Portal:Psychiatry

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The Psychiatry Portal

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

Initial psychiatric assessment of a person begins with creating a case history and conducting a mental status examination. Physical examinations, psychological tests, and laboratory tests may be conducted. On occasion, neuroimaging or other 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), published in May 2013, reorganized the categories of disorders and added newer information and insights consistent with current research.

Treatment may include psychotropics (psychiatric medicines) and psychotherapy, and also other modalities such as assertive community treatment, community reinforcement, substance-abuse treatment, and supported employment. Treatment may be delivered on an inpatient or outpatient basis, depending on the severity of functional impairment or risk to the individual or community. Research within psychiatry is conducted on an interdisciplinary basis with other professionals, such as epidemiologists, nurses, social workers, occupational therapists, and clinical psychologists. (Full article...)

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Fluoxetine (also known by the trade names Prozac, Sarafem, Ladose and Fontex, among others) is an antidepressant of the selective serotonin reuptake inhibitor (SSRI) class. Fluoxetine was first documented in 1974 by scientists from Eli Lilly and Company. It was approved by the U.S. Food and Drug Administration for the treatment of major depressive disorder in December 1987. The U.S. fluoxetine patent expired in August 2001 and hence generic formulations are now available in the U.S..

Fluoxetine is used for the treatment of major depressive disorder (including pediatric depression), obsessive-compulsive disorder (in both adults and children), bulimia nervosa, panic disorder and premenstrual dysphoric disorder. In addition, fluoxetine is used to treat trichotillomania if cognitive behaviour therapy has been unsuccessful. (Full article...)

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Waterford District Lunatic Asylum on John's Hill in Waterford. Now known as St. Otteran's. (circa 1880s)

image credit: public domain

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Benjamin Rush (January 4, 1746 [O.S. December 24, 1745] – April 19, 1813) was a Founding Father of the United States. Rush lived in the state of Pennsylvania and was a physician, writer, educator, humanitarian, as well as the founder of Dickinson College in Carlisle, Pennsylvania.

Rush signed the Declaration of Independence and attended the Continental Congress. He served as Surgeon General in the Continental army, and was blamed for criticising George Washington. Later in life, Rush became a professor of chemistry, medical theory, and clinical practice at the University of Pennsylvania.

As a leading physician, Rush had a major impact on the emerging medical profession. As an Enlightenment intellectual, he was committed to organizing all medical knowledge around explanatory theories, rather than rely on empirical methods. Rush argued that illness was the result of imbalances in the body's physical system and was caused by malfunctions in the brain. His approach prepared the way for later medical research, but Rush himself undertook none of it. He promoted public health by advocating clean environment and stressing the importance of personal and military hygiene. His study of mental disorder made him one of the founders of American psychiatry. (Full article...)

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General images

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

Image 1Otto Loewi's work led to the identification of the first neurotransmitter, acetylcholine. (from History of psychiatry)
Image 2York Retreat, built in the late 18th century by William Tuke, a pioneer in moral treatment of the mentally ill (from Psychiatric hospital)
Image 3Danvers State Hospital, Danvers, Massachusetts, Kirkbride Complex, c. 1893 (from Psychiatric hospital)
Image 4Traverse City State Hospital in Traverse City, Michigan, U.S., in operation from 1881 to 1989 (from Psychiatric hospital)
Image 5The Art Nouveau-styled Röykkä Hospital, formerly known as Nummela Sanatorium, in Röykkä, Finland (from Psychiatric hospital)
Image 6The York Retreat (c.1796) was built by William Tuke, a pioneer of moral treatment for the insane. (from History of psychiatry)
Image 7Dr. 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 8Plan of the Bethlem Royal Hospital, an early public asylum for the mentally ill.
Image 9Emil Kraepelin studied and promoted ideas of disease classification for mental disorders. (from History of psychiatry)
Image 10Republican Vilnius Psychiatric Hospital in Naujoji Vilnia, one of the largest health facilities in Lithuania, built in 1902 (from Psychiatric hospital)
Image 11Niuvanniemi Hospital in Niuva, Finland (from Psychiatric hospital)
Image 12psychiatric medication and an ECT machine, in Berlin Museum of medical history (from History of psychiatry)
Image 13Lord 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 14William 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)