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Psychiatry Presentation

Transcript: Psychiatry By: Oliver Jones Skills, Talents, & Experience Skills & Talents Gaining experience in psychiatry is very important. Not only do they need to have a good education, but take everything to their advantage. Anything and everything that is offered that could help them get a better understanding or just more experience in psychiatry is important. When going to medical school, they offer an American Psychiatric Association (APA) membership.They can also get a membership to the Psychiatry Student Interest Group Network (PsychSIGN). Exploring psychiatric electives and sub-internships is another great way to get more knowledge and experience. Volunteering in the field or going to watch psychiatrists do their work and working as an intern is a great way to understand how to do the job better. Communication Communication & Perception Psychiatrists need to be able to talk and understand the patient, both verbal and non-verbal ways. Without communication, the psychiatrist will not be able to properly take care of the patient. Psychiatrists need to be able to use perception when it comes to diagnosing patients. They need to be able to pick up on cues and have a good understanding of the situation. Logical Reasoning & Knowledge in Medicine Logical Reasoning They will need inductive and deductive reasoning for this job. They need to be able to analyze and observe the patient, as well as, hypothesize about what is going on Psychiatrists really focus on the more medical and scientific part of mental illnesses. It is important for them to have knowledge in medicine, so they can do their job. Problem Solving & Stress Managment Problem Solving Psychiatrists need to help the patient with their problems, they also need to determine the best solutions for the patient; whether that be medicine, therapy, etc. Psychiatrists need to be able to handle stress. Not only to help their patients, but if something unexpected happens during a session, they need to be able to handle the situation well. Personality Traits Personality Traits Compassionate, empathetic, understand Persistent Cooperative Organized Punctual Being Suited for Psychiatry Being Suited for Psychiatry Psychiatrists need to be understanding with their patients and be able to properly help them. They need to take the issues the patients are dealing with seriously and empathize with the patient. Psychiatrists need to be cooperative and persistant with each other, the patients, and the patient’s relatives. It’s important for the psychiatrist to find the best plan and treatment for the patient. They also need to be persistant with their patient's a getting them to open up about their problems. Psychiatrists need to be very organized and punctual. From keeping track of records and files to remembering what patients tell you during appointments; they need to keep a clear and concise record of a lot of things. Education & Training Education & Training Psychiatrists will spend about 4 years in college, getting a bachelor’s degree. Once they have obtained that, they will go to medical school for 4 years, and then complete 2,000 hours (or about 4 years) of residency. Residency is when they will have formal practice as a physician, while being supervised by a licensed psychiatrist or another medical doctor. Once they have finished everything, they will have a bachelor's degree, a medical degree, and a license to practice. In Depth Education In Depth Education Psychiatrists will take 4 years of college to begin with, earning their bachelor's degree. They then, will need to take the normal things required in medical school, like anatomy, biochemistry, and psychology; as well as, courses in psychiatry, behavioral science, and neuroscience for the first 2 years. For the following 2 years, they would need to work with 6 different medical physicians, including psychiatrists. After graduating medical school, they will need to take 4 years of residency. For the first year, they will spend their time taking care of patients that have a wide range of medical illnesses. For the next 3 years, they will be spending their time in psychiatry residency. In psychiatry residency, they will learn how to diagnose and treat mental illnesses. A lot of psychiatrists tend to do even more years of residency. Starting Jobs Starting Jobs One good starting job is a research assistant. They have the important skills of research planning, data analysis, implementation, and report writing. Having any job in human resources is also a good starting job. They judge employees and find the right fit for them and try to keep them there. They also make sure that the policies are good for the work environment. Jobs Duties & Responsibilities Work Conditions Counsel and care for the patients. Provide them with the proper care. Gather and keep patient information; things like records, files, and medical history. Evaluating, diagnosing, and prescribing/ administering the proper care for the patient and their needs.

psychiatry presentation

Transcript: Psychiatry By: Olivia C. Education Duties/Description The education required for this job is, a medical degree, a one to two year residency, and a year fellowship for a sub-specialty such as,child and adolescent psychiatry, addiction psychiatry, forensic psychiatry, geriatric psychiatry, and psychosomatic medicine What is a psychiatrist? Salary It takes about 13-14 years to get all the education you need to become a psychiatrist. The duties of a psychiatrist are to serve as medical experts of the mid, brain, and body interface. A psychiatrist spends more than 48 hours each week at work, 60 percent of that time is spent with outpatients. The rest of their time at work is spent seeing patients in the hospital setting. The average salary for a psychiatrist would be from 150,000-300,000 per year. A psychiatrist is a medical doctor who specializes in the diagnosis and treatment of mental illness. A psychiatrist uses treatments such as psychotherapy, medications, and hospitalization according to the needs of each patient. Outlook The outlook for this job is excellent, the pay is really good and the money spent on college is well spent, you get your money back in a year or two of working as a psychiatrist. Other Information Psychiatry is one of the oldest medical specialties. The American Psychiatric Association is over 150 years old.

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

Transcript: Psychiatrist Designing treatment programs. Conducting psychotherapy sessions. Prescribing potent mental illness drugs. Supervising electrotherapy treatments. Conducting research. Leading a team of mental health care providers Intellectual (Admission to medical school is highly competitive, Requires candidates to demonstrate a high degree of intellect) Empathy (Psychiatrist often listen to patients tell them about their serious problems. These problems are psychological in nature and require psychiatrist to convey empathy to patients) Communication (Communication with the patient) Reasoning and Logic (Needed to diagnose patients effectively , Need to listen and interpret) Psychiatrists usually work in community mental health centers, hospitals or clinics. They may travel to attend conferences. a psychiatrist in private practice may change their work hours in order to fit their appointments, while those who work in a classroom or a government agency work an average of 35-40 hours every week. The Median salary in Hawaii is Approx. $215,000 (yearly) Duties and Responsibilities Outlook Career Path Working Conditions Educational training Psychiatrists were the third-most-requested physician. Family practice doctors were the most requested, followed by internists. Multiple Science and Math classes help you have a better chance in getting into Medical School. Aptitudes and Abilities Earning Bachelors Degree Medical School (4years) Residency and Board of Certification (4years) By Ariel King Period 3, November 10,2011 Salary

Psychiatry presentation

Transcript: By: Katie Green 8G Psychiatry What is Psychiatry? What is Psychiatry? "branch of medicine focused on the diagnosis, treatment and prevention of mental, emotional and behavioral disorders" (www.psychiatry.org) What do Psychiatrists do? What do Psychiatrists do? Talk with patients to provide a clear image of the their situation Diagnose the patients Work with patients to put together treatment plans Work to prevent the issue from reocurring One must complete medical school and pass an examiation to receive their state license to practice medicine After, that they need to complete four years as a psychiatric resident Then, an additional three years training for diagnosis and treatment of mental health How do I become a psychiatrist? How do I become a psychiatrist? Notable Phsychiatrists Notable Phsychiatrists Sigmund Freud- Austrian psychiatrist who found psychoanalysis, a therapy method that involves studying one's hidden fears and struggles Carl Jung- Swiss psychiatrist who devolped the idea of introvert and extrovert personalities Viktor Frankl- Austrian psychiatrist who founded the logotherapy approach. Logotherapy is helping one to find a purpose in their life to keep them motivated. Resources Resources www.psychiatry.org/patients-families/what-is-psychiatry www.britannica.com/biography/Viktor-Emil-Frankl www.manythings.org/voa/people/Sigmund_Freud.html www.britannica.com/biography/Sigmund-Freud www.britannica.com/biography/Carl-Jung

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 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

Psychiatry Case Presentation

Transcript: Case Synthesis Clinical Assessment & Rationale Treatment Plan 1. Mr. D's medications were adjusted: Increased Trazodone to 100mg PO QHS until discharge (03/15) Increased Remeron to 30mg PO QHS until discharge Added Bupropion 150mg PO QD for 3 days then increase to 300mg Anxiety, dry mouth, hyperventilation, irregular heartbeats, irritability, restlessness, shaking, trouble sleeping Added Atarax 50mg Q4H PO PRN for acute agitation Confusion, drowsiness, dry mouth, hallucinations, headache 2. Patient is encouraged to master coping skills, anger management techniques and relapse prevention strategies. Patient agreed to engage in yoga, exercise & attend community meetings. He will be educated on his medications, diagnoses and will see psychiatrist daily. The patient reported improved mood state, tolerable dental pain. 3. Referred to halfway house before seeing the judge. Patient refused to call them. Mr. D is a 20-year old male with an extensive history of violence who was court-mandated to BRMC's 21-day inpatient treatment program. His DSM-5 diagnoses remains as Personality Disorder NOS, with many cluster B traits. We ruled out bipolar, BPD an schizophrenia as he does not have any hallucinations, delusions, or non-substance induced manic episodes. He most closely resembles that of Antisocial Personality Disorder but his short stay and refusal to complete further personality testing does not allow staff to confirm the diagnosis. The patient was treated with appropriate medications, group and individual therapy. Side effects were tolerated well. Prognosis is fair-poor considering his unwillingness to accept help. Primary: 1. Personality Disorder, NOS F60.9 former conduct disorder, ODD, legal history and repeated violent verbal and physical offenses to others (kicking pregnant teacher, crashing neighbors car) reckless, irritable, complete lack of remorse DDX: 1. Bipolar II F31.81: positive: labile, impulsive, insomnia thoughts of death, worthlessness, diminished ability to think negative: mostly angry, no true hypomania (no gradiosity, pressured speech), substance induced mania, 2. Borderline Personality Disorder F60. 3:: positive: unstable relationships,impulsivity, intense anger, negative: no self-harm, no abandonment issues or paranoid ideation, no unstable identity or emptiness 3. Schizoaffective Disorder F25.9: positive: depressive episodes of <3 days negative: no positive or negative symptoms, Secondary: 1. 1. Cannabis, Opioid & Amphetamine Use Disorder 2. MDD 3. Anxiety Disorder 4. PTSD 5. Asthma Bradford Regional Medical Center Medication ADE Diagnostic Plan Bradford, Pennsylvania Preceptor: Darlene Skaggs Patient Education and Follow Up Remeron (Mirtazapine): Abnormal dreams, back pain, orthostatic dizziness or fainting. increased need to urinate, increased sensitivity to touch, increased thirst, low blood pressure, muscle pain nausea, stomach pain, trembling or shaking or vomiting. Desyrel (Trazodone):Blurred vision, confusion, dizziness, faintness, or orthostatic lightheadedness, sweating, or unusual tiredness or weakness. Penicillin: Nausea, vomiting, diarrhea, rash, abdominal pain, and urticaria. Benadryl: Dizziness, drowsiness, loss of coordination; dry mouth, nose, or throat; constipation, upset stomach; dry eyes, blurred vision; or day-time drowsiness. Nicotine patch transdermal route: Headache, redness, itching, or burning at the application site. Mr. D. will be admitted to the MICA 21-day treatment program to accurately diagnose his psychiatric conditions. He will receive group and individual therapy, medications and arranged with community resources. "This place is bullshit" Remeron 7.5mg PO QHS for MDD and anxiety Trazodone 50mg PO PRN for insomnia Penicillin V 500mg PO TID for tooth abscess that festered in jail Benadryl 50mg PO QHS Nicotine transdermal patch 21mg QD and Nicorette gum 2mg Q2H PO PRN for nicotine withdrawal Benzocaine oral solution for dental pain Mylanta, Tylenol, Motrin, Simethicone and Lactaid PRN Mr. D. became uncooperative and defiant only 8 days shy of his scheduled discharge. He obtained 3 infractions. He also stated racist remarks towards another patient and threatened to "hit the doctor in the face." Despite staff education, Mr. D. left AMA back to jail. His 7-year sentence will not be reduced. Staff report his prognosis as fair to poor. Family support is null. He will receive his current medication regimen in jail. Discharge instructions given and reviewed with patient, including risk of overdose and death. History: History of present illness: Mr. D is a 20 y.o. Caucasian male who is court-mandated to complete BRMC's MICA 21-day treatment program on pre-trial release. Extensive history of arrests related to violence (fights, arsony) and stealing (cars, petty objects) and prior suicide ideation at age 16. Polysubstance use onset at age 9 by parents. Extensive verbal, emotional and physical abuse history, including sexual abuse from biological father beginning at age

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