorders the British benefits: Evidence from National Survey Psychiatric of Medicine Psychological Morbidity. 42, pp. 2631-2640. doi: 10.1017/ S0033291712000906. Langdon, A. Coombes, S. (2012). Phase-locked periodically oscillations in cluster integrate-and-fire-or-burst forced populations. neuronal E, 8, 061903. doi: 10.1103/ Review PhysRevE.86.061903. Y., Levy, ultra-brief G. (2012). Use of therapy pulse electroconvulsive postnatal mood severe treat to disorder: A case series. Australasian Psychiatry, 20, pp. 429-432. doi: 10.1177/1039856212458979. Zhen, X., Ikeda, Y., Li, M., Wang, M., Iwata, N., Luo, X., Chong, S., Rietschel, M., Zhang, F., Lee, J., B., Cichon, S., Muller-Myhsok, M., R., Matteisen, D. Weinberger, G., Martin, N. G., Schulze, T. R., MooDS P. B., Schofield, P. & Su, B. (2012). Consortium, Liu, J. Meta-analysis and brain imaging data support of the involvement VRK2 (rs2312147) in schizophrenia , Schizophrenia Research susceptibility. 142, pp. 200-205. doi: 10.1016/j. schres.2012.10.008. Loo, C. Harvey, S. B. Henderson, Harvey, M. & (2012). Occupational psychiatry. In E. psychiatry. Occupational (2012). S. Rao (Eds.), & M. Temple Guthrie, PsychiatrySeminars (2nd in Liaison Publishing. Gaskell ed.). London: , Vollmer- P. M., Rourke, Hyett, Conna, U. & depression course and of nature coronary acute to syndrome. related , 108, pp. 27-29. Health Issues J., S. Lupton, Schmeid, V., Johnson, M., M., Kemp, S. , Matthey, Austin, M-P. A. E. (2012). & Yeo, L., Meade, T. health Measuring perinatal mental Mental risk. Women’s of Archives Health, 15, pp. 375-386. doi: 10.1007/ s00737-012-0297-8. C., Kalu, U., Sexton, BLACK DOG INSTITUTE ANNUAL REPORT 2012 PAGE 74 10.1016/S0140-6736(12)61729-2. 2010. Lancet, 380,pp. the Global Burden of DiseaseStudy 1990-2010: Asystematic analysisfor sequelae of 289diseasesandinjuries lived withdisability(YLDs)for1160 Mitchell, P.author: B.)(2012).Years M., etal.(BlackDogInstitute co- M., Lozano,R.,Michaud,C.,Ezzati, Vos, T., Flaxman, A.D., Naghavi, 10.3389/fnsys.2012.00020. Neuroscience 20.doi: , 6,article architecture? inSystems Frontiers of modularityinfunctionalbrain global coherence orbreakdown C. (2012).Fragmentation:Lossof Breakspear, M.&van Leeuwen, van denBerg, D., Gong,P., 10.1186/1471-244X-12-67. 12, 67.E-pubaheadof print.doi: stimulant use.BMCPsychiatry, addressing amphetamine-type of aninternet-based intervention for arandomisedcontrolled trial 25). Breaking theIce:Aprotocol H. &Griffiths,K.M.(2012,June Geddes, J., A., Garrick, F., Bennett,K.,Tam, A.,Bennett, Tait, R.J., McKetin, R.,Kay-Lambkin, 10.1177/0004867411433954. ofJournal , 46,p.388.doi: Psychiatry disorder. Australian andNewZealand ECT foramixed episodeof bipolar Loo, C. Smith, D., Schweitzer, I.,Ingram,N.& 10.1177/0004867411433213. of, 46,pp.153-160 Psychiatry Australian andNewZealand Journal dominated bynegative symptoms. in patients withschizophrenia cerebrolysin addedto risperidone Z. (2012).Therapeuticeffectsof H. Z.Y., Mitchell, P. &Mingyuan, Chengmei, Y., Xia,L.,Chao,C.,Wu, Guanjun,L., Haibo, X., Shifu, X., 10.1016/j.jad.2012.05.061. Disorders, 143,pp.179-186.doi: of Journal Affective apportioned? Can itsconstituentsbemeaningfully The categorisation of dysthymia: Barrett, M.&Parker, (2012). G. Pavlovic, D., Stek,M., Rhebergen, D., 10.1016/j.jad.2012.03.043. Disorders, 142,pp.343-346.doi: of of melancholia.Journal Affective Dutch versionof thecore measure ofPsychometric properties the B., Parker, G.&Stek,M.L.(2012). H., Beekman,A.T. F., Terwee, C. Rhebergen, D., D. Arts, L.,Comijs, Press. Cambridge, UK:CambridgeUniversity Managing (2nded.)(pp.133-141). Disorder. Modelling,Measuring and Disorder. InG.Parker (Ed.), role of fishoilinmanagingBipolarII Rees, A.&Parker, G. (2012). The Therapeutic GuidelinesLtd. (7th ed.).Melbourne, Australia: Psychotropic Therapeutic Guidelines Mitchell, P.co-author: ) (2012). Committee (BlackDogInstitute Psychotropic GuidelinesSub- doi:10.1016/j.jad.2012.05.052. Disorders, 143,pp.196-202. Affective with bipolardisorder. of Journal and depression inyoung people Delmas, K.(2012).Triggers of mania G., Doran,J., Manicavasagar, V. & Proudfoot, J., Whitton, A. , Parker, jad.2012.04.007. 142, pp.98-105.doi:10.1016/j. trial. Arandomisedcontrolled disorder: psychoeducation program forbipolar symptoms andattritioninanonline on of adjunctive peersupport M. &Burckhardt, R.(2012).Effects D. Manicavasagar, V., Hadzi-Pavlovic, Proudfoot, J., Parker, G., , Whitton, A.,Nicholas,J., Smith, Journal ofDisordersJournal , Affective (2012).Successfulultrabrief Graham, R.,Hadzi- 2163-2196.doi: Christensen, Friend, P.Friend, , Bipolar II . doi: 71. doi:10.1186/1471-2288-12-71. Medical Researchpp Methodology,12, study based onlinked data.BMC techniques foraperinatalpsychiatric Sullivan, E.A.(2012).Datapreparation Xu, F., Hilder, L.,Austin,M-P. & 0289-8. 333-341. doi:10.1007/s00737-012- of Women’s Mental Health,15,pp. perinatal mentalhealthpolicy. Archives period: Usingdatalinkageto inform depressive disorder intheperinatal Hilder, L.&Sullivan, E.(2012).Major Xu, F., Austin,M-P. , Reilly, N., psychres.2012.07.008. 200, pp. population. and psychological distress inadiabetic promoter transporter polymorphisms (2012). Associationbetween serotonin Stone, C.,Pierce, K.&Schofield, P. R. Mitchell, P. B.,Campbell,L.,Dobson- Wilhelm, K.,Gillis,I.Reddy, J., ajcn.110.007799. 95 (1),194-203.doi:10.3945/ ofAmerican Journal ClinicalNutrition, A randomizedcontrolled trial. – TheBeyond AgeingProject: adults withdepressive symptoms decline incommunity-dwelling older supplementation to prevent cognitive Oral folicacidandvitaminB-12 D. &Christensen,H.(2012). I., Fenech,M.,Kljakovic, M.,Crisp, Mackinnon, A.J., Jorm, A.F., Hickie, Walker, J. G., Journal ofJournal Australia. and thegeneralpublic. care doctors practitioners, primary health websites forusebyclinicians, compendium of highqualitymental K. (inpress; accepted Jan 2013).A Bennett, K.,A.&Griffiths, Christensen, H.M.,Calear, A.L., doi: 10.1080/15248372.2012.664590. Development. E-pubaheadof print. ofacquisition. Journal Cognition and does notdrive knowledge getting of wisdom:Fluidintelligence & Mackinnon,A.J. (Inpress). The Christensen, H.,Batterham, P. J. comppsych.2012.05.012. ahead of print.doi:10.1016/j. Comprehensive Psychiatry. E-pub as definedbythe CORE system. and non-melancholicdepression differences between melancholic M.P.G. &Fleck, (Inpress). Clinical Pinheiro, D. O., Ribeiro, M.R., Caldieraro, M.A.K.,Baeza,F. L.C., neuroimage.2012.02.047. E-pub aheadof print.doi:10.1016/j. on Lohmannetal. neuroimaging data:Acomment Dynamic andstochastic modelsof Breakspear, M.(Inpress). JGP.0b013e318266b1ee. ahead of print.doi:10.1097/ of. E-pub Psychiatry Geriatric grip strength. decline incognitive functionand Apolipoprotein Eɛ4andlater life N. &Christensen,H.(Inpress). Batterham, P. J., Bunce,D., Cherbuin, 10.1177/0004867412457997. . E-pubaheadofPsychiatry print.doi: and NewZealand of Journal study.Prospective cohort Australian onset of depression andanxiety: disturbance, andthe personality Christensen, H.(Inpress). Sleep Batterham, P., Glozier, N.& wombi.2011.12.001. E-pub aheadof print.doi:10.1016/j. of theAustralian College of Midwives. Journal Guidelines. Women andBirth: The AustralianClinicalPractice disorders inthematernity setting: Detection andmanagementof mood N. M.&Highet,J. (Inpress). Austin, M-P. V., Middleton, P., Reilly, In Press: 343-348.doi:10.1016/j. Psychiatry ResearchPsychiatry , Batterham, P. J. , American Journal American Journal NeuroImage. Medical Parker,

. Knudsen, A.K., YCO.0b013e32835ab4a7. E-pub aheadof print.doi:10.1097/ OpinioninPsychiatry.signal. Current for mooddisorders –Anevolving Fish oilasamanagementcomponent Hegarty, B.&Parker, G.(Inpress). S1461145712000041. E-pub aheadof print.doi:10.1017/ ofJournal Neuropsychopharmacology . over multiplesessions? intensity beconstantorincremental treatment protocols: Shouldstimulus direct current stimulation(tDCS) & Loo,C. Galvez, V., psychres.2012.11.036. ahead of print.doi:10.1016/j. Researchtypes. Psychiatry . E-pub Cognitive styleinbipolarsub- Manicavasagar, V. (Inpress). Fletcher, K.,Parker, G. & Mykletun, A.&Øverland, J. Frankland, A.,Slade,T., Mitchell, P. B.,Johnston, A.K., jad.2012.10.012. ahead of print.doi:10.1016/j. ofDisordersJournal . E-pub Affective of relapse inmajordepression. current stimulationfortheprevention Continuation transcranialdirect Sachdev, P. &Loo,C.K. K. –A.,Player, M.,Mitchell, P., B. D.Martin, M.,Alonzo,A. 0447.2012.01902.x. ahead of print.doi:10.1111/j.1600- Psychiatrica Scandinavica.E-pub The Hordaland healthstudy. Acta in ageneralworking population: and long-term sicknessabsence press). Commonmentaldisorders 10.1177/1039856212465776. Psychiatry. E-pubaheadof print.doi: ‘one sizefitsall’model? disorders work to asub-typingor managingmood Do practitioners S. Parker, G.,Paterson, A.,McCraw, 10.1016.j.jad.2012.11.035. Disorders. E-pubaheadof print.doi: clinical features. of Journal Affective Prototypically melancholicinits M. (Inpress). Bipolardepression: Pavlovic, D., Hong,M.&Barrett, Parker, G.,McCraw, S. print. doi:10.1016/j.jad.2012.10.002. Disorders. E-pubaheadofAffective and unipolardisorders. of Journal by thosewithbipolarI,II direct andindirect costsincurred disorders: Astudyof comparative press) Costsof theprincipal mood Pavlovic, D. &Fletcher, K.(In Parker, G.,McCraw, S. print. doi:10.1016/j.jad.2012.06.042. of Disorders. E-pubaheadof Affective approach andanewmeasure. Journal melancholic depression: Aprototypic Differentiating melancholicandnon- H. &Rees, A.-M.(Inpress). B., Hadzi-Pavlovic, D., Synnott, Parker, G.,McCraw, S. acps.12049. E-pub aheadof print.doi:10.1111/ study. Acta Psychiatrica Scandinavica. 12-week single-blindrandomized melancholic depressed patients: A cognitive behaviourtherapyin of antidepressant medicationto & P.Graham, R.,Friend, , Gilfillan, D. Manicavasagar, V., Synnott, H. Hadzi-Pavlovic, D., Sheppard,, E. Parker, G.,Blanch,B., acps.12005. E-pub aheadof print.doi:10.1111/ Acta Psychiatrica Scandinavica. of differingdiagnosticalgorithms. Theimpact Diagnostic Interview: of theComposite International the World MentalHealthVersion using disorder inanationalsurvey & Hadzi-Pavlovic, D. (2012).Bipolar Roberts, G.,Wright,A.,Corry,, Roberts, J. Friend, P., Friend, &Hong,M.(Inpress). Perich, T. (Inpress). Thesuperiority (Inpress). Transcranial Alonzo, A. Harvey, Martin, D., Martin, Paterson, A., , Hadzi- , Hadzi- , Blanch,

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S. (In , Ho, , , of print.doi:10.1002/da.22000. andAnxiety.Depression E-pubhead Areview.major depressive disorder: tests inpsychiatry, withafocuson Implications of theuseof genetic B. &Schofield, P. R.(Inpress). Wilde, A.,Mitchell, P. B.,Meiser, S1041610212001469. E-pub aheadof print.doi:10.1017/ sample. volumes in anolderbipolardisorder press). Hippocampal andamygdale Mitchell, P. B.&Sachdev, P. S. Piguet, O., Lipnicki,D. M.,Malhi, G.S., Wijeratne, C.,Sachdev, S.,Wen, W., print. doi:10.1038/mp.2012.157. . E-pubaheadofMolecular Psychiatry 16p11.2 conferringriskof psychosis. A.). (Inpress). Commonvariant Mitchell, P.authors: &Wright, B. S., etal.(BlackDogInstitute co- M., Costas,J., Demontis,D., Jamain, Steinberg, S.,deJong,Matteisen, biopsych.2012.11.004. E-pub aheadof print.doi:10.1016/j. disorder.. BiologicalPsychiatry people atgeneticriskforbipolar during emotioninhibitioninyoung inferior frontal gyrusactivation Mitchell, P. B.(Inpress). Reduced F., Lenroot, R., A.,Levy,Frankland, A.,Wright, Breakspear, C., M.,McCormack, G.,Green,Roberts, M.J. , doi:10.1186/1471-244X-12-196. 12, 196.E-pubaheadof print. bipolar disorder. BMCPsychiatry, and patients newly-diagnosedwith of peers interactions between expert Aqualitative analysis peer support: Mechanisms underpinningeffective Smith, M.&Nicholas,J. (Inpress). A., Parker, G.,Manicavasagar, V., Proudfoot, J., Jayawant, A., 10.1016/j.jad.2012.08.014. Disorders. E-pubaheadof print.doi: bipolar disorder. of Journal Affective detection of earlywarning signsin features associated withthe (In press). Clinicalanddemographic Lau, P. A. &Frankland,A. , Wright, Hadzi-Pavlovic, D. G. , , Roberts, Perich, T., Mitchell, P. B.,Loo,C. acps.12033. E-pub aheadof print.doi:10.1111/ Acta Psychiatrica Scandinavica. cognitive therapyforbipolardisorder. controlled trialof mindfulness-based Pavlovic, D. (Inpress). Arandomized Mitchell, P., Ball,J. &Hadzi- Perich, T., Manicavasagar, V., doi: 10.1007/s/12671-012-0166-6. Mindfulness. Potential mechanismsandeffects. the treatment of bipolardisorder: Mindfulness-based approaches in Ball, J. &Mitchell, P. B.(Inpress). Perich, T., Manicavasagar, V., ijcard.2012.09.177. E-pub aheadof print.doi:10.1016/j. of Journal International Cardiology. well-being.the context of everyday revisited: Autonomic responses in Conna, U.(Inpress). Reliability D. Cvejic, E.,Lemon,J., Patel, V., A., Giesebrecht, S.,Burton, , Dain,S.,Lloyd, A.&Vollmer- International Psychogeriatrics.International E-pub aheadof print. Chan, H.N.& Hadzi-Pavlovic, Whitton, (In , BLACK DOG INSTITUTE ANNUAL REPORT 2012 PAGE 75 Presenter Parker Fletcher Green Roberts Boonstra Green Loo Loo Roberts Mitchell Parker Parker Parker Parker Parker Parker Christensen Christensen Parker Austin Austin Christensen Mitchell Reilly Austin Loo Mitchell Mitchell Mitchell Mitchell Parker Location Italy Rome, Istanbul, Turkey Istanbul, Turkey Istanbul, Turkey Netherlands Nijmegen, The Philadelphia, USA Philadelphia, USA UK Manchester, Philadelphia, USA Nan Ning, China Santiago, Chile Santiago, Chile Brazil Alegre, Porto Santiago, Chile Brazil Alegre, Porto Brazil Alegre, Porto Auckland, New Zealand Cambridge, UK New Zealand Wellington, France Paris, France Paris, San Francisco, USA Germany Hamburg, France Paris, Sydney Sydney Orange, NSW Orange, NSW Canberra Sydney Sydney Is Melancholia a Distinct Disease Entity or Just a Distinct Disease Is Melancholia Depression? Form of a More Severe Style II Disorder in Bipolar Cognitive on Cortico- The Effect Emotion Regulation of and in Bipolar Disorder Limbic Coupling Schizophrenia Gyrus Activation Inferior Frontal Reduced at People During in Young Emotion Inhibition Genetic Risk for Bipolar Disorder Increased of Variance The Mean and EMG Rectification: Oscillations Neuronal Mania Bipolar Across Function of Continua and Schizophrenia Direct Current Stimulation Transcranial Direct Current Stimulation: A New Transcranial for Depression? Treatment to Impaired Gyrus Response Inferior Frontal First- in Young an Emotional Inhibition Task Patients Bipolar Disorder of Degree Relatives to Controls Compared Bipolar Predict Who Will Develop Can We Disorder? and Modelling, Detection Bipolar II Disorder: Management Spectrum Disorder Bipolar Emerging Is Bipolar II Increasing? Conditions: History the Black Dog of and Development Institute CategoryMelancholia – A Distinct Disease or Depression? FormMerely of a More Severe Diagnosis and Modelling the Bipolar Disorders: BP II Management of Major Depression? Modelling The Future of and Measuring Melancholia Know? What We eHealth & Suicide Prevention: to Deliver Using the Internet and Technology Programs Self-Help Modelling, Diagnosing and Managing Bipolar II Disorder Guidelines for Clinical Practice Australian in the Disorders Depression and Related 2011 Period: Perinatal the Perinatal Admission Across Psychiatric Linked Australian – New Findings from Period Data Virtual and a as a New Portal or e-Therapies Cost-Effective Option Imaging Studies in Young Genetic and Brain Bipolar Disorder at High Risk of People Health in Australia: Mental Perinatal Epidemiological and from Outcomes Survey Studies Based Longitudinal Medicate or in Pregnancy: To Mood Disorders Not – That is the Question Therapy Electroconvulsive Bipolar Predict Who Will Develop Can We Disorder? Bipolar Predict Who Will Develop Can We Disorder? Program Overview New Mood Disorders of Grant Mood Disorders of Psychopharmacology and Managing Bipolar Conceptualising Disorder Presentation 16th Congress of the Italian Society the of 16th Congress Psychopathology of the of 5th Biennial Conference Society for Bipolar International Disorders the of 5th Biennial Conference Society for Bipolar International Disorders the of 5th Biennial Conference Society for Bipolar International Disorders on CorticomuscularWorkshop and Donders Coherence, Intermuscular Institute Society for Biological Psychiatry Annual Meeting Society for ECT and International Annual Meeting Neurostimulation Unit, Research Neuroscience Manchester University of Society for Biological Psychiatry Annual Meeting on Chinese National Conference and Chinese Medicine Western de Internacional 1er Simposio Red Descriptiva Psicopatologia AstraZeneca Meeting PsychiatryDepartment the of of do Rio Grande Universidade Ferderal do Sul de Internacional 1er Simposio Red Descriptiva Psicopatologia PsychiatryDepartment the of of do Rio Grande Universidade Ferderal do Sul PsychiatryDepartment the of of do Rio Grande Universidade Ferderal do Sul 2012: Conference Suicide Prevention Implementation - Ideas, Innovation, the Safety 2012 Meeting of Satellite Conference World Invitational 6th International and Counselling, Seminar on Credit Magdalene College RANZCP New Zealand Conference 2012 of Biennial Congress International Society The Marcé of Biennial Congress International Society The Marcé on Early Conference International Psychosis on Psychiatric Congress 20th World Genetics of Biennial Congress International Society The Marcé John of St at In-house presentation God Hospital Program- NSW Official Visitors Day Training Bloomfield Hospital In-Service Medical Practitioners in Orange Seminar Council NHMRC Developing Black Dog Institute Dog Black Countries Program, Institute Identification and Improving Mood Disorders Management of Black Dog Program, 2012 Training Institute Event Name Event INTERNATIONAL February March March March April May May May May July July July July July July July September September September October October October October October NATIONAL February February February February March March March Month Conference Presentations and Educational Meetings Educational and Presentations Conference BLACK DOG INSTITUTE ANNUAL REPORT 2012 PAGE 76 August August August August August August August August August August July July July July July July July July July July June June June June June June June May May May May May May May May May May April April April March March March Month Conference NationalAPSe-Psychology First DialoguesinDepression Servier: NSWGPClinicalMeeting Servier Clinical Meeting,POWHospital St Andrews CathedralWorkshop Program, Universityof Sydney Master of GeneticCounselling Professional Development Meeting Black DogInstitute Facilitators for Institute Program Workshop, BlackDog Rural andRemote Area Psychologists’ Education Workshop Ramsay Healthcare Continuing Conference NationalAPSe-Psychology First Eighth ClinicalControversies Eighth ClinicalControversies St Johnof GodHospital Conference NSW Fire andRescue Peer Support University Colleges(NAAUC), Panelist National Associationof Australian 44th AnnualConference of the Dialogues inDepression Conference International Motoneuron Meeting West Medicare LocalArea Depression Across theLifespan, Inner Health Optimising Women’s Perinatal Mental Health 2012MotheringConference Maternity, andMental Mothers Disease Workshop National Jansen NewmanGPChronic Complex CaseReview, POWHospital UNSW Headsof SchoolRetreat NSW Health Older People BenchmarkingForum, for Specialist MentalHealthServices Prevention Conference Australian Suicide&Self-harm Prevention Conference Australian Suicide&Self-harm Antenatal Shared Care Update Nutrition inMedicine Nutrition inMedicine Nutrition inMedicine,Panelist NSW Institute of Psychiatry The Sydney Institute Guild) Clinical andPracticeExpo(Pharmacy RANZCP 2012Congress RANZCP 2012Congress Seminar HealthEd Integrative MentalHealth Australian Psychological Society Psychiatric Training Program NSW Institute of Psychiatry Psychiatric Training Program NSW Institute of Psychiatry CSGPN Perinatal Inservice Lawson Clinic Mental HealthSymposium, The Happiness &It’s Causes Institute 2012 Training Program, BlackDog Management of MoodDisorders Improving Identificationand Event Name Overview ofOverview theEmerging Field forMental Health: Mobile PhoneInterventions Disorders –A‘Horses forCourses’ Model Modelling andManagingtheDepressive Melancholia Managing andUnderstanding A Psychiatrist’s Life Helping Those WithDepression Genetics of Mental Illness WeAre Over-Diagnosing BipolarDisorder? 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Community-Based SuicidePrevention: Literacy, The Managementof Perinatal Mental Illness Paradigm Shifts Pregnancy Omega-3 FattyAcidsandMoodDisorders in Mood &AnxietyDisorders ofThe Importance Classification Modelling andManagingMoodDisorders – Other Side A Psychiatrist ontheCouch –Viewsfrom the ontheTherapeuticsUpdate of BipolarDisorder tDCS ECT Evidence Really Say? Fish OilsandMental Health–WhatDoesthe Internet Delivering DepressionPrevention viathe Management of BipolarDisorder Introduction BipolarDisorder to the Postnatal Period andBabies: Challengesin forMothers Caring Treatment of MoodDisorders New Perspectives intheDiagnosisand Mood Disorders aSunny –IsThere Side? Conceptualising andManagingDepression Presentation Cairns Gold Coast Bowral, NSW Sydney Sydney Sydney Sydney Sydney Adelaide Brisbane Melbourne Melbourne Sydney Newcastle, NSW Sydney Sydney Sydney Sydney Melbourne Sydney Sydney Sydney Sydney Sydney Cairns Cairns Sydney Melbourne Melbourne Melbourne Sydney Sydney Sydney Hobart Hobart Sydney Sydney Sydney Sydney Sydney Sydney Sydney Sydney Location Proudfoot Parker Parker Parker Mitchell Mitchell Mitchell Manicavasagar Loo Christensen Parker Parker Mitchell Harvey Christensen Christensen Boonstra Austin Austin Austin Wilhelm Parker Mitchell Loo Christensen Christensen Austin Parker Parker Parker Parker Parker Mitchell Loo Loo Hegarty Christensen Mitchell Mitchell Austin Parker Parker Parker Presenter BLACK DOG INSTITUTE ANNUAL REPORT 2012 PAGE 77 Presenter Boonstra Christensen Harvey Loo Manicavasagar Parker Christensen Loo Parker Parker Parker Parker Parker Boonstra Christensen Green Hegarty Loo Loo Mitchell Mitchell Mitchell Mitchell Parker Parker Parker Parker Parker Wilhelm Breakspear Christensen Green Harvey Harvey Mitchell Parker Parker Parker Location Sydney Sydney Sydney SA Valley, Barossa Sydney NSW Valley, Hunter Sydney Brisbane Perth Melbourne Adelaide Perth Brisbane Sydney Sydney Sydney Melbourne Melbourne Sydney Sydney Sydney Sydney Sydney NSW Gosford, Queensland Toowong, Sydney Melbourne Sydney Sydney Brisbane Perth Perth Perth Perth Perth Bega, NSW Sydney Sydney Oscillatory Networks in Resting-State Brain Brain Oscillatory Networks in Resting-State Activity via the Prevention Depression Delivering Internet and in Large Health and Wellbeing Mental Workplaces Diverse ECT and Neurostimulation Problems: to Psychological Building Resilience People Young Health of the Mental Improving Happiness and Wellbeing of The Science and Capability Ideation Predictors of Forum Neurostimulation A Review Bipolar II Disorder: its Modelling, of A Review Bipolar II Disorder: Detection and Management and Bipolar II: Modelling, Detection Management Modelling, Detection and Management: Bipolar II Disorder and Exercise Sex, Chocolate on Cortical Activity Effect Mnemonic Load of Memory:During Visual Working A Comparison and Power Potentials Event-Related of Changes Impairment in Pregnancy: MythCognitive or Fact? Carving at its Biological Joints Psychoses Health – What Does the Fish Oils and Mental Say? Really Evidence ECT Workshop in 2012 and Health for Women Science Treatment toAn Approach the Management of Depression Resistant to Pilot – Features Relevant Bipolar Disorder Safety Audit and Priorities Research Bipolar Disorder in Australia to Pilot Safety Depression – Features Relevant Analysis in My Mind: Pattern of A Piece Clinical Medicine its Modelling, of A Review Bipolar II Disorder: Detection and Management Bipolar II: Modelling, Detection and Management The Pursuit Happiness Of The Pursuit Happiness Of Major Depression of Making Sense Effective Connectivity Brain Anxiety Using a Web of Prevention Intervention MemoryWorking Insular Performance-Elicited of Marker Activity as a Shared Neurocognitive Illness. Psychotic After Study Looking Our Own: A Qualitative Sick Doctors that Prevent and the Obstacles of to Work Them Returning Military of Consequences Term The Long UK Cohort Study of A Five-Year Deployment: in 2003. to Iraq Deployed Reservists People Genetic and Imaging Studies in Young Bipolar Disorder at High Risk of Bipolar II Disorders Discussion Panel Personality Split Decision: Does Borderline Belong on the Bipolar Spectrum? Disorder For and Against Arguments Presentation 7th Annual UNSW Brain Sciences Sciences UNSW Brain 7th Annual and 2012 - Networks Symposium Brain Connected The Neuroscience: Brain Sciences 7th Annual UNSW and - Networks 2012 Symposium Brain The Connected Neuroscience: National Conference Comcare Retreat SA Neurostimulation Hospital Education Children’s Institute Research AstraZeneca Meet the Experts The Annual National Suicide Innovation – Conference Prevention Bringing It in Suicide Prevention: Together Queensland Neuropsychiatry Interest Group Graylands Hospital Grand Rounds, Austin Hospital Grand Rounds, Glenside Hospital AstraZeneca Lecture Women’s and Brisbane The Royal Hospital Symposium 22nd Australasian Psychophysiology Conference Health Science Alliance Annual Symposium Scientific PsychiatrySchool of Academic Hospital George Seminar Series, St Mental Health HealthEd Integrative Seminar Hospital Melbourne Royal Health Service Alliance First Annual Symposium, Session Chair Scientific Psychiatry of NSW Institute Program Training Psychiatric Safety Authority Civil Aviation Panel Making AdvisoryMedical Policy Planning Australia Strategic Psychosis Meeting Safety Authority Civil Aviation Panel Making AdvisoryMedical Policy AstraZeneca GP Central Coast Meeting AstraZeneca Lecture AstraZeneca Lecture Servier: Dialogues in Depression Servier: Dialogues in Depression Rural Doctors Australian Doctor Seminar Neuroscience Australian Cognitive Meeting Australasian Society for Psychiatric (ASPR) 2012 Conference Research Australasian Society for Psychiatric (ASPR) 2012 Conference Research Australasian Society for Psychiatric (ASPR) 2012 Conference Research Australasian Society for Psychiatric (ASPR) 2012 Conference Research Australasian Society for Psychiatric (ASPR) 2012 Conference Research Meeting MHPN Bega Network with People Day of International Bank Commonwealth Disability, Wales Clinical Meeting, Prince of Hospital Event Name Event September September September September September September October October October October October October October November November November November November November November November November November November November November November November November December December December December December December December December December Month Amy Athar (pictured)

BLACK DOG INSTITUTE ANNUAL REPORT 2012 PAGE 78 year 2012 For calendar Bequests Donations and in 2012. that have donated $100ormore those peopleandorganisations and organisations. and bequestsfrom individuals nificant donations,sponsorships sig- acknowledges particularly Board inourreception area TheDonor andsponsors. donors preciative of thisgenerosity from and otherorganisations. nity, philanthropic individuals thecorporatedonors, commu- and bodies,sponsors statutory suchasgovernments, quarters, fromrequires many support capacity across thisbigcountry beyond. Buildingscaleand available to allAustraliansand andprograms make ourservices contribution. garden to honourhis courtyard tive plaquewasunveiled inthe was there whenacommemora 2012, hisdaughter, AmyAthar, the Institute on20November Donor ThankYou event heldat Black DogInstitute. At the forthework of the support provided significantand valued Following isalistof The Institute ismostap- Our ambitiousgoal isto Hunt The late Albert - Brock, Lynda Bright, Ruth&Desmond Bridgestone, Bribie Island Bribie Pools &SpaCentre Bribie BowlsClubInc. Bremner, Peter BreastScreen, SESIAHS Bramley, Renee BR CorporationPtyLtd Elizabeth Borthwick, Bongaree Pharmacy Bogan Shire Council Blomfield, RH&KA Blewitt, Shane Blanch Towers Lawyers Blacktown SouthPublicSchool Betar, Christopher Benware, Patricia Bennett, Phil&Elesa Bennett, Mark Bellara PhysiotherapyPtyLtd Belgiorno-Zegna, Marco Beissel, Richard Behr, Peter &Gill Beeline InteriorDesign Bedoba HoldingsPtyLtd Beckingham &Elvy, Lynda &Ron ChristianLifeCentreBathurst Bates, Richard &Gwenda Bass, Suzanne Bank of Melbourne Balint, John&Susan Balint, Andrew Balcomb, H&D Baker, Mike&Dot Azab &Shenouda,SA Australian RadioNetworkPtyLtd Directors Australian Instituteof Company Atlassian PtyLtd David Atherton, Athar, Shah-Jushef Ashton, Mel Deborah Anderton, TedAnderson, &Meg AMP Foundation Alexander, Ron&Desley Alexander, Mark Australia Alerton Akins, AG &SK Agnew, Brian&Valerie Aecom AustraliaPtyLtd Ablos PtyLtd Abbott, Ian&Carolyn $100-$9,999 Phillips, Bill&Carolyn Neilson Foundation McIntyre, Geoffrey &Ann Macquarie Group Foundation Joseph, Peter Hollie Jackes Foundation Ernst &Young Foundation Chep Australia $10,000-$49,999 The LansdowneFoundation Berg Family Foundation PtyLtd $50,000 andabove Finley, RJ Files StibbeLawyers Field, David&Toni Fernon, Monica Fernon, Edward Fenech, Paul Faure, Christine KerrieEyers, &Michael Jacqueline Every-Burns, Evans, P&C ESS Board Store Australia PtyLtd Publicationsof Entertainment Elsom, Ross Edwards, Sarah Edgeloe, Michael E3 International PtyLtd Dunnell, Sharon Dunmore LangCollege Dunmoore FoundationPtyLtd Dunhill, Brenton Drummond, Hamish&Nina Drastik, Helen Dimattna, Mark Dewez, RJ&WA Deutsche Bank Dempsey, Janet Dear, Ian&Ged Dawson, Phil&Bev Davis, Bob&Sue PeterDavenport, &Prue Nona Dart, Daracon SocialClub Greg Cuthbert, & Jemima Cunningham &Greenshie, Lindsay Cranston, Frances Cox, Julie Cowdery, Joy&Nicholas Corney, Vickie&Ross Content Security Conomos, George &Carol Cominakis, Terry Colquhoun, John&Pat Collins, Liz Collins, Ian&Jenny Cole, Gemma Coffs HarbourTAFE Coe, Rosalie Cluff, Tanya &Michael Clarke, Ivo&Lindy City of Wagga Wagga Churnin, Wendy Christensen, Helen Chiem, Chau Chant, Catherine TerryChambers, &Debbie Catford Plumbing Catanzariti, RJ&KE Cashmore, Paul Casey, Tami Carter, David& Elsie Cannon, Tom &Carol Cannon, Nicola Campbell, Therese Caltex, BribieIsland Bug Control (Aust)Pl Buckley, Jess Kendler, Scott&Di Kegel, Monika Karori Pastoral Co. PtyLtd Kamins, Jeffrey Kambala School Jones, Pauline Johnson, Greg &Dee John Delaney&NetteDavenport Marion &Damien, Joe &Frances,Margaret &Sylvio, JK Group Inc. Jenkins, Jane Jeffrey, Brian&Diane Jaensch, Roger Richard Irving, Ireland, Geoffrey Ingham, Rob&Pam Hyman, Ken Hyde, Doug&Sandy Hunter HallInternational Limited Hughes, Gray&Bev Hooper, G&Family Hooke, Neil Holland, Jay Holder, Anne&Gerald Hof, Kym Hodgkinson, James andCathy Col&Barb Hindmarsh, Hinde, Ron&Pamela Hilmer Family Foundation Hess Roney, Sara Herefords WA Inc Herborn, Will Hennessy, Michael Heckes, Frank Hebbard, Vince Hazelton, K&J Hayward, Joan Hay, Louise Hastings, Barrie&Joan Hassell, ChrisJ Hargreaves, John&Sue Hardiman, Ian BribieIsland Harcourts, Hannan, Lauren Hamild, Tea Halligan, Ruth&Howard Groove Lounge Griffith ClassicMotorcycle Club Grayson, Graham Gosford HighSchool Gorman, Anne Gordon West PublicSchool Gibson, Erin,Jess&Gai Gerber, Ali&Neil Ltd General ReinsuranceLifeAustralia Gemmell, Beryl Gandy, Michael Gallop, Geoff Fulton, Kirstan Fulcher, Greg &Anne Fresh Produce Group Freeman, Catherine Frecker, JO Foster, LG Forrest, Mark Fordham, Lorraine BLACK DOG INSTITUTE ANNUAL REPORT 2012 PAGE 79 Simpson & Neilson, Jeffrey & Beau Jeffrey & Neilson, Simpson MarySlayden, Lynn & Annie Kelvin Smith, Smith, Martin Smith, Robert Ciara & Simon Smyth & Grech, Catholic Primary St Agatha’s School 12 Year Lutheran College, St Peters Commonwealth Bank Staff of Securities Stephens, Craig Deanna Stern, Pty Ltd Plumbing Steve Kelly Stevenson, Janie Stiles, Peter Jonathan Stretch, Sullivan, BJ Pty Ltd Sweeney Research Sydney Girls High School Sydney Market Foundation Symington, Ian & Marg Symons, Jann Surf Club Lifesaving Tamarama Mutual Bank Teachers Collective The Armchair Trust The Deane Family Council The Hills Shire Romance WritersThe Melbourne Guild The Normanhurst Netball Club The RA Gale Foundation The Rotary Tamworth Club of Inc West Thrift, Alex Amy Tickner, & Auto Pty Ltd Tims Tyres TLE Menai, Electrical Wholesalers Alicia Tong, John Toomey, Social Club Cambridge of Town Jules & Lindy Trebeck, PC & JM Tucker, Ulysses Club, Bunbury Branch Australia United Way Urquhart, Kim John & Paree Vallis, PS & PL Vickery, Foundation Vodafone Charles & Sally Vowell, Golf Group Wackers Wakehurst Joan Wales, Scott Wallace, Jake Waller, Matthew Walmsley, William Watkins, RE & EK Watts, Max & Lyanne Weston, Group Westpac Westrac Williams, Mark Wills, Tom Wilson, PB & SM Stephanie Wong, Woodside Council, Wyong Shire Hill Broken Club of Men’s Ys Cathy Yuncken, Zenith Sports Services Pennant Hills High School Hills High Pennant LH CJ & Penney, Ltd Studios Pty Performex Philanthropy Perpetual Kate Perrett, Agnes Perry, Keith Pettigrew, Australia of Guild Pharmacy Pickering, Sarah Matthew Playfair, Kirsten Pollard, & Jenny Keith Powell, Thomas Powell, Living Australia Power Max Prentice, & Simon, Peter Price & Ferguson, Rachel Prideaux, Catherine Pringle, Lindsay Counselling Professional & NSW ACT Association of & Renee Pynt, Greg QBE Foundation Union Queensland Teachers Quin, Darren & Nick Quinn, Bron Quinn, Garry Recovery Station Rees, CE & KM Rees, SM Rees, Warren Rickert, Clayton Riggs, Frances Chris & Lesley Rigney, Saint Ignatius College Riverview, Roach, Ramona Robb College, UNE Robertson, Renee Robinson, Tim Catherine Rodger, Rotary Frankston, Long Club of Island Rotary Nowra Inc Club of Rotary Rose Bay Inc. Club of Hills Pennant Rotary West Club of & Cherrybrook Roubicek, John & Helen Royds, Olive Russell, Steven Julia Rymer, Salkeld, Bob & Rhonda Salt, Gregory Philip & Christine Salter, Sanders, Joan GarrySargent, Sarikas, John Amanda Schmidhofer, Schmidt, Juliet Scott, Felicity Trust Seiden Family Peter Semmler, Servier Laboratories Australia Phil & Fiona Shaw, Bookshop Shearers & Marilyn Geoff Sheppard, Guy & Eve Sheppard, John & Barbara Sheppard, Simelius, Josephine Loewenthal, Bill Loewenthal, David & Sue Logan, Lee Lowe, MacNeall, Jane Magnus & Jane Malcolm, Scott Mallett, Edward Mandystribe Mann, Diane Megan Manser, Australia, WA Maritime Union of Branch Marsh Australia Marston, Andrew Matthews, Heather Sharon Maynard, McBride, Frances & Ross McCabe, Rachelle Stephen McCarthy, B & J McCully, Andrew McDermott, McDougall, Bruce McKain, Joan Michael McLeary, Tim McMaster, Louise McMorrow, McNamara, BM Meades, Ali & Jerry District Cricket Club Merewether Minter Ellison Monte Sant’ Angelo Mercy College Michelle Moore, Moorhen, Sue Bruce Morgan, Eileen Morgan, Charity Rugby Mudgee Grassroots Bike Ride Ken Murray, Simon Murray, Musial, Kristina Myerscough, Matthew Narraweena Jnr Football Club CraftingNarromine National Seniors Penrith Australia, Branch Neilson, Michael Slade Trust Nell & Herman Mark & Newton & Bradstreet, Carmel Nicholas, GA & TA Nicholls, Lynne North Sydney Boys High School Northash, Michael & Sue Nyman, Jeremy Oatley Leo Club Oceanic Coal O’Dea, Michael & Marianne MaryO’Gorman, Olding, Simon & Anna Robert Oliver, ONeill, Paul Minnett Ord Jan Orman, College Students Club Ormond Inc. Bruce Parfett, Ross & Lorraine Parker, Alistair Peattie, Kennard, Andy & Prue Kennard, Miranda Kerr, & Maureen Keith Kerridge, Monthly Mental Kiama Mens Group Health Meal Rosie Doug & Kimber, King, Greg Kinghan, Cen Tom Kirby, Knight, Frank Camille Kong, Lahm, June Lamphee, Paul & Sue Larke, Terry Lata, Sanjeshny Margaret Laundy, Layman, Frances Wayne Lear, Leece, RB & CJ John & Barbara Lennox, Matthew Lever, Liling, Ron & Patricia Millicent Lioness Club of Alice Springs Lions Club of Barmera Lions Club of Bendigo Lions Club of Boyne Island Lions Club of Hill Broken Lions Club of Busselton Lions Club of Canberra, Belconnen Lions Club of Charlton Lions Club of Cowaramup Lions Club of Darwin,Lions Club of Nightcliff Esperance Lions Club of Gilgandra Lions Club of Goondiwindi Lions Club of Griffith Lions Club of Heathcote Lions Club of Epsom Huntly, Lions Club of Inglewood Lions Club of Kalangadoo and Lions Club of District Inc. Mackay NorthLions Club of River Margaret Lions Club of Inc. Merredin Lions Club of Montrose Lions Club of Moree Lions Club of Mount Gambier Lions Club of Muswellbrook Lions Club of Peterborough Lions Club of Pinnaroo Lions Club of Augusta Port Lions Club of Surat Lions Club of Swan Hill Lions Club of Tamworth Lions Club of Temora Lions Club of Creek Tennant Lions Club of Wagga Wagga Lions Club of South Warren Lions Club of Kangaroo Western Lions Club of Island Living In The Second Half, Community Baptist Thornley Church Maria Lo Castro, Lo, David Lochart, CMC & JL Lockhart Ex-Servicemens Club Ltd BLACK DOG INSTITUTE ANNUAL REPORT 2012 PAGE 80 Please makeallchequespayabletoBlackDogInstitute. Randwick NSW2031 Prince of Wales Hospital Hospital Road Black DogInstitute Postal address fordonations: be boundtoseetheapplicationthereof. 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