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.
The psychiatric condition obsessive-compulsive disorder (OCD) is estimated to be present in 1.2% of the UK population. This condition has been oversimplified in the past and present media as being only an obsession with cleanliness or order, whereas in reality, it can have potentially a diverse list of presentations. The key to the diagnosis is
The Multiple Specialty Recruitment Assessment (MSRA) is a computer-based exam increasingly being used by many different specialties as part of core training applications. For all specialties, the MSRA score will contribute to or be the sole consideration for shortlisting candidates for limited interview slots for each specialty. Subsequently, the MSRA score will also (often) contribute
Psychosis refers to patients suffering a loss of contact with reality. It affects 3 out of 100 people in their lifetime. Psychosis is a constellation of symptoms and signs rather than a diagnosis itself. Causes of psychosis Psychiatric Schizophrenia Mood disorders: Bipolar affective disorder Severe depression with psychosis Schizoaffective disorder Delusional disorder Post-partum psychosis Unspecified
Psychotropic medication includes some of the most commonly prescribed medication in the the world. This article will cover the types of medication you will tend to encounter, important side effects, monitoring and emergencies. Mood disorders When initiating patients on anti-depressant medication it is important to follow them up within 2 weeks. This is because one
Determining the risk of harm to the patient, and sometimes to others, is an essential part of a psychiatric assessment. It is useful to know what questions to ask whether you’re at the hospital front door or on an inpatient psychiatric ward. Self-harm/suicide risk assessment The aim is to assess acute risk for a patient