6. Psychiatry
medical specialty
dealing with the prevention, assessment,
diagnosis, treatment, and rehabilitation of
mental illness
in itself and in bodily illness ('psychiatry in
medicine')
Clinical depression,bipolar
disorder,schizophrenia and anxiety
disorders
7.
8. Primary goal
relief of mental suffering and
improvement of mental well-being
first doing a thorough diagnostic
assessment of the person from a
biological, psychological, and
social/cultural perspective
managed by medication or various
forms of psychotherapy
9. Mental health professionals
Psychiatrists
Psychologists
Psychotherapists
Psychiatric nurses
Clinical social workers
Occupational therapists
10. Psychologist
specialize in the research and clinical
application of psychological technique
Clinical psychology /Clinical
psychologists
Psychotherapist
Educational psychologist
Industrial psychologist
11. Mental health counselors
Therapists that may hold a Ph.D., a
master’s degree or a bachelor’s
degree
Marital and family therapists
Marriage, family and child counselors
Professional counselors
Mental health counselors
12. Psychiatry in professional practice
Psychiatrists
Medical doctors
specialize and are certified in treating
mental illness
using the biomedical approach
(medications,electroconvulsive therapy,etc)
may also go through significant training to
conduct psychotherapy and
cognitive behavioral therapy
13. Psychiatrists as medical professional
roles
evaluate the patient for any medical
problems or diseases that may be the
cause of the mental illness
conduct physical examinations
order and interpret laboratory tests
and EEGs
order brain imaging studies such as
CT or CAT, MRI, and PET scanning
14. Psychiatrists (others roles)
some only perform research and/or
work in an academic setting
may only hold research degrees or a
combination of psychiatry doctorates
(such as an M.D. and Ph.D.)
15. Psychiatric subspecialties
Child and adolescent psychiatry: child and
adolescent psychiatrist
Adult psychiatry
Psychiatry of Old Age (Psychogeriatrics):
geriatric psychiatrists
/psychogeriatricians( in the UK and
Australia )
Learning disability
Behavioral medicine
Consultation-liaison psychiatry
16. Psychiatric subspecialties
Emergency psychiatry
Addiction psychiatry
Forensic psychiatry: forensic
psychiatrists
Military psychiatry
Industrial psychiatry:psychiatrists in the
US (occupational psychology is the name
used for the most similar discipline in
the UK
17. Other subspecialties
Psychopharmacology
Neuropsychiatry
Psychoneuroendocrinology
psychoneuroimmunology
Cross cultural psychiatry
Community psychiatry
Social psychiatry
18. Diagnostic systems of psychiatric
disorders
ICD-10 (
International Classification of Diseases
)
the World Health Organisation : used
world wide
In USA:
Diagnostic and Statistical Manual of M
( DSM IV-TR, 2000)
19. DSM :has five axes
Axis I: Psychiatric disorders
Axis II: Personality disorders / mental
retardation
Axis III: General medical conditions
Axis IV: Social functioning and impact of
symptoms
Axis V: Global Assessment of Functioning
(described using a scale from 1 to 100)
20. Psychiatric treatment
In the past, psychiatric patients were
often hospitalized for six months or more,
with some cases involving hospitalization
for many years
Today, most psychiatric patients are
managed as outpatients
Average hospital stay is around 2-3 weeks
(with only a small number of cases involving long-term
hospitalization)
21. Outpatient care
periodically visit for consultation
Office base
usually 30 - 60 mins
psychiatric practitioner interviewing
assessment of the patient's condition
provide psychotherapy or review medication
frequency : varies widely, from days to months
depending on the type, severity and stability of
each patient's condition, and on what the clinician
and patient decide would be best
23. Inpatient care
admitted to a hospital, sometimes involuntarily
criteria for involuntary admission vary with
jurisdiction
patients are assessed, monitored, and often given
medication and receive care from a
multidisciplinary team
physicians, nurses, psychologists, occupational
therapists, psychotherapists, social workers, and
other medical professionals
If necessary, they are prevented from harming
themselves or others.
24.
25. A multidisciplinary team treatment
A multidisciplinary team treatment
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