10. Psychiatry and Mental Health

Psychiatry vs. Psychology

Psychiatry diagnoses and treats mental disorders on a medical level. They prescribe medicine and focus on treatment of illness. Psychology is broader with more specialties and focus on perception, learning, psychological testing, etc.

Prevalence of Mental illness

1 in 5 adults in US

1 in 20 have serious mental illness

Life expectancy for those with severe mental illness is

Shortened by 13-30 years

5 parts of building rapport with patients

1. Respect for patient

2. Engaged curiosity

3. Focused listening

4. Mutual Participation

5. Self-awareness

How do you handle a patient with psychosis?

Allow them to have it but don't play into delusions; acknowledge that they are real to them and most likely distressing

SE of SSRI

Dry eye, transient mydriasis

SE of TCA

Transient disruption in accommodation, close-angle glaucoma

SE of anti-psychotics

Cataracts, ocular dystopias, retinopathy

Functional Neurological Disorder

physical symptoms with no physical explanation; can present as "blindness"