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Psychiatry introduction

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Presentation on theme: "Psychiatry introduction"— Presentation transcript:

1 Psychiatry introduction
Definition , scope , history and classification

2 Psychiatry Oxford short textbook of psychiatry Lecturer
Assistant Professor Uday Khalid colmed.nahrainuniv.edu.iq References Davidson's clinical practice of medicine Oxford short textbook of psychiatry

3 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

4 Psychiatry Definition Terms Psychiatric disorder Psychological disorder Mental disorder

5 Psychiatry , Factors of illness Biological Psychological Social
Biopsychosocial

6 Psychiatry Terms further Psychiatrist Psychologist Social worker

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

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

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

10 Psychiatry Dark ages East exorcism Enlightenment Europe
modern psychiatry

11 Psychiatry Neuroses Sigmund Freud
Psychoses Kraepline , Schneider , Blueler

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

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

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

15 Classification of mental illness
PsychosisVs.Neurosis Severity Suffering Insight

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

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

18 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

19 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

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

21 Psychiatry Oxford short textbook of psychiatry Lecturer
Assistant Professor Uday Khalid colmed.nahrainuniv.edu.iq References Davidson's clinical practice of medicine Oxford short textbook of psychiatry

22 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

23 Psychopathology Psychopathology Descriptive form and content
Etiological

24 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

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

26 Disorders of speech Rate Slow Rapid Relevance Incoherence Neologisms

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

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

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

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

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

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

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


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