Personality disorders – management

Jul 12, 2016 by in PSYCHIATRY Comments Off on Personality disorders – management

Personality disorders – management The management of patients with personality disorders can be enormously challenging. They may be extremely distressed and demanding, and often disagree with the treatment plan offered….

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Psychosexual disorders

Jul 12, 2016 by in PSYCHIATRY Comments Off on Psychosexual disorders

Psychosexual disorders Psychosexual disorders fall into three main groups in ICD10: sexual dysfunction, gender identity disorders and disorders of sexual preference (Table 1). Sexual dysfunction is the most common of…

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Anxiety disorders – management

Jul 12, 2016 by in PSYCHIATRY Comments Off on Anxiety disorders – management

Anxiety disorders – management Assessment Assessment of a person presenting with anxiety begins with a full psychiatric history. The history of the presenting complaint should establish whether the symptoms of…

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Dissociative and somatoform disorders

Jul 12, 2016 by in PSYCHIATRY Comments Off on Dissociative and somatoform disorders

Dissociative and somatoform disorders Dissociative (conversion) disorders Dissociative disorders present with physical or cognitive signs that have no organic cause. They have a sudden onset and are triggered by a…

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Bipolar disorder – clinical presentation and management

Jul 12, 2016 by in PSYCHIATRY Comments Off on Bipolar disorder – clinical presentation and management

Bipolar disorder – clinical presentation and management Clinical presentation of mania In manic episodes, there are characteristic changes in mood, biological functions and thinking, and in severe cases psychotic symptoms…

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Substance misuse

Jul 12, 2016 by in PSYCHIATRY Comments Off on Substance misuse

Substance misuse Psychoactive drug users come into contact with medical services when acutely intoxicated, dependent or mentally ill. Acute intoxication is a transient alteration in the level of consciousness, accompanied…

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Diagnosis and classification of schizophrenia

Jul 12, 2016 by in PSYCHIATRY Comments Off on Diagnosis and classification of schizophrenia

Diagnosis and classification of schizophrenia Schizophrenia is the illness most readily associated with psychiatry. It has a variable course and in some cases may involve only a few short episodes…

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Mental state examination

Jul 12, 2016 by in PSYCHIATRY Comments Off on Mental state examination

Mental state examination In psychiatry we are largely dependent upon the patient’s subjective account of symptoms in order to reach a diagnosis, with few opportunities to do objective diagnostic tests….

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