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Psychiatry Presentation

Transcript: DONE BY: SAHIL DAYA PSYCHIATRY PRESENTATION HISTORY HISTORY DEMOGRAPHIC DATA MR BM 26 YEAR OLD MALE FROM HORISON PARK LIVES WITH HIS SISTER, PARENTS RESIDE IN THE FREE STATE SINGLE, NO CHILDREN HIGHEST LEVEL OF EDUCATION ACHIEVED: GRADE 12 CURRENTLY UNEMPLOYED, ATTEMPTING TO UPGRADE HIS MATRIC RESULTS CHRISTIAN NOT A KNOWN MHCU BROUGHT TO HOSPITAL BY HIS SISTER WITH INDEX EPISODE OF HALLUCINATING, SPEAKING TO HIMSELF AND AGGRESSIVE BEHAVIOUR SYSTEMATIC ENQUIRY SYSTEMATIC ENQUIRY PSYCHOTIC DELUSIONS GRANDIOSE DELUSIONS- PATIENT BELIEVES THAT HE HAS THE ABILITY TO MANUFACTURE ANYTHING AND IS A GREAT SCIENTIST AND INVENTOR. HE REPORTS HAVING INVENTED A "BENCH" WHICH GIVES YOU THE BEST WORKOUT IN THE WORLD AND CAN MAKE ANYONE AN EXPERT SOCCER PLAYER. HE ALSO BELIEVES THAT HE IS THE DESCENDANT OF UMKHONTO WE SIZWE AND KING KENNETH KAUNDA. PATIENT REPORTS THAT HE IS HIGHLY INTELLIGENT AND GIFTED AND WAS SUPPOSE TO STUDY SCIENCE, BUT INSTEAD HE IS STUDYING MARKETING AT UNISA (COLLATERAL FROM SISTER: PATIENT PERFORMED VERY POORLY AT SCHOOL AND BARELY PASSED MATRIC AFTER FAILING MULTIPLE TIMES, HE DOES NOT STUDY AT UNISA). PSYCHOTIC CLUSTER PERSECUTORY DELUSIONS- THE PATIENT HAD PERSECUTORY DELUSIONS TOWARD HIS SISTER, BELIEIVNG THAT HIS SISTER WAS JEALOUS OF HIM AND HIS TALENTS AND WAS TRYING TO SABOTAGE HIM. HE ALSO BELIEVED THAT HIS SISTER'S FRIEND WAS TRYING TO TAKE OVER THEIR HOUSE AND WAS TRYING TO INFLUENCE BOTH HIM AND HIS SISTER TO FOLLOW "THE WRONG PATH". HE SUSPECTS HIS SISTERS FRIEND OF STEALING HIS FATHER'S PROJECTOR. HE BELIEVES THAT HIS FATHER HATES HIM AND WANTS TO CONTROL EVERY ASPECT OF HIS LIFE BY FORCING HIM TO STUDY MARKETING AND NOT FOLLOWING HIS PASSION FOR SCIENCE. HIS FATHER ALSO PUNISHED HIM BY MAKING HIS SISTER "THE MAN OF THE HOUSE". BIZARRE DELUSIONS- THE PATIENT BELIEVES THAT HIS THREE DOGS HAVE BEEN POSSESSED BY WITCHES AND IN ORDER TO FREE THEM FROM THE WITCHES HE HAS TO SPIT ON THEM AND IN THEIR MOUTHS. HE ALSO BELIEVES THAT HIS SISTER IS THE BOSS OF WESTGATE. NO SOMATIC, NIHILISTIC OR RELIGIOUS DELUSIONS WERE ELICITED, NEITHER ANY DELUSIONS OF REFERENCE HALLUCINATIONS PATIENT DENIED HAVING ANY AUDITORY, VISUAL, OLFACTORY OR TACTILE HALLUCINATIONS. PASSIVITY PHENOMENA NO EVIDENCE OF THOUGHT INSERTION, DELETION, CONTROL, BROADCASTING OR WITHDRAWAL NEGATIVE SYMPTOMS NOT ELICITED MOOD PATIENT WAS NOTED TO HAVE A HIGH MOOD AND WAS VERY TALKATIVE. HE APPEARED TO HAVE GOAL-DIRECTED ACTIVITY, HE SAID THAT HE HAD NO TIME TO BE IN HOSPITAL AS HE HAD MANY THINGS TO DO AND HE HAD TO GO BACK TO HIS STUDIES AND HIS WORK AS A SCIENTIST. HE WAS CARRYING HIS ACADEMIC PORTFOLIO AROUND WITH HIM. NEUROVEGETATIVE FEATURES HE SAID THAT HE SLEEPS WELL (COLLATERAL: PATIENT WANDERS AROUND THE HOUSE AT NIGHT AND DOES NOT SLEEP) HE REPORTED HAVING AN INCREASED LEVEL OF ENERGY NO CHANGES IN APPETITE OR LIBIDO MOOD CLUSTER COGNITIVE FEATURES PATIENT HAD POOR CONCENTRATION AND WOULD OFTEN GET DISTRACTED THROUGHOUT THE INTERVIEW NO CHANGES IN MEMORY ELICITED NO FEELINGS OF GUILT OR RUMINATION NORMAL THOUGHT SPEED PHYSICAL FEATURES NIL ELICITED SUICIDAL IDEATION NIL CURRENT OR PAST ATTEMPTS AT SUICIDE NO FUTURE PLANS OR INTENT ANXIETY NO HISTORY OF PANIC ATTACKS OR GENERALISED ANXIETY NO OBSESSIONS OR COMPULSIONS ELICITED NO HISTORY OF A TRAUMATIC EVENT, OR ANY FEATURES OF POST TRAUMATIC STRESS DISORDER NO SPECIFIC PHOBIAS ANXIETY CLUSTER ICTAL NO HISTORY OF SEIZURES, LOSS OF CONSCIOUSNESS NO PERCEPTUAL DISTURBANCES SUCH AS MICROPSIA, MACROPSIA OR DYSMEGALOPSIA NO HALLUCINATIONS, ILLUSIONS NO MEMORY DISTURBANCES SUCH ASDEJA VU, JAMAIS VU, PREMONITIONS NO DISSOCIATIVE STATES (DEPERSONALISATION, FUGUE STATES) ICTAL CLUSTER EATING DISORDER NO EVIDENCE OF FOOD RESTRICTION, BINGING, PURGING OR VOMITING NO EVIDENCE OF FOOD RESTRICTION NO DISTURBANCES IN BODY IMAGE, WEIGHT ELLICITED EATING DISORDER CLUSTER PAST PSYCH HISTORY THIS IS THE PATIENT'S INDEX PRESENTATION TO HOSPITAL ACCORDING TO FAMILY, THE BIZARRE BEHAVIOUR BEGAN IN JULY 2019, AND HAD SIGNIFICANTLY WORSENED LATELY THE PATIENT IS UNABLE TO LIVE A PRODUCTIVE LIFE BECAUSE OF THE ILLNESS AND IS CURRENTLY UNEMPLOYED AND NOT STUDYING AS THIS IS THE INDEX PRESENTATION, NO DIAGNOSES OR TREATMENT HAVE BEEN GIVEN TO THE PATIENT PAST PSYCHIATRIC HISTORY FAMILY PSYCH HISTORY PATERNAL GRANDMOTHER REPORTEDLY HAD BIZARRE BEHAVIOUR AS WELL AS MAGICL THINKING. SHE WAS NEVER DIAGNOSED WITH A MENTAL ILLNESS NOR TOOK ANY TREATMENT. NO OTHER FAMILY PSYCHIATRIC HISTORY REPORTED. NO HISTORY OF SUICIDE BY ANY FAMILY MEMBERS. FAMILY PSYCHIATRIC HISTORY MED AND SURG HISTORY MEDICAL HISTORY PATIENT HAS NO KNOWN MEDICAL COMORBIDITIES. DOES NOT USE ANY CHRONIC MEDICATIONS. SURGICAL HISTORY NIL OF NOTE. MEDICAL AND SURGICAL HISTORY SUBSTANCE USE AND FORENSIC HISTORY SUBSTANCE USE PATIENT IS A NON-USER OF ALCOHOL OR TOBACCO PRODUCTS. HE STARTED USING CANNABIS DURING HIGH SCHOOL, AND CONTINUES ABUSING THE DRUG. HE ADMITS TO USING CANNABIS 2-3 TIMES DAILY. HE DOES NOT USE ANY OTHER ILLICIT

Psychiatry Alzheimers Presentation

Transcript: The cause of Alzheimer's is still veiled under the mysteries of the brain Although, the formation of beta amyloid plaques have been experimentally proven to be linked to both melatonin and orexin, or in general, the sleep-wake cycle However, an inconsistency exists in the data: If melatonin is a light-sensitive hormone, then reduced effects should have been present in the mice that were experiencing constantly dimmed conditions. Since no changes were observed, one would assume that melatonin would have no effects on ISF beta amyloid levels. Amyloid Plaques: The Sleepless Slayer Miguel Pappolla et al. (1997) Recent Study: Strong correlation between ISF beta amyloid levels and the time spent awake, which is strongly regulated by orexin. The injection of orexin and its antagonist both have expected effects on the ISF beta amyloid levels Inhibition of Alzheimer b-Fibrillogenesis by Melatonin Beta amyloid plaques They tested for beta amyloid levels in the brain interstitial fluid via hippocampal microdialysis Many more enzymes and hormones that can affect sleep Melatonin Thank you for listening to my presentation! :) Proposed Melatonin Intereference Beta Amyloid Plaques and their Relationship to Sleep By: Dantong Jia By: Dantong Jia The Source of Amyloid Plaques and Their Effects BUT WAIT! Don't deny it, we need it! "Is there truly a connection between Alzheimer's Disease and the Sleep-Wake Cycle?" Orexin Orexin, the Elusive Hormone Supporting Experiment: Amyloid-βDynamics are Regulated by Orexin and the Sleep-Wake Cycle Jae-Eun Kang et al (2010) Jian-Zhi Wang et al (2006) The Effects of Chronic Sleep Deprivation and Orexin Inhibition Evidence for the connection between ISF Beta Amyloid levels and Orexin Induced Sleep Deprivation Orexin Is Melatonin a possible cure for Beta amyloid plaques? With Melatonin The present results of melatonin are from experiments conducted on animals. No pre-clinical data has shown that melatonin is effective in humans. Results: Human APP Transgenic mouse vs. Wild Type Mouse Role of Melatonin in Alzheimer-like Neurodegeneration Melatonin Findings: ISF AB levels fluctuate proportionally to awakeness Light stimulus does not alter ISF beta amyloid levels in rats Similar diurnal fluctuations exist in humans Diurnal Fluctuations in ISF Beta-Amyloid levels Sleep is COMPLICATED Beta, alpha and gamma secretase Neurons release orexin in the hypothalamus, the control centre of the brain Alzheimer's Disease Without Melatonin Responsible for canine necrolepsy Results support that ISF beta amyloid concentrations greatly effect plaque buildup as sleep deprived specimen exhibited more plaque. Orexin Expression and Inhibition through antagonist, Almorexant Released in the same hippocampal location from where the microdialysis is taken Recap: Alzheimer's Disease Neurodegenerative Disorder Affects: Sleep Wake Cycle Craving for food Symptoms include: Dementia Retrograde memory loss Personality and mood changes

Psychiatry

Transcript: Psychiatry Overview How to Become a Psychiatrist Job Overview Chemistry Research University of Toronto University of McGill University of York University of British Columbia University of McMaster Chemistry Finish The salary of a psychiatrist is mainly based on the location of the practise Highest- $ 140, 000 a year Lowest- $ 60, 000 a year Head of University (Psych)- Up to $400, 000 Private Practise- 10-20% more than ^above (cc) photo by Metro Centric on Flickr doodles University Cost notes Budapest San Francisco Notes Stockholm (cc) photo by jimmyharris on Flickr Schizo is one of the most severe psychological disorders Characterized by perceptual distortion, hallucinations, delusions, and emotion changes. This is due to abnormalities in the brain's dopamine neurotransmitters. Medications used are antipsychotic (Clozapine), which bind and block dopamine receptors. Controlling the production of dopamine is key to the treatment of Schizo (cc) photo by Franco Folini on Flickr Double click to crop it if necessary Job Description BiPolar Disorder Salary Education Step 1: University Step 2: Medical School Step 3: Gain Residency Step 4: Become Licensed Step 5: Subspecialty 1. McMaster School of Medicine 2. Northern Ontario School of Medicine 3. Queen's School of Medicine 4. Western School of Medicine 5. Ottawa School of Medicine 6. University of Toronto Faculty of Medicine outlook Bipolar is characterized by dramatic mood and behavioral changes Individuals are subjected to high euphoric moods and deep depressions Biochemical imbalances within the brain due to excess or poor dopamine a chemical in the brain Medication, such as lithium carbonate are used to stabilize mood Medical School photo frame Schizophrenia Place your own picture behind this frame! (cc) photo by Metro Centric on Flickr details Assets map Medical Doctor that treat both psychotic and neurotic behavior through cognitive testing , psychotherapy, psychoanalysis, and or neuroscience. Psychiatrists are able to prescribe psychiatric medication to treat various illnesses The goal is to analysis and to help individuals to have rational thought and behavior Important Details Undergraduate Education: Average tuition is $9, 000 per year. $36, 000 to obtain a degree Medical School: MCAT is $230. Total $ 76, 000 Residency: Will earn $ 50, 000 To become a psychiatrist: Total cost of $120. 000

Psychiatry

Transcript: Psychiatrist Psychiatrist. A psychiatrist is a medical doctor who specializes in preventing, diagnosing, and treating mental illness. A psychiatrist's training starts with four years of medical school and is followed by a one-year internship and at least three years of specialized training as a psychiatric resident. A psychiatrist monitors the effects of mental illness on other physical conditions, such as problems with the heart or high blood pressure. As a doctor, a psychiatrist is licensed to write prescriptions. Many mental disorders -- such as depression, anxiety, ADHD, or bipolar disorder -- can be treated effectively with specific drugs. If you are working with a psychiatrist, a lot of the treatment may be focused on medication management. Sometimes medication alone is enough to treat the mental illness. Sometimes a combination of medication and psychotherapy or counseling is needed. If that is the case, the psychiatrist may provide the psychotherapy, or the psychiatrist may refer you to a counselor or other type of mental health professional. Psychiatrists work in institutions or in private practice. Some combine the two types of work. Building a successful private practice can take a while, so many beginning psychiatrists start their careers in established psychiatric offices. Professional associations can provide information about setting up a practice or getting salaried positions. How Much Does This Job Pay -Bachel;ors degree + 4 Years of Medical School. -1 Year of Internship -3 Years Psychiatric training as residents in hospitals *After 1-2 Years of Residency, Interns have the option to take examto become A Licensed Psychiatrist. <--Additional Experience Needed. Colleges -University of California, Los Angeles -University of Washington-Seattle -University of Pennsylvania -Dementia and Behavioral Neuroscience Research Fellowship *Postdoctoral Fellowships *Degenerative diseases Residency/Internship Same Program Involves interning at different hospital locations such as: Harbor General Hospital VA Hospital UCLA Ronald Reagan Hospital The UCLA Medical Center provides you and your family with medical, dental, and vision insurance at no cost to you. In addition, life and long-term disability insurance is provided to UCLA House Staff Residents at no cost. If you choose UCLA for your medical benefits, there are no co-payments on office visits and prescriptions are free of charge. All residents receive a BruinCard which serves as your official University identification card/badge, permits access to facilities and special events, and can be used to purchase good and services throughout the University, Medical Center and Health System. Every year, the Psychiatry Residency office provides Housestaff with an allotted amount of money on their BruinCards to use towards meals in the Medical Center Cafeteria and in the Medical Plaza Deli. Currently, residents receive $1,100 during their PG1 and PG2 years and $600 during their PG3 year. The mission of the Department of Psychiatry Office of Education is to provide excellence in psychiatric education throughout the entire spectrum of medical training, including medical school, residency, and clinical and research fellowship training. In addition to training future leaders in psychiatry, the department faculty are committed to educating the public and other health professionals about psychiatric disorders and treatment. The Department sponsors a complete array of educational programs, including University undergraduate education, undergraduate medical education, residency and clinical fellowship training, graduate (Ph.D.) training, post-doctoral research fellowship training, and continuing medical education and public outreach. The Department offers an academically oriented, comprehensive, four-year residency in General Psychiatry. Our program builds upon a strong background in general medicine and includes outstanding clinical and didactic training in all aspects of psychiatry. Penn will prepare you for leadership in psychiatry and comprehensive behavioral health care, whether your professional interests are in clinical medicine, research and academics, or health care delivery. Psychiatry Rotations • All residents complete 3-4 months of inpatient psychiatry at Harborview Medical Center •Residents complete either 2 months of inpatient psychiatry at UW Medical Center or 3 months at VA Medical Center •Rotations expose the PGY-1 resident to inpatient psychiatry, the psychiatric emergency room, the civil commitment process, and ECT. Medicine/Pediatrics •All residents complete 4 months of medicine, pediatrics, or a combination of the two. •Medicine rotations are a mixture of Ward Medicine, Emergency Medicine or Medicine Consults. •Pediatrics is Ward Pediatrics •Call is taken according to the schedule of intern call on your current service. PGY- 1 Year (Year Overview) - Schedule A Month 1-3: Medicine/Pediatrics/Neurology Month 4-6: Psychiatry Month 7-9:

Psychiatry Presentation

Transcript: Psychiatry Julia Gaceta English Presentation Jan. 25, 2022 What is Psychiatry? 1 Psychiatry is the medical branch focused on the prevention, diagnosis, and treatment of mental, behavioral, and emotional disorders. There are different categories of psychiatry, including forensic psychiatry, child and adolescent psychiatry, and addiction psychiatry. These all focus on specific parts. Psychology vs Psychiatry What is the difference between psychiatry and psychology? Psychiatry focuses on the treatment and diagnosis, while psychology is the study of the human mind. Psychiatrists are licensed to prescribe medicine while psychologists are not. Psychology How Do You Become A Psychiatrist? 2 Psychiatrists spend about twelve years (after high school graduation) to become a professional. Pre-medical classes are not required, but do help. After college, students can take the medical entrance exam, which covers many topics. The exam is cruel, and lasts about seven to eight hours. Afterward, students can apply to medical schools. They graduate after four years, and start residency. Here, they will be in actual hospitals and clinics with older professionals. They will learn how to deal with real patients. Then, after another four years, they can finally become licensed professionals! About the Exam The exam can last about seven to eight hours. The topics in the exam include: - Biology - Chemistry - Psychology - Reasoning Skills - Critical Analysis Skills About the Exam Subfields Subfields are a part of a fellowship program, which teaches about specific categories of psychiatry. Subfields include: - Addiction Psychiatry - Pediatric Psychiatry - Neuropsychiatry Subfields How Do Psychiatrists Diagnose Their Patients? Psychiatrists do multiple examinations to 3

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