Dr Kathryn Fletcher

Dr Kathryn Fletcher

Senior Research Associate
Medicine & Health
National Drug & Alcohol Research Centre

Dr Kathryn Fletcher has 15+ years of experience in research and evaluation. She has worked across academic, government and industry roles in a clinical and research capacity and has published over 65 peer-reviewed manuscripts, four book chapters and a key Government Report. Kathryn currently works as Senior Research Associate at the National Centre for Clinical Research on Emerging Drugs, focusing on clinical trial design and implementation. Her program of research focuses on mental health (with expertise in mood disorders) and comorbid substance use disorders. She is currently working on developing innovative treatments for methamphetamine use disorder, including psychedelic-assisted psychotherapy. As a clinical psychologist and researcher, she is passionate about evidence-based, scalable solutions that have meaningful, real-world social impact.

  • Book Chapters | 2012
    Fletcher K, 2012, 'Personality styles associated with Bipolar 11 disorder', in Parker G (ed.), Bipolar 11 Disorder Modelling, Measuring and Managing, Cambridge University PRess, New York, pp. 70 - 80
    Book Chapters | 2009
    Parker GB; Fletcher K, 2009, 'The clinical diagnosis of bipolar depression', in Bipolar Depression: Molecular Neurobiology, Clinical Diagnosis and Pharmacotherapy, Birkhäuser Basel, pp. 17 - 28, http://dx.doi.org/10.1007/978-3-7643-8567-5_2
    Book Chapters | 2008
    Parker GB; Fletcher K, 2008, 'Is Bipolar 11 Disorder increasing in prevalence?', in Eyers G; Parker K (ed.), Bipolar 11 Disorder Modelling, Measuring and Managing, Cambridge University Press, Cambridge,UK, pp. 75 - 82
  • Journal articles | 2023
    Daluwatta A; Fletcher K; Ludlow C; Virgona A; Murray G, 2023, 'A Mixed-Methods Investigation of Facilitators to Accessing and Utilising Mental Health Services amongst Sri Lankan Australians.', Int J Environ Res Public Health, 20, http://dx.doi.org/10.3390/ijerph20075425
    Journal articles | 2023
    Fletcher K; Moran-Pryor A; Robert-Hendren D, 2023, 'Preliminary Clinical Outcomes of the Hello Sunday Morning Alcohol and Wellbeing Self-Assessment: Feasibility and Acceptability Study.', JMIR Form Res, 7, pp. e48245, http://dx.doi.org/10.2196/48245
    Journal articles | 2022
    Daluwatta A; Peiris D; Fletcher K; Ludlow C; Murray G, 2022, 'Can Sri Lankan Australians Recognise Depression? The Influence of Acculturation, Age and Experiences with Depression on Recognition.', Int J Environ Res Public Health, 19, http://dx.doi.org/10.3390/ijerph192214839
    Journal articles | 2022
    Fletcher K; Lindblom K; Seabrook E; Foley F; Murray G, 2022, 'Pilot Testing in the Wild: Feasibility, Acceptability, Usage Patterns, and Efficacy of an Integrated Web and Smartphone Platform for Bipolar II Disorder.', JMIR Form Res, 6, pp. e32740, http://dx.doi.org/10.2196/32740
    Journal articles | 2021
    Fletcher K; Murray G, 2021, 'Towards tailored psychosocial intervention for BD-II: Lived experience perspectives on current and future management options.', J Affect Disord, 289, pp. 110 - 116, http://dx.doi.org/10.1016/j.jad.2021.04.018
    Journal articles | 2021
    Tremain H; Fletcher K; Murray G, 2021, 'Babies, bathwater, and bipolar disorder: Is it time to call curtains on staging?', Bipolar Disord, 23, pp. 515 - 516, http://dx.doi.org/10.1111/bdi.13077
    Journal articles | 2021
    Tremain H; Fletcher K; Murray G, 2021, 'Conceptualizing the later stage of bipolar disorder: Descriptive analyses from the ORBIT trial.', Bipolar Disord, 23, pp. 165 - 175, http://dx.doi.org/10.1111/bdi.12943
    Journal articles | 2021
    Yang Y; Fletcher K; Murray G, 2021, 'A narrative review of cross-sectional and prospective associations between self-schemas and bipolar disorder.', Clin Psychol Psychother, 28, pp. 766 - 783, http://dx.doi.org/10.1002/cpp.2547
    Journal articles | 2020
    Tremain H; Fletcher K; Murray G, 2020, 'Number of episodes in bipolar disorder: The case for more thoughtful conceptualization and measurement.', Bipolar Disord, 22, pp. 231 - 244, http://dx.doi.org/10.1111/bdi.12872
    Journal articles | 2020
    Tremain H; Fletcher K; Scott J; McEnery C; Berk M; Murray G, 2020, 'The influence of stage of illness on functional outcomes after psychological treatment in bipolar disorder: A systematic review.', Bipolar Disord, 22, pp. 666 - 692, http://dx.doi.org/10.1111/bdi.12974
    Journal articles | 2020
    Tremain H; McEnery C; Fletcher K; Murray G, 2020, 'The Therapeutic Alliance in Digital Mental Health Interventions for Serious Mental Illnesses: Narrative Review.', JMIR Ment Health, 7, pp. e17204, http://dx.doi.org/10.2196/17204
    Journal articles | 2019
    Fletcher K; Yang Y; Johnson SL; Berk M; Perich T; Cotton S; Jones S; Lapsley S; Michalak E; Murray G, 2019, 'Buffering against maladaptive perfectionism in bipolar disorder: The role of self-compassion', Journal of Affective Disorders, 250, pp. 132 - 139, http://dx.doi.org/10.1016/j.jad.2019.03.003
    Journal articles | 2019
    Tremain H; Fletcher K; Scott J; McEnery C; Berk M; Murray G, 2019, 'Does stage of illness influence recovery-focused outcomes after psychological treatment in bipolar disorder? A systematic review protocol.', Syst Rev, 8, pp. 125, http://dx.doi.org/10.1186/s13643-019-1042-4
    Journal articles | 2018
    Fletcher K; Foley F; Thomas N; Michalak E; Berk L; Berk M; Bowe S; Cotton S; Engel L; Johnson SL; Jones S; Kyrios M; Lapsley S; Mihalopoulos C; Perich T; Murray G, 2018, 'Web-based intervention to improve quality of life in late stage bipolar disorder (ORBIT): Randomised controlled trial protocol', BMC Psychiatry, 18, http://dx.doi.org/10.1186/s12888-018-1805-9
    Journal articles | 2018
    Yang Y; Fletcher K; Whitehead R; Murray G, 2018, 'Toward New Therapeutic Mechanisms in Bipolar Disorder: Analog Investigation of Self-Compassion and Nonattachment to Self.', Front Psychol, 9, pp. 1848, http://dx.doi.org/10.3389/fpsyg.2018.01848
    Journal articles | 2016
    Bayes AJ; Mcclure G; Fletcher K; Román Ruiz del Moral YE; Hadzi-Pavlovic D; Stevenson JL; Manicavasagar VL; Parker GB, 2016, 'Differentiating the bipolar disorders from borderline personality disorder', Acta Psychiatrica Scandinavica, 133, pp. 187 - 195, http://dx.doi.org/10.1111/acps.12509
    Journal articles | 2015
    Fletcher K; Parker G; Paterson A; Fava M; Iosifescu D; Pizzagalli DA, 2015, 'Anhedonia in melancholic and non-melancholic depressive disorders', Journal of Affective Disorders, 184, pp. 81 - 88, http://dx.doi.org/10.1016/j.jad.2015.05.028
    Journal articles | 2014
    Bayes A; Parker G; Fletcher K, 2014, 'Clinical differentiation of bipolar II disorder from borderline personality disorder', Current Opinion in Psychiatry, 27, pp. 14 - 20, http://dx.doi.org/10.1097/YCO.0000000000000021
    Journal articles | 2014
    Fletcher K; Parker G; Bayes A; Paterson A; McClure G, 2014, 'Emotion regulation strategies in bipolar II disorder and borderline personality disorder: Differences and relationships with perceived parental style', Journal of Affective Disorders, 157, pp. 52 - 59, http://dx.doi.org/10.1016/j.jad.2014.01.001
    Journal articles | 2014
    Fletcher K; Parker G; Manicavasagar V, 2014, 'The role of psychological factors in bipolar disorder: Prospective relationships between cognitive style, coping style and symptom expression', Acta Neuropsychiatrica, 26, pp. 81 - 95, http://dx.doi.org/10.1017/neu.2013.41
    Journal articles | 2014
    Parker G; Fletcher K; McCraw S; Hong M, 2014, 'The hypomanic personality scale: A measure of personality and/or bipolar symptoms?', Psychiatry Research, 220, pp. 654 - 658, http://dx.doi.org/10.1016/j.psychres.2014.07.040
    Journal articles | 2014
    Parker G; Fletcher K; McCraw S; Synnott H; Friend P; Mitchell PB; Hadzi-Pavlovic D, 2014, 'Screening for bipolar disorder: Does gender distort scores and case-finding estimates?', Journal of Affective Disorders, 162, pp. 55 - 60, http://dx.doi.org/10.1016/j.jad.2014.03.032
    Journal articles | 2014
    Parker G; Fletcher K; Paterson A; Anderson J; Hong M, 2014, 'Gender differences in depression severity and symptoms across depressive sub-types', Journal of Affective Disorders, 167, pp. 351 - 357, http://dx.doi.org/10.1016/j.jad.2014.06.018
    Journal articles | 2014
    Parker G; Fletcher K, 2014, 'Differentiating bipolar i and II disorders and the likely contribution of DSM-5 classification to their cleavage', Journal of Affective Disorders, 152-154, pp. 57 - 64, http://dx.doi.org/10.1016/j.jad.2013.10.006
    Journal articles | 2014
    Parker G; Paterson A; Fletcher K; McClure G; Berk M, 2014, 'Construct validity of the Experiences of Therapy Questionnaire (ETQ)', BMC Psychiatry, 14, pp. 369, http://dx.doi.org/10.1186/s12888-014-0369-6
    Journal articles | 2014
    Parker GB; Graham RK; Fletcher K; Futeran SM; Friend P, 2014, 'The impact of being newly diagnosed with a bipolar disorder and the short-term outcome of disorder-specific management', Bipolar Disorders, 16, pp. 172 - 179, http://dx.doi.org/10.1111/bdi.12146
    Journal articles | 2013
    Fletcher K; Parker G; Manicavasagar V, 2013, 'A qualitative investigation of hypomania and depression in bipolar II disorder', Psychiatric Quarterly, 84, pp. 455 - 474, http://dx.doi.org/10.1007/s11126-013-9259-1
    Journal articles | 2013
    Fletcher K; Parker G; Manicavasagar V, 2013, 'Behavioral Activation System (BAS) differences in bipolar i and II disorder', Journal of Affective Disorders, 151, pp. 121 - 128, http://dx.doi.org/10.1016/j.jad.2013.05.061
    Journal articles | 2013
    Fletcher K; Parker G; Manicavasagar V, 2013, 'Cognitive style in bipolar disorder sub-types', Psychiatry Research, 206, pp. 232 - 239, http://dx.doi.org/10.1016/j.psychres.2012.11.036
    Journal articles | 2013
    Fletcher K; Parker G; Manicavasagar V, 2013, 'Cognitive style in bipolar disorder sub-types.', Psychiatry research, 206, pp. 232 - 239
    Journal articles | 2013
    Fletcher K; Parker G; Paterson A; Synnott H, 2013, 'High-risk behaviour in hypomanic states', Journal of Affective Disorders, 150, pp. 50 - 56, http://dx.doi.org/10.1016/j.jad.2013.02.018
    Journal articles | 2013
    Fletcher K; Parker GB; Manicavasagar V, 2013, 'Coping profiles in bipolar disorder', Comprehensive Psychiatry, 54, pp. 1177 - 1184, http://dx.doi.org/10.1016/j.comppsych.2013.05.011
    Journal articles | 2013
    McCraw S; Parker G; Fletcher K; Friend P, 2013, 'Self-reported creativity in bipolar disorder: Prevalence, types and associated outcomes in mania versus hypomania', Journal of Affective Disorders, 151, pp. 831 - 836, http://dx.doi.org/10.1016/j.jad.2013.07.016
    Journal articles | 2013
    Parker G; Anonuevo C; Wallace J; Fletcher K; Paterson A, 2013, 'The Mood Assessment Program is now on the Australian map', Australasian Psychiatry, 21, pp. 254 - 257, http://dx.doi.org/10.1177/1039856213475685
    Journal articles | 2013
    Parker G; Brotchie H; McClure G; Fletcher K, 2013, 'Psychostimulants for managing unipolar and bipolar treatment-resistant melancholic depression: A medium-term evaluation of cost benefits', Journal of Affective Disorders, 151, pp. 360 - 364, http://dx.doi.org/10.1016/j.jad.2013.05.093
    Journal articles | 2013
    Parker G; Fletcher K; Berk M; Paterson A, 2013, 'Development of a measure quantifying adverse psychotherapeutic ingredients: The experiences of therapy questionnaire (ETQ)', Psychiatry Research, 206, pp. 293 - 301, http://dx.doi.org/10.1016/j.psychres.2012.11.026
    Journal articles | 2013
    Parker G; Fletcher K, 2013, 'The 'real world' utility of a web-based bipolar disorder screening measure: A replication study', Journal of Affective Disorders, 150, pp. 276 - 283, http://dx.doi.org/10.1016/j.jad.2013.04.006
    Journal articles | 2013
    Parker G; McCraw S; Fletcher K; Friend P; Futeran S, 2013, 'Validation of a new prototypic measure of melancholia', Comprehensive Psychiatry, 54, pp. 835 - 841, http://dx.doi.org/10.1016/j.comppsych.2013.02.010
    Journal articles | 2013
    Paterson A; Parker G; Fletcher K; Graham R, 2013, 'Beyond the baby blues:Perspectives of women diagnosed with a mood disorder on children, pregnancy and medication', Australasian Psychiatry, 21, pp. 160 - 164, http://dx.doi.org/10.1177/1039856212465346
    Journal articles | 2012
    Fletcher K; Parker GB; Barrett M; Synnott H; McCraw S, 2012, 'Temperament and personality in bipolar II disorder', Journal of Affective Disorders, 136, pp. 304 - 309, http://dx.doi.org/10.1016/j.jad.2011.11.033
    Journal articles | 2012
    Parker GB; Fletcher K; Blanch B; Greenfield L, 2012, 'Take-up and profile of individuals accessing a web-based bipolar self-test screening measure', Journal of Affective Disorders, 138, pp. 117 - 122, http://dx.doi.org/10.1016/j.jad.2011.12.013
    Journal articles | 2012
    Parker GB; Fletcher K; Hadzi-Pavlovic D, 2012, 'Is context everything to the definition of clinical depression? A test of the Horwitz and Wakefield postulate', Journal of Affective Disorders, 136, pp. 1034 - 1038, http://dx.doi.org/10.1016/j.jad.2010.11.021
    Journal articles | 2012
    Parker GB; Graham R; Hadzi-Pavlovic D; Fletcher K; Hong M; Futeran S; Hong , 2012, 'Further examination of the utility and comparative properties of the MSQ and MDQ bipolar screening measures', Journal of Affective Disorders, 138, pp. 104 - 109, http://dx.doi.org/10.1016/j.jad.2011.12.016
    Journal articles | 2012
    Parker GB; McCraw S; Fletcher KL, 2012, 'Cyclothymia', Depression and Anxiety, 29, pp. 487 - 494, http://dx.doi.org/10.1002/da.21950
    Journal articles | 2012
    Parker GB; Paterson A; Fletcher K; Blanch B; Graham R, 2012, 'The 'magic button question' for those with a mood disorder - Would they wish to re-live their condition?', Journal of Affective Disorders, 136, pp. 419 - 424, http://dx.doi.org/10.1016/j.jad.2011.11.008
    Journal articles | 2011
    Parker GB; Fletcher K; Barrett M; Breakspear MJ; Rees A, 2011, 'Evaluating the first 1000 patients referred to a specialist depression clinic: A case for tertiary referral facilities', Journal of Affective Disorders, 131, pp. 52 - 58, http://dx.doi.org/10.1016/j.jad.2010.11.004
    Journal articles | 2009
    Parker GB; Fletcher K, 2009, 'Should a psychiatrist give the ‘special patient’ VIP treatment?', ACTA Psychiatrica Scandinavica, 120, pp. 411 - 413
    Journal articles | 2009
    Parker GB, 2009, 'Is bipolar II depression phenotypically distinctive?', ACTA Psychiatrica Scandinavica, 120, pp. 446 - 455, http://dx.doi.org/10.1111/j.1600-0447.2009.01387.x
    Journal articles | 2007
    Parker GB; Brotchie H; Fletcher K; Hyett M; Barrett M, 2007, 'Outcome in a specialist referral clinic for mood disorders: a qualitative and quantitative review', Australasian Psychiatry, 15, pp. 125 - 129
    Journal articles | 2007
    Parker GB; Fletcher K, 2007, 'Treating depression with the evidence-based psychotherapies: a critique of the evidence', ACTA Psychiatrica Scandinavica, 115, pp. 352 - 359
    Journal articles | 2006
    Parker GB; Fletcher K; Barrett M; Manicavasagar VL, 2006, 'The Black Dog Institute Depression Clinic: a subtyping model in practice', Australasian Psychiatry, 14, pp. 300 - 303
    Journal articles |
    Murray G; Thomas N; Michalak EE; Jones SH; Lapsley S; Bowe SJ; Foley F; Fletcher K; Perich T; Johnson SL; Cotton S; Berk L; Mihalopoulos C; Kyrios M; Berk M, 'Mindfulness-Based Online Intervention to Improve Quality of Life in Late-Stage Bipolar Disorder a Randomised Clinical Trial', SSRN Electronic Journal, http://dx.doi.org/10.2139/ssrn.3805850
  • Conference Papers | 2019
    Fletcher K; Foley F; Jones S; Michalak E; Perich T; Murray G, 2019, 'Who uses online self-management interventions for bipolar disorder?', in BIPOLAR DISORDERS, WILEY, AUSTRALIA, Sydney, pp. 147 - 147, presented at 21st Annual ISBD Conference on Global Advances in Bipolar Disorder and Depression, AUSTRALIA, Sydney, 20 March 2019 - 23 March 2019, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000461513600325&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1
    Conference Papers | 2018
    Murray G; Foley F; Fletcher K; Thomas N; Michalak EE; Lapsley S; Johnson SL; Berk M; Perich T; Cotton S, 2018, 'Consumer engagement in the orbit (online, recovery-focused, bipolar individual therapy) project', in BIPOLAR DISORDERS, WILEY, MEXICO, Mexico City, pp. 30 - 31, presented at 20th Annual Conference of the International-Society-for-Bipolar-Disorders, MEXICO, Mexico City, 07 March 2018 - 10 March 2018, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000426605800063&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1
    Conference Papers | 2006
    Fletcher K; Parker GB; Brotchie H; Hyett M; Barrett M, 2006, 'Outcome in a specialist referral clinic for mood disorders: a qualitative and quantitative review', in ACTA Neuropsychiatrica, Blackwell Munksgaard, Copenhagen, Denmark, pp. 287 - 287, presented at Australasian Society for Psychiatric Research annual meeting, Sydney, 06 December 2006 - 08 December 2006
    Conference Proceedings (Editor of) | 2005
    Parker GB; Fletcher K; Barrett M; Manicavasagar VL, (eds.), 2005, 'Australian and New Zealand Journal of Psychiatry', Sage Publications, United Kingdom, presented at Joint CINP/ASPR Scienctific Meeting, Brisbane, Qld, 07 December 2005 - 09 December 2005