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Psychiatry Introduction

The document discusses topics in psychiatry including the definition of psychiatric disorders, classification systems like ICD-10 and DSM-IV-TR, components of a psychiatric examination including mental status, personal history and premorbid personality, and common psychiatric disorders and their diagnoses. It provides an overview of key concepts and processes in psychiatry related to diagnosis and assessment of mental disorders.

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Munir Ahmed
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807 views26 pages

Psychiatry Introduction

The document discusses topics in psychiatry including the definition of psychiatric disorders, classification systems like ICD-10 and DSM-IV-TR, components of a psychiatric examination including mental status, personal history and premorbid personality, and common psychiatric disorders and their diagnoses. It provides an overview of key concepts and processes in psychiatry related to diagnosis and assessment of mental disorders.

Uploaded by

Munir Ahmed
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPT, PDF, TXT or read online on Scribd
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Li Meixiu (Ellen)

JMS University
Chapter 1. Diagnosis & classification in Psychiatry
• Psychiatry : concerned with the origin, diagnosis,
prevention & treatment of mental disorders
Psychiatric disorder
• a psychological or behavioral pattern that occurs in
an individual - distress or disability that is not
expected as part of normal development or culture.
cognition / conation / affect
distress / disability / freedom
Normal mental health
• Health
• Mental health
model: medical / statistical / utopian / subjective
social / process / continuum
Normality
• Reality orientation
• Self-awareness
• Self –esteem
• Ability
Classification
• ICD-10 1992
mental & behavoir disorders F00-F99

• DSMIV-TR 2000
Diagnostic & statistical manual of mental disorders
,IV edition ,text revision
Mental & behavior disorders ICD-10
• F00-F09 organic--symptomatic ,mental disorder
delirium ,dementia ,organic amnestic syndrome
F10-F19 psychoactive substance use
acute intoxication , harmful use ,
dependence syndrome ,psychotic disorders
F20-F29 schizophrenia/schizotypal&delusional disorders
schizophrenia , schizotypal disorder ,persistent
delusional disorders ,acute & transient psychotic
disorders
F31-F39 mood / affective disoders
manic episode ,depressive episode ,bipolar affective
disorder
F40-F48 neurotic , stress-related & somatoform disorder
anxiety disorder , phobic anxiety disorder ,
obsessive –compulsive disorder,somatoform disorders
F50-F59 Behavioral syndromes - physiological
disturbances & physical factors
eating disorder ,non-organic sleep disorders,
sexual dysfunctions
F60-F69Disorder of adult personality & behavior
specific personality disorders, enduring personality
changes,habit & impulse disorders ,gender identity
disorders, sexual preference disorders

F70-F79 Mental retardation


F80-F89 Disorder of psychological development
specific developmental disorder of motor function
specific developmental disorders of scholastic skill

F90-F98 Behavoiral & emotional disorders with onset usually


occurring in childhood & adolescence
hyperkinetic disorders ,conduct disorders ,tic disorders

• F99 Unspecified mental disorder


multi-axial classification
Chapter 2 Psychiatric history & examination
Interview technique
• Commuinication disturbance
• Informants
• Personal history / premorbid personality
• Observation
• Rapport
• Poor judgement
• Elicit information
• Identification data
aliases,occupation ,residential & office address,
social -economic
• Informants relationship /ability/ source of referral
• Chief complaints
predisposing / precipitating F ,perpetuating / relieving F
• History
cases / therapy / family / personal
Personal history
• Perinatal / childhood / educational / play /
• puberty / menstrual & obsteric / occupational
/sexual & marital / premorbid personality
premorbid personality
• Interpersonal relationship
• Use of leisure time
• Predominat mood
• Attitude to self & others
• Attitude to work & responsibility
• Religious beliefs & moral attitudes
• Fantasy life
• Habits
Examination
• Physical
• Mental status
general
speech
mood & affect
Thought
Perception
Cognition
Insight
judgement
General appearance & behavior
• General appearance
• Attitude cooperation/ guarded / evasive
• Comprehension
• Gait & posture
• Motor activity
• Social manner & non-verbal behavior
• Rapport
• Hallucinatory behavior
speech
• Rate & quantity mutism
• Volume & tone
• Flow & rhythm
• Mood & affect
Thought
• Stream & form
tangentiality / circumstantiality / illogical
• Content
preoccupation
obsession
Phobias
Delusion
Perception

Hallucination

Illusions & misinterpretations

Depersonalization / derealization

Somatic passivity phenomenon


others
Cognition (neuropsychiatric)assessment
• Consciousness
• Orientation
• Attention
• Concentration
• Memory
• Intelligence
• Abstract thingking
proverb testing / similarities
Others
• Investigations
• Formulation
etiological factors ---
• Special interviews
Psychiatry
AMTS
 What is your age? (1 point)
 What is the time to the nearest hour? (1 point)
 Give the patient an address, and ask him or her to
repeat it at the end of the test. (1 point)
42 West Street
 What is the year? (1 point)

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