Neupsy Key

History and aetiology The standard sections covered by the psychiatric history are shown in Figure 1. An important thing to note is how similar these are to those covered by…

Old age psychiatry I Dementia The prevalence of dementia rises sharply in old age, with 5% of people over 65 years and 20% of people over 80 years being affected….

Recovery and social inclusion The recovery model Mental illness can affect all aspects of the individual’s life, and that of those close to them. The personal journey of these individuals…

Acute and chronic schizophrenia Acute schizophrenia The first presentation of schizophrenia is usually with an acute episode, consisting of positive symptoms. In some cases, the patient has been well prior…

Family and social treatments Episodes of mental illness are often precipitated or prolonged by family and social problems. To make matters worse, family life and social function is often adversely…

Management of schizophrenia Clinical assessment The differential diagnoses shown in Figure 1 should be excluded by history and mental state examination, and by interviewing informants. If there is any suggestion…

Classification of mood disorders Case history 13 Sarah is a 35-year-old woman who has been diagnosed with recurrent depressive disorder. She thinks this diagnosis is misleading, as each of her…

Mental capacity Case history 4 Sarah, a 75-year-old widowed woman, has rheumatoid arthritis and recently told her daughter that death would be a welcome escape from a life of chronic…

The Mental Health Act Case history 5 A 35-year-old woman has become increasingly withdrawn and pre-occupied over the last month. She is beginning to neglect herself and it appears that…