Shirley Portuguese: Psychiatric Manifestations of Medical Problems ...

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Knowledge Database
• Slide Presentation for the lecture of: Shirley Portuguese
Beer Yaakov Mental Health Center, Israel
• ...

Psychiatric manifestations
of Medical Problems in Adults with
Intellectual Disability
Shirley Portuguese MD MHA
BINA Clini...

Content
 BINA Clinic
 Psychiatric Comorbidities in ID
 Physical Comorbidities in ID
 Psychiatric Manifestations of med...

BINA Clinic
 Beer Yaakov outpatient clinic
 Multidisciplinary model by a joining psychiatrist
 References including: We...

ID Psychiatric Comorbidities
 Up to 2/3 of ID adults have comorbid psychiatric disorder
 Prevalent - Mood disorders, Aut...

Common Medical Manifestations in ID
Physical maintenance
Hygiene, vision, hearing, dental problems
Genetically related
Dow...

Common Medical Manifestations in ID
 Stress related - Peptic ulcer, Myocardial infarction etc
 Sedentary Lifestyle - met...

Abstract
Up to two thirds of adults with intellectual disability have a comorbid
psychiatric disorder, including mood diso...

Patient A
 50 y female with ID (moderate) from hostel
 Primary Complaint- Anxiety 3 months not improved by SSRI
 Histor...

Patient A Diagnosis - Anemia
 Treatment- Food supplements (iron, B12), stop bleeding

Patient B
 42 y female ID (severe) from hostel
 Primary Complaint- Eating problems 1 mo, food cut for her
 Interview - ...

Patient B Diagnosis –Dystonia
 Risperidone started 1 mo due to behavioral disturbances
 Antipsychotic side effects inclu...

Patient C
 35y Male with Down’s syndrome
 Complains- Cognitive decline inc. memory and concentration
 Family crisis 3 y...

Patient C diagnosis - Sleep Apnea syndrome
 Obstruction of larynx causing decline in oxygen delivery to the brain
 Resul...

Patient D
 27y Female with ID
 Complains- Irritability, Anger outbursts, preoccupation
with toilet, wet herself for 2 we...

Patient D diagnosis
 Urine sample- Urinary Tract infection
 Symptoms – persistent urge to urinate, burning sensation
whi...

Medical issues to address Before
attending a Psychiatrist
 Vision & Hearing
 Pain and discomfort (inc. teeth, ears, abdo...

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