OBJECTIVES:
To describe and explain Gen Z in COVID 19
To highlight the differences between Gen Z and Millennials
To explore the problems of Anxiety and Depression in this group
This is a Case Formulation dated 22/7/2017
I. Diagnosis:
Luisa is diagnosed with several mental disorders as a result of sexual abuse. These disorders are PTSD (Posttraumatic Stress Disorder), depressive disorder, and anxiety disorder.
II. Background/History
Luisa, 25 years old, housewife, illiterate, married, five living children, one dead (two pairs of twins), one granddaughter. Derived from the Unit of Psychiatry from Primary Care with diagnosis of chronic depression of 11 years of evolution, initiated in the last postpartum and associated by the patient to a surgical sterilization.
Communicating with Someone Who is Experiencing a Mental Health CrisisAbbey Collins
Communicating with Someone Who is Experiencing a Mental Health Crisis- brief overview of how first responders can interact with individuals in a mental health crisis- brief explanation of various diagnoses
The presentation focuses on psychopaths- who are they, their traits, brain abnormalities, genetic basis, electrophysiological deficits, socialization function by brain
ComFun6e_Ch02_C!.indd 30ComFun6e_Ch02_C!.indd 30 12/10/09 10:18:12 AM12/10/09 10:18:12 AM
P
hilip Berman, a 25-year-old single unemployed former copy editor for a large publishing
house, . . . had been hospitalized after a suicide attempt in which he deeply gashed his
wrist with a razor blade. He described [to the therapist] how he had sat on the bathroom
floor and watched the blood drip into the bathtub for some time before he telephoned
his father at work for help. He and his father went to the hospital emergency room to have
the gash stitched, but he convinced himself and the hospital physician that he did not need
hospitalization. The next day when his father suggested he needed help, he knocked his dinner
to the floor and angrily stormed to his room. When he was calm again, he allowed his father
to take him back to the hospital.
The immediate precipitant for his suicide attempt was that he had run into one of his former
girlfriends with her new boyfriend. The patient stated that they had a drink together, but all the
while he was with them he could not help thinking that “they were dying to run off and jump
in bed.” He experienced jealous rage, got up from the table, and walked out of the restaurant.
He began to think about how he could “pay her back.”
Mr. Berman had felt frequently depressed for brief periods during the previous several years. He
was especially critical of himself for his limited social life and his inability to have managed to
have sexual intercourse with a woman even once in his life. As he related this to the therapist,
he lifted his eyes from the floor and with a sarcastic smirk said, “I’m a 25-year-old virgin. Go
ahead, you can laugh now.” He has had several girlfriends to date, whom he described as very
attractive, but who he said had lost interest in him. On further questioning, however, it became
apparent that Mr. Berman soon became very critical of them and demanded that they always
meet his every need, often to their own detriment. The women then found the relationship very
unrewarding and would soon find someone else.
During the past two years Mr. Berman had seen three psychiatrists briefly, one of whom had
given him a drug, the name of which he could not remember, but that had precipitated some
sort of unusual reaction for which he had to stay in a hospital overnight. . . . Concerning his
hospitalization, the patient said that “It was a dump,” that the staff refused to listen to what
he had to say or to respond to his needs, and that they, in fact, treated all the patients “sadisti-
cally.” The referring doctor corroborated that Mr. Berman was a difficult patient who demanded
that he be treated as special, and yet was hostile to most staff members throughout his stay.
After one angry exchange with an aide, he left the hospital without leave, and subsequently
signed out against medical advice.
Mr. Berman is one of two children of a middle-class family..
OBJECTIVES:
To describe and explain Gen Z in COVID 19
To highlight the differences between Gen Z and Millennials
To explore the problems of Anxiety and Depression in this group
This is a Case Formulation dated 22/7/2017
I. Diagnosis:
Luisa is diagnosed with several mental disorders as a result of sexual abuse. These disorders are PTSD (Posttraumatic Stress Disorder), depressive disorder, and anxiety disorder.
II. Background/History
Luisa, 25 years old, housewife, illiterate, married, five living children, one dead (two pairs of twins), one granddaughter. Derived from the Unit of Psychiatry from Primary Care with diagnosis of chronic depression of 11 years of evolution, initiated in the last postpartum and associated by the patient to a surgical sterilization.
Communicating with Someone Who is Experiencing a Mental Health CrisisAbbey Collins
Communicating with Someone Who is Experiencing a Mental Health Crisis- brief overview of how first responders can interact with individuals in a mental health crisis- brief explanation of various diagnoses
The presentation focuses on psychopaths- who are they, their traits, brain abnormalities, genetic basis, electrophysiological deficits, socialization function by brain
ComFun6e_Ch02_C!.indd 30ComFun6e_Ch02_C!.indd 30 12/10/09 10:18:12 AM12/10/09 10:18:12 AM
P
hilip Berman, a 25-year-old single unemployed former copy editor for a large publishing
house, . . . had been hospitalized after a suicide attempt in which he deeply gashed his
wrist with a razor blade. He described [to the therapist] how he had sat on the bathroom
floor and watched the blood drip into the bathtub for some time before he telephoned
his father at work for help. He and his father went to the hospital emergency room to have
the gash stitched, but he convinced himself and the hospital physician that he did not need
hospitalization. The next day when his father suggested he needed help, he knocked his dinner
to the floor and angrily stormed to his room. When he was calm again, he allowed his father
to take him back to the hospital.
The immediate precipitant for his suicide attempt was that he had run into one of his former
girlfriends with her new boyfriend. The patient stated that they had a drink together, but all the
while he was with them he could not help thinking that “they were dying to run off and jump
in bed.” He experienced jealous rage, got up from the table, and walked out of the restaurant.
He began to think about how he could “pay her back.”
Mr. Berman had felt frequently depressed for brief periods during the previous several years. He
was especially critical of himself for his limited social life and his inability to have managed to
have sexual intercourse with a woman even once in his life. As he related this to the therapist,
he lifted his eyes from the floor and with a sarcastic smirk said, “I’m a 25-year-old virgin. Go
ahead, you can laugh now.” He has had several girlfriends to date, whom he described as very
attractive, but who he said had lost interest in him. On further questioning, however, it became
apparent that Mr. Berman soon became very critical of them and demanded that they always
meet his every need, often to their own detriment. The women then found the relationship very
unrewarding and would soon find someone else.
During the past two years Mr. Berman had seen three psychiatrists briefly, one of whom had
given him a drug, the name of which he could not remember, but that had precipitated some
sort of unusual reaction for which he had to stay in a hospital overnight. . . . Concerning his
hospitalization, the patient said that “It was a dump,” that the staff refused to listen to what
he had to say or to respond to his needs, and that they, in fact, treated all the patients “sadisti-
cally.” The referring doctor corroborated that Mr. Berman was a difficult patient who demanded
that he be treated as special, and yet was hostile to most staff members throughout his stay.
After one angry exchange with an aide, he left the hospital without leave, and subsequently
signed out against medical advice.
Mr. Berman is one of two children of a middle-class family..
Caso 24 La paciente es una joven de 24 años. Es soltera, vive cMaximaSheffield592
Caso 24
La paciente es una joven de 24 años. Es soltera, vive con sus padres y su hermana menor en un departamento en un quinto piso. Trabaja como vendedora en un comercio pequeño en un suburbio de la ciudad.
Motivo de consulta: Después de discutir con sus padres amenazó con matarse saltando por la ventana. Los padres no sabían qué hacer y llamaron al médico de familia, el que los derivó a un servicio de psiquiatría. La paciente había estado en su habitación escuchando heavy metal rock en su estéreo. Tenía el volumen muy alto, entonces sus padres fueron a su habitación y le pidieron que bajara “esa música de locos” . Ella se rehusó y comenzó otra pelea. Cuando su madre apagó el estéreo, la paciente abrió la ventana y amenazó con saltar. Después de mucho discutir a los gritos, aceptó ser enviada al hospital. Una vez allí aceptó quedarse, sólo porque “la situación en la casa se había vuelto casi imposible”. De acuerdo a sus padres, esta situación había sido “catastrófica” los últimos cinco años. La paciente podía ser bastante agradable por momentos, pero se enojaba y se volvía peleadora enseguida sin razón aparente. Parecía contenta y satisfecha durante una hora o mas, y de repente se quejaba de que la vida no valía la pena ser vivida. En varias ocasiones se fue de la casa para ir a vivir en un pequeño departamento sóla. Pero, luego de cada oportunidad, volvió después de un tiempo para vivir con sus padres nuevamente. Nunca parecía saber qué era lo que realmente quería, dijeron sus padres. Sus planes para el futuro eran totalmente irreales y de todas maneras cambiaba los mismos en forma constante.
Antecedentes: de acuerdo con sus padres, la paciente había sido una chica normal hasta su adolescencia. Alrededor de los trece años, se volvió más difícil. Aunque era una niña inteligente, tenía problemas en la escuela. Tenía muy buenas notas en las materias que le interesaban, pero fracasaba completamente en las que no le gustaban. Además, sus profesores se quejaban de que era muy indisciplinada . En su casa tenía muchas discusiones con sus padres y su hermana por causas triviales. A los 15 años, se le pidió que cambie de escuela porque había fracasado en las materias. Insistió en que quería ingresar en una escuela técnica, lo que hizo. Era la única mujer de su curso y un año después abandonó porque no le gustaba más la escuela. Comenzó un curso de arte en otra escuela pero pronto desertó de todo y comenzó a trabajar en un negocio como vendedora. En los siguientes años cambió de trabajo con frecuencia. En tres ocasiones, se quedó sin trabajo por varios meses. Había comenzado un nuevo trabajo cuatro meses antes de ser internada y estaba considerando cambiarlo de nuevo.
Los padres de la paciente dijeron que ella no tenía amigos estables y que rompía las relaciones sin mayores razones. Sus relaciones con otros jóvenes fueron descriptas como “íntimas” pero ...
This ppt throws light on all aspects of domestic violence. It also shares a true story about a lady ho is a victim of domestic violence . I have tried to explain about domestic violence highlighting women and children and also suggested ways in which one can help a women who is the victim of domestic violence . I hope this will be helpful to the victims.
However one should know that even boys can be subjected to such violence.
This is one little step i would like to take to stop domestic violence. I hope that someday this violence stops and every lives happily together
12Working With FamiliesThe Case of Carol and JosephCa.docxAlyciaGold776
12
Working With Families:
The Case of Carol and Joseph
Carol is a 23-year-old, heterosexual, Caucasian female and the
mother of a 1-year-old baby girl. She is currently unemployed,
having previously worked for a house cleaning company. The
baby is healthy and developmentally on target, and she and the
parents appear to be well bonded with one another. Carol lives in
a rented house with her husband, Joseph. Joseph is a 27-year-old,
heterosexual, Hispanic male. He was recently arrested at their
home for a drug deal, which he asserts was a setup. Both parents
were charged with child endangerment because weapons were
found in the child’s crib and drugs were found in the home. The
parents assert that the child never sleeps in the crib but in their
bed. As a result of the parents’ arrest, social services was notified,
and the child was temporarily placed in a kinship care arrangement
with the maternal grandmother, who resides nearby. As a
result of Joseph’s arrest, he was fired from the cleaning company
where he worked, and the family is now experiencing financial
difficulties.
After initial contact was made with the parents, a number of
concerns were noted and the family was recommended for additional
case management. Carol’s mother indicated that she had
concerns about Carol’s drinking habits and stated that Carol’s
father and grandfather were alcoholics. She and the father separated
when Carol was a baby, and Carol has had only limited
contact with him. There appears to be significant tension between
the grandmother and Carol and Joseph. I addressed the alcohol
issue with both parents, who denied there was a problem, but
shortly after the discussion, Carol was involved in a serious car
accident with the baby in the car. She was determined to have been
under the influence of alcohol. I advised Carol that she could not
have any unsupervised contact with her child until she completed
intensive inpatient substance abuse treatment. I made arrangements
for her placement, but after a week, she was discharged
for noncompliance with the rules. She was then referred to an
intensive outpatient program and began therapy there. Initially
her attendance was erratic because she had lost her license as a
result of the DUI. Eventually, however, she became engaged in the
program and began to address her issues. She acknowledged that
she had started using drugs at a very young age but said that she
had only begun drinking in the previous year or so. We discussed
the genetics of her family, and she said that she realized that she
had deteriorated rapidly since beginning to drink and knew that
she simply could not drink alcohol.
Joseph’s mother is deceased, and his father travels extensively
in his job and is not available as a support. Joseph was
very devoted to his mother and was devastated by her premature
death. We discussed the strengths that he and Carol demonstrated
in staying together and working out their p.
NameLsac IDPersonal Statement 1Three months in prison. Thi.docxhallettfaustina
Name Lsac ID Personal Statement 1
Three months in prison. This is not your typical summer for a 21-year-old college student living in Miami. What crime did she commit? Why did she spend her summer in prison? These could feasibly be some of the questions going through your mind right now. Fortunate enough, I was on the freedom side of the prison cell and not on the incarcerated side. It was the summer of 2017 when I first voluntarily stepped foot inside a level 5 security prison. I became one of the few Hispanic student advocates for the Corrections Transition Program located at Everglades Correctional Institution in Miami. It is also known statewide as the Lifer's Program, which is a program that prepares inmates for re-entry into society who are parole eligible. These men have all been sentenced to life in prison before 1973 and have spent over 47 years incarcerated. They go by their motto of “Men going home,” but these “men going home” are not knowledgeable of the technological advancements in today’s modern-day society. This is where I come into the picture.
104 incarcerated men and 25 volunteers, I did not know what I was getting myself into. I told myself I would approach this scenario open-minded and although I was bias at first about their moral character, I did exactly that. I was in charge of teaching four inmates how to transition from their everyday prison norm to real-life. At first, I was scared for many reasons. Am I safe? Is there going to be a language barrier? Will I be able to help these men? I was sitting in a room full of offenders that have done crimes such as murder, rape, robbery, drug trafficking, and more; all while they were uncuffed and free to roam around the room. To my surprise, I was exceedingly wrong. They proved to be more proper and respectful than 90% of the general public I know outside of the prison world. They were friendly, well-mannered, and most importantly made me feel safe.
When asked what their plan was once released, I received an answer I will never forget. “You could let me out today and I’ll turn right back around because I wouldn’t know what to do.” This was the moment my heart weighed heavy and I felt sympathy for every person incarcerated and getting released to a completely different world than that they knew before. I knew this had to be changed and I was a part of a bigger picture that gave purpose to helping other individuals with real-life problems. This answer hit close to home since my grandparents migrated from Colombia to the United States without knowing English, and without knowing anyone. They felt the same pressure of going into a world that they don’t easily fit in with. Thankfully, with each other’s support, they did not give up and learned to adjust to American society with the help of others. Just like my grandparents had an extra hand, I made it my mission to extend my hand and teach these men as much as I possibly could. I proceeded to overcome my fear of public speaking a.
NameLsac IDPersonal Statement 1Three months in prison. Thi.docxdohertyjoetta
Name Lsac ID Personal Statement 1
Three months in prison. This is not your typical summer for a 21-year-old college student living in Miami. What crime did she commit? Why did she spend her summer in prison? These could feasibly be some of the questions going through your mind right now. Fortunate enough, I was on the freedom side of the prison cell and not on the incarcerated side. It was the summer of 2017 when I first voluntarily stepped foot inside a level 5 security prison. I became one of the few Hispanic student advocates for the Corrections Transition Program located at Everglades Correctional Institution in Miami. It is also known statewide as the Lifer's Program, which is a program that prepares inmates for re-entry into society who are parole eligible. These men have all been sentenced to life in prison before 1973 and have spent over 47 years incarcerated. They go by their motto of “Men going home,” but these “men going home” are not knowledgeable of the technological advancements in today’s modern-day society. This is where I come into the picture.
104 incarcerated men and 25 volunteers, I did not know what I was getting myself into. I told myself I would approach this scenario open-minded and although I was bias at first about their moral character, I did exactly that. I was in charge of teaching four inmates how to transition from their everyday prison norm to real-life. At first, I was scared for many reasons. Am I safe? Is there going to be a language barrier? Will I be able to help these men? I was sitting in a room full of offenders that have done crimes such as murder, rape, robbery, drug trafficking, and more; all while they were uncuffed and free to roam around the room. To my surprise, I was exceedingly wrong. They proved to be more proper and respectful than 90% of the general public I know outside of the prison world. They were friendly, well-mannered, and most importantly made me feel safe.
When asked what their plan was once released, I received an answer I will never forget. “You could let me out today and I’ll turn right back around because I wouldn’t know what to do.” This was the moment my heart weighed heavy and I felt sympathy for every person incarcerated and getting released to a completely different world than that they knew before. I knew this had to be changed and I was a part of a bigger picture that gave purpose to helping other individuals with real-life problems. This answer hit close to home since my grandparents migrated from Colombia to the United States without knowing English, and without knowing anyone. They felt the same pressure of going into a world that they don’t easily fit in with. Thankfully, with each other’s support, they did not give up and learned to adjust to American society with the help of others. Just like my grandparents had an extra hand, I made it my mission to extend my hand and teach these men as much as I possibly could. I proceeded to overcome my fear of public speaking a.
Discussion of issues related to violence in the workplace, coping with anxieties about violence, and talking to children about reports of violence they see in the media.
To prepare Use a differential diagnosis process and analysis maryettamckinnel
To prepare:
Use a differential diagnosis process and analysis of the Mental Status Exam in "The Case of L" to determine if the case meets the criteria for a clinical diagnosis.
Questions:
Provide the full DSM-5 diagnosis. Remember, a full diagnosis should include the name of the disorder, ICD-10-CM code, specifiers, severity, and the Z codes (other conditions that may need clinical attention).
Explain the full diagnosis, matching the symptoms of the case to the criteria for any diagnoses used.
Identify 2-3 of the close differentials that you considered for the case and have ruled out. Concisely explain why these conditions were considered but eliminated.
Identify the assessments you recommend to validate treatment. Explain the rationale behind choosing the assessment instruments to support, clarify, or track treatment progress for the diagnosis.
Explain your recommendations for initial resources and treatment. Use scholarly resources to support your evidence-based treatment recommendations.
Explain how you took cultural factors and diversity into account when making the assessment and recommending interventions.
Identify client strengths, and explain how you would utilize strengths throughout treatment.
Identify specific knowledge or skills you would need to obtain to effectively treat this client, and provide a plan on how you will do so.
These questions are based on the following case:
The Case of L Presenting Problem Client presented in the emergency room (ER) having been brought in the previous night by her parents. Following an argument with her parents, L cut her right wrist. L's mother reported that L started screaming rapidly and became physically violent toward her prior to cutting her own wrist. Psychological Data L is a 17-year-old Hispanic female who resides in Pennsylvania with her mother, father, and older sister. She is in 11th grade at the local public school. L appeared to be of average to above-average intelligence, as she was able to respond to numerous questions in an articulate and intelligent manner. She was well versed about world history and current affairs. Her mother confirmed that she has done well in school, maintaining a B+ average and participating in various school activities (e.g., chorus, school paper) until last year. L slowly dropped out of many activities she liked in the past. Her mother noticed about 8 months ago that L had also begun having difficulty doing schoolwork. Erratic behavior arose during episodes when L also became irritable and explosive. During these repeated episodes, she became quite defiant, cut classes, had to be placed in school detention, and had even assaulted the principal. L has numerous friends and believed she can relate to all types of people. She has a boyfriend who adores her, but she said she doesn't feel the same about him. The school counselor confirmed that L is outgoing, popular, and smart; but during these episodes she became another person, one who is very ...
Similar to The Paedophiles and the Psychiatrists (20)
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.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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
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.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
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.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
2. AUTHOR OF :
• THE DANGEROUS ROOTS OF PSYCHIATRY
• THE CULTURAL CONSTRUCTION OF MADNESS
3. KNOWING
ABUSE HAS
HAPPENED
• One of my jobs, amongst others, is to aid those
suffering from an uncatalogued condition, which is
never likely to be diagnosed by NHS doctors, and is
one ignored entirely by mental health professionals
everywhere. Usually I provide my services free over
the phone or through Skype.
• What is this condition, which affects millions?
• It is the devastating consequences of psychiatric
abuse. You may have been affected by this
phenomenon yourself but not recognised it as such.
You may have been proscribed drugs for stress or
depression and have suffered un-acknowledged side
effects, panic attacks or anxiety, or unknowingly
become severely drug addicted with dire future
consequences.
4. ACCEPTING
ABUSE………………
……….
• Most of you reading this would have experienced
such abuse. you may simply be unaware of it, your
understanding cloaked by too much faith in the
medical profession as a whole.
• This piece will contain a number of narratives, told
to me directly or indirectly. The main story of the
title to this piece will form the last section.
6. • Well, not quite, but for those amongst you who believe
that psychiatry is a genuine science, think again!
• Let’s begin with one story, which in fact I have read about rather than witnessed
that concerns doctors operating outside the law and being allowed to do so.
• This happened 50 years ago and concerned a world famous psychiatrist, a mother
and his patient the young daughter.
7. • The mother brought her daughter of maybe 14 or 16 to the renowned doctor
claiming she was mentally ill. She was in a relationship with a boy against her
mother’s wishes, a boy whom the girl claimed she loved.
• In those days children did not have the rights, including the rights to be heard
and listened to, they do now. A child of 16 was under the authority of the parent.
8. • The doctor believing the mother’s controlling assertions took on the girl as his
patient and without the girl’s permission gave her electro-convulsive-treatment-
that is sent powerful electric currents through her brain. She consequently lost
most of her memories.
• This commonly occurred, but doctor’s appeared not to be overly concerned!
• Over the years the girl retrieved some of her memories, eventually recognising
her boyfriend, whom later she married. To all intents and purposes the girl’s life
was ruined, and she certainly never fulfilled her potential.
9. • This kind of behaviour occurred frequently in Soviet Russia at the time and in
other dictatorships around the world. The treatments and behaviour of medical
authorities throughout the 1950–60s reflected the treatment given to dissidents
in the above states. I knew a student who was politically active at that time, who
causing problems in his university, was told to leave the university, thus not
taking his degree, or enter an asylum for treatment. He chose the latter, staying
there for a month. Doctors were more than happy to engage in this kind of social
control.
10. Q) ASK
YOURSELF.
• Should the renowned doctor been charged and punished?
After all, he abused a child and caused that child irreparable
damage.
• Answer_Doctors are part of the state like justices and police
with rights over the ordinary population. If a psychiatrist
says someone is mentally ill and requires treatment by and
large they are believed.
• But yes, he should have been charged. Unfortunately, they
never are and such abuse as outlined above continues in
some form or another today. The state, as well as most
people, poorly informed unfortunately, trust and believe
doctors with a conviction that is almost religious.
11. • I have read other commentators explicate excuses for the renowned doctor’s
behaviour, suggesting his own uncontrollable bouts of depression lead to him to
employ extreme measures on others. It was empathy not criminality that drove
him! Fine, well some serial killers employ similarly bizarre reasoning. Let me
provide alternative insights below:
• He was unaccountable-he could do to others whatever he saw fit.
• He was not challenged by lay-men or his fellow doctors.
12.
13. GOOD DOCTOR,
OR BAD
DOCTOR?
• The relationship doctors have with their patients
involves severe power imbalances-what they say
goes, their views are paramount at all times. They
often behave like lords in some poorly produced
film on medieval life, with the rest of us merely
annoying commoners.
• His acceptance of the mother’s story demonstrated
ignorance of day to day psychology and of how
appalling people can behave in order to retain
control.
14. • He failed to properly interview the patient, discover an alternative narrative to the
mother’s, demonstrating thereby high-handedness, indifference or stupidity.
• He took no responsibility for his actions, demonstrating the psycho-pathological
attitudes and behaviour of many senior doctors
15. DOMINANCE
OF
PROFESSIONAL
OPINION.
• If you enter any facility run by mental health
professions of any discipline, the world changes. It
is a different world from the one you left-an
alternative world. It is a world fashioned by mental
health ideologies in which mental health workers
define reality. You could be a great scientist, writer
or thinker, but that matters not a jot. In these
environs, the lowest mental health worker’s sense
of reality holds sway.
16. LET’S LOOK AT
ANOTHER
CASE,
SOMEWHAT
DIFFERENT
FROM THE
PREVIOUS ONE
.
• A man attempting to acquire rights, for that is what
it was and is, for and over his son, for the clear
benefit of his son. His ex-partner had gone back to
her previous boyfriend and they intended to bring
the boy up as their own. The mother accordingly
made accusations as to the real father’s stability,
although both had been at one time addicted to
tranquillisers. My client had recently lectured in
hospitals and run a Mental Health Charity.
• .
•
17. • First they saw a leading social worker-who made a judgement on the father based
on a few meetings and through a highly subjective prism. She had no genuine
knowledge of human psychology but consulted notes. She did not allow the
father to read and review her assessment, thereby correcting, her conclusions. As
an ‘expert’ her view dominated.
18. • My client had to see his son at various supervised meeting places. He was seen as
the problem even though he merely met his son and played with him-merely
loved him. He avoided the mother, who correctly as it turned out, he regarded as
controlling and manipulative. Given previous behaviour on her part, he believed
the mother would misrepresent his actions if he attempted to discuss the child
with her or approached her in any way. This was not an ill-founded fear.
19. • The child, like my client but unlike the mother and her boyfriend, showed early
intelligence. Eventually they ended up in a highly regarded children’s centre
where officially my client was reviewed as ‘having problems’. Most of the
information on his ‘problems’ came from the mother although the social worker,
without any formal training in human psychology and largely egged on by the
mother, had also encouraged that view. The energy of the senior staff went
towards helping him with his (completely imaginary) problems and were thereby
purposely distracted from the mother’s behaviour and more genuine ‘problems’.
20. • The children’s centre was presided over by two workers, a woman who was
training to be a social worker, and a man, a senior social worker. While they
treated the parents with custody well, the other parents, according to my client,
were ordered around and treated like criminals. Frightened of losing their
children, they allowed themselves to be treated in this despicable fashion.
21. • The staff took the view that he needed to speak to the mother, a commonly
propounded piece of pseudo-wisdom found in Agony Aunt columns. He
informed me that he did not consider this wise, given the mother’s behaviour in
the past, and that he was anyway only interested in building a relationship with
his son. In his own judgement, he was taking the most appropriate action.
22. •You do not disagree with a social
worker working in any area, let alone
mental health. If you do, you will be
diagnosed with a personality
disorder!
23. • My client realised that the mother and senior worker were co-operating as he
constantly saw them discussing matters, and once overheard them discussing
him. Both he and I were appalled by this collusion. The senior worker was
involving the mother in treatment of the father, considered necessary through her
unreliable testimony.
24. • Although my client did not discuss his views, because of their attitude, with the
staff he developed a reputation for having problems for which he required
treatment. One of the senior staff attempted unasked for analysis on him, which
he defended with sarcasm and ridicule.
25. • The mother appears to have fed the senior worker a series of lies on the father’s
behaviour, giving it appears the false idea that he was stalking/annoying her. The
senior worker did not ask my client if any of it was true, just simply accepted it.
Nor did the senior worker check any of the mother’s facts out.
• The senior worker then began abusing the father-calling him names, accusing
him of being a monster and other choice epithets. My client went to his MP, an
acquaintance of his who knowing my client well intervened.
26. • The senior worker’s judgement on my client was made from innuendo and
anecdote. His report (these reports are extremely dangerous as they carry with
them the weight of truth-rather than professional subjectivity) on my client
insisted he was ego-centred-a non-diagnosis pretending to be an actual one.
From my client’s testimony, the senior worker came across as a remarkably
egotistic man who considered that whatever he thought, said or believed
contained all the power of truth. Pot calling the kettle black, or simply projection?
27. • 1) Judgements on mental health are subject to prejudice not science.
• 2) Professional mental health workers construct their own reality from anecdotal
evidence or simply prejudice.
• 3) Professional mental health workers operate within a bullying framework.
• 4) A professional believes only a fellow professionals insight is authentic.
• 5) They all engage in the construction of alternative realities.
28. • 6) Victims are far more likely to be judged mentally ill than aggressors as
professionals tend to be aggressors themselves and it is easier to deal with one
person, usually the one lacking in confidence, than several demanding people.
• 7) professionals scapegoat by employing mental health descriptions
• 8) Difficult people are silenced using mental health diagnosis.
29. • All the authorities my client dealt with blotted out that he had run a Mental
Health Charity, was chair of a local political party, and had lectured within
hospitals. Mental Health workers need to believe that the people they are
dealing with are beneath them, that the workers are the clever, insightful ones.
The information on his past achievements never once appeared in court, in files
on him, or during mediation. He was instead re-defined as mentally ill-a
category he strongly rejected.
30. • The diagnosis of ego-centred (actually a non-diagnosis couched in pseudo-
medical language) appears to have been based on my client’s refusal to accept
the expertise of the senior worker, whom my client, see above, considered
shockingly egotistic. It was also because Mental Health workers refuse to believe
that the people they deal with have minds of their own, have, in effect, their
own ideas and that these ideas are of equal merit to these. If a patient fails to
acquiesce to the therapists or doctors views, they are mad.
31. • Benzodiazepine addiction:
• In Great Britain in the 1980s there was widespread unemployment, largely due to
government policy of running down industries without replacing them with any
other forms of employment, and of diverting wealth to the well-off in the belief
that this would regenerate the economy. This social phenomenon was dealt with
by GPs over proscribing Benzodiazepine tranquillisers, such as Valium and
At least 3 million were addicted.
32. • The addictive power of the above drugs is said to be stronger than heroin and
cocaine. In a number of important ways, smothering the mind and limiting
thought for example, they work in the same way. From my professional
experience, they also cause major personality changes. Many lives were and are
consequently being ruined.
33. • In the following decades, sufferers took the matter to court, but their cases were
arbitrarily stopped by the new government of the time.
• In the present day, from 250,000 to a million (The Times: April 29 2017) are
similarly addicted. According to the newspaper, GPs were warned over 4 years
ago to stop proscribing these drugs willy-nilly. They have nevertheless continued
to do so.
34. • A senior social worker I know when young worked on a number of South
London estates and told me how on one 80% of out-of-work men, still then
traditionally the wage-earners, were diagnosed with anxiety and depression and
thereby addicted to tranquillisers.
• Such over-loading of drugs prevented riots, marches and criminal behaviour.
The drugged-up unemployed would not have able capable of making such a
fuss.
35. • The tendency then, and growing now, is to medicalise the results of social
problems rather than deal with the problems. In this fashion, GPs create and
ensure stasis.
• GPs are the largest drug-pushing group in the country, addicting millions. These
drugs do not even do the job their makers claim they do and may be one of the
leading causes of mental health!
•
36. • Tranquillisers are given to suppress the processes of anxiety, meaning that they
often suppress the memories that cause anxiety, leading to deeper anxiety that
boils over. It it like stopping the flow of a tap.
• One client told me of how on tranquillisers, when stressed, he would shake
uncontrollably and suffer amnesia. As a consequence, he couldn’t work long
without being asked to leave.
• Another client spoke of 20 years of being in a dream, with limited cognition and
feelings.
37. PAEDOPHILES
AND
PSYCHIATRISTS:
• There was clearly something wrong as while only
5 years old he was caught several times playing
with his penis in class. No suspicions were aroused
of course and the incidences were quickly
dismissed and forgotten. At that point in time, his
relations with his parents remained good no
matter that they were interfering with him.
•
38. • All that soon changed. Over the years his father grew increasingly hostile to him,
intimidating and frightening. Over the years, he grew slowly, extremely frightened
of his home, shaking whenever he heard his father enter the house. It was not a
safe place to be!
• But matters grew worse!
39. • Between 9 and 12 his mother developed a blood-clot on her brain (as was it
seems later discovered) and begain exhibiting disturbed psychological behaviour.
As a consequence, or perhaps it would have happened anyway, she took her
young son to bed with her where he ran exploratory hands over her naked body.
This occurred many times until the father found out.
• When the boy was 10 the father had an affair and for a while the boy brightened
at the thought that his mother would kick him out of the home, as many betrayed
women did even back then. For the first and only time in his life he prayed. But
she never did, and the daily torments continued.
40. FATHER:
• My client recalled a trip by the family to Leicester
to see an old friend of his mother. While there, his
father pawed the poor woman, a devoicee, in
front of her children and in front of his own
children, touching her bum, bosom, and vagina.
She giggled but was surely mortified? That night
the poor woman asked my client’s mother to
sleep with her, no doubt terrified of the father. The
father was put in a bed with my client-who
couldn’t sleep the entire night, kept turning over
to look at his sleeping father in horror, rising at 5
am and waking up his brother who was in bed
with the family friend’s son.
41. • My client also remembered his father ridiculing a Down’s Syndrome child he saw
when they were on holiday.
• When the sister reached puberty the father would go into her bedroom with his
sons, expose her and permit the boys to feel her breasts.
• The father was addicted to pornography, keeping stashes around the house.
Often one or other of the children would find a magazine or book filled with
explicit material.
42. • Father:
• My client recalled a trip by the family to Leicester to see an old friend of his
mother. While there, his father pawed the poor woman, a devoicee, in front of
children and in front of his own children, touching her bum, bosom, and vagina.
She giggled but was surely mortified? That night the poor woman asked my
client’s mother to sleep with her, no doubt terrified of the father. The father was
put in a bed with my client-who couldn’t sleep the entire night, kept turning
to look at his sleeping father in horror, rising at 5 am and waking up his brother
who was in bed with the family friend’s son.
43. • My client also remembered his father ridiculing a Down’s Syndrome child he saw
when they were on holiday.
• When the sister reached puberty the father would go into her bedroom with his
sons, expose her and permit the boys to feel her breasts.
• The father was addicted to pornography, keeping stashes around the house.
Often one or other of the children would find a magazine or book filled with
explicit material.
44. FAMILY:
• The family disdained education, rarely read or were
remotely interested in books -except, see above,
pornography. There were hardly any books in the
house, and what books were there were for young
children. There was nothing remotely complex.
There was nothing remotely challenging. My client
resorted to the public library. If his father caught
him reading he would launch a verbal onslaught
on him. His siblings were similarly intellectually
limited.
45. ADOLESCENCE:
• My client became more intellectual, reading Dante, Freud, and Russell.
• From 13 to 16 he constantly sought for ways to escape his family. He researched
as to how he could run away and survive in London perhaps or some nearby
town. As he approached 16 he sought help from a variety of people, including a
priest. He left school in order to work to save enough money to leave.
46. • In fear of his father, in the end he turned to his family doctor. Why? On TV
doctors had been continuously shown as intelligent and understanding, and the
boy was desperate. He just wanted to get away from his father’s constant
bullying.
47. • The GP came, a junior member of a two-man surgery.
• The boy told him his hopes and fears, but could not, out of fear and mis-placed
loyalty, explain what his parents were doing and had been doing. The GP decided-or
possibly worse- he was mentally ill. As we now know Paedophiles function in
groups, was the GP one too?
• The GP sent a psychiatrist to see the boy who offered him a place in the local mental
hospital. Foolishly the boy saw this as a way out of his misery, not understanding the
truly appalling position he would soon be in.
•
48. • he GP came, a junior member of a two-man surgery.
• The boy told him his hopes and fears, but could not, out of fear and mis-placed
loyalty, explain what his parents were doing and had been doing. The GP
decided-or possibly worse- he was mentally ill. As we now know Paedophiles
function in groups, was the GP one too?
49. • The GP sent a psychiatrist to see the boy who offered him a place in the local
mental hospital. Foolishly the boy saw this as a way out of his misery, not
understanding the truly appalling position he would soon be in.
50. • Psychiatrists pathologise. Give them a patient, they will provide a diagnosis. They
see other people, but not themselves, as teeming with instabilities and personality
disorders. Anything that points to the unusual, anyone outside the norm, must be
suffering from one mental illness or another.
• Psychiatrists inhabit something of a fantasy world. They are unaccountable, their
diagnosis never challenged.
51. • Also, the boy’s diagnosis was the consequence of social prejudice. The boy’s
claims to erudition, his interest in writing and ambitions to write were seen as
clearly abnormal considering the family he came from. While in the hospital all
sorts of problems were assigned to him by one or another of the psychiatrists.
•
52. • On one occasion, he sat before a whole group of varied professionals, nurses,
doctors and social workers. According to his testimony he had no idea the danger
he was in. Everything he said, he considered to have been twisted from normal to
abnormal.
• Another psychiatrist he saw couldn’t speak English and misunderstood much of
what he said.
• Everything was written down unchallenged-every falsehood and mistake, filed
away and never challenged nor corrected. Written records play a huge part in the
process of solidifying psychiatric fantasy.
53. PARENTS:
• The parents’ opinions were sought-to psychiatrists
parents are/were solid, caring, trustworthy. They
did not abuse and if they did, it was the victims of
their abuse who were/are diagnosed. It is always
the victims, not the aggressors. They must have
been very frightened at first of being found out,
but no doubt were quickly relieved to discover
psychiatrists’ gullibility, even if this was constructed
from medical arrogance and lack of accountability.
What webs his parents must have spun! What lies
they must have told!
54. • The case was sewn up! The boy was mentally ill! Psychiatrists would have supplied
the reasons. Many years later, he told me, he found out that the doctors believed
his father’s affair had destabilised him. My client told me that he couldn’t stop
laughing at the idea. Ah, but as they never actually asked him what had
happened, what he thought and felt, fantasy was preferred.
• He was put on drugs.
• A month later, feeling defeated, he left the hospital and went back to his parents.
He had achieved nothing.
55. • Now he was officially mad, harbouring many imaginary problems, matters grew
worse. A few days after arriving back home, he began to feel strange. He became
excruciatingly affected by sunlight, unable to pass windows, often doubled up
with fear. He remembered one time seeing his father watching him. The boy knew
he was in immense trouble thrown back into the snakes’ pit, and overwhelmed by
strange thoughts and feelings.
•
56.
57. • Hearing this, I realised my client had been affected by the drugs given to him in
hospital. As he talked of then experiencing black-outs and disturbed ramblings,
this confirmed it for me. After all, he was only 16.
58. • The effects of the drugs were seen by the doctors as further evidence of my
client’s mental illness. Doctors have no idea of the actual effects of their
drugs.
• Contrary to doctor’s protestations, they make no attempt to find out!
59. • The boy was from then on treated even worse by his family. They had been told
by psychiatrists after all, no doubt in technical language, that he was mad.
Perhaps they had told them he was psychotic, even though he had none of the
requisite symptoms. For psychiatrists that would be like confirming he had TB,
totally unware of any impact of such a diagnosis on my client or his life. He
remembers during the case interview being asked pertinent questions about
visual hallucinations, and he told them of one-which wasn’t really one. He was
after all only 16. Significantly, they did not ask about his family life or anything
that might possibly be pertinent.
60. • He realised then, as he still does now, that psychiatrists have little genuine
knowledge of the world, of the mind, and certainly possess little or no
psychological knowledge. They are taught an ABC approach to mental health
based upon lists.It is possible that the diagnosis in those lists are fantasy! Merely
fantasy!
61. • His family treated him appallingly, often as if he was cognitively impaired.
• At one point his parents tried to get him into a home for the educationally
subnormal.
• He returned several times to the hospital where he remembers being
continuously watched, and a record made every time he tried to write a poem or
story. Writing was for the doctors a form of mental illness! As no doubt was
any creative occupation!
62. • As a consequence of arrogant and ignorant psychiatrists, his relationship with his
family, parents and siblings, was destroyed. In effect, too, his future was
destroyed. No doubt, he was one of very many who suffered in this fashion.
Psychiatrists seem not to believe there is any consequences to their actions,
acting like doctors confronted with a physical illness who treat it without
necessarily needing to reference family and friends.
• Understandably, he was broken by these terrible experiences, and further
damaged by the drugs given to him.
63. • In this narrative, the Paedophiles, perhaps to their amazement, got away with
their crimes-I can assure you that this was merely one instance amongst an
unrecorded many!
• My role is to stop my client thinking of himself as a victim, see psychiatrists as
aggressors and abusers like his parents, and try and see private doctors only to
avoid the way ancient diagnosis continues to be relayed through patient’s notes
thereby causing him anxiety. I have to allow him to claim his talent again from
abusive professionals. Even now, many years later, he suffers sleepless nights,
struggles to get up in the morning and face the day, tends towards defensiveness
whenever he recalls what happened to him as a teenager.
64. ANECDOTES
• Another senior social worker of my
acquaintance-I know a few-told me that in her
experience different psychiatrists give different
diagnosis and advise on different treatments.
• A fellow teacher, yet another acquaintance, worked
in a Mental Hospital recently and in her view the
staff constructed a normal/abnormal dichotomy,
with themselves of course as normal. They needed
to view others as mentally ill to establish their own
balance.
65. • A client has for several years considered himself to be suffering from mental
illness-the nature of which seemed lost on me. I warned him not to go to his GP
but seek help elsewhere. He ignored me, went to his GP, was offered drugs and
his information sent out to local hospitals without his permission. He felt he was
being drawn into the role of mental patient and finally understood what I’d been
warning him against.
• He had put himself forward as a victim, ripe for manipulation.
•
67. FINISH:
• This piece is not to dispute or demean mental
illness, although I believe as an idea it requires
evaluation as it the term, and the use of the term,
isolates ‘bad feelings’ from other feelings and fails
to acknowledge such feelings as part of the
human experience. No. This is an expose of the
medical professions role in dealing with the
matter, doctors complete lack of accountability,
the use of anecdotal evidence and the use of
diagnosis to further victimise those from
environments where they are already victims.
68. • Nowhere will you see psychiatric abuse categorised as a trauma, or set of
traumas, that requires alleviation. Nevertheless, my clients all continue to suffer
the effects of dealing with psychiatry.