Mental health articles

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mentally ill

Patient Compliance Issues

The workplace may pose psychosocial issues that hinder patients’ return to workand symptom abatement. If there is low job satisfaction, conflict with supervisorsor coworkers, or the perception of high job demand and low probability of return to work by the patient, these issues are best addressed by open communicationbetween the employer and the employee/patient. Physicians […]

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Symptom Exaggeration and Malingering

Patients with psychosocial issues commonly exaggerate symptoms and have medicallyunexplainable exam findings. The previously mentioned Waddell’s symptoms andWaddell’s signs are the examples. Dr. Waddell has been clear in pointing out that thesesymptoms are common while true conscious malingering is rare (Main & Waddell, 1998).Malingering is difficult to diagnose with absolute certainty (Aronoff et al., 2007).Aronoff’s […]

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What are the common major mental illnesses

The common major mental illnesses are: severe and enduring depression (very much nastier and deeper than anyone normally experiences); bipolar depression (which used to be called manicdepression); schizophrenia (also very poorly defined); dementia (Alzheimer’s and various other forms of mental ageing); and a variety of quite severe personality disorders. Many of these are categorized in […]

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Criteria for defining abnormal behaviour

Abnormal behaviour has been defined using five different sets of criteria: •statistical criteria define it as deviation from the average •deviation-from-the-norm criteria define it as deviation from expected ways of behaving •mental health criteria define it as the absence of socially desirable characteristics and behaviours (Jahoda 1958) •social/psychological criteria define it by the presence of […]

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How to do psychiatric assessment

There is a myth that psychiatric assessment differs from that in other medical specialties: it does not, it follows the familiar sequence of history, examination (both mental state and physical) and investigation, leading to differential diagnosis. Another myth holds that management cannot proceed without obtaining an extensive history that delves into all aspects of a […]

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Prevalence of psychiatric morbidity

Mental symptoms: 30% of adults experience worry, tension, irritability or sleep disturbance at any time All mental disorders: >20% of adults at any time suffer mental health problems; 25% of general practice consultations involve mental health problems Depression (including mixed anxiety and depression): 10% of adults depressed in a week; 55% depressed at some time […]

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