By Dr. Barry Wright, Dr. Subodh Dave, Dr. Nisha Dogra
The a hundred circumstances sequence books are a favored studying and revision device that paintings by means of guiding the reader via every one medical case in a hugely based demeanour. each one situation offers information of the patient's clinical heritage and the foremost findings of a medical exam, including preliminary research effects info for overview. Key questions then steered the reader to guage the sufferer, and achieve a choice relating to their situation and the potential remedy plan; whereas the reply pages demonstrate the procedures a clinician is going via in such situations.The volumes are designed with the scholar in brain, and comprise gains to assist self-directed studying, scientific reasoning and problem-solving. The structure is appropriate for basic self-assessment as a part of examination revision, for swotting up ahead of psychiatry OSCEs, and for junior medical professionals approximately to begin a rotation within the psychiatry ward. a hundred instances are relatively proper for college kids on problem-based studying courses.100 situations in Psychiatry covers a variety of subject matters reminiscent of phobias, bereavement, and paranoia, around the following topic components: grownup Psychiatry, Older humans, Forensic Psychiatry, baby and Adolescent Psychiatry and studying incapacity Psychiatry.
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Drug-induced manic episode. Apart from antidepressants, other medications such • • • • as steroids and stimulants may cause manic episodes. Illicit drugs such as cocaine, amphetamines and hallucinogen intoxication can cause manic episodes and alcohol withdrawal may also mimic a manic episode. Organic mood disorder. Manic episodes can occur secondary to neurological conditions such as strokes, space occupying lesions or medical conditions such as hyperthyroidism, or Cushing’s disorder. Schizophrenia is characterized by mood-incongruent delusions, hallucinations and prominent psychotic symptoms as opposed to mood symptoms.
He does not have any self-harm ideation. He is orientated in person in that he knows who he is, but he is not orientated in time or place. His short-term memory is poor and his long-term recall is variable as he is easily distracted. Questions • What is the differential diagnosis? • How would you manage this man? 41 ANSWER 16 The differential diagnosis includes organic psychosis (given his age and recent circumstances drug-induced psychosis would be a high possibility), schizophrenia and bipolar disorder.
Management of choice in OCD is cognitive behaviour therapy. This involves behaviour strategies such as exposure to the trigger (for example, filling the medication box) and response prevention (preventing or limiting checking). This is supported by challenge to attributions using Socratic questioning* and exploration of beliefs aided by relaxation techniques. The ‘flooding’ technique involves subjecting the patient to intense exposure of the anxiety-provoking stimuli until the severity of the fearful emotion subsides.