psychiatry intro

1. PSYCHIATRIC NURSING
MADE BY VISHAL JAMES.
MSC.NURSING PSYCHIATRIC

3. Introduction to Psychiatry
พูนศรี รังษีขจี
ภาควิชาจิตเวชศาสตร์ คณะ
แพทยศาสตร์ มหาวิทยาลัยขอนแก่น

4. Psychiatry
 psyche the Greek for soul/mind and
iatros for healer
 Psychiatry = healer of the spirit
 Greek mythology
 Psyche :Eros

5. Psyche

6. Psychiatry
 medical specialty
 dealing with the prevention, assessment,
diagnosis, treatment, and rehabilitation of
mental illness
 in itself and in bodily illness ('psychiatry in
medicine')
 Clinical depression,bipolar
disorder,schizophrenia and anxiety
disorders

8. Primary goal
 relief of mental suffering and
improvement of mental well-being
 first doing a thorough diagnostic
assessment of the person from a
biological, psychological, and
social/cultural perspective
 managed by medication or various
forms of psychotherapy

9. Mental health professionals
 Psychiatrists
 Psychologists
 Psychotherapists
 Psychiatric nurses
 Clinical social workers
 Occupational therapists

10. Psychologist
 specialize in the research and clinical
application of psychological technique
 Clinical psychology /Clinical
psychologists
 Psychotherapist
 Educational psychologist
 Industrial psychologist

11. Mental health counselors
 Therapists that may hold a Ph.D., a
master’s degree or a bachelor’s
degree
 Marital and family therapists
 Marriage, family and child counselors
 Professional counselors
 Mental health counselors

12. Psychiatry in professional practice
 Psychiatrists
 Medical doctors
 specialize and are certified in treating
mental illness
 using the biomedical approach
(medications,electroconvulsive therapy,etc)
 may also go through significant training to
conduct psychotherapy and
cognitive behavioral therapy

13. Psychiatrists as medical professional
roles
 evaluate the patient for any medical
problems or diseases that may be the
cause of the mental illness
 conduct physical examinations
 order and interpret laboratory tests
and EEGs
 order brain imaging studies such as
CT or CAT, MRI, and PET scanning

14. Psychiatrists (others roles)
 some only perform research and/or
work in an academic setting
 may only hold research degrees or a
combination of psychiatry doctorates
(such as an M.D. and Ph.D.)

15. Psychiatric subspecialties
 Child and adolescent psychiatry: child and
adolescent psychiatrist
 Adult psychiatry
 Psychiatry of Old Age (Psychogeriatrics):
geriatric psychiatrists
/psychogeriatricians( in the UK and
Australia )
 Learning disability
 Behavioral medicine
 Consultation-liaison psychiatry

16. Psychiatric subspecialties
 Emergency psychiatry
 Addiction psychiatry
 Forensic psychiatry: forensic
psychiatrists
 Military psychiatry
 Industrial psychiatry:psychiatrists in the
US (occupational psychology is the name
used for the most similar discipline in
the UK

17. Other subspecialties
 Psychopharmacology
 Neuropsychiatry
 Psychoneuroendocrinology
 psychoneuroimmunology
 Cross cultural psychiatry
 Community psychiatry
 Social psychiatry

18. Diagnostic systems of psychiatric
disorders
 ICD-10 (
International Classification of Diseases
)
 the World Health Organisation : used
world wide
 In USA:
Diagnostic and Statistical Manual of M
( DSM IV-TR, 2000)

19. DSM :has five axes
 Axis I: Psychiatric disorders
 Axis II: Personality disorders / mental
retardation
 Axis III: General medical conditions
 Axis IV: Social functioning and impact of
symptoms
 Axis V: Global Assessment of Functioning
(described using a scale from 1 to 100)

20. Psychiatric treatment
 In the past, psychiatric patients were
often hospitalized for six months or more,
with some cases involving hospitalization
for many years
 Today, most psychiatric patients are
managed as outpatients
 Average hospital stay is around 2-3 weeks
(with only a small number of cases involving long-term
hospitalization)

21. Outpatient care
 periodically visit for consultation
 Office base
 usually 30 - 60 mins
 psychiatric practitioner interviewing
 assessment of the patient's condition
 provide psychotherapy or review medication
 frequency : varies widely, from days to months
 depending on the type, severity and stability of
each patient's condition, and on what the clinician
and patient decide would be best

22. Inpatient care

23. Inpatient care
 admitted to a hospital, sometimes involuntarily
 criteria for involuntary admission vary with
jurisdiction
 patients are assessed, monitored, and often given
medication and receive care from a
multidisciplinary team
 physicians, nurses, psychologists, occupational
therapists, psychotherapists, social workers, and
other medical professionals
 If necessary, they are prevented from harming
themselves or others.

25. A multidisciplinary team treatment
A multidisciplinary team treatment
Psy’ist CLI.Psy
Psy’Nu SO
Com. Psy.Nu OT
Art,Music,Fam’ist

26. Biomedical treatment

27. Biomedical treatment
Electroconvulsive therapy

28. Biomedical treatment
Trans-cranial magnetic stimulation

29. Psychological treatment
Meditation Psychotherapy Counselling

30. Psychological treatment
Relaxation therapy

31. Psychological treatment
Group therapy

32. Psychiatric rehabilitation

33. Others :Music therapy

34. Art therapy/Aromatherapy

35. Art therapy