Dr Sadgun Bhandari - A PRELIMNARY REVIEW. Dr. Sadgun Bhandari is a General Psychiatrist Consultant and an expert at the management of Serious Mental Illness especially Schizophrenia and Bipolar Affective Disorder.
Placebo effect in clinical research is a fascinating and widely researched phenomenon in biomedical research and medicine in general. Presentation is an overview of origins and impact of placebo effect in development of new medicines.
Dr Sadgun Bhandari - A PRELIMNARY REVIEW. Dr. Sadgun Bhandari is a General Psychiatrist Consultant and an expert at the management of Serious Mental Illness especially Schizophrenia and Bipolar Affective Disorder.
Placebo effect in clinical research is a fascinating and widely researched phenomenon in biomedical research and medicine in general. Presentation is an overview of origins and impact of placebo effect in development of new medicines.
Running head PSYCHIATRIC DIAGNOSIS1PSYCHIATRIC DIAGNOSI.docxtoltonkendal
Running head: PSYCHIATRIC DIAGNOSIS
1
PSYCHIATRIC DIAGNOSIS
11
Sharron Chambers
Psychiatric Diagnosis
Psychopathology PSY 645
Dr. Jennifer Weniger
October 23, 2017
Psychiatric Diagnosis
Explain psychological concepts in the patient’s presentation using professional terminology.
Brain and behavior are the psychological concepts used by the patient. The concept of the brain is related to the ability of the brain function to affect the sleeping routine and norms of a person (Kennedy, 2013). When it comes to the behaviors, it is apparent that the symptoms have changed the behaviors of the person in one way or another.
Identify symptoms and behaviors exhibited by the patient in the chosen case study.
a) Lack of sleep
b) Weakness
c) Daytime fatigue
d) Neck weakness
Match the identified symptoms to potential disorders in a diagnostic manual.
a) Lack of sleep control
Lack of sleep is one of the symptoms depicted by the patient. Lack of sleep is directly related to sleeping disorder regardless of the cause.
b) Weakness
Weakness is one of the symptoms that the patient talks about. When the body is not given enough rest, it becomes weak. The body needs time to convert what it has to energy (Kennedy, 2013). The activities that human beings engage in usually exhaust the body and it is therefore important to give the body a rest. Lack of sleep hinders one from giving the body a rest thus affecting the conversion of energy which leads to a weak body.
c) Neck weakness
The neck of a human being plays a pivotal role. When the body is not given enough rest, the neck becomes weak (Kennedy, 2013). Therefore, looking at the symptoms, it is apparent that they are connected to a sleeping disorder.
d) Daytime fatigue
A human being should sleep at night for him or her to be productive at during the day. When he or she does not do so, it is apparent that the body will not be in a good position to be effective.
Propose a diagnosis based on the patient’s symptoms and the criteria listed for the disorder(s) in the diagnostic manual.
Before conducting a diagnosis, it is important to know what the patient is suffering from. The reason why there is a conversation as well a session between the patient and the doctor is for the patient to explain the symptoms of his or her condition (Kennedy, 2013). Explaining the conditions helps the doctor to relate the symptoms to a potential illness or condition. By looking at the symptoms provided by the patient, in this case, it is apparent that the patient is suffering from a sleeping disorder. Therefore, the diagnosis that will take place, in this case, will be in line with the sleeping disorder. The following diagnosis will be the most effective for a sleeping disorder.
a) Polysomnography
Polysomnography is a test that is one of the most effective diagnosis strategies when it comes to sleeping disorders. The test is effective because of three different reasons. The first reason is that the test tri ...
1.Freeman, S. (2011). Improving cognitive treatments for delus.docxjeremylockett77
1.
Freeman, S. (2011). Improving cognitive treatments for delusions. Schizophrenia Research, 132, (2–3), 135-139. doi:10.1016/j.schres.2011.08.012
generation CBT for psychosis was successful but the strength of the treatment was weak and as the author states similar to those of clozapine (an antipsychotic used as a last resort for psychosis). Therapy is not up to date as it should be for delusions as delusion are understood quite well and therapy needs to catch up. The treatment of CBT for psychosis is similar to CBT treatment for anxiety.
Pay attention to single symptoms in psychosis
2.
Munro, Alistair (May 1992) Psychiatric Disorders Characterized by Delusions: Treatment in Relation to Specific Types. Psychiatric Annals, 22, 5, ProQuest Central pg. 232
3.
Ho-wai So, S., Roisin Peters, E., Swendsen, J., Garety, P.A., & Kapur, S. (2014) Changes in delusions in the early phase of antipsychotic treatment – An experience sampling study. Psychiatry Research 215, 568-573
Summarize including the research question addressed in the source, if applicable, and major findings.
Evaluate the usefulness of the source for your literature review, making sure to directly state why the source is informative for your specific topic
Three dimensions of delusions are always present in factor analyses and they are a conviction, distress, preoccupation, and disruption to life. More studies need to be done to learn how delusions respond to antipsychotic. Conviction has been least amenable to change shows the studies. Many studies ponder the question, “why does conviction exist?” There have been studies that show that reasoning bias including “Jumping to conclusion (JTC)” bias and by patients being inflexible contributes to the maintenance of delusions. JTC has also shown that the dimension of conviction of delusions and the severity of delusions is influenced by JTC. Delusions improve during the first few weeks of treatment and some studies show improvement in the first few hours.
It was hypothesized that delusion distress and preoccupation would reduce significantly over two weeks of antipsychotic treatment; but not a conviction. Female participants showed a higher response on all four delusion dimensions compared to the male participants. 57% of the participants showed the JTC bias. The no-JTC group showed a larger improvement in conviction and distress and with their delusions in general.
This study is important for my literature review and further studies because the three dimensions of delusions: distress, preoccupation, and conviction are important for the clinical implications of treatment. If we take into account these three dimensions it will benefit further research and treatments.
4.
The efficacy of a new translational treatment for persecutory delusions: study protocol for a randomized controlled trial (The Feeling Safe Study)
Freeman et al. (2016) Trials, 17:134. doi:10.1186/s13063-016-1245-0
Summarize including the research questi ...
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Running head PSYCHIATRIC DIAGNOSIS1PSYCHIATRIC DIAGNOSI.docxtoltonkendal
Running head: PSYCHIATRIC DIAGNOSIS
1
PSYCHIATRIC DIAGNOSIS
11
Sharron Chambers
Psychiatric Diagnosis
Psychopathology PSY 645
Dr. Jennifer Weniger
October 23, 2017
Psychiatric Diagnosis
Explain psychological concepts in the patient’s presentation using professional terminology.
Brain and behavior are the psychological concepts used by the patient. The concept of the brain is related to the ability of the brain function to affect the sleeping routine and norms of a person (Kennedy, 2013). When it comes to the behaviors, it is apparent that the symptoms have changed the behaviors of the person in one way or another.
Identify symptoms and behaviors exhibited by the patient in the chosen case study.
a) Lack of sleep
b) Weakness
c) Daytime fatigue
d) Neck weakness
Match the identified symptoms to potential disorders in a diagnostic manual.
a) Lack of sleep control
Lack of sleep is one of the symptoms depicted by the patient. Lack of sleep is directly related to sleeping disorder regardless of the cause.
b) Weakness
Weakness is one of the symptoms that the patient talks about. When the body is not given enough rest, it becomes weak. The body needs time to convert what it has to energy (Kennedy, 2013). The activities that human beings engage in usually exhaust the body and it is therefore important to give the body a rest. Lack of sleep hinders one from giving the body a rest thus affecting the conversion of energy which leads to a weak body.
c) Neck weakness
The neck of a human being plays a pivotal role. When the body is not given enough rest, the neck becomes weak (Kennedy, 2013). Therefore, looking at the symptoms, it is apparent that they are connected to a sleeping disorder.
d) Daytime fatigue
A human being should sleep at night for him or her to be productive at during the day. When he or she does not do so, it is apparent that the body will not be in a good position to be effective.
Propose a diagnosis based on the patient’s symptoms and the criteria listed for the disorder(s) in the diagnostic manual.
Before conducting a diagnosis, it is important to know what the patient is suffering from. The reason why there is a conversation as well a session between the patient and the doctor is for the patient to explain the symptoms of his or her condition (Kennedy, 2013). Explaining the conditions helps the doctor to relate the symptoms to a potential illness or condition. By looking at the symptoms provided by the patient, in this case, it is apparent that the patient is suffering from a sleeping disorder. Therefore, the diagnosis that will take place, in this case, will be in line with the sleeping disorder. The following diagnosis will be the most effective for a sleeping disorder.
a) Polysomnography
Polysomnography is a test that is one of the most effective diagnosis strategies when it comes to sleeping disorders. The test is effective because of three different reasons. The first reason is that the test tri ...
1.Freeman, S. (2011). Improving cognitive treatments for delus.docxjeremylockett77
1.
Freeman, S. (2011). Improving cognitive treatments for delusions. Schizophrenia Research, 132, (2–3), 135-139. doi:10.1016/j.schres.2011.08.012
generation CBT for psychosis was successful but the strength of the treatment was weak and as the author states similar to those of clozapine (an antipsychotic used as a last resort for psychosis). Therapy is not up to date as it should be for delusions as delusion are understood quite well and therapy needs to catch up. The treatment of CBT for psychosis is similar to CBT treatment for anxiety.
Pay attention to single symptoms in psychosis
2.
Munro, Alistair (May 1992) Psychiatric Disorders Characterized by Delusions: Treatment in Relation to Specific Types. Psychiatric Annals, 22, 5, ProQuest Central pg. 232
3.
Ho-wai So, S., Roisin Peters, E., Swendsen, J., Garety, P.A., & Kapur, S. (2014) Changes in delusions in the early phase of antipsychotic treatment – An experience sampling study. Psychiatry Research 215, 568-573
Summarize including the research question addressed in the source, if applicable, and major findings.
Evaluate the usefulness of the source for your literature review, making sure to directly state why the source is informative for your specific topic
Three dimensions of delusions are always present in factor analyses and they are a conviction, distress, preoccupation, and disruption to life. More studies need to be done to learn how delusions respond to antipsychotic. Conviction has been least amenable to change shows the studies. Many studies ponder the question, “why does conviction exist?” There have been studies that show that reasoning bias including “Jumping to conclusion (JTC)” bias and by patients being inflexible contributes to the maintenance of delusions. JTC has also shown that the dimension of conviction of delusions and the severity of delusions is influenced by JTC. Delusions improve during the first few weeks of treatment and some studies show improvement in the first few hours.
It was hypothesized that delusion distress and preoccupation would reduce significantly over two weeks of antipsychotic treatment; but not a conviction. Female participants showed a higher response on all four delusion dimensions compared to the male participants. 57% of the participants showed the JTC bias. The no-JTC group showed a larger improvement in conviction and distress and with their delusions in general.
This study is important for my literature review and further studies because the three dimensions of delusions: distress, preoccupation, and conviction are important for the clinical implications of treatment. If we take into account these three dimensions it will benefit further research and treatments.
4.
The efficacy of a new translational treatment for persecutory delusions: study protocol for a randomized controlled trial (The Feeling Safe Study)
Freeman et al. (2016) Trials, 17:134. doi:10.1186/s13063-016-1245-0
Summarize including the research questi ...
Struggling with intense fears that disrupt your life? At Renew Life Hypnosis, we offer specialized hypnosis to overcome fear. Phobias are exaggerated fears, often stemming from past traumas or learned behaviors. Hypnotherapy addresses these deep-seated fears by accessing the subconscious mind, helping you change your reactions to phobic triggers. Our expert therapists guide you into a state of deep relaxation, allowing you to transform your responses and reduce anxiety. Experience increased confidence and freedom from phobias with our personalized approach. Ready to live a fear-free life? Visit us at Renew Life Hypnosis..
Welcome to Secret Tantric, London’s finest VIP Massage agency. Since we first opened our doors, we have provided the ultimate erotic massage experience to innumerable clients, each one searching for the very best sensual massage in London. We come by this reputation honestly with a dynamic team of the city’s most beautiful masseuses.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
1. A Comprehensive
Review of the Placebo
Effect: Recent Advances
and Current Thought
11th September 2023
Presented by Anjali Bodapunti
2. “An important lesson in
physic is here to be
learnt, the wonderful and
powerful influence of the
passions of the mind
upon the state and
disorder of the body”
(de Craen et al. 1999)
2
3. Introduction: Placebos
• Placebos are inert agents that aim in satisfying the patient rather than showing an action on
the human system, directly.
• These agents have been usually used in the study and treatment of analgesia.
• Placebo response: The change in a symptom or condition of an individual that occurs as a
result of placebo.
• Placebo effect: the average placebo response in a group of individuals.
• Regression to the mean: A phenomenon where individuals tend to experience a higher level
of pain intensity on initial assessment and lower pain intensity at subsequent assessments.
3
5. Factors increasing placebo effect:
Colloca & Benedetti 2006
study shows placebo
responses in patients
having past experiences.
Double blind vs Deceptive
study
Verbal suggestions Patient’s experiences
1. Mental Manipulation:
5
6. Factors of placebo effect:
Expectancy Distorted Memory
2. Cognitive and Emotional changes:
6
7. Placebo response and biological models:
Immune System
Endocrine System
Respiration
Parkinson’s Depression
7
8. Conclusion:
• Placebos are not just inert agents but are also gaining importance in
therapeutic interventions.
• Placebos are usually driven by psychosocial and neurobiological
responses.
• Literature shows how placebos affect the whole thought process and
gives a simulating biological effect as a response.
• Future studies need to emphasize on the improvement of placebo
mechanisms and its aid in clinical research and therapeutic outcomes.
8