DOCSLIB.ORG

100 Cases in Psychiatry, Second Edition

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
100 Cases in Psychiatry, Second Edition 100 Cases A 27-year-old man presents with a 6-month history of increasingly repetitive routines. He is now unable to Second edition leave the house without undertaking lengthy checking of locks, taps and switches. This is taking longer and 100 longer so that he is often late for work. He is worried about losing his job as other colleagues have been Cases made redundant. You have been asked to assess him... in Psychiatry 100 Cases in Psychiatry presents 100 scenarios involving mental health commonly seen by medical students and junior doctors in the hospital and community setting. A succinct sum- mary of the patient’s history, examination and any initial investigations in is followed by questions on the diagnosis and management of each case. The answer includes a detailed discussion on each topic, providing an essential revision aid as well as a practical guide for students and junior doctors. Making speedy and appropriate clinical decisions, and choosing the best course of Psychiatry action to take as a result, is one of the most important and challenging parts of training 100 to become a doctor. These true-to-life cases will teach students and junior doctors to recognize important psychiatric conditions, and to develop their diagnostic and Second edition management skills. Cases Key features: • Succinct case studies presented in an easy-to-read format, listing patient history, examination and investigations • Questions at the end of each case prompt readers to consider their options for diagnosis, investigation and management • Answer pages then guide readers through the clinician’s sequence of thoughts and actions • Illustrations, information boxes and key points summaries reinforce learning, ideal during exam revision Second edition • A broad range of common conditions is covered, including anxiety, depression, in psychosis, drug and alcohol dependence, self-harm and dementia, together with more unusual cases The author team: Barry Wright MBBS FRCPsych MD Professor of Child Mental Health, University of York, UK Subodh Dave MD FRCPsych Associate Dean, Royal College of Psychiatrists, UK Nisha Dogra BM DCH FRCPsych MA PhD Professor of Psychiatry Education and Psychiatry Honorary Consultant in Child and Adolescent Psychiatry, University of Leicester, UK 100 Cases Series Editor: Janice Rymer, Professor of Obstetrics & Gynaecology and Dean of Student Affairs, King’s College London School of Medicine, London, UK K27061 Barry Wright, Subodh Dave 6000 Broken Sound Parkway, NW ISBN: 978-1-4987-4774-5 Suite 300, Boca Raton, FL 33487 9 0 0 0 0 711 Third Avenue and Nisha Dogra an informa business New York, NY 10017 2 Park Square, Milton Park Series Editor: Janice Rymer www.crcpress.com Abingdon, Oxon OX14 4RN, UK 9 781498 747745 9781498747745_cover.indd 1,3 2/13/17 10:56 AM 100 Cases in Psychiatry Second edition K27061_FM.indd 2 2/28/17 9:12 AM 100 Cases in Psychiatry Second edition Barry Wright MBBS FRCPsych MD Professor of Child Mental Health University of York, UK Subodh Dave MD FRCPsych Associate Dean, Royal College of Psychiatrists, UK Nisha Dogra BM DCH FRCPsych MA PhD Professor of Psychiatry Education and Honorary Consultant in Child and Adolescent Psychiatry, University of Leicester, UK 100 Cases Series Editor: Janice Rymer Professor of Obstetrics & Gynaecology and Dean of Student Affairs, King’s College London School of Medicine, London, UK Boca Raton London New York CRC Press is an imprint of the Taylor & Francis Group, an informa business K27061_FM.indd 4 2/28/17 9:12 AM CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 2017 by Barry Wright, Subodh Dave, Nisha Dogra CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works Printed on acid-free paper International Standard Book Number-13: 978-1-4987-4774-5 (Paperback) This book contains information obtained from authentic and highly regarded sources. While all reasonable efforts have been made to publish reliable data and information, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made. The publishers wish to make clear that any views or opinions expressed in this book by individual editors, authors or contributors are personal to them and do not necessarily reflect the views/opinions of the pub- lishers. The information or guidance contained in this book is intended for use by medical, scientific or health-care professionals and is provided strictly as a supplement to the medical or other professional’s own judgement, their knowledge of the patient’s medical history, relevant manufacturer’s instructions and the appropriate best practice guidelines. Because of the rapid advances in medical science, any information or advice on dosages, procedures or diagnoses should be independently verified. The reader is strongly urged to consult the relevant national drug formulary and the drug companies’ and device or material manufacturers’ printed instructions, and their websites, before administering or utilizing any of the drugs, devices or materials mentioned in this book. This book does not indicate whether a particular treatment is appropriate or suitable for a particular individual. Ultimately it is the sole responsibility of the medical professional to make his or her own professional judgements, so as to advise and treat patients appropriately. The authors and publishers have also attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permission to publish in this form has not been obtained. If any copyright material has not been acknowledged please write and let us know so we may rectify in any future reprint. Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying, microfilming, and recording, or in any information storage or retrieval system, without written permission from the publishers. For permission to photocopy or use material electronically from this work, please access www.copyright.com (http://www. copyright.com/) or contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750- 8400. CCC is a not-for-profit organization that provides licenses and registration for a variety of users. For organizations that have been granted a photocopy license by the CCC, a separate system of payment has been arranged. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for iden- tification and explanation without intent to infringe. Library of Congress Cataloging-in-Publication Data Names: Wright, Barry (John Barry Debenham), author. | Dave, Subodh, author. | Dogra, Nisha, 1963- author. Title: 100 cases in psychiatry / Barry Wright, Subodh Dave and Nisha Dogra. Other titles: One hundred cases in psychiatry | Hundred cases in psychiatry | 100 cases Description: Second edition. | Boca Raton, FL : CRC Press/Taylor & Francis Group, [2017] | Series: 100 cases | Includes bibliographical references and index. Identifiers: LCCN 2017002751| ISBN 9781498747745 (pbk. : alk. paper) | ISBN 9781498747752 (e-book) | ISBN 9781315380483 (e-book) Subjects: | MESH: Mental Disorders | Case Reports Classification: LCC RC465 | NLM WM 40 | DDC 616.890076--dc23 LC record available at https://lccn.loc.gov/2017002751 Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the CRC Press Web site at http://www.crcpress.com CONTENTS Preface ix Acknowledgements xi Case 1: How can you assess mental state? 1 Case 2: He doesn’t listen to me 5 Case 3: ‘Stressed’ 7 Case 4: Sick note 9 Case 5: Checking 11 Case 6: Having a heart attack 13 Case 7: Going through a bad patch 17 Case 8: I’m putting weight on 21 Case 9: Unresponsive in the emergency department 23 Case 10: Feeling Empty 27 Case 11: I don’t want pills, I want someone to talk to 29 Case 12: Never felt better 31 Case 13: Aches and pains and loss of interest 35 Case 14: Constantly tearful 37 Case 15: Voices comment on everything I do 39 Case 16: I only smoked a bit of cannabis and took a couple of Es 43 Case 17: Unusual persecutory beliefs 45 Case 18: Abdominal pain in general practice 47 Case 19: There is something wrong with him 49 Case 20: A drink a day to keep my problems at bay 53 Case 21: Paracetamol overdose 57 Case 22: Fear of spiders 59 Case 23: Déjà vu and amnesia 61 Case 24: Self-harming, substance misuse and volatile relationships 63 Case 25: My husband won’t let me go out 67 Case 26: Intensely fearful hallucinations 71 Case 27: Flashbacks and nightmares 73 Case 28: Unsteady gait 75 Case 29: This pain just won’t go away 77 v Contents Case 30: Can’t concentrate after his daughter died 79 Case 31: Something’s not quite right 81 Case 32: Tricyclic antidepressant overdose 85 Case 33: Suicidal risk assessment 89 Case 34: Suspicious and jerky movements 93 Case 35: My nose is too big and ugly 97 Case 36: Can I Treat Her Against Her Will? 99 Case 37: Disinhibited and behaving oddly 101 Case 38: What is going on in this consultation? 103 Case 39: Things are getting worse 105 Case 40: Diarrhoea and vomiting after irregular eating 107 Case 41: Fever and confusion 111 Case 42: ‘Alien impulses’ and risk to others 115 Case 43: Feels like the room is changing shape 117 Case 44: Unable to open my fists 119 Case 45: Intense
Load more

Recommended publications
  • Psychogenic Voice Disorders Literature Review, Personal Ex
    ISSN: 2643-4059 Clarós et al. Int J Depress Anxiety 2019, 2:015 DOI: 10.23937/2643-4059/1710015 Volume 2 | Issue 2 International Journal of Open Access Depression and Anxiety REVIEW ARTICLE Psychogenic Voice Disorders Literature Review, Personal Ex- periences with Opera Singers and Case Report of Psychogenic Dysphonia in Opera Singer Pedro Clarós1*, Agata Karlikowska1,2, Astrid Clarós-Pujol1, Andrés Clarós1 and Carmen Pujol1 1Clarós Clinic Barcelona, Spain 2Scholarship Clarós Clinic, Cracow, Poland Check for *Corresponding author: Pedro Clarós, Clarós Clinic Barcelona, Spain, ORCID: 0000-0002-7567-0370 updates others do not perceive it as abnormal [2]. Abstract The point of this article is to make a diagnosis of psycho- Organic speech or voice disorder has structural or logical voice disorders easier by reviewing germane to the neurological components that cause the speech distur- subject literature. Current view on terminology, classifica- bance (e.g. vocal nodules, polyps, hematoma of vocal tion, clinical manifestation and underlying psychological folds, structural changes in the larynx due to aging, vo- background of this rare condition is given. Secondly our aim cal tremor, spasmodic dysphonia, or paralysis of vocal is to asses prevalence ratio of psychological voice disor- ders in a group of 1520 professional opera singers-people folds, among others). with the most challenging voice effort among professional On the contrary, a functional speech disorder is a voice users. Our findings contradict common belief of high occurrence rate of this disorder among opera singers. Cha- voice impairment that is caused by underlying psycho- racteristics of this professional group are discussed and a logical process with no organic pathology (or a non-se- short example case report is described.
    [Show full text]
  • DCF Pamphlet 155-2: Appendix 3
    DCF Pamphlet 155-2: Appendix 3 Appendix 3: The table below shows the ICD9 codes that are acceptable in the Substance Abuse and Mental Health Information System (SAMHIS). This replaces all previous versions of allowable ICD9 codes used in the Substance Abuse and Mental Health Information System. The following are the codes and their meaning. STATUS: 0 = Inactive, code is not usable, 1 = Active, this will show in SAMHIS. PROGRAM CODE: N = Not Active, M = Mental Health Code, S = Substance Abuse Code B = Behavioral Health (can be used for either a mental health or substance abuse diagnosis) NOTE: Codes with ‘N’ (Not Active) in the Program Code are for historical purposes only. ICD9 PROGRAM Code STATUS DESCRIPTION CODE 095.7 0 SYPHILIS OF TENDON/BURSA N 196.8 0 MAL NEO LYMPH NODE-MULT N 259.9 0 ENDOCRINE DISORDER NOS N 269.0 0 DEFICIENCY OF VITAMIN K N 289.9 0 BLOOD DISEASE NOS N 290 0 Senile and presenile organic psychotic conditions N 290.0 0 SENILE DEMENTIA UNCOMP N 290.1 0 Presenile dementia N 290.10 0 PRESENILE DEMENTIA N 290.11 0 PRESENILE DELIRIUM N 290.12 0 PRESENILE DELUSION M 290.13 0 PRESENILE DEPRESSION M 290.2 0 Senile dementia with delusional or depressive feat M 290.20 0 SENILE DELUSION M 290.21 0 SENILE DEPRESSIVE M 290.3 0 SENILE DELIRIUM N 290.4 0 Arteriosclerotic dementia N 290.40 0 ARTERIOSCLER DEMENT NOS N 290.41 0 ARTERIOSCLER DELIRIUM N 290.42 0 ARTERIOSCLER DELUSION M 290.43 0 ARTERIOSCLER DEPRESSIVE M 290.8 0 SENILE PSYCHOSIS NEC N 290.9 0 SENILE PSYCHOT COND NOS N 291 1 Alcohol psychoses S 291.0 1 DELIRIUM TREMENS
    [Show full text]
  • Pharmacological Treatment of Anxiety Disorders in Children and Adolescents
    Derlemeler/Reviews Ö. Yorbik, B. Birmaher Pharmacological Treatment of Anxiety Disorders in Children and Adolescents Özgür Yorbik1, Boris Birmaher2 ABSTRACT: Pharmacological treatment of anxiety disorders in children and adolescents Anxiety disorders are among the most common of childhood psychiatric disorders, which may be associated with low self-esteem, substance abuse, depression, social isolation, inadequate social skills, and academic difficulties. The aim of the presented article is to review the drug treatment of anxiety disorders. Selected papers and books regarding to drug treatment of anxiety disorders were reviewed. Currently the selective serotonin receptor inhibitors are the first choice for the short-term treatment of anxiety disorders in children and adolescent, because they have been shown to be effective and safe. It is recommended to begin the treatment with very low doses and increase gradually to avoid side effects and compromise the adherence to treatment. The medication should be administered at therapeutic dosages for least 6 weeks to decide effectiveness of the treatment. The studies on drug treatment of anxiety disorders in children and adolescent are scarce. More well designed, double blind, placebo controlled studies on drug treatment of anxiety disorder are required. Key words: anxiety disorders, drug therapy, children, adolescent Bull Clin Psychopharmacol 2003;13:133-141 INTRODUCTION psychosocial and pharmacological interventions. The psychosocial interventions include education of nxiety disorders are among parents and child about the anxiety the most common of disorder, consultation with school childhood psychiatric personnel and primary care physician, disorders, with a prevalence and cognitive-behavioral therapies rateA for any anxiety disorder ranging (CBT), and family therapies (25-30).
    [Show full text]
  • The ICD-10 Classification of Mental and Behavioural Disorders Diagnostic Criteria for Research
    The ICD-10 Classification of Mental and Behavioural Disorders Diagnostic criteria for research World Health Organization Geneva The World Health Organization is a specialized agency of the United Nations with primary responsibility for international health matters and public health. Through this organization, which was created in 1948, the health professions of some 180 countries exchange their knowledge and experience with the aim of making possible the attainment by all citizens of the world by the year 2000 of a level of health that will permit them to lead a socially and economically productive life. By means of direct technical cooperation with its Member States, and by stimulating such cooperation among them, WHO promotes the development of comprehensive health services, the prevention and control of diseases, the improvement of environmental conditions, the development of human resources for health, the coordination and development of biomedical and health services research, and the planning and implementation of health programmes. These broad fields of endeavour encompass a wide variety of activities, such as developing systems of primary health care that reach the whole population of Member countries; promoting the health of mothers and children; combating malnutrition; controlling malaria and other communicable diseases including tuberculosis and leprosy; coordinating the global strategy for the prevention and control of AIDS; having achieved the eradication of smallpox, promoting mass immunization against a number of other
    [Show full text]
  • A Case Study of an Electively Mute Child
    University of Northern Iowa UNI ScholarWorks Graduate Research Papers Student Work 1998 A case study of an electively mute child Robert Driscol University of Northern Iowa Let us know how access to this document benefits ouy Copyright ©1998 Robert Driscol Follow this and additional works at: https://scholarworks.uni.edu/grp Part of the Child Psychology Commons, Communication Sciences and Disorders Commons, and the Education Commons Recommended Citation Driscol, Robert, "A case study of an electively mute child" (1998). Graduate Research Papers. 566. https://scholarworks.uni.edu/grp/566 This Open Access Graduate Research Paper is brought to you for free and open access by the Student Work at UNI ScholarWorks. It has been accepted for inclusion in Graduate Research Papers by an authorized administrator of UNI ScholarWorks. For more information, please contact [email protected]. A case study of an electively mute child Abstract Selective mutism is characterized by the appropriate use of language in certain settings, with a consistent lack of language use elsewhere. The child is often viewed as shy, and it is assumed that the shyness is temporary and will be outgrown. The purpose of this paper is to explore the problem of selective mutism in school aged children for whom silence may extend for many months or even years. Selective mutism will be further defined, and frequency, duration, and a summary of treatment methods will be discussed. A case study that illustrates positive outcomes of a behavioral approach will also be described. This
    [Show full text]
  • Selective Mutism: the Child Silenced by Social Anxiety
    Selective Mutism: The Child Silenced by Social Anxiety. A Meta-Synthesis Item Type Thesis Authors Merrill, Kellie Publisher University of Alaska Southeast Download date 27/09/2021 21:54:35 Link to Item http://hdl.handle.net/11122/4661 THE CHILD SILENCED BY SOCIAL ANXIETY 1 Selective Mutism: The Child Silenced by Social Anxiety. A Meta-Synthesis Kellie Merrill Sub1nitted in partial fulfillment of the requirement ofthe Master of Education in Special Education degree at the University ofAlaska Southeast /­ Redacted for Privacy RECOMMENDED: Thomas Scott Duke, Ph.D., Academic Advisor Redacted for Privacy APPROVED: ~~--~-------------------------------------- Deborah Lo, Ph.D., Dean of School of Education Date Archives Thesis LC 4019 .M47 2012 LIBRARY UAS- ,JUNEAU THE CHILD SILENCED BY SOCIAL ANXIETY 2 Abstract This meta-synthesis explores the subject of selective tnutistn across 1nultiple age groups. Selective 1nutis1n is present in a very small percentage of students. Given the small number of students that have this disorder there is limited resources and professional collaboration options available for teachers. The low incident rate of selective mutism often leads to students being forgotten about in the classroo1n setting. Teachers do not know how to help them overcome their disorder and the students are not able to ask for the help they need. This exploration into selective mutism reviewed 30 articles on the topic and attempted to provide identifying characteristics of the disorder as well as interventions for educators to implement while working with students selective mutism. THE CHILD SILENCED BY SOCIAL ANXIETY 3 1. Introduction 1.1. Background We have all seen the child that hides behind his mama's legs when we try to engage the1n in a simple conversation.
    [Show full text]
  • When to Suspect When to Suspect Child Maltreatment
    When to suspect child maltreatment When to suspect child maltreatment National Collaborating Centre for Women’s and Children’s Health Other NICE guidelines produced by the National Collaborating Centre for Women’s and Children’s Health include: • Antenatal care: routine care for the healthy pregnant woman • Fertility: assessment and treatment for people with fertility problems • Caesarean section • Type 1 diabetes: diagnosis and management of type 1 diabetes in children and young people • Long-acting reversible contraception: the effective and appropriate use of long-acting reversible contraception • Urinary incontinence: the management of urinary incontinence in women • Heavy menstrual bleeding • Feverish illness in children: assessment and initial management in children younger than 5 years • Urinary tract infection in children: diagnosis, treatment and long-term management • Intrapartum care: care of healthy women and their babies during childbirth • Atopic eczema in children: management of atopic eczema in children from When to suspect birth up to the age of 12 years • Surgical management of otitis media with effusion in children • Diabetes in pregnancy: management of diabetes and its commplications from preconception to the postnatal period child maltreatment • Induction of labour • Surgical site infection: prevention and treatment of surgical site infection • Diarrhoea and vomiting caused by gastroenteritis: diagnosis, assessment and management in children younger than 5 years Guidelines in production include: • Hypertensive disorders
    [Show full text]
  • Selective Mutism: a Three-Tiered Approach to Prevention and Intervention
    53 Selective Mutism: A Three-Tiered Approach to Prevention and Intervention R.T. Busse and Jenna Downey, Chapman University Selective mutism is a rare anxiety disorder that prevents a child from speaking at school or other community settings, and can be detrimental to a child’s social development. School psy- chologists can play an important role in the prevention and treatment of selective mutism. As an advocate for students, school psychologists can work with teachers, parent caregivers, speech pathologists, and other support staff toward helping children who may develop or have selec- tive mutism. The purpose of this article is to present school-based prevention and intervention approaches within a three-tiered approach that may reduce the incidence and severity of selec- tive mutism. We present theories and research on the etiology and prevalence of the disorder, followed by a review of intervention methods and research at each tier. Based on the theoretical and research literature base, we conclude that early intervention may result in the prevention and amelioration of many occurrences of selective mutism. KEYWORDS: Selective Mutism, Childhood Anxiety Disorders, Social Phobia, Prevention, Treatment The purpose of this article is to present school-based prevention and intervention approaches within a three-tiered approach that may reduce the prevalence and severity of selective mutism. Children with selective mutism (SM) experience a “consistent failure to speak in specific social situations (in which there is an expectation for
    [Show full text]
  • Definitions, Classifications, Neural Correlates and Clinical Profiles
    ISSN: 2640-8031 DOI: https://dx.doi.org/10.17352/apt MEDICAL GROUP Received: 18 December, 2020 Review Article Accepted: 29 December, 2020 Published: 31 December, 2020 *Corresponding author: Dr. Giulio Perrotta, Psycholo- Psychotic spectrum disorders: gist sp.ing in Strategic Psychotherapy, Forensic Crimi- nologist, Lawyer sp.ed SSPL, Researcher, Essayist, Italy, E-mail: Defi nitions, classifi cations, https://www.peertechz.com neural correlates and clinical profi les Giulio Perrotta* Psychologist sp.ing in Strategic Psychotherapy, Forensic Criminologist, Lawyer sp.ed SSPL, Researcher, Essayist, Italy Abstract The psychotic spectrum is the category that groups together a series of disorders linked to a symptomatology in which we witness the fragmentation of the plane of reality until it is completely broken. According to the DSM-V nosography, the disorders under examination are schizophrenia, delusional disorder, paranoid disorder, schizoid disorder, schizotypic disorder, schizoaffective disorder, brief psychotic disorder, psychotic break and catatonia. In this work, theoretical and practical profi les were analysed, paying attention to neurobiological content and therapeutic profi les, both psychotherapeutic and psychopharmacological. A note of disappointment has been made in the nosographic categorisation of dissociative disorders that currently would not be included in the psychotic spectrum disorders, although from the elements that emerged it would be interesting to revise them, precisely because of the clinical nature of the psychopathological category. Contents of the manuscript alterations in the fl ow of ideas, mental organisational inconsistency and alterations in the associative links (such as Defi nitions and general profi les paralogy, tangentiality, transverse responses and disconnected argumentative jumps); The term “psychosis”, offi cially introduced by Ernst von Feuchtersleben in 1845, refers to all those psychopathological d) attributable to disturbances of the “content of thought”, forms of psychopathology characterised by severe alteration i.e.
    [Show full text]
  • The ICD-10 Classification of Mental and Behavioural Disorders
    The ICD-10 Classification of Mental and Behavioural Disorders Clinical descriptions and diagnostic guidelines World Health Organization -1- Preface In the early 1960s, the Mental Health Programme of the World Health Organization (WHO) became actively engaged in a programme aiming to improve the diagnosis and classification of mental disorders. At that time, WHO convened a series of meetings to review knowledge, actively involving representatives of different disciplines, various schools of thought in psychiatry, and all parts of the world in the programme. It stimulated and conducted research on criteria for classification and for reliability of diagnosis, and produced and promulgated procedures for joint rating of videotaped interviews and other useful research methods. Numerous proposals to improve the classification of mental disorders resulted from the extensive consultation process, and these were used in drafting the Eighth Revision of the International Classification of Diseases (ICD-8). A glossary defining each category of mental disorder in ICD-8 was also developed. The programme activities also resulted in the establishment of a network of individuals and centres who continued to work on issues related to the improvement of psychiatric classification (1, 2). The 1970s saw further growth of interest in improving psychiatric classification worldwide. Expansion of international contacts, the undertaking of several international collaborative studies, and the availability of new treatments all contributed to this trend. Several national psychiatric bodies encouraged the development of specific criteria for classification in order to improve diagnostic reliability. In particular, the American Psychiatric Association developed and promulgated its Third Revision of the Diagnostic and Statistical Manual, which incorporated operational criteria into its classification system.
    [Show full text]
  • Mental Health in Primary Care Diagnostic and Treatment Guidelines
    SULTANATE OF OMAN MINISTRY OF HEALTH MANUAL FOR THE MANAGEMENT OF MENTAL ILLNESS IN PRIMARY HEALTH CARE SECOND EDITION-2011 DEPARTMENT OF NON COMMUNICABLE DISEASES SURVEILLANCE &CONTROL IBN-SINA HOSPITAL DEPARTMENT OF PRIMARY HEALTH CARE. MR - 414 PREFACE Health is “the complete physical, mental and social well-being and not merely the absence of disease or infirmity” (World Health Organisation Constitution 1948). Thus mental health is an integral part of health and plays an important role in the overall health of individuals, families, communities and nations. Indeed, there is no health without mental health. It is therefore important to include mental health in preventive, curative and rehabilitative health care services in every stage of development in the human life cycle. Despite there being no doubt that mental health is as important as physical health to overall well being of individuals, societies and countries, only a small minority of the 450 million people in the world suffering from a mental or behavioural disorder are receiving treatment, and this is also true of Oman as well as other countries . Prevention of all illnesses and disabilities is the policy of the Ministry of Health in Sultanate of Oman. There is a need to provide easily accessible, effective and early recognition of mental disabilities because delay produces adverse effects not only on the patients and their families but also on the whole economy and overall well being of society. Early recognition leads to early intervention resulting in better prognosis. Given the prevalence of mental disorders , and the desire to achieve equitable population access to mental health promotion, prevention, and treatment, it is essential , as in other countries, to integrate mental health into primary health care.
    [Show full text]
  • The Treatment of Selective Mutism: a Case Control Alternating Treatments Design
    UNLV Retrospective Theses & Dissertations 1-1-2008 The treatment of selective mutism: A case control alternating treatments design Jennifer L Vecchio University of Nevada, Las Vegas Follow this and additional works at: https://digitalscholarship.unlv.edu/rtds Repository Citation Vecchio, Jennifer L, "The treatment of selective mutism: A case control alternating treatments design" (2008). UNLV Retrospective Theses & Dissertations. 2818. http://dx.doi.org/10.25669/udes-96xv This Dissertation is protected by copyright and/or related rights. It has been brought to you by Digital Scholarship@UNLV with permission from the rights-holder(s). You are free to use this Dissertation in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s) directly, unless additional rights are indicated by a Creative Commons license in the record and/or on the work itself. This Dissertation has been accepted for inclusion in UNLV Retrospective Theses & Dissertations by an authorized administrator of Digital Scholarship@UNLV. For more information, please contact [email protected]. THE TREATMENT OF SELECTIVE MUTISM: A CASE CONTROL ALTERNATING TREATMENTS DESIGN by Jennifer L. Vecchio Bachelor of Arts University of Nevada, Las Vegas 1998 Master of Arts University of Nevada, Las Vegas 2003 a dissertation submitted in partial fulfillment of the requirements for the Doctor of Philosophy Degree in Psychology Department of Psychology College of Liberal Arts Graduate College University of Nevada, Las Vegas August 2008 UMI Number: 3338188 Copyright 2008 by Vecchio, Jennifer L. All rights reserved. INFORMATION TO USERS The quality of this reproduction is dependent upon the quality of the copy submitted.
    [Show full text]