Definition scope history and classification Psychiatry Lecturer Assistant Professor Uday Khalid udaykhalidyahoocom udaykhalid colmednahrainuniveduiq httpcolmednahrainuniveduiq ID: 784680
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Slide1
Psychiatry introduction
Definition , scope , history and classification
Slide2Psychiatry
Lecturer
Assistant Professor Uday Khalid
udaykhalid@yahoo.com
udaykhalid
@
colmed.nahrainuniv.edu.iq
http://colmed.nahrainuniv.edu.iq/
References
Davidson's clinical practice of medicine
Oxford short textbook of psychiatry
Slide3Psychiatry
Aims
help student to
be familiar with origin and evolution of the field
get idea about terms , scope ,and epidemiology , , services and classification of mental disorders
Objectives
learn how psychiatry evolved
learn basic terms in the field
know basic knowledge about epidemiology , services and classification
Psychiatry
Definition
Terms
Psychiatric disorder
Psychological disorder
Mental disorder
Slide5Psychiatry ,
Factors of illness
Biological
Psychological
Social
Biopsychosocial
Slide6Psychiatry
Terms further
Psychiatrist
Psychologist
Social worker
Slide7Psychiatry
Prevalence
Services
asylum
outpatient and primary health care
referral system
N.B. Stigma
Slide8Psychiatry
History
History of psychiatry is history of humanity
Ancient Greece , Egypt , Mesopotamia , Rome ,India
super nature , exorcism
Hippocrates four humors
dissection
Psychiatry
Middle ages Europe
dark ages , exorcism
Middle ages East
Averroes ,
Rhazis
, Avicenna
Bimaristans
first mental hospitals in history
Slide10Psychiatry
Dark ages East
exorcism
Enlightenment Europe
modern psychiatry
Slide11Psychiatry
Neuroses Sigmund
Freud
Anxiety Hysteria Obsessive Compulsive
Psychoses Kraepline , Schneider ,
Blueler
Schizophrenia
manic
depressive psychosis
Classification of mental illness
PsychosisVs.Neurosis
Severity
Suffering
Insight
Slide13Classification of mental illness
Organic Vs. Functional
Organic organic pathology
Functional absence of morbid pathology
Slide14Classification of mental illness
Syndrome
definition
Two major Classification Systems
International classification of Disease ICD-10
Diagnostic and statistical Manual DSM
V
Slide15Classification of mental illness
International classification of disease ICD-10
Diagnostic and statistical manual DSM - IV
*Organic mental disorders
*Psychoactive substance use disorders
*Schizophrenia
*Mood disorders
*Neurotic disorders
Anxiety disorders
Generalized
Phobias
Panic
Conversion disorders
Somatoform disorders
Somatization
hypochondriasis
Stress related disorders
Acute
PTSD
Adjustment disorders
*Syndromes with physiological
Disturbance
Eating
Sleep
Sexual dysfunctions
Puerperium
*Adult personality and behavior
Personality
Sexual orientation and
preference
*Mental retardation
*disorders of psychological
development
specific
pervasive
*childhood syndromes
hyperkinetic disorders
conduct disorders
emotional disorders
*Dementia delirium amnesic disorder and other cognitive syndromes
Psychoactive substance use disorders
Schizophrenia
Mood disorders
Anxiety disorders
Generalized
Phobias
Panic
*Conversion disorders
* dissociate disorders
Somatoform disorders
Somatization
Hypochondriasis
*Stress related disorders
Acute
PTSD
Adjustment disorders
*Eating
Sleep
Purperium
Sexual disorders
personality
learning disability
disorders of psychological development
specific
pervasive
*childhood syndromes
hyperkinetic disorders
conduct disorders
emotional disorders
Slide16Classification of mental illness
Depression & Depressive Disorders
Anxiety Disorders & Phobias
Bipolar & Related Disorders
Schizophrenia & Psychotic Disorders
Attention Deficit Hyperactivity Disorder (ADHD)
Addiction, Substance-Related Disorders & Alcoholism
PTSD, Trauma & Stress-Related Disorders
Feeding & Eating Disorders
Obsessive-Compulsive and Related Disorders
Dissociative Disorders
Somatic Symptom and Related Disorders
Personality Disorders (Axis II)
Sleep-Wake Disorders
Sexual Dysfunctions
Disruptive, Impulse-Control, and Conduct Disorders
Neurocognitive Disorders
Slide17Classification of mental illness
Concept of mental illness
Statistical
Cultural
Morbid
Pathological criteria
Slide18Psychiatry
Lecturer
Assistant Professor Uday Khalid
udaykhalid@yahoo.com
udaykhalid
@
colmed.nahrainuniv.edu.iq
http://colmed.nahrainuniv.edu.iq/
References
Davidson's clinical practice of medicine
Oxford short textbook of psychiatry
Slide19Psychopathology
Aims
provide an outline of types
provide an outline of descriptive psychopathology
Objectives
students know and define types
they know aspects of descriptive one
know terms and definitions of common phenomena in practice
Slide20Psychopathology
Psychopathology
Descriptive
form and content
Etiological
Slide21Psychopathology
Disorders of appearance and behavior
Disorders of speech
Disorders of thinking
Disorders of perception
Disorders of emotion
Disorders of cognitive (intellectual) functions
Disorders of experience of self
Slide22Appearance and Behavior
Dress
Cleanness
Self care
Facial expression
Activity
Attitude
Eye contact
Movements
tics , chorea , athetosis ,
echopraxia
, waxy flexibility
Slide23Disorders of
speech
Rate
Slow
Rapid
Relevance
Incoherence
Neologisms
Disorders of thinking
form
retardation
fast
others
schizophrenic formal disorders
lack of association
content
preoccupation
obsession
delusion N/B overvalued idea
Disorders of thinking
Delusions
primary
sudden delusional idea
delusional perception
delusional memory
secondary
paranoid , persecutory , grandiose ,
jealousy , love , somatic , poverty , nihilistic
Slide26Disorders of perception
illusion
hallucination
auditory
simple , complex
3
rd
person ,commentary, echo
visual
olfactory
gustatory
tactile
proprioceptive
** pseudo hallucinations
Slide27Disorders of emotion
abnormal emotional reaction
apprehension
phobia
sadness , depression
happiness ,elation , exaltation, ecstasy, euphoria
apathy
irritability
suspiciousness
Slide28Disorders of emotion
abnormal expression
lability
emotional incontinence
blunting
incongruity
perplexity
ambivalence
Slide29Cognitive disorders
Attention
Concentration
Memory
immediate , recent , long term
Intelligence
Insight
Derealiation / depersonalization
dejavu
: ,
jamais
vu:
Slide30Boundaries of self
Alienation
thought withdrawal
thought insertion
thought broadcasting
Passivity
made act , made feeling , made impulse
made somatic sensation