Psychiatry at a Glance is an up-to-date, accessible introductory and study text for all students of psychiatry. It presents 'need-to-know' information on the basic science, treatment, and management of the major disorders, and helps you develop your skills in history taking and performing the Mental State Examination (MSE).

Table of Contents

• Preface
• Contributors to Chapter 44
• Part 1 Assessment and Management
• 1 Psychiatric History
• Introduction and presenting complaint
• History of the present illness
• Previous psychiatric history
• Past medical/surgical history
• Drug history and allergies
• Family history
• Personal history
• Substance use
• Forensic history
• Social history
• Premorbid personality
• 2 The Mental State Examination
• Appearance and behaviour
• Speech
• Mood and affect
• Disorders of thought content
• Perception
• Cognition
• Insight
• 3 Diagnosis and Classification in Psychiatry
• History
• The concept of mental illness
• Aims of classification in psychiatry
• Categorical versus Dimensional
• Comorbidity
• 4 Risk Assessment and Management in Psychiatry
• Risk assessment
• Managing violence
• Breaking confidentiality
• 5 Suicide and Deliberate Self-harm
• Suicide
• DSH
• Part 2 Mental Disorders
• 6 Psychosis: Symptoms and Aetiology
• Schizophrenia
• Other psychoses
• 7 Schizophrenia: Management and Prognosis
• Medication
• Psychological treatment
• Social support
• Prognosis
• 8 Depression
• Definitions and classification
• Clinical features
• Differential diagnosis
• Epidemiology
• Aetiology
• Management
• Prognosis
• 9 Bipolar Affective Disorder
• Definitions and classification
• Clinical features
• Differential diagnosis
• Epidemiology
• Aetiology
• Management (NICE guideline 2014)
• Prognosis
• 10 Stress Reactions (Including Bereavement)
• Acute stress reactions
• Adjustment disorders
• PTSD
• Bereavement and grief
• 11 Anxiety Disorders
• Anxiety
• Anxiety disorders
• Epidemiology
• Aetiology
• Panic disorder
• Generalised anxiety disorder (GAD)
• Phobic disorders
• 12 Obsessions and Compulsions
• Obsessions and compulsions
• Obsessive–compulsive disorder (OCD)
• Body dysmorphic disorder (BDD)
• Management of OCD and BDD
• 13 Eating Disorders
• Epidemiology
• Aetiological factors
• Anorexia nervosa
• Bulimia nervosa
• Binge-eating disorder and obesity
• 14 Personality Disorders
• Definition
• Epidemiology
• Aetiology
• Classification and characteristics
• Management
• Prognosis
• 15 Psychosexual Disorders
• Disorders of sexual function
• Disorders of sexual preference
• Disorders of sexual identity (transsexuality)
• 16 Unusual Psychiatric Syndromes
• Psychotic syndromes
• Non-psychotic syndromes
• Part 3 Substance and Alcohol Misuse
• 17 Substance Misuse
• Epidemiology
• Classification
• Aetiological factors
• Management
• Specific substances
• 18 Alcohol Misuse
• Safe limits
• Classification
• Epidemiology
• Detection and screening
• Aetiology
• Complications
• Management
• Prognosis
• Part 4 Psychiatry of Demographic Groups
• 19 Child Psychiatry I
• Classification
• Psychiatric assessment of children
• Epidemiology
• Hyperkinetic disorders (ICD-10); Attention-Deficit Hyperactivity Disorder (ADHD) (DSM-5)
• Conduct disorders
• Emotional disorders
• 20 Child Psychiatry II
• Social functioning disorders
• Other disorders
• Developmental/Neurodevelopmental disorders
• Psychotic disorders
• Sleep problems
• Links between child and adult mental health
• 21 The Psychiatry of Adolescence
• Adolescence
• Psychiatric assessment in adolescence
• Conduct disorder
• Eating disorders (also see Chapter 13)
• Mood disorders
• Anxiety, stress-related disorders
• Obsessive–compulsive disorder (OCD)
• Schizophrenia
• Self-harm
• Substance abuse
• Capacity and confidentiality
• 22 Learning Disability (Mental Retardation)
• Definition and epidemiology
• Aetiology
• Classification and clinical features
• Psychiatric illness
• Antenatal detection and prevention
• Management
• 23 Cross-cultural Psychiatry
• How culture can influence mental illness presentation and treatment
• Culture and standardised diagnosis
• Mental illness and minority ethnic groups living in Western countries
• Racial differences in pharmacological response
• Culture-bound syndromes
• 24 Psychiatry and Social Exclusion
• Homeless people (Figure 24.1)
• Refugees
• Prisoners
• 25 Psychiatry and Female Reproduction
• Mental illness during pregnancy
• Postpartum disorders
• Premenstrual Dysphoric Disorder (PDD)
• 26 Functional Psychiatric Disorders in Old Age
• Depression in old age
• Anxiety disorders
• Mania in old age
• Psychotic disorders
• Part 5 The Interface of Psychiatry and Physical Illness
• 27 Psychiatry and Physical Illness
• Comorbidity of psychiatric and physical illness
• Liaison psychiatry
• Medically unexplained symptoms
• Somatoform disorders
• Dissociative disorders (also termed ‘conversion disorders’)
• Factitious disorder
• Managing pain and fatigue
• 28 Neuropsychiatry I
• Focal neurological disorders: traumatic brain injuries and strokes
• Post-concussional syndrome
• Epilepsy
• Tumour
• 29 Neuropsychiatry II
• Autoimmune and inflammatory disorders
• Disorders of the basal ganglia
• Sleep disorders
• Tic disorders
• 30 Neuropsychiatry III
• Infectious causes of neuropsychiatric symptoms
• Metabolic disturbance
• Endocrine
• Nutritional disorders
• 31 Acute Confusional States
• Clinical features
• Aetiology
• Differential diagnosis
• Investigations
• Prevention
• Management
• Prognosis
• 32 The Dementias
• Definition and clinical presentation
• Epidemiology
• Classification
• Management
• Prognosis
• Cognitive impairment in people without dementia
• Part 6 Assessment and Management
• 33 Psychological Therapies
• How therapies work
• Types of therapy (see Figure 33.1)
• 34 Antipsychotics
• Types of antipsychotic
• How do antipsychotics work?
• Mode of administration
• Indications
• Side effects
• Stopping antipsychotics
• Physical health monitoring
• 35 Antidepressants
• How they work (see Figure 35.1)
• Indications
• Mode of administration
• Side effects
• Stopping antidepressants
• Serotonin syndrome
• 36 Other Psychotropic Drugs
• Antimanic drugs (mood stabilisers)
• Hypnotics and anxiolytics
• Stimulants
• Antidementia drugs
• 37 Electroconvulsive Therapy and Other Physical Treatments
• Electroconvulsive therapy (ECT)
• New methods of brain stimulation
• Neurosurgery for mental disorder
• 38 Psychiatry in the Community
• Psychiatry in primary care
• Community care of severe psychiatric illness
• Patient-centred care
• Accommodation
• Daytime activity
• 39 Forensic Psychiatry
• Crime and mental disorder
• Managing violence (see also Chapter 4)
• Prostitution
• 40 Mental Capacity
• Assessing capacity
• The Mental Capacity Act (England and Wales)
• Legal competence
• 41 Mental Health Legislation in England and Wales
• Sectioning (compulsory admission)
• How ‘sectioning’ is carried out
• 42 Mental Health Legislation in Scotland
• Compulsory orders
• Mental health law relating to prisoners
• Medical treatment
• 43 Mental Health Legislation in Northern Ireland
• Criteria for detention
• Compulsory admission to hospital
• Police powers
• Informal hospital patients
• Guardianship
• Patients involved in criminal proceedings
• Appeal
• Consent to treatment
• 44 Mental Health Legislation in Australia and New Zealand
• Community treatment orders (CTOs) and the role of medical practitioners
• 45 Preparing for Clinical Examinations in Psychiatry
• Introduction
• Interview stations
• Video stations
• Pencil and paper stations
• Self-assessment
• Objective Structured Clinical Examinations (OSCEs)
• Section 1: Assessment and Management
• Section 2: Mental Disorders
• Section 3: Substance and Alcohol Misuse
• Section 4: Psychiatry of Demographic Groups
• Section 5: The Interface of Psychiatry and Physical Health
• Section 6: Psychiatric Management
• Extended Matching Questions (EMQs)
• Chapters 1–5: Assessment and management
• Chapters 6–16: Mental disorders
• Chapters 17–18: Substance and alcohol misuse
• Chapters 19–26: Psychiatry of demographic groups
• Chapters 27–32: The interface of psychiatry and physical illness
• Chapters 33–44: Psychiatric management
• Single Best Answer (SBA) Questions
• Chapters 1 and 2 (history and examination)
• Chapter 3 Diagnosis and Classification
• Chapter 4 Risk Assessment and Management
• Chapter 5 Suicide and Deliberate Self-harm
• Chapter 6 Schizophrenia – Symptoms and Aetiology
• Chapter 7 Schizophrenia: Management and Prognosis
• Chapter 8 Depression
• Chapter 9 Bipolar Affective Disorder
• Chapter 10 Stress Reactions (Including Bereavement)
• Chapter 11 Anxiety Disorders
• Chapter 12 Obsessions and Compulsions
• Chapter 13 Eating Disorders
• Chapter 14 Personality Disorders
• Chapter 15 Psychosexual Disorders
• Chapter 16 Unusual Psychiatric Syndromes
• Chapter 17 Substance Misuse
• Chapter 18 Alcohol Misuse
• Chapters 19 and 20 Child Psychiatry
• Chapter 21 The Psychiatry of Adolescence
• Chapter 22 Learning Disability (Mental Retardation)
• Chapter 23 Cross-cultural Psychiatry
• Chapter 24 Psychiatry and Social Exclusion
• Chapter 25 Psychiatry and Female Reproduction
• Chapter 26 Functional Psychiatric Disorders in Old Age
• Chapter 27 Psychiatry and Physical Illness
• Chapters 28–30 Neuropsychiatry
• Chapter 31 Acute Confusional States
• Chapter 32 The Dementias
• Chapter 33 Psychological Therapies
• Chapter 34 Antipsychotics
• Chapter 35 Antidepressants
• Chapter 36 Other Psychotropic Drugs
• Chapter 37 Electroconvulsive Therapy and Other Treatments
• Chapter 38 Psychiatry in the Community
• Chapter 39 Forensic Psychiatry
• Chapter 40 Mental Capacity Act
• Chapter 41 Mental Health Legislation in England and Wales
• Chapter 42 Mental Health Legislation in Scotland
• Chapter 43 Mental Health Legislation in Northern Ireland
• Chapter 44 Mental Health Legislation in Australia and New Zealand Australia
• New Zealand
• OSCE Examiner Mark Sheets
• Section 1: Assessment and Management
• Section 2: Mental Disorders
• Section 3: Substance and Alcohol Misuse
• Section 4: Psychiatry of Demographic Groups
• Section 5: The Interface of Psychiatry and Physical Health
• Section 6: Psychiatric Management
• Answers to EMQs
• 1 Mental state
• 2 Delusions
• 3 Diagnosis
• 4 Anxiety disorders and stress reactions
• 5 Personality disorders
• 6 Unusual syndromes
• 7 Substance and alcohol misuse
• 8 Diagnoses in childhood and early adulthood
• 9 Epidemiology of psychiatry of demographic groups
• 10 Cognitive impairment
• 11 Psychiatric disorders and physical symptoms and signs
• 12 Psychological therapies
• 13 Treatment of psychosis and depression
• 14 Treatment in psychiatry
• 15 Psychiatry and the English law
• Answers to Single Best Answer (SBA) Questions
• Further Reading
• Glossary