226. Psychiatry Course

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226. Psychiatry Course

226. Psychiatry Course

 

 

CATEGORY: Medical & Medicine – 500 Courses

COURSE NUMBER: 226

FEES: 555/- INR only

CERTIFICATE VALIDITY: Lifetime

CERTIFICATES DELIVERY: In 48 hours

BOOKS/ MANUALS: Pages

Syllabus

Series editor foreword . . . . . . . . . . . . . . . v
Prefaces . . . . . . . . . . . . . . . . . . . . . . vii
Acknowledgements . . . . . . . . . . . . . . . . . ix
1. Psychiatric assessment and diagnosis . . . . 1
Interview technique . . . . . . . . . . . . 1
Psychiatric history . . . . . . . . . . . . . 2
Mental state examination. . . . . . . . . . 5
Risk assessment . . . . . . . . . . . . . . 8
Physical examination . . . . . . . . . . . . 8
The formulation: presenting the case . . . . 8
Classification in psychiatry . . . . . . . . 10
2. Pharmacological therapy and
electroconvulsive therapy . . . . . . . . 13
Antidepressants . . . . . . . . . . . . . 13
Mood stabilizers . . . . . . . . . . . . . 17
Antipsychotics . . . . . . . . . . . . . . 19
Anxiolytic and hypnotic drugs. . . . . . . 22
Other drugs used in psychiatry . . . . . . 24
Electroconvulsive therapy . . . . . . . . . 24
3. Psychological therapy . . . . . . . . . . 25
Psychotherapeutic approaches . . . . . . 25
Indications for psychotherapy . . . . . . . 30
4. Mental health and the law . . . . . . . . 33
Mental Health Act 1983 as amended by
Mental Health Act 2007. . . . . . . . . 33
Mental Health (Care & Treatment)
(Scotland) Act 2003. . . . . . . . . . . 37
Mental Health (Northern Ireland)
Order 1986 . . . . . . . . . . . . . . 37
Capacity to consent to treatment . . . . . 38
Common law . . . . . . . . . . . . . . 39
Human rights legislation . . . . . . . . . 39
Fitness to drive. . . . . . . . . . . . . . 40
5. Mental health service provision. . . . . . 41
History . . . . . . . . . . . . . . . . . 41
Primary care . . . . . . . . . . . . . . . 41
Secondary care . . . . . . . . . . . . . 41

6. The patient with thoughts of suicide or
self-harm . . . . . . . . . . . . . . . . 45
Definitions and clinical features . . . . . . 45
Assessment of patients who have
inflicted harm upon themselves . . . . . 45
Patient management following self-harm or
attempted suicide . . . . . . . . . . . . 48
Discussion of case study . . . . . . . . . 48
7. The patient with low mood. . . . . . . . 49
Definitions and clinical
features . . . . . . . . . . . . . . . . 49
Differential diagnosis . . . . . . . . . . . 51
Assessment . . . . . . . . . . . . . . . 53
Discussion of case study . . . . . . . . . 54
8. The patient with elevated or irritable
mood . . . . . . . . . . . . . . . . . . 57
Definitions and clinical
features . . . . . . . . . . . . . . . . 57
Differential diagnosis . . . . . . . . . . . 59
Assessment . . . . . . . . . . . . . . . 62
Algorithm for the diagnosis of mood
disorders . . . . . . . . . . . . . . . . 62
Discussion of case study . . . . . . . . . 63
9. The psychotic patient . . . . . . . . . . 65
Definitions and clinical
features . . . . . . . . . . . . . . . . 65
Differential diagnosis . . . . . . . . . . . 71
Algorithm for the diagnosis of psychotic
disorders . . . . . . . . . . . . . . . . 74
Assessment . . . . . . . . . . . . . . . 74
Discussion of case study . . . . . . . . . 75
10. The patient with anxiety, fear or
avoidance . . . . . . . . . . . . . . . . 77
Definitions and clinical
features . . . . . . . . . . . . . . . . 77
Differential diagnosis . . . . . . . . . . . 78
Algorithm for the diagnosis of anxiety
disorders . . . . . . . . . . . . . . . . 80
Assessment . . . . . . . . . . . . . . . 82
Discussion of case study . . . . . . . . . 82

11. The patient with obsessions and
compulsions. . . . . . . . . . . . . . . 85
Definitions and clinical features . . . . . . 85
Differential diagnosis . . . . . . . . . . . 86
Discussion of case study . . . . . . . . . 88
12. The patient with a reaction to a stressful
event or bereavement . . . . . . . . . . 91
Definitions and clinical features . . . . . . 91
Bereavement . . . . . . . . . . . . . . 94
Differential diagnosis . . . . . . . . . . . 95
Discussion of case study . . . . . . . . . 95
13. The patient with medically unexplained
physical symptoms . . . . . . . . . . . 97
Definitions and clinical features . . . . . . 98
Differential diagnosis . . . . . . . . . . . 100
Assessment . . . . . . . . . . . . . . . 100
Discussion of case study . . . . . . . . . 101
14. The patient with impairment of
consciousness, memory or cognition . . . 103
Definitions and clinical features . . . . . . 103
Common cognitive disorders . . . . . . . 106
Differential diagnosis . . . . . . . . . . . 110
Assessment . . . . . . . . . . . . . . . 112
Discussion of case study . . . . . . . . . 114
15. The patient with alcohol or substance
use problems . . . . . . . . . . . . . . 115
Definitions and clinical features . . . . . . 115
Alcohol-related disorders . . . . . . . . . 116
Other substance-related disorders . . . . . 120
Differential diagnosis . . . . . . . . . . . 120
Assessment . . . . . . . . . . . . . . . 121
Discussion of case study . . . . . . . . . 122
16. The patient with personality
problems . . . . . . . . . . . . . . . . 123
Definitions and clinical features . . . . . . 123
Classification. . . . . . . . . . . . . . . 124
Assessment . . . . . . . . . . . . . . . 124
Differential diagnosis . . . . . . . . . . . 126
Discussion of case study . . . . . . . . . 126
17. The patient with eating or weight
problems . . . . . . . . . . . . . . . . 127
Definitions and clinical features . . . . . . 127
Assessment . . . . . . . . . . . . . . . 128

Differential diagnosis of patients with low
weight . . . . . . . . . . . . . . . . . 129
Discussion of case study . . . . . . . . . 131
18. The mood (affective) disorders . . . . . . 133
Depressive disorders . . . . . . . . . . . 133
Bipolar affective disorder . . . . . . . . . 137
Dysthymia and cyclothymia. . . . . . . . 138
19. The psychotic disorders:
schizophrenia . . . . . . . . . . . . . . 141
Schizophrenia . . . . . . . . . . . . . . 141
20. The anxiety and somatoform
disorders . . . . . . . . . . . . . . . . 147
Anxiety disorders. . . . . . . . . . . . . 147
Somatoform disorders . . . . . . . . . . 151
21. Alcohol and substance-related
disorders . . . . . . . . . . . . . . . . 153
Alcohol disorders. . . . . . . . . . . . . 153
Other psychoactive substances . . . . . . 156
22. The personality disorders. . . . . . . . . 159
The personality disorders . . . . . . . . . 159
23. Eating disorders . . . . . . . . . . . . . 163
Anorexia and bulimia nervosa. . . . . . . 163
24. Disorders relating to the menstrual
cycle, pregnancy and the puerperium . . . 167
Premenstrual syndrome. . . . . . . . . . 167
Menopause . . . . . . . . . . . . . . . 167
Psychiatric considerations in pregnancy . . 167
Puerperal disorders . . . . . . . . . . . . 169
25. Dementia and delirium. . . . . . . . . . 173
Dementia . . . . . . . . . . . . . . . . 173
Delirium . . . . . . . . . . . . . . . . . 178
26. Older adult psychiatry . . . . . . . . . . 181
Mental illness in older adults . . . . . . . 181
Assessment considerations in
older adults. . . . . . . . . . . . . . . 182
Treatment considerations in
older adults. . . . . . . . . . . . . . . 183
27. Child and adolescent psychiatry . . . . . 185
Considerations in the assessment of
children . . . . . . . . . . . . . . . . 185
Classification. . . . . . . . . . . . . . . 186
Intellectual disability . . . . . . . . . . . 186
Developmental disorders . . . . . . . . . 187

Acquired disorders . . . . . . . . . . . . 188
Child abuse . . . . . . . . . . . . . . . 192
28. Intellectual disability. . . . . . . . . . . 193
Intellectual disability (mental retardation/
learning disability). . . . . . . . . . . . 193
29. Forensic psychiatry . . . . . . . . . . . 197
Mental disorder and crime . . . . . . . . 197
Assessing and managing risk of
violence . . . . . . . . . . . . . . . . 198
Considerations in court proceedings . . . . 199
30. The sleep disorders . . . . . . . . . . . 201
Definitions and classification . . . . . . . 201

31. The psychosexual disorders . . . . . . . 207
Sexual dysfunction . . . . . . . . . . . . 207
Disorders of sexual preference
(paraphilias) . . . . . . . . . . . . . . 210
Gender identity . . . . . . . . . . . . . 211
Self-assessment . . . . . . . . . . . . . . . 213
Best of fives questions (BOFs) . . . . . . . . 215
Extended-matching questions (EMQs). . . . . 233
BOF answers . . . . . . . . . . . . . . . . 255
EMQ answers . . . . . . . . . . . . . . . . 271
Glossary . . . . . . . . . . . . . . . . . . . 285
Index . . . . . . . . . . . . . . . . . . . . 287

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