* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Download Theme 15. General characteristic of psychogenic disorders. Neurotic
Wernicke–Korsakoff syndrome wikipedia , lookup
Emil Kraepelin wikipedia , lookup
Major depressive disorder wikipedia , lookup
Comorbidity wikipedia , lookup
Antisocial personality disorder wikipedia , lookup
Conduct disorder wikipedia , lookup
Depersonalization disorder wikipedia , lookup
Autism spectrum wikipedia , lookup
Separation anxiety disorder wikipedia , lookup
Eating disorders and memory wikipedia , lookup
Schizoaffective disorder wikipedia , lookup
Rumination syndrome wikipedia , lookup
Factitious disorder imposed on another wikipedia , lookup
Eating disorder wikipedia , lookup
Generalized anxiety disorder wikipedia , lookup
Memory disorder wikipedia , lookup
Conversion disorder wikipedia , lookup
Munchausen by Internet wikipedia , lookup
Treatment of bipolar disorder wikipedia , lookup
Asperger syndrome wikipedia , lookup
Spectrum disorder wikipedia , lookup
Diagnosis of Asperger syndrome wikipedia , lookup
Dissociative identity disorder wikipedia , lookup
Depression in childhood and adolescence wikipedia , lookup
Mental disorder wikipedia , lookup
Glossary of psychiatry wikipedia , lookup
Causes of mental disorders wikipedia , lookup
Child psychopathology wikipedia , lookup
Diagnostic and Statistical Manual of Mental Disorders wikipedia , lookup
Externalizing disorders wikipedia , lookup
Theme 15. General characteristic of psychogenic disorders. Neurotic and somatoformic disorders. I. GENERAL CHARACTERISTIC OF PSYCHOGENIC DISORDERS. 1. Definition of psychogenic disease. 2. Classification of psychogenic diseases. II. NEUROTIC DISORDERS. 1. Definition and general characteristic of neurotic diseases. 2. Classification of neurotic diseases. 1). Acute reaction to stress: Hysterical reactions Psychasthenic reactions Neurasthenic reactions Depressive reactions Paralysis of emotions 2). Neuroses: Neurasthenia Hysteria Neurosis of obsessions Neurotic anxious disorders Neurotic depression 3. Etiology and pathogenesis of neuroses and neurotic reactions. 4. Differential diagnosis 5. The treatment of patients with neurotic disorders 6. Prognosis III. SOMATOFORM DISORDERS. 1. Definition disorders. and general characteristic of somatoform 2. Etiology and pathogenesis. 3. Classification of clinical manifestations. 1) Somatized disorder. 2) Hypochondriacal disorder. 3) Somatoform autonomic dysfunction. 4) Chronic somatoform painful disorder. 5) Anorexia nervosa. 6) Bulimia nervosa. 4. The differential diagnosis. 5. The treatment of patients with somatoform disorder. 6. Rehabilitative measures Tests 1. How are the physical illnesses which develop as the result of acute or chronic stress called? a) somatogenic disorders b) psychiatric and physical disorder occurring together by chance c) psychosomatic disorders d) psychiatric disorders presenting with physical symptoms e) all listed 2. Which of the listed illnesses is the psychosomatic disorder? a) epilepsy b) hypertonic disease c) cardiophobia d) osteoporosis e) all listed 3. Which psychopathological syndrome include fatigability, weakness, low working ability, hyperesthesia and functional memory disorders? a) asthenic syndrome b) organic brain syndrome c) delirium d) dementia e) depressive syndrome 4. Which psychopathological disorder is characteristic of the infarction without pain syndrome in acute period? a) asthenic syndrome b) organic brain syndrome c) delirium d) sudden anxiety e) euphoria 5. The effective treatment of asthma include: a) bronchodilators b) hormonal treatment c) family psychotherapy d) individual psychotherapy e) all listed 6. What is the cause of labour psychoses in the majority of cases? a) hereditary predisposition b) specific psychic effect of labour c) fear of delivery d) acute pain e) all listed 7. How are the mental disorders, in which internal organs are not damaged, and only functional changes in them can be registered called? a) somatogenic disorders b) psychiatric and physical disorder occurring together by chance c) psychosomatic disorders d) psychiatric disorders presenting with physical symptoms e) all listed 8. Psychiatric consequences of physical illness are all listed, except: a) delirium b) depressive disorder c) manic syndrom d) pseudohallucinations e) asthenic syndrome 9. Which is the most frequent mental disorder, common for almost all physical illnesses? a) anxiety disorder b) asthenic syndrome c) organic brain syndrome d) depressive syndrome e) delirium 10. The effective treatment of cardiophobia include: a) an operation on the coronary vessels b) cardiac drugs c) neuroleptics d) rational psychotherapy e) all listed 11. Which mental disorder is most common among the patients suffering from a peptic ulcer of the stomach? a) torpor b) organic brain syndrome c) delirium d) phobias e) all listed 12. What is the most adequate prophylaxis of labour psychoses? a) tranquilizers b) narcotic preparations c) neuroleptics d) psychoprophylaxis e) presence of parturient woman’s husband 13. How are the physical and mental illnesses which develop at the same time as the result of different etiology and pathogenesis called? a) somatogenic disorders b) psychiatric and physical disorder occurring together by chance c) psychosomatic disorders d) psychiatric disorders presenting with physical symptoms e) all listed 14. Which of the listed illnesses are associated with anxiety disorder? a) hyperthyroidism b) hypothyroidism c) anaemia d) neurological disorders e) all listed 15. The are all listed bellow criteria for diagnosing somatically caused psychoses, except: a) presence of a somatic disease causing mental disorders b) absence of any data about other causes of a mental disorder c) a temporary relation between the development of a basic disease and mental disorders d) a reduction of a mental disorder with the recovery from a basic disease or with its significant alleviation e) nothing listed 16. What is the cause of a dyspnoea? a) respiratory disturbances b) cardiac disturbances c) psychological origin d) all listed e) nothing listed 17. Which mental disorder is most common among the patients suffering from a subcompensated chronic renal failure? a) torpor b) organic brain syndrome c) delirium d) phobias e) all listed 18. What is the characteristics of the catatonic-oneiroid form of the postnatal psychosis? a) regularity in the development of immobility b) incomplete mutism are absent c) tendency to preserve the embryonal posture d) presence of negativism e) all listed Clinical task 1. A 70 y.o. man presents complaints on acute heart pains. During examination his mood is evidently depressed, anxious. As a result of continious sleeplessness he has got fears, suicidal thoughts. He would sit for a long time in the same pose, answer after a pause, in a low, monotonous voice. His face has a look of suffering, pain, fear. 1. What symptoms does the patient have? 2. What psychopathological syndromes does the patient have? 3. What disease can you think of? 4. Prescribe treatment to the patient. Clinical task 2. Patient N, 29 y.o. was admitted to the pulmonological department with a bad cough and high fever. At night he has got psychomotor agitation: he tried to run about the department; thought that some water was running down the walls, he pretended to see rats and cockroaches on the floor. Claimed he were in a hostel, recognized his "aquaintances". 1. What symptoms does the patient have? 2. What psychopathological syndromes does the patient have? 3. What disease can you think of? 4. Prescribe treatment to the patient. List of recommended literature Basic literature. 1. Concise Oxford Textbook of Psychiatry. M. Gelder, D. Gath, R.Mayou. – Oxford; New York; Tokyo; Oxford University Press, 2007. – 953 p. 2. Modern Synopsis of Psychiatry. A.M. Freedman, H.I. Kaplan, B.J. Sadock. – USA, 1982. – 433 p. 3. Psychiatric Dictionary / 5th ed. R.J. Campbell. – Oxford; New York; Oxford University Press, – 1981. – 693 p. 4. Psychopatology and addictive Disorders / Ed. By Meyer. - New York; London, 1986. – 283 p. 5. Psychiatry: course of lecture /Ed.by V.S. Bitensky. – Odessa, 2005. – 336 p. 6. Zimbardo Ph.G. Psychology and Life. - USA, 19991. – 189 p. Additional literature. Brundtland G.H. Mental health in the 21st century // Bulletin of the World Helth Organization. – 2000. - №87. – Р. 411. Desjarlais R., Eisenberg L., Good B. et al. World Mental Health: Problems and Priorities in Low-Income Countries. – New York: Oxford University Press, 1995. – 144 p. Marsella A., Kleinman A., Good B. Cross-cultural studies of depressive disorders. An overview. Culture and depression. – Berkley: University of California Press, 1985. – 213 p. Mulrow C.D., Williams J.W. Jr., Trivedi M., et al. Treatment of depression: newer pharmacotherapies. Rockville, MD: Agency for Health Care Policy and Research, 1999. – 253 р. Murray C.J.L., Lopez A.D. The global burden of disease: a comprehensive assessment of mortality and disability from disease, injuries and risk factors in 1990 and projected to 2020. Cambridge, MA: Harvard University Press, 1996. – 68 p. Kielholz P. Masked Depression. — Berne, 1973. – 97 p. Lopez-Ibor J. J. The Present Status of Psychotropic Drugs / Ed. by A. Cerletti, F. J. Bove. - New York, 1999. - 519 p Preskorn, S.H. Outpatient management of depression: A guide for the Primarycare practitioner/ S.H. Preskorn. Communications,Inc., 1994. - 147 p. - Wichita; Kansas: Professional Ustun T.B., Sartorius N. Mental Illness in General Health Care. An International Study. – Chichester: John Willey @ Sons Ltd, 1995. – 336 p.