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