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Eating Disorders © SPMM Course 7. Disturbances of behaviour and body physiology This  includes  various  disturbances  in  ‘behaviour’  and  abnormalities  across  a  mixture  of  ‘physiological   systems’  such  as  weight,  libido,  pregnancy, etc. It also i...

Sleep disorders © SPMM Course Sleep disorders ICD-10 chapter V (mental health) recognises only non-organic sleep disorders in which emotional causes are considered to be a primary factor. These are conditions that include dyssomnias (abnormalities in amount, q...

Sexual disorders © SPMM Course A more commonly used classification system for sleep disorders is the International Classification of Sleep Disorders ICSD system. DSM closely resembles ICSD. Classification of sleep disorders as per this system is shown below: D...

Other physiological disorders © SPMM Course Other physiological disorders Puerperal disorders: F53 codes mild and severe puerperal mental disorders instead of classifying postnatal  disorders  as  ‘depression’  vs.  ‘psychosis’.  This  is  because,  it  is  we...

8. Disorders of adult personality and behaviour

Personality disorders © SPMM Course 8. Disorders of adult personality and behaviour Personality disorders x According to ICD-10, a diagnosis of personality disorders cannot be made in individuals younger than age 16 or 17. x Unlike other psychiatric disorders,...

Habit and impulse disorders

Gender identity disorders © SPMM Course Habit and impulse disorders Impulse control disorders (DSM-IV) or habit and impulse disorders (ICD 10 –chapter F 63) include the following: Kleptomania, Pyromania, Trichotillomania, Intermittent explosive disorder (not i...

Paraphilias (Disorders of sexual preference) © SPMM Course Most adult transsexuals, in fact, have origins of symptoms in childhood itself. Gender identity disorders of childhood can also be present in adolescents and children. A duration criteria of 6 months i...

9. Mental retardation © SPMM Course 9. Mental retardation ICD-10 specifies 4 degrees of mental retardation but advises that the IQ levels for grading severity of mental retardation be only for guidance and should not be applied rigidly in view of the problems ...

10. Disorders of psychological development © SPMM Course 10. Disorders of psychological development In ICD-10 these include specific developmental disorders of speech and language (expressive, receptive language disorders, acquired aphasia with epilepsy), scho...

11. Disorders with childhood onset © SPMM Course 11. Disorders with childhood onset Major ICD-10 categories in this chapter are highlighted in the table below: Divisions Subdivisions Hyperkinetic disorders (HKD) Rarely used (Attention and overactivity, hyperki...

1. History Taking & Interview Skills © SPMM Course History Taking & Interview Skills The four tasks of a psychiatric interview are 1. Build a therapeutic alliance. 2. Obtain the demographic information required. 3. Interview for diagnosis. 4. Negotiate a trea...

2. Laboratory assessment of physical factors © SPMM Course 2. Laboratory assessment of physical factors Depression Depression is a clinical diagnosis. A physical examination is always required to rule out several common medical disorders that can present with ...

Anorexia © SPMM Course EEG No need for routine EEG. But rapid onset dementia may suggest CJD for which EEG and MRI are warranted. Anorexia Several abnormalities are expected in physical investigation in anorexic subjects: (The list below is adapted from Fairbu...

Alcohol use disorders © SPMM Course o During laxative induced diarrhoea, a large amount of bicarbonate may be lost in the stool. With normal kidneys, the lost bicarbonate is replaced effectively and a serious base deficit does not develop. When there is poor r...

Specific investigations © SPMM Course defects due to maternal malnourishment. Specific investigations ELECTROCARDIOGRAM:  The major use of ECG in a psychiatric ward, apart from emergency needs, is to measure QT interval when treating patients using antipsycho...

3. Physical examination of a psychiatric patient