Common mental disorders

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Common mental disorders

  1. 1. Common Mental Disorders . 1. Affective Disorders 2, Schizophrenia 3. Anxiety Disorders 4 Somatoform & dissociative disorders
  2. 2. Affective (Mood) Disorders Bipolar Affective Disorders a) Uni polar Depression b) B.A.D (manic or depressive ) DEPRESSION as a mood as a syndrome as an illness
  3. 3. Mania • • • • • • • • Aetiology a) genetics b) personality c) biochemistry d) stress Clinical features Differential diagnosis Management
  4. 4. Depression • Criterion 1. External precipitants 2. Psychosis 3. Time of occurrence 4. Clinical basis • • • • • • • • • • • • Sub division Exogenous (reactive) Endogenous Neurotic Psychotic Puerperal Menopausal Involutional Retarded Agitated Atypical Masked
  5. 5. DEPRESSION • AETIOLOGY • a) Genetic • b) Sex( common in females) • c) Social status • d) Social causes &( Stress ) • e) Age • f) Physiological & disease causes • g) Drugs • h) Biochemistry •
  6. 6. DEPRESSION • • • • • • • • • • • • • CLINICAL FEATURES a) appearance & behavior (general & motor) b) mood c) talk d) thinking e) anxiety & agitation f) loss of interest (inhidonia) g) hypochondria sis h) perceptual disorders i) sleep j) appetite k) diurnal variation
  7. 7. DEPRESSION • Suicide & Para suicide • PREVALENCE • 93% mentally ill • 70 depressed & 15 alcoholic 5 misc. • • • • • • • • AGE & SEX SUICDE POINTERS a) severe sleep disturbance b) previous suicide attempt c) family history even talk & preoccupation d) severe hypochondrias is e) social isolation f) persistent feelings of guilt & self depreciation
  8. 8. DEPRESSION • Differential Diagnosis • Management a) drug treatment b) psychotherapy c) physical therapy ( ECT) • PROGNOSIS
  9. 9. SCHIZOPHRENIA Kraepelin1896 &Bleuer1911 • Aetiology (multi factorial) • Psychopathology &psycho neuro chemistry • Clinical features • Schniderian 1st rank symptoms • Types • Differntial diagnosis • Mangement
  10. 10. ANXIETY DISORDERS • Types& classification: • • • • • • • 1-Panic Disorders 2- Generalized Anxiety Disorder (GAD) 3-Specific Phobias & Agoraphobias 4-Social Phobia 5-Obsessive –Compulsive Disorder (OCD) 6-Post traumatic Stress Disorder (PTSD) 7-Secondary to medical conditions /substances abuse
  11. 11. Somatoform &Dissociative Disorders Conversion Reaction Hypochondriasis Depersonalization neurosis
  12. 12. Mental disorders specific to Dentistry • DENTAL PHOBIA
  13. 13. BRUXISM (Teeth grinding) • Causes, and risk factors • • • • • • • 1-stress 2-Duration & tightness of clenching & grinding 3- Misaligned teeth 4- posture 5 Ability to relax 6- diet 7-sleeping habits
  14. 14. BRUXISM (Teeth grinding) • 1- Dental Symptoms & signs • Tempro mandibular Joint problems • Wear down teeth. • Hot, cold, or sweet teeth sensitivity • 2-Mental symptoms.& signs • • • • • Anxiety ,Stress & Tension Depression Head &Ear ache ( persistent Pain) Eating disorders Insomnia for the patient & his sleeping partner(noise)
  15. 15. BRUXISM (Teeth grinding) • Treatment • • • • • • • • • • • • Aim is to :Reduce pain, prevent permanent damage to the teeth, and reduce clenching as much as possible. Through : Physical therapy & Relaxation 1- Mouth splint 2 Stress reduction & Anxiety Mangement 3-Drugs clonazepam Clonidine Complications Depression Eating disorders Insomnia Increased dental or TMJ problems

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