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Peter Tyrer is Professor of Community Psychiatry and Head of the Department of Psychological Medicine in the Division of Neuroscience and Psychological Medicine at Imperial College, London (Department of Psychological Medicine, Imperial College London, Faculty of Medicine, Charing Cross Campus, St Dunstans Road, London W6 8RP, UK. E-mail: p.tyrer{at}imperial.ac.uk). He has worked in psychiatric practice in both NHS and academic roles for over 35 years and is currently the sole psychiatrist in an assertive outreach team as well as a nidotherapist. Priya Bajaj is a senior house officer in the St Marys Psychiatry Training Scheme, London. She has trained in psychiatry in India and has a keen interest in research, having worked on drug trials and a national survey. Currently, she is working with Professor Tyrer on a trial of nidotherapy.
Nidotherapy is the formal term introduced to describe the systematic manipulation of the physical and social environment to help achieve a better fit for a person with a persistent or permanent mental disorder. This approach is described in detail and its merits are compared with more conventional ways of dealing with such problems. This involves the creation of a certain number of terms that may be viewed as unnecessary jargon but help to shorten communication in an area where systematic monitored interventions are relatively uncommon.
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