Doctor Vlasios Brakoulias

Doctor Vlasios Brakoulias

Conjoint Professor,
School Of Medicine

Biography

Professor Brakoulias is recognised at an international level for his research into obsessive-compulsive and related disorders. He heads a novel service within Western Sydney Local Health District that aims to comprehensively assess and optimise treatment for patients suffering from obsessive-compulsive and related disorders and is pioneering research into the prevention and early intervention of these distressing and disabling disorders. Professor Brakoulias is a senior psychiatrist and a member of the Royal Australian and New Zealand College of Psychiatrists (RANZCP). He is also a member of the section for psychotherapy and the committee for examinations for the RANZCP. Since 2013, Prof Brakoulias has been the Editor in Chief of the peer-reviewed medical journal, "Australasian Psychiatry". He teaches medical students at the Blacktown-Mt Druitt Medical School and is the Chair of the Psychiatry Network Governance Committee for the Sydney West and Greater Southern training zone. Prof Brakoulias is a member of the International College of Obsessive-Compulsive Spectrum Disorders (ICOCS) and he has led several major international collaborative research projects.

This information has been contributed by Doctor Brakoulias.

Professional Memberships

  • Senior Staff Specialist in Psychiatry Western Sydney Area Health Service (2018 - 2024)
  • Fellow of the Royal Australian and New Zealand College of Psychiatrists (2007 - 2024)
  • Chair of the Sydney West and Greater Southern Psychiatry Training Network Governance Committee (2011 - 2024)
  • Board member of the Agency of Clinical Innovation for Mental Health (2019 - 2024)
  • Member of the Section of Psychotherapy of the RANZCP (2007 - 2024)
  • Member of the Section for Prevention and Health Promotion of the World Psychiatric Association (2011 - 2024)
  • Editor in Chief, Australasian Psychiatry (2013)
  • Service Head, Western Sydney Obsessive-Compulsive and Related Disorders Service (2018)
  • Executive member of the Blacktown Medical Staff Council (2019 - 2024)

Interests

  • Obsessive Compulsive Disorder and Related Conditions
  • Obsessive-Compulsive Disorder
  • Anxiety Disorders
  • Clinical Trials
  • Neurostimulation
  • Psychiatric services
  • Psychiatry
  • Schizophrenia
  • Suicide Risk Reduction
  • Teaching

Organisational Unit (School / Division)

  • School Of Medicine

Contact

Email: V.Brakoulias@westernsydney.edu.au
Phone:
Mobile:
Location:
Website:

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Teaching

Current Teaching Areas

  • 401095 Mental Health and Substance Abuse

Publications

Journal Articles

  • Fineberg, N., Dell'Osso, B., Albert, U., Maina, G., Geller, D., Carmi, L., Sireau, N., Walitza, S., Grassi, G., Pallanti, S., Hollander, E., Brakoulias, V., Menchon, J., Marazziti, D., Ioannidis, K., Apergis-Schoute, A., Stein, D., Cath, D., Veltman, D. and Zohar, J. (2019), '[In Press] Early intervention for obsessive compulsive disorder : an expert consensus statement', European Neuropsychopharmacology, .
  • Brakoulias, V. and Stockings, E. (2019), 'A systematic review of the use of risperidone, paliperidone and aripiprazole as augmenting agents for obsessive-compulsive disorder', Expert Opinion on Pharmacotherapy, vol 20, no 1 , pp 47 - 53.
  • Brakoulias, V., Starcevic, V., Albert, U., Arumugham, S., Bailey, B., Belloch, A., Borda, T., Dell'Osso, L., Elias, J., Falkenstein, M., Ferrao, Y., Fontenelle, L., Jelinek, L., Kalogeraki, L., Kay, B., Laurito, L., Lochner, C., Maina, G., Marazziti, D. and Fineberg, N. (2019), 'Treatments used for obsessive-compulsive disorder : an international perspective', Human Psychopharmacology, vol 34, no 1 .
  • Brakoulias, V. (2019), 'Commentary on RANZCP clinical practice guidelines for the treatment of panic disorder, social anxiety disorder and generalised anxiety disorder', Australian and New Zealand Journal of Psychiatry, vol 53, no 1 , pp 81 - 82.
  • Silveira de Avila, R., Nascimento, L., Moura Porto, R., Fontenelle, L., Filho, E., Brakoulias, V. and Ferrao, Y. (2019), 'Level of insight in patients with obsessive-compulsive disorder : an exploratory comparative study between patients with "good insight" and "poor insight"', Frontiers in Psychiatry, vol 10 .
  • Berle, D., Starcevic, V., Viswasam, K., Milicevic, D., Hannan, A., Brakoulias, V. and Steel, Z. (2018), 'Confirmatory factor analysis of the Nepean Dysphoria Scale in a clinical sample', Psychiatric Quarterly, vol 89, no 3 , pp 621 - 629.
  • Seymour, J., Chapman, T., Starcevic, V., Viswasam, K. and Brakoulias, V. (2018), '[In Press] Changing characteristics of a Psychiatric Emergency Care Centre : an eight year follow-up study', Australasian Psychiatry, .
  • Hannan, A., Berle, D., Milicevic, D., Dale, E., Starcevic, V., Brakoulias, V. and Viswasam, K. (2018), 'Routine treatment duration for clients attending a community based anxiety disorders clinic', Australasian Psychiatry, vol 26, no 3 , pp 307 - 310.
  • Starcevic, V. and Brakoulias, V. (2018), 'The importance of aberrant beliefs in obsessive-compulsive disorder and related conditions', Australian and New Zealand Journal of Psychiatry, vol 52, no 2 , pp 201 - 202.
  • Rehn, S., Eslick, G. and Brakoulias, V. (2018), 'A meta-analysis of the effectiveness of different cortical targets used in repetitive transcranial magnetic stimulation (rTMS) for the treatment of obsessive-compulsive disorder (OCD)', Psychiatric Quarterly, vol 89, no 3 , pp 645 - 665.
  • Brakoulias, V., Perkes, I. and Tsalamanios, E. (2018), 'A call for prevention and early intervention in obsessive-compulsive disorder', Early Intervention in Psychiatry, vol 12, no 4 , pp 572 - 577.
  • Brakoulias, V., Starcevic, V., Milicevic, D., Hannan, A., Viswasam, K. and Brown, C. (2018), 'The Nepean Belief Scale : preliminary reliability and validity in obsessive-compulsive disorder', International Journal of Psychiatry in Clinical Practice, vol 22, no 2 , pp 84 - 88.
  • Marazziti, D., Albert, U., Dell'Osso, B., Tundo, A., Cuniberti, F., Maina, G., Moroni, I., Benatti, B., Mucci, F., Massimetti, G., Piccinni, A. and Brakoulias, V. (2017), 'Italian prescribing patterns in obsessive-compulsive disorder', Human Psychopharmacology, vol 32, no 6 .
  • Brakoulias, V. and Tsalamanios, E. (2017), 'Pharmacotherapy for obsessive-compulsive disorder (OCD) : predicting response and moving beyond serotonin re-uptake inhibitors', Expert Opinion on Pharmacotherapy, vol 18, no 1 , pp 1 - 3.
  • Brakoulias, V. and Rehn, S. (2017), 'Does the severity of obsessive-compulsive symptoms reduce with age?', Journal of Affective Disorders, vol 213 , pp 178 - 179.
  • Brakoulias, V., Starcevic, V., Belloch, A., Brown, C., Ferrao, Y., Fontenelle, L., Lochner, C., Marazziti, D., Matsunaga, H., Miguel, E., Reddy, Y., Rosario, M., Shavitt, R., Shyam Sundar, A., Stein, D., Torres, A. and Viswasam, K. (2017), 'Comorbidity, age of onset and suicidality in obsessive-compulsive disorder (OCD) : an international collaboration', Comprehensive Psychiatry, vol 76 , pp 79 - 86.
  • Starcevic, V. and Brakoulias, V. (2017), 'Current understanding of the relationships between obsessive-compulsive disorder and personality disturbance', Current Opinion in Psychiatry, vol 30, no 1 , pp 50 - 55.
  • Berle, D., Starcevic, V., Milicevic, D., Hannan, A., Dale, E., Skepper, B., Viswasam, K. and Brakoulias, V. (2016), 'The structure and intensity of self-reported autonomic arousal symptoms across anxiety disorders and obsessive-compulsive disorder', Journal of Affective Disorders, vol 199 , pp 81 - 86.
  • Brakoulias, V., Starcevic, V., Martin, A., Berle, D., Milicevic, D. and Viswasam, K. (2016), 'The familiality of specific symptoms of obsessive-compulsive disorder', Psychiatry Research, vol 239 , pp 315 - 319.
  • Brakoulias, V., Starcevic, V., Belloch, A., Dell?Osso, L., Ferrao, Y., Fontenelle, L., Lochner, C., Marazziti, D., Martin, A., Matsunaga, H., Miguel, E., Reddy, J., Rosario, M., Shavitt, R., Sundar, A., Stein, D. and Viswasam, K. (2016), 'International prescribing practices in obsessive-compulsive disorder (OCD)', Human Psychopharmacology, vol 31, no 4 , pp 319 - 324.
  • Petersen, R., Brakoulias, V. and Langdon, R. (2016), 'An experimental investigation of mentalization ability in borderline personality disorder', Comprehensive Psychiatry, vol 64 , pp 12 - 21.
  • Berle, D., Moulds, M., Starcevic, V., Milicevic, D., Hannan, A., Dale, E., Viswasam, K. and Brakoulias, V. (2016), 'Does emotional reasoning change during cognitive behavioural therapy for anxiety?', Cognitive Behaviour Therapy, vol 45, no 2 , pp 123 - 135.
  • Starcevic, V., Berle, D., Rosario, M., Brakoulias, V., Ferrao, Y., Viswasam, K., Shavitt, R., Miguel, E. and Fontenelle, L. (2016), 'Use of benzodiazepines in obsessive-compulsive disorder', International Clinical Psychopharmacology, vol 31, no 1 , pp 27 - 33.
  • Brakoulias, V. (2015), 'Managing obsessive compulsive disorder', Australian Prescriber, vol 38, no 4 , pp 121 - 123.
  • Brakoulias, V. and Milicevic, D. (2015), 'Assessment and treatment of hoarding disorder', Australasian Psychiatry, vol 23, no 4 , pp 358 - 360.
  • Brakoulias, V., Eslick, G. and Starcevic, V. (2015), 'A meta-analysis of the response of pathological hoarding to pharmacotherapy', Psychiatry Research, vol 229, no 1-2 , pp 272 - 276.
  • Berle, D., Starcevic, V., Milicevic, D., Hannan, A., Dale, E., Brakoulias, V. and Viswasam, K. (2015), 'Do patients prefer face-to-face or internet-based therapy?', Psychotherapy and Psychosomatics, vol 84, no 1 , pp 61 - 62.
  • Brakoulias, V. and Androutsos, C. (2015), 'The clinical utility of the tic-related obsessive-compulsive disorder diagnostic specifier', Australian and New Zealand Journal of Psychiatry, vol 49, no 11 , pp 1060 - 1060.
  • Starcevic, V., Brakoulias, V., Viswasam, K. and Berle, D. (2015), 'Inconsistent portrayal of medication dependence, withdrawal and discontinuation symptoms in treatment guidelines for anxiety disorders', Psychotherapy and Psychosomatics, vol 84, no 6 , pp 379 - 380.
  • Starcevic, V., Berle, D., Viswasam, K., Hannan, A., Milicevic, D., Brakoulias, V. and Dale, E. (2015), 'Specificity of the relationships between dysphoria and related constructs in an outpatient sample', Psychiatric Quarterly, vol 86, no 4 , pp 459 - 469.
  • Brakoulias, V., Macfarlane, M. and Looi, J. (2015), 'The rites of writing papers : steps to successful publishing for psychiatrists', Australasian Psychiatry, vol 23, no 1 , pp 32 - 36.
  • Brockman, R., Kiernan, M., Brakoulias, V. and Murrell, E. (2014), 'The relationship between cognitive behavioral therapy maintenance processes, emotional distress, and positive psychotic symptoms : evidence that CBT is 'not a quasi-neuroleptic'', Journal of Cognitive Psychotherapy, vol 28, no 2 , pp 101 - 116.
  • Starcevic, V. and Brakoulias, V. (2014), 'New diagnostic perspectives on obsessive-compulsive personality disorder and its links with other conditions', Current Opinion in Psychiatry, vol 27, no 1 , pp 62 - 67.
  • Brakoulias, V., Starcevic, V., Berle, D., Milicevic, D., Hannan, A. and Martin, A. (2014), 'The relationships between obsessive-compulsive symptom dimensions and cognitions in obsessive-compulsive disorder', Psychiatric Quarterly, vol 85, no 2 , pp 133 - 142.
  • Brakoulias, V. (2014), 'The opportunity to make wise choices in our quest for excellence in the practice of psychiatry', Australasian Psychiatry, vol 22, no 6 , pp 521 - 522.
  • Brakoulias, V. (2014), 'DSM-5 bids farewell to hypochondriasis and welcomes somatic symptom disorder and illness anxiety disorder', Australian and New Zealand Journal of Psychiatry, vol 48, no 7 , pp 688 - 688.
  • Phu, A., Xu, Z., Brakoulias, V., Mahant, N., Fung, V., de Moore, G., Martin, A., Starcevic, V. and Krause, M. (2014), 'Effect of impulse control disorders on disability and quality of life in Parkinson's disease patients', Journal of Clinical Neuroscience, vol 21, no 1 , pp 63 - 66.
  • Brakoulias, V. (2014), 'The future of pharmacotherapy for obsessive-compulsive disorder may lie in a better understanding of its heterogeneity', Expert Opinion on Pharmacotherapy, vol 15, no 10 , pp 1321 - 1323.
  • Brakoulias, V. (2014), 'Striving for excellence in the practice of psychiatry', Australasian Psychiatry, vol 22, no 1 , pp 5 - 6.
  • Brakoulias, V., Starcevic, V., Berle, D., Milicevic, D., Hannan, A., Viswasam, K. and Mann, K. (2014), 'The clinical characteristics of obsessive compulsive disorder associated with high levels of schizotypy', Australian and New Zealand Journal of Psychiatry, vol 48, no 9 , pp 852 - 860.
  • Brakoulias, V. (2014), 'Lyme disease or a complication of delusional parasitosis?', Australian and New Zealand Journal of Psychiatry, vol 48, no 1 , pp 97 - 98.
  • Brakoulias, V., Starcevic, V., Berle, D., Milicevic, D., Moses, K., Hannan, A., Sammut, P. and Martin, A. (2013), 'The use of psychotropic agents for the symptoms of obsessive-compulsive disorder', Australasian Psychiatry, vol 21, no 2 , pp 117 - 121.
  • Brakoulias, V., Starcevic, V., Berle, D., Milicevic, D., Moses, K., Hannan, A., Sammut, P. and Martin, A. (2013), 'The characteristics of unacceptable/taboo thoughts in obsessive-compulsive disorder', Comprehensive Psychiatry, vol 54, no 7 , pp 750 - 757.
  • Starcevic, V., Berle, D., Brakoulias, V., Sammut, P., Moses, K., Milicevic, D. and Hannan, A. (2013), 'Obsessive-compulsive personality disorder co-occuring with obsessive compulsive disorder : conceptual and clinical implications', Australian and New Zealand Journal of Psychiatry, vol 47, no 1 , pp 65 - 73.
  • Brakoulias, V., Starcevic, V., Berle, D., Sammut, P., Milicevic, D., Moses, K., Hannan, A. and Martin, A. (2013), 'Further support for five dimensions of obsessive-compulsive symptoms', Journal of Nervous and Mental Disease, vol 201, no 6 , pp 452 - 459.
  • Lampe, L., Fritz, K., Boyce, P., Starcevic, V., Brakoulias, V., Walter, G., Shadbolt, N., Harris, A. and Malhi, G. (2013), 'Psychiatrists and GPs : diagnostic decision making, personality profiles and attitudes toward depression and anxiety', Australasian Psychiatry, vol 21, no 3 , pp 231 - 237.
  • Brakoulias, V., Seymour, J., Lee, J., Sammut, P. and Starcevic, V. (2013), 'Predictors of the length of stay in a psychiatric emergency care centre', Australasian Psychiatry, vol 21, no 6 , pp 563 - 566.
  • Brakoulias, V. (2013), 'Releasing medical records to the mentally ill : what about the carer?', Australian and New Zealand Journal of Psychiatry, vol 47, no 10 , pp 962 - 963.
  • Brakoulias, V. (2013), '"This won't hurt a bit"', Australasian Psychiatry, vol 21, no 6 , pp 595 - 595.
  • Brakoulias, V. (2013), 'Diagnostic subtyping of obsessive-compulsive disorder : have we got it all wrong?', Australian and New Zealand Journal of Psychiatry, vol 47, no 1 , pp 23 - 25.
  • Brakoulias, V. (2013), 'Virtual reality can help to develop a new reality', Australian and New Zealand Journal of Psychiatry, vol 47, no 2 , pp 186 - 187.
  • Berle, D., Starcevic, V., Brakoulias, V., Sammut, P., Milicevic, D., Hannan, A. and Moses, K. (2012), 'Disgust propensity in obsessive-compulsive disorder : cross-sectional and prospective relationships', Journal of Behavior Therapy and Experimental Psychiatry, vol 43, no 1 , pp 656 - 663.
  • Lampe, L., Shadbolt, N., Starcevic, V., Boyce, P., Brakoulias, V., Hitching, R., Viswasam, K., Walter, G. and Malhi, G. (2012), 'Diagnostic processes in mental health : GPs and psychiatrists reading from the same book but on a different page', Australasian Psychiatry, vol 20, no 5 , pp 374 - 378.
  • Rankin, K. and Brakoulias, V. (2012), 'Patterns of hypnotic medication use for sleep disturbance amongst hospital inpatients', Australasian Psychiatry, vol 20, no 4 , pp 301 - 304.
  • Brakoulias, V. (2012), 'Are we becoming obsessed about climate change?', Australian and New Zealand Journal of Psychiatry, vol 46, no 3 , pp 275 - 276.
  • Brakoulias, V. (2012), 'Products containing synthetic cannabinoids and psychosis', Australian and New Zealand Journal of Psychiatry, vol 46, no 3 , pp 281 - 282.
  • Starcevic, V., Berle, D., Brakoulias, V., Sammut, P., Moses, K., Milicevic, D. and Hannan, A. (2012), 'Interpersonal reassurance seeking in obsessive-compulsive disorder and its relationship with checking compulsions', Psychiatry Research, vol 200, no 2-3 , pp 560 - 567.
  • Brakoulias, V., Starcevic, V., Sammut, P., Berle, D., Milicevic, D., Moses, K. and Hannan, A. (2011), 'Obsessive compulsive spectrum disorders : a comorbidity and family history perspective', Australasian Psychiatry, vol 19, no 2 , pp 151 - 155.
  • Starcevic, V., Berle, D., Brakoulias, V., Sammut, P., Moses, K., Milicevic, D. and Hannan, A. (2011), 'The nature and correlates of avoidance in obsessive-compulsive disorder', Australian and New Zealand Journal of Psychiatry, vol 45, no 10 , pp 871 - 879.
  • Starcevic, V., Berle, D., Brakoulias, V., Sammut, P., Moses, K., Milicevic, D. and Hannan, A. (2011), 'Functions of compulsions in obsessive-compulsive disorder', Australian and New Zealand Journal of Psychiatry, vol 45, no 6 , pp 449 - 457.
  • Brakoulias, V. and Starcevic, V. (2011), 'The characterization of beliefs in obsessive-compulsive disorder', Psychiatric Quarterly, vol 82, no 2 , pp 151 - 161.
  • Brakoulias, V. and Sara, G. (2011), 'Hospital admissions for obsessive-compulsive disorder in NSW, 1997 to 2010', Australasian Psychiatry, vol 19, no 6 , pp 502 - 506.
  • Nasti, J. and Brakoulias, V. (2011), 'Chronic baclofen abuse and withdrawal delirium', Australian and New Zealand Journal of Psychiatry, vol 45, no 1 , pp 86 - 87.
  • Berle, D., Starcevic, V., Milicevic, D., Moses, K., Hannan, A., Sammut, P. and Brakoulias, V. (2010), 'The factor structure of the Kessler-10 questionnaire in a treatment seeking sample', Journal of Nervous and Mental Disease, vol 198, no 9 , pp 660 - 664.
  • Brakoulias, V., Mandali, R., Seymour, J., Sammut, P. and Starcevic, V. (2010), 'Characteristics of admissions to a recently opened Psychiatric Emergency Care Centre', Australasian Psychiatry, vol 18, no 4 , pp 326 - 329.
  • Brakoulias, V. (2010), 'Podcast into the future', Australasian Psychiatry, vol 18, no 5 , pp 467 - 467.
  • Anwar, N. and Brakoulias, V. (2010), 'Safety of electroconvulsive therapy after subdural haemorrhage', Australian and New Zealand Journal of Psychiatry, vol 44, no 3 , pp 294 - 294.
  • Nguyen, D., Brakoulias, V. and Boyce, P. (2009), 'An evaluation of monitoring practices in patients on second generation antipsychotics', Australasian Psychiatry, vol 17, no 4 , pp 295 - 299.
  • Brakoulias, V., Langdon, R., Sloss, G., Coltheart, M., Mears, R. and Harris, A. (2008), 'Delusions and reasoning : a study involving cognitive behavioural therapy', Cognitive Neuropsychiatry, vol 13, no 2 , pp 148 - 165.

Professor Brakoulias heads a number of research projects within the mental health sphere. He has interests in obsessive-compulsive and related disorders, anxiety disorders, schizophrenia, delusional disorders, heart rate variability, electroencephalography, metabolic disorders, service provision, publishing, teaching and training.

Professor Brakoulias supervises PhD students, registrars completing their scholarly projects and medical students completing their MD or summer school projects. Anyone interested in conducting research under Professor Brakoulias' supervision should contact him via email.

This information has been contributed by Doctor Brakoulias.

Current Projects

Title: Suicide prevention with Aboriginal and Torres Strait Islander people
Funder:
  • Western Sydney Local Health District
Western Researchers: Ilse Blignault, Natalie Morrison and Vlasios Brakoulias
Years: 2019-07-01 - 2020-06-30
ID: P00026058

Western Sydney University

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