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Showing posts with label mental illness. Show all posts
Showing posts with label mental illness. Show all posts

Thursday, September 15, 2022

Bright: A silent short film on Mania

Mania is part of Bipolar Disorder (Manic Depressive Psychosis in the olden days).  It is an episodic condition characterized by excessive happiness/irritability and increased energy/activities.  In addition, there could also be agitation, distractibility, racing thoughts, excessive speech, reduced sleep, grandiose ideas, and risk-taking behaviour such as rash driving, overspending or sexually promiscuous behaviour.  It can alternate with depressive periods, although this is not always necessary; a single episode of Mania still qualifies as Bipolar Disorder.  

Persons undergoing a manic episode may be able to describe the euphoric feeling of ‘feeling on top of the world’, with no need to rest or sleep.  They feel highly energetic, and often this energy is directed towards purposeless activities that can rile up people they live with.  They can sing, dance, make jokes, and quote poems with rhyming words, or on the other hand, cry for no reason, and become very angry over trivial issues, and even assault others.  In severe cases, psychotic features such as grandiose delusions may set in, which results in the person believing that he/she is rich beyond means, or has some special abilities, or that they are very important individuals, such as presidents or celebrities. 

With all this going on, the feature that makes Mania the most challenging condition to manage is that the person is unaware that he/she is mentally ill and needs treatment.  But when treatment is given, the symptoms become more manageable, and with the recovery of insight, preventive treatment can be continued on a long-term basis.

Credits
Featuring: Aadya Pawar
Writing/Direction/Editing: Deepak Pawar
[Currently only showing in Festival Circuits]

In this short educative video on Mania, I have attempted to show some of the above features as accurately as possible.  I have experimented with images/sounds that best depict the misplaced joyousness and inner turmoil of the person experiencing Mania.  The speed is deliberately enhanced and the music is set at a frenetic pace to convey the feelings of restless energy in the person.  The expressions/emotions displayed by the actress are similar to those that I have observed in patients with Mania over the years. 

If you feel dizzy, irritable, excited or exhausted while watching this video, that’s just down to the condition itself; the ideas is to give you a feel of mental state of the person experiencing a manic episode.  

As with other short films on Depression and Anxiety, I invite your constructive comments/suggestions and ratings/reviews at Bright on IMDb.

Please also see my patient education video on Bipolar Disorder.

For a more professional information on Mania and Bipolar Disorder (under Mood Disorders), please go through the lectures.


Resources:
Background musicBook Me 2 Flirt-Max McFerren; Busy City-TrackTribe; This is Not Drum and Bass-True Cuckoo
Mania quote: https://www.youthdynamics.org/18-quotes-illustrating-life-with-bipolar-disorder/
Bipolar disorder statistics: https://www.business-standard.com/content/press-releases-ani/one-out-of-150-suffer-from-bipolar-disorder-in-india-70-percent-left-untreated-though-it-is-treatable-122090700775_1.html

Saturday, July 16, 2022

Breathless: A silent short film on Anxiety

Anxiety is a common emotion; everyone experiences it.  It is natural to feel anxious when you are called upon to perform in public, meet new people, visit a hospital, meet a deadline, etc.  

So, when does it become a problem? 

As therapists, we look at the quantity and quality of anxiety.  In other words, anxiety becomes a problem when the duration of symptoms exceeds far beyond what is expected, or when the quality of life is affected.  For example, if anxiety persists even after the provocative task is completed, or even after the stressful issue has been resolved, then it can be a problem. 

Further, if the anxiety worsens so much that a person is paralyzed with stress/fear, and is unable to complete the task, or go about his/her daily routine, then too, anxiety can be unproductive.  It then progresses from common anxiety to an anxiety disorder. 

Anxiety disorder manifests in many ways: panic attacks, generalized anxiety, fear of objects/situations (phobias – commonly agoraphobia & social phobia), stress following a traumatic event (post-traumatic stress disorder - PTSD), repetitive thought & actions (obsessive-compulsive disorder - OCD), etc. 

In this short silent educative film, the following conditions have been depicted:


Credits
Featuring: Aadya Pawar
Writing/Direction/Editing: Deepak Pawar

[Currently only showing in Festival Circuits]

Panic attacks: Brief spells of intense dread with physical symptoms such as breathlessness, palpitations and tremors, and psychological symptoms such as feelings of losing control/dying and sensation of body/surroundings altering in shape/form/colour. It is annoyingly repetitive and can occur even without provocation.  That is, even when the person is not doing anything stressful, when he/she is at home, or in peaceful surroundings.  It may occur on its own or in combination with any of the other anxiety disorders. 

Agoraphobia: Fear of becoming stuck in an inescapable situation, such as in crowds, buses, lifts, etc.  The individual may become homebound in severe cases; that is, he/she may not leave the place of safety – usually their home – at all.

There can also be other specific phobias: social phobia – inability to meet people/perform in public; fear of spiders (arachnophobia), snakes (ophidiophobia), injections (needle phobia), etc.

PTSD: Feelings of intense reliving experiences after a traumatic event; even though this is a stress-related disorder, anxiety and depressive feelings occur quite commonly in this condition, and the person may become homebound as he/she avoids getting into a similar situation.

OCD: Unwanted, repetitive thoughts/images/urges that cause distress (e.g., hand contamination), which is relieved by doing a compensatory act (e.g., handwashing).  This can be a highly disabling condition and affects the quality of life of both the sufferer and the carer.   

In this film, I have intermittently added imagery pertaining to anxiety-provoking objects/occurrences (traffic, spiders, snakes, natural disasters, flight turbulence, injections, accidents) to illustrate the variety of stimuli that can cause anxiety.  The film ends with a series of noises that can be most annoying to the human ear, and can therefore precipitate or worsen anxiety.

The purpose of this film is not to scare you, but to accurately depict the above conditions, so as to facilitate understanding of the nature of anxiety and its many triggers and manifestations.  I hope this helps medical/psychiatric students, patients, carers, and interested lay viewers to better understand anxiety disorders and seek timely professional help, where necessary.

As ever, I invite your constructive feedback and comments.  Please rate/review Breathless on IMDb.

Please read these earlier articles to know more about OCD, and stress.

For a more professional lecture on stress and anxiety disorders, please see the video link in this post.

Film festival selections for Breathless

1. Lift-Off Global Network First-Time Filmmakers Sessions:





Resources/references:
'Worry' quote: psychcentral.com

Wednesday, December 22, 2021

Bleak: A silent short film on Depression

I have heard patients describing depression as a dark cloud that hangs over the head.  There are also periods of intense sadness and spontaneous bursts of crying for no reason.  Depression is a harrowing mental condition that saps one's energy, motivation and will to do anything useful.  

It is said that 'depression is an inability to construct a future'.  I would suggest that this is so because of the extreme preoccupation with the past events that occurs in depression, although it is not always necessary for depression to occur as a result of past adverse events.

Patients also experience negative automatic thoughts such as dichotomous or black-and-white thinking, that is, everybody/everything viewed as being either good or bad. 

Low self-esteem, feelings of guilt, worthlessness, hopelessness and the ominous threat of suicidal ideas further compound the problem. 

Bodily symptoms such as loss of appetite leading to weight loss, sleep disturbance often presenting as early morning awakening, and loss of libido/menstruation are often present.

Credits
Featuring: Aadya Pawar
Writing/Direction/Editing: Deepak Pawar
[Currently only showing in Festival Circuits]

In this silent short film on depression, I have attempted to depict these very signs and symptoms in a young person, although depression can occur at any age.  I hope medical/paramedical students will find this video useful in identifying the clinical features of depression.

I have experimented with colour tones, imagery, sound and pacing to symbolize the bleakness, misery and desolation that go with depression. 

The purpose of this video is not to scare you, but to motivate you to seek timely professional intervention.  Treatment in the form of antidepressant medication and psychotherapy/counselling ensures that depression can be treated and controlled.

Please don't forget to rate/review Bleak on IMDb.

Film festival selections for Bleak:

1. Lift-Off Global Network First-Time Filmmakers Sessions:


https://liftoff.network/ft-filmmaker-sessions-may-2022/

2. Black Cat Award International Film Festival:


3. Quarter-Finalist: Aakruti-My Creation International Film Festival:


Resources:
Background music: No.8 Requiem, Esther Abrami
Quotes: Attributed to William Styron, Side Effects, Netflix




Thursday, September 2, 2021

I'm always overthinking... Have I got OCD...?!

Obsessive Compulsive Disorder, or OCD, is an anxiety disorder that is characterised by obsessions (intrusive and recurrent thoughts, images or urges) and compulsions (repetitive actions such as counting, touching, washing, rearranging and hoarding).  

Even though the recurrent thoughts are recognised as being silly or impossible, it is difficult for patients to resist having them.  This results in increasing tension, which can only be relieved by carrying out compensatory compulsive acts listed above. Thus begins a never-ending spiral of negative thoughts, stress and irrational actions.  

Even though OCD is a neurotic condition, it can be recurring, chronic and debilitating.  It can occur on its own, or in combination with panic disorder, depression, drug & alcohol abuse (often as a symptom relieving habit), Tourette syndrome or autistic spectrum disorders.  

For carers of people with OCD, it can be a horrendous condition to come to terms with; they may, for instance, struggle to understand the patient's need to wash hands repeatedly. 

Timely and ongoing intervention is necessary, and this may entail medication therapy as well as psychotherapy in the form of modifying the patient's thinking/behaviour and response to stress.  Cognitive-behaviour therapy and exposure & response therapy, respectively, help in achieving these.  Relaxation therapy to reduce the somatic symptoms of anxiety may also be added on.  

Patient's partner/spouse may undergo training from the therapist for home management of the symptoms.  For example, he/she can help the patient look for alternatives to or even prevent repeated hand washing.

Learn more about this condition and its treatment in this video in three languages:

English: https://youtu.be/YSrct6U237s

Hindi: https://youtu.be/arkbbsvrGL8

Kannada: https://youtu.be/8o-P5zO8gh4

Read more on stress and panic attacks in earlier articles. 

Find out more about the medications used in the treatment of OCD. 

The link to a short film on OCD and other anxiety disorders can be found here.

For a more formal discussion, please see lectures on anxiety disorders and other topics.



Resources: 

Background music: Fresh Fallen Snow by Chris Haugen

Thursday, July 8, 2021

Does my child have ADHD?!

Attention Deficit Hyperactivity Disorder, or ADHD, is one of those disorders that can exasperate a parent of a child with this condition.  

Here I talk about the disorder in three languages:

English: https://youtu.be/YMuc_PFgiP0

Hindi: https://youtu.be/2m2GSMDJIVg

Kannada: https://youtu.be/hd6Xg7NkiNc

Do not forget to read more about ADHD from my earlier article.




More writings on ADHD:

On boloji.com (click on external link): https://dgvpawar.blogspot.com/2014/12/article-on-adhd-energetic-tots.html

And for fun: https://dgvpawar.blogspot.com/2014/08/chhota-bheem-doraemon-and-oggy-indian.html




Resources:

Music: Waterfall, Aakash Gandhi

Thursday, June 24, 2021

How can I quit SMOKING?!

The torture was beyond human power to bear.
(Sigmund Freud on his attempt to quit smoking)

Smoking and consumption of tobacco products are common in spite of the several media messages and pictorial warnings as to the harm caused by tobacco.  Why is this so?

What begins as a peer influenced, 'harmless', 'occasional' behaviour, stays with the person indefinitely, and before he/she realises it, becomes an insurmountable addiction.

People who have tried to quit smoking can vouch for the fact that it is a hopeless situation to remain without the daily nicotine fix - the cravings and withdrawal effects can be unbearable.  Ask Freud! 


When nicotine enters the bloodstream it activates what is known as the dopamine reward mechanism as shown here:

Dopamine is the 'feel good' brain chemical that activates the reward circuitry in the brain as follows: 

And so on it goes, until it becomes a vicious circle.

This makes tobacco/nicotine one of the most addictive substances in the world - the reason why quitting smoking is such an onerous task, fraught with relapses after periods of abstinence. 

However, breaking this reward circuit by associating less harmful substances (such as caffeine) with the pleasurable feeling, may work in some cases.  

Or, one could also try associating nicotine with unpleasant consequences such as odourous breath or health issues such as coughing/breathlessness. 

Yoga, pranayama and meditation, if done under guidance, can help break this vicious circle by helping one focus on larger issues rather than resort to smoking as a coping mechanism.

I talk about smoking addiction, complications due to long-term smoking, and treatment of smoking addiction in these videos in three languages:

English: https://youtu.be/OQmymTjteyg

Hindi: https://youtu.be/eCks5TGFfuk

Kannada: https://youtu.be/mhLfLL1xvl8

Please read more about smoking and what works in the treatment of its addiction in my earlier articles (click on the links from these pages to external site):

Harmful effects of tobacco10 ways to quit smoking and why e-cigarettes are no better.  

Also read a similar article on alcohol addiction.



Resources:

Music: Bed and Breakfast, The 126ers

Pictures:

  • https://researchoutreach.org/wp-content/uploads/2019/06/shutterstock_1119286277.jpg
  • https://upload.wikimedia.org/wikipedia/commons/thumb/d/de/Dopamine_pathways.svg/1200px-Dopamine_pathways.svg.png
  • http://b.vimeocdn.com/ts/435/029/435029196_640.jpg
  • https://62e528761d0685343e1c-f3d1b99a743ffa4142d9d7f1978d9686.ssl.cf2.rackcdn.com/files/20244/width1356x668/h5pht2cy-1360802054.jpg
  • https://upload.wikimedia.org/wikipedia/commons/thumb/9/94/Nicoderm.JPG/330px-Nicoderm.JPG
  • https://www.publicdomainpictures.net/pictures/70000/velka/electronic-cigarettes-1387647695FRV.jpg


Thursday, February 18, 2021

My spouse’s mood changes all the time... Is she/he BIPOLAR..?!

Bipolar affective disorder (BPAD - previously called Manic Depressive Psychosis) is a complex mood disorder characterized by the lows of depression and the highs of mania, and everything in between.  

More prevalent in the higher socioeconomic population, it is a chronic, potentially lifelong illness that needs constant care and attention.  People with BPAD are prone to mood swings, although not the circumstantial dysphoria and irritability that people usually make the mistake of attributing to the illness (as in labelling someone 'bipolar').  That is to say, the mood changes occur subtly over several days, and not dramatically within minutes. 


BPAD, to me, underscores the fact that everything in the universe is in a state of balance: too much or too little of anything is unsustainable.  

So it is with the human body and mind.  Too much of blood sugar is termed diabetic, and too little, hypoglycemic.  Too much of sadness is depressive, and too much of happiness is manic.  

BPAD often affects creative people, and patients even attribute some of their creative outbursts to the early phases of mania when thoughts are racing through the mind, and there is a restless need to create.  

Everyone experiences highs and lows of mood, but the extremes of BPAD affect quality of life and relationships, and therefore require intervention.  Indeed, if a patient develops mania, it is the family that seeks professional help because the patient lacks insight into the seriousness of his/her mental condition. 

I talk about the signs and symptoms, risks associated, and the treatment of BPAD in this video in three languages:




Also read my review of the book on BPAD, Em and the Big Hoom.




Resources:

Background music: 7th Dimension

Pictures: https://c1.staticflickr.com/9/8451/7996124566_5b4d08ecaf_z.jpg



Monday, November 23, 2020

My father is always forgetting... has he got DEMENTIA?

Dementia is a neurocognitive condition that affects people over 60 years of age.  It is characterized by short-term memory loss, confusion, sleep reversal, and odd behaviour. 



Find a brief introduction to this complex condition in this video in three languages:

English: https://youtu.be/SS8upBPfsfk

Hindi: https://youtu.be/WesEr0KHM78

Kannada: https://youtu.be/QXCEdKxcnew

Find out more about dementia in an earlier article of mine that was published in Deccan Herald.  Also read about the effects of meditation on ageing.  A recommended book on end-of-life care is Being Mortal.


Resources:
Background music: Cosmology by Evocativ
Pictures: 
https://loonylabs.files.wordpress.com/2015/10/dementia.jpg?w=550&h=422
https://upload.wikimedia.org/wikipedia/commons/thumb/a/ad/Alois_Alzheimer_003.jpg/220px-Alois_Alzheimer_003.jpg

Thursday, September 24, 2020

How can I reduce SUICIDAL THOUGHTS?!

If you are affected by the goings on in the world or in your personal life, and are contemplating taking the extreme step, then please take a few minutes to watch this video.  

Whether it is the COVID-19 pandemic that has upended lives across the globe, or the economic crunch that each one of us is facing in its wake, there are reasons galore to feel the blues.  Even if these are not the burning issues in your life, there are always others - breakups, bereavement, failure in exams, job loss, and the leading cause for completed suicide in India: being in debt.

While this video is no panacea for all the woes that you may be facing, it is an attempt to help you change your outlook and mindset so that you consider the larger issues of life, and take a step back from making an impulsive decision.

 



How common are suicidal ideas?
What are the causes for feeling suicidal?
What are the risk factors for suicide attempt?
What should you do if you or someone you know is feeling suicidal?
What are the religious and spiritual connotations of suicide?

Find out in in this video in three languages:

English: https://youtu.be/08i4_FGRmB8

Hindi: https://youtu.be/2w346GDm79w

Kannada: https://youtu.be/Qjg98TRvt-A

Please note that the National (Indian) Suicide Helpline number is: 9152987821 or 022-25521111 (by iCall).  

If you are in and around Bengaluru, you can also reach out to the counsellors of Arpita Foundation (NGO) through their helpline: 080-23655557 (7 am to 9 pm, all days of the week).

For information on suicide care and suicide helplines, please click external link in my earlier article

Resources/references:

Quotes (all translations into Hindi/Kannada by me):

  • Suicide is a sin... and for many points from the 'larger/spiritual issues' section of the video (also, I recommend reading the book): The Laws of the Spirit World, Khorshed Bhavnagri 
  • Man is a Soul... Attributed to Sri Yukteshwar Giri, Autobiography of a Yogi, Paramahansa Yogananda
  • All that we are is... Attributed to Lord Buddha, Thought Power, Swami Sivananda
  • Those things that hurt... Attributed to Benjamin Franklin, In The Road Less Travelled, M. Scott Peck
  • Be in the world... Osho, Autobiography of a Spiritually Incorrect Mystic
  • He who has a why... Attributed to Nietzsche, Man's Search for Meaning, Viktor Frankl
  • While there is life... Brief Answers to Big Questions, Stephen Hawking
  • Om... I am Saakshi... Thought Power, Swami Sivananda
  • Punarapi jananam... Moha Mudgara (Bhaja Govindam), Adi Shankaracharya [with Sanskrit to English translation from: bhakthi.in and sanskritdocuments.org]

Music: Sunflower Field, Mocha Music

Pictures: 
https://gamepedia.cursecdn.com/overwatch_gamepedia/thumb/8/81/Spray_McCree_Noose.png/100px-Spray_McCree_Noose.png?version=4419c49da3cea03efc5fa76c5139e1e8
http://media.pn.am/media/issue/266/075/photo/339x226_thumb_photo_266075_76f1cfd77.jpg
https://upload.wikimedia.org/wikipedia/commons/thumb/6/6b/Bhisma_fight_in_Swayamvara.jpg/250px-Bhisma_fight_in_Swayamvara.jpg
http://www.indianetzone.com/photos_gallery/77/2_Battle_between_Shikhandi_and_Bhisma.jpg
https://archive.org/services/img/GarudaPuranaGitaPressGorakhpur

 


Sunday, July 26, 2020

Alcohol: How much is enough?

In the puranic texts, it is known as soma rasa, sura, madira.  

Yes, we are talking about that liquid whose quantity consumed is second only to water: alcohol.

According to the strength of ethanol content, it is also known as alcopops, beer, cider, lager, wine, sherry, and spirits which are very high in strength and include whisky, rum, vodka, gin and brandy.  




Drinking alcohol is common across communities and cultures across the world.  It is just something that has fascinated mankind with its intoxicating properties that can numb the mind temporarily from the harsh realities of life.  

Studies have also shown that drinking culture is associated with high rates of alcohol dependence.  It is also associated with co-dependence with other substances such as smoking and drugs.  

There are serious consequences of too much indulgence with alcohol and the ramifications are many: social, vocational, medical and psychiatric.  

Treating alcohol dependence is an onerous task, and there are frequent relapses into old patterns of drinking habit, which makes it a frustrating problem to deal with.

So one needs to consider:

How much can one drink?
When does it become a problem?
Are there any indicators of problematic drinking?
How can one measure their alcohol intake?

Find the answers to these questions in this short video in three languages:




Also, read and watch video about smoking/nicotine addiction.




Resources:
Background music [English & Hindi videos]: Paradise [Kannada video: Dreaming in 432Hz by Unicorn Heads]
Picture:
https://upload.wikimedia.org/wikipedia/commons/thumb/5/5f/Chivas_image_for_wikipedia.jpg/1200px-Chivas_image_for_wikipedia.jpg
Units of alcohol, with gratitude to:
https://www.caldersidemedicalpractice.co.uk/wp-content/uploads/2018/05/alcohol-units.jpg
https://www.onesmallstep.org.uk/application/files/8315/7141/4290/how_many.gif

Tuesday, May 26, 2020

My son/daughter has Schizophrenia! What should I do?

What is Schizophrenia?
What is the treatment?
How long should the treatment continue?
What is the role of the family in treating Schizophrenia?
Can the patient get married?


I answer these questions in this short educative video on Schizophrenia, in three languages:





Resources:
Music: 'Birds in Flight', Dan Lebowitz
Thumbnail picture: https://62e528761d0685343e1c-f3d1b99a743ffa4142d9d7f1978d9686.ssl.cf2.rackcdn.com/files/89075/area14mp/image-20150720-12546-bslji2.jpg

Sunday, May 24, 2020

Lectures in Psychiatry

Audio recording with slides of my lectures to undergraduate medical students.  Relevant to medical students/interns of any country/university posted in Psychiatry.


 1. Lecture: Introduction to Psychiatry, Classification & Etiology




Includes detailed explanation of the following slides:

  • What is Psychiatry?
  • Role of psychiatrist
  • Psychiatry not to be confused with... (difference between Psychiatry & Psychology)
  • Mental health teams (components of multidisciplinary psychiatric teams)
  • Branches of Psychiatry
  • Definition of mental health
  • Consequences of mental illness
  • Classification (of psychiatric disorders)
  • Systems of classification
  • ICD-10 Chapter V
  • DSM-5 multiaxial classification
  • Differences between ICD-10 & DSM-5
  • Etiology (of psychiatric disorders)
  • Psychiatric assessment (steps involved)
  • Etiological formulation (based on biopsychosocial model)
  • Formulation: etiology of bipolar affective disorder (an example)
  • Extra slide: Management: investigations + treatment (based on biopsychosocial model)


2. Lecture: Interview techniques, History taking in Psychiatry & Mental State Examination




Includes detailed explanation of the following slides:

  • Interview techniques 2/2 (setting the scene, assessment & questioning style)
  • History 3/3 (steps of history taking with examples/significance)
  • Mental state examination 2/2 (steps of MSE with examples/significance)
  • Diagnosis & Formulation (biopsychosocial approach)


3. Lecture: Psychopathology




Includes detailed explanation of the following slides:

  • Psychopathology (introduction, pioneers)
  • Appearance & behaviour 1/2 (attitude, rapport, tics, tremors, chorea, athetosis, dystonia, stereotypies, mannerisms, compulsive acts)
  • Appearance & behaviour 2/2 (mitmachen, mitgehen, gegenhaltan, negativism, ambitendency, catalepsy, echopraxia, stupor)
  • Speech (poverty of speech, pressure of speech, perseveration, circumstantiality, tangengiality, echolalia, coprolalia, mutism, dysarthria/dysphonia/dysphasia)
  • Affect & mood (labile, flattened, congruous/incongruous affect; euthymic, dysthymic, hyperthymic, cyclothymic, depressed, hypomanic, manic, anxious mood)
  • Thoughts (retarded thinking, thought block, perseveration, circumstantiality, desultory thinking, flight of ideas, knight’s move thinking, vorbeireden, verbigeration, neologisms, obsessions/phobias, overvalued ideas/delusions, suicidal ideas)
  • Perception (illusions, hallucinations, depersonalisation, derealisation)
  • Cognition (consciousness, attention & concentration, disorientation, amnesia, apraxia, agnosia)
  • Insight (partial/full/absent)


4. Lecture: Stress, Adjustment disorders & Anxiety disorders




Includes detailed explanation of the following slides:

  • Stress & adjustment disorders (acute stress reaction, adjustment disorder, post-traumatic stress disorder/PTSD: clinical features, associations)
  • Anxiety (normal/abnormal)
  • Yerkes-Dodson curve (relationship between arousal & performance)
  • General symptoms (physical & psychological symptoms of anxiety)
  • Panic disorder (clinical features, associations)
  • Generalised anxiety disorder (clinical features, associations)
  • Phobias (agoraphobia, social phobia, specific phobias: clinical features, associations)
  • OCD/Obsessive-compulsive disorder (nature & examples of obsessions & compulsions; clinical features, associations of OCD)
  • Management (biopsychosocial approach)
5. Lecture: Grief & bereavement reactions, Mood disorders, Suicide & parasuicide (DSH)




Includes detailed explanation of the following slides:

  • Overview of contents
  • Grief & bereavement reactions (stages of grief, clinical features & management of abnormal bereavement reaction)
  • Depression: core features
  • Depression: biological/somatic symptoms
  • Depression: psychological/cognitive symptoms
  • Depression: psychotic symptoms
  • Mania: core features
  • Mania: biological/somatic symptoms
  • Mania: psychological/cognitive symptoms
  • Mania: psychotic symptoms
  • Psychopathological differences: mania & schizophrenia (table)
  • Clinical distinction between hypomania & mania (flowchart)
  • Mood disorder diagnostic algorithm (flowchart)
  • Bipolar affective disorder (types 1 & 2, mixed affective state)
  • Management (biopsychosocial approach for depression/mania/BPAD)
  • Suicide & parasuicide/DSH (suicide/DSH risk assessment & management)

 6. Lecture: Schizophrenia and other psychoses


Includes detailed explanation of the following slides:

A) Schizophrenia:
  •      History
  •      Epidemiology
  •      Etiology (genetic, neurochemical & neuropathological theories)
  •      Clinical features
  •      Classification
  •      Diagnosis (first rank symptoms, ICD 10 & DSM 5)
  •      Management

B) Other psychotic disorders
C) Extra slides: MCQ with answers

References/resources:
An Atlas of Schizophrenia, Stefan M., Travis M. & Murray R.M., The Parthenon Publishing Group, London, 2002
https://upload.wikimedia.org/wikipedia/commons/9/95/Van_Gogh_Self_Portrait_with_Straw_Hat_1887-Detroit.jpg
https://upload.wikimedia.org/wikipedia/commons/a/a9/John_Forbes_Nash%2C_Jr._by_Peter_Badge.jpg
https://upload.wikimedia.org/wikipedia/commons/thumb/c/cd/Emil_Kraepelin_1926.jpg/220px-Emil_Kraepelin_1926.jpg
https://upload.wikimedia.org/wikipedia/commons/c/c4/Eugen_bleuler.jpg
https://en.wikipedia.org/wiki/Unitary_psychosis#/media/File:Griesinger.jpg
https://images.app.goo.gl/D1AaGLjCRtkSgvbS8
https://upload.wikimedia.org/wikipedia/ru/thumb/f/f3/Kurt_Schneider.jpg/230px-Kurt_Schneider.jpg


 7. Lecture: Psychosexual disorders & Paraphilias



Includes detailed explanation of the following slides:
  • Normal sexual stages
  • Sexual stage disorders
  • Paraphilias 1/2: voyeurism, exhibitionism, frotteurism, fetishism, transvestism, masochism, sadism
  • Paraphilias 2/2: pedophilia, gender dysphoria
  • (With additional explanation about masturbation & homosexuality)


 8. Lecture: Disorders of Sleep


Includes detailed explanation of the following slides: 1. Disorders of sleep (insomnia & hypersomnia) 2. Stages of sleep 3. Circadian rhythm disorders 4. Parasomnias 5. Management of sleep disorders (including sleep hygiene)

References/resources:
https://sleepdisorders.sleepfoundation.org/chapter-1-normal-sleep/stages-of-human-sleep/ 
http://facweb.furman.edu/~einstein/general/sleepdemo/sleep.htm



9. Lecture: Psychopharmacology, ECT & Psychotherapies



Includes detailed explanation of the following slides:

1. Psychopharmacology (10 slides):
  • biopsychosocial management 
  • pharmacokinetics & pharmacodynamics, 
  • main groups of drug with examples, 
  • indications, 
  • treatment outcome, 
  • general & specific adverse effects, 
  • usage in special patient groups
2. Electroconvulsive therapy (ECT)

3. Psychotherapies (5 slides):
  • general attributes & counselling skills,
  • supportive psychotherapy,
  • behavioural therapy & cognitive-behaviour therapy (CBT),
  • psychodynamic psychotherapy & other types of therapy

References/resources:
  • Fundamentals of Clinical Psychopharmacology, Anderson I.M. & Reid I.C., 2nd Edition (2004), British Association of Psychopharmacology, Taylor & Frances (UK)
  • The Maudsley Prescribing Guildelines, Taylor D., Paton C. & Kerwin R., 9th Edition (2007), The South London And Maudsley NHS Foundation Trust, Informa Healthcare (UK)
  • Shorter Oxford Textbook of Psychiatry, Gelder M., Mayour R. & Cowen P., 4th Edition (2001) Oxford University Press (UK)
  • https://upload.wikimedia.org/wikipedia/commons/thumb/e/e6/MECTA_spECTrum_ECT.jpg/1200px-MECTA_spECTrum_ECT.jpg
  • https://www.dovepress.com/cr_data/article_fulltext/s160000/160093/img/NDT-160093-F01.jpg


10. Lecture: Psychiatry Summary Slides

Comprehensive overview of major topics in Psychiatry for Medical Undergraduate Students, as per DSM-5.  

https://youtu.be/_mtrKYymVHg

Includes the following:

  • Psychological theories
  • Biopsychosocial model of etiology
  • Assessments & classification
  • Biopsychosocial model of management
  • Stress & anxiety disorders
  • Mood disorders & suicide
  • Somatic & dissociative disorders
  • Psychotic disorders
  • Personality disorders
  • Substance use disorders
  • Sleep-wake disorders
  • Psychosexual disorders
  • Neurodevelopmental & impulse control disorders
  • Eating disorders
  • Neurocognitive disorders



Film conversations: Dhurandhar

Chapter 1: The movie-going experience Due to prior horrid experiences related to  popcorn prices rivalling real estate rates in Bengaluru, ...