WINTER CONFERENCE 2017 PSYCHOSIS, SOMATIZATION & SOCIETY 16TH & 17TH NOVEMBER DUNBOYNE CASTLE HOTEL, CO MEATH 13.5 external CPD credits (Thursday: 7.5 credits Friday 6 credits) WELCOME Dear colleagues Our College is growing and so is our conference. Both depend on the spirit of volunteerism of our members. Much of the planning, organisation and inspiration of the conference has been achieved by members in their own time. I would especially like to thank the conference academic committee, who guided me and tolerated crackly teleconference lines! My wish for the conference is that the spirit of volunteerism begins to see rewards from the College. I hope the programme will help us work towards a greater understanding of where we are as a profession, and in turn, enhance the College's ability to advocate on our behalf and our patients. As at all conferences, there is informal networking. Hopefully this will develop into a formal network with the ability to use the conference and College structures to achieve what psychiatry in Ireland needs to be excellent. In the future, I would like to continue a number of themes, particularly through the parallel sessions. Professional Competence for a while now has been a permanent slot. I'm hoping that Ethics, Law and a session on how to support our own mental health will also be regular topics on the programme. The poster exhibition is another fixed slot which I think works well as an opportunity to showcase and explore psychiatry beyond service provision. There has been discussion about changing the format of the poster display and I'd welcome any suggestions. I'd like to welcome our speakers from outside Ireland and thank all our speakers and chairs. Again, this conference would not be possible without your spirit of volunteerism. Please don't forget the social side of the conference. There is our very popular conference dinner, and I'm sure a hearty performance from the College Choir on Thursday evening. I'd like to invite everyone to also attend the CSCST Graduation and Examination Award Ceremony to welcome the future members of our growing College. With best wishes for a most successful event. ________________ Dr William Flannery Vice President and Conference Academic Coordinator THURSDAY 16TH NOVEMBER From 08.15 REGISTRATION AND POSTER EXHIBITION TARA SUITE 08.45 - 09.00 WELCOME ADDRESS AND INTRODUCTION DR JOHN HILLERY, President 09.00 – 10.45 SOMATIZATION AND FUNCTIONAL DISORDERS CHAIR: DR CATHERINE CORBY SOMATIC SYMPTOM DISORDER – EXPLAINING THE (MEDICALLY) UNEXPLAINED DR SIOBHAN MACHALE, Beaumont Hospital Dublin Understanding the role of autonomic hyperarousal in triggering multiple somatic symptoms, and how functional disorder is missed in the course of multiple structural investigations, is central in the assessment and management of patients with Somatic Symptom Disorder. Learning to speak a psychosomatic language allows us to communicate most effectively with our patients and optimise clinical outcomes. SOMATIZATION IN CHILDREN AND ADOLESCENTS EMERITUS PROF MARIA GARRALDA HUALDE, Imperial College London Physical symptoms without an underlying medical disorder are common in children and young people: in a small cohort, they become persistent and impairing. This presentation will discuss why these symptoms matter. Their psychiatric manifestation, the application of a bio-psychosocial approach and helpful interventions will also be discussed. 10.45 - 11.15 COFFEE BREAK AND POSTER EXHIBITION 11.15 - 13.00 NCHD RESEARCH ORAL PRESENTATIONS (The Winner of the Best NCHD Research Oral Presentation will be announced at 12.45 on Friday) 11.25 - 11.40 OUTCOMES OF RENAL TRANSPLANTATION IN PATIENTS WITH BIPOLAR AFFECTIVE DISORDER AND SCHIZOPHRENIA DR MARY BUTLER, Cork University Hospital 11.40 - 11.55 INFLAMMATORY MARKERS IN DEPRESSION AND THE THERAPEUTIC RESPONSE TO ELECTROCONVULSIVE THERAPY MS NIAMH CORCORAN, University College Dublin 11.55 – 12.10 TWO DISTINCT PATTERNS OF TREATMENT RESISTANCE: CLINICAL PREDICTORS OF TREATMENT RESISTANCE IN FIRST EPISODE SCHIZOPHRENIA SPECTRUM PSYCHOSES DR JOHN LALLY, St Vincent's University Hospital, Dublin 12.10 - 12.25 TRYPTOPHAN METABOLIC PROFILE IN TERM AND PRETERM BREAST MILK: IMPLICATIONS FOR HEALTH DR LOUISE O’ROURKE, University College Cork & Cork University Hospital 12.25 – 12.40 INVESTIGATING ADVANCED DIFFUSION IMAGING OF THE STRIA MEDULLARIS IN DEPRESSION DR SHANE ROONEY, Tallaght Hospital Dublin 12.40 – 12.55 EMERGENCY REFERRALS TO THE PAEDIATRIC LIAISON PSYCHIATRY DEPARTMENT IN THE CHILDREN’S UNIVERSITY HOSPITAL (CUH) 2011-2015; TRENDS OVER TIME DR SARAH SEXTON, Lucena Clinic Dublin 13.00 - 13.30 POSTER EXHIBITION 13.30 - 14.30 LUNCH THE IVY RESTAURANT 14.30 - 15.45 PARALLEL SESSIONS PART 1 W2017.1 DRAWING ROOM CHAIR: DR ALYSON LEE THE RELEVENCE OF BALINT GROUPS FOR DOCTORS IN THEIR DAY TO DAY CLINICAL WORK DR GEAROID FITZGERALD, Leeds Partnership NHS Foundation Trust In this presentation, Dr Fitzgerald will describe the emotional and attitudinal capacities doctors can develop from being in a Balint Group. He will demonstrate how the structure of the group and the stance of the leader can facilitate this development. As organised by the Faculty of Medical Psychotherapy OR W2017.2 DARLEY SUITE CHAIR: PROF DAVID COTTER ADVANCES IN PSYCHOSIS RESEARCH PSYCHOSIS AND POLITICAL VIOLENCE: LESSONS FROM THE CONFLICT IN NORTHERN IRELAND DR CIARAN MULHOLLAND, Queens University Belfast There is increasing awareness that psychotic conditions such as Schizophrenia are far from impervious to the impact of the social environment. Despite this, the role of conflict and war in the aetiology and course of psychotic illness has not been examined in detail to date. A number of related studies which explore how experiences of childhood trauma, including traumas resulting from Northern Ireland’s “Troubles”, impact on first episode psychosis, will be presented. DIFFICULTIES WITH SOCIAL COGNITION IN PSYCHOSIS: CAUSES, CONSEQUENCES & TREATMENTS PROF GARY DONOHOE, NUIG Deficits in cognition are often more strongly predictive of disability than clinical symptoms alone. This talk will focus on deficits in social cognition as of particular relevance to understanding disability. Causes of social cognitive deficits – both genetic and environmental will be discussed, along with recent successes in improving cognitive function using low support treatment capable of being incorporated in standard clinical care. As organised by the Faculty of Academic Psychiatry OR W2017.3 TARA SUITE CHAIR: DR PAULINE TWOMEY MORAL DIMENSIONS OF ADDICTION DR PIERS BENN, Heythrop College, London It is widely thought that addiction, whether to substance use or other activities, is a disease. But there is increasing opposition to this notion. Dr Benn will explore the concept of addiction, highlighting the ways in which it both does, and does not resemble a disease and suggest that the concepts of control and choice are sometimes too readily abandoned. For this reason, he shall cast a sceptical eye on the claims made for many treatment programmes. As organised by the Human Rights & Ethics Committee and the Faculty of General Adult Psychiatry 15.45 -16.15 COFFEE BREAK AND POSTER EXHIBITION 16.15 -17.30 PARALLEL SESSIONS W2017.4 TARA SUITE CHAIR: DR MIRIAM KENNEDY WHAT IS A PSYCHIATRIST? COMPETING CONCEPTS, COMPETING PERSPECTIVES? IDENTITY? WHAT DO WE THINK? DR MIRIAM KENNEDY, Highfield Healthcare, Dublin As recently appointed Director of Communications and Public Education, the above questions arose for me. This workshop looks at what members think, past and recent surveys and current conflicts. We begin a series of workshops whereby a consensus may be reached so that we can debate “What is the College’s function in communicating the role of a consultant psychiatrist, how do we support it and are we agreed on that role/identity?” RESPONSIBILITY WITHOUT POWER, UNREALISTIC EXPECTATIONS, EROSION OF PROFESSIONALISM DR AIDEEN MORAN, Connolly Hospital, Dublin & DR RACHAEL CULLIVAN-ELLIOTT, St Davnet’s Hospital, Monaghan The Consultant General Adult Psychiatrist today faces an array of new challenges. By more precisely and clearly defining our role, can we begin to address these issues and ensure a more positive future for this “Super specialism”? A document outlining the roles and responsibilities of the General Adult Psychiatrist will be presented to guide the discussion. As organised by External Affairs and Policy and the Faculty of General Adult Psychiatry OR W2017.5 DARLEY SUITE CHAIR: PROF DAVID COTTER ESTABLISHING AN IRISH PSYCHOSIS NETWORK GROUP PROF DAVID COTTER, Beaumont Hospital, Dublin with contributions from DR KATHERINE BROWN, PROF AIDEN CORVIN, DR ERIC KELLEHER, DR JOHN LYNE, PROF COLM MCDONALD, PROF VERONICA O’KEANE, DR ERIC ROCHE This session is designed around facilitating the interaction of researchers in Ireland interested in psychosis. The organisers have invited these investigators to give summaries of their research interests and plans over 4 minutes with some comments on how they see a Psychosis Research Group working together to obtain funding within the island of Ireland. As organised by the Faculty of Academic Psychiatry OR W2017.6 DRAWING ROOM CHAIR: DR LORCAN MARTIN PROFESSIONAL COMPETENCE NOW, AND THE SHAPE OF THINGS TO COME DR LORCAN MARTIN, Director of Professional Competence & St Loman’s Hospital, Mullingar Professional competence schemes across all training bodies are undergoing review and consultation with the Medical Council in 2017. This workshop will bring participants