General introduction

2020 ◽  
pp. 6445-6446
Author(s):  
Michael Sharpe

All physicians experience situations in which they need the knowledge, skills, and attitudes commonly thought of as belonging to psychiatry. This section of the book aims to help physicians to acquire these. It includes: (1) guidance on how to assess medical patients for psychiatric illness; (2) information about psychiatric presentations and the differential diagnoses most relevant to general medical practice; (3) brief reviews of the psychiatric disorders most commonly seen in general medical practice and the practical management of these; (4) guidance on the use of psychotropic drugs and psychological treatments when given as part of general medical care; (5) evidence-based strategies for helping patients who are smoking, using alcohol excessively, or who are overweight.

This resource provides a general introduction to epidemiological techniques for psychiatric research. As demand grows for evidence based practice in psychiatry, there is increasing use of epidemiological methods for studies into causes, prognosis and treatment of psychiatric disorders, although working in the field of mental health throws up its own particular challenges. This resource explains how to adapt the tried and tested methods used in generic epidemiology to the special circumstances of psychiatric epidemiology.


1983 ◽  
Vol 142 (4) ◽  
pp. 328-332
Author(s):  
F. J. J. Letemendia ◽  
P. Burra

SummaryThe medical school at Queen's University offers a 4-year M.D. degree course. Because the majority of graduating students consistently choose family medicine as a career, it was decided that the overall objective of the undergraduate course should be to provide the students with the skills and knowledge required to deal with the psychiatric disorders commonly found in general medical practice. The teaching of psychiatry is limited to the second, third and fourth medical years, and teachers are clinicians rather than nonpractising experts in particular fields related to medicine.


Biofeedback ◽  
2011 ◽  
Vol 39 (2) ◽  
pp. 60-63 ◽  
Author(s):  
B. N Gangadhar ◽  
Shivarama Varambally

Complementary and alternative medical treatment, yoga therapy in particular, is being increasingly used for treating psychiatric disorders. Although some claim that such a time-tested practice, yoga, does not need validation, standards of contemporary medical practice make it necessary to test these treatments through modern evidence-based research methods. This paper discusses yoga as a therapy in medical and psychiatric disorders, the challenges that it faces in becoming accepted by the general medical community, and directions for future research in this area.


2020 ◽  
pp. 6465-6470
Author(s):  
Philip J. Cowen

Drugs intended to treat psychiatric disorders are referred to as psychotropic drugs. The main categories are antidepressants, mood stabilizing drugs, antipsychotic drugs, and antianxiety drugs. These drugs are widely used in medical practice and most clinicians are likely to have under their care several patients receiving treatment with them. Practitioners therefore need to have an understanding of both the uses and unwanted effects of psychotropic drugs, and particularly of (1) their interactions with drugs used to treat other medical conditions, (2) characteristic abstinence syndromes that can occur with sudden discontinuation of antidepressants (particularly selective serotonin reuptake inhibitors and venlafaxine) and anxiolytics.


Author(s):  
Philip J. Cowen

Psychotropic drugs play an indispensable role in the treatment of severe psychiatric illness such as schizophrenia and bipolar disorder. They are often used to treat other conditions, particularly depression and anxiety disorders, but for these disorders nondrug treatments are effective and—if available—are often preferred by patients....


2020 ◽  
Vol 10 (1) ◽  
pp. 5-7
Author(s):  
Muhammad Naveed Noor

This commentary foregrounds the need to examine how the coronavirus disease 2019 (COVID-19) pandemic and associated conditions may be affecting the lives of people living with HIV (PLWH) in a developing country context like Pakistan. It raises some important questions on medical care and updated information regarding PLWH in the time of COVID-19. Since PLWH are at an increased risk of developing comorbid conditions – something that makes them more vulnerable to COVID-19 – it is critical that timely research and evidence-based actions are undertaken to protect their health.


2020 ◽  
Vol 15 ◽  
Author(s):  
Shiva Shanker Reddy Mukku ◽  
Preeti Sinha ◽  
Palanimuthu Thangaraju Sivakumar ◽  
Mathew Varghese

Background: Drugs with anticholinergic properties are known to be associated with deleterious effects on cognition in older adults. There is a paucity of literature in this aspect in older adults with psychiatric disorders. Objective: To examine the anticholinergic cognitive burden and its predictors in hospitalised older adults having psychiatric disorders. Methods: Case records of older adults who sought inpatient care under the Geriatric Psychiatry Unit from January, 2019 to June, 2019 were reviewed. The anticholinergic burden was assessed with Anticholinergic Cognitive Burden (ACB) scale updated version, 2012. Results: Sample included 129 older adults with an almost equal number of males (53.48%) and females (46.52%) having a mean age of 67.84 (SD = 6.96) years. The diagnostic spectrum included depression (34.89%), dementia (31.01%), mania (10.85%), psychosis (13.95%), delirium (6.20%) and others (3.1%). 60.47% of the patients had more than one medical illness. 48.84% of the older adults had clinically relevant anticholinergic cognitive burden ( ACB score ≥ 3). Use of 3 or more psychotropic drugs (OR = 4.88), diagnosis of psychosis/ mania (OR = 7.62) and dementia/ delirium (neurocognitive disorders group) (OR = 5.17) increased the risk of ACB score ≥ 3. Conclusion: Nearly half of the older adults in psychiatry in-patient setting had clinically relevant anticholinergic burden, which was associated with higher use of psychotropics. Our study highlights the importance of monitoring for anticholinergic effects of psychotropics in older adults.


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