First Episode Psychosis an Information Guide Revised Edition
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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 -
University of Redlands Psychiatrist Referral List Most Major Insurances Accepted Including Medi-Medi and Other Government (909) 335-3026 Insurances
University of Redlands Psychiatrist Referral List Most major insurances accepted including medi-medi and other government (909) 335-3026 insurances. But not limited to Aetna HMO/PPO, Cigna, TRIWEST, MANAGED Inland Psychiatric Medical Group 1809 W. Redlands Blvd. HEALTH NETWORK, Universal care (only for brand new day), Blue Shield, IEHP, http://www.inlandpsych.com/ Redlands, CA 92373 PPO / Most HMO, MEDICARE, Blue Cross Blue Shield, KAISER (with referral), BLUE CROSS / ANTHEM, HeathNet Providers available at this SPECIALTIES location: Chatsuthiphan, Visit MD Anxiety Disorder, Appointments-weekend, Bipolar Disorders, Borderline Personality Disorders, Depression, Medication Management, Obsessive Compulsive Disorder - Ocd Belen, Nenita MD Adhd/Add, Anxiety Disorder, Appointments-weekend, Bipolar Disorders, Depression, Medication Management, Meet And Greet, Obsessive Compulsive Disorder - Ocd, Panic Disorders, Phobias, Ptsd Adhd/Add, Adoption Issues, Aids/Hiv, Anger Management, Anxiety Disorder, Bipolar Disorders, Borderline Personality Disorders, Desai, David MD Conduct/Disruptive Disorder, Depression, Dissociative Disorder, Medication Management Farooqi, Mubashir MD Addictionology (md Only), Adhd/Add, Anxiety Disorder, Appointments-evening, Appointments-weekend, Bipolar Disorders, Conduct/Disruptive Disorder, Depression, Obsessive Compulsive Disorder - Ocd, Ptsd Julie Wareham, MD General Psychiatry, Inpatient hospital coverage for adolescent, adult, chemical dependency and consult and liaison services. Sigrid Formantes, MD General Psychiatry, General Psychiatrist Neelima Kunam, MD General Psychiatry, Adult Psychiatrist General Psychiatry, Adult Psychiatrist John Kohut, MD General Psychiatry, Adult Psychiatrist Anthony Duk, MD InlandPsych Redlands, Inc. (909)798-1763 http://www.inlandpsychredlands.com 255 Terracina Blvd. St. 204, Most major health insurance plans accepted, including student insurance Redlands, CA 92373 Providers available at this SPECIALTIES location: * Paladugu, Geetha K. MD Has clinical experience in both inpatient and outpatient settings. -
“Cat-Gras” Delusion: a Unique Misidentification Syndrome and a Novel Explanation
Neurocase The Neural Basis of Cognition ISSN: 1355-4794 (Print) 1465-3656 (Online) Journal homepage: http://www.tandfonline.com/loi/nncs20 “Cat-gras” delusion: a unique misidentification syndrome and a novel explanation R. Ryan Darby & David Caplan To cite this article: R. Ryan Darby & David Caplan (2016) “Cat-gras” delusion: a unique misidentification syndrome and a novel explanation, Neurocase, 22:2, 251-256, DOI: 10.1080/13554794.2015.1136335 To link to this article: https://doi.org/10.1080/13554794.2015.1136335 Published online: 14 Jan 2016. Submit your article to this journal Article views: 1195 View related articles View Crossmark data Citing articles: 4 View citing articles Full Terms & Conditions of access and use can be found at http://www.tandfonline.com/action/journalInformation?journalCode=nncs20 Download by: [Vanderbilt University Library] Date: 06 December 2017, At: 06:39 NEUROCASE, 2016 VOL. 22, NO. 2, 251–256 http://dx.doi.org/10.1080/13554794.2015.1136335 “Cat-gras” delusion: a unique misidentification syndrome and a novel explanation R. Ryan Darbya,b,c and David Caplana,c aDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA; bDepartment of Neurology, Brigham and Women’s Hospital, Boston, MA, USA; cHarvard Medical School, Boston, MA, USA ABSRACT ARTICLE HISTORY Capgras syndrome is a distressing delusion found in a variety of neurological and psychiatric diseases Received 23 June 2015 where a patient believes that a family member, friend, or loved one has been replaced by an imposter. Accepted 20 December 2015 Patients recognize the physical resemblance of a familiar acquaintance but feel that the identity of that KEYWORDS person is no longer the same. -
Paranoia and Slowed Cognition Ijeoma Ijeaku, MD, MPH, and Melissa Pereau, MD
Cases That Test Your Skills Paranoia and slowed cognition Ijeoma Ijeaku, MD, MPH, and Melissa Pereau, MD Mr. K, age 45, is paranoid, combative, and agitated. Two weeks How would you ago he sustained chemical abrasions at home. What could be handle this case? Visit CurrentPsychiatry.com causing his altered mental status? to input your answers and see how your colleagues responded CASE Behavioral changes aggressive and combative. He throws chairs at Mr. K, age 45, is brought to the emergency de- his peers and staff on the unit and is placed in partment (ED) by his wife for severe paranoia, physical restraints. He requires several doses combative behavior, confusion, and slowed of IM haloperidol, 5 mg, lorazepam, 2 mg, and cognition. Mr. K tells the ED staff that a chemi- diphenhydramine, 50 mg, for severe agitation. cal abrasion he sustained a few weeks earlier Mr. K is guarded, perseverative, and selectively has spread to his penis, and insists that his mute. He avoids eye contact and has poor penis is retracting into his body. He has tied grooming. He has slow thought processing and a string around his penis to keep it from dis- displays concrete thought process. Prednisone appearing into his body. According to Mr. K’s is discontinued and olanzapine, titrated to 30 wife, he went to an urgent care clinic 2 weeks mg/d, and mirtazapine, titrated to 30 mg/d, are ago after he sustained chemical abrasions started for psychosis and depression. from exposure to cleaning solution at home. Mr. K’s mood and behavior eventually re- The provider at the urgent care clinic started turn to baseline but slowed cognition persists. -
Resource Document on Social Determinants of Health
APA Resource Document Resource Document on Social Determinants of Health Approved by the Joint Reference Committee, June 2020 "The findings, opinions, and conclusions of this report do not necessarily represent the views of the officers, trustees, or all members of the American Psychiatric Association. Views expressed are those of the authors." —APA Operations Manual. Prepared by Ole Thienhaus, MD, MBA (Chair), Laura Halpin, MD, PhD, Kunmi Sobowale, MD, Robert Trestman, PhD, MD Preamble: The relevance of social and structural factors (see Appendix 1) to health, quality of life, and life expectancy has been amply documented and extends to mental health. Pertinent variables include the following (Compton & Shim, 2015): • Discrimination, racism, and social exclusion • Adverse early life experiences • Poor education • Unemployment, underemployment, and job insecurity • Income inequality • Poverty • Neighborhood deprivation • Food insecurity • Poor housing quality and housing instability • Poor access to mental health care All of these variables impede access to care, which is critical to individual health, and the attainment of social equity. These are essential to the pursuit of happiness, described in this country’s founding document as an “inalienable right.” It is from this that our profession derives its duty to address the social determinants of health. A. Overview: Why Social Determinants of Health (SDOH) Matter in Mental Health Social determinants of health describe “the causes of the causes” of poor health: the conditions in which individuals are “born, grow, live, work, and age” that contribute to the development of both physical and psychiatric pathology over the course of one’s life (Sederer, 2016). The World Health Organization defines mental health as “a state of well-being in which every individual realizes his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to her or his community” (World Health Organization, 2014). -
Is Your Depressed Patient Bipolar?
J Am Board Fam Pract: first published as 10.3122/jabfm.18.4.271 on 29 June 2005. Downloaded from EVIDENCE-BASED CLINICAL MEDICINE Is Your Depressed Patient Bipolar? Neil S. Kaye, MD, DFAPA Accurate diagnosis of mood disorders is critical for treatment to be effective. Distinguishing between major depression and bipolar disorders, especially the depressed phase of a bipolar disorder, is essen- tial, because they differ substantially in their genetics, clinical course, outcomes, prognosis, and treat- ment. In current practice, bipolar disorders, especially bipolar II disorder, are underdiagnosed. Misdi- agnosing bipolar disorders deprives patients of timely and potentially lifesaving treatment, particularly considering the development of newer and possibly more effective medications for both depressive fea- tures and the maintenance treatment (prevention of recurrence/relapse). This article focuses specifi- cally on how to recognize the identifying features suggestive of a bipolar disorder in patients who present with depressive symptoms or who have previously been diagnosed with major depression or dysthymia. This task is not especially time-consuming, and the interested primary care or family physi- cian can easily perform this assessment. Tools to assist the physician in daily practice with the evalua- tion and recognition of bipolar disorders and bipolar depression are presented and discussed. (J Am Board Fam Pract 2005;18:271–81.) Studies have demonstrated that a large proportion orders than in major depression, and the psychiat- of patients in primary care settings have both med- ric treatments of the 2 disorders are distinctly dif- ical and psychiatric diagnoses and require dual ferent.3–5 Whereas antidepressants are the treatment.1 It is thus the responsibility of the pri- treatment of choice for major depression, current mary care physician, in many instances, to correctly guidelines recommend that antidepressants not be diagnose mental illnesses and to treat or make ap- used in the absence of mood stabilizers in patients propriate referrals. -
Spanish Clinical Language and Resource Guide
SPANISH CLINICAL LANGUAGE AND RESOURCE GUIDE The Spanish Clinical Language and Resource Guide has been created to enhance public access to information about mental health services and other human service resources available to Spanish-speaking residents of Hennepin County and the Twin Cities metro area. While every effort is made to ensure the accuracy of the information, we make no guarantees. The inclusion of an organization or service does not imply an endorsement of the organization or service, nor does exclusion imply disapproval. Under no circumstances shall Washburn Center for Children or its employees be liable for any direct, indirect, incidental, special, punitive, or consequential damages which may result in any way from your use of the information included in the Spanish Clinical Language and Resource Guide. Acknowledgements February 2015 In 2012, Washburn Center for Children, Kente Circle, and Centro collaborated on a grant proposal to obtain funding from the Hennepin County Children’s Mental Health Collaborative to help the agencies improve cultural competence in services to various client populations, including Spanish-speaking families. These funds allowed Washburn Center’s existing Spanish-speaking Provider Group to build connections with over 60 bilingual, culturally responsive mental health providers from numerous Twin Cities mental health agencies and private practices. This expanded group, called the Hennepin County Spanish-speaking Provider Consortium, meets six times a year for population-specific trainings, clinical and language peer consultation, and resource sharing. Under the grant, Washburn Center’s Spanish-speaking Provider Group agreed to compile a clinical language guide, meant to capture and expand on our group’s “¿Cómo se dice…?” conversations. -
Summary of Junior MARSIPAN: Management of Really Sick Patients Under 18 with Anorexia Nervosa
CR168s Summary of Junior MARSIPAN: Management of Really Sick Patients under 18 with Anorexia Nervosa COLLEGE REPORT College Report 168s October 2015 Approved by: Policy and Public Affairs Committee (PPAC), November 2014 Due for revision: 2016 © 2015 The Royal College of Psychiatrists College Reports constitute College policy. They have been sanctioned by the College via the Policy and Public Affairs Committee (PPAC). For full details of reports available and how to obtain them, visit the College website at http://www.rcpsych.ac.uk/publications/ collegereports.aspx The Royal College of Psychiatrists is a charity registered in England and Wales (228636) and in Scotland (SC038369). Contents Authors 2 Key recommendations 3 Risk assessment: how ill is the patient? 4 Location of care 9 Management in specific healthcare settings 11 Management in specialist eating disorders beds 18 Audit and review 20 Resources and further guidance 21 References 22 Contents 1 Authors The authors of this report are multidisciplinary, Dr Jane Whittaker, Consultant Child and independent, and have no conflicts of interest to Adolescent Psychiatrist, Manchester Children’s declare relating to the report. Hospital, Manchester Dr Agnes Ayton, Consultant Psychiatrist, Dr Damian Wood, Consultant Paediatrician, Cotswold House, Oxford Chair of the Royal College of Paediatrics and Child Health’s Young People’s Health Special Dr Rob Barnett, General Practitioner, Liverpool Interest Group, Nottingham University Hospital, Dr Mark Beattie, Consultant Paediatric Nottingham Gastroenterologist, -
Specificity of Psychosis, Mania and Major Depression in A
Molecular Psychiatry (2014) 19, 209–213 & 2014 Macmillan Publishers Limited All rights reserved 1359-4184/14 www.nature.com/mp ORIGINAL ARTICLE Specificity of psychosis, mania and major depression in a contemporary family study CL Vandeleur1, KR Merikangas2, M-PF Strippoli1, E Castelao1 and M Preisig1 There has been increasing attention to the subgroups of mood disorders and their boundaries with other mental disorders, particularly psychoses. The goals of the present paper were (1) to assess the familial aggregation and co-aggregation patterns of the full spectrum of mood disorders (that is, bipolar, schizoaffective (SAF), major depression) based on contemporary diagnostic criteria; and (2) to evaluate the familial specificity of the major subgroups of mood disorders, including psychotic, manic and major depressive episodes (MDEs). The sample included 293 patients with a lifetime diagnosis of SAF disorder, bipolar disorder and major depressive disorder (MDD), 110 orthopedic controls, and 1734 adult first-degree relatives. The diagnostic assignment was based on all available information, including direct diagnostic interviews, family history reports and medical records. Our findings revealed specificity of the familial aggregation of psychosis (odds ratio (OR) ¼ 2.9, confidence interval (CI): 1.1–7.7), mania (OR ¼ 6.4, CI: 2.2–18.7) and MDEs (OR ¼ 2.0, CI: 1.5–2.7) but not hypomania (OR ¼ 1.3, CI: 0.5–3.6). There was no evidence for cross-transmission of mania and MDEs (OR ¼ .7, CI:.5–1.1), psychosis and mania (OR ¼ 1.0, CI:.4–2.7) or psychosis and MDEs (OR ¼ 1.0, CI:.7–1.4). -
Eating Disorders: About More Than Food
Eating Disorders: About More Than Food Has your urge to eat less or more food spiraled out of control? Are you overly concerned about your outward appearance? If so, you may have an eating disorder. National Institute of Mental Health What are eating disorders? Eating disorders are serious medical illnesses marked by severe disturbances to a person’s eating behaviors. Obsessions with food, body weight, and shape may be signs of an eating disorder. These disorders can affect a person’s physical and mental health; in some cases, they can be life-threatening. But eating disorders can be treated. Learning more about them can help you spot the warning signs and seek treatment early. Remember: Eating disorders are not a lifestyle choice. They are biologically-influenced medical illnesses. Who is at risk for eating disorders? Eating disorders can affect people of all ages, racial/ethnic backgrounds, body weights, and genders. Although eating disorders often appear during the teen years or young adulthood, they may also develop during childhood or later in life (40 years and older). Remember: People with eating disorders may appear healthy, yet be extremely ill. The exact cause of eating disorders is not fully understood, but research suggests a combination of genetic, biological, behavioral, psychological, and social factors can raise a person’s risk. What are the common types of eating disorders? Common eating disorders include anorexia nervosa, bulimia nervosa, and binge-eating disorder. If you or someone you know experiences the symptoms listed below, it could be a sign of an eating disorder—call a health provider right away for help. -
The Trauma of First Episode Psychosis: the Role of Cognitive Mediation
The trauma of first episode psychosis: the role of cognitive mediation Chris Jackson, Claire Knott, Amanda Skeate, Max Birchwood Objective: First episode psychosis can be a distressing and traumatic event which has been linked to comorbid symptomatology, including anxiety, depression and PTSD symp- toms (intrusions, avoidance, etc.). However, the link between events surrounding a first episode psychosis (i.e. police involve- ment, admission, use of Mental Health Act, etc.) and PTSD symptoms remains unproven. In the PTSD literature, attention has now turned to the patient’s appraisal of the traumatic event as a key mediator. In this study we aim to evaluate the diagnostic status of first episode psychosis as a PTSD-triggering event and to determine the extent to which cognitive factors such as appraisals and coping mechanisms can mediate the expression of PTSD (traumatic) symptomatology. Method: Approximately 1.5 years after their first episode of psychosis, patients were assessed for traumatic symptoms, conformity to DSM-IV criteria for posttraumatic stress disorder (PTSD), and their appraisals of the traumatic events and coping strategies. Psychotic symptomatology was also measured. Results: 31% of the sample of 35 patients who agreed to participate reported symptoms consistent with a diagnosis of PTSD. Although no relationship was found between PTSD (traumatic) symptoms and potentially traumatic aspects of the first episode (including place of treatment, detention under the MHA etc.), intrusions and avoidance were positively related to retrospective appraisals of stressfulness of the ward (i.e. the more stressful they rated it the greater the number of PTSD symptoms) and the patient’s coping style (sealers were less likely to report intrusive re-experiencing but more likely to report avoidance). -
New Eating Disorder Service
ORIGINAL PAPERS New eating disorder service Harry R, Millar Aims and method The paper describes the first three the Grampian area. We welcome direct enqui years experience of a new out-patient eating disorder ries from patients, relatives and friends, but service for adults. Clinical data on referrals using strongly encourage referral through the GP and standardised assessments are presented. if the GP is not involved a psychiatrist sees the Results The referral rate rapidly rose to over 200 referral. patients per annum. Forty-nine per cent of referrals We wish to enable generalist colleagues to were bulimic disorders and 26% had either anorexia continue seeing patients and offer a consul nervosa or atypical anorexia nervosa. Seventy per cent tative service to them but some managers were directly referred by general practitioners. seemed to believe that we should see all eating Clinical implications The creation of a specialist disorder patients. We had to explain that this eating disorder service quickly leads to a high referral is not logistically possible and not clinically rate suggesting a previously unmet need. A service necessary. based on assessment and treatment by nurse therapists is acceptable and feasible with appropriate training and support from psychiatry, clinical psychology and Assessment dietetics. Expectations of a specialist service include We have tried to provide a "comprehensive teaching, consultation, research and audit as well as multidimensional assessment" as recommended the provision of direct clinical care. by the American Psychiatric Association (1993). A Royal College of Psychiatrists (1992) report This includes two to three sessions with the recommends that across the country "a con primary therapist, a nutritional assessment by sultant-led local service for eating disorders the dietician, a physical assessment by a junior should be established, together with appropriate doctor and, if indicated, a psychiatric assess non-medial support." In 1994, an adult out ment by the consultant.