Aetiology of Psychiatric Disorders Predisposing factors: Determine a person‟s vulnerability to psychological distress. Causes include:Genetic endowment (eg strong genetic component in psychosis) Environment in utero ® minor damage to CNS Personality: combination of…
History This will include the patient‟s narrative, and is therefore subject to revision and embellishment according to the state of mind of the individual and the relationship with the interviewer.…
Mental State Examination This is NOT an assessment of cognitive function (the mini-mental state is about cognitive function, but is just part of a description of mental state) Appearance and…
Suicide Assessment and Management Always screen all psychiatric patients for suicideDefinitions:Attempted suicide: self-inflicted harm intended to cause deathParasuicide: Act intended to communicate distress not intended to cause death Suicide History…
Interviewing Aggressive Patients Understanding why they are aggressive is important:Poor anger controlInappropriately managedOverwhelmingly afraidMost clients are afraid/confused by their own feelings Aggressive patients often try to change the „rules‟ of…
DSM IV Classification Published 1994, replaces Diagnostic and Statistical Manual of Mental Disorders III and III-R Diagnostic Axises Axis 1: Clinical Disorders eg major depression, adjustment disorder, schizophrenic disorder. Basis…
Anxiety Disorders Introduction Anxiety is usually normal, useful and protective. We learn to fear normal anxiety. Yerkes Dobson Curve (1908): moderate levels of anxiety can improve performance, but performance improvement…
Panic Disorder (with or without agoraphobia) · Panic attack: Intense exacerbation of autonomic responses: discrete episode of intense dread, fear or doomSudden, abrupt onset Symptoms include racing heart, trembling, SOB, nausea,…
Specific Phobia Persistent and irrational fear and avoidance of a specific object or situationLeads to avoidance or intense anxiety on exposure to feared stimulusFear recognised as excessiveDisruptive to functioning (important…
Generalised Anxiety Disorder Worry about worry: a meta-worry!Excessive and persistent worry about a number of areas of life including family, health, job, finances, etc Worrying dominant source of discomfort: spend half…
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