Tag archives for Psychiatric treatment

Psychiatric Primary Care

Posted By Kelly On Friday, January 22nd 2010   under:  Book review   Tags: , ,    
Linda Denise Oakley, Claudette Potter Mosby-Year Book, Inc, 11830 Westline Industrial Dr, St Louis, MO 63146 USA 1997/448 pp Strengths Assessment and DSM-IV diagnosis Weakness Specific pharmacologie treatment Audience Family physicians and allied mental health professionals The authors of this ambitious book state, "We have developed a book for primary care practitioners that presents everything from basic mental concepts and terms to clinical examples of psychiatric primary care." The book is divided into five parts that deal with basic concepts ... Read More

Practical management in psychiatry

Posted By Kelly On Wednesday, January 20th 2010   under:  Book review   Tags: ,    
Psychological Problems in General Practice A.C. Markus; C. Murray Parkes; P. Tomson; M.Johnston Oxford University Press, 70 Wynford Dr, Don Mills, ON M3C IJ9 1989/406 pp The authors believe that psychiatry in general practice is a different specialty from psychiatry in hospitals. The authors suggest that a problem-oriented model is more appropriate to family practice. The authors also believe that psychoanalysis is a frame of reference that has outlived its usefulness and have introduced ... Read More

Treating Dementia With Atypical Antipsychotics. Part 2

Posted By Kelly On Tuesday, January 5th 2010   under:  Pharmacotherapy   Tags: , , , , , ,    
Atypical Antipsychotics Most initial published data on atypical antipsychotic drugs in the elderly are clinical trials in nondemented patients with schizophrenia or Parkinson's disease. In the last two to three years, controlled trials evaluating risperidone (Risperdal) and olanzapine (Zyprexa) in patients with dementia have been published. There is now evidence that these two atypical antipsychotic drugs offer efficacy in this patient population with fewer adverse effect concerns than the typical antipsychotic ... Read More

Treating Dementia With Atypical Antipsychotics. Part 1

Posted By Kelly On Monday, January 4th 2010   under:  Pharmacotherapy, Uncategorized   Tags: , , , ,    
Patients with dementia display a broad range of cognitive impairments and behavioral and psychotic symptoms. Common behavioral symptoms include verbal and physical aggression, hyperactivity, disinhibition, and pacing and wandering; common psychotic symptoms include paranoia, delusions and hallucinations. These behavioral and psychotic symptoms are the leading cause for the use of more restrictive supervised environments, including institutionalization. Effective pharmacologic and nonpharmacologic treatment of these symptoms is desirable and, in addition, might delay ... Read More

Drug Therapy in Psychiatry. Part 8

Posted By Kelly On Thursday, December 31st 2009   under:  Manuscripts   Tags: , ,    
Observations obtained from carefully studied individual cases and from mass experiments would indicate that the tranquilizing drugs act by suppressing the patient's symptomatology. They suppress certain clinical manifestations in the patient in the same way as an anti-epileptic drug suppresses epileptic discharges. From a clinical point of view this is a real accomplishment. However, we have at present no indication that any of these compounds will touch upon the substructure ... Read More

Drug Therapy in Psychiatry. Part 7

Posted By Kelly On Wednesday, December 30th 2009   under:  Manuscripts   Tags: , ,    
This brings up one of the most important issues on which no general agreement has been reached. A certain number of patients receiving the drugs function adequately, lose their symptoms, feel comfortable, and for all practical purposes are able to live a normal life. This may often be within the framework of some limitations, but nevertheless conspicuous mental symptomatology is absent. It has not been established as yet how many ... Read More

Drug Therapy in Psychiatry. Part 6

Posted By Kelly On Tuesday, December 29th 2009   under:  Manuscripts   Tags: , ,    
We feel the following trends in the use of the tranquilizing drugs should be checked. First, patients should not receive a tranquilizing drug without proper physical and mental examination. We know that some of the drugs can lead to physical complications and therefore the physical status of the patient at the beginning of medication is of importance. Complications are known to develop with chlorpromazine and reserpine. We have less knowledge ... Read More

Drug Therapy in Psychiatry. Part 5

Posted By Kelly On Monday, December 28th 2009   under:  Manuscripts   Tags: , ,    
We would also like to emphasize that it is much more difficult to establish the maintenance dose of the patient than the primary therapeutic dose. We all use maintenance dosages and for the patient who has been on the drug for a few weeks or a few months the dosage is usually reduced to a level at which we believe he will be able to function properly. To determine the ... Read More

Drug Therapy in Psychiatry. Part 4

Posted By Kelly On Sunday, December 27th 2009   under:  Manuscripts   Tags: , ,    
The drugs, of course, are used not only in psychotic patients but in many neurotic patients. The tranquilizing drugs are prescribed in large quantities outside of mental hospitals and practically every physician today prescribes these drugs to patients when he assumes that some emotional symptomatology is present. Observations made in this country do not confirm some of the statements made in the European literature that many severely neurotic patients recover ... Read More

Drug Therapy in Psychiatry. Part 3

Posted By Kelly On Saturday, December 26th 2009   under:  Manuscripts   Tags: , ,    
At present we are using drugs in large numbers of patients. This does not necessarily mean that these patients should not have a physical and mental examination and that details of their psychiatric illness are not appraised. Mass use of the drugs should not assume that the patient is physically well, suffering from some form of emotional disorder, and then prescribing one or the other of the tranquilizing drugs to ... Read More
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