Contents
Page
Foreword .............................................................................................
Introduction .........................................................................................
1- Review of Basics ................................................................................ 7
2- Signs and Symptoms ......................................................................... 20
3- Psychiatric Assessment ..................................................................... 38
4- Diagnosis and Classification ............................................................. 52
5- Aetiology........................................................................................... 61
6- Organic Mental Disorders ................................................................. 70
7- Substance-Related Disorders ............................................................ 84
8- Schizophrenia ................................................................................... 109
9- Mood Disorders ................................................................................ 122
10- Other Psychotic Disorders ................................................................ 138
• Test – 1 ...................................................................................... 145
11- Anxiety and Phobias ......................................................................... 149
12- Obsessive Complusive Disorder ....................................................... 169
13- Stress-Related Disorders ................................................................... 177
14- Somatoform Disorders ...................................................................... 190
15- Dissociative Disorders ...................................................................... 203
Factitious Disorders
Malingering
16- Consultation-Liaison Psychiatry ....................................................... 213
17- Eating, Sleep and Sexual Disorders .................................................. 221
18- Personality Disorders ........................................................................ 233
19- Emergency Psychiatry....................................................................... 245
20- Women & Geriatric Psychiatry ......................................................... 261
• Test – 2 ...................................................................................... 267
21- Child Psychiatry ................................................................................ 271
22- Community and Rehabilitation Psychiatry ....................................... 285
23- Physical Treatments .......................................................................... 293
24- Psychological Treatments ................................................................. 315
• Test – 3 ...................................................................................... 327
,Appendix – A: Answers ........................................................................... 335
Appendix – B: Local Studies in Saudi Arabia ......................................... 349
* * *
Appendix – C: Islam-Related Issues .....................................................
Appendix – D: Glossary .......................................................................
* * *
References ...........................................................................................
, Basic Psychiatry
60
Chapter 1
Review of Basic Sciences
Relevant to Psychiatry
• Neurophysiology
• Neurotransmitters
• Clinical Psychology
7
, Review of Basic Sciences Relevant to Psychiatry
REVIEW OF NEUROPHYSIOLOGY
❑ Frontal Lobe Functions
• Cognitive and intellectual functions:
Attention, concentration, registration, reasoning, problem-
solving, planning and judgment.
• Mood and behaviour control.
• Motor language (processing information to produce speech).
• Planning and control of voluntary movements.
• Sphincter control.
❑ Temporal Lobe Functions
• Comprehension and retention of auditory and visual information.
• Emotions and sexual activity control.
❑ Parietal Lobe Functions
• Interpretation of sensations: touch, pressure (stereognosis).
• Appreciation of body image (spatial orientation).
• Constructional skills (dressing, drawing … ).
❑ Occipital Lobe Functions
• Perception and analysis of visual sensations (colour, shape,
dimensions…).
❑ Cerebellum Functions
• Coordination of muscle contractions and motor activity.
• Maintenance of posture and body balance.
❑ Basal Ganglia Functions
• Subconscious control of tone and movements of the skeletal
muscles, such as swinging the arms while walking.
❑ Midbrain Functions
• Consciousness and arousal (function of the reticular formation
which extends also through pons and medulla).
• Control of reflexive head and eye movements.
8
Page
Foreword .............................................................................................
Introduction .........................................................................................
1- Review of Basics ................................................................................ 7
2- Signs and Symptoms ......................................................................... 20
3- Psychiatric Assessment ..................................................................... 38
4- Diagnosis and Classification ............................................................. 52
5- Aetiology........................................................................................... 61
6- Organic Mental Disorders ................................................................. 70
7- Substance-Related Disorders ............................................................ 84
8- Schizophrenia ................................................................................... 109
9- Mood Disorders ................................................................................ 122
10- Other Psychotic Disorders ................................................................ 138
• Test – 1 ...................................................................................... 145
11- Anxiety and Phobias ......................................................................... 149
12- Obsessive Complusive Disorder ....................................................... 169
13- Stress-Related Disorders ................................................................... 177
14- Somatoform Disorders ...................................................................... 190
15- Dissociative Disorders ...................................................................... 203
Factitious Disorders
Malingering
16- Consultation-Liaison Psychiatry ....................................................... 213
17- Eating, Sleep and Sexual Disorders .................................................. 221
18- Personality Disorders ........................................................................ 233
19- Emergency Psychiatry....................................................................... 245
20- Women & Geriatric Psychiatry ......................................................... 261
• Test – 2 ...................................................................................... 267
21- Child Psychiatry ................................................................................ 271
22- Community and Rehabilitation Psychiatry ....................................... 285
23- Physical Treatments .......................................................................... 293
24- Psychological Treatments ................................................................. 315
• Test – 3 ...................................................................................... 327
,Appendix – A: Answers ........................................................................... 335
Appendix – B: Local Studies in Saudi Arabia ......................................... 349
* * *
Appendix – C: Islam-Related Issues .....................................................
Appendix – D: Glossary .......................................................................
* * *
References ...........................................................................................
, Basic Psychiatry
60
Chapter 1
Review of Basic Sciences
Relevant to Psychiatry
• Neurophysiology
• Neurotransmitters
• Clinical Psychology
7
, Review of Basic Sciences Relevant to Psychiatry
REVIEW OF NEUROPHYSIOLOGY
❑ Frontal Lobe Functions
• Cognitive and intellectual functions:
Attention, concentration, registration, reasoning, problem-
solving, planning and judgment.
• Mood and behaviour control.
• Motor language (processing information to produce speech).
• Planning and control of voluntary movements.
• Sphincter control.
❑ Temporal Lobe Functions
• Comprehension and retention of auditory and visual information.
• Emotions and sexual activity control.
❑ Parietal Lobe Functions
• Interpretation of sensations: touch, pressure (stereognosis).
• Appreciation of body image (spatial orientation).
• Constructional skills (dressing, drawing … ).
❑ Occipital Lobe Functions
• Perception and analysis of visual sensations (colour, shape,
dimensions…).
❑ Cerebellum Functions
• Coordination of muscle contractions and motor activity.
• Maintenance of posture and body balance.
❑ Basal Ganglia Functions
• Subconscious control of tone and movements of the skeletal
muscles, such as swinging the arms while walking.
❑ Midbrain Functions
• Consciousness and arousal (function of the reticular formation
which extends also through pons and medulla).
• Control of reflexive head and eye movements.
8
