Sunday, May 24, 2020

Lectures in Psychiatry

Audio recording with slides of my lectures to undergraduate medical students.  Relevant to medical students/interns of any country/university posted in Psychiatry.


 1. Lecture: Introduction to Psychiatry, Classification & Etiology




Includes detailed explanation of the following slides:

  • What is Psychiatry?
  • Role of psychiatrist
  • Psychiatry not to be confused with... (difference between Psychiatry & Psychology)
  • Mental health teams (components of multidisciplinary psychiatric teams)
  • Branches of Psychiatry
  • Definition of mental health
  • Consequences of mental illness
  • Classification (of psychiatric disorders)
  • Systems of classification
  • ICD-10 Chapter V
  • DSM-5 multiaxial classification
  • Differences between ICD-10 & DSM-5
  • Etiology (of psychiatric disorders)
  • Psychiatric assessment (steps involved)
  • Etiological formulation (based on biopsychosocial model)
  • Formulation: etiology of bipolar affective disorder (an example)
  • Extra slide: Management: investigations + treatment (based on biopsychosocial model)


2. Lecture: Interview techniques, History taking in Psychiatry & Mental State Examination




Includes detailed explanation of the following slides:

  • Interview techniques 2/2 (setting the scene, assessment & questioning style)
  • History 3/3 (steps of history taking with examples/significance)
  • Mental state examination 2/2 (steps of MSE with examples/significance)
  • Diagnosis & Formulation (biopsychosocial approach)


3. Lecture: Psychopathology




Includes detailed explanation of the following slides:

  • Psychopathology (introduction, pioneers)
  • Appearance & behaviour 1/2 (attitude, rapport, tics, tremors, chorea, athetosis, dystonia, stereotypies, mannerisms, compulsive acts)
  • Appearance & behaviour 2/2 (mitmachen, mitgehen, gegenhaltan, negativism, ambitendency, catalepsy, echopraxia, stupor)
  • Speech (poverty of speech, pressure of speech, perseveration, circumstantiality, tangengiality, echolalia, coprolalia, mutism, dysarthria/dysphonia/dysphasia)
  • Affect & mood (labile, flattened, congruous/incongruous affect; euthymic, dysthymic, hyperthymic, cyclothymic, depressed, hypomanic, manic, anxious mood)
  • Thoughts (retarded thinking, thought block, perseveration, circumstantiality, desultory thinking, flight of ideas, knight’s move thinking, vorbeireden, verbigeration, neologisms, obsessions/phobias, overvalued ideas/delusions, suicidal ideas)
  • Perception (illusions, hallucinations, depersonalisation, derealisation)
  • Cognition (consciousness, attention & concentration, disorientation, amnesia, apraxia, agnosia)
  • Insight (partial/full/absent)


4. Lecture: Stress, Adjustment disorders & Anxiety disorders




Includes detailed explanation of the following slides:

  • Stress & adjustment disorders (acute stress reaction, adjustment disorder, post-traumatic stress disorder/PTSD: clinical features, associations)
  • Anxiety (normal/abnormal)
  • Yerkes-Dodson curve (relationship between arousal & performance)
  • General symptoms (physical & psychological symptoms of anxiety)
  • Panic disorder (clinical features, associations)
  • Generalised anxiety disorder (clinical features, associations)
  • Phobias (agoraphobia, social phobia, specific phobias: clinical features, associations)
  • OCD/Obsessive-compulsive disorder (nature & examples of obsessions & compulsions; clinical features, associations of OCD)
  • Management (biopsychosocial approach)
5. Lecture: Grief & bereavement reactions, Mood disorders, Suicide & parasuicide (DSH)




Includes detailed explanation of the following slides:

  • Overview of contents
  • Grief & bereavement reactions (stages of grief, clinical features & management of abnormal bereavement reaction)
  • Depression: core features
  • Depression: biological/somatic symptoms
  • Depression: psychological/cognitive symptoms
  • Depression: psychotic symptoms
  • Mania: core features
  • Mania: biological/somatic symptoms
  • Mania: psychological/cognitive symptoms
  • Mania: psychotic symptoms
  • Psychopathological differences: mania & schizophrenia (table)
  • Clinical distinction between hypomania & mania (flowchart)
  • Mood disorder diagnostic algorithm (flowchart)
  • Bipolar affective disorder (types 1 & 2, mixed affective state)
  • Management (biopsychosocial approach for depression/mania/BPAD)
  • Suicide & parasuicide/DSH (suicide/DSH risk assessment & management)

 6. Lecture: Schizophrenia and other psychoses


Includes detailed explanation of the following slides:

A) Schizophrenia:
  •      History
  •      Epidemiology
  •      Etiology (genetic, neurochemical & neuropathological theories)
  •      Clinical features
  •      Classification
  •      Diagnosis (first rank symptoms, ICD 10 & DSM 5)
  •      Management

B) Other psychotic disorders
C) Extra slides: MCQ with answers

References/resources:
An Atlas of Schizophrenia, Stefan M., Travis M. & Murray R.M., The Parthenon Publishing Group, London, 2002
https://upload.wikimedia.org/wikipedia/commons/9/95/Van_Gogh_Self_Portrait_with_Straw_Hat_1887-Detroit.jpg
https://upload.wikimedia.org/wikipedia/commons/a/a9/John_Forbes_Nash%2C_Jr._by_Peter_Badge.jpg
https://upload.wikimedia.org/wikipedia/commons/thumb/c/cd/Emil_Kraepelin_1926.jpg/220px-Emil_Kraepelin_1926.jpg
https://upload.wikimedia.org/wikipedia/commons/c/c4/Eugen_bleuler.jpg
https://en.wikipedia.org/wiki/Unitary_psychosis#/media/File:Griesinger.jpg
https://images.app.goo.gl/D1AaGLjCRtkSgvbS8
https://upload.wikimedia.org/wikipedia/ru/thumb/f/f3/Kurt_Schneider.jpg/230px-Kurt_Schneider.jpg


 7. Lecture: Psychosexual disorders & Paraphilias



Includes detailed explanation of the following slides:
  • Normal sexual stages
  • Sexual stage disorders
  • Paraphilias 1/2: voyeurism, exhibitionism, frotteurism, fetishism, transvestism, masochism, sadism
  • Paraphilias 2/2: pedophilia, gender dysphoria
  • (With additional explanation about masturbation & homosexuality)


 8. Lecture: Disorders of Sleep


Includes detailed explanation of the following slides: 1. Disorders of sleep (insomnia & hypersomnia) 2. Stages of sleep 3. Circadian rhythm disorders 4. Parasomnias 5. Management of sleep disorders (including sleep hygiene)

References/resources:
https://sleepdisorders.sleepfoundation.org/chapter-1-normal-sleep/stages-of-human-sleep/ 
http://facweb.furman.edu/~einstein/general/sleepdemo/sleep.htm



9. Lecture: Psychopharmacology, ECT & Psychotherapies



Includes detailed explanation of the following slides:

1. Psychopharmacology (10 slides):
  • biopsychosocial management 
  • pharmacokinetics & pharmacodynamics, 
  • main groups of drug with examples, 
  • indications, 
  • treatment outcome, 
  • general & specific adverse effects, 
  • usage in special patient groups
2. Electroconvulsive therapy (ECT)

3. Psychotherapies (5 slides):
  • general attributes & counselling skills,
  • supportive psychotherapy,
  • behavioural therapy & cognitive-behaviour therapy (CBT),
  • psychodynamic psychotherapy & other types of therapy

References/resources:
  • Fundamentals of Clinical Psychopharmacology, Anderson I.M. & Reid I.C., 2nd Edition (2004), British Association of Psychopharmacology, Taylor & Frances (UK)
  • The Maudsley Prescribing Guildelines, Taylor D., Paton C. & Kerwin R., 9th Edition (2007), The South London And Maudsley NHS Foundation Trust, Informa Healthcare (UK)
  • Shorter Oxford Textbook of Psychiatry, Gelder M., Mayour R. & Cowen P., 4th Edition (2001) Oxford University Press (UK)
  • https://upload.wikimedia.org/wikipedia/commons/thumb/e/e6/MECTA_spECTrum_ECT.jpg/1200px-MECTA_spECTrum_ECT.jpg
  • https://www.dovepress.com/cr_data/article_fulltext/s160000/160093/img/NDT-160093-F01.jpg


10. Lecture: Psychiatry Summary Slides

Comprehensive overview of major topics in Psychiatry for Medical Undergraduate Students, as per DSM-5.  

https://youtu.be/_mtrKYymVHg

Includes the following:

  • Psychological theories
  • Biopsychosocial model of etiology
  • Assessments & classification
  • Biopsychosocial model of management
  • Stress & anxiety disorders
  • Mood disorders & suicide
  • Somatic & dissociative disorders
  • Psychotic disorders
  • Personality disorders
  • Substance use disorders
  • Sleep-wake disorders
  • Psychosexual disorders
  • Neurodevelopmental & impulse control disorders
  • Eating disorders
  • Neurocognitive disorders



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