Download Case Files: Psychiatry by Eugene C. Toy PDF

By Eugene C. Toy

The nearest a pupil can get to the wards with no seeing sufferers! Designed to coach via scientific instances, this article deals 60 of the most typical scientific difficulties in psychiatry besides case dialogue questions, scientific pearls, keyword phrases and ideas, and USMLE-style questions and solutions to augment studying. this can be an exceptional learn consultant for the psychiatry shelf examination and the USMLE Step 2.

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Behavior modification: Includes a group of loosely related therapies that work according to the principles of learning. A short list of examples of these therapies follows. A. Systematic desensitization: Exposing the patient to increasingly anxiety-provoking stimuli and at the same time teaching him or her to relax. This therapy is used in the treatment of phobias and in preventing compulsions. B. Substitution: Replacing an undesirable behavior (smoking) with a desirable one (chewing gum). C. Hypnosis: Induction of an advanced state of relaxation or a “trance” during which suggestions can be made.

Insight-oriented psychotherapy 1. Goals: Form an alliance with the patient, recognize transference/countertransference feelings as they occur, and uncover unconscious wishes and defenses that have caused the patient to become maladaptive. 2. Indicated in the treatment of anxiety, somatoform and dissociative disorders, personality disorders, neuroses, and trauma. It should be noted that although psychotherapy may be indicated for all these disorders, the degree of patient insight and motivation for undergoing treatment are critical to its success.

He denies illicit drug use or any recent traumatic events. The man states that although he is sure he is experiencing another major depression, he would like to avoid imipramine this time because although it worked in the past, it produced unacceptable side effects such as dry mouth, dry eyes, and constipation. ◆ What is the best therapy? ◆ What are the side effects of the proposed therapy? 48 CLINICAL CASES IN PSYCHIATRY ANSWERS TO CASE 1: Major Depression, Recurrent Summary: A 42-year-old man complains of symptoms of major depression identical to two prior episodes he experienced in the past.

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