Professor Peter Lepping

MRCPsych, MSc

Visiting Professor in Psychiatry, Glyndŵr University

Tel: 01978 727403
Email: PETER.LEPPING@wales.nhs.uk

Peter Lepping went to University in Münster, Germany where he graduated in 1996. He moved to Britain for family reasons and did his postgraduate education in and around Liverpool and North Wales. He has a Masters in Medical Ethics and won several research prizes. His research interests include violence and aggression, delusional infestation, ethics, risk mitigation and various other projects.

Professor Lepping has been appointed Honorary Senior Lecturer by the University of Wales, Bangor. He works as a Consultant Psychiatrist in Wrexham, North Wales. He runs a specialist clinic for adult ADHD. He is also the Associate Medical Director for Ethics, Capacity and Consent for Betsi Cadwaladr University Health Board.

Publications (since the beginning of 2008)

Books

2009:  Lepping P
Medical Ethics – Issues and Implications
Asis Kumar Pain, editor
Contributor on Country Perspectives
Icfai University Press
ISBN: 978-81-314-1957-1

Published Articles

2008

Lepping P, Freudenmann RW.  Delusional parasitosis: a new pathway for diagnosis and treatment.  Clinical and Experimental Dermatology, 33(2):113-117

Gorton AJ, Jayanthi NV, Lepping P, Scriven MW.  Patients' attitudes towards "do not attempt resuscitation" status. Journal of Medical Ethics, 2008 Aug; 34(8):624-6

Sharma VK, Lepping P, Krishna M, Durrani S, Copeland JR, Mottram P, Parhee R, Quinn B, Lane S, Cummins A.  Mental health diagnosis by nurses using the Global Mental Health Assessment Tool: a validity and feasibility study.  British Journal of General Practice, 2008 Jun; 58(551):411-6

Lepping, P.  Is psychiatry torn in different ethical directions?  Psychiatric Bulletin, 2008; 32:325-6

Kandarp J, Slegg G, Lepping P. The psychopathology of AIDS within the Surat region of India: A cohort study. The Psychologist in Wales, 2008, 21:17-24

Freudenmann RW, Lepping P. Second-generation antipsychotics in primary and   secondary delusional parasitosis: outcome and efficacy. Journal of Clinical Psychopharmacol. 2008 Oct; 28(5):500-8

Huber M, Karner M, Kirchler E, Lepping P, Freudenmann RW.  Striatal lesions in delusional parasitosis revealed by magnetic resonance imaging.  Progress in Neuropsychopharmacology Biology Psychiatry. 2008 Dec 12; 32(8):1967-71

2009

Freudenmann RW, Kühnlein P, Lepping P, Schönfeldt-Lecuona C.  Secondary delusional parasitosis treated with paliperidone. Clinical and Experimental Dermatology. 2009; 34(3):375-7

Steinert T, Lepping P.  Legal provisions and practice in the management of violent patients.  A case vignette study in 16 European countries.  European Psychiatry, 2009; 24(2):
135-41

Krishna M, Lepping P, Sharma VK, Copeland JR, Lockwood L, Williams M.  Epidemiological and clinical use of GMHAT-PC (Global Mental Health assessment tool-primary care) in cardiac patients. Clinical Practice and Epidemiology in Mental Health. 2009; 13; 5(1):7

Crossley D, Lepping P. Role confusion, values-based practice and the demise of the generalist. Psychiatric Bulletin. 2009; 33: 7 - 9

Carson AM, Lepping P. Ethical psychiatry in an uncertain world: conversations and parallel truths. Philosophy Ethics Humanity in Medicine. 2009 Jun; 25; 4:7. http://www.peh-med.com/content/pdf/1747-5341-4-7.pdf

Lepping P. Consent and capacity for dermatologists: an ethical review and update. Clinical and Experimental Dermatology. 2009 Aug; 34(6):655-7

Lepping P, Steinert T, Needham I, Abderhalden C, Flammer E, Schmid P. Ward safety perceived by ward managers in Britain, Germany and Switzerland: identifying factors that improve ability to deal with violence. Journal of Psychiatric Mental Health Nursing. 2009 Sep; 16(7):629-35

Steinert T, Lepping P, Bernhardsgrütter R, Conca A, Hatling T, Janssen W, Keski-Valkama A, Mayoral F, Whittington R. Incidence of seclusion and restraint in psychiatric hospitals: a literature review and survey of international trends. Social Psychiatry Psychiatric Epidemiology. 2009 Sep 2. [Epub ahead of print]

Freudenmann RW, Lepping P. Delusional infestation. Clinical Microbiology Reviews. 2009 Oct; 22(4):690-732

Sambhi RS, Lepping P. Psychiatric treatments in dermatology: an update. Clinical and Experimental Dermatology. 2009 Oct 23. [Epub ahead of print]

Sambhi RS, Lepping P. Adult ADHD and psychosis: A review of the literature and two cases. Clinical Neuropsychiatry. 2009; 6, 4, 174-8, http://www.clinicalneuropsychiatry.org/pdf/06_singh.pdf

Lepping P, Paravastu CV, Turner J, Billings P, Minshom P. Copying GP letters to patients: A comprehensive study across four different departments in a district general hospital Health Informatics Journal. 2009, DOI: 10.1177/1460458209349814

Articles Accepted or Under Review

2009

Lepping P, Delieu J, Mellor R, Williams JHH, Hudson PR, Hunter-Lavin C Antipsychotic medication and oxidative cell stress – a systematic review. Journal of Clinical Psychiatry. Accepted September 2009

Cole-King A, Lepping P. Suicide mitigation: time for a more realistic approach. British Journal of General Practice. Accepted November 2009

Lepping P, Baker C, Freudenmann RW. Delusional infestation in dermatology in the UK: Prevalence, treatment strategies, and feasibility of a RCT. Clinical and Experimental Dermatology. Accepted November 2009

Bewley A, Lepping P, Freudenmann RW, Taylor R Delusional Parasitosis: Time to change the name of the condition to Delusional Infection. British Journal of Dermatology

Lepping P, Sambhi RS, Williams-Jones K. Deprivation of liberty safeguards – How prepared are we? Journal of Medical Ethics. Accepted November 2009

Lepping P, Sambhi RS, Whittington R, Lane S, Poole R. A systematic review of the clinical relevance of findings in trials of antipsychotics.  British Journal of Psychiatry.
Under review

Published Correspondence

2008

Lepping P.  The Bournewood gap is not as wide as it sometimes seems. Psychiatric Bulletin, 2008 April; 32 (4):153.

Lepping P.  The neglect of the non-believer.  Psychiatric Bulletin, 2008 June  http://pb.rcpsych.org/cgi/eletters/32/6/201#5062

Lepping P. Considerations of second generation antipsychotics in the treatment of delusional parasitosis.  British Journal of Psychiatry, e-letter: http://bjp.rcpsych.org/cgi/eletters/191/3/198#19587 (2.7.08)

Lepping P, Freudenmann RW.  Aripiprazole in the treatment of primary delusional parasitosis.  British Journal of Psychiatry, 2008;193:258.

Poole R, Higgo R, Strong G, Kennedy G, Ruben S, Barnes R, Lepping P,  Mitchell P.  Religion, psychiatry and professional boundaries.  Psychiatric Bulletin, 2008; 32:356-357.

Published Abstracts and Posters (selection)

2009

Lepping P. 13th Congress of the European Society of Dermatology and Psychiatry, Venice, September 2009
“Treatment of delusional parasitosis – a new name, new treatment and a complete update”, Acta Dermatovenerol, 2009, 89 (5), OP20, 559

Lepping P, Sambhi RS. 13th Congress of the European Society of Dermatology and Psychiatry, Venice, September 2009
“An update on psychiatric treatments in dermatology”, Acta Dermatovenerol, 2009, 89 (5), OP62, 571

Lepping P, Baker C, Freudenmann RW. 13th Congress of the European Society of Dermatology and Psychiatry, Venice, September 2009 “Prevalence of delusional infestation”, Acta Dermatovenerol, 2009, 89 (5), WP4, 579-80

Lepping P, Baker C, Ward-Jones J, Harvey J. 6th Congress of Violence in Clinical Psychiatry, Stockholm, October 2009 “The effects of introducing the BVC in a medical ward – preliminary results of a randomised controlled trial”, Abstract booklet, 2009, 113

Lepping P, Sambhi RS, Whittington R, Lane S, Poole R. 6th Congress of Violence in Clinical Psychiatry, Stockholm, October 2009, “Systematic review of PANSS score changes in schizophrenia research”, Abstract booklet, 2009, 119

Lepping P, Armbruster U, Carlyle G. 6th Congress of Violence in Clinical Psychiatry, Stockholm, October 2009. “Benefits of international multidisciplinary visits for reflection, discussion and improvement of the treatment of aggressive behaviour”, Abstract booklet, 2009, 365

Cole-King A, Lepping P, Peake-Jones G, Lauber C, Whittington R. Welsh Division of the Royal College of Psychiatrists, Annual Conference, Ewloe, November 2009. “The Cole-King mitigation framework – evaluation of a framework for supporting the identification and response to suicide risk.” Poster.