Portal:Psychiatry


The Psychiatry Portal

Psychiatry is the medical specialty devoted to the diagnosis, treatment, and prevention of deleterious mental conditions. These include matters related to cognition, perceptions, mood, emotion, and behavior.

Initial psychiatric assessment begins with taking a case history and conducting a mental status examination. Laboratory tests, physical examinations, and psychological assessments may also be used. On occasion, neuroimaging or neurophysiological studies are performed.

Mental disorders are diagnosed in accordance with diagnostic manuals such as the International Classification of Diseases (ICD), edited by the World Health Organization (WHO), and the Diagnostic and Statistical Manual of Mental Disorders (DSM), published by the American Psychiatric Association (APA). The fifth edition of the DSM (DSM-5) was published in May 2013. (Full article...)

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Autism therapies attempt to lessen the deficits and abnormal behaviours associated with autism and other autism spectrum disorders (ASD), and to increase the quality of life and functional independence of autistic individuals, especially children. Treatment is typically catered to the child's needs. Treatments fall into two major categories: educational interventions and medical management. Training and support are also given to families of those with ASD.

Studies of interventions have methodological problems that prevent definitive conclusions about efficacy. Although many psychosocial interventions have some positive evidence, suggesting that some form of treatment is preferable to no treatment, the methodological quality of systematic reviews of these studies has generally been poor, their clinical results are mostly tentative, and there is little evidence for the relative effectiveness of treatment options. Intensive, sustained special education programs and behavior therapy early in life can help children with ASD acquire self-care, social, and job skills, and often can improve functioning, and decrease symptom severity and maladaptive behaviors; claims that intervention by around age three years is crucial are not substantiated. Available approaches include applied behavior analysis (ABA), developmental models, structured teaching, speech and language therapy, social skills therapy, and occupational therapy. Educational interventions have some effectiveness in children: intensive ABA treatment has demonstrated effectiveness in enhancing global functioning in preschool children, and is well established for improving intellectual performance of young children. Neuropsychological reports are often poorly communicated to educators, resulting in a gap between what a report recommends and what education is provided. The limited research on the effectiveness of adult residential programs shows mixed results. (Full article...)

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Australian soldiers near Ypres in 1917, during World War I. Soldier on left is likely suffering from shellshock, now described as Posttraumatic Stress Disorder
image credit: public domain

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Wilhelm Reich (/rx/; German: [ʀaɪç], 24 March 1897 – 3 November 1957) was an Austrian psychoanalyst, a member of the second generation of psychoanalysts after Sigmund Freud, and one of the most radical figures in the history of psychiatry. He was the author of several influential books, most notably Character Analysis (1933) and The Mass Psychology of Fascism (1933). His work on character contributed to the development of Anna Freud's The Ego and the Mechanisms of Defence (1936), and his idea of muscular armour – the expression of the personality in the way the body moves – shaped innovations such as body psychotherapy, Fritz Perls's Gestalt therapy, Alexander Lowen's bioenergetic analysis, and Arthur Janov's primal therapy. His writing influenced generations of intellectuals: during the 1968 student uprisings in Paris and Berlin, students scrawled his name on walls and threw copies of The Mass Psychology of Fascism at the police. (Full article...)

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Psychiatry
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Psychiatric diagnosis
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Ethics in psychiatry
Psychiatry in fiction
History of psychiatry
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Psychopathology
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