Immigration and Citizenship funded seminar - Prof. Peivand Pirouzi - Mental Health and Psychiatry #international #funding #immigrants #refugees #canada #immigration #education #peivandpirouzi #training #canada

1. CAREER COMPETENCIES IN
CANADA
MENTAL HEALTH AND
PSYCHIATRY
Speaker:
Prof. Peivand Pirouzi, Ph.D., MBA, CCPE, Cert. Psychiatry
Lead Education and Career Mentor for Immigrants and
Refugees
http://www.linkedin.com/in/pirouzi
Prof. Peivand Pirouzi, 2019

2. Mental Health
 Able to recognize own potential
 Cope with normal stress
 Work productively
 Make contribution to community
Prof. Peivand Pirouzi, 2019

3. Traits of Mental Health
 Ability to
 Think rationally
 Communicate appropriately
 Learn
 Grow emotionally
 Have a healthy self-esteem
Prof. Peivand Pirouzi, 2019

4. Difference between mental
health and mental illness
https://www.pinterest.ca/addfreesources/mental-health-awareness/
Prof. Peivand Pirouzi, 2019

5. Mental Illness
 Considered clinically significant when marked
by
 Patient’s distress
 Disability or
 Risk of disability or
 Loss of freedom
 Is culturally defined
 Cultural and religious teachings often influence beliefs
about the origins and nature of mental illness, and
shape attitudes towards the mentally ill
Examples: Anxiety Disorder (GAD), Mood Disorders
Depression, bipolar disorder), Eating Disorders (BingeProf. Peivand Pirouzi, 2019

6. Diathesis-Stress Model
 Diathesis – biological predisposition
 Stress – environmental stress or trauma
 Combination of genetic vulnerability and
negative environmental stressors
Prof. Peivand Pirouzi, 2019

7. In the DSM-V
The Diag no stic and StatisticalManualo f Me ntalDiso rde rs, 5th e ditio n, te xt re visio n
(DSM-V) is use d to classify diag no stic cate g o rie s fo r psychiatric diso rde rs.
 Mental disorders are considered a manifestation
of a disturbance of
 Cognition
 Emotion Regulation
 Behavior
 These reflects a dysfunction in the
 Psychological
 Biological
 Developmental processes
underlying mental functioning.
Prof. Peivand Pirouzi, 2019

8. Selected theories in
psychiatry
Prof. Peivand Pirouzi, 2019

9. Freud's Psychoanalytic Theory
 Levels of awareness
 Conscious
 Preconscious
 Unconscious
Prof. Peivand Pirouzi, 2019

10. Freud's Psychoanalytic Theory
Co ntinue d
 Levels of awareness in
relation to id, ego, and
superego
 Id: Present at birth. Serves
to satisfy needs and
immediate gratification
 Ego: Begins to develop at
4 – 6 months. Maintain
contact with reality, rational
part of personality.
 Superego: begins to
develop at about 3 – 6
years. Serves as
conscience (sense of right
or wrong)
Prof. Peivand Pirouzi, 2019

11. Freud's Psychoanalytic Theory
Co ntinue d
 Defense mechanisms and anxiety
 Operate on unconscious level
 Deny, falsify, or distort reality to make it less
threatening
 Experiences during the early stages of life
determine an individual's lifetime adjustment
patterns and personality traits.
Prof. Peivand Pirouzi, 2019

12. Erikson's Ego Theory
 Eight stages of development
 Personality continues to develop through old age
 Failures at one stage can be rectified at another stage
Prof. Peivand Pirouzi, 2019

13. Sullivan's Interpersonal Theory
 Purpose of all behavior is to get needs met
through interpersonal interactions and to
decrease or avoid anxiety
Prof. Peivand Pirouzi, 2019

14. Maslow’s Theory
 Emphasis on human potential and strengths
 Prioritizing actions in the therapist-client
relationship
Prof. Peivand Pirouzi, 2019

15. Maslow: Self-Actualization and Hierarchy of
Needs
Prof. Peivand Pirouzi, 2019

16. Standards of
Care
Prof. Peivand Pirouzi, 2019

17. Standards of Care
 Standard 1: Assessment
 Age considerations
 Assessment of children
 Assessment of adolescents
 Assessment of older adults
 Language barriers
Prof. Peivand Pirouzi, 2019

18. Psychiatric Mental Health
Assessment
 Gathering data
 Review of systems
 Laboratory data
 Mental status examination
 Psychosocial assessment
Prof. Peivand Pirouzi, 2019

19. Psychiatric Mental Health
Assessment Co ntinue d
 Gathering data, co ntinue d
 Spiritual/religious assessment
 Cultural and social assessment
 Validating the assessment
 Using rating scales
Prof. Peivand Pirouzi, 2019

20. Standard 2: Diagnosis
 Three components
 Problem (unmet need)
 Etiology (probable cause)
 Supporting data (signs and symptoms)
Prof. Peivand Pirouzi, 2019

21. Standard 3: Outcomes
Identification
 Outcome criteria – outcomes that reflect the
maximal level of patient health that can
realistically be achieved through therapeutic
interventions
Prof. Peivand Pirouzi, 2019

22. Standard 4: Planning
 Principles to consider when planning care
 Safe
 Compatible and appropriate
 Realistic and individualized
 Evidence-based
Prof. Peivand Pirouzi, 2019

23. Standard 5: Implementation
 Basic level interventions
 Coordination of care
 Health teaching and health promotion
 Milieu therapy
 Pharmacological therapies
 Consultation
Prof. Peivand Pirouzi, 2019

24. Standard 6: Evaluation
 Systematic
 Ongoing
 Criteria-based
Prof. Peivand Pirouzi, 2019

25. Healthy People in the future
 Reduce suicide rate
 Reduce the rate of suicide attempts by
adolescents
 Increase services for homeless adults with
serious mental illness (SMI)
 Reduce relapse with eating disorders in
adolescents
 Increase mental health screening in primary care
services
 Increase mental health services in childrenProf. Peivand Pirouzi, 2019

26. Thank you.
You can contact me at:
Peivand.Pirouzi@crownacollege.ca
Toronto, Ontario
Prof. Peivand Pirouzi, 2019

27. Backup slides

28. Differences between condition,
disorder and disease
Prof. Peivand Pirouzi, 2019