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Glimpses Revised Correction 1.P65 Glimpses of Psychiatry for Doctors and Medical Students MINDS Revised Edition Edited by Dr.Kishor.M, MD Dr.Vinay.H.R, DPM DNB Dr.Kiran Kumar.K, MD Dr.Lakshmi V Pandit, DPM DNB Dr. Naresh Nebhinani, MD DNB First Edition : 2013 Revised Edition : 2014 ISBN : 978-81-926360-7-8 Copyright : All rights reserved. The concept, the contents, print & publication, in all its formats (hard copy & soft copy version) are copyright properties of "Minds United for Health Sciences & Humanity", Mysore Editorial Office & Contact Address: Minds United for Health Sciences & Humanity, Sriganesh Krupa, M-18, Main Road, Vivekananda nagar, Mysore 570023, Karnataka, India. Mobile : +91 9449347072 & +91 9686712210 Email : [email protected] No part of this publication may be reproduced, stored in retrieval or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without prior permission from the editor. MRP : INR 300/- (Rupees Three Hundred Only ) Publishers : Tara Printing Press and Publication # 285/F6, Uttardimutt Road, 5th West Cross, Mysore - 570004 Disclaimer : We have tried our best to ascertain the contents of this book. Kindly excuse if we have failed somewhere unknowingly. Mail us your suggestions & feedback. All the articles and the information published in this book are only those of authors. Readers are requested to refer to standard textbooks and journals to ascertain or access more information. All rights are reserved. ii Dedication To those who have attempted to alleviate the pain and suffering of people with psychiatry disorders To our parents & family members for supporting us. Special thanks To Professor Shamasundar .C whose ideas on human values motivate us.. To Professor Raguram.R whose teaching in psychiatry inspires many.. To Professor Laksmi V Pandit who supported our initiative selflessly Acknowledgement We are thankful to all the authors who have Contributed to the MINDS newsletter and to the authors of chapters on selected topics. We are also thankful to Dr.Kiran Kantanavar, Dr.Aashish S Nayak, Dr. Chaitra VHM, Dr.Gowthami CR, Dr.Vinay Kumar, Dr.Malavika, Dr.Pradeep, Dr.Ranjitha Thanks to Mr M.N Shashikumar, Mr M.S Karthik of Tara Printers & Publication Mr H. Ravishankar & Mr Gurubasayya P. Math for speedy completion of this book. iii Preface to Revised Edition 2014 We are immensely thankful to all of you for the kind support and encouragement since 2011. This enjoyable journey has been rewarding, resulting in the first edition of this book being published in 2013.We have gained largely by this process & enjoyed the venture immensely. A revised free e-edition of this book was planned, to enable easy access to psychiatric knowledge. The contents are presented in diverse ways - concise articles, narratives from senior consultants, Myths & Facts, MCQs, Crosswords & chapters on core psychiatric issues. Obviously this is not a textbook on psychiatry as the title rightly conveys "glimpses of psychiatry…" This revised edition commemorates our fourth year in this venture. Although the revised edition does not see very major changes, some chapters have been added on. The editorial team saw an additional member, Dr Naresh Nebhinani, who invested a great deal of time and energy into this edition. Availability of an electronic version makes access to information much easier, and thankfully "Minds United for Health Sciences & Humanity", which had the copyright, agreed to release it for free. The free e-copy thus compliments the availability of the hard copy. With the support of many we have succeeded in delivering a copy of the book to all medical colleges in India, and a few to Nepal & Sri Lanka. Mr Vinayaka Murthy M. and his son Dr. Arunkumar V. played a key role in this process and we are thankful to them. We are thankful to all authors for their contribution and consent to release this free edition. Dr Shubhangi Dere has taken up the task of leading MINDS for the year 2014-15, she will continue to update the readers. Once again thanks to all of you, please continue your support & send us your feedback, suggestions & corrections to [email protected] Happy Reading Dr Kishor M Dr Vinay HR Dr Kiran Kumar K Dr Lakshmi V Pandit Dr Naresh Nebhinani iv 6 Glimpses of Psychiatry for Doctors & Medical Students Preface to the First Edition For majority of the medical profession, Psychiatry has largely remained a subject where myths and misconceptions have overshadowed scientific knowledge. Numerous issues have contributed to this status: a possible confusion in the delineation of normality from abnormality, a lack of objective signs and symptoms or diagnostic investigations, and an inadequate exposure & training in psychiatry during the undergraduate course, to state a few. This has a negative impact on the ability of the medical fraternity to handle psychiatric morbidity efficiently, exposing individuals with psychiatry disorder to be exploited by those who are not qualified. With this background, the book has been compiled in order to make an attempt to create awareness among doctors and medical students, regarding psychiatric illnesses. Information has been presented in a simple & educative manner, using an easy and attractive format , for diverse groups of readers in the medical fraternity, ranging from medical students to practitioners in all branches. It also contains a compilation of the issues of 'MINDS' that have been released over the past two years. This unique book has over 20 specialty articles spanning Anatomy to Cardiology in the section on consultation liaison psychiatry written by experts in those fields, stressing the importance of psychiatry in all areas of medical science. Probably, the real joy of the book presentation is the cafeteria approach, wherein readers will have a large variety of material to choose from, ranging from specific chapters, articles, multiple choice questions, solving crosswords, or reading the experiences of experts in the section aptly named 'Down the memory lane…' This will also be, probably for the first time, that this entire book will be avilable in an exclusive website www.psychiatry4u.com, www.mindsnewsletter.com We are also happy to inform all the authors who have contributed to this book and the readers, that the proceedings from the sale of this book will be utilized to strengthen our continued efforts to provide knowledge and create awareness about psychiatry, without any fee. v Glimpses of Psychiatry for Doctors & Medical Students 7 We look forward to your feedback and support, as always. We are immensely thankful to all our well wishers, authors and readers who have supported us from the beginning of this initiative. Dr.Kishor.M, MD Dr.Vinay.H.R, DPM DNB Dr.Kiran Kumar.K, MD Dr.Lakshmi V Pandit, DPM DNB Dear Readers One of the most important ways to promote health and wellbeing is by sharing of knowledge. This e-book has been made freely available, in continuation with our initiative since 2011 to create awareness about Psychiatry. We need your support, if you think this free e-book has benefitted you, please be a part of this "non profit initiative". You can contact us for more info on this e-mail: [email protected] Minds United For Health Sciences & Humanity vi Section A - Articles 1. Psychiatry & Medicine: Towards an Effective Liaison 14 Dr. Raguram. R, MD, MRCPsychiatry 2. Postpartum Depression 16 Dr. Sunanda Kulkarni, MS (OBG) 3. Ethics & Medicine 20 Dr. Shamasundar C, DPM MRCPsychiatry 4. Psychiatric Manifestations of Hypothyroidism 21 Dr.Vimala. S. Iyengar, MD (Internal Medicine) 5. Disulfiram: Old! Yet a Beautiful drug of use? 25 Dr.Harisha Delanthabettu, MD (Psychiatry) 6. Headache - When to seek opinion from psychiatrist 27 Dr.Kiran Naik, MS (ENT) 7. Developmental regression in children 32 Dr.Ashok MV MD (Psychiatry) et al. 8. Brain of Schizophrenia! What's inside? 34 Dr.Anupama.M.P, MS (Anatomy) 9. Altered Behaviour In Adolescence - Need For Early Recognition 38 Dr.Lakshmi V Pandit, DPM, DNB (Psychiatry) 10. Clinically relevant interface between 38 Dermatology & Psychiatry Dr. Umashankar, DVD (Dermatology & Venerology) 11. Demystifying Electro Convulsive Therapy 43 Dr. Jagadisha.T, MD (Psychiatry) 12. Alcoholic Liver Disease 45 Dr. VijayShankar. S, MD (Pathology) 13. Emergence of Psychiatry as valued medical 49 speciality across world : An International Perspective Dr.Mohan Isaac MD (Psychiatry), DPM, FRCPsych, FRANZCP 14. Cortisol assay, stress & exams! 50 Dr.Sudhir.G.K, MD (Physiology) 15. Late onset Depression 55 Dr.Kasthuri Pandiyan, MD (Psychiatry) 16. Fibromyalgia 57 Dr.Vijay Kumar.C, MS (Orthopaedics) vii 17. Suicide Prevention Amongst Medical Students: 61 Towards A Model for Institutional Approach Dr.Ranganath Kulkarni, MD (Psychiatry) 18. A Quick Neuropsychiatric Examination 62 Dr.Venugopal Krishna, DM (Neurology) 19. Psychogenic (non-epileptic) seizures (PNES) 66 Dr.S.Suguna, MD (Paediatrics) 20. Stress Among Health Professionals: Need For Resiliency 68 Dr.Anil Kakunje, DPM MD (Psychiatry) 21. An Overview on Gamma Glutamyl Transferase 73 Dr. Sumathi M.E, MD (Biochemistry) 22. Alcohol Withdrawal Syndrome & Its Management, in Brief 75 Dr.H.D. Bhagyavathi, MD (Psychiatry) 23. Nutrition & Psychiatric Disorders 78 Dr.Asif Khan, MD (Community Medicine) 24. Depression In Childhood & Adolescence 80 Dr.Manju Aswath, MD (Psychiatry) 25. Mental illness, Crime and Punishment 83 Dr.M. Arun, MD (Forensic Medicine) 26. Phobia 85 Dr.Dushad Ram, MD (Psychiatry) 27. Delusions & Delusional Disorder 89 Dr. B. Swapna, MD (Psychiatry) 28. Selective Serotonin Reuptake Inhibitor (SSRI) - An Overview 91 Dr. R.N.Suresha, MD (Pharmacology) 29. Sexual Dysfunctions and its Management in Brief 95 Dr.Anil Kumar M N, DPM DNB (Psychiatry) 30. Trichobezoars & Trichotillomania 97 Dr.Thulasi Vasudevaiah, MS (Surgery) 31. Premenstrual Dysphoric Disorder 101 Dr.G. Bharathi, DPM DNB (Psychiatry) 32. Preoperative anxiety: detection, contributing 102 factors and management Dr.M.R. Anil Kumar, MD (Anaesthesia) 33. Emotional Intelligence 106 Dr .Saraswathi, MD (Psychiatry) viii 10 Glimpses of Psychiatry for Doctors & Medical Students 34.
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