ROTP IN PSYCHIATRY 16309 21309

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ROTP IN PSYCHIATRY 16/3/09 21/3/09
WELCOME...
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A RECAP OF THE LAST PSYCHIATRY ROTP 24TH - 29TH
MARCH 2008
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• It was the first module
• The laying of the foundation
• First step the knowledge of psychiatry and how
  did it evolve
• and then.
• An integration of clinical psychiatry with
  Homoeopathy.

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Topic Psychiatry as a Medical discipline
Historical evolution and current
perspectives-Western and Indian Dr. Mahesh
Parikh

• Various psy terms psychiatrist, psychologist
  and psychologist
• Defining terms of mental disease disturbance,
  disorder and disease
• Checklist of warning symptoms - Insomnia,
  Anorexia, Anxiety, Depression and
  Hallucinations/Delusions
• Mind Body connection with respect to mental
  illnesses

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• Beginning and eventual decline of psychoanalysis
• Indian philosophy ?? Correlation with modern
  psychiatry
• Concept of karma and past life sins manifesting
  as present-day disease
• Concept of paap/punya and yukta what is
  appropriate to time and circumstance

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Topic Homoeopathic psychiatry as an emerging
discipline Prospects and possibilities.
Introduction to the principles of
psychodynamicsResource Person Dr. K. M. Dhawale

• Definition of the core term discipline
• Homoeopathic psychiatry what skills needed for
  it?
• Combination of clinical expertise and ability to
  receive the patient
• History of treatment for mental illnesses
• Hahnemann a pioneer in advocating humane
  treatments for mentally ill patients
• Unprejudiced mind
• Case study leading to concepts of
  normal/abnormal/healthy

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DAY 2 Topic Signs and symptoms of mental
disorders.Resource Person Dr. K S Ayyar

• Live demonstration instead of just explanation of
  terms
• Acted out roles of various patients
• Understanding of MSE Mental Status Examination
• Knowledge of diagnostic terms essential to
  understand the disease process

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Topic Conceptual models to understand
psychiatric disorders with special focus on the
cognitive model.Resource Person Dr. Arvind Bhave

• What is cognitive model? cognition
  thoughts/thinking
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  CONATION (behaviour)
• COGNITION
  AFFECT
• (thinking)
  (mood)
• Focus on REBT Rational Emotive Behavioural
  Therapy
• Devised by Albert Ellis a therapy aimed at
  changing thought patterns ? changing emotional
  reactions
• Change in thought pattern ? change in emotional
  reactions ? change in behaviour

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DAY 3 Topic Characteristic mental symptoms
Elicitation, Recognition and place in the
Homoeopathic totalityResource Person Dr. Manoj
Patel

• Characteristic symptoms extremely important in
  Homoeopathic prescribing
• Homoeopathic physician needs to have good
  observation skills to pick up characteristic
  symptoms
• Sensitivity Sensibility both needed
• Cultivation of internal observer with the help
  of external observer

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Topic Personality Its nature, assessment and
clinical applicationResource person Dr. Shubha
Thatte

• What is personality? The sum total of all traits
  and dispositional qualities of individual
• Personality Trait ?? Behavioural patterns
• Exaggerated traits Personality disorders
• Classification of personality disorders pioneer
  Dr. Theodore Millon
• Present-day classification cluster A, B and C
• Characteristic behavioural pattern
• A is on guard the Paranoid , Schizoid,
  Schizotypal
• B is Show off the ASPD , BPD , Histrionic ,
  Narcissistic
• C is avoidant Avoidant,Dependent, OCPD
• Scope and limitation of therapies for personality
  disorders

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DAY 4Topic Classification of psychiatric
disordersResource person Dr. Nilesh Shah

• Present day classification systems
• DSM IV and ICD 10
• DSM American Psychiatry Association
• ICD WHO
• Necessary to have knowledge of diagnostic terms
  helps to understand the pathology and the
  prognosis of the disease

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Topic Hahnemannian classification of mental
illness and its implications. Resource person
Dr. Kumar Dhawale

• Correlation of modern-day diagnostic terms with
  those used in Hahnemannian classification
• E.g. the first type corporeal illnesses that
  ultimately end up in the mind are reflected in
  psychotic illnesses and obsessive disorders
• Correlation helps in understanding susceptibility
  and miasm
• This further helps to guide the course of
  treatment

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DAY 5 Topic Application of Psychodynamics in the
study of Materia MedicaResource person Dr.
Bipin Jain

• Psychodynamics study of psychological factors
  in development of individual
• Why study them in correlation to materia medica?
• Response to various conflicts in life
  ultimately lead to disease processes
• Differences in response individualisation
• Example of Carcinosin through case studies

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Topic Psychopathology and Pathogenesis
Practical aspects and demonstrationResource
Person Dr. Anukant Mittal

• Psychopathology disease symptoms and processes
  in the mind
• Pathogenesis how disease process evolved
• Important to know so that precipitating/exciting/m
  aintaining cause of disease can be understood
• Never take anything for granted when examining a
  patient case
• Some pointers on MSE

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DAY 6 Topic Analysis of mental symptoms
Clinical and Repertorial representation Resource
person Dr. Ashok Dhandhukia

• Concept of analysis of symptoms vital step in
  Homoeopathic prescribing
• Analysis of mental symptoms into Conation,
  Cognition and Affect
• Symptoms of psychiatric disorders vis a vis
  their rubrics
• Repertorial totality for each diagnosis
• Concepts of various repertories

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THANK YOU