A Short Textbook of Psychiatry: 20th Year Edition by Niraj Ahuja

By Niraj Ahuja

The quick textbook of psychiatry goals to supply a quick but accomplished account of psychiatric problems and their allied points. whereas striving to make the e-book uncomplicated and easy-to-follow, an try out has been made to maintain the publication aligned to the newest advancements in class, terminology and therapy tools.

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Example text

According to ICD-10, the following features are required for diagnosis of organic personality disorder, in addition to the general guidelines for the diagnosis of other organic mental disorders, described earlier. In addition to an established history or other evidence of brain disease, damage, or dysfunction, a definitive diagnosis requires the presence of two or more of six features described. These include consistently reduced ability to persevere with goal-directed activities, altered emotional behaviour (emotional lability, euphoria, inappro priate jocularity, irritability or short-lived anger outbursts), expression of needs and impulses without consideration of the consequences, cognitive disturbances (such as suspiciousness, paranoid ideation, and/or excessive preoccupation with a single theme), marked alteration of language production (such as circumstantiality, over-inclusiveness, viscosity, and hypergraphia), and altered sexual behaviour.

Higher mental function disturbance: Disorientation, confusion, recent memory disturbances, poor attention span and distractibility are quite common. Other early symptoms are apathy and ataxia. Peripheral neuropathy and serious malnutrition are often co-existent. Neuropathologically, neuronal degeneration and haemorrhage are seen in thalamus, hypothalamus, mammillary bodies and midbrain. Korsakoff ’s psychosis As Korsakoff’s psychosis often follows Wernicke’s encephalopathy; these are together referred to as Wernicke-Korsakoff syndrome.

Epilepsy: Complex partial seizures. 7. Intracranial space occupying lesions. 8. Temporal arteritis. 9. Brain stem lesions (peduncular hallucinosis). Management 1. Treatment of the underlying cause, if treatable. 2. Symptomatic treatment with a low dose of an antipsychotic medication (such as Haloperidol, Risperidone and Olanzapine) may be needed. Organic (Including Symptomatic) Mental Disorders ORGANIC CATATONIC DISORDER According to the ICD-10, the following features are required for the diagnosis of organic catatonic disorder, in addition to the general guidelines for the diagnosis of other organic mental disorders, described earlier: 1.

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