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Psychiatry 2 List of Lectures

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Symptomatic and organic disorders I. Symptomatic and organic disorders II. Mental disorders due to psychoactive substances use I. Mental disorders due to psychoactive substances use II. Affective disorders Schizophrenia I. Schizophrenia II. Eating disorders, sleep disorders, personality disorders Anxiety disorders, Functional sexual disorders Gerontopsychiatry Mental disorders in childhood and adolescence

Authors: doc. MUDr. Viera Konkov, CSc. MUDr. Mria Krlov, PhD. doc. MUDr. Jn Peek, CSc. doc. MUDr. Igor kodek, PhD. MUDr. Michal Turek, PhD. Supported by: KEGA 099UK-4/2012

Psychiatry 2 Lecture # 1 Symptomatic and organic disorders I. Lecture outline Category F00-F09 according to ICD-10
Basic characteristics of symptomatic and organic mental disorders Psychopathological symptoms Clinical relevance of symptomatic and organic mental disorders

Symptomatic and organic mental disorders according to ICD-10


Organic amnestic syndrome not induced by alcohol or other psychoactive substances Etiology, clinical picture, course, diagnosis, treatment Delirium not induced by alcohol or other psychoactive substances Delirium- term explanation Clinical features of other qualitative disturbances of consciousness Etiology, clinical picture, course, diagnosis, treatment Differential diagnosis delirium vs. dementia Other mental disorders due to brain damage and dysfunction or to the physical disease Mood disorders Anxiety disorders Psychotic disorders Personality disorders Etiology, clinical picture, course, diagnosis, treatment

Psychiatry 2 Lecture # 2 Symptomatic and organic disorders II. Lecture outline Dementias overview
Category F00-F09 according to ICD-10 Symptomatic and organic mental disorders according to ICD-10 Basic characteristics of symptomatic and organic mental disorders Psychopathological symptoms of symptomatic and organic mental disorders Dementia definition, classification Features of cortical and subcortical dementias Diagnostics of dementia Indicators of cognitive disturbances Diagnostics of dementia syndrome GP, neurologist, psychiatrist Nosological diagnosis of dementia psychiatrist, neurologist, memory centre Nosologic classification of dementias Differential diagnosis between depression and dementia Differential diagnosis of dementias according to clinical characteristics Problems with diagnostic of dementia in clinical practice Treatment of dementia Treatment of noncognitive symptoms

Alzheimers dementia (DAT)


DAT basic & clinical characteristics, treatment

Dementia with Lewy bodies (LBD)


LBD basic & clinical characteristics, treatment

Frontotemporal dementia (FTD)


FTD basic & clinical characteristics, treatment

Vascular dementia (VAD)


VAD- basic & clinical characteristics, treatment, prevention

Psychiatry 2 Lecture # 3 Mental disorders due to psychoactive substances use I. Lecture outline Psychoactive substances overview
Definition of psychoactive substance Classification of psychoactive substances Classification according to ICD-10 Classes of psychoactive substances according to their primary effect Classes of psychoactive substances according to their nature Classes of psychoactive substances according to legality Classes of psychoactive substances according to route of their administration Modes of use of psychoactive substances Recreational use Symptomatic use Misuse / Harmful use / Abuse Dependence / Addiction Intoxication general remarks Identification and management of intoxication Withdrawal state general remarks Identification and management of withdrawal state Withdrawal state with delirium Dependence syndrome general remarks Risk factors of developing dependence Signs, manifestations and general criteria of dependence syndrome Diagnostics of substance dependence Treatment of substance dependence and relapse prevention

Mental disorders due to alcohol use


Alcohol intoxication Alcohol harmful use / abuse Alcohol dependence Epidemiology, clinical picture, course, diagnosis, treatment, relapse prevention Complications of long-term alcohol use Alcohol withdrawal state Alcohol withdrawal delirium Alcohol-induced hallucinosis Alcohol-induced depression Korsakoff syndrome Wernickes encephalopathy Alcohol dementia

Psychiatry 2 Lecture # 4 Mental disorders due to psychoactive substances use II. Lecture outline Mental disorders due to use of opioids
Opioid intoxication Identification and management Opioid withdrawal state Identification and management Opioid dependence Epidemiology, clinical picture, course, diagnosis, treatment, relapse prevention Complications of long-term use of opioids Common psychic complications their identification and management Common somatic complications their identification and management

Mental disorders due to use of benzodiazepines


Benzodiazepine intoxication & withdrawal state Identification and management Benzodiazepine dependence and its complications Epidemiology, clinical picture, course, diagnosis, treatment, relapse prevention

Mental disorders due to use of marijuana & other cannabinoids


Cannabinoid intoxication & withdrawal state Identification and management Cannabinoid dependence and its complications Epidemiology, clinical picture, course, diagnosis, treatment, relapse prevention

Mental disorders due to use of amphetamine psychostimulants


Psychostimulant intoxication & withdrawal state Identification and management Psychostimulant dependence and its complications Epidemiology, clinical picture, course, diagnosis, treatment, relapse prevention

Mental disorders due to use of other psychoactive substances


Hallucinogenes & Delirogenes Volatiles Tobacco Caffeine Cocaine

Psychiatry 2 Lecture # 5 Affective disorders Lecture outline Affective disorders overview


Category F30-F39 according to ICD-10 Depressive episode Recurrent depression Dysthymia Bipolar affective disorder Cyklothymia Depressive disorder Etiology of depression Multifactorial Kindling phenomenon Epidemiology of depression Clinical picture and the course of depression Psychopathological symptoms of depressive episode and dysthymia Core features, severity (mild/moderate episode with/without somatic symptoms, severe episode with/without psychotic symptoms), acute episode/remission Diagnosis and differential diagnosis of depression Assessment scales Treatment of depression Biological and non-biological treatment Antidepressants, therapeutic strategy in depression (acute, maintenance, prophylaxis) Bipolar affective disorder Etiology of bipolar affective disorder Epidemiology of bipolar affective disorder Clinical picture and the course Psychopathological symptoms of manic / hypomanic / mixed episode Core features, severity and course (current episode hypomanic, manic with/without psychotic symptoms, depressive, mixed), remission Diagnosis and differential diagnosis of bipolar disorder Treatment of bipolar disorder Biological and non biological treatment Mood stabilisers Treatment of manic / hypomanic episode Treatment of depressive episode of bipolar disorder Prophylactic treatment of bipolar disorder

Psychiatry 2 Lecture # 6 Schizophrenia I Lecture outline Schizophrenia


History E. Kraepelin E. Bleuler K. Schneider Prevalence Incidence age at diagnosis Etiology Genetics of schizophrenia Dopamine theory of schizophrenia Symptoms, syndromes in schizophrenia Psychotic symptoms First rank symptoms Positive syndrome Negative syndrome Other syndromes Types of schizophrenia Treatment of schizophrenia Antipsychotics ECT Non-pharmacological treatment Course and prognosis

Psychiatry 2 Lecture # 7 Schizophrenia II. Schizophrenia spectrum disorders Lecture outline Acute and transient psychotic disorders
Acute schizophrenia-like psychotic disorder Definition Differential diagnosis from schizophrenia, time course

Schizoaffective disorders
Types of schizoaffective disorders Differential diagnosis from schizophrenia Differential diagnosis form psychotic affective disorders Specifics of the treatment of affective syndromes

Persistent delusional disorders


Difference between paranoid and paranoic psychotic states Paranoia Paraphrenia Dysmorphophobia Monosymptomatic psychoses

Schizotypal disorder
Understanding the continuity across dimensions Schizotypal disorder Schizoid personality disorder Schizophrenia

Induced delusional disorder

Psychiatry 2 Lecture # 8 Eating disorders, sleep disorders, personality disorders Lecture outline Eating disorders
Anorexia nervosa Etiology, epidemiology, clinical picture, course, diagnosis, treatment Bulimia nervosa Etiology, epidemiology, clinical picture, course, diagnosis, treatment Binge eating

Sleep disorders
Characteristics of sleep and sleep disturbances REM vs. non-REM sleep Primary sleep disorders dyssomnia, parasomnia Sleep disorders related to another mental disorder

Personality disorders
The concept of abnormal personality and personality disorder Classification of the personality disorders within clusters Description of specific types of personality disorders

Psychiatry 2 Lecture # 9 Anxiety disorders and functional sexual disorders Lecture outline Anxiety disorders
Anxiety disorders as a group Etiology, epidemiology, core clinical features, diagnosis, principles of treatment Panic disorder/agoraphobia Etiology, epidemiology, clinical picture, course, diagnosis, treatment Simple/Specific phobias Etiology, epidemiology, clinical picture, course, diagnosis, treatment Social phobia Etiology, epidemiology, clinical picture, course, diagnosis, treatment Generalized anxiety disorder Etiology, epidemiology, clinical picture, course, diagnosis, treatment Post-traumatic stress disorder Etiology, epidemiology, clinical picture, course, diagnosis, treatment Obsessive-compulsive disorder Etiology, epidemiology, clinical picture, course, diagnosis, treatment

Functional sexual disorders


Sexual dysfunctions common to men and women Lack or loss of sexual desire Sexual aversion or lack of sexual enjoyment Excessive sexual desire Sexual dysfunctions specific to women Failure of genital response Orgasmic dysfunction Non-organic vaginismus Non-organic dyspareunia Sexual dysfunctions specific to men Erectile failure Orgasmic dysfunction (inhibited ejaculation) Premature ejaculation Non-organic dyspareunia

Psychiatry 2 Lecture # 10 Gerontopsychiatry Lecture outline Geriatric psychiatry Introduction Ageing


Ageing of the European population The effects of ageing

The most important mental disorders in elderly


Depressive disorders in the elderly Epidemiology, core clinical features, diagnosis, course, principles of treatment Anxiety & Stress-related disorders in the elderly Epidemiology, core clinical features, diagnosis, course, principles of treatment Substance use disorders in the elderly Epidemiology, core clinical features, diagnosis, course, principles of treatment Dementia Increasing percent of the population with dementia Importance of early recognition of dementia Etiology of dementias Epidemiology, core clinical features, diagnosis, course, principles of treatment

Psychiatry 2 Lecture # 11 Mental disorders in childhood and adolescence Lecture outline Mental disorders in childhood and adolescence overview
Developmental stages in childhood and adolescence

Mental retardation
Etiology, epidemiology, clinical picture, course, diagnosis, management

Developmental disorders
Specific developmental disorder of motor function Specific developmental disorders of speech and language Disorders of scholastic skills Pervasive developmental disorders Childhood autism; Asperger syndrome; Rett syndrome

Disorders with onset usually occurring in childhood and adolescence


Hyperkinetic disorder Conduct disorders Mixed disorder of conduct and emotions Emotional problems with onset in childhood Separation anxiety Elective mutism Tic disorders Disorders of elimination Enuresis; Encopresis Stuttering

Disorders with onset optionally occurring in childhood and adolescence


Substance use disorders Schizophrenia Mood disorders Suicidality in non-adult patients Obsessive-compulsive disorder Child abuse & Post-traumatic stress disorder in non-adult patients Disorders of eating Anorexia nervosa; Bulimia nervosa Gender identity disorders Impulsive disorders

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