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common mental health problems
Dr.R.K.Rudhran
problems? illnesses?
Call it a crow and you will never hear its song
Psychiatric Disorders• Major• Minor• Organic• Developmental• Consequent to physical illnesses
Brain..
neuronsynapsereceptorchemical
That happens inside the hood covers the working of the engine
we do not know how it is inside, we don’t seebut we know when the car doesn’t work
• Mechanic asks, “ what is the problem”
• Depending on your answer, he decides and solves quickly
• similarly
ask the patient or the relative
• What is the problem?
• Don’t expect DSM or ICD answers
• Common language, simple statements are enough to come to a conclusion in psychiatry
an example
• What is the problem
• For how long
• Anything else
• Are three simple and fundamental questions
minor illnesses• Earlier called neurotic• Then minor• Now without heading each has its
own name
• Here is where problems and illnesses are confused
what is your reaction to these
• You lost your purse• You peep out of the twenty seventh floor• You see a group of people dancing as
though god has entered them and you like the music
• You step on faeces, wash up and then..later
• You hate your job, your boss is sitting on your head...
These are all minor illnesses
• Secondary depression• Phobia• Hysterical suggestibility• Obsessive compulsive remediation• conversion
Secondary or Reactive Depression
Anxiety >>> Phobia
Conversion
Dissociation
OCD
Mood Disorders
DepressionManiaBipolar
Unipolar
Depression
Mania
Schizophrenia
organic• Mental retardation (don’t use the
term now)• Dementia• Brain pathology
Post partumPost infectiveDrug / Alcohol
personality
Identification
management
when to report
how to handle
• Aggression• Crying• Relatives
Side effects to note
suicide
what and Why
Psychiatric nursing is not giving medication.
It is giving consolation,and working on rehabilitation
Keep smilingand be confident
Confidence comes from knowledgeKeep learning
thank you