Portal:Psychiatry

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

Initial psychiatric assessment of a person begins with creating a case history and conducting a mental status examination. Physical examinations, psychological tests, and laboratory tests may be conducted. On occasion, neuroimaging or other 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), published in May 2013, reorganized the categories of disorders and added newer information and insights consistent with current research.

Treatment may include psychotropics (psychiatric medicines) and psychotherapy, and also other modalities such as assertive community treatment, community reinforcement, substance-abuse treatment, and supported employment. Treatment may be delivered on an inpatient or outpatient basis, depending on the severity of functional impairment or risk to the individual or community. Research within psychiatry is conducted on an interdisciplinary basis with other professionals, such as epidemiologists, nurses, social workers, occupational therapists, and clinical psychologists. (Full article...)

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Sertraline (trade names Zoloft, Lustral) is an antidepressant of the selective serotonin reuptake inhibitor (SSRI) class. It was introduced to the market by Pfizer in 1991. Sertraline is primarily prescribed for major depressive disorder in adult outpatients as well as obsessive–compulsive, panic, and social anxiety disorders in both adults and children. In 2011, it was the second-most prescribed antidepressant on the U.S. retail market, with 37 million prescriptions.

Differences with other newer antidepressants are subtle and mostly confined to side effects. Evidence suggests that sertraline may work better than fluoxetine (Prozac) for some subtypes of depression. Treatment of panic disorder with sertraline results in a decrease of the number of panic attacks and an improved quality of life. For obsessive-compulsive disorder, sertraline is not as effective as cognitive behavioral therapy (CBT); the best results have been achieved by combining CBT with an SSRI. Sertraline is also effective for the treatment of social phobia and posttraumatic stress disorder. (Full article...)

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Mignon Nevada as William Shakespeare's character Ophelia, circa 1910. An artistic representation of insanity leading to suicide

image credit: public domain

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Neuroscience

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Wilhelm Reich (/raɪx/; 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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The following are images from various psychiatry-related articles on Wikipedia.

Image 1Traverse City State Hospital in Traverse City, Michigan, U.S., in operation from 1881 to 1989 (from Psychiatric hospital)
Image 2Republican Vilnius Psychiatric Hospital in Naujoji Vilnia, one of the largest health facilities in Lithuania, built in 1902 (from Psychiatric hospital)
Image 3William A. F. Browne was an influential reformer of the lunatic asylum in the mid-19th century, and an advocate of the new 'science' of phrenology. (from History of psychiatry)
Image 4Lord Shaftesbury, a vigorous campaigner for the reform of lunacy law in England, and the Head of the Lunacy Commission for 40 years. (from History of psychiatry)
Image 5York Retreat, built in the late 18th century by William Tuke, a pioneer in moral treatment of the mentally ill (from Psychiatric hospital)
Image 6Emil Kraepelin studied and promoted ideas of disease classification for mental disorders. (from History of psychiatry)
Image 7Dr. Philippe Pinel at the Salpêtrière, 1795 by Tony Robert-Fleury. Pinel ordering the removal of chains from patients at the Paris Asylum for insane women. (from History of psychiatry)
Image 8psychiatric medication and an ECT machine, in Berlin Museum of medical history (from History of psychiatry)
Image 9Danvers State Hospital, Danvers, Massachusetts, Kirkbride Complex, c. 1893 (from Psychiatric hospital)
Image 10Otto Loewi's work led to the identification of the first neurotransmitter, acetylcholine. (from History of psychiatry)
Image 11Niuvanniemi Hospital in Niuva, Finland (from Psychiatric hospital)
Image 12The Art Nouveau-styled Röykkä Hospital, formerly known as Nummela Sanatorium, in Röykkä, Finland (from Psychiatric hospital)
Image 13Plan of the Bethlem Royal Hospital, an early public asylum for the mentally ill.
Image 14The York Retreat (c.1796) was built by William Tuke, a pioneer of moral treatment for the insane. (from History of psychiatry)