Download a PDF of the 2012 Annual Report - Black Dog Institute

TURNING VISION INTO REALITYThe Black Dog Institute is poised to expand our life-saving activities and have a positive impacton the mental health of all Australians.With the support of government, business and the community, the Black Dog Institute will:DIAGNOSETREATPREVENTREDUCEmood disorders accurately and earlymood disorders using innovative, effective and accessible strategiesthe onset of mood disorders through understanding of the risk factors and deliveringprevention programsthe impact of mood disorders and save livesWe invite you to join us on our journeyBlack Dog Institute© 2012ABN 12 115 954 197Black Dog Institute is a company limited by guaranteepostal address Hospital Road, Prince of Wales Hospital, Randwick NSW 2031telephone 61 02 9382 4530facsimile 61 02 9382 8208emailblackdog@blackdog.org.auwebsitewww.blackdoginstitute.org.aucoverMathew Johnstonedesignshelena436@gmail.comstudiop3.unsw.edu.auprintKate.Holt@aus.fujixerox.comPaper Stock: Tudor RP is FSC Recycled Certified and Australian made. Tudor RP is also Certified Carbon Neutral by the Department ofClimate Change & Energy Efficiency’s National Carbon Offset Standard (NCOS), an Australian Government Initiative. It contains 100%recycled fibre and no chlorine bleaching occurs in the recycling process. Australian Paper is ISO 14001 certified. Sales of Tudor RPsupport Landcare Australia.ii

Chairman’sReport4

In 2012 the Black Dog Institute has revitalised,adopting a strategic plan that places a strong focus onhigh quality research as the foundation for improvingoutcomes for patients suffering mood disorders suchas depression and bipolar disorder.After a decade of growth under its foundingexecutive director, Professor Gordon Parker, theInstitute is now an established international leaderin its field. With the appointment of Professor HelenChristensen as a distinguished successor to ProfessorParker, we are expanding our research programs.Our model is based on the presumption thatquality research leads to new discoveries. In turn,discoveries translate into clinical treatments, impactfulschool, workforce and community programs, andimproved health policies.Our continued growth has been supportedfrom many quarters. We have a dynamic and dedicatedBoard, drawn from the private, public and academicsectors, that provides a skilful contribution to meetour high expectations. This year, we had two foundingboard members retire – Mr Nicholas Cowdery, formerDirector of Public Prosecutions for NSW, and AssociateProfessor Meg Smith, from the University of WesternSydney, after providing outstanding service for thebest part of 11 years. We thank them warmly for theirunstinting efforts and generosity of talent and time.We are indeed fortunate to have a remarkableteam of people working for and dedicated to the Institute.We salute them and acknowledge the inspirationthat they provide. In this regard we are pleased tohave our first full-time General Manager in WillBonney, who brings impressive business acumen, passionand enormous energy to the role.We are also indebted to the ongoing supportfrom the NSW Ministry of Health, the CommonwealthDepartment of Health and Ageing (DoHA) andthe National Health and Medical Research Council(NHMRC).Coupled with this are our fruitful relationshipswith partner organisations to improve our reachnationally and internationally and the ties we have withother research institutions and mental health serviceproviders.Collaboration is the key to getting results inthe health sphere. An example of this is our productivepartnership with The Health-Science Alliance,Australia’s first Academic Health Science Centre, basedon the UNSW/Randwick public hospital campuses. TheAlliance comprises nine of the country’s top medicalresearch institutes and health care providers andis working toward harnessing and integrating theresearch, education, training and clinical expertise ofeach partner to maximise optimal health outcomes forpatients and the community.The Institute also depends on the generosityof individuals and corporations. One such supporterand good friend of the Institute, the late Albert Hunt,sadly lost his life in a motor vehicle accident this year.His financial support kick-started many initiatives whichin years to come will be recognised as the impetus toproviding significant improvements for people withmood disorders. Albert was a great character and achampion for better mental health services, particularlyin the bush. We will miss him. On behalf of theBoard I extend our sincere condolences to Albert’sfamily.We look ahead with hope and conviction as westrive to accelerate understanding of the basic biologicalcauses of depression and suicide, and develop treatmentsand interventions accordingly. It is a long journeybut full of promise and possibility.Peter Joseph AMChairmanBLACK DOG 20125

ExecutiveDirector’sReportIn 2012, the Black Dog Institute consolidated adecade of clinical and research excellence by conductinga formal evaluation to identify our strengths andrefine our mission.Through this process we sought input frommental health consumers, our funders, prominentresearchers, policy makers and our own staff. Thisinput formed the basis of a comprehensive strategicplan that will underpin the delivery of our mission – Toimprove the lives of people affected by mooddisorders through translational research, clinicalexpertise and education programs.Unlike many other research-based institutions,the Black Dog Institute is truly translational. This meansour research is designed to directly and rapidly lead toimprovements in clinical practice and education. Wedo not research for research sake, rather we proactivelyidentify and target community need and partnerwith other organisations to ensure maximum impactand efficiency.I am pleased to say our community focus andrecognised research expertise has resulted in6

significant government research funding. This includesa highly prestigious NHMRC Program grant for researchinto bipolar disorder, led by Professors Mitchell,Schofield, Parker and Breakspear, and the establishmentof an NHMRC Centre of Research Excellencein Suicide Prevention led by myself and supportedby leading researchers and clinicians from aroundAustralia. Further new funding has been obtained toinvestigate suicide ideation, new depression treatments,neuroimaging and mental health screening.Whilst the research may seem diverse, the centralgoal is to improve the lives of people who suffer fromdepression and bipolar disorder.The challenge for 2013 is to expand our effortsto accommodate the needs of a large country.We know that mental health issues are on the rise inAustralia and current management programs are notoptimal. Our eHealth programs such as myCompasshave already reached tens of thousands of individualsdirectly and will continue to do so. We are planningnew clinics in brain stimulation, depression, bipolardisorder, psychological practice and web-basedadolescent care. Wherever possible, our researchoutcomes will be made accessible nationally. Oureducation and workplace programs will be deliveredacross Australia using evidence-based materials. Wewill be targeting groups such as young people andindigenous Australia where we know risk is high andoutcome is promising.2012 was a momentous year for the Black DogInstitute and 2013 is poised to be even more exciting.I hope you enjoy learning about our work and feelinspired to join us on our journey.Helen ChristensenExecutive Director, Black Dog InstituteBLACK DOG 20127

What is the Black Dog?About the InstituteThe Black Dog Institute is a world leader in thediagnosis, treatment and prevention of mood disorderssuch as depression and bipolar disorder. Foundedin 2002, the Institute is an independent not-for-profitorganisation that combines expertise in clinical managementwith cutting-edge research.One in five Australians are affected by mentalillness every year, with one of the most common ofthese being depression. It touches people of all agesand from all walks of life, and places an enormousburden on individuals, families, workplaces and thehealth system.Living with the ‘black dog’ (as Winston Churchilllabelled his depression) can be overwhelming, a feelingof being trapped in a dark haze. It can manifestas extreme lethargy, irritability or sadness. In extremecases, it can result in thoughts of suicide or self-harm.But there is hope.The Black Dog Institute’s research programextends from risk identification genomic studies todevelopment of websites to enhance mental resiliencein teenagers. We are conducting clinical trials into newtreatment methods as well as conducting groundbreakingimaging studies to ‘see’ what happens to thebrain when depression strikes.While diagnosis and treatment is of utmostimportance, the Black Dog Institute also places emphasison teaching people to recognise the symptomsof mood disorders in themselves and others, as wellas providing them with the right psychological tools tohold the ‘black dog’ at bay.The Black Dog Institute is a collaborativeorganisation that partners with universities, healthservices and community groups across the country.We focus on access – running education programs inregional areas and providing a number of clinicallyendorsedtraining programs both for health careprofessionals and workplaces.Our patron is Her Excellency, the Governor ofNew South Wales, Professor Marie Bashir AC CVO.8

Our vision is to develop the besttranslational research instituteto lower the impact of mooddisorders.LOGO:The striking Black Dog Institute logo that capturesthe famous Churchill symbol – the ‘V’ for victorygesture and the shadow of the black dog’s head – wasdeveloped by Mr John Bevins.Our Mission, Values and PhilosophyOur mission is to identify, prevent and treatmood disorders to improve outcomes.We value:□□□□□□□□Compassion and respectExcellence and innovationTransparency and equityCollaboration and professionalism.The Institute’s philosophy:The highest quality research leads to newdiscoveries. Discoveries translate into clinical treatments,school, workforce and community programsand health policies. Training health professionals andproviding knowledge to patients, families, carers andcommunities increases impact. Working with partnerorganisations improves reach nationally and internationally.BLACK DOG 20129

GeneralManager’sReportIn 2012 the Institute undertook a thorough reviewof its strategy and directions, stakeholder perceptionsand general population awareness. This processresulted in a strategic plan from 2012 to 2015, drivingthe Institute’s efforts toward population-based impact.Within this strategy, Black Dog Institute has thefollowing key objectives:1. To strengthen research performanceand broaden the range of fields inwhich Black Dog Institute has recognisedexpertise2. To deliver a range of effective, cuttingedgeand sustainable clinical services indepression and bipolar disorder, brainstimulation, step-up/step-down eHealthinterventions and ongoing psychologicalservices that build on and complimentresearch excellence3. To ensure that Black Dog Institute isa leader in new mental health developments,health reform and healthtechnology4. To create sustainable education activitiesby building on the Institute’s strengths intraining health care professionals, workplaces,schools and communities and tocreate new models of delivery5. To ensure the Institute remains afinancially sustainable and accountableorganisation, a partner of choice and agreat place for staff to work.Consistent with its history, the Institute remainscommitted to conducting high quality research toprovide the evidence-base for improved prevention,intervention and recovery tools and models of care.The consumer is at the centre of everything we do.10

Stretch targets are included in the strategicplan, including increasing our sphere of influence andovercoming geographic barriers. To this end, we areworking with and through other high quality mentalhealth service providers to broaden our educationreach and significantly increase our impact all aroundAustralia and the world.In 2012 we have seen a dramatic increase inthe number of corporate partners with whom we areengaged with workplace programs. These partnershipsare based on generating value by assisting companiesto better address depression in the workplaceon a commercial basis.The range of offerings the Institute provides todifferent segments of the population to improve outcomesfrom anxiety, depression and bipolar disordercontinues to expand in breadth and sophistication.Our commitment is to provide ongoing improvementsto the prevention, treatment and recovery from mooddisorders for all Australians.Finances and AuditThe Institute was returned to a sustainablefinancial footing throughout 2012 by re-aligningresearch, clinical and education activities in line withrevenue.Ernst & Young once again conducted theexternal annual audit of the Institute’s accounts for theyear ended 30 June 2012. A concise version of theseaccounts is provided in this report. The Institute isgrateful for the work undertaken by Ernst & Young underthe leadership of the Audit Partner, Mr Rob Lewis.Will BonneyGeneral Manager Black Dog InstituteBLACK DOG 201211

Research activity from 2012 includes:Identifying brain activation differences in peopleat risk of bipolar disorder – This studyinvestigated functional brain activity in young peopleat increased genetic risk for bipolar disorder. It wasfound that whole-brain corrected analyses revealeda highly specific and significant lack of recruitment ofparticular regions of the brain in the high-risk participantscompared to the others. This impaired functionmay represent a trait marker of vulnerability to bipolardisorder.Triggers of mania and depression inyoung adults with bipolar disorder – The researchidentified triggers of bipolar ‘highs’ or bipolar ‘lows’ inyoung adults with bipolar disorder. Researchers alsolooked at whether the events that led to mania orhypomania were the same as those that led to depression.The most common triggers of mania/hypomaniawere emotional change and sudden changes in sleep/wake times. Depressive events were closely linked tostress, including injury and sleep deprivation. Menstruationtriggered depression in women with bipolardisorder.Reduced emotional regulation shown inpeople with bipolar disorder and schizophrenia– This study examined brain function during self-regulationof negative emotional experience in patientswith bipolar disorder and schizophrenia as both thesepatient groups show cognitive deficits in brain regionsthat would normally function to self-regulate emotion.The study looked to see if there were similar abnormalitiesin prefrontal brain regions in these patientgroups and the results showed that neither patientgroup was able to reduce their own negative experienceto the degree that healthy controls could.Can mindfulness be a useful adjuncttreatment for bipolar disorder? – This studycompared the efficacy of Mindfulness-Based CognitiveTherapy (MBCT) plus treatment as usual (TAU) toTAU alone for patients with bipolar disorder over a12-month follow-up period. Analysis of data found nosignificant differences between the groups, either ontime to first recurrence of a mood episode, total numberof recurrences, or Montgomery-Asberg DepressionScale or Young Mania Rating Scale scores overthe 12-month follow-up. We concluded that, whileMBCT did not lead to significant reductions in time torelapse, total number of episodes or mood symptomseverity at 12-month follow-up, there was some evidencefor an effect on anxiety symptoms.BLACK DOG 201213

BipolarKids ‘n’Sibs StudyProfessor Philip MitchellHow do you identify those at risk and what arethe subtle first signs of developing the condition? And,how do you identify those who are resilient and whowill not go on to develop bipolar disorder?The University of New South Wales (UNSW)and the Black Dog Institute are taking part in the largestinternational study of its type to pinpoint the riskfactors associated with bipolar disorder.Heading the Australian effort is Professor PhilipMitchell, from the Black Dog Institute and the UNSWSchool of Psychiatry, who is conducting the study incollaboration with four major research institutions inthe United States – Johns Hopkins University in Baltimoreand the Universities of Michigan, Indiana andWashington.What we know is that about 80 per cent ofbipolar disorder is hereditary. About 10 per cent ofpeople with bipolar disorder take their lives, and, inAustralia, about 10 per cent of bipolar sufferers makeone suicide attempt every year. Also, about half ofbipolar sufferers do not take or do not regularly taketheir medication.In Australia, around two hundred 12 to30-year-olds are being recruited to take part in theBipolar Kids ’n Sibs Study and researchers are lookingat all the biological factors that may contribute to theillness, including a patient’s DNA, using brain-imaging,psychological testing, clinical evidence and history ofdrug use.14

...80 per cent of bipolar disorderis hereditary......10 per cent of people withbipolar disorder take their lives......10 per cent of bipolar sufferersmake one suicide attempt everyyear“We are tracking participants who have at leastone relative with bipolar disorder or who are sufferersthemselves,” said Professor Mitchell. He believes thereis a growing body of evidence that the earlier thetreatment, the better the outcome.“What we have found so far is that young peoplewith a family history of bipolar disorder respondless adaptively to emotional experiences. This gives usa strong lead in our goal of developing strategies forearly intervention and prevention with those personswho are at risk.”Professor Mitchell said the Bipolar Kids ’n SibsStudy was in its third year and patients are checkedevery year, while every two years brain scans arerepeated to look at changes in the brain over time.New recruits, aged between 12 to 30 years,are still being sought. To participate or obtain moreinformation, phone 1800 352 292 or email: bipolarkidsandsibs@unsw.edu.auBLACK DOG 201215

DepressionResearch Leaders – Professor Gordon Parker,Professor Helen Christensen, Mr DusanHadzi-Pavlovic, Dr Alex WildeOne in seven Australians will experiencedepression in their lifetime. It is generally acknowledgedthat depression is a common experience andthat we have all felt ‘depressed’ about somethingoccurring in our lives – while sometimes we just feel‘down’ for no reason at all. However, depressioncan be an illness when our mood state is severe, forinstance if the ‘down’ mood lasts two weeks or moreand interferes with our ability to function at home orat work.The Black Dog Institute has built a reputationas a leading world authority in the diagnosis andtreatment of depression. Our research has formed thebasis of many new treatment paradigms and is nowalso shedding light on how to prevent or minimisedepression onset.Research activity from 2012 includes:Treating insomnia to prevent depression– The NHMRC-funded ‘Good Night Study’ waslaunched in late 2012. It uses a web-based trainingprogram aimed at improving mental wellbeing andreducing depression by teaching people to sleepbetter for the 1 in 10 Australians who report problemswith either falling asleep or staying asleep, a proportionthat rises steeply for people who have depressionand anxiety. Preliminary trials of this specialised webbasedprogram called SHUTi (Sleep Healthy Using TheInternet), developed by Associate Professor Lee Ritterbandfrom the University of Virginia, US, show thatthis method, which combines changes in behaviour,information about sleep ‘hygiene’ and a fresh view ofthe problem, is effective in improving sleep, reducingdepression and increasing mental wellbeing.16

Determining melancholic from non-melancholicdepression – This study aimed to separatefeatures that are different for ‘melancholic’ and ‘nonmelancholic’depression. It is suggested that ‘melancholic’depression (about 10 per cent of depressivedisorder) is a more biological illness and that the bulkof depressive disorder can be categorised as ‘nonmelancholic’,with the latter more closely associatedwith stress and personality factors. The Sydney MelancholiaPrototype Index developed by the researchersfound that ‘non-melancholic’ participants in thestudy had more anxiety disorders, a higher number ofstressors and were more likely to have a personalitystyle that could predispose them to non-melancholicdepression. Clinician ratings of patients were foundto be more accurate than ratings made by patients oftheir own mood state.Implications of genetic tests for psychiatricillness – It is now possible to link a person’s genetic‘markers’ to their risk of developing a particulardisease and to sell such tests direct to the consumer.Since the information may influence life-changinghealth decisions, it is very important to ensure thatthere is sound evidence to support the use of any particulargenetic test. Advantages of such tests are thatearly protection such as medication and therapies canbe implemented, hopefully lowering risk, and somegenetic tests can also predict medication response.Disadvantages include that such tests can increaserather than diminish stigma, and cause unnecessarydistress and discrimination in instances where the illness/conditionnever develops.BLACK DOG 201217

SuicidePreventionResearch Leaders – Professor Helen Christensen,Dr Fiona Shand, Dr Bregje Van SpijkerEvery day at least six Australians die from suicideand a further 30 people will attempt to take theirown life. In fact, Australians are more likely to die fromsuicide than skin cancer; yet we know comparativelylittle about the processes that lead to suicide and howand when to intervene effectively.Black Dog Institute research is looking foranswers to this problem and concentrating on the developmentof evidence-based intervention programsthat will save lives. Much of our activity in this areafocuses on groups who we know have a higher risk ofsuicide such as indigenous people. Complementingthis work will be pioneering research conducted withinthe prestigious new NHMRC Centre for ResearchExcellence. This work will combine research study datato identify suicide risk factors in Australia, develop newinterventions for suicidal ideation, and model researchdata with the aim of adapting policy to ensure fundingis directed accordingly.Research activity from 2012 includes:Preventing suicide in young indigenouspeople – Work has begun on a new a mobile phone‘App’ to help young indigenous people to deal with suicidalthoughts and psychological distress. The App willuse evidence-based psychological strategies adaptedfrom acceptance and commitment therapy anddialectical behaviour therapy. Consultations suggestthat much of the proposed content is already beingdelivered to young indigenous people in face-to-faceinterventions and that an App may overcome barriersto help-seeking such as cost, stigma, lack of anonymity,and poor access to services. This project is beingdeveloped in partnership with HITnet, the Young andWell Cooperative Research Centre, the UNSW MuruMarri Indigenous Health Unit, UNE, Alive & KickingGoals! in the Kimberley, and Thoughtworks, and will bepiloted in 2013.18

Living with Deadly Thoughts – This webbasedprogram is being developed by Professor HelenChristensen and Dr Bregje Van Spijker. It is based on aprogram currently successfully used in the Netherlandsand uses simple but engaging modules to help peopleunderstand and manage suicidal thoughts beforethey become significantly life-threatening. We knowthat many people do not access treatment when theyfirst experience suicidal thoughts and want to remainanonymous. This application is a confidential way toobtain clinical and effective treatment. A trial of thisnew program will commence in early 2013.Community-based study of suicidalthoughts – This study examined the psychologicalpredictors of suicidal ideation and suicide attempt,using Joiner’s Interpersonal Theory of Suicide. Theresearchers found support for the concept that therisk for suicide increases when multiple psychologicalfactors come into play. These include feeling hopeless,experiencing isolation even though you might want tobelong, and perceiving that you are a burden on thosearound you. The innovation of the study rests in thetesting of this model within a community sample asmost previous research has been restricted to clinicalsamples.Researchers (left to right) Rebecca Ridani,Professor Helen Christensen and Dr FionaShand have taken on the challenge to betterunderstand the complex pathways that lead tosuicideBLACK DOG 201219

NHMRC Centre forResearch Excellence inSuicide PreventionResearchers at the Black Dog Institute and theUniversity of NSW, in partnership with the Brain andMind Institute, The University of Sydney, the QueenslandInstitute for Medical Research, The AustralianNational University, and The University of Melbournehave been awarded a prestigious NHMRC Centre forResearch Excellence to determine how best to savepeople from suicide. Researchers from Otago andAuckland Universities are also involved.The five-year $2.5million grant will enabledesperately needed research into the best way todeliver interventions to those at risk, developing a betterunderstanding of the complex pathways that leadto suicide and encouraging help seeking in groupsknown to be high risk such as adolescents, people livingwith mental illness and construction workers.Chief Investigator and Executive Director ofthe Black Dog Institute, Professor Helen Christensen,believes research is urgently needed if we are to reducerates of suicide in Australia. The view is shared byAustralian Minister for Mental Health, Mark Butler MP,who believes people at risk are highly vulnerable andoften don’t get the help they need.This fresh approach aims to identify theway in which access to eHealth services may leadto decreased suicide risk within different local areasand amongst different age groups. It includes muchneeded investigations into cyber bullying in youngpeople, and indigenous mental health.New theories are emerging about what riskslead to suicide. Re-using data from a multitude ofstudies will allow us to test these theories.Ultimately, the aim is to develop and recommendevidence-based programs of intervention thatwill be accessible and effective to anyone who needshelp.Work has already begun on eHealth initiativesaiming to build resilience in young people and educatepeople about living with suicidal thoughts. Theseare expected to be launched in 2013.20

eHealthResearch Leaders – Professor Helen Christensen,Associate Professor Judy Proudfoot, AssociateProfessor Vijaya Manicavasagar, Professor GordonParkereHealth refers to the delivery of health servicesvia electronic technologies such as computers, mobilephones and tablets. A clinically proven alternativeto face-to-face consultations, eHealth interventionsprovide the public with evidence-based information,education, support and treatment when, where andhow they want. Not only convenient and cost effective,it also reduces barriers to accessing services that resultfrom social disadvantage, stigma and living in areaswhere there are few mental health services.Black Dog Institute eHealth programs are nowproviding free and accessible treatment and diagnosticsto tens of thousands of people across Australia. Allof our programs are developed and evaluated by cliniciansand research specialists to ensure they remainupdated and relevant to the community using them.Research activity from 2012 includes:Launch of myCompass – myCompass isa web-based, self-help program delivered via mobilephones and computers for people with mild tomoderate depression, anxiety or stress. Funded bythe Australian Government, the program providesa unique way for people to monitor their moods,triggers and behaviours in ‘real time’ and in naturalsettings. Launched mid-2012, more than 9,000 peoplefrom Australia and all over the world have signed up.myCompass is a free and confidential service. Seewww.mycompass.org.au for more information.Pictured are the myCompass team (left toright) Cesar Anonuevo, Mary-Rose Birch, AlexisWhitton, Associate Professor Judy Proudfootand Dr Janine ClarkeBLACK DOG 201221

Federal Minister forMental Health andAgeing, Mark Butler,at the launch of themyCompass programBlack Dog Mood Assessment Program(MAP) proves clinically effective – This researchexamined the usefulness of the Mood AssessmentProgram (MAP) 12 months after an online version forpatients was made available for access by Australianhealth practitioners. Feedback from nearly 10,000patients indicated that the great majority judged theMAP as straightforward to complete. Some professionalsalso offered their judgments. Responsessupported the acceptability of the MAP to patientsand its utility to clinicians in relation to diagnostic andformulation issues, as well as in advancing communicationbetween practitioners and their patients. In addition,the MAP has been shown to improve efficiencyand time management in assessing those with a mooddisorder.Stepped care intervention for Australianyouth – This program, to be introduced in 2013,aims to provide an early intervention service to youngpeople at risk of depression and anxiety. Referredfrom community organisations or through self-referral,young people will be assessed and offered one ofthree streams of evidence-based interventions foranxiety and depression, including web-based interventions.A range of support from healthcare professionalswill also be offered. The progress of eachyoung person will be monitored to check if they needto be ‘stepped up’ to a different intervention.22

PositivePsychology andResilienceResearch Leader – Associate Professor VijayaManicavasagarThe Black Dog Institute is committed topromoting resilience-building as a key ingredient inbreaking the cycle of mood disorders. To this end theconcept of resilience-building forms an integral part ofall our clinical, community and professional educationprograms.Our community programs for young peoplesuch as ‘HeadStrong’ and ‘BITE BACK’, togetherwith our workplace talks, offer practical suggestions forresilience-building as universal preventions for mooddisorders. And our professional education programsfor general practitioners, psychologists and youthworkers ensure that health professionals are mindful ofboth ‘recovery’ and ‘prevention’ as conjoined strategiesin helping people with mood disorders.BITE BACK is a world-first online positivepsychology website specifically designed for adolescents.An engaging interactive tool, BITE BACKaims to help young people work to their full potentialby recognising their strengths, learning to becomemore mindful and improving their appreciation oflife. It includes activities, blogs, interviews, videos andinformation on a variety of domains including socialrelationships, gratitude, and mindfulness. BITE BACKis an open, freely available website [www.biteback.org.au]BLACK DOG 201223

SystemsNeuroscienceResearch Leaders – Associate Professor MichaelBreakspear, Dr Tjeerd BoonstraThe Systems Neuroscience team(left to right) Kees De Leeuw, StewartHeitmann, Associate ProfessorMichael Breakspear, Tjeerd Boonstra,Angela Langdon and SaeidMehrkanoonThe discipline of systems neuroscience coversthe basic principles of large-scale brain dynamics, howthese arise from (and reshape) cortical architectures,and how they underpin cognitive operations, such asperception, inference and motor control.They also contribute to our understanding ofmajor mental illnesses such as mood disorders, schizophrenia,autism and dementia. Understanding of thesedisorders requires employing – and further advancing– cutting-edge neuroscience techniques and theirapplications.24

Research activity from 2012 includes:Hemodynamic travelling waves in humanvisual cortex – Functional magnetic resonanceimaging (fMRI) experiments have advancedour understanding of the structure and functionof the human brain. Dynamic changes in the flowand concentration of oxygen in blood are observedexperimentally in fMRI data via the blood oxygenlevel dependent (BOLD) signal. Since neuronal activityinduces this hemodynamic response, the BOLD signalprovides a non-invasive measure of neuronal activity.Understanding the mechanisms that drive this BOLDresponse is fundamental for accurately inferring theunderlying neuronal activity. The goal of this study isto systematically predict spatiotemporal hemodynamicsfrom a biophysical model, then test these in a highresolution fMRI study of the visual cortex. Using thistheory, we predict and empirically confirm the existenceof hemodynamic waves in cortex – a striking andnovel finding.Neural mechanisms of intermuscularcoherence: Implications for the rectification ofsurface electromyography – This study employeda computational model to look at the role of the motorunit action potential (MAUP) on the translation of‘oscillatory activity’. (Oscillatory activity plays a crucialrole in corticospinal control of muscle synergies.) Thiswas tested and compared to test results from intermuscularcoherence between bilateral leg muscles.The model shows that the effect of electromyographyrectification depends on the uniformity of MUAPshapes. The data provided support for a heterogeneousdistribution of MUAPs which implies that theshape of MUAPs is an essential parameter to reconcileexperimental and computational approaches.BLACK DOG 201225

NeurostimulationResearch Leaders – Professor Colleen Loo, DrDonel MartinNeurostimulation refers to using differentmechanisms to stimulate brain cells in order to treatand manage psychiatric disorders such as bipolardisorder and depression. Traditionally, the only treatmentoption within this sphere was electroconvulsivetherapy (ECT) which is not a suitable treatment foreveryone.Research at the Black Dog Institute is leadingthe way into new forms of neurostimulation, includingtranscranial Direct Current Stimulation (tDCS). Thisinvolves stimulating frontal areas of the brain with verysmall currents while patients remained awake andalert. The treatment has no known serious side effectsand is suitable for patients seeking an alternative tomedication or those who are unable to tolerate antidepressantdrugs or Electroconvulsive Therapy (ECT).The neurostimulation team are also researchingthe use of ketamine to help relieve depression. Traditionallyused for anaesthesia or sedation, ketamineled to dramatic improvements in people sufferingclinical depression, evident from within hours of thetreatment to a day later.26

Professor Colleen Loo demonstratingtranscranial Direct Current Stimulation(tDCS)Research activity from 2012 includes:Effects of brain stimulation on memoryand brain activity in depression – Advances innon-invasive electrical stimulation of ongoing brainactivity – such as transcranial direct current stimulation(tDCS) – continue to offer new hope for the treatmentof major depression. Yet the mechanisms of clinicalchange are unknown. In this study, we investigated theacute effects of tDCS treatment on cortical activity inpatients with depression whilst they performed a difficultmemory task. The brain mechanisms measured inresponse to the task may indicate an improvement ofselective attention directly after tDCS treatment. Thisstudy underlines the promise of functional brain imagingtests in understanding and monitoring response tobrain stimulation treatment.Ketamine as a neuroprotective agent inECT – This study investigated the neuroprotective andsynergistic effects of adjunctive sub-anaesthetic dosesof the drug ketamine with ECT. Participants prescribedright-unilateral ultrabrief ECT were randomly assignedto receive ketamine or saline placebo with their anaesthesiaand were assessed on cognitive, safety, andantidepressant efficacy outcomes. It was found thatthe addition of ketamine significantly increased thespeed of antidepressant response over the first weekof treatment – however efficacy outcomes were thesame between ketamine and placebo by the end ofthe ECT course. Ketamine was not shown to have anyneuroprotective advantage in this study. Finally, theuse of adjunct sub-anaesthetic ketamine in this studydid not produce any significant psychomimetic sideeffects.BLACK DOG 201227

PsychosocialResearchResearch Leader – Professor Kay WilhelmPsychosocial research crosses researchboundaries to employ holistic thinking in health andwelfare. It promotes scholarship and research with astrong practice and policy focus in response to thecomplex demands on health services. It positions theindividual in networks of interpersonal relationships,organisations, and wider systems. Research is attunedto and draws on the social and psychological sciences,political theory, social policy, philosophy and culturalstudies and aims to impact on the wider community aswell as the individual.Research activity from 2012 includes:On a blue note: Why depressed peoplelisten to music – Research suggests that negativemood may be associated with attraction to negativeemotion in music, a finding that runs counter to moodmanagement theory. Despite such evidence, no studyhas examined how and why depressed people listento music. Qualitative thematic analysis was conductedwith textual responses from 294 online surveyrespondents (148 with depression and 146 without).Findings revealed that depressed people were morelikely to use music to reflect or express emotion, whilethose without depression were more likely to usemusic for energy and inspiration. Negative emotion inmusic enabled some to attend to negative emotion,with subsequent dissipation of negative mood. Forothers, it was connected with negative cognition and aworsening of negative mood.28

ManagingDepressionGrowing OlderA guide for professionals and carersHealthy BrainAgeingResearch Leaders – Professor Henry Brodaty,Professor Perminder Sachdev‘Greying of the Black Dog’Kerrie Eyers, Gordon Parker and Henry BrodatyAn estimated eight per cent of older adults inAustralia experience depression and the number willincrease as the population ‘greys’.Black Dog Institute partners with affiliateorganisations such as the UNSW Centre for HealthyBrain Ageing to find answers to help older Australianslive a productive and healthy life in these golden years.Research activity from 2012 includes:Reducing behavioural and psychologicalsymptoms of dementia in the community – Nonpharmacologicalinterventions delivered by familycaregivers have the potential to reduce the frequencyand severity of behavioural and psychological symptomsof dementia, with the effect at least equallingthat of pharmacotherapy.Changing topological patterns in normalageing – Researchers examined normal ageing fromthe perspective of topological patterns of structuralbrain networks constructed from two healthy agecohorts 20 years apart. We then constructed structuralbrain networks using 90 cortical and subcorticalregions as a set of nodes, and further analysed thetopological properties of the age-specific networks.We found that the brain structural networks of bothcohorts had small-world architecture, and the oldercohort (age range 64-68) had lower global efficiencybut higher local clustering in the brain structural networkscompared with the younger cohort (age range44-48). The older cohort had reduced hemisphericasymmetry and lower centrality of certain brainregions, but that of the prefrontal cortex (PFC) wasnot different. These structural network differences mayprovide the basis for changes in functional connectivityand cognitive function as we age and may explain thedevelopment of cognitive disorders and depression inold age.BLACK DOG 201229

PerinatalDepressionResearch Leader – Professor Marie-Paule Austin30In recent years, the term ‘postnatal’ depressionhas been replaced by the term ‘perinatal’ depressionto encompass the period from conception until 12months postpartum. This reflects a wider understandingof the natural history of this condition and its farreachingimpact on sufferers, their partners and othermembers of the family.Depression affects around 10 per cent ofwomen in the antenatal period and an increasingnumber of studies are finding links between significantdepression and anxiety during pregnancy, and adverseoutcomes for both mother and baby. Detectingdepression and anxiety during pregnancy creates anopportunity to intervene early and reduce the longertermimpact of these conditions.Research activity from 2012 includes:Detection and management of mooddisorders in the maternity setting – Researchersput together evidence-based guidelines about mooddisorders arising in the ‘perinatal’ period (fromconception to the first year after birth) arising in up to13 per cent of women and causing significant problemsto the adjustment of the mother, baby, partnerand wider family. The guidelines’ aim is to educatehealth professionals to be more confident about whenand how to intervene when they think a woman is sufferingfrom serious levels of depression or anxiety.Major depressive disorders in the perinatalperiod – This population-based study aimedto investigate hospital admission of major depressivedisorders during the perinatal period. Birth recordsfrom 1 July 2002 to 31 December 2004 in the NSWMidwives Data Collection were linked with recordsfor the same period from the NSW Admitted PatientsData Collection. Overall, risk of admission rosesignificantly across the entire first postpartum year andremained elevated up to 24 months postpartum. Thisstudy has significant implications for policy and serviceplanning for women with depressive disorders in theperinatal period.

How youcan helpVolunteering forResearch StudiesThe online Volunteer Research Register (VRR)is on the Black Dog Institute website. The VRR allowspeople to register their interest in participating inmental health research studies. It has been designedto securely store details such as a person’s name, contactdetails and some basic information including dateof birth, whether a person has ever been diagnosedwith a mental health problem, and if they have previouslyparticipated in a Black Dog Institute researchstudy. When a research study starts, we will search theregister for people who might be suitable and emailthem information about it as well as an invitation totake part should they be interested.You can join the 1800 other people donatingtheir time to research by registering atwww.blackdogvolunteers.org.au.BLACK DOG 201231

WorkplaceMental HealthResearch Leader – Dr Samuel HarveyOne of the most powerful ways in which mentalillness leads to social exclusion is via its impact onoccupational function. In recent decades in most developedcountries, mental disorders have taken overfrom musculoskeletal problems as the leading causeof sickness absence and long-term work incapacity.However, sickness absence forms only part of theeconomic costs associated with mental illness. Thereis increasing evidence that many individuals sufferingfrom mental disorders, such as depression, will remainat work but will be under-performing in their usualroles. Thus, once the costs of reduced productivity andincreased staff turnover are added to the cost of absenteeism,the annual work-related cost of depressionin Australia is estimated to be $12.6 billion.While the economic consequences of mentalillness in the work place are dramatic, the importanceof the association between work and mental healthgoes well beyond this. Those without work are almostalways financially dependent and prevented fromplaying a full and active role in society. Being in workis associated with lower prevalence of depression andlower incidence of suicide. The adverse economic andhealth effects of ‘worklessness’ are felt not only bythe individuals who are not working, but also by theirfamilies and children. There is good evidence that inmost situations the benefits of work for an individual’smental and physical health outweigh any risks.32

... the annual work-related costof depression in Australia isestimated to be $12.6 billion...The Black Dog Institute, working togetherwith UNSW, has secured funding from NSW Healthfor a three-year program of research focused on therelationship between work and mental health. Thisresearch program is being led by Dr Samuel Harvey,an academic psychiatrist who has recently returned toAustralia after spending 10 years working in the UK.His post at the Black Dog Institute and UNSW is thefirst clinical academic position in workplace mentalhealth in Australia and one of the very few academicpositions world-wide to focus specifically on the relationshipbetween mental health and work.Initially, the Workplace Mental Health ResearchProgram will focus on the mental health ofNSW emergency workers, but it is hoped that overtime it will expand to consider the entire working agepopulation. Emergency workers have a key role in oursociety, but their work is often stressful and dangerousand significant numbers of emergency workers havedifficulties with mental illness as a result. The aims ofthe new program of research are relatively broad, butinclude trying to establish ways of identifying whichemergency workers are at risk of developing mentalhealth problems, considering ways of increasingworker resilience and preventing mental disorders,and testing new interventions to help promote earlyidentification and return to work amongst unwellemergency workers.BLACK DOG 201233

ClinicalServicesClinical leaders (left to right)Associate Professor VijayaManicavasagar, Professor HelenChristensen, Professor PhilipMitchell, Dr Paul Friend andProfessor Colleen Loo34

The Black Dog Institute has an ambitious planto establish a network of expert clinics providing anexpanded range of services for patients sufferingmood disorders.Already, the Institute operates a DepressionClinic (headed by Dr Paul Friend) and a Bipolar DisorderClinic (headed by Professor Philip Mitchell) whichare highly regarded by referring doctors, their patientsand friends.In 2012, the demand for clinical assessmentincreased significantly and the Institute feels thereis scope for other clinical services, headed by theirresearch leaders in the different fields, namely:□□□□□□Web-based adolescent care (ProfessorHelen Christensen)Psychological practices (Associate ProfessorVijaya Manicavasagar)Brain stimulation (Professor ColleenLoo).The following additional information is providedon the different clinical services.Depression ClinicThe Depression Clinic has been a flagship ofthe Institute’s activities for the past decade.Through this clinic, the Institute provides highqualitycomprehensive assessments of patients. Thepatient and their family/friends receive a thoroughexplanation of their condition and the recommendedmanagement plan. In turn, the referring doctorreceives a detailed medical report and managementplan for his patient. The service is available to anyperson who is registered with Medicare and referredby a medical practitioner.The Depression Clinic has also established,once a month, a similar clinic service in Tamworth.The Clinic is currently exploring the use ofvideo conferencing to provide this service to otherregional areas of New South Wales and elsewhere inAustralia.BLACK DOG 201235

Bipolar ClinicThe Bipolar Clinic is conducted by ProfessorMitchell, who is also Head of the UNSW School of Psychiatry,and Professor Loo. A comprehensive assessmentis undertaken of patients and in a similar mannerto the Depression Clinic, management strategies areprovided to the referring doctor and other cliniciansinvolved in the care of the patient.The proposed network of expert clinics willprovide the scope to have improved clinical outcomestailored around the latest evidence-based research.Web-Based Adolescent CareEvidence suggests that the needs of youngpeople with sub-threshold depressive and anxiety disordersare largely unmet. They often fail to seek helpthrough resourcing issues within their region or fail tomeet entry criteria for existing mental health services.The Institute believes these young people are‘falling through the gaps’ and may progress to beingvictims of more severe mood disorders.Intervening early may reduce the downstreamcosts associated with the progression of these subthresholdsyndromes into full blown disorders and improvethe overall quality of life for the young person.Interventions delivered over the internet (alsoknown as web-based interventions) have been shownto be effective in treating depression and anxiety inboth adults and young people. This approach is relativelycost-effective, can be delivered anywhere at anytime and can overcome traditional access barriers.36

Psychological PracticesIn recent times, Associate Professor Manicavasagarhas overseen the expansion of psychologicalservices within the various project streams at theInstitute. The new emphasis is on offering an ongoingclinical psychology service to patients referred byBlack Dog Institute psychiatrists as well as by directreferrals from general practitioners and psychiatristsin the community. In particular, these referrals wouldcomprise patients with complex mood disorders.As part of this new charter, research will beconducted into novel psychological interventions. Thiswill enable the Institute to gather pilot data for developingbroader research questions and to seek fundingthrough conventional funding bodies, corporate sponsorshipor by direct donations to projects.Brain StimulationThe Brain Stimulation Clinic would encompassnovel treatments, including Transcranial MagneticStimulation (TMS), transcranial Direct Current Stimulation(tDCS) and the drug Ketamine (currently used asan anaesthetic and in pain management).In addition, this clinic would also be a tertiaryreferral service for psychiatrists requiring a second expertopinion on the use of Electroconvulsive Therapy(ECT), typically for patients with depression who havenot responded to standard treatment with ECT. Referralsare to the head of the clinic, Professor Loo, andmust be from a psychiatrist.BLACK DOG 201237

Education andCommunity ProgramsNew Education StreamThe Black Dog Institute is establishing aconsolidated Education stream to facilitate expandedservices and a greater national presence.Our education programs have been in highdemand for several years, as shown in the separatereports presented below.From 2013, the Black Dog Community andProfessional teams will combine to gain maximumbenefit from translating research findings into patientoutcomes for different audiences across the workforce,the community at large and health professionals.The new model will improve the Institute’s influenceand ability to engage in expansionary activitiessuch as grant applications and establishing formal collaborationswith the Commonwealth and other Statesand Territories, as well as other not-for-profit bodies.Professional Education andTraining teamIn 2012, the Black Dog Institute expandedthe scope and the range of Education and Trainingprograms.Feedback from health professionals who participatedin these courses is overwhelmingly positiveas they believe their management of mood disorderswith their patients has improved significantly.The Institute’s Professional Education andTraining (PET) team is responsible for the provision ofaccredited mental health education of:□□□□□□□□□□□□General Practitioners and GP registrarsPsychologistsSchool CounsellorsNursesAllied Health professionalsClinicians working with young people.R.E.A.C.H. Support group facilitators (picturedon left); a group of participants (pictured onright) who attended an education workshopin the grounds of the Black Dog Institute atRandwick38

Our programs are based on more than 20years of research and clinical findings. Our experiencedInstitute psychiatrists, GPs and psychologistsdeliver face-to-face workshops throughout NSW andin some capital cities nationwide. Funded by participantfees, our programs are independent of inputfrom pharmaceutical companies.In 2012 alone, our team has trained around2,500 health professionals.This year the team has added to the suiteof Black Dog Institute health professional programswith the development and launch of two six-hour GPworkshops: Managing Anger and Dealing with AnxietyDisorders.Our focus for the future development of newprograms is to reach multi-disciplinary groups ofhealth professionals in order to create a feeling ofteamwork, especially in rural and remote areas, andincrease knowledge and understanding between thevarious different practitioners.We have begun the process of developing anew multi-disciplinary program called Depression Dilemmas,for GPs, psychologists and, potentially, socialworkers and mental health nurses. This will be a sixhouraccredited program delivered in three separatetwo-hour sections, which can be run consecutively onone day, or individually over three evenings. Thesesections are titled: Co-morbid Depression and Alcohol,Depression in the Elderly, and Resistant Depression.Further underlying our efforts in rural communities,the Institute, in partnership with the Rural andRemote Area Psychologists Program (RRAPP), hosted80 rural psychologists from 22-24 August for theirannual conference. In addition to delivering a numberof Psychology and Youth professional educationprograms, the Institute has created the opportunity tofurther extend our relationship with RRAPP and worktogether to improve mental health outcomes in therural community.Special Thanks to:Our team of program facilitators□□□□□□□□□□□□Divisions of General Practice/ Medicare LocalsRoyal Australian College of General PractitionersQI&CPD staffGeneral Practice Mental Health Skills CollaborationAustralian College of Rural and Remote MedicineGeneral Practice Conference and ExhibitionAustralian Psychological Society.BLACK DOG 201239

and make it attractive for both teachers and studentsto learn about mood disorders. Content is tied tothe teaching curriculum of each State’s educationalsystem, and each State will receive a tailored version ofthe curriculum resource during the rollout.Volunteers: Our volunteers are a great assetand are able to provide a very personal account ofthe impact of mood disorders and a message of hopealongside the information being presented. They alsoprovide us with the ability to reach many more peoplethan we could on our own, and we are grateful fortheir fantastic support.Some of our volunteer Community Presenters(far left) at a 2012 training day.Youth presenters (bottom left hand corner)having fun at a training day while these otherphotographs are examples of people helpingraise awareness and support for the Black DogInstitute at different community events in 2012BLACK DOG 201241

WritingCompetitionsand BooksNew South Wales Minister for Mental Health, Kevin Humphries,with the runner-up in the writing competition, Rachel WittonWalking the Tightrope – Caring forSomeone with Depression or BipolarDisorderThe impact of depression is like the tremorsof an earthquake. While one in five Australians willpersonally experience clinical depression or a bipolardisorder over their lifetime, there are the families,friends and work colleagues who are also drawn intothe crisis.Often, it is these people on the perimeter whoselflessly reach out to assist those who are living witha mood disorder, offering their time, acceptance, supportand hope.In searching for strategies to deal with mooddisorders, the 2012 Black Dog Institute Writing Competitionput the spotlight on the powerful stories thatcome from Carers, with a particular focus on the ques-tions: What worked best, what didn’t work and whatdid you learn?While depression can be very isolating,individuals fighting this private battle are often surroundedby those who love them – family, friends, andcolleagues all looking for practical and sensitive waysto show their support.The 2012 writing competition was conductedwith the support of Carers Australia, Mental HealthCarers ARAFMI NSW Inc. and Hunter Institute of MentalHealth’s national initiative, Partners in Depression.The winning entrant from Sydney, who wishedto remain anonymous, received a cash prize of $2,000for her essay titled Caring. In 1500 words this writerpaints a vivid account of how she cares for her husband.Second prize, $1,000, was won by Ms McGeeNoble from Fitzroy in Victoria for her essay, titled42

‘You’re in a relationship; your needs are important.He may not be able to give you everything, and oftenhe will have nothing (or close to nothing) to give. Butif you can express how he can help you and he cangive you something (no matter how small), then youhave a little more to give back to him when the dayhas taken its toll.’From the winning entry in Black Dog Institute’s annual writing competition: 2012’s topic tapped into theexperience of carers.Walking the Tightrope. Third prize of $500 wasawarded to Ms Hannah Bretherton from Maroubra,NSW, for her essay Crowded House.Highly Commended:□□□□□□□□□□The Rollercoaster Ride – Rachael Witton,Noosa Heads, QldBridging the Shadows Together – HannahChim, Epping, NSWUntitled – name withheld, Ngunnaul, ACTThe Closed Door – name withheld, Darlinghurst,NSWEnough Hope for Two – name withheld, AvalonBeach, NSW.Over the past eight years the writing competitionhas focused on a wide range of topics, includingadolescents, the elderly, perinatal depression andtackling mood disorders in the workplace, as well asmastering depression and bipolar disorder; resultingin the publication of five (soon to be six) books bydistinguished publishing companies.People have commented that most books ondepression and bipolar disorder have beenwritten from the outside looking in. Drawing togetherperceptions and personal accounts from those whohave experienced such mood disorders – whetherpersonally or in this case, as a Carer – allows us toreverse this approach.‘Inside out’ views offer rich information that assistsin breaking down the mysteries and managementof mood disorders and these are particularly appreciatedby general readers.BLACK DOG 201243

Author andPublicationsConsultant,Kerrie EyersBook awarded the 2012 Book of theYear prizeIn 2012, the Institute launched a book titled‘Managing Depression Growing Older: A Guide forProfessionals and Carers’ by Kerrie Eyers, GordonParker and Henry Brodaty (Allen & Unwin, Sydney). Itis based on numerous research findings and underpinsthe Institute’s focus on resilience and healthy ageing.The book has been awarded the 2012 Book of theYear prize by the Australasian Journal on Ageing.Currently life expectancy at 65 years hasincreased by 10 years, to 18 or more additionalyears. This latest book is timely in showing that thosegrowing older today have more choices than did anyprevious generation and that depression is not theinvariable companion of those who are 65 years andolder.“More than 90 per cent of people can anticipatean older age that is, in the main, fruitful andsatisfying,” said Professor Helen Christensen, ExecutiveDirector of the Black Dog Institute, when launchingthe book this year. However, Professor Christensencautioned, “We need to plan ahead to achieve aneffective, financially secure, healthy, engaged andcontent older age.”“While there are the predictable challengesthat come with age – changing roles, irrelevance,loneliness, health and financial problems – self-awarenessand the support of others helps to chart a coursethrough these shoals.”The aim of the book is to reduce stigma aboutdepression and ageing and to give the ‘invisible people’– the elderly with depression – and their carers avoice.The book outlines the warning signs of mentalillness, symptoms of ‘clinical’ depression and prominentrisk factors. In addition, there is an extensive listof what an older person who is depressed can do tohelp themselves, including tapping into help networkssuch as general practitioners, local church andcommunity groups and maintaining a formal writtenwellness plan.The book was described by NSW Minister forMental Health, Kevin Humphries, as an important toolin the battle against the stigma and discrimination thatunfortunately still surrounds mental health.44

Summary of the revised edition of‘Bipolar II Disorder: Modelling,Measuring and Managing’.Second edition, 2012. Edited by Professor GordonParker and published by Cambridge University Press.The lifetime risk of developing bipolar IIdisorder is five to seven per cent, yet the conditionis often poorly detected. Mood elevation states areless extreme than in bipolar I disorder although thedepressive episodes are usually severe. When correctlytreated, the outcome is positive, but bipolar II is oftenpoorly managed, resulting in a high suicide rate. Thisis the only academic and clinical management reviewfocusing entirely on bipolar II, scrutinising history, epidemiology,burden and neurobiology and including anextensive clinical debate by international experts abouteffective management strategies.In the revised edition, new chapters covercomorbidity, over-represented personality styles, illness‘trajectories’ and distinguishing bipolar II from personality-basedemotional dysregulation states. Evidencefor different clinical management options is reviewedin detail, and two clinical management models arepresented and then debated. This book is essentialreading for all health professionals managing mooddisorders and informative to patients seeking informationabout their condition and treatment options.BLACK DOG 201245

DevelopingCountriesProgramDeveloping countries across the Asia-PacificRegion have limited mental health training for primarycare providers, resulting in mood disorders beinglargely undiagnosed and untreated.To help alleviate the problem, a DevelopingCountries Program was initiated in which the BlackDog Institute was able to share its expertise with seniorhealth clinicians from these countries.In 2008 the first group of 14 health professionals,from Sri Lanka, Fiji, Papua New Guinea andSolomon Islands, came to Sydney for an intensivetraining program.The program has continued on a regular basisand 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 havereceived training.According to Associate Professor Vijaya Manicavasagar,the Black Dog Institute Project Director, theprogram is helping build capacity amongst local personnelby providing education about evidence-basedhigh quality treatments for mood disorders and bytraining participants to train other health professionals.Our thanks are extended to The Chris MolnerBequest, AusAid, the Ministries of Health in PacificIsland countries and the World Health OrganisationPacific Islands Mental Health Network (WHO PIMHnet)for their support.46

EXERCISE YOUR MOODAs part of the campaign to raise awareness for the Exercise your Mood in 2012, the Black DogInstitute 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 Relayswim 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 Blackdogteam 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 ofCodie 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 47minutes.The second team (pictured left to right) of Luke Morgan, Shelly Clarke, Millie Joseph, ElizabethSloane, Lachlan Benson and Peter Joseph also managed to finish the gruelling race.BLACK DOG 201247

DevelopmentandFundraisingCommunity fundraisers spearheaded ourefforts in 2012 to increase awareness about mooddisorders and raise funds to help support the deliveryof services to those in need.No challenge seems too great. As well as annualcommunity events like the City2Surf or the Blackmore’sRunning Festival, we have had fundraisers run amarathon in Antarctica and another across the Sahara,ride a horse from Braidwood in southern New SouthWales to Melbourne and ride a rickshaw across Asia.Behind these challenges are often the personalstories about battling with a mood disorder or tryingto come to terms with the loss of a loved one throughtragic circumstances.Fundraising for the right cause and helping toraise awareness can be a healing experience. It is alsoa humbling experience for everyone involved with theBlack Dog Institute as we hear these personal storiesand see first-hand the impact on the families of thosewho suffer.Following on are some of their stories:The 2012 Black Dog Ride to the RedCentre was a great success, with more than 400 ridersparticipating this year and $255,745 raised for theBlack Dog Institute.Congratulations go out to ride founder SteveAndrews and his volunteer supporters, including Stateride leaders across Australia who worked tirelessly tomake the 2012 event a huge success. A very big thankyou also to Channel Nine, and reporter Simon Bouda,who participated in the ride and was the highest individualfundraiser. The fantastic media coverage eachmorning by weatherman, Steve Jacobs, on the TodayShow, and nightly reports on television news throughoutthe ride, really helped to increase the profile of thisnational event. We are pleased to have supported thegrowth of the Black Dog Ride over the past four yearsfor the awareness it has helped to generate.The 2012 Zoo2Zoo Bike Ride is anotherannual community event that helps increase awarenessin NSW each year. This year the Zoo2Zoo ridersendured one of the toughest days in Zoo2Zoo historywith snow, torrential rain and howling winds to combatalong the way. Total funds raised were well over$100,000 and warm thanks go out to the volunteerorganisers Andrew McKay, Jim Scollon, Andrew Back48

and Grant Hittman. Our gratitude also to Andy Hinksand the QBE Foundation for their continuing support.Our Ambassador Ed Fernon competed thisyear in the Pentathlon at the London Olympics. Hisgruelling training regime in the months leading upto the Olympics and during the event would havebeen more than enough for most people. But on hisreturn Ed was straight back into the saddle preparingfor his epic horse ride from Braidwood to MelbourneFollowing the Legend of Archer. Ed’s efforts raisedover $50,000 for the Institute and created significantawareness and media coverage as he travelled alongthe bicentennial route through NSW and Victoria toHealesville.The New York Marathon is an iconicinternational event and when the McFadden familyapproached us to run for the Black Dog Institute inmemory of their father we were very pleased to beable to spread our wings to far shores. Their journeyin helping to destigmatise the issue of depression andtheir bravery in talking about the impact of suicide tothe media, as well as their amazing fundraising supportwas humbling to say the least. However, no onecould have imagined that such an iconic event wouldbe cancelled at the last minute as a result of extremeweather conditions caused by hurricane Sandy.Fortunately, they still went ahead and ran a marathontogether on the streets of New York, raising nearly$30,000.The Josh Davies Memorial Golf Day is aninitiative of the Davies family in memory of their sonJosh. This is their second annual event and it raisedmore than $15,000 for the Black Dog Institute. TheyBlack Dog Institute Rural Project Manager,Christopher Rule (pictured on left in the orangesinglet), led by example as a participant in theBlackmore’s Running Festival. Black Dog Instituteambassador Michelle Bridges, for the City-2Surf (centre) with some of the Institute’s otherparticipants in the event. (Top Right) FormerMiss Universe Australia, Rachel Finch, was ourambassador for the Yoga Aid Challenge.(Bottom right) Chairman, Peter Joseph andExecutive Director, Professor Helen Christensen,happily accept a cheque from Steve Andrews(Black Dog Ride to the Red Centre)BLACK DOG 201249

have now established The Jed Project which aims toeradicate youth suicide, and we applaud their couragein speaking publicly about their loss to help others.This year we welcomed the support of MichelleBridges as our Ambassador in the City2Surf andRachel Finch as our Ambassador in the internationalYoga Aid Challenge. These combined events raisehundreds of thousands of dollars for the Institute eachyear as well as creating widespread awareness as ourfundraisers reach out through their own networks topromote the reasons for their challenge. We are soappreciative of each and every individual who choosesto support us as well as the organisers of these hugepublic events.The Parramatta Eels rugby league teamchose to support the Black Dog Institute throughouttheir 2012 season, and players Ben and Nathan Smithhave been wonderful Ambassadors helping, as rolemodels in the community, to talk about depressionand how to seek help through their association withthe Institute.This year we welcomed a number ofnew corporate partners to the Institute. JuniperNetworks are supporting a Chair for our BITE BACKyouth online program. Veritas Event Managementhas very generously produced dozens of new videosfor use on our website to extend our eHealth offering.PR and Communications agency MAGNUS haveagain contributed significant pro bono support toassist us with delivering our messages to variousmedia and corporate audiences over the last year. Itis the support of generous companies such as thesethat help us to raise our profile and increase ourfundraising capability and we thank them for theircommitment in these difficult financial times.Our ambassadors again gave willingly of theirtime to support the Black Dog Institute in 2012. Ourspecial thanks is extended to Geoff Huegill (Olympian/swimmer), David Spindler (golf), Andrew Johns (rugbyleague), Brendan Capell (swimming), Libby Trickett(Olympian/swimmer), John Konrads (Olympian/swimmer),Bridie O’Donnell (cycling), Ky Hurst (Olympianswimmer, ironman), Peter Thiel (swimmer), StephanieGilmore (surfing), Preston Campbell (rugby league),Lara Tamsett (athletics), Richard Harry (rugby union),Rachel Finch (celebrity yoga instructor), MichelleBridges (author, exercise and fitness expert), Ben andNathan Smith (rugby league), Ed Fernon (Olympian/modern pentathlete), and Federal politicians, AndrewRobb, Peter Dutton, Amanda Rushworth, Peter Wright,Christopher Pyne and Simon Crean.There are many hundreds of people andorganisations that support us each year – far toomany to be named individually in this report. Withoutyou, we would not be able to offer the valued serviceswe provide, nor conduct leading-edge research. SoTHANK YOU once again for your much appreciatedsupport.The future of fundraising is online!And communicating through socialmedia channels is vital to thesuccess of any business, includingnot-for-profits.The Institute has invested in ouronline capability this year withmany new improvements on ourwebsite and opportunities for oursupporters to be involved.If you haven’t seen the changes,please check them out on www.blackdoginstitute.org.au and helpus spread the ‘e’ word.50

The Black Dog cyber communityAs people spend more and more time online,we are expanding our digital media channels toensure our supporters can interact with us and eachother.Our online presence has increased dramaticallyin 2012. Thousands of people are now following andsharing our social media updates, images and videos.Social media is a wonderful way to quickly andeffectively share everything from important healthinformation, to personal stories and inspirationalfundraising adventures. People can now join differentonline communities depending on their interestsand use our social media channels to chat with otherlike-minded people. It also provides effective meansto distribute up-to-the-minute research discoveries,policy changes and clinical opportunities to peopleacross the country.Anyone is welcome to join the conversation –we’d love to meet you![facebook.com/blackdoginst][twitter.com/blackdoginst][linkedin.com/company/black-dog-institute][pinterest.com/blackdoginst][youtube.com/blackdoginst]The last year saw some changes to the BlackDog Institute communications team. After a decade ofhighly successful media and communications activity,Ian Dose left the Institute in early 2012 to pursue newchallenges.The new Head of Communications and Media,Gayle McNaught, brings considerable expertise inhealth and research communications gained from previousroles at the Garvan Institute, Westmead Hospitaland the Juvenile Diabetes Research Foundation.52

The Black DogInstitute WebsiteThe Black Dog Institute website offers qualityinformation and online tools to people seeking helpfor mood disorders. In 2012, 846,585 unique visitorsaccessed our website, an increase of 32 per cent fromthe previous year. While many were from around theworld, 68 per cent of these visitors were from withinAustralia.The self-tests for bipolar disorder and depressionwere the highest ranking pages, followed by themain content in the depression and bipolar sections.Improvements were made to the researchsection of the site and visitors can now view individualprofiles of our key researchers in the ‘Meetour researchers’ pages, with some containing videointerviews.2012DOG BLACK53

The Black DogIndexMeasuring the mentalhealth of AustraliansA new measure of national mental health hasbeen developed by the Black Dog Institute in responseto international recognition that traditional economicbasedmeasures do not sufficiently reflect a country’shealth.The Black Dog Index aims to calculate ourlevel of happiness and put a tally around how manyof us are living with depression, anxiety and suicidalthoughts. Similar measures are formally collected inthe UK and Canada.In 2012, Newspoll contacted over 1200 adultsfrom all walks of life around the country and askedthem to provide a score out of 10 for a series of questionsabout their mental health and personal circumstances(including income, marital status, educationand political views). The results were compiled intoan overall ‘Happiness’ score out of 100 which can bemeasured over time and linked with other measuressuch as unemployment or mortgage interest rates.According to Newspoll Chief, MartinO’Shannessey, the happiest people were older, married,tertiary educated and earning over $90,000.Conversely, depression was connected strongly withdivorce.Black Dog Institute Director, Professor HelenChristensen, initiated the project with the aim ofbroadly identifying what factors are involved withpeople feeling happy or unhappy. As well as givinga snapshot of rates of mental illness, the index willprovide much-needed information on how to moreeffectively improve overall mental health and reducesuicide rates.“The good news is that the inaugural BlackDog Index score is quite high at 77. This means thaton the whole we are quite a happy bunch of people,”says Professor Christensen.“Worryingly, the index also showed that fourper cent of respondents were actively troubled by54

Knowthatnotasignofweakness.Stayawayfromnon-prescribedalcohol—youmayneedyourdoctor’shelpwiththis—anddisposeofanyunusedmedicationinthehouse(especiallyantidepressantsandsedatives).Youcantakethesetoyourdoctororpharmacistfordisposal.Ifyouareprescribedmedication,makesureyouareawareofanysideeffectsandarrangeforregularfollowup.Insomecases,antidepressantmedicationrelievesfeelingsofanxietyanddepression,butinothercasesthemedicationactuallyincreasessuicidalthoughts.Thisriskisgreatestinthefirstfewmonthsofmedication.Tostartfeelingbetterphysically,youshouldsortoutanyunresolvedhealthproblemsormanagechronicsymptoms,eatahealthydietandgetenoughsleep.Youshouldalsoseektoreduceoreliminatesourcesofstress,getoutintonaturesoyoucanbenefitfromthesunshineandfreshair,andtrytoconnectinameaningfulwaywithpeoplewhocareaboutyouorsharecommoninterests.Setaregularroutinewithadayplanthatincludessettingthealarmtogetupinthemorning,eatingbreakfast,lunchanddinneratregulartimes,andmakingtimeforexerciseandsleep.Makealistofjobsyouneedtodoeachday—eventhemenialtasks.Rememberthethingsthatyouhaveenjoyedinthepastandtrytodosomethingthatyoumightenjoy,evenforashortperiodoftime,eachday.When someone is sodistressed they think aboutending their life, or beingbetter off dead, they arewanting to stop the painsuicidal thoughts. This translates to approximately halfa million people across the country. With suicide nowovertaking motor vehicle accidents as the major causeof death in young people, these are results we need totake very seriously.“Traditionally, we have kept silent on suicide tominimise the risk of glorifying it. New evidence showsus that talking about suicide can be beneficial byencouraging people experiencing suicidal thoughts toseek treatment.“It’s my hope that new programs like the BlackDog Index will improve public awareness about suicideand help those people who feel life isn’t worth livingto contact Lifeline, their GP or a friend or family memberto talk about it – because help is available.”The Black Dog Index will be conducted byNewspoll at regular intervals, with results reported inThe Australian newspaper.Makesureyoucontinuewithcounselling,evenaftertheimmediatecrisishaspassed.Youmaygothroughsomevulnerablefeelingsonceyouarefeelingbetter,anditisimportanttobuildpreventivestrategiesforthefuture.Thiswillalsoinvolvedevelopingashort-termandlongertermwishlistofthingsyouwouldliketodo.Unfortunately,severedepressioncanmakesomeonefeelsolost,sohopelessforthefuturethattheywillendtheirlife.Whenthathappens,thosewhoareleftbehindalwaysquestionwhethertheyshouldhavebeenmoreawareordonesomethingmore.Ifyouarethego-topersonforsomeoneyoususpectissufferingfromdepression,itwillprobablybeunfamiliarterritoryforyou.Thereisacommonfallacythatifsomeoneisseriousaboutsuicidethereisnothingyoucandotostopit.Thatisnottrue—therearestrategiesforyoutofollow.Remember,whensomeoneissodistressedtheythinkaboutendingtheirlife,orbeingbetteroffdead,theyarewantingtostopthepain.Recognisethesigns:apreoccupationwithdying,gettingtheiraffairsinorder,withdrawingfromusualsocialconnections,gatheringinformationorthemeanstosuicide,increasinglyusingdrugsoralcohol,orexpressingdeeppessimismaboutthefuture.Takeanysuggestionofsuicideseriously:itisawarningsignandapleaforhelp.Raisethesubjectwiththepersonyouareconcernedabout:thisgivesthemtheopportunitytotalkabouthowtheyarefeelingandforyoutohelpthemgetthehelptheyneed.Youmightopentheconversationwithwordssuchas‘‘Ihavenoticedyouseemreallydownlately—whatcanIdotohelpyou?’’Encouragethemtoventtheirnegativefeelings.Tellthemthatiftheyfeellikegivinguphope,theyneedtocallforhelporjustgetthroughthenextminuteorhour.Ifthepersonseemsacutelysuicidal,donotleavethemalone.Suicideisatragedyforthepersonwhofeltatthatmomenttherewasnoothersolutiontotheirdistress,andforthepeopleclosetothemwhoarelefttowonderwhattheymighthavedonetopreventit.Ifyouarethinkingaboutsuicide,askforhelp.Ifyouareaskedforhelp,knowthatyouractionsmightsavealife.Kerryn Phelps is conjoint professor in thefaculty of medicine, University of NSW, and apast president of the Australian MedicalAssociation and the Australian IntegrativeMedicine Association.If you are depressed or contemplating suicide,help is available at Lifeline on 131 114.SILENT STASEAN PARNELLHEALTH EDITORSufferers of severe depression, especially men, often eschew prGEOFF Harmer bricked my familyhome in Inverell. He was, from phone with a happy ‘Hi, how aresuicide. ‘‘I even answered theall accounts, a lovely guy, very you?’, not realising, and she toldgoodat histrade. Withmortarandme that dad had killed himself.muscle, Geoff instilled in our big Fromthenit’s all abit of a blur.’’brown house the same qualities Geoffhadbattledmentalillnessthe townsfolk saw in him: solid, for a number of years, but his familythought he was finally gettingdependable, well-presented, warmof heart.on top of it. His troubles first cameHe and his family lived on the to a head late in 2010 after Geoffothersideofthehill — hissonTimhadstoppedworkingdue tostress.andIwerefriendsat school — and In complete and utter despair,GeoffwouldoftendrivethekidstoGeoff — who always told the kidssport or dancing, anywhere they he was fine — confessed to Carolneededtobe. Ifhehadtimetotakethathehadtriedtohanghimselfinhis callused hands off the trowel, the tree out back but failed.or the steeringwheel, Geoff would Carol’s love and support for herrelax withCarol or take a moment husband never wavered. Despitealone in their back yard. From his objections, and fears, she convincedhimtoseealocaldoctorbuttakeinthebigskyof northwestern nothing muchcame of it.there, theveteranbricklayercouldNSW, andthehumof cattletrucks‘‘He still thought he was allonthehighway, perhapsreflectingright, that he was just having abadon the countless people he had trot,’’ Tim says, knowing hismet and homes he had built father’s conditionwas worsening.aroundtown.ThatChristmas, whenall membersof the family were backEight months ago, Carol foundGeoff’s body hanging from one of together, they cornered Geoff inthebigtreesintheyard. Theworldthe bedroom and pleaded withand, inhis case, mental illness, had himtoget help.got the better of him. The muchlovedhusband, father of three Timsays. ‘‘We were worried.’’‘‘We just saw him unravelling,’’grown-up kids, and grandfather to Geoff felt he could handle itthree more, was 60 when he took himself, but the main obstacle tohis life. He would have turned 61 him seeking help was his fear thatthe followingweek.people would find out and thinkThe Saturday his father died, less of him. Despite being knownTim Harmer was in the back yard as the Sapphire City, Inverell hasof his Sydney home, repotting a only 10,000 residents and Geofftree, when his phone lit up with a knew the doctors, he even knewcall from his sister Laura in the counsellors. And what wouldInverell.his friends and the other brickies‘‘It was completely out of the think?blue; unexpected, completely,’’ the ‘‘We tried to tell him that ifgraphic artist says of his father’s people held it against him it wasThe Black Dog Index aims to calculate our level of happiness. If weare looking for a sign of optimism, this photograph (an entry in arecent Black Dog Institute photographic competition) can’t helpbut bring a smile to your face.SPOTLIGHTYou think peopleare getting better,they seem reallygood, and then itjust happensBLACK DOG 2012TROUBLEDNot at all (0)their problem,’’ Tim says. ‘‘It is anillness that is misunderstood, verymuch so, but it is still an illness. Hewasn’t himself, he wasn’t the dadthat I grew up with, and peoplewould have to deal with that theway we were all dealing with it. Buthe couldn’t face it.’’The family drove Geoff eighthours to Sydney, where doctors atthe St John of God Hospital Burwoodconfirmed he had severedepression, anxiety and psychosis.Geoff stayed there for three weeksand then returned home withmedication and a broader treatmentschedule. After a psychoticepisode six months later hereturned to Sydney for more treatment,missing a family trip toBritain for Tim’s wedding to hisEnglish sweetheart Lisa.BLACK DOG INDEXHOW HAPPY DO YOU FEEL? HOW OPTIMISTICMean, June 2012, then October 2012ARE YOU? *SEXAGETOTALMENEDUCATIONLEVELWOMEN18-3435-49HOUSEHOLDINCOME50+Jun 12Oct 12PRIMARY/HIGHSCHOOLCOLLEGE/APPRENTICESHIPUNIVERSITYDEGREE< 50K$50,000-$89,999$90,000+SEXAGETOTALMENEDUCATIONLEVELWOMEN18-3435-49HOUSEHOLDINCOME0 1 2 3 4 5 6 7 8 9 1050+PRIMARY/HIGHSCHOOLCOLLEGE/APPRENTICESHIPUNIVERSITYDEGREE< 50K$50,000-$89,999$90,000+550 169 %So Caroshe rettime owasn’HehelpButthethebafoThankfully, Geoff was wellenough to attend the Australianwedding celebrations, where Timsays his father was ‘‘actually realgood’’.‘‘The treatment was workquite well,’’ Tim says.‘‘Up until he committed suhe seemed to be gettingbetter.’’Geoff started helping theSalvation Army with its delgoing to church and even tTROUBLEDMISERABLOn a scale of zero to 10, with zero being ‘not at all’ and 10 bein* First time question has been askedOct 12TOTALMEN0 1 2 3 4 5 6 7 8 9 10SEXAGEEDUCATIONLEVEL18-3450+tWOMEN35-49HOUSEHOLDINCOMEPRIMHIGCOAPPUND

CreativeDevelopmentIllustrations thathelp us understandMatthew Johnstone is the very talented creativedirector at the Black Dog Institute.In 2012 Matthew continued his prolific work;drawing images to bring about better understandingof mental health, while his public speaking engagementshelped draw attention to understanding mooddisorders and how to build resilience and mindfulness.One of the big projects he worked on was thesuicide prevention website called ‘Living with DeadlyThoughts.’When asked to work on this, Matthew initiallythought this could be heavy weather, but in fact it wasthe complete opposite. “It’s going to be a wonderfullyhelpful website with an amazing amount of solid, lifeaffirming information which will save lives,” he said.The other project he loved working on this yearwas the myCompass launch, headed by ProfessorJudy Proudfoot. He was particularly proud to be a partof this initiative which has attracted an outstandingresponse from members of the public.Matthew Johnstone (pictured) has producedsome wonderful videos for the World HealthOrganisation (WHO). These are being usedworldwide today to raise awareness ofdepression. Search for them on the WHOYouTube channel and share them on your socialmedia sites to show your support.56

The BlackDog InstituteInternationalLecturesThe Uses and Misuses of Psychiatric Diagnosis – Professor Allen Frances MDProfessor Allen Frances, prior Chair of theDSM-IV Task Force and Professor Emeritus, DukeUniversity, cogently presented his views on the problemsof the latest update of the DSM (Diagnostic andStatistical Manual of Mental Disorders), DSM 5, andthe very real concerns evidenced by fellow professionalsand members of the public. His lecture, delivered inthe Institute’s Robert Dean lecture theatre on June 20,was filled to overflowing.Dr Frances first traced the antecedents ofpsychiatry to more modern times and through tothe DSM. From interpreting which spiritual entity wasangry and what was needed to appease it, managementof disturbed people moved from more aggressiveinterventions to focus on what was wrong with theindividual and how best to treat the illness.Early to mid 20 th Century saw a growing needto collect uniform statistics about mental disorder andfor clinicians to be able to ‘read off the same page’.This led to the development in America of a psychiatric‘manual’ for categorising mental disorders, theDSM-I. In Europe, the International Classification ofDiseases (ICD) also had a section on mental disorders.However, by the 1980s this psychiatric classificationsystem was becoming irrelevant. Inter-raterreliability for each diagnostic category was very low.The DSM task force partially addressed this, and alsodeveloped semi-structured interviews. But the definitionsin the DSM are still theoretical and open to multipleinterpretations.Particularly concerning in the DSM 5 are the‘subsyndromal’ disorders; confusion about whether tofocus on symptoms or on behaviour; the misuse ofthe Manual (for example, its diagnoses are ‘built into’judgments for US healthcare insurance); and judgmentsin the forensic area. Unprecedented numbersof adults and children are being treated for increasingnumbers of possible psychiatric disorders, and thereare real concerns about the accuracy of the data in theDSM 5 itself.BLACK DOG 201257

Too wired to sleep? Don’t switch off, switch on: A New Research Trial by BlackDog Institute Researchers is Using the Internet to Improve SleepAssociate Professor Lee Ritterband, Director ofthe Behavioral Health and Technology Centre at theUniversity of Virginia, presented his research on usingthe internet to treat insomnia.He is collaborating with the Black Dog Instituteon the NHMRC-funded ‘Good Night Study’ that aimsto use internet-based insomnia interventions to reducedepression and improve wellbeing. The programwhich he and others developed, called ‘SHUTi’, enablesusers to identify and monitor their sleep patternsand to learn how to overcome insomnia.Nearly everyone has experienced poor sleepat some stage in their lives and it’s common to suffershort periods of insomnia during illness, periods ofstress or travel.Unfortunately, up to one third of all Australiansreport ongoing problems with either falling asleep orstaying asleep, and this proportion rises significantlyfor people with depression and anxiety.Treatment for poor sleep is often based aroundmedication, a solution that can only be used shortterm. Recent research has proven that simple cognitivebehavioural techniques are a highly effectivealternative. These techniques focus on identifying andchanging the behaviours and patterns of thinking thatinterfere with good sleep.Traditionally, these techniques have only beenavailable via face-to-face clinical sessions but the‘Good Night Study’ led by Professor Helen Christensenat the Black Dog Institute is making it accessible to allby taking them online.The ‘Good Night Study’ is one of the first in theworld to investigate an online psychological interventioninto insomnia and depression.The study uses a specialist internet programdeveloped by researchers at the University of Virginia,USA. ‘SHUTi’ enables users to identify and monitortheir sleep patterns whilst gently leading them througha series of learning modules.According to Associate Professor Ritterband,preliminary results have already shown SHUTi to beeffective and potentially able to serve as a front lineweapon in the battle against insomnia.Pictured, Associate Professor Lee Ritterband58

Our PeopleBlack Dog Institute Board ofDirectorsMr Peter Joseph, AM, BComm, MBAChairman of the Black Dog Institute.Also Chair, St James Ethics Centre andThe Health-Science Alliance. Director,Advisory Council, Emergency ArchitectsAustralia. Former Chairman of DominionMining Limited, the GPT Group and StVincents and Mater Health Sydney.Professor Helen ChristensenBA (Hons) Syd, M Psychol, PhD, FASSA,MAPS (Appointed 23 January 2012)Executive Director of the Black DogInstitute.Also Professor of Mental Health, UNSW;NHMRC Senior Principal Research Fellow;Member NHMRC Academy; PresidentAustralasian Society for PsychiatricResearch; Treasurer, International Societyfor Research on Internet Interventions;Member, Australian Committee for e-Mental Health; Emeritus Professor, TheAustralian National University.Mr Douglas Snedden, BEcMr Snedden is Chair of Odyssey HouseNSW; board member of TransfieldServices Limited, Hillgrove ResourcesLimited, Accenture Foundation, and StJames Ethics Centre.Mr James Blomfield, MA, MBAMr Blomfield is a Strategy Manager atNational Australia Bank.Mr Nicholas Cowdery AM, QC, BA,LLB, LLD (Hons) (Resigned 2012)Mr Cowdery is the former Directorof Public Prosecutions for New SouthWales. He is currently a visiting Professorof Law, and a consultant.Ms Melanie Kiely (Kneale), BBus Sci(Hons) GAICDMs Kiely is Executive General Manager– Health and Wellness at HBF,management consultant, director andimmediate past Chief Operating andTechnology Officer at nib Health fundsand is a graduate of the AustralianInstitute of Company Directors. She isa former non-executive Director of theHunter United Credit Union and Chairof the Audit Committee and a Directorof Hybrid Strategies Pty Ltd. She is alsoa former Board Member of MBFin2lifeand a NSW Council Member of Savethe Children. Previously she was GroupExecutive of Strategy at the MBF Groupand a partner at Accenture.Mr Craig Knowles, FAPI, CPVThe Hon Craig Knowles holds anumber of advisory roles, statutoryappointments, and commercial andnot-for-profit directorships: Chair, MurrayDarling Basin Authority; Chair of theAustralian Centre for Photography,President of the Asthma FoundationNSW and the Children’s MedicalResearch Institute (CMRI), Member,Central Sydney Planning Committee;Trustee of the Hoc Mai Foundation,Fellow of the Australian PropertyInstitute. Previously a senior Minister inthe New South Wales Government for10 years: portfolios included Health,Infrastructure and Planning, Housing,Natural Resources, Forests, and Lands.Professor Philip Mitchell, AM, MB BS(Hons I), MD, FRANZCP, FRCPsychProfessor Mitchell is a Scientia Professor,and Head of the School of Psychiatryat the University of New South Wales;Convenor of Brain Sciences UNSW;Consultant Psychiatrist, Prince of WalesHospital; Director, Bipolar Disorder Clinic,Black Dog Institute; Guest Professor,Shanghai Jiaotong University; Memberof the NHMRC Academy; and BoardMember of the Anika Foundation forAdolescent Depression and Suicide.Associate Professor Meg SmithOAM, BA (Hons), M.Psychol, PhD, FAPS(Resigned 2012)Professor Smith was an adjunctcommunity psychologist in the Schoolof Social Sciences at the University ofWestern Sydney. She is President ofthe Mental Health Association, NSW,and a community member of theMental Health Review Tribunal and theGuardianship Tribunal.Dr Timothy Smyth, MB, BS, LLB, MBADr Smyth is a consultant, SpecialCounsel, Holman Webb lawyers; andChair, Eastern Sydney Medicare Local.Formerly, he was Deputy Director-General, NSW Ministry of Health andhas over 25 years experience acrossthe NSW Health system. Other formerpositions: Partner, DLA Phillips Foxlawyers; Director, Australian Commissionon Safety and Quality in Health Care;and Chairman, IPG Holdings Ltd; andInternational Parking Group Pty Ltd.Mrs Carol Berg, BMus, MMMrs Berg is Chairman of the Boardof The Marmalade Foundation Inc.She is Vice President (immediate pastPresident), National Choral Association(NSW/ACT Branch) and past Director ofthe Board of the Bundanon Trust.Public Officer, CompanySecretary and General ManagerWilliam Bonney MMgt FAICDSenior Management andAdministrative StaffFinance ControllerSteven FranksFinance OfficerMaria KinantraFinance Support OfficerJeannie HigginsHead, Communications and MediaGayle McNaughtDigital Marketing ManagerMelinda Zanello (resigned 2012)Head, Development andFundraisingVicki Miller (resigned 2012)Suzie Graham (started 4 February 2013)Project Manager, Events andFundraisingFleur MortimerCreative DirectorMatthew JohnstonePublications ConsultantKerrie EyersAnnual Report EditorIan DoseCentre ManagerChristine Boyd (resigned 2012)Marian Spencer (started 2 April 2013)ReceptionistPauline TrantalisDomestic ServicesTeresa SilvaFinance Team2012DOG BLACK59

60Emily SelmonFleur MortimerLuke EganKatherine PetriePROJECT AREASResearch TeamDirector, ResearchProfessor Helen ChristensenBA (Hons) Syd, M Psychol, PhD,FASSA, MAPSExecutive Assistant(Professor Christensen andWilliam Bonney)Emily SelmonAnne Madden (resigned, 2012)Personal Assistant (ProfessorParker)Karlyn GreenfieldsResearch ManagerKristy DelmasResearch InvestigatorsProfessor Marie-Paule AustinAssociate Professor MichaelBreakspearScientia Professor Henry BrodatyAOAssociate Professor Ute Vollmer-ConnaAssociate Professor Brian DraperMr Dusan Hadzi-PavlovicDr Samuel HarveyProfessor Colleen LooAssociate Professor VijayaManicavasagarScientia Professor Philip MitchellAMScientia Professor Gordon ParkerAOAssociate Professor JudyProudfootScientia Professor PerminderSachdev AMProfessor Kay Wilhelm AMHospital ScientistDusan Hadzi-PavlovicSenior Lecturer, Schoolof Psychiatry, ARC FutureFellowDr Melissa GreenBlack Dog InstituteProfessorial Fellows(since November 2012)Professor Maree TeessonProfessor Richard BryantVisiting FellowsDr Philip BatterhamDr Alison CalearDr Louise FarrerDr Bregje Van SpijkerBrain Sciences CoordinatorDr Karen KoolBlack Dog Institute AffiliatesMr Mathew McFaddenResearch FellowsDr Tara DonkerPost Doctoral FellowsDr Tjeerd BoonstraDr Luke EganDr Donel MartinDr Tania PerichDr Gloria RobertsDr Fiona ShandDr Alex WildePhD StudentsMs Justine CorryMs Julie CrabtreeMs Kathryn FletcherMr Stewart HeitmannMs Kerrie-Anne HoMr Matthew HyettMr Muhsin KarimDr Angela LangdonMr Saeid MehrkanoonMr Michael PlayerMs Nicole ReillyMs Jessica RowlandMs Alana ShepherdMs Mona TaoukMs Kishani TownshendResearch StudentsMs Megan BoydMr Rowan BurckhardtMr Timothy GhanMs Inika GillisMs Leah GirshkinMr Mark SchiraMr Chiel van de SteegSenior Research OfficerMs Kathryn FletcherResearch OfficersDr Angelo AlonzoMs Bettina ChristlDr Janine ClarkeMs Clare McCormackDr Tania PerichResearch AssociatesMs Justine CorryMs Sadhbh JoyceDr Janan KaratasMs Nicole ReillyResearch AssistantsMs Mary-Rose BirchDr Heather BrotchieMr Rowan BurckhardtMs Michaela DaviesMr Andrew FranklandMs Inika GillisMs Leah GirshkinDr Rebecca GrahamDr Bronwyn HegartyMs Deserae HorswoodMr Matthew HyettMs Ameika Johnson (left 2012)Ms Cassandra JoslynMs Phoebe LauMs Stacey McCrawMr Matthew ModiniMs Amelia PatersonMs Katherine PetrieMr Michael PlayerMs Tamara Powell (left 2012)Mr Yann QuideMs Rebecca RidaniMs Poppy Rourke (left 2012)Ms Jesseca RowlandMs Leona TanMr Nick VellaMs Meg WangMs Alexis WhittonMr Adam WrightData Entry ClerkPenny SawdyCommunity ProgramsManager, CommunityProgramsMichael SluisProgram Manager,VolunteersSarah ConnorProject Manager,Community EducationKate HilleProject Manager, YouthInitiativesLiza Culleney (on leave)Mei Li QuahProject Manager, RuralInitiativesChristopher RuleEducation Project OfficerSharnelle CowanProgram Facilitators,Workplace ProgramsDr Caryl BarnesMatthew JohnstoneDr Kris KaferAnthony MerrittClaire Nabke-HattonMatthew StantonWayne WighamAngela VrankicClinical ServicesClinical DirectorDr Paul FriendMedical SecretariesOrla DempseyHayley TierneyConsultant PsychiatristsDr Caryl BarnesDr Melissa Barrett (on leave)Dr Shulamit FuteranDr Michael HongProfessor Colleen LooScientia Professor Philip MitchellAMScientia Professor Gordon ParkerAODr Anne-Marie Rees (on leave)Dr Howe SynnottClinical AdministrationSecretaryLouise DyerClinical PsychologistsDavid Gilfillan (resigned 2012)Liz Sheppard (resigned 2012)

Professional ServicesDirector, PsychologicalServicesAssociate Professor VijayaManicavasagarManager, ProfessionalEducation and TrainingKatherine Dabich (on leave)Mood Assessment Program(MAP)Dr Jan OrmanMood Assessment ProgramAdministratorLouise DyerEducation Project OfficersKatie Denton (GeneralPractitioner Program) (on leave)Aimee Gayed (PsychologyProgram) (on leave)Chilin GiengEducation Consultants –ClinicalDr Caryl Barnes (WorkplacePrograms)Dr Vered Gordon (GeneralPractice Program Developer)Dr Jan Orman (GeneralPractitioner Services Consultant)Program Facilitators,Professional EducationProgramsJulie AllanDr Anne CamacDr Sarah EdelmanDavid GilfillanDr Guy GordonDr Vered GordonDr Margaret GottliebDr Kristine KaferDr Carol KeffordAssociate Professor VijayaManicavasagarAnthony MerrittDr Jan OrmanDr Joseph ReyElizabeth SheppardDr Julian ShortJodie WassnerDr Sarah WeaverDeveloping CountriesProjectProject LeaderAssociate Professor VijayaManicavasagarProject ManagerDr Ilse BlignaultParticipant Liaison OfficersMarguerite PepperKate CasheleHEALTHDirectorAssociate Professor JudyProudfootTechnical Support AnalystCesar AnonuevoWeb and CommunicationsOfficerSako HampartzoumianLeah GreenfieldBITE BACK Youth WebsiteProject LeaderAssociate Professor VijayaManicavasagarProject ManagerJacqui WallaceProject OfficersRowan BurckhardtDeserae HorswoodNic NewlingSarah VersitanoVolunteersRebecca ActonRaja AhluwaliaMarissa BarnesAmanda BarterAllyssa BeasleyMaryanne BeggsLisa BellMerida BellWendy BirrellJessicah BohMegan BoydJudi Bray-FergusonJessica BrownJohn CanningMary CanningGary CareyBrent CarryerJenni Chong SunJulia CollinsBernadette ConnorCareena CookFrances CracknellTracey CremmingCraig CurtisIngrid De Leede-SmithKees de LeeuwBeatrice DowsettZoya D’SouzaSally EdwardsSarah EdwardsAmy EggletonMelissa EllisKerrie EyersMelanie FaithfullMichael FajardoCarolyn FarrugiaYang FengLewis FordMarion FraserDianne GaddinNyree GaleIrene GallagherGerd GarrardTanya GlazerLeah GreengartenLee HaganDavid HalesAngela HancockKaren HeagneyTim HeffernanKylie HenmanMichael HensonWendy HighfieldMichael HinesJoy HoKim HolmesErin Howard-GillisAmber HuPeter HurleySimone IsemannTrudy JenkinsWarren JonesPhil KairnsTravis KingBelinda KirleyClaire KoskiPaul LampheeNatalie LantryLinda LeardSarah L’HuillierDavid LiddleChristie LochChristine LopasinskiPhoebe O’CarriganCheryl O’GradyLiezl MaritzJasmine MarosvaryBrad McCarthyCasey McDonaldMark McGrathKatherine McGuigganPhilippa MooreJudith MyersKathleen NaishJanet NameyLucinda NapperStevan NikolinSue PhelpsKatherine PetrieJohn PolarJudy PolgarKeira PrideAnne RichesDominique Robert-HendrenMargherita RoserSusie RustJamie SaltonAdam SchwartzAnne SchwartzDale SkinnerBen SmithNathan SmithShirley SneddonCarly SperringDavid SpindlerJulia StadumJason StarlingYuanyue SunJeanette SvehlaRodney ThompsonDominic TranIsabelle Truong DavisNicholas ValentineGabrielle Waters-McKayAmy WattsLaura WattsStephanie WebsterStephanie WilliamsWayne WighamAndrew WilkinsonRobyn Winwood-SmithCheryl WoodKimberley WoodRachel WorsleyJo XuBrigit-te ZontaMatthew ModiniPauline TrantalisKathryn FletcherTara Donker61

SpecialAcknowledgementsChristine BoydFew people contributed as much as ChristineBoyd to the growth of the Black Dog Institute.Christine resigned in September this yearafter spending a quarter of a century working in themental health field, including the past 11 years atthe Black Dog Institute as Facilities Manager.Her career started in January 1987 at theMood Disorders Unit (the Institute’s predecessor) atPrince Henry Hospital. From typewriters to computers,there wouldn’t have been too many peopleat the Unit and the Institute, who didn’t receive ahelping hand from Christine as new technologyentered our lives.It was also her influence over the yearsthat shaped the way visitors to the Institute weregreeted in such a friendly and professional mannerin reception and at the clinic.While we will miss her guidance and wisdomand administrative capacity, all our best wishesgo out to her as she resets her compass to newendeavours.62

Vicki MillerVicki spent nearly four years as the CorporateRelations and Development Manager in a rolethat inspired so many people to generously supportthe work of the Black Dog Institute.Her energetic drive was responsible forbroadening the Institute’s fundraising programs aswell as building relationships and partnerships withour donors.Vicki believed the most humbling experiencehad been dealing with families who had lostsomeone to suicide and come to the Institute toraise money to help make a difference.Being a southern highlander and travellingto the Black Dog Institute to the city from Bowralcan be an arduous daily grind, and after makingsuch a valuable contribution, Vicki has decided tofind new challenges closer to home.Vicki leaves us with her heartfelt message:‘I have enjoyed working with so many passionateand inspiring people at the Institute and will alwaysconsider my time there as the highlight of mycareer.’David Gilfillan and Liz SheppardDavid’s principal role was to develop thepsychological clinical services offered by the BlackDog Institute.He joined the Institute in 2006 and a yearlater he became the first psychologist to work inthe Depression Clinic. At first this involved individualwork but later expanded to include bipolardisorder wellbeing groups which proved remarkablysuccessful.In addition, over the past few years David,as a senior clinical psychologist, has also facilitatedtraining programs for psychologists and healthworkers as well as being involved in other generaltraining programs undertaken by the Institute.David has stepped down from his full-timerole at the Institute but will continue to be associatedwith the delivery of the Institute’s professionaleducation and training initiatives.Liz Sheppard, another outstanding clinicalpsychologist, has strongly supported David overthe past couple of years. Liz has resigned her fulltimeposition but, like David, is expected to undertakeother part-time work for the Institute in 2013.Both wished to acknowledge that a highlightof their time at the Black Dog Institute was the opportunityto work with leading professionals in themood disorders field, and to interact with clientsfrom whom they have learnt much.BLACK DOG 201263

UNSW School of Psychiatry 50th AnniversaryWe are fortunateto have the Head ofthe UNSW School ofPsychiatry, ProfessorPhilip Mitchell, on site.Many of the School’s teaching sessionsare located at the Institute, along with ProfessorMitchell’s research teams. In 2012, the Schoolcelebrated its 50th Anniversary.The Foundation Head of the School ofPsychiatry was Professor Leslie Kiloh. There haveonly been two others, Professor Gordon Parker, andthe current Head, Professor Philip Mitchell.64

UNSW School of Psychiatry Executive1st Row (L-R): Professor Helen Christensen, MrsJennifer Robinson, Scientia Professor Henry Brodaty,Scientia Professor Gordon Parker, Scientia ProfessorPhilip Mitchell (Head of School), Professor GavinAndrews, Professor Vaughan Carr, Professor KayWilhelm2rd Row (L-R): A/Professor Kimberlie Dean, ProfessorColleen Loo, Professor Florence Levy, Dr KristinLaurens, Dr Katerina Zavitsanou, Dr Melissa Green,Associate Professor Uté Vollmer-Conna, ProfessorRhashel Lenroot, Associate Professor VijayaManicavasagar, Associate Professor Judy Proudfoot3rd Row (L-R): Scientia Professor Perminder Sachdev,Mr Dusan Hadzi-Pavlovic, Associate Professor PhilipWard, Associate Professor Zachary Steel, Dr SamuelHarvey, Dr Michael Valenzuela, Associate ProfessorJulian Troller, Associate Professor Kuldip SidhuAbsent: Professor Marie-Paule Austin, ProfessorBrian Draper, Professor Valsa Eapen, ProfessorDerrick Silove, Professor Cynthia Shannon-Weickert,Dr Thomas WeickertBelow: Professor Helen Christensen with SupportersGuy and Eve SheppardCommunity FundraisingThe Institute is a Deductible Gift Recipient.Gifts of $2 and over are tax deductible andan official receipt will be issued. Donationscan be made online by credit card or EFT.Team Black Dog is a movement of peoplelike you, rallying together to raise funds andawareness for the Black Dog Institute. Bygiving your time, money or influence youcan make a real difference to the lives ofthose living with mental illness.The aim of Team Black Dog is to build apowerful and passionate community raisingfunds and awareness about mood disorders.All funds are directed to the diagnosis,treatment and prevention of mood disorderssuch as depression and bipolar disorder.Join us now by:1. Creating your own fundraisingevent2. Joining an existing communityfitness or challenge event3. Setting up a ‘Forget me not fund’ inmemory of someone you love4. Making a financial donation bysupporting a community fundraiser.BLACK DOG 201265

Financial ReportThe Income Statement and Balance Sheet from the Institute’s Annual Financial Report for the year ended30 June 2012 is set out below.Black Dog Institute 30 June 2012Statement of comprehensive income for the year ended 30 June 201230-June-2012 30-June-2011Recurring grant from NSW Department ofHealth1,461,300 1,425,600Non-recurring grant from NSW Health 30,000Non-recurring grant from NSW Scienceand Medical ResearchNon-recurring grant from Commonwealth –Mobile Tracking SystemNon-recurring grant from Commonwealth –Strategic Mental Health825,092 664,160869,478 576,403-- 500,000AusAid Developing Countries Grant 103,173 (1,756)Federal grant from National Health andMedicare Research40,419 --HeadStrong Program Grant 165,000 --Income from Higher Education ResearchData Collection665,523 --Donations 1,360,413 1,454,876Facility fees 472,569 384,725Education and training fees 400,956 343,033Revenue from fundraising events 148,430 73,435Other revenue 127,107 125,878Revenue 6,669,460 5,546,354Employee 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 2012Statement of financial position30-June-2012 30-June-2011ASSETSCash and cash equivalents 1,218,546 1,598,779Trade and other receivables 883,504 749,873Total Current Assets 2,102,050 2,348,652Non-current AssetsProperty, plant and equipment 3,613,059 3,814,481Trade and other receivables 172,000 --Total Non-current Assets 3,785,059 3,814,481TOTAL ASSETS 5,887,109 6,163,133LIABILITIESCurrent liabilitiesTrade and other payables 365,572 504,182Total Current Liabilities 365,572 504,182TOTAL LIABILITIES 365,572 504,182NET ASSETS 5,521,537 5,658,951EQUITYRetained earnings 5,521,537 5,658,951TOTAL EQUITY 5,521,537 5,658,951A copy of the complete Annual Financial Report is available on application. Requests for furtherinformation should be directed to the Institute’s General Manager. The full financial report is posted on theInstitute’s website: www.blackdoginstitute.org.auThe information shown relates to the Institute’s company accounts and does not include additionalfunds made available for research through collaborative arrangements with other organisations, includingUNSW. Such details are provided under ‘Research Funding’.BLACK DOG 201267

The Institute andPharmaceutical CompaniesThe Institute’s policy concerning pharmaceutical companies is outlined on our websitewww.blackdoginstitute.org.auThe Black Dog Institute Board continues to endorse the Institute operating within ethical guidelinesformulated by Australian professional and regulatory organisations, as well as the requirements associatedwhen its specialists or other staff work with pharmaceutical companies.The Institute lists below the national and international appointments and positions held by itsmedical staff on pharmaceutical company Advisory Boards, and seeks to maximise the diversity of theseappointments. 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 constantreview and welcomes comment.Pharmaceutical company advisory board appointmentsProfessor Marie-Paule AUSTINProfessor Henry BRODATYProfessor Gordon PARKER$3000 contribution from Pfizer to fund the St John of God PerinatalMental Health Seminar, November 2012.Consultant: Pfizer, Novartis, Lundbeck, Janssen, Merck, Baxter,Lilly. Investigator on drug trial for Alzheimer’s disease: Sanofi, Lilly,Servier.Member of Lundbeck National Advisory Board. Advisor to ServierPharmaceuticals. Speaker for meetings sponsored by Eli Lilly, Astra-Zeneca, Lundbeck, GlaxoSmithKline, Pfizer and Servier.68

Research FundingNew research funding for Black Dog InstituteA highlight this year was Black Dog Instituteresearchers receiving prestigious NHMRC (NationalHealth and Medical Research Council) projects grantsfor new research into depression, suicidal thoughts,ageing and schizophrenia.This latest NHMRC funding was awarded toProfessors Helen Christensen, Colleen Loo, PerminderSachdev and Dr Melissa Green to support new researchstarting in 2013. Visiting Black Dog Fellow DrPhilip Batterham has also received funding for workbeing undertaken jointly at the Black Dog Institute andthe Australian National University.NHMRC Project Grants are reviewed by scientificpeers and awarded according to the quality andimpact of the research being undertaken. The newresearch being conducted at Black Dog will enhanceour understanding of the brain and also improve ourability to treat and prevent mental health conditionsin the community. These successful grants are listedbelow.Reducing suicide ideation: a randomised controlledtrial of a novel web intervention.Professor Helen Christensen, Dr Bregje van Spijker,Professor Andrew MacKinnon, Dr Alison Calear, DrPhilip BatterhamAn MRI study of emotional processing deficits inchildhood.Professor Rhoshel Lenroot, Professor Mark Dadds, DrJohn Brennan, Dr David Hawes, Dr Melissa Green, DrKristin LaurensEpistatic genetic effects on neuroanatomical subtypesof schizophrenia.Dr Melissa Green, Dr Murray Cairns, Dr Kristin Laurens,Professor Vaughan CarrElectrical Stimulation with a ‘Random Noise’ Pattern:A New Approach for the Treatment of Depression.Professor Colleen Loo, Professor Philip Mitchell, AssociateProfessor Janet TaylorThe Older Australian Twins Study (OATS) of healthybrain ageing and age-related neurocognitive disorders.Professor Perminder Sachdev, Dr Margaret Wright,Professor David Ames, Associate Professor Julian Trollor,Dr Wei Wen, Professor Bernhard Baune, Ms TeresaLee, Dr John CrawfordDevelopment and population-based validation ofhierarchical adaptive mental health screeners.Dr Philip Batterham, Dr Matthew Sunderland, Dr NatachaCarragher, Dr Alison CalearIn collaboration with other organisations, theInstitute undertakes a wide variety of research activitiesas outlined below (Institute staff and affiliates areshown in bold)Grant Holders Austin, Reilly, Loxton, Chojenta, MilgromGranting Body Bupa Foundation Health AwardStudyPsychosocial assessment in the perinatalperiod: Does it improve maternal healthoutcomes?Duration 2010-2012 ($248,075)Grant Holders Austin, Sullivan, Highet, Morgan,Mihalopoulos, CroftGranting Body NHMRC Linkage grant with beyondblueProjectThe Australian perinatal mental healthreforms: Using population data to evaluatetheir impact on service utilisation and relatedcost-effectivenessDuration 2012-2014 ($1,009,140)Grant Holders Gallbally, Lewis, Buist, AustinGranting Body beyondblue National Priority Driven ResearchProjectMaternal and infant outcomes followingantidepressants exposure in pregnancyDuration 2012-2014 ($216,000)Grant Holders King, Kildea, AustinGranting Body Canadian Institutes of Health ResearchProjectQF2011: The effects of the Queensland floodon pregnant women, their pregnancies, andtheir children's early developmentDuration October 2011-2015 (1,790,000)Grant Holders McMahon, Austin, Jones, Rapee, Donald,GrantGranting Body NHMRC Project GrantStudyMaternal anxiety in pregnancy and infantbio-behavioural regulation: Testing the foetalprogramming hypothesisDuration 2010-2012 ($556,650)Grant Holders Kingston, Austin, Biringer, Chaput,Hegadoren, Lasiuk, MacQueen, McDonald,McGrath, Schopflocher, Sword, WattsGranting Body Norliern FoundationStudyIntegrated maternal psychosocial assessmentto care trial pilot (IMPACT-Pilot)Duration 2012-2013 ($124,996)Grant Holders Kingston, Austin, Biringer, Heaman,Hegadoren, Higgenbottom, Lasiuk, S.McDonald, S.D. McDonald, Sword, WattsGranting Body Alberta UniversityStudyBarriers and facilitators of psychosocialassessment in pregnant and postpartumwomen and their healthcare providers inAlberta.Duration 2012-2013 ($50,000)69

BLACK DOG INSTITUTE ANNUAL REPORT 2012 PAGE 70Grant Holders Kingston, Austin, Biringer, Heaman, Hegadoren,Higgenbottom, Lasiuk, S. McDonald, S.D. McDonald,Sword, WattsGranting Body Alberta UniversityStudyDevelopment and Testing of a Survey of Barriers andFacilitators of Psychosocial Assessment in Pregnant andPostpartum Women and their Healthcare Providers.Duration 2012-2013 ($15,000)Grant HolderGranting BodyStudyDurationGrant HolderGranting BodyStudyDurationBreakspear plus other Chief InvestigatorsJames F McDonnell Collaborative GiftBrain Network Recovery Group2011-2016 ($3 million)Breakspear plus other Chief InvestigatorsAustralian Research CouncilOptimizing autonomous system control with brain-likehierarchical control systems2007-2012 ($3.3 million)Grant Holders Brodaty, Crawford, Lee, TrollorGranting Body Gold Star Award, UNSWStudyThe Older Australian Twins Study (OATS) of healthyageing and age-related neurocognitive disordersDuration 2012 ($40,000)Grant Holders Brodaty, AmesGranting Body CSIRO Prevention FlagshipStudyA tale of three cities: Comparison of twoepidemiological studiesDuration 2012-2013 ($120,000)Grant Holders Whiteford, Degenhardt, Irkis, Vos, Eagar, Mihalopoulos,Andrews, Head, Gunn, Hall (chief investigators),Brodaty (associate investigator)Granting Body NHRMC Centres of Research Excellence (CRE) GrantStudyEvidence-based mental health planning: Translatingevidence into policy and servicesDuration 2012-2017 ($2,442,370)Grant Holders ChristensenGranting Body NHMRC Centre for Research Excellence (CRE)StudyImproving suicide prevention in Australia through betterimplementation of effective interventions, improved riskidentification and evidence informed policyDuration 2012-2017 ($2,490,060)Grant Holders ChristensenGranting Body DOHAStudyOne-off funding for a mobile phone application toprevent suicide in Indigenous communitiesDuration 2011-2012 and continuing ($225,000)Grant Holders ChristensenGranting Body NHMRCStudyUncoupled SPRF Research FellowshipDuration 2012-2013 ($306,500)Grant Holders ChristensenGranting Body UNSW Brain Sciences Seed Funding 2013StudyFunding for Visit to BDI by Dr Annette Beautrais,University of Auckland, New ZealandDuration 2012-2013 ($7,500)Grant Holders ChristensenGranting Body NHMRC capacity building grantStudyTranslating population-based mental health and ageingresearch into evidence-based prevention and policyDuration 2009-2013 ($267,264)Grant Holders Hickie, Christensen, Naismith, MacKinnon, Walker,Banati, Norrie, Amminger, BourneGranting Body Bupa Health Foundation (formally the MBF Foundation)Grants ProgramStudy The Beyond Ageing Project: Phase 2Duration 2012-2013 ($448,634)Grant Holders Hickie, Davenport, Luscombe (USyd); Christensen,Batterham, Shand, Egan, Petrie (UNSW)Granting Body YAW-CRC National Survey 1 (2011-2012)StudyNational Survey 1: Young and Well: young people’smental health and well being and use of informationand communication technologyDuration 2012-2013 ($427,619)Grant Holders Glozier, Christensen, Griffiths, Naismith, Hickie,RitterbandGranting Body beyondblue National Priority Driven Research ProgramStudyAn RCT of the efficacy of adjunctive internet basedCBTi in treating depression and anxiety in older men(SOMNA)Duration 2012-2014 ($391,364)Grant Holders Hickie, Glozier, Naismith, Christensen, NealGranting Body The Heart Foundation and beyondblue; CardiovascularDisease and Depression Strategic Research ProgramStudyAn RCT of a web-based intervention to improvedepression, cognitive function and adherence in peoplewith CVD (CREDO)Duration 2009-2012 ($594,200)Grant Holders Christensen, Griffiths, Mackinnon, KenardyGranting Body NHMRC Project GrantStudyThe effectiveness of an indicated prevention programfor anxietyDuration 2009-2012 ($628,039)Grant Holders Christensen, Glozier, Griffiths, ButlerGranting Body NHMRC Project GrantStudyA novel intervention targeting insomnia to preventMajor Depressive Disorder in the communityDuration 2011-2013 ($913,390.00)Grant Holders Christensen, Griffiths, Reynolds, BennettGranting Body Australian Rotary Health - Project Grant (Mental Health)StudyLiving with deadly thoughts: Reducing suicidal thoughtsthrough a web-based self-help intervention.Duration 2012 ($67,362)Grant Holders Christensen, Griffiths, Tait, Barney, Bennett, Bennett,Calear, Reynolds, FarrerGranting Body Department of Innovation, Industry, Science & Research:Cooperative Research CentreStudyYoung People, Technology & Wellbeing: CooperativeResearch CentreDuration 2011-2016 ($92,000)Grant Holders Christensen, Van Spijker, Mackinnon, Calear,BatterhamGranting Body NHMRC Project GrantStudyReducing suicide ideation: A randomised controlled trialof a novel web interventionDuration 2013-2015 ($433,889)Grant Holders Teesson, Baker, Mills, Kay-Lambkin, Haber, Baillie,Christensen, Birchwood, Spring, BradyGranting Body NHMRC Centre for Research Excellence (CRE)StudyCentre of Research Excellence in Mental Health andSubstance Use: Translating innovative prevention andtreatmentDuration 2012-2017 ($2,442,370)Grant Holder GreenGranting Body ARC Future FellowshipStudyImaging genetics in schizophrenia and bipolar disorder:Adjudicating neurocognitive endophenotypesDuration 2009-2013 ($700,000)Grant Holder Maloney, Laurens, GreenGranting Body Rotary Mental Health Research GrantStudyIdentifying targets and timing for early intervention:A NSW population record-linkage study to detectchildhood indicators of risk for mental illnessDuration 2011-2013 ($68,377)Grant Holder Green, Weickert, Mitchell, SchofieldGranting Body NHMRC Project GrantStudyImaging genetics in schizophrenia and bipolar disorder:Adjudicating neurocognitive endophenotypesDuration 2010-2014 ($549,500)Grant Holders Harvey, Bryant, Christensen, MitchellGranting Body beyondblueStudyWork and depression/anxiety disorders: A systematicreview of reviewsDuration 2012-2013 ($93,149)Grant Holders LaiGranting Body NSW Institute of Psychiatry Research FellowshipStudyA study of ketamine as an antidepressant treatment.Duration 2012 ($55,000)

Grant HoldersGranting BodyLooGranting Body: Stanley Medical Research FoundationStudyA controlled trial of transcranial Direct CurrentStimulation (tDCS) as a treatment for unipolar andbipolar depressionDuration 2012 ($681,595)Grant Holders Loo, Sachdev, Mitchell, DokosGranting Body UNSW Major Research Equipment and Infrastructure GrantStudyNear infrared spectroscopyDuration 2012 ($44,213)Grant Holders Valenzuela, Loo, Pujol, Djuric, Velakoulis, Yucel, DragunowGranting Body NHMRC Program GrantStudyRole of neurogenesis in clinical recovery fromdepression during ECT: Application of a novel in vivomagnetic resonance spectroscopy technologyDuration 2011-2013 ($505,312)Grant Holders Loo, Mitchell, TaylorGranting Body NHMRC Project GrantStudyElectrical stimulation with a random noise pattern: Anew approach to the treatment of depressionDuration 2013-2015 ($505,380)Grant Holders Menon, Loo, Martin, BowmanGranting Body St George Medical Research Foundation EstablishmentGrantStudyDoes transcranial direct current stimulation enhanceoutcomes from computerised cognitive remediation inpatients with schizophrenia? A randomised controlledtrial in a rehabilitatory setting.Duration 2012 ($17,000)Grant Holders Proudfoot, Manicavasagar, Wallace, BonneyGranting Body Australian Government Department of Health andAgeingStudyMyCompass and BITE BACKDuration 2012-2015 ($2,282,500)Grant Holders Proudfoot, Christensen, Hadzi-Pavlovic, WilhelmGranting Body beyondblueStudyPreventing depression and suicide in menDuration 2013-2014 ($286,388)Grant Holder Sachdev, Brodaty, AndrewsGranting Body NHMRC Program GrantStudyThe prevention, early detection, and effectivemanagement of neurocognitive disorders in the elderlyDuration 2010-2014 ($6,090,000)Grant Holders Mohan. Associate investigators: Martin, Sachdev,Brodaty, Loo, GatesGranting Body Dementia Collaborative Research Centre grantStudyTranscranial direct current stimulation to enhanceoutcomes from computer facilitated cognitive training inpatients with mild cognitive impairment.Duration 2012 ($40,000)Grant Holder Sachdev, Brodaty, Andrews, LordTeam Investigators: Trollor, Valenzuela, Anderson, Low,Withall, Menant.Granting Body NHMRC Capacity Building Grants in Population Healthand Health Services ResearchStudyPrevention and management of mental disorders inolder AustraliansDuration 2009-2013 ($2,352,525)Grant HoldersGranting BodyLow, Todaro, EliasDepartment of Ageing, Disabilities & Home CareApplied Research GrantStudy An untapped resource: Older CALD volunteers –understanding barriers and motivations to volunteeringin NSWDuration 2010-2012 ($249,206)Grant Holders MenonGranting Body RANZCP New Investigator GrantStudyDoes transcranial direct current stimulation enhanceoutcomes from computerised cognitive remediation inpatients with schizophrenia? – A randomised controlledtrial in a rehabilitary settingDuration 2012 ($5,882)Grant Holders MitchellGranting Body Lansdowne FoundationStudyEpigenetic study of young people at high-risk of bipolardisorderDuration 2012 ($60,000)Grant Holders Meiser, Mitchell, Schofield, Trevena, Barlow-Stewart,Dobbins, ChristensenGranting Body ARC Linkage GrantStudyCluster randomised controlled trial of an online psychoeducationalintervention for people with a family historyof depression for use in general practiceDuration 2012-2014 ($199,257)Grant HoldersGranting BodyStudyDurationMitchell, Schofield, Parker, Breakspear (AI: Loo)NHMRC Program GrantDepressive and bipolar disorders: Causes, preventionand treatment innovations2013-2017 ($7.1 million)Grant Holders Goecke, Parker, Christensen, Epps, Cohn, LuceyGranting Body Australian Research CouncilStudyAffective sensing technology for the detection andmonitoring of depression and melancholiaDuration 2013-2015 ($360,000)Grant Holders Parker, Hadzi-Pavlovic, ManicavasagarGranting Body NHMRC Project GrantStudyA comparative clinical efficacy trial of treatments formelancholiaDuration 2010-2012 ($374,250)Grant Holders Parker, Mitchell, Malhi and Associate InvestigatorsGranting Body NHMRC Program GrantStudyIdentifying determinants of both the origins and theprogression of the depressive and bipolar (mood)disordersDuration 2008-2012 ($5,883,133)Grant Holders Sachdev, ReppermundGranting Body UNSW/Go8 DAAD SchemeStudyGenetic associations of cognitive ageing and depressionDuration 2012-2013 ($17,100)Grant Holders Sachdev, Richmond, Kochan, Wen, CrawfordGranting Body NHMRC Project GrantStudy Name A cognitive and neuroimaging study of exceptionallyold age: Sydney Centenarian StudyDuration 2010-2012 ($826,500)Grant Holders Sachdev, Martin, Ames, Schofield, Broe, Brodaty,Trollor, Wright, Wen, Halliday, LeeGranting Body NHMRC/ARC Strategic Award (AWAP Program)StudyGene-environment interactions in healthy ageing andage-related neurodegeneration (Twin Study)Duration 2007-2012 ($2,000,000)Grant Holders Sachdev, Wright, Ames, Trollor, Wen, Baune, Lee,CrawfordGranting Body NHMRC Project GrantStudyThe Older Australian Twin Study (OATS) of healthy brainageing and age-related neurocognitive disordersDuration 2013-2015 ($912,222)Grant Holder Wilde, Mitchell, Meiser, SchofieldGranting Body beyondblue National Priority Driven Research ProjectsStudyDevelopment of an interactive depression riskassessment and tailored preventive intervention forhealthy young people at high genetic risk of depressionand bipolar disorderDuration 2011-2013 ($200,000)Grant Holder Butler, Levy, Kaldor, Al-Yaman, Wilhelm, Dodson, Gray,AllsopGranting Body NHMRC Capacity Building GrantStudyFrom Broome to Berrima: Building Australia-wideresearch capacity in indigenous offender health andhealth care deliveryDuration 2009-2014 ($2,740,728)Grant Holder Butler, Schofield, Greenberg, Weatherburn, Wilhelm,Carr, D’Este, MitchellGranting Body NHMRC Partnership Project GrantStudyReducing impulsive behaviour in repeat violentoffenders using a selective serotonin reuptake inhibitor(Zoloft)Duration 2010-2014 ($1,033,120)BLACK DOG INSTITUTE ANNUAL REPORT 2012 PAGE 71

BLACK DOG INSTITUTE ANNUAL REPORT 2012 PAGE 72PublicationsThe Institute prides itself on the quality and quantityof its research. Its research findings are widely distributed topeer-reviewed professional and scientific publications, as wellas to the general public via the media and fact sheets on ourwebsite. The Institute’s impressive research output during 2012is listed below. Institute members and associates are in boldtype.Aburn, M. J., Holmes, C. A., Roberts, J.A., Boonstra, T. W. & Breakspear, M.(2012). Critical fluctuations in corticalmodels near instability. Frontiers inFractal Physiology, 3, article 331. doi:10.3389/fphys.2012.00331.Alonzo, A., Brassil, J., Taylor, J. L.,Martin, D. & Loo, C. K. (2012). Dailytranscranial direct current stimulation(tDCS) leads to greater increases incortical excitability than second-dailytranscranial direct current stimulation.Brain Stimulation, 5, pp. 208-213. doi:10.1016/j.brs.2011.04.006.Aquino, K. M., Schira, M. M.,Robinson, P. A., Drysdale, P.M. & Breakspear, M. (2012).Hemodynamic travelling wavesin human visual cortex. PLoSComputational Biology, 8, e1002435.doi: 10.1371/journal.pcbi.1002435.Attu, S. D., Rhebergen, D., Comijs, H.C., Parker, G. & Stek, M. L. (2012).Psychomotor symptoms in depressedelderly patients: Assessment of theconstruct validity of the Dutch COREby accelerometry. Journal of AffectiveDisorders, 137, pp. 146-150. doi:10.1016/j.jad.2011.12.035.Austin, M-P., Reilly, N. & Sullivan,E. (2012). The need to evaluatepublic health reforms: Australianperinatal mental health initiatives.Australian and New Zealand Journalof Public Health, 36, pp. 208-211. doi:10.1111/j.1753-6405.2012.00851.x.Bai, S., Loo, C., Al Abed, A. &Dokos, S. (2012). A computationalmodel of direct brain excitationinduced by electroconvulsivetherapy: Comparison among threeconventional electrode placements.Brain Stimulation, 5, pp. 408-421. doi:10.1016/j.brs.2011.07.004.Baikie, K., Geerligs, L. & Wilhelm,K. (2012). Expressive writing andpositive writing for participantswith mood disorders: An onlinerandomized controlled trial. Journalof Affective Disorders, 136, pp. 310-319. doi: 10.1016/j.jad.2011.11.032.Banfield, M. A., Barney, L.J., Griffiths,K.M. & Christensen, H.M. (2012).Australian mental health consumers’priorities for research: Qualitativefindings from the SCOPE for Researchproject. Health Expectations. doi:10.1111/j.1369-7625.2011.00763.xBatterham, P.J., Christensen, H.& Mackinnon, A.J. (2012). Mentalhealth symptoms associated withmorbidity, not mortality, in an elderlycommunity sample. Social Psychiatryand Psychiatric Epidemiology, 47(1),79-85. doi: 10.1007/s00127-010-0313-0.Batterham, P. J., Calear, A. L. &Christensen, H. (2012). The Stigmaof Suicide Scale: Psychometricproperties and correlates of thestigma of suicide. Crisis: The Journalof Crisis Intervention and SuicidePrevention. 30:1-9. E-pub aheadof print. doi: 10.1027/0227-5910/a000156.Batterham, P. & Christensen, H.(2012). Longitudinal risk profiling forsuicidal thoughts and behaviours ina community cohort using decisiontrees. Journal of Affective Disorders.142(1-3):306-14. doi: 10.1016/j.jad.2012.05.021. Epub 2012 Jul 26.Batterham, P., Glozier, N.,Christensen, H. (2012, Nov)Sleep disturbance, personalityand the onset of depression andanxiety: prospective cohort study.Australian and New Zealand Journalof Psychiatry. 46(11):1089-98. doi:10.1177/0004867412457997. Epub2012, Aug 16.Baumeister, H. & Parker, G. (2012).Meta-review of depressive subtypingmodels. Journal of Affective Disorders,139, pp. 126-140. doi: 10.1016/j.jad.2011.07.015.Birznieks, I., Boonstra, T. W. &Macefield, V. G. (2012). Modulationof human muscle spindle dischargeby arterial pulsations – Functionaleffects and consequences. PLoSONE, 7, e35091. doi: 10.1371/journal.pone.0035091.Blignault, I., Manicavasagar,V., Parker, G., Wijeratne, C. &Sumathipala, A. (2012). Buildingcapacity in identification andmanagement of mood disorders: AnAustralia-Sri Lanka collaboration.Australasian Psychiatry, 20, pp. 53-56.doi: 10.1177/1039856211432481.Boonstra, T. W. & Breakspear,M. (2012). Neural mechanismsof intermuscular coherence:Implications for the rectification ofsurface electromyography. Journal ofNeurophysiology, 107, pp. 796-807.doi: 10.1152/jn.00066.2011.Borness, C., Proudfoot, J. &Venezuala, M. (2012). Methodologicalchallenges and solutions whenconducting a multicentre, online,randomized controlled trial of braintraining within a public serviceorganization. Journal of WorkplaceBehavioral Health, 27, pp. 272-288.doi: 10.1080/15555240.2012.725602.Bryant, R. A., Hung, L., Guastella, A.J. & Mitchell, P. B. (2012). Oxytocinas a moderator of hypnotizability.Psychoneuroendocrinology, 37,pp. 162-166. doi: 10.1016/j.psyneuen.2011.05.010.Bunce, D., Mackinnon, A.,Christensen, H. & Batterham, P.(2012). Depression, anxiety andcognition in community-dwellingadults aged 70 years and over.Journal of Psychiatric Research,46, pp. 1662-1666. doi: 10.1016/j.jpsychires.2012.08.023.Calear, A., Christensen, H., Griffiths,K. & Mackinnon, A. (2012, Dec11). Adherence to the MoodGYMProgram: Outcomes and predictorsfor an adolescent school-basedpopulation. Journal of AffectiveDisorders. E-pub ahead of print. doi:10.1016/j.jad.2012.11.036.Chan, H., Alonzo, A., Martin, D.,Player, M., Mitchell, P., Sachdev, P.& Loo, C. (2012). Treatment of majordepressive disorder by transcranialrandom noise stimulation: Casereport of a novel treatment. BiologicalPsychiatry, 72, e9-e10. doi: 10.1016/j.biopsych.2012.02.009.Chan, H., Mitchell, P., Loo, C. K. &Harvey, S. (2012). Pharmacologicaltreatment approaches to difficult-totreatdepression. Medical Journal ofAustralia Open, 1 (Suppl. 4), pp. 44-77. doi: 10.5694/mjao12.10495.Chan, H. N. & Mitchell, P. B. (2012).Antidepressant drugs. Side Effectsof Drugs Annual, 34, pp. 17-24. doi:10.1016/B978-0-444-59499-0.00002-7.Christensen, H., Calear, A. L.,Andersson, G., Thorndike, F. P. &Tait, R. J. (2012). Beyond efficacy:The depth and diversity of currentinternet interventions. Journal ofMedical Internet Research, 14, e92.doi: 10.2196/jmir.2206.Christensen, H., Batterham, P.J., Soubelet, A. & Mackinnon, A. J.(2012). A test of the Interpersonal-Psychological Theory of SuicidalBehaviour in a large communitybasedcohort. Journal of AffectiveDisorders. 2 August. E-pub ahead ofprint. doi: 10.1016/j.jad.2012.07.002.Cole, N. & Parker, G. (2012). Cade’sidentification of lithium for manicdepressive illness – The prospectorwho found a gold nugget. Journalof Nervous and Mental Disease,200, pp. 1101-1104. doi: 10.1097/NMD.0b013e318275d3cb.Crabb, R., Cavanagh, K., Proudfoot,J., Learmonth, D., Rafie, S.& Weingardt, K. R. (2012). Iscomputerised cognitive-behaviouraltherapy a treatment option fordepression in late life? A systematicreview. British Journal of ClinicalPsychology, 51, pp. 459-464. doi:10.1111/j.2044-8260.2012.02038.x.Eyers, K., Parker, G. & Brodaty, H.(2012). Managing Depression GrowingOlder. A Guide for Professionals andCarers. Sydney, Australia: Allen &Unwin.Eyers, K., Parker, G. & Brodaty,H. (2012). Managing Depression,Growing Older. A Guide forProfessionals and Carers. UK:Routledge.Fletcher, K. (2012). Personality stylesassociated with Bipolar II Disorder.In G. Parker (Ed.), Bipolar II Disorder.Modelling, Measuring and Managing(2nd ed.) (pp. 70-80). Cambridge, UK:Cambridge University Press.Fletcher, K., Parker, G., Barrett, M.,Synnott, H. & McCraw, S. (2012).Temperament and personality inBipolar II Disorder. Journal of AffectiveDisorders, 136, pp. 304-309. doi:10.1016/j.jad.2011.11.033.Freyer, F., Roberts, J. A., Becker,R., Robinson, P. A., Ritter, P. &Breakspear, M. (2012). A canonicalmodel of multistability and scaleinvariancein biological systems. PLoSComputational Biology, 8, e1002634.doi: 10.1371/journal.pcbi.1002634.Friston, K. J., Adams, R., Perrinet, L. &Breakspear, M. (2012). Perceptionsas hypotheses: Saccades asexperiments. Frontiers in PerceptionScience, 3, article 151. doi: 10.3389/fpsyg.2012.00151.Friston, K. J., Breakspear, M. &Deco, G. (2012). Perception andself-organised instability. Frontiersin Computational Neuroscience,6, article 44. doi: 10.3389/fncom.2012.00044.Gili, M., Roca, M., Armengol, S.,Asensio, D., Garcia-Campayo, J. &Parker, G. (2012). Clinical patternsand treatment outcomes in patientswith melancholic, atypical and nonmelancholicdepressions. PLoS ONE,7, e48200. doi: 10.1371/journal.pone.0048200.Gosling, J. A., Batterham, P. &Christensen, H. (2012). Cognitivebehaviouralfactors that predict sleepdisturbance 4 years later. Journal ofPsychosomatic Research, 73, 424-429.doi: 10.1016/j.jpsychores.2012.08.011.Gulliver, A., Griffiths, K. M.,Christensen, H. & Brewer, J. L. (2012).A systematic review of help-seekinginterventions for depression, anxietyand general psychological distress.British Medical Council Psychiatry.12:81. doi: 10.1186/1471-244X-12-81.Gulliver, A., Griffiths, K. M.,Christensen, H., Mackinnon, A.,Calear, A. L., Parsons, A., Bennett, K.,Batterham, P. J. & Stanimirovic, R.(2012). Internet-based interventionsto promote mental health helpseekingin elite athletes: anexploratory randomized controlledtrial. Journal of Medical InternetResearch. 14(3):e69. doi: 10.2196/jmir.1864.Grant, K. A., Bautovich, A., Reilly, N.,McMahon, C., Leader, L. & Austin,M-P. (2012). Parental care and controlduring childhood: Associations withmaternal perinatal mood disturbanceand parenting stress. Archives ofWomen’s Mental Health, 15, pp.297-305. doi: 10.1007/s00737-012-0292-0.Griffiths, K. M., Mackinnon, A. J., Crisp,D. A., Christensen, H., Bennett, K.,et al. (2012) The Effectiveness of anonline support group for membersof the community with depression:A randomised controlled trial. PLoSONE 7(12): e53244. doi:10.1371/journal.pone.0053244.Hadzi-Pavlovic, D. & Boyce, P.(2012). Melancholia. Current Opinionin Psychiatry, 25, pp. 14-18. doi:10.1097/YCO.0b013e32834dc147.Harvey, S. B., Hatch, S. L., Jones,M., Hull, L., Jones, N., Greenberg, N.,Dandeker, C., Fear, N. & Wessely, S.(2012). The long-term consequencesof military deployment: A 5 yearcohort study of UK reservistsdeployed to Iraq. American Journalof Epidemiology, 176, pp. 1177-1184.doi: 10.1093/aje/kws248.Heitmann, S., Ferns, N. &Breakspear, M. (2012). Muscle cocontractionmodulates dampingand joint stability in a three-linkbiomechanical limb. Frontiers inNeurorobotics, 5, article 5. doi:10.3389/fnbot.2011.00005.Heitmann, S., Gong, P. &Breakspear, M. (2012). Acomputational role for bistabilityand traveling waves in motorcortex. Frontiers in ComputationalNeuroscience, 6, article 67. doi:10.3389/fncom.2012.00067.Henderson, M., Brooks, S. K., delBusso, L., Chalder, T., Harvey, S. B.,Hotopf, M., Madan, I. & Hatch, S.(2012). Shame! Self-stigmatisation asan obstacle to sick doctors returningto work: A qualitative study. BMJOpen, 2, e001776. doi: 10.1136/bmjopen-2012-001776.

Henderson, M. & Harvey, S. B.(2012). Occupational psychiatry. In E.Guthrie, M. Temple & S. Rao (Eds.),Seminars in Liaison Psychiatry (2nded.). London: Gaskell Publishing.Hyett, M., Rourke, P., Vollmer-Conna, U. & Parker, G. (2012). Thenature and course of depressionrelated to acute coronary syndrome.Health Issues, 108, pp. 27-29.Johnson, M., Schmeid, V., Lupton, S. J.,Austin, M-P., Matthey, S. M., Kemp,L., Meade, T. & Yeo, A. E. (2012).Measuring perinatal mental healthrisk. Archives of Women’s MentalHealth, 15, pp. 375-386. doi: 10.1007/s00737-012-0297-8.Kalu, U., Sexton, C., Loo, C. &Ebmeier, K. (2012). Transcranial directcurrent stimulation in the treatmentof major depression: A metaanalysis.Psychological Medicine,42, pp. 1791-1800. doi: 10.1017/S0033291711003059.Karim, M., Harris, J. A., Morley, J.W. & Breakspear, M. (2012). Priorand present evidence: How priorexperience interacts with presentinformation in a perceptual decisionmaking task. PLoS ONE, 7, e37580.doi: 10.1371/journal.pone.0037580.Knudsen, A. K., Lervik, L. V., Harvey,S. B., Løvvik, C. M. S., Omenås, A. N.& Mykletun, A. (2012). A comparisonof chronic fatigue syndrome /myalgic encephalopathy with otherdisorders: An observational study.Journal of the Royal Society ofMedicine Short Reports, 3, p. 32. doi:10.1258/shorts.2011.011167.Knudsen, A. K., Skogen, J. C.,Harvey, S. B., Stewart, R., Hotopf,M. & Moran, P. (2012). Personalitydisorders, common mentaldisorders and receipt of disabilitybenefits: Evidence from the BritishNational Survey of PsychiatricMorbidity. Psychological Medicine,42, pp. 2631-2640. doi: 10.1017/S0033291712000906.Langdon, A., Breakspear, M. &Coombes, S. (2012). Phase-lockedcluster oscillations in periodicallyforced integrate-and-fire-or-burstneuronal populations. PhysicalReview E, 8, 061903. doi: 10.1103/PhysRevE.86.061903.Levy, Y., Austin, M-P. & Halliday,G. (2012). Use of ultra-briefpulse electroconvulsive therapyto treat severe postnatal mooddisorder: A case series. AustralasianPsychiatry, 20, pp. 429-432. doi:10.1177/1039856212458979.Li, M., Wang, Y., Zhen, X., Ikeda,M., Iwata, N., Luo, X., Chong, S.,Lee, J., Rietschel, M., Zhang, F.,Muller-Myhsok, B., Cichon, S.,Weinberger, D. R., Matteisen, M.,Schulze, T. G., Martin, N. G., Mitchell,P. B., Schofield, P. R., MooDSConsortium, Liu, J. & Su, B. (2012).Meta-analysis and brain imagingdata support the involvement ofVRK2 (rs2312147) in schizophreniasusceptibility. Schizophrenia Research,142, pp. 200-205. doi: 10.1016/j.schres.2012.10.008.Loo, C., Alonzo, A., Martin, D.,Mitchell, P., Galvez, V. & Sachdev,P. (2012). Transcranial direct currentstimulation for depression: 3-week,randomised, sham-controlledtrial. British Journal of Psychiatry,200, pp. 52-59. doi:10.1192/bjp.bp.111.097634.Loo, C., Garfield, J., Katalinic, N.,Schweitzer, I. & Hadzi-Pavlovic,D. (2012). Speed of response inultrabrief and brief pulse width rightunilateral ECT. International Journal ofNeuropsychopharmacology, pp. 1-7.doi: 10.1017/S1461145712000879.Loo, C., Katalinic, N., Garfield, J.,Sainsbury, K., Hadzi-Pavlovic, D.& MacPherson, R. (2012). Ketamineas a neuroprotective agent inelectroconvulsive therapy: Arandomised controlled trial. Journalof Affective Disorders, 142, pp. 233-240. doi: 10.1016/j.jad.2012.04.032.Loo, C., Katalinic, N., Martin,D. & Schweitzer, I. (2012). Areview of ultrabrief pulse widthelectroconvulsive therapy.Therapeutic Advances in ChronicDisease, 3, pp. 69-85. doi:10.1177/2040622311432493.Loo, C. & Martin, D. (2012).Could transcranial direct currentstimulation have unexpectedadditional benefits in the treatmentof depressed patients? Expert Reviewof Neurotherapeutics, 12, pp. 751-753.Lord, A., Horn, D., Breakspear, M.& Walter, M. (2012). Changes incommunity structure of restingstate brain networks in unipolardepression. PLoS ONE, 7, e41282. doi:10.1371/journal.pone.0041282.Manicavasagar, V. & Gilfillan, D.(2012). Psychological interventionsfor Bipolar II Disorder. In G. Parker(Ed.), Bipolar II Disorder. Modelling,Measuring and Managing (2nded.) (pp. 142-150). Cambridge, UK:Cambridge University Press.Manicavasagar, V., Perich, T.& Parker, G. (2012). Cognitivepredictors of change in cognitivebehaviour therapy and mindfulnessbasedcognitive therapy fordepression. Behavioural andCognitive Psychotherapy, 40,pp. 227-232. doi: 10.1017/S1352465811000634.McAuley, E. Z., Scimone, A., Tiwari,Y., Agahi, G., Mowry, B., Holliday, E.G., Donald, J. A., Shannon-Weickert,C., Mitchell, P. B., Schofield, P. R. &Fullerton, J. M. (2012). Identificationof sialyltransferase 8B as ageneralized susceptibility gene forpsychotic and mood disorders onchromosome 15q25-26. PLoS One,7, e38172. doi: 10.1371/journal.pone.0038172.Mitchell, P. B. (2012). Bipolardisorder: The shift to overdiagnosis.Canadian Journal of Psychiatry, 57,pp. 659-665.Mitchell, P. B. (2012). Psychiatristsand the pharmaceutical industry: Onthe ethics of a complex relationship.In M. Dudley, D. Silove & F. Gale(Eds.), Mental Health and HumanRights (pp. 346-361). OxfordUniversity Press.Mitchell, P. B. (2012). Update onbipolar disorder. Medical Observer,September, pp. 29-31.Mitchell, P. B., Levy, F., Hadzi-Pavlovic, D., Concannon, P.,Hutchins, P., Mulcahy, D., Clarke, S.,Salmelainen, P., Warner, A. & Hughes,C. (2012). Practitioner characteristicsand the treatment of children andadolescents with attention deficithyperactivity disorder. Journal ofPaediatrics and Child Health, 48,pp. 483-489. doi: 10.1111/j.1440-1754.2011.02242.x.Morris, R., Sparks, A., Mitchell, P. B.,Shannon Weickert, C., Weickert, T. &Green, M. J. (2012). Lack of corticolimbiccoupling in bipolar disorderand schizophrenia during emotionregulation. Translational Psychiatry, 2,e90. doi: 10.1038/tp.2012.16.Murray, C. J. L., Vos, T., Lozano, R.,Naghavi, M., Flaxman, A. D., Michaud,C., et al. (Black Dog Institute coauthor:Mitchell, P. B.) (2012).Disability-adjusted life years (DALYs)for 291 diseases and injuries in 21regions, 1990-2010: A systematicanalysis for the Global Burden ofDisease Study 2010. Lancet, 380,pp. 2197-2223. doi: 10.1016/S0140-6736(12)61689-4.Mykletun, A. & Harvey, S. B. (2012).Prevention of mental disorders: Anew era for workplace mental health.Occupational and EnvironmentalMedicine, 69, pp. 868-869. doi:10.1136/oemed-2012-100846.Parker, G. (2012). A Piece of My Mind– A Psychiatrist on the Couch. Sydney,Australia: Pan Macmillan.Parker, G. (2012). A psychiatrist onthe couch – Views from the otherside. The Sydney Papers Online, p.116.Parker, G. (2012). A vulnerableprofession: Depression amonglawyers. Precedent, 110, pp. 17-21.Parker, G. (2012). Acta is a fourletterword. Acta PsychiatricaScandinavica, 126, pp. 476-478. doi:10.1111/j.1600-0447.2012.01919.x.Parker, G. (Ed.) (2012). Bipolar IIDisorder. Modelling, Measuring andManaging (2nd ed.). Cambridge, UK:Cambridge University Press.Parker, G. (2012). Bringingmelancholia out of the shadows.Revista Brasileira de Psiquiatria,34, pp. 375-376. doi: 10.1016/j.rbp.2012.08.006.Parker, G. (2012). Clinical models formanaging Bipolar II Disorder: Model1. In G. Parker (Ed.), Bipolar II Disorder.Modelling, Measuring and Managing(2nd ed.) (pp. 182-191). Cambridge,UK: Cambridge University Press.Parker, G. (2012). Comorbidconditions associated with BipolarII Disorder. In G. Parker (Ed.), BipolarII Disorder. Modelling, Measuringand Managing (2nd ed.) (pp. 56-62).Cambridge, UK: Cambridge UniversityPress.Parker, G. (2012). Defining andmeasuring Bipolar II Disorder. InG. Parker (Ed.), Bipolar II Disorder.Modelling, Measuring and Managing(2nd ed.) (pp. 35-46). Cambridge, UK:Cambridge University Press.Parker, G. (2012). Introduction. InG. Parker (Ed.), Bipolar II Disorder.Modelling, Measuring and Managing(2nd ed.) (pp. XI-XV). Cambridge, UK:Cambridge University Press.Parker, G. (2012). John Cade.American Journal of Psychiatry, 169,pp. 125-126. doi: 10.1176/appi.ajp.2011.11111697.Parker, G. (2012). Obituary: Dr JohnEllard (1924-2011). AustralasianPsychiatry, 20, pp. 74-75. doi:10.1177/1039856211433093c.Parker, G. (2012). Personalitydisorders – Treat or retreat? MedicineToday, 13, pp. 18-27.Parker, G. (2012). Rounding up andtying down. In G. Parker (Ed.), BipolarII Disorder. Modelling, Measuringand Managing (2nd ed.) (p. 266).Cambridge, UK: Cambridge UniversityPress.Parker, G. & Brotchie, H. (2012).Chocolate and Mood. In R. Paoletti,A. Poli, A. Conti & F. Visioli (Eds.),Chocolate and Health (pp. 147-153).Italy: Springer-Verlag.Parker, G. & Fletcher, K. (2012).Is Bipolar II Disorder increasing inprevalence? In G. Parker (Ed.), BipolarII Disorder. Modelling, Measuringand Managing (2nd ed.) (pp. 63-69).Cambridge, UK: Cambridge UniversityPress.Parker, G., Fletcher, K., Blanch, B. &Greenfield, L. (2012). Take-up andprofile of individuals accessing aweb-based bipolar self-test screeningmeasure. Journal of AffectiveDisorders, 138, pp. 117-122. doi:10.1016/j.jad.2011.12.013.Parker, G., Fletcher, K. & Hadzi-Pavlovic, D. (2012). Is contexteverything to the definition of clinicaldepression? A test of the Horwitzand Wakefield postulate. Journal ofAffective Disorders, 136, pp. 1034-1038. doi: 10.1016/j.jad.2010.11.021.Parker, G., Graham, R., Hadzi-Pavlovic, D., Fletcher, K., Hong,M. & Futeran, S. (2012). Furtherexamination of the utility andcomparative properties of theMSQ and MDQ bipolar screeningmeasures. Journal of AffectiveDisorders, 138, pp. 104-109. doi:10.1016/j.jad.2011.12.016.Parker, G., Graham, R., Hadzi-Pavlovic, D., Friend, P., Synnott, H.& Barrett, M. (2012). Does testingfor bimodality clarify whether thebipolar disorders are categorically ordimensionally different to unipolardepressive disorders? Journal ofAffective Disorders, 137, pp. 135-138.doi: 10.1016/j.jad.2011.09.023.Parker, G., Graham, R., Rees, A.-M., Futeran, S. & Friend, P. (2012).A diagnostic profile of those whoreturn a false positive assignment onbipolar screening measures. Journalof Affective Disorders, 141, pp. 34-39.doi: 10.1016/j.jad.2012.02.026.Parker, G. & Manicavasagar,V. (2012). Personality type anddepression. Medical Observer, April,pp. 27-29.Parker, G., McCraw, S. & Fletcher,K. (2012). Cyclothymia. Depressionand Anxiety, 29, pp. 487-494. doi:10.1002/da.21950.Parker, G. & Orman, J. (2012).Examining the utility of the Black DogInstitute’s online Mood AssessmentProgram in clinical practice.Australasian Psychiatry, 20, pp. 49-52.doi: 10.1177/1039856211432464.Parker, G., Paterson, A., Fletcher,K., Blanch, B. & Graham, R. (2012).The ‘magic button question’ forthose with a mood disorder – Wouldthey wish to re-live their condition?Journal of Affective Disorders,136, pp. 419-424. doi: 10.1016/j.jad.2011.11.008.Parker, G., Paterson, A., Fletcher, K.,Hyett, M. & Blanch, B. (2012). Out ofthe darkness: The impact of a mooddisorder over time. AustralasianPsychiatry, 20, pp. 487-491. doi:10.1177/1039856212466160.Pini, S., Gesi, C., Abelli, M., Muti, M.,Lari, L., Cardini, A., Manicavasagar,V., Mauri, M., Cassano, G. B. &Shear, K. M. (2012). The relationshipbetween adult separation anxietydisorder and complicated grief in acohort of 453 patients with moodand anxiety disorders. Journal ofAffective Disorders, 143, pp. 64-68.doi: 10.1016/j.jad.2012.05.026.Player, M., Taylor, J., Alonzo, A. &Loo, C. (2012). Paired associativestimulation increases motor cortexexcitability more effectively thantheta-burst stimulation. ClinicalNeurophysiology, 123, pp. 2220-2226.doi: 10.1016/j.clinph.2012.03.081.Powell, J., Hamborg, T., Stallard, N.,Burls, A., McSorley, J. -L., Bennett,K., Griffiths, K. M. & Christensen,H. (2012). Effectiveness of a webbasedcognitive-behavioural toolto improve mental wellbeing in thegeneral population: Randomizedcontrolled trial. Journal of MedicalInternet Research, 15, e2. doi:10.2196/jmir.2240.Protopopescu, X., Austin, M-P.,Reilly, N. & Barnett, B. (2012).Screening and psychosocialassessment for perinatal depression,distress, and dysfunction. In C. R.Martin (Ed.), Perinatal Mental Health:A Clinical Guide (eKindle ed.) (pp.307-322). United Kingdom: M&KPublishing.BLACK DOG INSTITUTE ANNUAL REPORT 2012 PAGE 73

BLACK DOG INSTITUTE ANNUAL REPORT 2012 PAGE 74Proudfoot, J., Parker, G.,Manicavasagar, V., Hadzi-Pavlovic,D., Whitton, A., Nicholas, J., Smith,M. & Burckhardt, R. (2012). Effectsof adjunctive peer support onsymptoms and attrition in an onlinepsychoeducation program for bipolardisorder: A randomised controlledtrial. Journal of Affective Disorders,142, pp. 98-105. doi: 10.1016/j.jad.2012.04.007.Proudfoot, J., Whitton, A., Parker,G., Doran, J., Manicavasagar, V. &Delmas, K. (2012). Triggers of maniaand depression in young peoplewith bipolar disorder. Journal ofAffective Disorders, 143, pp. 196-202.doi:10.1016/j.jad.2012.05.052.Psychotropic Guidelines Sub-Committee (Black Dog Instituteco-author: Mitchell, P.) (2012).Psychotropic Therapeutic Guidelines(7th ed.). Melbourne, Australia:Therapeutic Guidelines Ltd.Rees, A. & Parker, G. (2012). Therole of fish oil in managing Bipolar IIDisorder. In G. Parker (Ed.), Bipolar IIDisorder. Modelling, Measuring andManaging (2nd ed.) (pp. 133-141).Cambridge, UK: Cambridge UniversityPress.Rhebergen, D., Arts, D. L., Comijs,H., Beekman, A. T. F., Terwee, C.B., Parker, G. & Stek, M. L. (2012).Psychometric properties of theDutch version of the core measureof melancholia. Journal of AffectiveDisorders, 142, pp. 343-346. doi:10.1016/j.jad.2012.03.043.Rhebergen, D., Graham, R., Hadzi-Pavlovic, D., Stek, M., Friend, P.,Barrett, M. & Parker, G. (2012).The categorisation of dysthymia:Can its constituents be meaningfullyapportioned? Journal of AffectiveDisorders, 143, pp. 179-186. doi:10.1016/j.jad.2012.05.061.Shifu, X., Haibo, X., Guanjun, L.,Chengmei, Y., Xia, L., Chao, C., Wu,H. Z. Y., Mitchell, P. & Mingyuan,Z. (2012). Therapeutic effects ofcerebrolysin added to risperidonein patients with schizophreniadominated by negative symptoms.Australian and New Zealand Journalof Psychiatry, 46, pp. 153-160. doi:10.1177/0004867411433213.Smith, D., Schweitzer, I., Ingram, N. &Loo, C. (2012). Successful ultrabriefECT for a mixed episode of bipolardisorder. Australian and New ZealandJournal of Psychiatry, 46, p. 388. doi:10.1177/0004867411433954.Tait, R. J., McKetin, R., Kay-Lambkin,F., Bennett, K., Tam, A., Bennett, A.,Geddes, J., Garrick, A., Christensen,H. & Griffiths, K. M. (2012, June25). Breaking the Ice: A protocolfor a randomised controlled trialof an internet-based interventionaddressing amphetamine-typestimulant use. BMC Psychiatry,12, 67. E-pub ahead of print. doi:10.1186/1471-244X-12-67.van den Berg, D., Gong, P.,Breakspear, M. & van Leeuwen,C. (2012). Fragmentation: Loss ofglobal coherence or breakdownof modularity in functional brainarchitecture? Frontiers in SystemsNeuroscience, 6, article 20. doi:10.3389/fnsys.2012.00020.Vos, T., Flaxman, A. D., Naghavi,M., Lozano, R., Michaud, C., Ezzati,M., et al. (Black Dog Institute coauthor:Mitchell, P. B.) (2012). Yearslived with disability (YLDs) for 1160sequelae of 289 diseases and injuries1990-2010: A systematic analysis forthe Global Burden of Disease Study2010. Lancet, 380, pp. 2163-2196. doi:10.1016/S0140-6736(12)61729-2.Walker, J. G., Batterham, P. J.,Mackinnon, A. J., Jorm, A. F., Hickie,I., Fenech, M., Kljakovic, M., Crisp,D. & Christensen, H. (2012).Oral folic acid and vitamin B-12supplementation to prevent cognitivedecline in community-dwelling olderadults with depressive symptoms– The Beyond Ageing Project:A randomized controlled trial.American Journal of Clinical Nutrition,95 (1), 194-203. doi: 10.3945/​ajcn.110.007799.Wilhelm, K., Gillis, I., Reddy, J.,Mitchell, P. B., Campbell, L., Dobson-Stone, C., Pierce, K. & Schofield, P. R.(2012). Association between serotonintransporter promoter polymorphismsand psychological distress in a diabeticpopulation. Psychiatry Research,200, pp. 343-348. doi: 10.1016/j.psychres.2012.07.008.Xu, F., Austin, M-P., Reilly, N.,Hilder, L. & Sullivan, E. (2012). Majordepressive disorder in the perinatalperiod: Using data linkage to informperinatal mental health policy. Archivesof Women’s Mental Health, 15, pp.333-341. doi: 10.1007/s00737-012-0289-8.Xu, F., Hilder, L., Austin, M-P. &Sullivan, E. A. (2012). Data preparationtechniques for a perinatal psychiatricstudy based on linked data. BMCMedical Research Methodology, 12, pp.71. doi: 10.1186/1471-2288-12-71.In Press:Austin, M-P. V., Middleton, P., Reilly,N. M. & Highet, N. J. (In press).Detection and management of mooddisorders in the maternity setting:The Australian Clinical PracticeGuidelines. Women and Birth: Journalof the Australian College of Midwives.E-pub ahead of print. doi: 10.1016/j.wombi.2011.12.001.Batterham, P., Glozier, N. &Christensen, H. (In press). Sleepdisturbance, personality and theonset of depression and anxiety:Prospective cohort study. Australianand New Zealand Journal ofPsychiatry. E-pub ahead of print. doi:10.1177/0004867412457997.Batterham, P. J., Bunce, D., Cherbuin,N. & Christensen, H. (In press).Apolipoprotein E ɛ4 and later lifedecline in cognitive function andgrip strength. American Journalof Geriatric Psychiatry. E-pubahead of print. doi: 10.1097/JGP.0b013e318266b1ee.Breakspear, M. (In press).Dynamic and stochastic models ofneuroimaging data: A commenton Lohmann et al. NeuroImage.E-pub ahead of print. doi: 10.1016/j.neuroimage.2012.02.047.Caldieraro, M. A. K., Baeza, F. L. C.,Pinheiro, D. O., Ribeiro, M. R., Parker,G. & Fleck, M. P. (In press). Clinicaldifferences between melancholicand non-melancholic depressionas defined by the CORE system.Comprehensive Psychiatry. E-pubahead of print. doi: 10.1016/j.comppsych.2012.05.012.Christensen, H., Batterham, P. J.& Mackinnon, A. J. (In press). Thegetting of wisdom: Fluid intelligencedoes not drive knowledgeacquisition. Journal of Cognition andDevelopment. E-pub ahead of print.doi: 10.1080/15248372.2012.664590.Christensen, H. M., Calear, A.L.,Bennett, K., Bennett, A. & Griffiths,K. (in press; accepted Jan 2013). Acompendium of high quality mentalhealth websites for use by clinicians,primary care practitioners, doctorsand the general public. MedicalJournal of Australia.Fletcher, K., Parker, G. &Manicavasagar, V. (In press).Cognitive style in bipolar subtypes.Psychiatry Research. E-pubahead of print. doi: 10.1016/j.psychres.2012.11.036.Galvez, V., Alonzo, A., Martin, D.& Loo, C. (In press). Transcranialdirect current stimulation (tDCS)treatment protocols: Should stimulusintensity be constant or incrementalover multiple sessions? InternationalJournal of Neuropsychopharmacology.E-pub ahead of print. doi: 10.1017/S1461145712000041.Hegarty, B. & Parker, G. (In press).Fish oil as a management componentfor mood disorders – An evolvingsignal. Current Opinion in Psychiatry.E-pub ahead of print. doi: 10.1097/YCO.0b013e32835ab4a7.Knudsen, A. K., Harvey, S. B.,Mykletun, A. & Øverland, S. (Inpress). Common mental disordersand long-term sickness absencein a general working population:The Hordaland health study. ActaPsychiatrica Scandinavica. E-pubahead of print. doi: 10.1111/j.1600-0447.2012.01902.x.Martin, D. M., Alonzo, A., Ho,K. –A., Player, M., Mitchell, P. B.,Sachdev, P. & Loo, C. K. (In press).Continuation transcranial directcurrent stimulation for the preventionof relapse in major depression.Journal of Affective Disorders. E-pubahead of print. doi: 10.1016/j.jad.2012.10.012.Mitchell, P. B., Johnston, A. K.,Frankland, A., Slade, T., Green, M.J., Roberts, G., Wright, A., Corry, J.& Hadzi-Pavlovic, D. (2012). Bipolardisorder in a national survey usingthe World Mental Health Versionof the Composite InternationalDiagnostic Interview: The impactof differing diagnostic algorithms.Acta Psychiatrica Scandinavica.E-pub ahead of print. doi: 10.1111/acps.12005.Parker, G., Blanch, B., Paterson, A.,Hadzi-Pavlovic, D., Sheppard, E.,Manicavasagar, V., Synnott, H.,Graham, R., Friend, P., Gilfillan, D.& Perich, T. (In press). The superiorityof antidepressant medication tocognitive behaviour therapy inmelancholic depressed patients: A12-week single-blind randomizedstudy. Acta Psychiatrica Scandinavica.E-pub ahead of print. doi: 10.1111/acps.12049.Parker, G., McCraw, S., Blanch,B., Hadzi-Pavlovic, D., Synnott,H. & Rees, A. -M. (In press).Differentiating melancholic and nonmelancholicdepression: A prototypicapproach and a new measure. Journalof Affective Disorders. E-pub ahead ofprint. doi: 10.1016/j.jad.2012.06.042.Parker, G., McCraw, S., Hadzi-Pavlovic, D. & Fletcher, K. (Inpress) Costs of the principal mooddisorders: A study of comparativedirect and indirect costs incurredby those with bipolar I, bipolar IIand unipolar disorders. Journal ofAffective Disorders. E-pub ahead ofprint. doi: 10.1016/j.jad.2012.10.002.Parker, G., McCraw, S., Hadzi-Pavlovic, D., Hong, M. & Barrett,M. (In press). Bipolar depression:Prototypically melancholic in itsclinical features. Journal of AffectiveDisorders. E-pub ahead of print. doi:10.1016.j.jad.2012.11.035.Parker, G., Paterson, A., McCraw,S., Friend, P. & Hong, M. (In press).Do practitioners managing mooddisorders work to a sub-typing or a‘one size fits all’ model? AustralasianPsychiatry. E-pub ahead of print. doi:10.1177/1039856212465776.Patel, V., Giesebrecht, S., Burton, A.,Cvejic, E., Lemon, J., Hadzi-Pavlovic,D., Dain, S., Lloyd, A. & Vollmer-Conna, U. (In press). Reliabilityrevisited: Autonomic responses inthe context of everyday well-being.International Journal of Cardiology.E-pub ahead of print. doi: 10.1016/j.ijcard.2012.09.177.Perich, T., Manicavasagar, V.,Ball, J. & Mitchell, P. B. (In press).Mindfulness-based approaches inthe treatment of bipolar disorder:Potential mechanisms and effects.Mindfulness. E-pub ahead of print.doi: 10.1007/s/12671-012-0166-6.Perich, T., Manicavasagar, V.,Mitchell, P., Ball, J. & Hadzi-Pavlovic, D. (In press). A randomizedcontrolled trial of mindfulness-basedcognitive therapy for bipolar disorder.Acta Psychiatrica Scandinavica.E-pub ahead of print. doi: 10.1111/acps.12033.Perich, T., Mitchell, P. B., Loo, C.,Hadzi-Pavlovic, D., Roberts, G.,Lau, P., Wright, A. & Frankland, A.(In press). Clinical and demographicfeatures associated with thedetection of early warning signs inbipolar disorder. Journal of AffectiveDisorders. E-pub ahead of print. doi:10.1016/j.jad.2012.08.014.Proudfoot, J., Jayawant, A., Whitton,A., Parker, G., Manicavasagar, V.,Smith, M. & Nicholas, J. (In press).Mechanisms underpinning effectivepeer support: A qualitative analysisof interactions between expert peersand patients newly-diagnosed withbipolar disorder. BMC Psychiatry,12, 196. E-pub ahead of print.doi:10.1186/1471-244X-12-196.Roberts, G., Green, M. J.,Breakspear, M., McCormack, C.,Frankland, A., Wright, A., Levy,F., Lenroot, R., Chan, H. N. &Mitchell, P. B. (In press). Reducedinferior frontal gyrus activationduring emotion inhibition in youngpeople at genetic risk for bipolardisorder. Biological Psychiatry.E-pub ahead of print. doi: 10.1016/j.biopsych.2012.11.004.Steinberg, S., de Jong, S., Matteisen,M., Costas, J., Demontis, D., Jamain,S., et al. (Black Dog Institute coauthors:Mitchell, P. B. & Wright,A.). (In press). Common variant16p11.2 conferring risk of psychosis.Molecular Psychiatry. E-pub ahead ofprint. doi: 10.1038/mp.2012.157.Wijeratne, C., Sachdev, S., Wen, W.,Piguet, O., Lipnicki, D. M., Malhi, G. S.,Mitchell, P. B. & Sachdev, P. S. (Inpress). Hippocampal and amygdalevolumes in an older bipolar disordersample. International Psychogeriatrics.E-pub ahead of print. doi: 10.1017/S1041610212001469.Wilde, A., Mitchell, P. B., Meiser,B. & Schofield, P. R. (In press).Implications of the use of genetictests in psychiatry, with a focus onmajor depressive disorder: A review.Depression and Anxiety. E-pub headof print. doi: 10.1002/da.22000.

Conference Presentations and Educational MeetingsMonth Event Name Presentation Location PresenterINTERNATIONAL16th Congress of the Italian SocietyFebruaryof Psychopathology5th Biennial Conference of theMarch International Society for BipolarDisorders5th Biennial Conference of theMarch International Society for BipolarDisorders5th Biennial Conference of theMarch International Society for BipolarDisordersWorkshop on Corticomuscular andAprilIntermuscular Coherence, DondersInstituteSociety for Biological PsychiatryMayAnnual MeetingInternational Society for ECT andMayNeurostimulation Annual MeetingNeuroscience Research Unit,MayUniversity of ManchesterMayJulyJulyJulyJulyJulyJulyJulySeptemberSeptemberSeptemberOctoberOctoberOctoberOctoberOctoberNATIONALFebruaryFebruaryFebruaryFebruaryMarchMarchMarchSociety for Biological PsychiatryAnnual MeetingChinese National Conference onWestern and Chinese Medicine1er Simposio Red Internacional dePsicopatologia DescriptivaAstraZeneca MeetingDepartment of Psychiatry of theUniversidade Ferderal do Rio Grandedo Sul1er Simposio Red Internacional dePsicopatologia DescriptivaDepartment of Psychiatry of theUniversidade Ferderal do Rio Grandedo SulDepartment of Psychiatry of theUniversidade Ferderal do Rio Grandedo SulSuicide Prevention Conference 2012:Ideas, Innovation, Implementation -Satellite Meeting of the Safety 2012World Conference6th International InvitationalSeminar on Credit and Counselling,Magdalene CollegeRANZCP New Zealand Conference2012International Biennial Congress ofThe Marcé SocietyInternational Biennial Congress ofThe Marcé SocietyInternational Conference on EarlyPsychosis20th World Congress on PsychiatricGeneticsInternational Biennial Congress ofThe Marcé SocietyIn-house presentation at St John ofGod HospitalNSW Official Visitors Program-Training DayBloomfield Hospital In-ServiceMedical Practitioners in OrangeSeminarNHMRC CouncilBlack Dog Institute DevelopingCountries Program, Black DogInstituteImproving Identification andManagement of Mood Disorders2012 Training Program, Black DogInstituteIs Melancholia a Distinct Disease Entity or Justa More Severe Form of Depression?Rome, ItalyParkerCognitive Style in Bipolar II Disorder Istanbul, Turkey FletcherThe Effect of Emotion Regulation on Cortico-Limbic Coupling in Bipolar Disorder andSchizophreniaReduced Inferior Frontal Gyrus ActivationDuring Emotion Inhibition in Young People atIncreased Genetic Risk for Bipolar DisorderEMG Rectification: The Mean and Variance ofNeuronal OscillationsContinua of Function Across Bipolar Maniaand SchizophreniaIstanbul, TurkeyIstanbul, TurkeyNijmegen, The NetherlandsPhiladelphia, USATranscranial Direct Current Stimulation Philadelphia, USA LooTranscranial Direct Current Stimulation: A NewTreatment for Depression?Impaired Inferior Frontal Gyrus Response toan Emotional Inhibition Task in Young First-Degree Relatives of Bipolar Disorder PatientsCompared to ControlsCan We Predict Who Will Develop BipolarDisorder?Bipolar II Disorder: Modelling, Detection andManagementEmerging Bipolar Disorder SpectrumConditions: Is Bipolar II Increasing?History and Development of the Black DogInstituteMelancholia – A Distinct Disease Category orMerely a More Severe Form of Depression?Modelling the Bipolar Disorders: Diagnosis andManagement of BP IIThe Future of Major Depression? Modellingand Measuring MelancholiaManchester, UKPhiladelphia, USANan Ning, ChinaSantiago, ChileSantiago, ChilePorto Alegre, BrazilSantiago, ChilePorto Alegre, BrazilPorto Alegre, BrazilGreenRobertsBoonstraGreenLooRobertsMitchellParkerParkerParkerParkerParkerParkereHealth & Suicide Prevention: What We Know? Auckland, New Zealand ChristensenUsing the Internet and Technology to DeliverSelf-Help ProgramsModelling, Diagnosing and Managing BipolarII DisorderAustralian Clinical Practice Guidelines forDepression and Related Disorders in thePerinatal Period: 2011Psychiatric Admission Across the PerinatalPeriod – New Findings from Australian LinkedDataVirtual or e-Therapies as a New Portal and aCost-Effective OptionGenetic and Brain Imaging Studies in YoungPeople at High Risk of Bipolar DisorderPerinatal Mental Health in Australia:Outcomes from Epidemiological andLongitudinal Survey Based StudiesMood Disorders in Pregnancy: To Medicate orNot – That is the QuestionCambridge, UKWellington, New ZealandParis, FranceParis, FranceSan Francisco, USAHamburg, GermanyParis, FranceSydneyElectroconvulsive Therapy Sydney LooCan We Predict Who Will Develop BipolarDisorder?Can We Predict Who Will Develop BipolarDisorder?Overview of New Mood Disorders ProgramGrantOrange, NSWOrange, NSWCanberraChristensenParkerAustinAustinChristensenMitchellReillyAustinMitchellMitchellMitchellPsychopharmacology of Mood Disorders Sydney MitchellConceptualising and Managing BipolarDisorderSydneyParkerBLACK DOG INSTITUTE ANNUAL REPORT 2012 PAGE 75

BLACK DOG INSTITUTE ANNUAL REPORT 2012 PAGE 76Month Event Name Presentation Location PresenterMarchImproving Identification andManagement of Mood Disorders2012 Training Program, Black DogConceptualising and Managing Depression Sydney ParkerInstituteMarch Happiness & It’s Causes Mood Disorders – Is There a Sunny Side? Sydney ParkerMarchAprilAprilAprilMayMayMental Health Symposium, TheLawson ClinicCSGPN Perinatal InserviceNSW Institute of PsychiatryPsychiatric Training ProgramNSW Institute of PsychiatryPsychiatric Training ProgramAustralian Psychological SocietyHealthEd Integrative Mental HealthSeminarNew Perspectives in the Diagnosis andTreatment of Mood DisordersCaring for Mothers and Babies: Challenges inthe Postnatal PeriodSydneySydneyParkerAustinIntroduction to Bipolar Disorder Sydney MitchellManagement of Bipolar Disorder Sydney MitchellDelivering Depression Prevention via theInternetFish Oils and Mental Health – What Does theEvidence Really Say?SydneySydneyChristensenHegartyMay RANZCP 2012 Congress ECT Hobart LooMay RANZCP 2012 Congress tDCS Hobart LooMayClinical and Practice Expo (PharmacyGuild)Update on the Therapeutics of Bipolar Disorder Sydney MitchellMayThe Sydney InstituteA Psychiatrist on the Couch – Views from theOther SideSydneyParkerMayNSW Institute of PsychiatryModelling and Managing Mood Disorders –The Importance of ClassificationSydneyParkerMay Nutrition in Medicine, Panelist Mood & Anxiety Disorders Melbourne ParkerMayNutrition in MedicineOmega-3 Fatty Acids and Mood Disorders inPregnancyMelbourneParkerMay Nutrition in Medicine Paradigm Shifts Melbourne ParkerJune Antenatal Shared Care Update The Management of Perinatal Mental Illness Sydney AustinJuneJuneJuneAustralian Suicide & Self-harmPrevention ConferenceAustralian Suicide & Self-harmPrevention ConferenceSpecialist Mental Health Services forOlder People Benchmarking Forum,NSW HealthCommunity-Based Suicide Prevention: Literacy,Campaigns, Messaging and Collective Impact.How Much Does the Population Know AboutSuicide? What are Their Attitudes to it?CairnsCairnsECT Sydney LooChristensenChristensenJuneUNSW Heads of School RetreatCan a Head of School be a ProductiveResearcher?SydneyMitchellJune Complex Case Review, POW Hospital Risky Business: Money and Mania Sydney ParkerJuneJulyJulyJulyJulyNational Jansen Newman GP ChronicDisease WorkshopMaternity, Mothers and MentalHealth 2012 Mothering ConferenceOptimising Women’s Perinatal MentalHealthDepression Across the Lifespan, InnerWest Medicare Local AreaInternational Motoneuron MeetingLiving Well with Chronic Disease: AMultidisciplinary Approach to Chronic DiseaseManagementMaternal Stress, Anxiety and Depression inPregnancy: Impact on Obstetric and InfantOutcomesNational Perinatal Depression InitiativeUpdateScreening, Referral and Management ofPerinatal DepressionMechanisms and Dynamics of Oscillatory Inputto MotoneuronsSydneySydneyMelbourneSydneySydneyWilhelmAustinAustinAustinBoonstraJuly Dialogues in Depression Conference Internet Interventions for Mood Disorders Sydney ChristensenJuly44th Annual Conference of theNational Association of Australian Mental Health Panel Sydney ChristensenUniversity Colleges (NAAUC), PanelistJulyNSW Fire and Rescue Peer SupportConferenceManaging Workplace Mental Health Newcastle, NSW HarveyJuly St John of God Hospital Are We Over-Diagnosing Bipolar Disorder? Sydney MitchellJuly Eighth Clinical Controversies DSM-5 – Nosology or Nonsense? Melbourne ParkerJulyEighth Clinical ControversiesPsychostimulant Drugs for Mood Disorders –Dangerous or a Neglected Option?MelbourneParkerAugustAugustAugustAugustAugustFirst National APS e-PsychologyConferenceRamsay Healthcare ContinuingEducation WorkshopRural and Remote Area Psychologists’Program Workshop, Black DogInstituteBlack Dog Institute Facilitators forProfessional Development MeetingMaster of Genetic CounsellingProgram, University of SydneyPrevention of Depression and AnxietyUsing Technologies: New Directions andDevelopmentsBrisbaneECT and TMS Adelaide LooPractical Resilience Building Strategies forYoung PeopleSydneyChristensenManicavasagarAre We Over-Diagnosing Bipolar Disorder? Sydney MitchellGenetics of Mental Illness Sydney MitchellAugust St Andrews Cathedral Workshop Helping Those With Depression Sydney MitchellAugust Clinical Meeting, POW Hospital A Psychiatrist’s Life Sydney ParkerAugust Servier NSW GP Clinical Meeting Managing and Understanding Melancholia Bowral, NSW ParkerAugust Servier: Dialogues in DepressionModelling and Managing the DepressiveDisorders – A ‘Horses for Courses’ ModelGold CoastParkerAugustFirst National APS e-PsychologyConferenceMobile Phone Interventions for Mental Health:Overview of the Emerging FieldCairnsProudfoot

Month Event Name Presentation Location PresenterSeptemberSeptember7th Annual UNSW Brain SciencesSymposium 2012 - Networks andNeuroscience: The Connected Brain7th Annual UNSW Brain SciencesSymposium 2012 - Networks andNeuroscience: The Connected BrainOscillatory Networks in Resting-State BrainActivityDelivering Depression Prevention via theInternetSydneySydneyBoonstraChristensenSeptember Comcare National ConferenceMental Health and Wellbeing in Large andDiverse WorkplacesSydneyHarveySeptember SA Neurostimulation Retreat ECT and Neurostimulation Barossa Valley, SA LooSeptemberChildren’s Hospital EducationResearch InstituteBuilding Resilience to Psychological Problems:Improving the Mental Health of Young PeopleSydneyManicavasagarSeptember AstraZeneca Meet the Experts The Science of Happiness and Wellbeing Hunter Valley, NSW ParkerOctoberThe Annual National SuicidePrevention Conference – Innovationin Suicide Prevention: Bringing ItPredictors of Ideation and Capability Sydney ChristensenTogetherOctoberQueensland Neuropsychiatry InterestGroupNeurostimulation Forum Brisbane LooOctober Grand Rounds, Graylands Hospital Bipolar II Disorder: A Review Perth ParkerOctober Grand Rounds, Austin HospitalBipolar II Disorder: A Review of its Modelling,Detection and ManagementMelbourneParkerOctober Glenside HospitalBipolar II: Modelling, Detection andManagementAdelaideParkerOctober AstraZeneca LectureModelling, Detection and Management:Bipolar II DisorderPerthParkerOctoberThe Royal Brisbane and Women’sHospital SymposiumSex, Chocolate and Exercise Brisbane ParkerNovemberNovemberNovemberNovember22nd Australasian PsychophysiologyConferenceHealth Science Alliance AnnualScientific SymposiumSchool of Psychiatry AcademicSeminar Series, St George HospitalHealthEd Integrative Mental HealthSeminarEffect of Mnemonic Load on Cortical ActivityDuring Visual Working Memory: A Comparisonof Event-Related Potentials and PowerChangesCognitive Impairment in Pregnancy: Myth orFact?SydneySydneyBoonstraChristensenCarving Psychoses at its Biological Joints Sydney GreenFish Oils and Mental Health – What Does theEvidence Really Say?MelbourneNovember Royal Melbourne Hospital ECT Workshop Melbourne LooNovemberHealth Service Alliance First AnnualScientific Symposium, Session ChairScience and Health for Women in 2012 Sydney LooNovemberNovemberNovemberNovemberNovemberNovemberNovemberNSW Institute of PsychiatryPsychiatric Training ProgramCivil Aviation Safety AuthorityMedical Advisory Policy Making PanelPsychosis Australia Strategic PlanningMeetingCivil Aviation Safety AuthorityMedical Advisory Policy Making PanelAstraZeneca GP Central CoastMeetingAstraZeneca LectureAstraZeneca LectureAn Approach to the Management of TreatmentResistant DepressionBipolar Disorder – Features Relevant to PilotSafetyBipolar Disorder Research Audit and Prioritiesin AustraliaSydneySydneySydneyHegartyMitchellMitchellMitchellDepression – Features Relevant to Pilot Safety Sydney MitchellA Piece of My Mind: Pattern Analysis inClinical MedicineBipolar II Disorder: A Review of its Modelling,Detection and ManagementBipolar II: Modelling, Detection andManagementGosford, NSWToowong, QueenslandNovember Servier: Dialogues in Depression The Pursuit Of Happiness Melbourne ParkerNovember Servier: Dialogues in Depression The Pursuit Of Happiness Sydney ParkerNovemberAustralian Doctor Rural DoctorsSeminarMaking Sense of Major Depression Sydney WilhelmDecemberAustralian Cognitive NeuroscienceMeetingEffective Brain Connectivity Brisbane BreakspearDecemberDecemberDecemberDecemberDecemberAustralasian Society for PsychiatricResearch (ASPR) 2012 ConferenceAustralasian Society for PsychiatricResearch (ASPR) 2012 ConferenceAustralasian Society for PsychiatricResearch (ASPR) 2012 ConferenceAustralasian Society for PsychiatricResearch (ASPR) 2012 ConferenceAustralasian Society for PsychiatricResearch (ASPR) 2012 ConferencePrevention of Anxiety Using a WebInterventionWorking Memory Performance-Elicited InsularActivity as a Shared Neurocognitive Marker ofPsychotic Illness.Looking After Our Own: A Qualitative Studyof Sick Doctors and the Obstacles that PreventThem Returning to WorkThe Long Term Consequences of MilitaryDeployment: A Five-Year Cohort Study of UKReservists Deployed to Iraq in 2003.Genetic and Imaging Studies in Young Peopleat High Risk of Bipolar DisorderSydneyDecember MHPN Bega Network Meeting Bipolar II Disorders Bega, NSW ParkerDecemberInternational Day of People withDisability, Commonwealth BankPanel Discussion Sydney ParkerDecemberClinical Meeting, Prince of WalesHospitalSplit Decision: Does Borderline PersonalityDisorder Belong on the Bipolar Spectrum?Arguments For and AgainstPerthPerthPerthPerthPerthSydneyParkerParkerParkerChristensenGreenHarveyHarveyMitchellParkerBLACK DOG INSTITUTE ANNUAL REPORT 2012 PAGE 77

BLACK DOG INSTITUTE ANNUAL REPORT 2012 PAGE 78Donations andBequestsFor calendaryear 2012$50,000 and aboveBerg Family Foundation Pty LtdThe Lansdowne Foundation$10,000-$49,999Chep AustraliaErnst & Young FoundationHollie Jackes FoundationJoseph, PeterMacquarie Group FoundationMcIntyre, Geoffrey & AnnNeilson FoundationPhillips, Bill & Carolyn$100-$9,999Abbott, Ian & CarolynAblos Pty LtdAecom Australia Pty LtdAgnew, Brian & ValerieAmy Athar (pictured)Akins, AG & SKAlerton AustraliaThe late Albert Hunt Alexander, Markprovided significant and valued Alexander, Ron & DesleyAMP Foundationsupport for the work of theAnderson, Ted & MegBlack Dog Institute. At the Anderton, DeborahDonor Thank You event held atAshton, MelAthar, Shah-Jushefthe Institute on 20 NovemberAtherton, David2012, his daughter, Amy Athar, Atlassian Pty LtdAustralian Institute of Companywas there when a commemorativeplaque was unveiled in the Australian Radio Network Pty LtdDirectorsAzab & Shenouda, S & Agarden courtyard to honour hisBaker, Mike & Dotcontribution.Balcomb, H & DOur ambitious goal is to Balint, AndrewBalint, John & Susanmake our services and programsBank of Melbourneavailable to all Australians and Bass, Suzannebeyond. Building scale andBates, Richard & GwendaBathurst Christian Life Centrecapacity across this big countryBeckingham & Elvy, Lynda & Ronrequires support from many Bedoba Holdings Pty LtdBeeline Interior Designquarters, such as governments,Behr, Peter & Gillstatutory bodies, sponsors and Beissel, Richarddonors, the corporate community,philanthropic individualsBelgiorno-Zegna, MarcoBellara Physiotherapy Pty LtdBennett, Markand other organisations. Bennett, Phil & ElesaThe Institute is most appreciativeof this generosity fromBenware, PatriciaBetar, ChristopherBlacktown South Public Schooldonors and sponsors. The Donor Blanch Towers LawyersBlewitt, ShaneBoard in our reception areaBlomfield, RH & KAacknowledges particularly significantdonations, sponsorships Bongaree PharmacyBogan Shire CouncilBorthwick, Elizabethand bequests from individualsBR Corporation Pty Ltdand organisations.Bramley, ReneeFollowing is a list ofBreastScreen, SESIAHSBremner, Peterthose people and organisationsBribie Bowls Club Inc.that have donated $100 or more Bribie Pools & Spa CentreBridgestone, Bribie Islandin 2012.Bright, Ruth & DesmondBrock, LyndaBuckley, JessBug Control (Aust) PlCaltex, Bribie IslandCampbell, ThereseCannon, NicolaCannon, Tom & CarolCarter, David & ElsieCasey, TamiCashmore, PaulCatanzariti, RJ & KECatford PlumbingChambers, Terry & DebbieChant, CatherineChiem, ChauChristensen, HelenChurnin, WendyCity of Wagga WaggaClarke, Ivo & LindyCluff, Tanya & MichaelCoe, RosalieCoffs Harbour TAFECole, GemmaCollins, Ian & JennyCollins, LizColquhoun, John & PatCominakis, TerryConomos, George & CarolContent SecurityCorney, Vickie & RossCowdery, Joy & NicholasCox, JulieCranston, FrancesCunningham & Greenshie, Lindsay& JemimaCuthbert, GregDaracon Social ClubDart, NonaDavenport, Peter & PrueDavis, Bob & SueDawson, Phil & BevDear, Ian & GedDempsey, JanetDeutsche BankDewez, RJ & WADimattna, MarkDrastik, HelenDrummond, Hamish & NinaDunhill, BrentonDunmoore Foundation Pty LtdDunmore Lang CollegeDunnell, SharonE3 International Pty LtdEdgeloe, MichaelEdwards, SarahElsom, RossEntertainment Publications ofAustralia Pty LtdESS Board StoreEvans, P & CEvery-Burns, JacquelineEyers, Kerrie & MichaelFaure, ChristineFenech, PaulFernon, EdwardFernon, MonicaField, David & ToniFiles Stibbe LawyersFinley, RJFordham, LorraineForrest, MarkFoster, LGFrecker, JOFreeman, CatherineFresh Produce GroupFulcher, Greg & AnneFulton, KirstanGallop, GeoffGandy, MichaelGemmell, BerylGeneral Reinsurance Life AustraliaLtdGerber, Ali & NeilGibson, Erin, Jess & GaiGordon West Public SchoolGorman, AnneGosford High SchoolGrayson, GrahamGriffith Classic Motorcycle ClubGroove LoungeHalligan, Ruth & HowardHamild, TeaHannan, LaurenHarcourts, Bribie IslandHardiman, IanHargreaves, John & SueHassell, Chris JHastings, Barrie & JoanHay, LouiseHayward, JoanHazelton, K & JHebbard, VinceHeckes, FrankHennessy, MichaelHerborn, WillHerefords WA IncHess Roney, SaraHilmer Family FoundationHinde, Ron & PamelaHindmarsh, Col & BarbHodgkinson, James and CathyHof, KymHolder, Anne & GeraldHolland, JayHooke, NeilHooper, G & FamilyHughes, Gray & BevHunter Hall International LimitedHyde, Doug & SandyHyman, KenIngham, Rob & PamIreland, GeoffreyIrving, RichardJaensch, RogerJeffrey, Brian & DianeJenkins, JaneJK Group Inc.Joe & Frances, Margaret & Sylvio,Marion & Damien,John Delaney & Nette DavenportJohnson, Greg & DeeJones, PaulineKambala SchoolKamins, JeffreyKarori Pastoral Co. Pty LtdKegel, MonikaKendler, Scott & Di

Kennard, Andy & PrueKerr, MirandaKerridge, Keith & MaureenKiama Mens Monthly MentalHealth Meal GroupKimber, Doug & RosieKing, GregKinghan, CenKirby, TomKnight, FrankKong, CamilleLahm, JuneLamphee, PaulLarke, Terry & SueLata, SanjeshnyLaundy, MargaretLayman, FrancesLear, WayneLeece, RB & CJLennox, John & BarbaraLever, MatthewLiling, Ron & PatriciaLioness Club of MillicentLions Club of Alice SpringsLions Club of BarmeraLions Club of BendigoLions Club of Boyne IslandLions Club of Broken HillLions Club of BusseltonLions Club of Canberra, BelconnenLions Club of CharltonLions Club of CowaramupLions Club of Darwin, NightcliffLions Club of EsperanceLions Club of GilgandraLions Club of GoondiwindiLions Club of GriffithLions Club of HeathcoteLions Club of Huntly, EpsomLions Club of InglewoodLions Club of Kalangadoo andDistrict Inc.Lions Club of Mackay NorthLions Club of Margaret RiverLions Club of Merredin Inc.Lions Club of MontroseLions Club of MoreeLions Club of Mount GambierLions Club of MuswellbrookLions Club of PeterboroughLions Club of PinnarooLions Club of Port AugustaLions Club of SuratLions Club of Swan HillLions Club of TamworthLions Club of TemoraLions Club of Tennant CreekLions Club of Wagga WaggaSouthLions Club of WarrenLions Club of Western KangarooIslandLiving In The Second Half,Thornley Community BaptistChurchLo Castro, MariaLo, DavidLochart, CMC & JLLockhart Ex-Servicemens Club LtdLoewenthal, BillLogan, David & SueLowe, LeeMacNeall, JaneMagnusMalcolm, Scott & JaneMallett, EdwardMandystribeMann, DianeManser, MeganMaritime Union of Australia, WABranchMarsh AustraliaMarston, AndrewMatthews, HeatherMaynard, SharonMcBride, Frances & RossMcCabe, RachelleMcCarthy, StephenMcCully, B & JMcDermott, AndrewMcDougall, BruceMcKain, JoanMcLeary, MichaelMcMaster, TimMcMorrow, LouiseMcNamara, BMMeades, Ali & JerryMerewether District Cricket ClubMinter EllisonMonte Sant’ Angelo MercyCollegeMoore, MichelleMoorhen, SueMorgan, BruceMorgan, EileenMudgee Grassroots Rugby CharityBike RideMurray, KenMurray, SimonMusial, KristinaMyerscough, MatthewNarraweena Jnr Football ClubNarromine CraftingNational Seniors Australia, PenrithBranchNeilson, MichaelNell & Herman Slade TrustNewton & Bradstreet, Mark &CarmelNicholas, GA & TANicholls, LynneNorth Sydney Boys High SchoolNorthash, Michael & SueNyman, JeremyOatley Leo ClubOceanic CoalO’Dea, Michael & MarianneO’Gorman, MaryOlding, Simon & AnnaOliver, RobertONeill, PaulOrd MinnettOrman, JanOrmond College Students ClubInc.Parfett, BruceParker, Ross & LorrainePeattie, AlistairPennant Hills High SchoolPenney, CJ & LHPerformex Studios Pty LtdPerpetual PhilanthropyPerrett, KatePerry, AgnesPettigrew, KeithPharmacy Guild of AustraliaPickering, SarahPlayfair, MatthewPollard, KirstenPowell, Keith & JennyPowell, ThomasPower Living AustraliaPrentice, MaxPrice & Ferguson, Simon, Peter &RachelPrideaux, CatherinePringle, LindsayProfessional CounsellingAssociation of ACT & NSWPynt, Greg & ReneeQBE FoundationQueensland Teachers UnionQuin, DarrenQuinn, Bron & NickQuinn, GarryRecovery StationRees, CE & KMRees, SMRees, WarrenRickert, ClaytonRiggs, FrancesRigney, Chris & LesleyRiverview, Saint Ignatius CollegeRoach, RamonaRobb College, UNERobertson, ReneeRobinson, TimRodger, CatherineRotary Club of Frankston, LongIslandRotary Club of Nowra IncRotary Club of Rose Bay Inc.Rotary Club of West Pennant Hills& CherrybrookRoubicek, John & HelenRoyds, OliveRussell, StevenRymer, JuliaSalkeld, Bob & RhondaSalt, GregorySalter, Philip & ChristineSanders, JoanSargent, GarrySarikas, JohnSchmidhofer, AmandaSchmidt, JulietScott, FelicitySeiden Family TrustSemmler, PeterServier Laboratories AustraliaShaw, Phil & FionaShearers BookshopSheppard, Geoff & MarilynSheppard, Guy & EveSheppard, John & BarbaraSimelius, JosephineSimpson & Neilson, Jeffrey & BeauSlayden, Mary LynnSmith, Kelvin & AnnieSmith, MartinSmith, RobertSmyth & Grech, Ciara & SimonSt Agatha’s Catholic PrimarySchoolSt Peters Lutheran College, Year 12Staff of Commonwealth BankSecuritiesStephens, CraigStern, DeannaSteve Kelly Plumbing Pty LtdStevenson, JanieStiles, PeterStretch, JonathanSullivan, BJSweeney Research Pty LtdSydney Girls High SchoolSydney Market FoundationSymington, Ian & MargSymons, JannTamarama Surf Lifesaving ClubTeachers Mutual BankThe Armchair CollectiveThe Deane Family TrustThe Hills Shire CouncilThe Melbourne Romance WritersGuildThe Normanhurst Netball ClubThe RA Gale FoundationThe Rotary Club of TamworthWest IncThrift, AlexTickner, AmyTims Tyres & Auto Pty LtdTLE Menai, Electrical WholesalersTong, AliciaToomey, JohnTown of Cambridge Social ClubTrebeck, Jules & LindyTucker, PC & JMUlysses Club, Bunbury BranchUnited Way AustraliaUrquhart, KimVallis, John & PareeVickery, PS & PLVodafone FoundationVowell, Charles & SallyWakehurst Wackers Golf GroupWales, JoanWallace, ScottWaller, JakeWalmsley, MatthewWatkins, WilliamWatts, RE & EKWeston, Max & LyanneWestpac GroupWestracWilliams, MarkWills, TomWilson, PB & SMWong, StephanieWoodsideWyong Shire Council,Ys Men’s Club of Broken HillYuncken, CathyZenith Sports ServicesBLACK DOG INSTITUTE ANNUAL REPORT 2012 PAGE 79

Bequest FormA bequest to the Black Dog Institute is a lasting way to assist the Institute to continue its research and other programs,and, in turn, help improve the quality of life of people living with depression. If you would like more information on how tomake a bequest, please contact the Institute [blackdog@blackdog.org.au] or phone (02) 9382 9263.Bequest FormI (name)of (address)give, devise or bequeath to the Black Dog Institute or its successors, the sum of $An official receipt from or on behalf of the Black Dog Institute shall be sufficient discharge to my executors who shall notbe bound to see the application thereof.Postal address for donations:Black Dog InstituteHospital RoadPrince of Wales HospitalRandwick NSW 2031Please make all cheques payable to Black Dog Institute.BLACK DOG INSTITUTE ANNUAL REPORT 2012 PAGE 80

www.blackdoginstitute.org.auwww.biteback.org.auiv