This document discusses somatoform and dissociative disorders. Somatoform disorders involve physical symptoms that cannot be explained by medical issues and include somatization disorder, conversion disorder, pain disorder, and hypochondriasis. Dissociative disorders involve disruptions to identity, memory, or consciousness and include dissociative amnesia, dissociative fugue, depersonalization disorder, and dissociative identity disorder (formerly known as multiple personality disorder). Treatment approaches include psychotherapy, hypnosis, medication, and helping patients develop new coping strategies to manage stressors and integrate alternate personalities in cases of dissociative identity disorder.
somatoform disorders are characterized by persistent requests for medical attention because of physical complaints that cannot be sufficiently explained by medical causes.
somatoform disorders are characterized by persistent requests for medical attention because of physical complaints that cannot be sufficiently explained by medical causes.
10.30.08(a): Schizophrenia and other Psychotic DisordersOpen.Michigan
Slideshow is from the University of Michigan Medical
School's M2 Psychiatry sequence
View additional course materials on Open.Michigan: openmi.ch/med-M2Psych
One of my assignments in graduate school was to pick a topic about mental health. I chose to research Obsessive Compulsive Disorder (OCD) since so many have to endure this terrible illness. In addition, I was fascinated by how the brain works in people diagnosed with OCD and excited to share my findings with my colleagues. This project required me to implement evidence-based research by reviewing articles and books on the topic. I had to familiarize myself with the findings, create and present a comprehensive power point slide to my professors and fellow students.
Module: Pharmacotherapy III
Module Coordinator: Dr. Arwa M. Amin Mostafa
Academic Level: Postgraduate, Master of Pharmacy in Clinical Pharmacy
School: Dubai Pharmacy College
Year of first presented in Class: 2018
This presentation is for Educational purpose. It has no commercial value associated with it.
10.30.08(a): Schizophrenia and other Psychotic DisordersOpen.Michigan
Slideshow is from the University of Michigan Medical
School's M2 Psychiatry sequence
View additional course materials on Open.Michigan: openmi.ch/med-M2Psych
One of my assignments in graduate school was to pick a topic about mental health. I chose to research Obsessive Compulsive Disorder (OCD) since so many have to endure this terrible illness. In addition, I was fascinated by how the brain works in people diagnosed with OCD and excited to share my findings with my colleagues. This project required me to implement evidence-based research by reviewing articles and books on the topic. I had to familiarize myself with the findings, create and present a comprehensive power point slide to my professors and fellow students.
Module: Pharmacotherapy III
Module Coordinator: Dr. Arwa M. Amin Mostafa
Academic Level: Postgraduate, Master of Pharmacy in Clinical Pharmacy
School: Dubai Pharmacy College
Year of first presented in Class: 2018
This presentation is for Educational purpose. It has no commercial value associated with it.
ASSIGNMENT
HISTORY TAKING
ON
BIPOLAR DISSOCIATIVE DISORER CURRENT MANIC EPISODE
SUBMITTED TO:
Dept. of Mental Health (Psychiatric) Nursing
Institute of Nursing Education
INTRODUCTION
• DSM-IV-TR describes the essential features of dissociative disorders as a disruption in the usually integrated functions of consciousness, memory, identity, or perception (APA 2000).
• Dissociative responses occur when anxiety becomes overwhelming and the personality becomes disorganized.
• Defense mechanisms that normally govern consciousness, identity, and memory breakdown and behavior occur with little or no participation on the part of the conscious personality.
Dissociation:
The unconscious separation of painful feelings and emotions from an unacceptable idea, situation or object.
Dissociative Disorders:
Dissociative disorders are characterized by
Persistent
maladaptive disruptions in the integration of memory
Consciousness or identity—verge on the unbelievable.
• The person with a dissociative disorder may be unable to remember many details about the past; he or she may wander far from home and perhaps assume a new identity; or two or more personalities may coexist within the same person.
• Dissociative disorders once were viewed as expressions of hysteria.
• In Greek, Hystera means “uterus,” and the term hysteria reflects ancient speculation that these disorders were caused by frustrated sexual desires, particularly the desire to have a baby.
• According to the theory, the uterus becomes detached from its normal location and moves about in the body, causing a problem in the location where it eventually lodges.
• Variants of this somewhat sexist view continued throughout Western history, and as late as the nineteenth century many physicians erroneously believed that hysteria occurred only among women.
• New speculation about the etiology of hysteria emerged toward the end of the nineteenth century.
Symptoms of Dissociative Disorders:
• Like many ordinary cognitive processes, the extraordinary symptoms of dissociative disorders apparently involve mental processing that occurs outside of conscious awareness.
1) Extreme cases of dissociation include a split in the functioning of the individual’s entire sense of self.
2) Depersonalization is a less dramatic form of dissociation wherein people feel detached from themselves or their social or physical environment.
3) Another dramatic example of dissociation is amnesia—the partial or complete loss of recall for particular events or for a particular period of time.
4) Brain injury or disease can cause amnesia, but psychogenic (psychologically caused) amnesia results from traumatic stress or other emotional distress.
5) Psychogenic amnesia may occur alone or in conjunction with other dissociative experiences.
• It is widely accepted that fugue and psychogenic amnesia are usually precipitated by trauma, thus providing another link between dissociation and traumatic stress disorders.
6
conversion and dissociation disorder were synonymously used. in these disorder, ability to exercise conscious and selective control is impaired to a degree that can vary from day to day or even from hour to hour.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
2. Somatoform and Dissociative Disorders
Somatoform Disorders
• Physical symptoms that mimic medical conditions with no physiological basis.
• Symptoms are not under voluntary or conscious control
• Somatoform disorders:
• Somatization Disorder
• Conversion Disorder
• Pain Disorder
• Hypochondriasis
• Body DysmorphicDisorder
• Comorbid disorders: Mood, personality, and substance use disorders.
• Differentiated from malingering or factitious disorders.
• Cultural differences: Psychosomatic versus somatopsychic perspectives
Somatoform Disorders
Somatization Disorder
• Chronic complaints of many bodily symptoms with no physical basis.
• Complaints include at least four pain symptoms in different sites (DSM-IV-TR):
• Two gastrointestinal
• One sexual
• One pseudoneurological
• Undifferentiated Somatoform Disorder
• Relatively rare diagnosis world-wide
•
•
•
•
•
•
a. Conversion Disorder
Conversion Disorder: Complaints of physical problems or impairments of sensory or motor
functions controlled by voluntary nervous system, suggesting neurological disorder, with no
underlying physical cause.
Often related to stress
Most common conversion symptoms:
• Psychogenic pain
• Disturbances of stance and gait
• Sensory symptoms
• Dizziness
• Psychogenic seizures
Some symptoms are easily diagnosed as conversion disorders, while others require extensive
neurological and physical examination.
b. Pain Disorder
Pain Disorder: Reports of severe pain, but:
• No physiological or neurological basis (vague descriptions)
• Pain is greatly in excess of that expected with an existing condition, OR
• Pain lingers long after a physical injury has healed
Frequent visits to doctors with numerous physical complaints; potential for drug or medication
abuse.
3. •
•
•
•
•
•
•
•
•
•
•
•
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c. Hypochondriasis
Hypochondriasis: Persistent preoccupation with one’s health and physical condition, despite
physical evaluations that reveal no organic problems.
Prevalence: 2-7% of general medical population
Somatoform Disorders
Hypochondriasis
Predisposing factors:
• History of physical illness
• Parental attention to somatic symptoms
• Low pain threshold
• Greater sensitivity to somatic cues
• Anxiety/stress-arousing event, plus perception of somatic symptoms, plus fear that
sensations reflect disease = greater attention to somatic cues.
d. Body Dysmorphic Disorder
Body Dysmorphic Disorder: Preoccupation with imagined physical defect in a normal-appearing
person, or excessive concern with slight physical defect.
May be underdiagnosed due to embarrassment to discuss the problem
Comorbid: Functional impairment, mood disorders, social phobia, low self-esteem; may be
suicidal
Possibly related to obsessive-compulsive disorder
Etiology of Somatoform Disorders
Diathesis-stress models:
• Predisposition may be learned or “hard-wired”
• Predisposition involves hypervigilance or exaggerated focus on bodily sensations,
increased sensitivity to weak bodily sensations, and disposition to react to somatic
sensations with alarm.
• Predisposition becomes fully developed disorder when person can’t deal with trauma or
stress.
Psychodynamic perspective: Somatic symptoms defend against awareness of unconscious
emotional issues.
• Freud: Hysterical reactions result from repression of conflict (usually sexual)
• Two mechanisms produce and sustain symptoms:
• Primary gain (protection from anxiety)
• Secondary gain (dependency needs fulfilled)
Behavioral perspective:
• Reinforcement
• Modeling
• Cognitive styles
• Combination of all three
Sociocultural perspective:
• Societal restrictions on women
Biological perspective:
• There may be innate physical bases
• Hypochondriacs are more sensitive to bodily sensations
4. •
•
•
•
•
•
Treatment of Somatoform Disorders
Psychodynamic: Psychoanalysis and hypnosis to help person relive feelings associated with
repressed trauma.
• Determining the validity of memories dating from an early age is very difficult.
Behavioral: Many strategies, including exposure and response prevention (extinction and
nonreinforcement of complaints); systematic desensitization.
Cognitive-behavioral: Correct cognitive distortions and reattribution training
Treatment of Somatoform Disorders
Biological: Antidepressant medications, increased physical activity, SSRIs
Family systems treatment: Place identified patient’s disorder in perspective, teach family
adaptive ways of support, prepare family members to deal with problems.
Dissociative Disorders: Mental disorders in which a person’s identity, memory, or consciousness is
altered or disrupted:
• Dissociative Amnesia
• Dissociative Fugue
• Dissociative Identity Disorder (DID, formerly Multiple Personality Disorder or MPD)
• Depersonalization Disorder
Dissociative Amnesia
• Dissociative Amnesia: Partial or total loss of important personal information, may occur
suddenly after stressful/traumatic event.
• Localized: Failure to recall all the events that happened during a specific period.
• Selective: Inability to remember certain details of an incident.
• Generalized: Inability to remember anything about one’s past life.
• Systematized: Loss of memory for selected types of information.
• Continuous: Inability to recall events occurring between specific time in the past and the
present.
• Possibly due to repression (or closely related process) of a traumatic event:
• Posthypnotic Amnesia: Individual cannot recall events occurring during hypnosis with
hypnotist suggesting what is to be forgotten.
• Dissociative Amnesia: Both the source and content of the amnesia are unknown (not
caused by physical injury).
• In posthypnotic and dissociative amnesia, lost material can sometimes be retrieved with
professional help.
Dissociative Fugue
• Dissociative Fugue: Confusion over personal identity, together with unexpected travel away
from home.
• Also called “fugue state”
• Usually involves only short periods of time with incomplete change of identity.
Depersonalization Disorder
• Depersonalization Disorder: A dissociative disorder in which feelings of unreality concerning the
self or the environment cause major impairment in social or occupational functioning.
• Depersonalization is the most common dissociative disorder.
• Precipitated by physical or psychological stress; evidence that it may be related to emotional
abuse, especially by parents.
• Dissociative Disorders
Dissociative Identity Disorder (DID)
5. •
•
Formerly called Multiple Personality Disorder
Dissociative Identity Disorder: Dissociative disorder in which two or more relatively independent
personalities appear to exist in one person, with only one evident at a time.
• Tone of voice, mannerisms, and other personality characteristics change.
Dissociative Identity Disorder (DID)
• Originates in childhood: Reports of extreme physical or sexual abuse
• Comorbid with conversion symptoms, depression, and anxiety
• Diagnostic controversy
• Number of personalities has increased.
• Much higher in highly suggestible patients.
• Often “discovered” in hypnosis.
Etiology of Dissociative Disorders
• Psychodynamic perspective: Repression blocks unpleasant/traumatic events from
consciousness.
• Amnesia and fugue: Part of personal identity blocked
• DID: Conflicts in personality structure; opposing personality components disable ego’s
ability to control incompatible elements
• Behavioral perspective: Indirect avoidance of stress.
• Sociocognitive model: Rule-governed/goal-directed experiences and displays created,
legitimized, and maintained by social reinforcement.
• Learn behaviors from observing what works for others.
• Reinforced by the removal of unpleasant memories.
• Iatrogenic: Created by the therapeutic situation (hypnotic suggestibility).
• Treatment of Dissociative Disorders
• No specific medication, but medications can treat accompanying anxiety or depression.
• Survivors of childhood sexual abuse who have dissociated are often treated with
psychoeducation, use of group resources, and cognitive/social skills training.
• Amnesia and fugue (usually spontaneously remit):
• Supportive counseling
• Treat depression and stress
• Depersonalization disorder (slower spontaneous remission)
• Alleviate feelings of anxiety, depression, fear of going insane.
• Occasionally behavioral therapy (reinforcement of appropriate responses)
• Dissociative identity disorder (DID):
• Controversial treatments, not always successful
• Psychotherapy and hypnosis
• Personalities introduce selves to patient (in hypnosis) and recall traumatic
experiences/memories which developed them
• Therapist suggests personalities served a purpose but now alternative coping
strategies will be more effective
• Integrate personalities