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Stomatologové - otázky z psychiatrie verze od 2021.docx | Otázky - psychiatrie - 3.roč. stomatologové | Mgr. Kateřina Rundová |
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Psychiatric terminology. Typical signs and symptoms of psychiatrie disorders. International classification of mental and behavioural disorders. Interviewing and history taking. Formulation of psychiatric diagnosis. Treatment in psychiatry. Participation at therapeutic programmes for patients. Training of interview techniques and history - taking.
Last update: BURIANKO (21.08.2006)
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Mandatory attendance at practicals - one absence is allowed. Exam - 3 clusters of questions. Last update: Rundová Kateřina, Mgr. (31.07.2023)
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Povinná literatura: Zvolský P. a kol. : Obecná psychiatrie. Praha, Karolinum 2001 Zvolský P. a kol. : Speciální psychiatrie, Praha, Karolinum 2001 Doporučená literatura: Höschl C, Libiger J., Švestka J.: Psychiatrie. Praha, Tigis 2002, Raboch J., Zvolský P. et al.: Psychiatrie. Praha, Galén a Karolinum, 2001. Last update: Rundová Kateřina, Mgr. (31.07.2023)
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Docházka (povolena 1 absence). V případě potřeby je možno nahradit docházkou s jinou skupinou. Při větším počtu absenci je nutné zpracovat kazuistiku. Bližší informace pro akademický rok 2021/2022 podá kmenový vyučující MUDr. Jan Lošák. Last update: Rundová Kateřina, Mgr. (01.10.2021)
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Psychiatry – Dentistry
Annotation: General psychiatry. Examination of the present mental state. Psychotic disorders. Mood disorders. Organic mental disorders. Delirious states. Anxiety and neurotic disorders. Stress reaction, crisis intervention. Syndrome of addiction to psychoactive substances. Prevention of mental disorders. Suicidality. Aggression and violence in psychiatry. Stigmatization, destigmatization. Center for Mental Health, Psychiatric Care Reform.
Syllabus: 1. Phenomenology of mental disorders
Basic psychopathological phenomena in psychiatry. Explanation of those basic phenomena sucha as vigility (alertness) and lucidity (consciousness), disorders of thinking, disorders of perception, mood disorders, appropriate and inappropriate (incongruous) emotions. Anxiety, phobia (fear), obsessional state, compulsion. Sleeping disorders. Cognitive function, executive function, memory impairment. Aggression, suicide, self-harm. Craving, addiction. Specific psychopathology in childhood, adolescence, adulthood and older people.
2. Mood disorders
Phenomenology of depression and mania. Prevalence and aetiology of unipolar depression (major depression). Antidepressants. Bright light therapy, electroconvulsive therapy, vagus nerve stimulation, transcranial magnetic stimulation. Psychotherapy of depression. Bipolar affective disorder, aetiology and prevalence. Mood stabilizers, lithium. Persistent mood disorders. 3. Psychotic disorders
Phenomenology of schizophrenia. Clinical manifestation, prevalence, heritability. Positive and negative symptoms. Catatonic states. Delusional disorder. Differential diagnostic of psychotic disorders. Antipsychotic pharmacological treatment. Depot medications. Neuroleptic malignant syndrome. Relaps prevention programmes.
4. Anxiety disorders and neuroses Phenomenology of anxiety disorders. Aetiology and pathophysiology of anxiety disorders, „fight and flight reaction“. Phobias. Panic disorder, generalized anxiety disorder. Obsessive compulsive disorder. Posttraumatic stress disorder. Acute stress reaction. Adjustment disorders. Somatoform disorders, somatization disorder. Psychotherapy in anxiety disorders with emphasis on cognitive-behavioral approach. Medication in anxiety disorders, anxiolytics.
5. The issue of addictions Definition of addiction and drug abuse. Tolerance and withdrawal syndrome. Craving. Social impacts of addiction. List of the most commonly abused psychotropic substances. Behavioral and regimen treatment of addiction syndrome, cue – exposure therapy. Basic principles of harm reduction approach. Aversion therapy.
6. Psychopharmacology Basic groups of psychiatric medication. Antidepressants. Antipsychotics. Anxiolytics. Hypnotic and sedative medications.Anti-dementia medications. Stimulants. Basic mechanisms of action. Issues associated with iatrogenically induced addiction. Important interactions of medications. Off label prescription.
7. Organic mental disorders Memory impairments. Neurodegenerative type and vascular type of dementia. Dementia in other diseases classified elsewhere. Organic amnesic syndrome. Delirium. Mild cognitive disorder. Problems associated with legal capacity in persons with dementia. Pharmacological treatment of delirium. Regimen aproach in delirium. The use of restrainment measures. Anti-dementia medications. Cognitive training in persons with dementia.
PRACTICAL EXCERCISES 1. Demonstration of a patient with neurosis How to carry out a psychiatric interview, analysis of psychopathology, feedback
2. Suicidal, aggressive, anxious and phobic patient Main causes of suicidal behavior. Urgent care for people at risk of suicide or people providing suicide support. Causes of aggressive behavior towards the environment. Deescalation. Phobia in the dentist's office. The possibility of pharmacological and non-pharmacological intervention in the anxious and phobic patient in the dental office.
3.Demonstration of a patient with psychosis How to carry out a psychiatric interview, analysis of psychopathology, feedback.
4. Destigmatization, psychiatric care reform, history of psychiatry Meaning of stigma (label). Multidisciplinary team. Mental health centre – community based service. Psychiatric care milestones in modern medicine.
5. Demonstration of a patient with a syndrome of addiction to psychoactive substances How to carry out a psychiatric interview, analysis of psychopathology, feedback.
6. Delirium, acute psychosis Aetiology of different delirium states, the role of psychiatrist in the management of delirium. Interdisciplinary cooperation in the medical care about a patient in delirium. Specificity of „delirium tremens“ beeing a part of alcohol withdrawal. Pharmacological management of delirious states. Regimen measures, the use of restrictions. Acute psychotic states, pharmacological intervention in acute psychosis LEARNING OUTCOMES, FORM OF COURSE COMPLETION Basic orientation in the classification of mental disorders. Deepening knowledge of psychopharmacology. Ability to perform a psychiatric examination and prepare a protocol of psychiatric examination. Ability to recommend psychotherapy. Basic orientation in the mechanism of action of particular psychotherapeutic directions. Deepening the ability to communicate with the patient. Ability to communicate with a person with mental illness.
RECOMENDED LITERATURE Goldberg David, Gask Linda and Morris Richard. 2008. Psychiatry in Medical Practice 3rd Edition. Routledge. ISBN 978-0-415-42544-5
Sadock, Benjamin J., Virginia Alcott Sadock, Pedro Ruiz, and Harold I. Kaplan. 2017. Kaplan and Sadock’s Comprehensive Textbook of Psychiatry. 10th ed. Surrey, UK: Wolters Kluwer.
Requirements for student´s self-study: Recommended literature, preparation of presentations on the chosen topic
Way of communication with students: SIS, individual communication, at the time of distance learning MS Teams
Structure and form of regular bed-side teaching: (description characterizing the teaching process) • independent processing of patient’s history and examination of present mental state • assessment of present mental state, differential diagnostic consideration • diagnosis and treatment proposal • reporting to a consultant • possibility to access patients' medical records • communication with patients • training in communication with a mentally ill person • principles of processing medical records in psychiatry
Assessment of students' knowledge
Oral exam. The oral exam consists of answering questions from three clusters of topics. To be awarded the credit, it is necessary to participate in practicals classes and activity in conducting a clinical interview with the assistance.
Last update: Rundová Kateřina, Mgr. (02.10.2024)
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MOODLE https://lms.lfp.cuni.cz/course/view.php?id=416 Last update: Todlová Nikola (13.10.2020)
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