Professional Documents
Culture Documents
General approach
Problem list (sign& symptom) Psychiatric problems or not? What is the psychiatric syndrome? What is the DSM-IV diagnostic system? What are the causes of the syndrome? How to manage this syndrome?
Psychiatric S&S
Organic
CNS disease -encephalitis, meningitis, intracranial hemorrhage, trauma systemic disease - electrolyte imbalance, uremia, metabolic, endocrine , infection, hypertension, hypoglycemia drug / substance - Abuse , Dependence - Intoxication , Withdrawal - alcohol, amphetamine
functional
Psychotic disorder Mood disorder Anxiety disorder Somatoform disorder Dissociative disorder Personality disorder Adjustment disorder
hierarchy
Combination of these 3 factors disorder The difference between the severity of Bio-Psycho-Social factors in each person
ex. Alzheimers dementia, Substance use disorder, Schizophrenia, Mood disorders, even homosexuality!!!
- developmental-degenerative process :
childhood mental disorder, Schizophrenia as the dementia precox, psychotic symptoms in dementia pt.
Neuropathology
-cognitive-behavioral theory :
stimuli sensation perception thinking emotion behavior ex. Cognitive triad in depression
Behavior Feeling
Thought & perception
Precipitating Protective
Purpetuating Predisposing
Bio
Psycho
Social
Conclusion
There are many factors that cause the mental disorder One specific factor can not completely explain these illnesses. Stress-diathesis model + Bio-Psycho-Social model + 4Ps model help us understand the etiologies of the psychiatric disorders.