Written by: Dr Varun Kamath and Dr Alexia Caramitsos-Tziras Psychiatry Core trainees, North London Foundation Trust Reviewed by Dr Ekaterina Doukova, Consultant Psychiatrist at the North London NHS Foundation Trust Background Psychiatric emergencies are acute clinical situations in which rapid assessment and intervention are required to prevent serious harm to the patient or others. These
Written for Mind the Bleep by Dr Mamoor Waheed CT1 Reviewed by Dr Shajahan Ismail (Consultant Psychiatrist) and Dr Alexia Caramitsos-Tziras (Core trainee and Psychiatry co-lead for MTB) Background Personality disorders (PDs) are among the most misunderstood and mismanaged diagnoses in psychiatry. As a junior doctor, you will encounter patients with personality disorders across almost
Background ADHD is a neurodevelopmental disorder that begins in childhood, and is formed of the following core features: 1. Inattention: 2. Impulsivity and hyperactivity: In younger children: In school-age children/adolescents: Some individuals may have a predominantly ‘inattentive’ subtype of ADHD, or predominantly ‘impulsivity-hyperactivity’ symptoms. ‘Hyperkinetic disorder’ is a term previously used in ICD-10 but has
The following article has been written by David Birch. David is a paramedic aiming to increase awareness of managing Autism amongst healthcare professionals, particularly paramedics and first responders. As healthcare professionals, there may be times when we encounter patients with Autism Spectrum Disorder (ASD). In these cases, healthcare professionals may have to adapt their approach
Background Autism Spectrum Disorder (ASD) is a neurodevelopmental condition that affects around 1.76% of school-age children in the UK. Multiple factors have been proposed in the aetiology of ASD, including various biological and psychological factors. Biological factors include: Psychological theories of ASD: ASD is more commonly diagnosed in males, however this may be due to
Introduction Functional neurological disorders are some of the most common neurological problems and are conceptualised as disorders of the functioning of the nervous system (rather than the structure). They can cause a wide array of symptoms, such as seizures, weakness and dizziness, and typically there are clinical features that actively support the diagnosis of FND.
Frontotemporal dementia (FTD) is the third most common dementia across all age groups and the leading type of early-onset dementia. This type affects primarily the frontal and temporal lobes of the brain, with a characteristic pattern of atrophy (brain parenchymal loss) on imaging studies. There are two main subtypes of FTD, Behavioural variant (bvFTD) and
In people over the age of 65 years, 1 in 11 will have a diagnosis of dementia. Dementia is a chronic, irreversible and progressive condition, not only affecting memory but also an individual’s emotions, behaviour, and executive function. These additional symptoms have a high burden of morbidity for patients and also impact their relatives and
Electroconvulsive therapy (ECT) is a treatment that has been used in psychiatry since the 1930s. The procedure involves passing an electric current between two electrodes placed on the scalp of the patient to induce a generalised seizure. This article outlines the history, indications, procedure, and side effects of this therapy. History of Electroconvulsive Therapy Proposed
The general prescribing principles from both Old Age Psychiatrists and Geriatricians is to start at a low dose for a drug, and then titrate up slowly. A small dose for a general adult patient may be large than for an elderly patient, owing to co-existing factors such as low body mass index (BMI), kidney disease, liver disease, and polypharmacy. Medication choice should also be dictated by likely compliance, especially in light of cognitive impairment leading to unintentional overdose or suicidality. These patients often have a high pill burden and so like in a general hospital, can benefit from medicine reconciliation and optimisation. One way to do this can be by prescribing a modified release single dose of psychiatric medication, as opposed to repeated shorter-acting preparations.Â
