

A milestone for mental health: Denmark’s 10–year plan as a model for international reform
In recent years, mental health has moved steadily upward on political agendas across Europe, yet few countries have succeeded in transforming ambition into sustained, long–term investment. Denmark has now taken a decisive step that marks a turning point–both nationally and potentially for other health systems. With the Parliament’s broad political agreement to finance a comprehensive 10–year plan for psychiatry, Denmark has established a durable framework designed to raise th


The undeniable link between politics and clinical practice. The Norwegian story of medication free treatment units for psychoses
A political mandate was established in Norway in 2015 to allow medication free treatment for people with severe mental illness such as psychoses. I have conducted research on patients’ motivations- and experiences as well as health professionals’ experiences and reflections on the subject. In addition I was challenged to extend the field via the trial lecture I was given to address how treatment of psychoses is affected in a time of polarization and scepticism toward scienti


Do antipsychotic drugs work?
More than 400 randomized controlled clinical trials (RCTs) of antipsychotic efficacy have been conducted, finding generally moderate effect sizes of antipsychotic drugs compared to placebo. For comparison, RCTs of various general medicine drugs, used on their respective indications, demonstrate similar effect sizes. Nevertheless, claims about limited efficacy of antipsychotics have been put forward. Pertinent questions remain: are the effect sizes clinically meaningful and ge


WPA Congress and the Prague Agreement
In October of 2025, the annual World psychiatric association Congress was held. During it, not only were many scientific and practical symposia and lectures held, but the signing of the so-called Prague Agreement was also initiated. It emphasizes and argues for the need for increased funding for mental health. The presidential symposium, chaired by the President of the World psychiatric association, Prof. Danuta Wasserman, had to present the Northern European perspective. Goo


Is ADHD being over-diagnosed and over-treated in Iceland… Or is Iceland simply ahead of the rest?
Over the past decade, there has been a lively debate in Iceland regarding ADHD, concerns about over-diagnosis, and the widespread prescription of stimulant medication. Many health professionals and politicians assert that Iceland's statistics significantly exceed those of our Nordic neighbours and, indeed, the rest of Europe. Some even claim that Iceland has surpassed the USA in these areas.


A week in psychiatry with Morta Juciūtė
This time, Morta Juciūtė gladly agreed to describe his work week.


TMS as a last resort: Interview with Jonas Montvidas
Recently, we have been observing how transcranial magnetic stimulation, a non-pharmacological treatment method, is challenging the traditional dominance of medication in psychiatry. Today, I am talking about the practical aspects of this treatment method with Jonas Montvidas, a psychiatrist and enthusiast of this method.


The pendulum swings: views on psychedelics among professionals and the public
Historically psychedelics and related substances (PARS) played a part in rituals of healing in several indigenous Southern, Central and Northern American cultures. In the mid-20th century, when few approved psychopharmacologic agents existed, some psychiatrists and psychologists started to experiment with the use of psychedelics.


The interaction of evidence, expert opinions and controversy in psychiatry
Methylphenidate has been the first-line treatment for children and adolescents with attention-deficit hyperactivity disorder for more than half a century. Yet, after numerous systematic reviews, three applications to get methylphenidate on the List of Essential Medicines and three rejections by the World Health Organization, the questions remain: does it work, and how do we know?


Highlights from the Nordic Journal of Psychiatry (May of 2025 - November of 2025)
The Nordic Journal of Psychiatry, formerly “Nordisk Psykiatrisk Tidsskrift”, is an international journal that publishes excellent psychiatric research with a broad scope. It is the official journal for the eight psychiatric associations in the Nordic and Baltic countries. It is a main source of information about current Nordic psychiatry and related fields, The journal is distributed to members of the Nordic and Baltic Psychiatric Associations as well as to members of Associa


The Danish network for psychiatric education: building a national community for innovation in psychiatric training
The Danish Network for Psychiatric Education (DNPU) represents a new national initiative dedicated to strengthening psychiatric education across Denmark. Formed in response to growing clinical, societal, and structural changes in mental healthcare, DNPU unites clinicians, educators, and researchers in a shared effort to advance training, foster collaboration, and ensure excellence in psychiatric practice.


Swedish psychiatry needs a restart
The clinical gaze and medical assessment have gradually been pushed aside in favor of manual-guided diagnostics - often performed by professional groups without medical training. When criterion-based questionnaires replace the physician’s diagnostic work, psychiatry loses its medical foundation. For psychiatry to provide quality healthcare, a restart is needed where medical competence, clinical judgment, and resource efficiency are the guiding principles, writes psychiatrist


Pharmacogenetics – what a psychiatrist should know
Interview with Elvira Bramon, Professor of Neuroscience and Mental Health.


Off-label ketamine for treatment resistant depression
About 30% of people with depression do not respond to standard antidepressant trials, and there is a huge current need for more effective treatments. Depression remains a leading cause of global disability, and there have been few major advances for treatment-resistant depression (TRD). Currently, there is no antidepressant nearly as effective as ECT, discovered around a century ago. One of the most important breakthroughs at the turn of the century was the demonstration of t


Low-dose and off-label use of antipsychotics: current evidence and clinical considerations
Since the discovery of chlorpromazine in the 1950s, antipsychotics have been a cornerstone in the treatment of schizophrenia and paranoid psychosis. Beyond psychotic conditions, several antipsychotics are also approved for affective disorders (e.g., flupentixol or quetiapine for depression; aripiprazole, olanzapine, quetiapine, risperidone, or ziprasidone for treatment and prevention of mania), for delirium (haloperidol), and for persistent aggression associated with dementia


Risks of undertreating – consequences for adults
Undertreating ADHD can have significant and far-reaching effects on mental health, relationships, and overall quality of life. While treatment (including medication, therapy, and lifestyle modifications) is not a cure, it can significantly mitigate the symptoms and help individuals lead more productive, fulfilling lives. Addressing ADHD early and appropriately reduces the risk of developing many of these secondary issues, allowing adults with ADHD to be (...)


ADHD: risks of over diagnosing and treating children
The ongoing ADHD debate is causing a lot of controversy and polarization, within the psychiatric field and in the public in general. Are we over diagnosing or underdiagnosing, or maybe both? And what are the consequences of doing so?


From repetition to reflection: reviewing schizophrenia treatment practices with Professor Vesta Steiblienė
Throughout the history of psychiatry, the treatment of psychosis has undergone a series of transformations, with new concepts of this mental disorder and new treatment methods emerging. It seems that science is learning more every day about the effectiveness and safety of various treatment methods, but are treatment choices always determined by scientific evidence? Today, I am talking to Professor Vesta Steiblienė about the polarisation associated with the treatment of psycho


Diagnoses, normality and systemic pressure: Niels Bilenberg on the evolution of ADHD diagnostics
Interview with Professor Niels Bilenberg about diagnostic trends and systemic pressures


Competences versus fears and attitudes
Interview with addiction psychiatrist Darius Jokūbonis.



















