Psychological Medicine – There is an important relationship between the mind and the body and by their mutual balance they keep the human beings on go. This aspect of human nature and disease has been recognized since earlier times.
It only tends to act as a pointer to the fact that serious emotional upheavals may manifest primarily in terms of physical illness and the combination of such factors should be regarded as interdependent on each.
This field of Medicine illness is not the preserve of the psychiatrist alone. Often an erroneous impression is created that it is either physical or psychological in nature. It is not really so.
It is the predominance of either physical or psychological factors in etiology which can justify its label. Commonly, the two ailments and their symptoms are intermixed and it is important to identify the basic disease.
Diagnosis and assessment of a psychiatric condition depends to a large extent on:
1) History of the patient’s ailments like occupation, family discord, abnormal behavior, substance abuse, acute trauma.
2) Past history like mental condition, suicidal attempt, medical illness.
3) Family history like of mental ailment, epilepsy, consanguinity, family relationships, marital discord.
4) Personal history like drug abuse adolescent.
Besides the above, one must look into the emotions, thought (delusions, obsessions), perceptual disorders (hallucinations, illusions) and sensory distortions. Memory loss of recent or past events shall be important to make a diagnosis of organic psychiatric conditions.
When dealing with any patient with this condition, attempt should be made to pin point the disorder like personality, anxiety, bipolar affective, psychotic disorders and that of childhood and adolescence.
In Psychological Medicine, Beside a complete physical examination to exclude any organic disease, tests for individual’s intelligence be performed (intelligence test, personality and projective tests) in addition to electro physiological studies (BEG) CT Scan, MRI and positron emission tomography (PET).
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