Portal:Psychiatry

The Psychiatry Portal

Psychiatry is the medical specialty devoted to the diagnosis, treatment, and prevention of deleterious mental conditions. These include matters related to cognition, perceptions, mood, emotion, and behavior.

Initial psychiatric assessment of a person begins with creating a case history and conducting a mental status examination. Laboratory tests, physical examinations, and psychological tests may be conducted. On occasion, neuroimaging or neurophysiological studies are performed.

Mental disorders are diagnosed in accordance with diagnostic manuals such as the International Classification of Diseases (ICD), edited by the World Health Organization (WHO), and the Diagnostic and Statistical Manual of Mental Disorders (DSM), published by the American Psychiatric Association (APA). The fifth edition of the DSM (DSM-5) was published in May 2013. (Full article...)

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Methylphenidate (trade names Concerta, Methylin, Ritalin, Equasym XL) is a substituted phenethylamine and psychostimulant drug used for the treatment of attention-deficit hyperactivity disorder (ADHD), postural orthostatic tachycardia syndrome and narcolepsy. Methylphenidate has been studied and researched for over 50 years and has a very good efficacy and safety record for the treatment of ADHD. The original patent was owned by CIBA, now Novartis Corporation. It was first licensed by the U.S. Food and Drug Administration (FDA) in 1955 for treating what was then known as hyperactivity. Prescribed to patients beginning in 1960, the drug became heavily prescribed in the 1990s, when the diagnosis of ADHD itself became more widely accepted.

ADHD and other similar conditions are believed to be linked to sub-performance of the dopamine and norepinephrine functions in the brain, primarily in the prefrontal cortex, responsible for self-regulatory function (e.g., inhibition, motivation, and memory) and executive function (e.g., reasoning, organizing, problem solving, and planning). Methylphenidate's mechanism of action involves the inhibition of catecholamine reuptake, primarily as a dopamine reuptake inhibitor. Methylphenidate acts by blocking the dopamine transporter and norepinephrine transporter, leading to increased concentrations of dopamine and norepinephrine within the synaptic cleft. This effect in turn leads to increased neurotransmission of dopamine and norepinephrine. (Full article...)

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Advert from ca. 1962 for Thorazine (trade-name of chlorpromazine in the U.S.). An antipsychotic (neuroleptic, major tranquilizer, antischizophrenic, actaractic). In Europe it is known as Largactil. The text of the ad reads:

When the patient lashes out against "them" - THORAZINE (brand of chlorpromazine) quickly puts an end to his violent outburst. 'Thorazine' is especially effective when the psychotic episode is triggered by delusions or hallucinations. At the outset of treatment, Thorazine's combination of antipsychotic and sedative effects provides both emotional and physical calming. Assaultive or destructive behavior is rapidly controlled. As therapy continues, the initial sedative effect gradually disappears. But the antipsychotic effect continues, helping to dispel or modify delusions, hallucinations and confusion, while keeping the patient calm and approachable. SMITH KLINE AND FRENCH LABORATORIES leaders in psychopharmaceutical research.

image credit: public domain

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Wilhelm Reich (/raɪx/; German: [ʀaɪç], 24 March 1897 – 3 November 1957) was an Austrian psychoanalyst, a member of the second generation of psychoanalysts after Sigmund Freud, and one of the most radical figures in the history of psychiatry. He was the author of several influential books, most notably Character Analysis (1933) and The Mass Psychology of Fascism (1933). His work on character contributed to the development of Anna Freud's The Ego and the Mechanisms of Defence (1936), and his idea of muscular armour – the expression of the personality in the way the body moves – shaped innovations such as body psychotherapy, Fritz Perls's Gestalt therapy, Alexander Lowen's bioenergetic analysis, and Arthur Janov's primal therapy. His writing influenced generations of intellectuals: during the 1968 student uprisings in Paris and Berlin, students scrawled his name on walls and threw copies of The Mass Psychology of Fascism at the police. (Full article...)

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The following are images from various psychiatry-related articles on Wikipedia.

Image 1The York Retreat (c.1796) was built by William Tuke, a pioneer of moral treatment for the insane. (from History of psychiatry)
Image 2Otto Loewi's work led to the identification of the first neurotransmitter, acetylcholine. (from History of psychiatry)
Image 3Dr. Philippe Pinel at the Salpêtrière, 1795 by Tony Robert-Fleury. Pinel ordering the removal of chains from patients at the Paris Asylum for insane women. (from History of psychiatry)
Image 4Traverse City State Hospital in Traverse City, Michigan, U.S., in operation from 1881 to 1989 (from Psychiatric hospital)
Image 5Emil Kraepelin studied and promoted ideas of disease classification for mental disorders. (from History of psychiatry)
Image 6Plan of the Bethlem Royal Hospital, an early public asylum for the mentally ill.
Image 7William A. F. Browne was an influential reformer of the lunatic asylum in the mid-19th century, and an advocate of the new 'science' of phrenology. (from History of psychiatry)
Image 8Niuvanniemi Hospital in Niuva, Finland (from Psychiatric hospital)
Image 9Republican Vilnius Psychiatric Hospital in Naujoji Vilnia, one of the largest health facilities in Lithuania, built in 1902 (from Psychiatric hospital)
Image 10The Art Nouveau-styled Röykkä Hospital, formerly known as Nummela Sanatorium, in Röykkä, Finland (from Psychiatric hospital)
Image 11York Retreat, built in the late 18th century by William Tuke, a pioneer in moral treatment of the mentally ill (from Psychiatric hospital)
Image 12Lord Shaftesbury, a vigorous campaigner for the reform of lunacy law in England, and the Head of the Lunacy Commission for 40 years. (from History of psychiatry)
Image 13Danvers State Hospital, Danvers, Massachusetts, Kirkbride Complex, c. 1893 (from Psychiatric hospital)
Image 14psychiatric medication and an ECT machine, in Berlin Museum of medical history (from History of psychiatry)