Diagnostic and Management Guidelines for Mental Disorders in Primary Care
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Paranoid – Suspicious; Argumentative; Paranoid; Continually on The
Disorder Gathering 34, 36, 49 Answer Keys A N S W E R K E Y, Disorder Gathering 34 1. Avital Agoraphobia – 2. Ewelina Alcoholism – 3. Martyna Anorexia – 4. Clarissa Bipolar Personality Disorder –. 5. Lysette Bulimia – 6. Kev, Annabelle Co-Dependant Relationship – 7. Archer Cognitive Distortions / all-of-nothing thinking (Splitting) – 8. Josephine Cognitive Distortions / Mental Filter – 9. Mendel Cognitive Distortions / Disqualifying the Positive – 10. Melvira Cognitive Disorder / Labeling and Mislabeling – 11. Liat Cognitive Disorder / Personalization – 12. Noa Cognitive Disorder / Narcissistic Rage – 13. Regev Delusional Disorder – 14. Connor Dependant Relationship – 15. Moira Dissociative Amnesia / Psychogenic Amnesia – (*Jason Bourne character) 16. Eylam Dissociative Fugue / Psychogenic Fugue – 17. Amit Dissociative Identity Disorder / Multiple Personality Disorder – 18. Liam Echolalia – 19. Dax Factitous Disorder – 20. Lorna Neurotic Fear of the Future – 21. Ciaran Ganser Syndrome – 22. Jean-Pierre Korsakoff’s Syndrome – 23. Ivor Neurotic Paranoia – 24. Tucker Persecutory Delusions / Querulant Delusions – 25. Lewis Post-Traumatic Stress Disorder – 26. Abdul Proprioception – 27. Alisa Repressed Memories – 28. Kirk Schizophrenia – 29. Trevor Self-Victimization – 30. Jerome Shame-based Personality – 31. Aimee Stockholm Syndrome – 32. Delphine Taijin kyofusho (Japanese culture-specific syndrome) – 33. Lyndon Tourette’s Syndrome – 34. Adar Social phobias – A N S W E R K E Y, Disorder Gathering 36 Adjustment Disorder – BERKELEY Apotemnophilia -
Alprazolam-Induced Dose-Dependent Anorgasmia: Case Analysis Kenneth R
BJPsych Open (2018) 4, 274–277. doi: 10.1192/bjo.2018.35 Alprazolam-induced dose-dependent anorgasmia: case analysis Kenneth R. Kaufman, Melissa Coluccio, Michelle Linke, Elizabeth Noonan, Ronke Babalola and Rehan Aziz Background increasing alprazolam to 2.5 mg total daily dose, the patient Sexual dysfunctions are associated with multiple medical and reported anorgasmia. Anorgasmia was alprazolam dose- psychiatric disorders, as well as pharmacotherapies used to dependent, as anorgasmia resolved with reduced weekend treat these disorders. Although sexual dysfunctions negatively dosing (1 mg b.i.d. Saturday/1.5 mg total daily dose Sunday). affect both quality of life and treatment adherence, patients infrequently volunteer these symptoms and clinicians do not Conclusions pose directed questions to determine their presence or severity. Sexual dysfunction is an important adverse effect negatively This issue is especially important in psychiatric patients, for influencing therapeutic outcome. This case reports alprazolam- whom most common psychotropics may cause sexual dys- induced dose-dependent anorgasmia. Clinicians/patients should functions (antidepressants, antipsychotics, anxiolytics and be aware of this adverse effect. Routine sexual histories are mood-stabilising agents). There is limited literature addressing indicated. benzodiazepines, and alprazolam in particular. Declaration of interest Aims None. To report dose-dependent alprazolam anorgasmia. Method Keywords Case analysis with PubMed literature review. Alprazolam; benzodiazepine; sexual dysfunction; anorgasmia; adverse effect; nonadherence; anxiety disorder, major depres- Results sive disorder; obsessive–compulsive disorder, attention-deficit A 30-year-old male psychiatric patient presented with new-onset hyperactivity disorder; clinical care; education. anorgasmia in the context of asymptomatic generalised anxiety disorder, social anxiety, panic disorder with agoraphobia, Copyright and usage obsessive–compulsive disorder, major depression in remission, © The Royal College of Psychiatrists 2018. -
NEW RESEARCH BOOK I a I 2011 H AW Photo By: Hawaii Tourism Authority Tourism By:Photo Hawaii
NEW RESEARCH BOOK I I A AW 2011 H Photo By: Hawaii Tourism Authority Tourism By:Photo Hawaii American Psychiatric Association Transforming Mental Health Through Leadership, Discovery and Collaboration WWW.PSYCH.ORG NEW RESEARCH BOOK NEW RESEARCH RESIDENT POSTER SESSION 01 Chp.: Michel Burger M.D., Centre Hospitalier Erstein, May 14, 2011 13 route de Krafft BP 30063, Erstein, 67152 France, 10 – 11:30 AM Co-Author(s): Christelle Nithart, Ph.D., Luisa Weiner, Hawaii Convention Center, Exhibit Hall, Level 1 M.Sc., Jean-Philippe Lang, M.D. NR01‑01 PROMOTING HEALTH THROUGH THE SUMMARY: BEAUTIFUL GAME: ENGAGING WITH Introduction We present the psychiatric AND ADVOCATING FOR RESIDENTS OF rehabilitation program we are developing in VANCOUVER’S DOWNTOWN EASTSIDE Erstein, France, since September 2008. This THROUGH STREET SOCCER program is based on a residential facility located in the community, which is conceived as an Chp.:Alan Bates M.D., Psychiatry Dept., 11th Floor, interface between inpatient care and psychosocial Gordon & Leslie Diamond Health Care Centre, 2775 rehabilitation. Objective To evaluate the viability Laurel St., Vancouver, V5L 2V8 Canada, Co-Author(s): of the Courlis residential facility in facilitating Fidel Vila-Rodriguez, M.D., Siavash Jafari, M.D., patients’ psychiatric rehabilitation. Method Lurdes Tse, B.Sc., Rachel Ilg, R.N., William Honer, M.D. A comprehensive psychosocial and medical evaluation is undertaken at admission. Criteria for SUMMARY: admission are the following: functional disability Vancouver’s Downtown Eastside is one of the due to chronic psychiatric illness in symptomatic poorest neighbourhoods in North America. remission, and very low socioeconomic status. A Mental illness and addictions are prevalent and socio‑educative and a psychiatric team act together contribute significantly to marginalization and to improve independent social functioning, social disadvantage.Street Soccer for people affected symptomatic remission, and quality of life, according by homelessness re‑engages marginalized people to individual profiles and aims. -
Drug-Induced Sexual Dysfunction in Men and Women
VOLUME 36 : NUMBER 2 : APRIL 2013 ARTICLE Drug-induced sexual dysfunction in men and women Helen M Conaglen whether the clinician is willing to ask about sexual Clinical psychologist and SUMMARY issues and does so in a sensitive way.7,8 Senior research fellow Many medical conditions and their treatments Patients on long-term medications may not be John V Conaglen aware that their sexual problems have developed Endocrinologist and contribute to sexual dysfunction. as a result of their treatment. Conversely some may Associate professor in Commonly implicated drugs include Medicine blame their drugs for sexual problems which are due Sexual Health Research Unit antihypertensives, antidepressants, to relationship difficulties or other stressors. Some Waikato Clinical School antipsychotics and antiandrogens. doctors consider that asking patients if they had Faculty of Medical and Understanding the potential for drug-induced noticed any sexual adverse effects from their drugs Health Sciences University of Auckland sexual problems and their negative impact may ‘suggest’ them to the patient, and possibly result on adherence to treatment will enable the in non-adherence. Patients attributing their sexual clinician to tailor treatments for the patient problems to their drugs are less likely to continue the Key words treatment even when necessary for their health.9 The antidepressants, and his or her partner. consultation should include discussion of the patient’s antihypertensives, Encouraging a discussion with the patient sexual issues so these can be considered in treatment antipsychotics, arousal, about sexual function and providing erectile dysfunction, decisions. hypoactive sexual desire strategies to manage the problem are critical disorder, male impotence, to good clinical care. -
The Diagnosis of Ganser Syndrome in the Practice of Forensic Psychology
Drob, S., & Meehan, K. (2000). The diagnosis of Ganser Syndrome in the practice of forensic psychology. American Journal of Forensic Psychology, 18(3), 37-62. The Diagnosis of Ganser Syndrome in the Practice of Forensic Psychology Sanford L. Drob, Ph.D. and Kevin Meehan Forensic Psychiatry Service, New York University—Bellevue Medical Center The authors gratefully acknowledge the contributions of Robert H. Berger, M.D., Alexander Bardey, M.D., David Trachtenberg, M.D., Ruth Jonas, Ph.D. and Arthur Zitrin, M.D. for their assistance in helping to formulate the case example presented herein. 1 Drob, S., & Meehan, K. (2000). The diagnosis of Ganser Syndrome in the practice of forensic psychology. American Journal of Forensic Psychology, 18(3), 37-62. Abstract Ganser syndrome, which is briefly described as a Dissociative Disorder NOS in the DSM-IV is a poorly understood and often overlooked clinical phenomenon. The authors review the literature on Ganser syndrome, offer proposed screening criteria, and propose a model for distinguishing Ganser syndrome from malingering. The “SHAM LIDO” model urges clinicians to pay close attention to Subtle symptoms, History of dissociation, Abuse in childhood, Motivation to malinger, Lying and manipulation, Injury to the brain, Diagnostic testing, and longitudinal Observations, in the assessment of forensic cases that present with approximate answers, pseudo-dementia, and absurd psychiatric symptoms. A case example illustrating the application of this model is provided. 2 Drob, S., & Meehan, K. (2000). The diagnosis of Ganser Syndrome in the practice of forensic psychology. American Journal of Forensic Psychology, 18(3), 37-62. In this paper we propose a model for diagnosing the Ganser syndrome and related dissociative/hysterical presentations and evaluating this syndrome in connection with forensic assessments. -
Vaginismus: the Sexual Disorder You've Never Heard of It Affects 5 to 17 Percent of Women
Vaginismus: The Sexual Disorder You've Never Heard Of It affects 5 to 17 percent of women. Chances are you've never heard of vaginismus (or, as it is now known, genitopelvic pain penetration disorder) before. Why? Because it's the disorder nobody wants to talk about, least of all those whom it most affects -- women. Quite amazing when you take into account it affects 5 to 17 percent of women (though even those statistics are tricky, considering how hush-hush the whole topic has become) and is the primary female cause of sexless (unconsummated) marriages. Not only is GPPPD rarely discussed among sufferers, but it appears to be largely neglected in the medical world, too. According to relationship counsellor and sex therapist, Alinda Small, the condition is "rarely taught in medical schools and residencies or discussed at medical conferences." So what is GPPPD and why is it shrouded in so much secrecy? What is vaginismus (GPPPD)? "Basically it's the involuntary contraction of muscles surrounding the entrance to the vagina," Small told The Huffington Post Australia. "What happens is the muscles lock up -- and they are incredibly strong -- and nothing can penetrate through. You can't get a finger, a tampon or a Q tip in, let alone a penis. "Women don't talk about it and they don't come forward for treatment." According to Small, there are two main types of GPPPD; primary and secondary. "Primary vaginismus is something you have had your entire life, where you have never been able to insert anything into the vagina," Small said. -
Ganser's Syndrome : a Report of Two Unusual Presentations
Indian Journal of Psychiatry, 2001, 43 (3),273-275 GANSER'S SYNDROME : A REPORT OF TWO UNUSUAL PRESENTATIONS HARPREET S. DUGGAL, SUBHASH C. GUPTA, SOUMYA BASU, VINOD K. SINHA & CHRISTODAY. R. J. KHESS ABSTRACT Ganser's syndrome is a rare and controversial entity in psychiatric nosology. We report two cases ofGS, one developing in a 12-year-old boy, which had their onset during an episode of mania. After recovery from Ganser's syndrome, these cases were followed-up for two and five years, respectively. Interestingly both these patients evolved into bipolar disorder with one patient showing recurrence of Ganser symptoms with each subsequent episode. The importance of following-up and relevance of affective symptoms in GS is discussed. ' Keywords: Ganser's syndrome, bipolar disorder, child, follow-up. Perhaps no other psychiatric syndrome is CASE REPORT shrouded in so much confusion and controversy as regards to its nosological status and Case-1 : Patient, PK, a 12-year-old boy studying mechanism as is Ganser's syndrome (GS). It has in eighth standard, presented to us with complaints been viewed as a form of malingering, a variety of of acute onset and 15 days duration characterized histrionic personality disorder, a psychotic illness, by failure to recognize family members, tearfulness, a dissociative disorder, a factitious disorder, and irritability, talkativeness, reading and writing in an organic illness (Lishman, 1998). The present opposite direction, hearing voices and seeing classificatory systems classify it under images. Family history and past history were dissociative disorders. Though GS has been unremarkable. Physical examination was within reported to occur with other comorbid conditions normal limits. -
Factors That Might Be Predictive of Completion of Vaginismus Treatment 2 Kadir ÖZDEL1, Ayşegül YILMAZ ÖZPOLAT2, Özge ÇERİ3, Hakan KUMBASAR4
Turkish Journal of Psychiatry 2012 Factors That Might Be Predictive of Completion of Vaginismus Treatment 2 Kadir ÖZDEL1, Ayşegül YILMAZ ÖZPOLAT2, Özge ÇERİ3, Hakan KUMBASAR4 SUMMARY Objective: Vaginismus is defined as a recurrent or persistent involuntary spasm of the musculature of the outer third of the vagina that interferes with sexual intercourse. The aim of this study was to assess the level of symptoms of depression, anxiety, obsessive-compulsive symptoms, and perfection- ism among patients with vaginismus, as well as to determine if these clinical variables are related to the completion of treatment. Materials and Methods: The study included 20 women with vaginismus and their spouses that were referred as outpatients to Ankara University, School of Medicine, Department of Psychiatry, Consultation and Liaison Unit. All couples underwent cognitive behavioral therapy, which was administered as 40-60-min weekly sessions. At the first (assessment) session, the female patients were assessed using a sociodemographic evaluation form, the Hamilton Rating Scale for Depression (HAM-D), the Hamilton Rating Scale for Anxiety (HAM-A), the Maudsley Obsessive-Compulsive Inventory (MOCI), the Multidimensional Perfectionism Scale (MPS), and the Golombok Rust Inventory of Sexual Satisfaction (GRISS). The male spouses were evaluated using the GRISS. The same scales were administered after the completion of treatment to those that completed the treatment. Results: The correlation between completion of treatment, and an elevated level of anxiety and self-oriented perfectionism was significant (P < 0.05). Among those that completed the study, depressive symptoms in the female patients improved (P < 0.05), and scale scores related to sexual function- ing in both the males and females improved significantly (P < 0.05). -
The ICD-10 Classification of Mental and Behavioural Disorders : Clinical Descriptions and Diagnostic Guidelines
ICD-10 ThelCD-10 Classification of Mental and Behavioural Disorders Clinical descriptions and diagnostic guidelines | World Health Organization I Geneva I 1992 Reprinted 1993, 1994, 1995, 1998, 2000, 2002, 2004 WHO Library Cataloguing in Publication Data The ICD-10 classification of mental and behavioural disorders : clinical descriptions and diagnostic guidelines. 1.Mental disorders — classification 2.Mental disorders — diagnosis ISBN 92 4 154422 8 (NLM Classification: WM 15) © World Health Organization 1992 All rights reserved. Publications of the World Health Organization can be obtained from Marketing and Dissemination, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel: +41 22 791 2476; fax: +41 22 791 4857; email: [email protected]). Requests for permission to reproduce or translate WHO publications — whether for sale or for noncommercial distribution — should be addressed to Publications, at the above address (fax: +41 22 791 4806; email: [email protected]). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers' products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. -
Male Anorgasmia: from “No” to “Go!”
Male Anorgasmia: From “No” to “Go!” Alexander W. Pastuszak, MD, PhD Assistant Professor Center for Reproductive Medicine Division of Male Reproductive Medicine and Surgery Scott Department of Urology Baylor College of Medicine Disclosures • Endo – speaker, consultant, advisor • Boston Scientific / AMS – consultant • Woven Health – founder, CMO Objectives • Understand what delayed ejaculation (DE) and anorgasmia are • Review the anatomy and physiology relevant to these conditions • Review what is known about the causes of DE and anorgasmia • Discuss management of DE and anorgasmia Definitions Delayed Ejaculation (DE) / Anorgasmia • The persistent or recurrent delay, difficulty, or absence of orgasm after sufficient sexual stimulation that causes personal distress Intravaginal Ejaculatory Latency Time (IELT) • Normal (median) à 5.4 minutes (0.55-44.1 minutes) • DE à mean IELT + 2 SD = 25 minutes • Incidence à 2-11% • Depends in part on definition used J Sex Med. 2005; 2: 492. Int J Impot Res. 2012; 24: 131. Ejaculation • Separate event from erection! • Thus, can occur in the ABSENCE of erection! Periurethral muscle Sensory input - glans (S2-4) contraction Emission Vas deferens contraction Sympathetic input (T12-L1) SV, prostate contraction Bladder neck contraction Expulsion Bulbocavernosus / Somatic input (S1-3) spongiosus contraction Projectile ejaculation J Sex Med. 2011; 8 (Suppl 4): 310. Neurochemistry Sexual Response Areas of the Brain • Pons • Nucleus paragigantocellularis Neurochemicals • Norepinephrine, serotonin: • Inhibit libido, -
Search Strategy for Mental Health Conditions After Snakebite : Scoping Review
BMJ Publishing Group Limited (BMJ) disclaims all liability and responsibility arising from any reliance Supplemental material placed on this supplemental material which has been supplied by the author(s) BMJ Global Health Supplementary Material 2 : Search Strategy for Mental Health conditions after snakebite : Scoping review Database: Ovid MEDLINE(R) <1946 to April 09, 2020> Search Strategy: -------------------------------------------------------------------------------- 1 exp Snake Bites/ (4584) 2 Snakebit*.mp. (1864) 3 ((bite* or envenom*) adj3 Snake*).mp. (5156) 4 1 or 2 or 3 (5470) 5 SELF-INJURIOUS BEHAVIOR/ or SELF MUTILATION/ or SUICIDE/ or SUICIDAL IDEATION/ or SUICIDE, ATTEMPTED/ (64456) 6 MOOD DISORDERS/ or AFFECTIVE DISORDERS, PSYCHOTIC/ or BIPOLAR DISORDER/ or CYCLOTHYMIC DISORDER/ or DEPRESSIVE DISORDER/ or DEPRESSIVE DISORDER, MAJOR/ or DEPRESSIVE DISORDER, TREATMENT-RESISTANT/ or DYSTHYMIC DISORDER/ (145622) 7 NEUROTIC DISORDERS/ (17971) 8 DEPRESSION/ (116351) 9 ADJUSTMENT DISORDERS/ (4201) 10 ANXIETY DISORDERS/ or AGORAPHOBIA/ or OBSESSIVE-COMPULSIVE DISORDER/ or OBSESSIVE HOARDING/ or PANIC DISORDER/ or PHOBIC DISORDERS/ or STRESS DISORDERS, TRAUMATIC/ or COMBAT DISORDERS/ or STRESS DISORDERS, POST- TRAUMATIC/ or STRESS DISORDERS, TRAUMATIC, ACUTE/ (91419) 11 ANXIETY/ or PANIC/ or HYSTERIA/ (84842) 12 MUNCHAUSEN SYNDROME BY PROXY/ or MUNCHAUSEN SYNDROME/ (1800) 13 FATIGUE SYNDROME, CHRONIC/ or OBSESSIVE BEHAVIOR/ (6634) 14 COMPULSIVE BEHAVIOR/ or BEHAVIOR, ADDICTIVE/ or IMPULSE CONTROL DISORDERS/ (14628) 15 STRESS, PSYCHOLOGICAL/ -
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