Introduction to psychiatry
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Introduction to psychiatry

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Introduction to psychiatry Introduction to psychiatry Presentation Transcript

  • Prof. Dr. Haroon Rashid Chaudhry DPP (UK), FACHARZT (PSYCH. & NEUROLOGY) FACP (USA) MRCPsych (London) FRCP (Ireland)
    • Head of the Department of Psychiatry
    • Fatima Jinnah Medical College
    • Zonal Representative World Psychiatric Association (WPA)
      • (Western & Central Asia)
    • Honorary Executive Director
    • Fountain House, Lahore
    INTRODUCTION TO PSYCHIATRY
  • WHAT IS HEALTH? World Health Organization's Definition “ A state of complete physical, mental, social and spiritual well being and not merely the absence of disease or infirmity”
  • WHAT IS MENTAL HEALTH? DIVERSE OPINIONS EXIST The most acceptable concept now –a – days A person who is:
    • Able to to cope/function normally
    • Meets the responsibilities
    • Expresses balanced attitude towards day to day challenges/ problems
  • MENTAL HEALTH IN THE WORLD MORE THAN TWO FIFTHS OF THE TOTAL DISABILITIES ARE DUE TO MENTAL ILLNESSES (WORLD HEALTH REPORT, 2001)
  • MENTAL HEALTH IN THE WORLD EXISTING DATA SUGGESTS: Schizophrenia (above the age of 18): 45million Depression: 340million Both disorders cause 60% Suicide across the globe. (Desjarlais R et al 1995 WORLD HEALTH REPORT, 2001)
  • MENTAL HEALTH IN THE WORLD Mental Retardation 4.6% (total psychiatric diagnoses) Alcohol Dependence 140 million (Nations for Mental Health, WHO, 2001)
  • MENTAL HEALTH IN THE WORLD Alzheimer’s disease: 11 million Epilepsy: 45 million (Murray L and Lopez A 1996)
  • DISEASES IN 2020
    • Ischaemic Heart Disease
    • Depression
    • Road Traffic Accident
    • Cerebrovascular Diseases
    • Chest Diseases
    • (Murray L. And Lopez A., 1996)
  • MYTHS
    • Violent
    • Aggressive
    • Irrational
    • Untreatable
    • Unreliable
    • Dependent
    • Chronic
  • PREJUDICE Every Patient Deserves a Clinician And a Healer who is not Prejudiced
  •  
  • AETIOLOGY
    • Genetics
    • Biological Factors
    • Psychological Factors
    • Social Factors
  • Bio Psycho Social Model Psychosocial Factors Genetics Biological Factors
  • GENETICS
    • Twins Studies
    • Family Studies
    • Adoptions Studies
    • Mode of Inheritance
    • Molecular Genetics
  • BIOCHEMICAL
    • Postmortem Studies
    • Brain Biochemistry & Imaging
    • Peripheral Measures
  • PSYCHOLOGICAL FACTORS
    • Parental Deprivation
    • Relationship with Parents
    • Life Events
    • Effect of Physical illness
    • High Express Emotion
    • ANGER
    • QUARRELS
    • SPELLS OF CRYING
    EMOTIONAL REACTIONS EVERY DAY OCCURANCE IN SOCIETY
  • SOCIAL FACTORS
    • Place of Residence
    • Occupation and Social Class
    • Culture
    • Migration
    • Social isolation
  • National Seminar on Post Earthquake Mental Health Activities
  • CLASSIFICATIONS
    • International Classification of Diseases (ICD-10)
    • The Diagnostic and Statistical Manual (DSM-IV)
  • ORGANIC MENTAL DISORDERS
    • Delirium
    • Dementia
    • Amnestic Disorders
    • Personality and Behavioural disorders due to brain disease damage and dysfunction
  • PSYCHIATRIC DISORDERS
    • Psychotic Disorders
    • Non Psychotic Disorders
    • Personality Disorders
  • PSYCHIOTIC DISORDERS
    • Schizophrenia
    • Drug Induced Psychosis
    • Schizoaffective
    • Postnatal Psychosis
  • MOOD DISORDERS
    • Bipolar Affective Disorder
    • Major Depression
    • Post Natal Depression
  • PERSONALITY DISORDERS
    • CLUSTER A
    • Paranoid Schizoid, Schizotypal
    • CLUSTER B
    • Antisocial, Border line, histrionic, narcissistic
    • CLUSTER C
    • Avoidant, Dependant, Obsessive Compulsive
  • ANXIETY DISORDERS
    • Generalized Anxiety Disorder
    • Panic Disorder
    • Phobic Disorders
    • Obsessive Compulsive Disorder
    • Post Traumatic Stress Disorder (PTSD)
    • Hypochondriacal Disorder
  • Substance Abuse Disorders
    • Intoxication
    • Abuse
    • Dependence
    • Withdrawal
    • Psychotic Disorders
    • Amnestics Disorders
    • Mood Disorders
    • Anxiety Disorders
    • Sexual Dysfunctions
    • Sleep Disorders
  • CLASSES OF SUBSTANCE ABUSE DRUGS
    • Alcohol
    • Caffeine
    • Opioids
    • Inhalents
    • Nicotine
    • Cannabis
    • Sedatives / Hypnotics
    • Multiple Drugs Use
  • PSYCHIATRIC DISORDERS, WITH SOMATIC SYMPTOMS
    • Stress & Adjustment Disorders
    • Mood Disorders
    • Anxiety Disorders
    • Somatoform Disorders
      • Dissociative / Conversion Disorders
      • Hypochondriacal syndrome
      • Psychogenic autononinc dysfunction
      • Pain syndrome
  • SEXUAL DYSFUCNTIONS Anorgasmia Lubrication Failure FEMALE Premature Ejaculation Retarded Ejaculation Erectile impotence MALE RESPONSE AROUSAL
  • PSYCHOSEXUAL DISORDERS Gender identity Gender Role Drive and Responsiveness Sexual Preferences Relationship behaviour
  •  
  • CHILDHOOD PSYCHIATRIC DISORDERS
    • Problems of Preschool Children
    • Specific Developmental Disorders
    • Pervasive Developmental Disorders
  • CONTD…..
    • Principal Psychiatric Disorders
      • Hyperkinetic Disorders
      • Conduct Disorders
      • Juvenile Delinquency
      • Anxiety Disorders
      • Somatization Disorders
      • Depressive Disorders
      • School Refusal
    • Functional Enuresis
    • Stammering
    • Schizophrenia
    • Gender Identity Disorders
    • Child Abuse
    • – Physical
    • – Sexual
    • – Emotional
    CONTD…..
    • SPECIFIC DEVELOPMENTAL DISORDERS
    • Specific Reading Disorders
    • Mathematical Learning Disorders
    • Communication Disorders
    CONTD…..
  • Types Of Mental Retardation
    • Mild (IQ 50 - 70)
    • Moderate (IQ 35 – 49)
    • Severe (IQ 20 - 34)
    • Profound (IQ below 20)
  • PHYSICAL DISORDERS AMONG THE MENTAL RETARDED
    • Sensory Disorders
    • Motor Disorders
    • Epilepsy
    • Incontinence
    • Schizophrenia
    • Mood Disorders
    • Emotional Disorders
    • Eating Disorders
    • Personality Disorders
    • Cognitive Psychiatric Disorders
    • Behaviour Disorders
    PSYCHIATRIC DISORDERS AMONG THE MENTAL RETARDED
  • EFFECTS OF MENTAL RETARDATION ON THE FAMILY
    • Initially Shock
    • Depression
    • Guilt
    • Shame
    • Anger
    • Inability to cope with practical and financial problems
  • THANK YOU !