Psychiatry introduction Definition , scope , history and classification

Psychiatry Oxford short textbook of psychiatry Lecturer Assistant Professor Uday Khalid udaykhalid@yahoo.com udaykhalid@ colmed.nahrainuniv.edu.iq http://colmed.nahrainuniv.edu.iq/ References Davidson's clinical practice of medicine Oxford short textbook of psychiatry

Psychiatry Aims help student to be familiar with origin and evolution of the field get idea about terms , scope ,and epidemiology , , services and classification of mental disorders Objectives learn how psychiatry evolved learn basic terms in the field know basic knowledge about epidemiology , services and classification

Psychiatry Definition Terms Psychiatric disorder Psychological disorder Mental disorder

Psychiatry , Factors of illness Biological Psychological Social Biopsychosocial

Psychiatry Terms further Psychiatrist Psychologist Social worker

Psychiatry Prevalence Services asylum outpatient and primary health care referral system N.B. Stigma

Psychiatry History History of psychiatry is history of humanity Ancient Greece , Egypt , Mesopotamia , Rome ,India super nature , exorcism Hippocrates four humors dissection

Psychiatry Middle ages Europe dark ages , exorcism Middle ages East Averroes , Rhazis , Avicenna Bimaristans first mental hospitals in history

Psychiatry Dark ages East exorcism Enlightenment Europe modern psychiatry

Psychiatry Neuroses Sigmund Freud Psychoses Kraepline , Schneider , Blueler

Classification of mental illness History of Classification of Mental Disorders Emil Kraepline Psychoses Dementia Precox (Schizophrenia) Manic depressive psychosis

Classification of mental illness Kurt Shieder First Rank Symptoms Eugene Blueler group of schizophrenias Autism Avolition Affect blunting Ambivalence

Classification of mental illness Sigmund Freud Neuroses Actual neurosis anxiety Psychoneuroses hysteria , obsessive compulsive neurosis

Classification of mental illness PsychosisVs.Neurosis Severity Suffering Insight

Classification of mental illness Organic Vs. Functional Organic organic pathology Functional absence of morbid pathology

Classification of mental illness Syndrome definition Two major Classification Systems International classification of Disease ICD-10 Diagnostic and statistical Manual DSM V

Classification of mental illness International classification of disease ICD-10 Diagnostic and statistical manual DSM - IV *Organic mental disorders   *Psychoactive substance use disorders *Schizophrenia *Mood disorders *Neurotic disorders Anxiety disorders Generalized Phobias Panic Conversion disorders Somatoform disorders Somatization hypochondriasis Stress related disorders Acute PTSD Adjustment disorders *Syndromes with physiological Disturbance Eating Sleep Sexual dysfunctions Puerperium *Adult personality and behavior Personality Sexual orientation and preference *Mental retardation *disorders of psychological development specific pervasive *childhood syndromes hyperkinetic disorders conduct disorders emotional disorders *Dementia delirium amnesic disorder and other cognitive syndromes Psychoactive substance use disorders Schizophrenia Mood disorders *Conversion disorders * dissociate disorders Hypochondriasis *Stress related disorders *Eating Purperium Sexual disorders personality learning disability disorders of psychological development

Classification of mental illness Depression & Depressive Disorders  Anxiety Disorders & Phobias  Bipolar & Related Disorders  Schizophrenia & Psychotic Disorders  Attention Deficit Hyperactivity Disorder (ADHD)  Addiction, Substance-Related Disorders & Alcoholism  PTSD, Trauma & Stress-Related Disorders  Feeding & Eating Disorders  Obsessive-Compulsive and Related Disorders  Dissociative Disorders  Somatic Symptom and Related Disorders  Personality Disorders (Axis II)  Sleep-Wake Disorders  Sexual Dysfunctions  Disruptive, Impulse-Control, and Conduct Disorders  Neurocognitive Disorders

Classification of mental illness   Concept of mental illness Statistical Cultural Morbid Pathological criteria

Psychiatry Oxford short textbook of psychiatry Lecturer Assistant Professor Uday Khalid udaykhalid@yahoo.com udaykhalid@ colmed.nahrainuniv.edu.iq http://colmed.nahrainuniv.edu.iq/ References Davidson's clinical practice of medicine Oxford short textbook of psychiatry

Psychopathology Aims provide an outline of types provide an outline of descriptive psychopathology Objectives students know and define types they know aspects of descriptive one know terms and definitions of common phenomena in practice

Psychopathology Psychopathology Descriptive form and content Etiological

Psychopathology Disorders of appearance and behavior Disorders of speech Disorders of thinking Disorders of perception Disorders of emotion Disorders of cognitive (intellectual) functions Disorders of experience of self

Appearance and Behavior Dress Cleanness Self care Facial expression Activity Attitude Eye contact Movements tics , chorea , athetosis , echopraxia , waxy flexibility

Disorders of speech Rate Slow Rapid Relevance Incoherence Neologisms  

Disorders of thinking form retardation fast others schizophrenic formal disorders lack of association content preoccupation obsession delusion N/B overvalued idea  

Disorders of thinking Delusions primary sudden delusional idea delusional perception delusional memory secondary paranoid , persecutory , grandiose , jealousy , love , somatic , poverty , nihilistic

Disorders of perception illusion hallucination auditory simple , complex 3rd person ,commentary, echo visual olfactory gustatory tactile proprioceptive   ** pseudo hallucinations  

Disorders of emotion abnormal emotional reaction apprehension phobia sadness , depression happiness ,elation , exaltation, ecstasy, euphoria apathy irritability suspiciousness

Disorders of emotion abnormal expression lability emotional incontinence blunting incongruity perplexity ambivalence

Cognitive disorders Attention Concentration Memory immediate , recent , long term Intelligence Insight Derealiation / depersonalization dejavu : , jamais vu:

Boundaries of self Alienation thought withdrawal thought insertion thought broadcasting Passivity made act , made feeling , made impulse made somatic sensation