Theme 4:
Psychiatry I
Summary
1
,Inhoud
Week 13: Acute psychiatry.....................................................................................................................6
Introduction........................................................................................................................................6
Confused people............................................................................................................................6
Psychiatric emergency....................................................................................................................6
Suicidality...........................................................................................................................................8
Assessment in emergency in psychiatry...........................................................................................10
Verwarde personen of mensen met een acute zorgnood?..............................................................11
“Ambulantisering” by the GGZ.....................................................................................................11
Confusion......................................................................................................................................11
Psychosocial risk factors and bottlenecks in healthcare...............................................................11
Psychosis spectrum disorders...........................................................................................................13
Introduction..................................................................................................................................13
Syndromes....................................................................................................................................13
Development, course and impact.................................................................................................17
Diagnosis.......................................................................................................................................18
Differential diagnosis....................................................................................................................18
Suicidal behaviour............................................................................................................................20
Introduction..................................................................................................................................20
Syndrome.....................................................................................................................................20
Development, course and impact.................................................................................................20
Diagnosis.......................................................................................................................................20
Differential diagnosis....................................................................................................................21
Epidemiology................................................................................................................................21
Aetiopathogenesis........................................................................................................................21
Treatment.....................................................................................................................................22
Psychiatry and the law......................................................................................................................23
The medical treatment contracts act (WGBO)..............................................................................23
The psychiatric hospitals (Compulsory admission) act (Wet BOPZ)..............................................24
Emergency psychiatry.......................................................................................................................26
Introduction..................................................................................................................................26
Referral and preparation for emergency psychiatry consultation................................................26
Initial inventory.............................................................................................................................26
Diagnostics....................................................................................................................................27
Interventions................................................................................................................................27
2
, Suicidality.........................................................................................................................................29
Suicide risk assessment....................................................................................................................34
Week 14: Sombre mood.......................................................................................................................35
Introduction......................................................................................................................................35
Bipolar disorders...............................................................................................................................37
Introduction..................................................................................................................................37
Syndromes....................................................................................................................................37
Development, course and impact.................................................................................................40
Diagnosis.......................................................................................................................................41
Differential diagnosis....................................................................................................................41
Epidemiology................................................................................................................................42
Aetiopathogenesis........................................................................................................................42
Treatment.....................................................................................................................................43
Depressive disorders........................................................................................................................46
Introduction..................................................................................................................................46
Syndromes....................................................................................................................................46
Development, course and impact.................................................................................................49
Diagnosis.......................................................................................................................................50
Differential diagnosis....................................................................................................................51
Epidemiology................................................................................................................................53
Aetiopathogenesis........................................................................................................................53
Treatment.....................................................................................................................................54
Occupational medicine.....................................................................................................................60
5.2.3 Absenteeism........................................................................................................................60
5.2.4 Occupational disability.........................................................................................................60
5.3.3 Models for absenteeism guidance.......................................................................................60
Pharmacology: Depression...............................................................................................................61
Drugs and psychiatry........................................................................................................................65
Renaissance of psychedelics.........................................................................................................65
Working of psychedelics...............................................................................................................66
Administration of psychedelic therapy.........................................................................................67
Week 15: Extreme anxiety....................................................................................................................69
Anxiety disorders..............................................................................................................................69
Introduction..................................................................................................................................69
Syndromes....................................................................................................................................69
Development, course and impact.................................................................................................73
3
, Diagnosis.......................................................................................................................................74
Differential diagnosis....................................................................................................................74
Epidemiology................................................................................................................................75
Aetiopathogenesis........................................................................................................................76
Treatment.....................................................................................................................................78
Obsessive compulsive and related disorders....................................................................................81
Introduction..................................................................................................................................81
Syndromes....................................................................................................................................81
Development, course and impact.................................................................................................83
Diagnosis and differential diagnosis.............................................................................................84
Epidemiology................................................................................................................................85
Aetiopathogenesis........................................................................................................................85
Treatment.....................................................................................................................................88
Trauma-related disorders and judgment disorders..........................................................................91
Introduction..................................................................................................................................91
Syndromes....................................................................................................................................91
Development, course and impact.................................................................................................93
Diagnosis.......................................................................................................................................93
Differential diagnosis....................................................................................................................93
Epidemiology................................................................................................................................94
Aetiopathogenesis........................................................................................................................94
Treatment.....................................................................................................................................96
Adjustment disorders.......................................................................................................................98
Introduction..................................................................................................................................98
Syndrome.....................................................................................................................................98
Development, course and impact.................................................................................................99
Diagnosis.......................................................................................................................................99
Differential diagnosis....................................................................................................................99
Epidemiology................................................................................................................................99
Aetiopathogenesis........................................................................................................................99
Treatment...................................................................................................................................100
Occupational medicine...................................................................................................................101
Work-related condition..............................................................................................................101
Occupational disease..................................................................................................................101
Organisation of occupational healthcare....................................................................................101
Occupational physicians and other health and safety disciplines...............................................101
4
Psychiatry I
Summary
1
,Inhoud
Week 13: Acute psychiatry.....................................................................................................................6
Introduction........................................................................................................................................6
Confused people............................................................................................................................6
Psychiatric emergency....................................................................................................................6
Suicidality...........................................................................................................................................8
Assessment in emergency in psychiatry...........................................................................................10
Verwarde personen of mensen met een acute zorgnood?..............................................................11
“Ambulantisering” by the GGZ.....................................................................................................11
Confusion......................................................................................................................................11
Psychosocial risk factors and bottlenecks in healthcare...............................................................11
Psychosis spectrum disorders...........................................................................................................13
Introduction..................................................................................................................................13
Syndromes....................................................................................................................................13
Development, course and impact.................................................................................................17
Diagnosis.......................................................................................................................................18
Differential diagnosis....................................................................................................................18
Suicidal behaviour............................................................................................................................20
Introduction..................................................................................................................................20
Syndrome.....................................................................................................................................20
Development, course and impact.................................................................................................20
Diagnosis.......................................................................................................................................20
Differential diagnosis....................................................................................................................21
Epidemiology................................................................................................................................21
Aetiopathogenesis........................................................................................................................21
Treatment.....................................................................................................................................22
Psychiatry and the law......................................................................................................................23
The medical treatment contracts act (WGBO)..............................................................................23
The psychiatric hospitals (Compulsory admission) act (Wet BOPZ)..............................................24
Emergency psychiatry.......................................................................................................................26
Introduction..................................................................................................................................26
Referral and preparation for emergency psychiatry consultation................................................26
Initial inventory.............................................................................................................................26
Diagnostics....................................................................................................................................27
Interventions................................................................................................................................27
2
, Suicidality.........................................................................................................................................29
Suicide risk assessment....................................................................................................................34
Week 14: Sombre mood.......................................................................................................................35
Introduction......................................................................................................................................35
Bipolar disorders...............................................................................................................................37
Introduction..................................................................................................................................37
Syndromes....................................................................................................................................37
Development, course and impact.................................................................................................40
Diagnosis.......................................................................................................................................41
Differential diagnosis....................................................................................................................41
Epidemiology................................................................................................................................42
Aetiopathogenesis........................................................................................................................42
Treatment.....................................................................................................................................43
Depressive disorders........................................................................................................................46
Introduction..................................................................................................................................46
Syndromes....................................................................................................................................46
Development, course and impact.................................................................................................49
Diagnosis.......................................................................................................................................50
Differential diagnosis....................................................................................................................51
Epidemiology................................................................................................................................53
Aetiopathogenesis........................................................................................................................53
Treatment.....................................................................................................................................54
Occupational medicine.....................................................................................................................60
5.2.3 Absenteeism........................................................................................................................60
5.2.4 Occupational disability.........................................................................................................60
5.3.3 Models for absenteeism guidance.......................................................................................60
Pharmacology: Depression...............................................................................................................61
Drugs and psychiatry........................................................................................................................65
Renaissance of psychedelics.........................................................................................................65
Working of psychedelics...............................................................................................................66
Administration of psychedelic therapy.........................................................................................67
Week 15: Extreme anxiety....................................................................................................................69
Anxiety disorders..............................................................................................................................69
Introduction..................................................................................................................................69
Syndromes....................................................................................................................................69
Development, course and impact.................................................................................................73
3
, Diagnosis.......................................................................................................................................74
Differential diagnosis....................................................................................................................74
Epidemiology................................................................................................................................75
Aetiopathogenesis........................................................................................................................76
Treatment.....................................................................................................................................78
Obsessive compulsive and related disorders....................................................................................81
Introduction..................................................................................................................................81
Syndromes....................................................................................................................................81
Development, course and impact.................................................................................................83
Diagnosis and differential diagnosis.............................................................................................84
Epidemiology................................................................................................................................85
Aetiopathogenesis........................................................................................................................85
Treatment.....................................................................................................................................88
Trauma-related disorders and judgment disorders..........................................................................91
Introduction..................................................................................................................................91
Syndromes....................................................................................................................................91
Development, course and impact.................................................................................................93
Diagnosis.......................................................................................................................................93
Differential diagnosis....................................................................................................................93
Epidemiology................................................................................................................................94
Aetiopathogenesis........................................................................................................................94
Treatment.....................................................................................................................................96
Adjustment disorders.......................................................................................................................98
Introduction..................................................................................................................................98
Syndrome.....................................................................................................................................98
Development, course and impact.................................................................................................99
Diagnosis.......................................................................................................................................99
Differential diagnosis....................................................................................................................99
Epidemiology................................................................................................................................99
Aetiopathogenesis........................................................................................................................99
Treatment...................................................................................................................................100
Occupational medicine...................................................................................................................101
Work-related condition..............................................................................................................101
Occupational disease..................................................................................................................101
Organisation of occupational healthcare....................................................................................101
Occupational physicians and other health and safety disciplines...............................................101
4
