The Gillan Lab at Trinity College Dublin uses cognitive neuroscience to better understand, predict and treat mental health problems, tackling issues that are psychiatric, developmental, neurological and associated with advancing age. It is proud to be a part of the new Global Brain Health Institute, and to currently hold funding from the Wellcome Trust, the Global Brain Health Institute and MQ mental health.
We aim to understand mental health problems in terms of their underlying biological mechanisms. While some issues might best understood in terms of clusters or categories, others may reflect dimensions that are observable in the general population. We use cognitive neuroscience to test these opposing possibilities, seeking to empirically validate new and improved mental health phenotypes. The fundamental premise being that any brain health taxonomy should be biologically plausible, that the defining characteristics of a cluster or dimension should relatively homogenous and discrete. We believe that reforming nosology in this way is essential for identifying robust biomarkers, reliable genetic associations and appropriate animal models of mental health problems. Read a write-up about our work in this area in scientific american.
A key goal of the Gillan lab is to identify biomarkers of brain health problems that can be used to predict who will get sick in the future. The hope is that by identifying risk factors, we can intervene earlier, prevent progression to disease or at least keep people healthy for longer. One such project is Neureka, funded by the Global Brain Health Institute. Neureka is a smartphone app that unites citizen scientists around the world who want to contribute to cognitive neuroscience research in brain health. We believe that developing scalable detection tools is crucial for supporting intervention-based research to tackle the rise of dementia worldwide.
However good our treatments are, be they pharmacological or behavioural, they can only be as effective as the precision with which we can administer them. A key challenge in treating mental health problems is that treatment response is heterogeneous; we typically do not know which individual will respond to which medicine or behavioural therapy. A key goal of the Gillan Lab is to identify cognitive and neural markers of treatment response using baseline measurements in prospective studies. Ongoing work in this area aims to predict individual responses to cognitive behavioural therapy (CBT) for OCD in collaboration with H. Blair Simpson at Columbia University. More recently, the lab has received funding from MQ to study antidepressant response using an innovative web-based methodology. Read about this project here, or in the Guardian. If you are a general practitioner who wants to get involved, find out more here.