Psychiatry

Psychiatry at a glance by Cornelius Katona, Claudia Cooper, Mary Robertson

Posted On March 23, 2017 at 1:22 pm by / Comments Off on Psychiatry at a glance by Cornelius Katona, Claudia Cooper, Mary Robertson

By Cornelius Katona, Claudia Cooper, Mary Robertson

Psychiatry at a Glance is an easy-to-use, available introductory and research textual content for all scholars of psychiatry. It is helping enhance your talents in background taking and acting the psychological nation exam (MSE), and offers ‘need to understand’ details at the uncomplicated technology, remedy, and administration of the main disorders.

This variation features:

  • Thoroughly up to date and reorganised art, supplying better readability and more uncomplicated realizing for these new to the subject
  • Greater emphasis on heritage taking and exam - crucial for scientific paintings and clerking patients
  • New chapters on psychological healthiness skill and assurance of the Australian and New Zealand healthiness care legislation
  • Even extra prolonged Matching Questions, fresh unmarried top resolution Questions, and pattern OSCE stations so that you can try your knowledge
  • A brand new spouse site at www.ataglanceseries.com/psychiatry, featuring up-to-date case experiences and downloadable illustrations.

Psychiatry at a Glance is the correct significant other for an individual approximately to begin a psychiatric attachment or module and may entice clinical scholars, junior medical professionals and Psychiatry trainees in addition to nursing scholars and different wellbeing and fitness professionals.

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The patient may say ‘2 + 2 = 5’, or, when asked the colour of snow, reply ‘green’ ° clouding of consciousness ° true and/or pseudo-hallucinations (visual or auditory) ° somatic symptoms. • In pure form, Ganser’s syndrome represents a dissociative reaction, or defence against intolerable stress. In ICD-10/DSM-IV-TR it is classified as a dissociative disorder. • There may be an underlying depressive illness warranting treatment in its own right. • It is over-represented in prison populations. • Spontaneous improvement often occurs and is characteristically accompanied by amnesia for the abnormal behaviour.

Some people with mixed symptoms are diagnosed with eating disorder not otherwise specified. Troubled family relationships bullying Epidemiology • Anorexia and bulimia nervosa are three times more common in women. In childhood anorexia the sex ratio is nearly equal. • Eating disorders usually begin in adolescence or early adulthood. Bulimia has a later onset (typically 18–19 years). • Prevalence rates in young women are: ° 1–2% for anorexia nervosa ° 1–3% for bulimia nervosa. Aetiological factors Genetics Culture, media messages placing high value on thinness c 8 De tte Altered serotonin function may be final common pathway aze ily G Da Over–protective, controlling childhood environment.

There is an increased risk of suicide: 30–60% of completed suicides show evidence of a PD. • Obsessional PDs are at high risk of progression to obsessive compulsive disorder or depression. • Paranoid and schizotypal PD may progress to psychosis. Schizoid PD does not predispose to schizophrenia. g. obsessional PD and duodenal ulcer). g. psychotropics, beta blockers) Psychiatric illness Treatment Sildenafil (Viagra) for erectile dysfunction Psychological (including CBT, behavioural approaches and education) Outcome Good for 50–70% Best for vaginismus, premature ejaculation Psychosexual disorders Some sexual dissatisfaction in 20% women and 30% men Disorders of sexual preference Sexual act Exhibitionism (25% sexual offences) Voyeurism Sadomasochism Frotteurism Sexual object Paedophilia (NB link with child abuse) Fetishism Transvestism Bestiality Necrophilia Disorders of sexual identity Belief that assigned sex inappropriate M>F Gender atypical behaviour common in younger boys but usually disappears Gender assignment surgery has better outcome if: Psychologically stable Pre-operative adoption of cross-gender role and acceptance of psychotherapy Fig.

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