7 november-49 introduction to psychiatry


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7 november-49 introduction to psychiatry

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