Program Director: Dr. Asif Qureshi


Psychiatry

Psychiatrist
  1. What are the skills and knowledge required for this job? Answer

  2. What are the duties and responsibilities of this job? Answer

  3. How many problems does this job resolve while on duty? Answer

  4. What problems does this job resolve? Answer

  5. What describes the situation? Take a look at this. Screening for Psychiatric Disorders Answer

  6. Screening for Psychiatric Disorders: What do you have to do? Answer

  7. What must an existing psychiatrist know? Answer

  8. What must an aspiring psychiatrist prepare and practice? Answer

  9. Statistics relevant to mental health in the United States: What do the statistics reveal? Answer

  10. Problem-Oriented Therapy (POT)
    What questions need to be further discussed? Answer

  11. Diagnosis-Oriented Therapy
    What questions need to be further discussed? Answer

  12. Cognitive Behavioral Therapy (CBT)
    What is it Answer


  13. Coping Skills


  14. How does Dr. Asif Qureshi elaborate on these issues? Answer

  15. What are healthy coping skills? Answer

  16. What are unhealthy coping skills? Answer


  17. Types of Jobs in Psychiatry

  18. What are various examples? Answer

Diagnostic and Statistical Manual of Mental Disorders Fifth edition

Psychiatrist

What are the skills and knowledge required for this job?
  1. Psychiatric Interview
    What questions must be asked relevant to this situation?

  2. Conducting a Mental Status Examination
    What questions must be asked relevant to this situation?

Psychiatric Interview
Why are we here at this point?
What is the chief complaint?
What is the current situation?

  1. Chief Complaint

  2. History of Presenting Problem and Psychosocial History

  3. Identify the person

  4. Address History / Residential History

  5. Financial History

  6. Life history

  7. Medical history

  8. Public Housing History

  9. Abuse, Neglect, Exploitation and Mistreatment / History / Screening for abuse, neglect, exploitation, and mistreatment

  10. Employment

  11. Activities of everyday living

  12. Acquired harms

  13. Additional information

  14. Allergies & Side Effects

  15. Ancestry

  16. Annual health assessment

  17. Anthropometric measurements

  18. Assets

  19. At this point, what are the reasons for the consultation? (Chief Complaint)

  20. Birth History

  21. Chronology of symptoms

  22. Collateral interview with relatives or significant others

  23. Complaint

  24. Compliance

  25. Current Circumstances

  26. Current Medications

  27. Current situation (e.g., reason for appointment)

  28. Developmental Milestones — Key Questions and Answers (Developmental and life history)

  29. Do you have any difficulty falling asleep?

  30. Dental problems

  31. Education

  32. Education & Employment

  33. Emergency Contact Form

  34. Emotions

  35. Employee Emergency Contact Form

  36. Employment

  37. Existing Support & Services

  38. Family History

  39. Family psychiatric and medical history

  40. Follow-up medical consultation

  41. Food

  42. Friends

  43. Functional Assessment

  44. General Physical Exam Questions to Expect

  45. Habits

  46. Harmful females

  47. Health Calculators

  48. Health Care Opinion Survey

  49. Health Care Well-Being

  50. Hearing and vision deficiencies

  51. History Of Imprisonment

  52. History of present illness

  53. History of the presenting complaints (present illness)

  54. Homelessness Questions

  55. Hospitalization records

  56. Housing and Living Situation

  57. How can we help?

  58. Ideation

  59. Identity Card

  60. Income, Benefits & Financial Needs

  61. Internet health care resource for the resident.

  62. Laboratory Tests

  63. Language

  64. Language & Navigation

  65. Last updated

  66. Legal & Immigration Issues

  67. Legal issues

  68. Life stressors screening

  69. Medical & Health Needs

  70. Medical doctor to medical doctor communication about patient

  71. Medical emergency

  72. Medical emergency resource for the resident.

  73. Medical history

  74. Medical record correction

  75. Medication

  76. Mental Health

  77. Mental status examination

  78. Mobility

  79. Navigation

  80. New Patient Consultation

  81. Orientation

  82. Other

  83. Outpatient medical services record

  84. Past History

  85. Past medical history

  86. Past psychiatric and medical history

  87. Profile of patient

  88. Patient been referred by you to others

  89. Patient Education

  90. Patient Profile

  91. Patient Satisfaction

  92. Patient to medical doctor communication

  93. Personal and substance use history

  94. Personal History

  95. Personality questions

  96. Physical examination

  97. Physical fitness questions

  98. Posture issues

  99. Prescription

  100. Presenting Problem(s) & Immediate Needs

  101. Primary health care physician for the resident.

  102. Problem/Complaint

  103. Profile

  104. Profile of patient

  105. Profile People

  106. Psychiatric history

  107. Refer to Adult Protective Services

  108. Relationships

  109. Relationships and social functioning

  110. Relatives

  111. Religious Preference Relationship Counseling

  112. Review of Systems

  113. School-based screening

  114. Screening

  115. Screening/Symptoms list Client’s Name/All categories Last updated: August 29, 2026

  116. Screening for Various Types of Abuse or Neglect

  117. Screen for Elder Maltreatment – An elder maltreatment screen

  118. Screen for the various types of abuse or neglect

  119. Skills

  120. Sleep History Questions

  121. Social & Emotional Support

  122. Social history

  123. Social support

  124. Stressors and precipitating events

  125. Substance Use Disorder History

  126. Surgical Documentation (if applicable)

  127. Survival Needs

  128. Talking with Your Doctor

  129. Travel history

  130. Treatment history within the HPI

  131. Understanding a Patient in Detention

  132. Victimization

  133. Vitals


Chief Complaint
History of Presenting Problem and Psychosocial History
  1. Why are we here at this point?

  2. What brings you here today?

  3. What seems to be the problem?

  4. What is your chief complaint?

  5. What best describes the situation?

  6. What is the issue?

  7. What are the issues?

  8. What seems to be the issue or issues?

  9. At this point, what are the reasons for the consultation? (Chief Complaint)

  10. What professional is responsible for resolving this issue?

  11. What department is responsible for resolving this issue?

  12. When did it start?

  13. Where did it start?

  14. How did it start?

  15. How does it affect daily life?

  16. How does it feel?

  17. How intense is it? (e.g., 1–10 scale)

  18. How long has it lasted?

  19. Under what circumstances does it happen?

  20. What else is present?

  21. What makes it better or worse?

  22. When does it occur?

  23. What is the location?

  24. Where is it? For example, is the stress or pain in the head, in the chest, in the abdomen, or in any other location?

  25. What makes it worse?

  26. What reduces it?

  27. How long has this been present?

  28. Was this sudden or has this progressed?

  29. What will happen if you continue having this?

  30. What will happen if you do not have this?

  31. What have you done so far for this?

  32. What do you think causes it?

Life history
Birth until now
1. Tell me about yourself.
2. Can you give a brief introduction about yourself?
3. Where were you born? Ask Laura
4. What is your name?
5. What is your first and last name?
6. How do you spell your name?
7. What is your date of birth?
8. How old are you?
9. What is your current mailing address?
10. How long have you lived at this location?
11. What languages do you speak?
12. What are the issues?
13. Can you explain?
14. What was your mailing address from birth until now?
15. Where did you go to high school?
16. Where did you go to college?
17. What subjects did you study?
18. What is your work experience?
19. What would you like to be?
20. What are your professional goals?

Identify the person
1. How do I identify the person?
2. What identification mark(s) does the person have?
3. Where is the profile of the person? What is the profile of the person?
4. What is the first and last name of the person?
5. What is the date of birth of the person?
6. What is your current mailing address?
7. How long have you lived at this location?
8. What languages do you speak?
9. What are all the mailing addresses of the person since birth?
10. Who verified the findings?

Address
Housing & Stability
  1. What is your current mailing address?

  2. How long have you lived at this location?

  3. Do you have problems with your current housing?

  4. Do you own or rent your home?

  5. Do you have adequate furniture and working appliances?

  6. Do you have a working phone?

  7. Is your housing safe, stable, and in good repair?

  8. Do you live in a house or an apartment?

  9. Do you plan to live there for a long time?

  10. Who do you live with?

  11. How long have you lived there?

  12. What’s the difference between where you are living now and where you have lived in the past?

  13. Are the public transport facilities to your home very good?

  14. Housing Survey Questions


  15. How many people live in your household?
    1 2 3 4 5 or more


  16. What type of housing do you currently live in?
    Apartment
    House
    Condo
    Townhouse
    Other


  17. How satisfied are you with your current housing situation?
    Very satisfied
    Satisfied
    Neutral
    Dissatisfied
    Very dissatisfied


  18. How long have you lived in your current home?
    Less than 1 year
    1-3 years
    4-7 years
    8-10 years
    More than 10 years


  19. Do you plan to move within the next year?
    Yes, to a larger home
    Yes, to a smaller home
    Yes, to a different area
    No, I do not plan to move

Employment
Take a look at this.
I would present a document.
I would present a document of claims.
1. Issues March 20, 2026.pdf

Abuse, Neglect, Exploitation and Mistreatment / History
Screening for abuse, neglect, exploitation, and mistreatment
Understanding Financial Abuse
  1. Are you financially abused?

  2. What is Financial Abuse?

  3. What are Examples of Financial Abuse? Your ability to work is negatively impacted.

  4. Have you ever felt taken advantage of financially?

  5. Does anyone else make decisions about your money or property?

  6. Has anyone asked you to sign papers you didn’t understand?

  7. Has anyone taken money from your bank account, wallet, or valuables without permission?

  8. Have you been pressured to change your Power of Attorney or Will?

  9. Do you manage your own finances, or does someone else do it for you?

  10. Are there new people in your life influencing your financial decisions?

  11. Has your loved one's standard of living or lifestyle changed unexpectedly?

  12. Have you discussed your loved one's wishes and preferences for their financial management?

  13. What steps have you taken to report and address suspected financial exploitation?

  14. Have you involved any elder abuse advocacy organizations or support services?

  15. What steps have you taken to protect your loved one from further exploitation or retaliation?

  16. Is there mutual agreement and open discussion on finances in your relationship?


  17. What is abuse?
    What is neglect?
    What is exploitation?

    Examples of verbal or emotional abuse:
    ▶ Being screamed at
    ▶ Keeping a person away from things they like to do or people they like to see
    ▶ Being called names
    ▶ Being made fun of
    ▶ Being talked down to
    ▶ Being sworn at
    ▶ Bullying

    Is the abuser known to the person?

    What is the most common type of abuse?

    Within the past 12 months:
    Has anyone prevented you from getting food, clothes, medication, glasses, hearing aids, or medical care, or from being with people you wanted to be with?

    Emotional Abuse

    Is someone isolating you or another elder from family, friends, or regular activities?
    Yes
    No

    Financial Exploitation

    Is someone pressuring you to make a quick decision?
    Yes
    No

    Neglect

    Do you or another elder routinely lack enough food to eat and liquids to drink?
    Yes
    No

    Have you relied on people for any of the following: bathing, dressing, shopping, banking, or meals?
    Have you been upset because someone talked to you in a way that made you feel shamed or threatened?
    Has anyone tried to force you to sign papers or to use your money against your will? Has anyone made you afraid, touched you in ways that you did not want, or hurt you physically?
    Physician: Elder abuse may be associated with findings such as poor eye contact, withdrawn nature, malnourishment, hygiene issues, cuts, bruises, inappropriate clothing, or medication compliance issues. Did you notice any of these today or in the past 12 months?

    General Well-Being Questions

    Do you feel safe in your current living situation?
    Has anyone kept you from getting food, medicine, or socializing?
    How do you feel about the care you are receiving?

    Physical Abuse and Neglect

    Have you ever been hurt by someone taking care of you?
    How did that happen?
    Have you ever been taken to the hospital/emergency room because you were hurt?
    How did that happen?
    Has anyone at home ever hurt you?
    Has anyone ever touched you without your consent?
    Has anyone ever made you do things you didn’t want to do?
    Has anyone ever taken anything that was yours without asking?
    Has anyone ever scolded or threatened you?
    Have you ever signed any documents you didn’t understand?
    Are you afraid of anyone at home?
    Are you alone a lot?
    Has anyone ever failed to help you take care of yourself when you needed help?

    Questions about sexual abuse:

    Is anyone making you do anything that you feel uncomfortable about?
    What have you learned about “good touch/bad touch?” How did you learn that?
    What would you do if someone were trying to touch your private areas?
    What if it was someone that you know?

    Questions about neglect:

    What kind of things make you scared when you are at home?
    What does the word “discipline” mean to you?
    How was your mother disciplined when she was growing up?
    How about your dad?
    What is discipline like for you? Your brothers or sisters?
    How do you think kids should be disciplined if they do something bad?
    Who is at your house when you come home from school (when you get up in the morning, go to sleep at night)?
    Who helps you get ready for school?
    What do you think you are worth as a person?
    Are there times when you feel bad about yourself? How does that happen?

    Emotional Abuse

    Are you socializing here?
    Are there times when you feel lonely?
    Has anyone spoken to you in a way that made you feel upset or disrespected?
    Is there anyone here who makes you feel uncomfortable or uneasy?

    Financial Exploitation

    Has anyone taken your money or belongings without your permission?
    Have you been pressured to make financial decisions you didn’t understand?
    Have you been promised gifts or benefits in exchange for giving up your money or property?

    Safety and Caregiver Concerns

    Do you feel safe when being helped with bathing or dressing?
    Has anyone been rough with you, like grabbing or pushing you?
    Are you afraid of how someone treats you or touches you?

What Screening Questions Should I Ask a Parent?

Questions about physical abuse:

On a scale ranging from “never gets hurt” to “accident prone,” how would you describe your child?
Tell me about your child’s most serious injury. What were the circumstances?
What kinds of things do you use the emergency room for? What circumstances have made you take your child to an ER?

Questions for sexual abuse:

What does your child know about sex?
How did he/she find out?
What have you taught your child about “good touch/bad touch?”
How would you know if someone were trying to touch your child’s private areas?

Questions about neglect:

What does the word “discipline” mean to you?
How were you disciplined when you were growing up?
What do you think should be done when a child is bad?
Tell me about a time when you were afraid of losing control with your child.
Tell me about your experience with drugs and alcohol
How do you think your drug and alcohol experience impacts your child?


History Of Imprisonment
Has client been released from a correctional facility in the last 12 months?

General Physical Exam Questions to Expect
Common Questions You Might Be Asked
General Screening Questions for Older Adults (Elder Abuse/Neglect)

Health care professionals can use the following questions to screen older patients:

Has anyone at home ever hurt you?
Has anyone ever touched you without your consent?
Has anyone ever made you do things you didn’t want to do?
Has anyone ever taken anything that was yours without asking?
Has anyone ever scolded or threatened you?
Have you ever signed any documents that you didn’t understand?
Are you afraid of anyone at home?
Are you alone a lot?
Has anyone ever failed to help you take care of yourself when you needed help?

If any answer is “yes,” further assessment is needed to determine the nature, timing, perpetrators, and the patient’s coping strategies.

Types of Abuse and Neglect to Screen For

Physical abuse: Unintentional or intentional physical injury.
Sexual abuse: Any sexual contact without consent.
Psychological/emotional abuse: Threats, humiliation, isolation, or manipulation.
Financial abuse: Misuse of funds or property without consent.
Neglect: Failure to provide necessary care, supervision, or basic needs.
Intimate partner violence (IPV): Physical, sexual, emotional, or economic abuse by a current or former partner.
Workplace violence: Abuse or threats in a professional setting.
Bullying: Repeated, intentional harm in school or workplace.
Digital abuse: Cyberstalking, harassment, or exploitation online.

Screening for Children

For pediatric patients, screening should include:
Physical abuse (e.g., unexplained injuries, fractures)
Psychological abuse (e.g., emotional harm, threats)
Sexual abuse (e.g., inappropriate touching, exposure)
Neglect (e.g., lack of supervision, malnutrition, unsafe environment)
Chief Complaint/Presenting Problems(s)

 What is the chief complaint?
 Onset
 Perceived precipitants
 Signs & Symptoms
 Course and duration
 Treatments: professional and personal
 Effects on the patient’s function: personal, occupational, social or academic
 Co-morbid psychiatric or medical disorders
 Psychosocial stressors: personal (psychological or medical), family, friends, occupation/academic, legal, housing and financial

Review of Psychiatric Symptoms

 Depression
 Mania
 Anxiety
 OCD/PTSD
 Attention
 Eating Disorder
 Thought Disorder

Past Psychiatric History

 Previous episode of the problem(s)?
 Symptoms, course, duration and treatment (inpatient, outpatient, psychopharmacology, psychotherapy)
 Psychiatric diagnoses
 Suicide attempts: #s and how the patient attempted
 Self mutilation: cutting, burning, head banging, scratching, tattoos
 ECT

Past Medical History

 Medical
: past and current
 Surgical
: past and current
 Accidents
: Include TBI
 Allergies
 Current medications dosages : prescribed and OTC with
 Other treatments: acupuncture, chiropractic, homeopathic, yoga, mediation

Substance Use History

 Tobacco : past and current, type of tobacco and amount per day for how many years, vaping

 Alcohol : first use, last use, pattern of use, blackouts, DUIs, loss of relationships secondary to use, how does it make you feel

 Cannabis : first use, last use, pattern of use, how does it make you feel

 Stimulants : what is used (pills, methamphetamine, cocaine), how is it ingested (oral, snort, smoke, IVDU, anal), first use, last use, pattern of use, legal issues secondary to use, medical issues secondary to use, how did it make you feel

Substance Use History

 Opiates : what is used (pills, heroin), how is it ingested (oral, snort, smoke, IVDU), first use, last use, pattern of use, legal issues secondary to use, medical issues secondary to use, how did it make you feel

 Hallucinogens : what is used (LSD, mushroom), first use, last use, pattern of use, still experiencing flashback or bad trips

 Club Drugs : what is used (GHB, Ecstasy, Poppers, Ketamine), first use, last use, pattern of use

Substance Use History

 Detox:
 How many times?
 Complications (dTs, seizures)?
 Rehab:
 How many times?
 Completed?
 Longest sobriety

Family History

Family psychiatric history
Family medical history

Social History

 Place of birth and birth order
 Family relationships
 School performance/learning, attention problems
 College/trade school performance
 Relationships as an adult
 Occupational history
 Military experiences
 Sexual history
 Legal history

Collateral Information

 If possible, and if the patient gives permission with ROI.
 Collateral information from PCP, therapist, partner, spouse, parents, adult children, friends, or clergy can be helpful with the assessment.
 With obtaining permission to talk with collateral informants also allows the opportunity to engage in the treatment process.

Common Errors in the Psychiatric Interview
 Premature closure and false assumptions about symptoms
 False reassurances about the patient’s condition or prognosis
 Defensiveness with aggressive or arrogant patients
 Omission of significant parts of the interview
 Recommendations for treatment when diagnostic formulation is incomplete
 Inadequate explanation of psychiatric disorders and treatment options
 Empathic failures by inadvertently shaming or embarrassing the patient
 Countertransference issues with the patient
 Not exploring in depth safety issues with the patient
 Check to see if the patient has access to weapons or guns

Sleep

Have you been sleeping normally?
How many hours do you sleep?
Have you been sleeping more than normal, less than normal, or a normal amount?

Medical history
  1. When was your last complete blood count (CBC) done?

  2. When was your last basic metabolic panel done?

  3. When was your last comprehensive metabolic panel done?

  4. Was this done fasting or random?

  5. Where are the results of these blood tests?

  6. How old are you now?

  7. Who are your family members at this point?

  8. Where are family members of this person at this point?

  9. Where are your family members located at this point (include identification of the relationship)?

  10. Are you currently taking any medications or supplements?

  11. Do you have any allergies?

  12. Do you have any chronic health conditions?

  13. Have you had any surgeries or medical procedures recently?

  14. Do you have a family history of any health conditions?


  15. Current Health Status


  16. How have you been feeling overall?

  17. Have you noticed any recent changes in your health, mood, or energy?

  18. Do you have any pain, discomfort, or unusual symptoms?

    Sleep History Questions


  19. Are you having difficulty sleeping throughout the night?


Conducting a Mental Status Examination

What questions must be asked relevant to this situation?
Here are further guidelines.
What is the 10-Point MSE?
What is the 50-Point MSE?
What is included in a mental status exam relevant to age?
A 10-point assessment
A 50-point assessment
Comprehensive Assessment: 50 points

A 10-point assessment

1. Affect
2. Appearance
3. Behavior
4. Cognition
5. Insight
6. Judgment
7. Mood
8. Psychomotor activity/Perception
9. Speech
10. Thoughts

LO ABC J IPSTT

1. Level of consciousness: She was alert.
2. Orientation: She was oriented. She was oriented to time, place, person, and situation.
3. Appearance: She was dressed appropriately.
4. Affect: She was euthymic. Euthymic means no sad/depressed, not angry, kind of a normal mood. Her affect was full.
5. Behavior: How she worked with me was appropriate.
6. Cognition: Her cognition did not show any deficits.
7. Insight: Her insight was poor.
8. Judgement: Her judgement was excellent. She did not mention any hallucinations.
9. Psychomotor activity: There was normal psychomotor activity.
10. Speech: Her speech was appropriate.
11. Thought content: She did not mention any hallucinations.
12. Thought content and a process: Her thought content and a process were appropriate.

From 1999 to 2000.
From 2018 to 2019.

From 1999 to 2005. What was the location?
Near
Community Counseling Centers of Chicago
2525 W Peterson Ave, Chicago, IL 60659-4108

Her name is Jenna.
Her date of birth was circulated as being November 25, 1981.
She speaks English.
She was alert. (Level of consciousness)
She was oriented to person, place, time, and situation. (Orientation)
She was bright.
She was cooperative.
She was dressed appropriately.
Her affect was labile. (Labile affect)
She was euthymic. (Mood)

Level of consciousness: She was alert.
Orientation: She was oriented. She was oriented to time, place, person, and situation.
Her appearance was acceptable.
Her affect was labile.
Her behavior was really persuasive. Her behavior was cooperative and engaged, with good eye contact and normal psychomotor activity. Her cognition did not show any deficits.
Her insight into human nature was both perceptive and compassionate.
Her judgement was excellent.
Psychomotor activity: There was normal psychomotor activity.
Her speech was appropriate.
No delusions, obsessions, or phobias; denies SI/HI
Her thought content and a process were appropriate.

Conducting a Mental Status Examination

What questions must be asked relevant to this situation?
  1. Level of consciousness

    1. Are you okay?

    2. Can you hear me?

    3. Open your eyes.


    The patient was alert.

  2. Orientation:

    1. What is your name?

    2. What is the name of this place?

    3. What is today’s date?

    4. Why are we here at this point? What is the current situation?

    5. Is the person conscious and oriented to time, place, person, and situation?


  3. Behavior:

    Are you comfortable talking about your thoughts and feelings?
    How are you feeling today?
    Would you like to discuss any specific issue?

    Can you tell me about ________
    Deviant behavior
    Drug abuse
    Criminal activity

    Public Safety Act proceedings: What questions must be answered?
    Can you give more exact details?
    Did the person engage in any felonies or misdemeanors in the last 24 hours?
    Did the person engage in any felonies or misdemeanors in the last 7 days?
    Did the person engage in any felonies or misdemeanors in the last 30 days?
    Did the person engage in any felonies or misdemeanors in the last 6 months?
    Did the person engage in any felonies or misdemeanors in the last 1 year?
    Did the person engage in any felonies or misdemeanors in the last 5 years?
    If the person did not engage in any felonies or misdemeanors in the last 5 years (for example, January 1, 2019, to January 1, 2024), the person is not harmful to public safety. The person cannot be detained under the Public Safety Act.
    Here are further facts: https://www.qureshiuniversity.com/statedepartmentofcorrectionalservices.html

  4. Cognition:

    What’s 2 + 2?
    Can you recall three things you did yesterday?

    The Mini Mental State Examination (MMSE)

    1. What is today’s date? (accept previous or next date).
    2. What day of the week is this? (accept exact answer only).
    3. What month is this? (accept either: the first day of a new month or the last day of the previous month).
    4. What season is this? (accept either: last week of the old season or first week of a new season).
    5. What year is this? (accept exact answer only).
    6. (In home) What room are we in? (accept exact answer only). (In facility) What floor of the building are we on? (accept exact answer only).
    7. (In home) What is the street address of this house? (accept street name and house number or equivalent in rural areas).
    8. What city/town are we in? (accept exact answer only).
    9. What province are we in? (accept exact answer only). (In facility) What is the name of this building? (accept exact name of institution only).
    10. What country are we in? (accept exact answer only).
    11. Can you name a sequence of three unrelated objects e.g. (apple, table, penny/ATP)?
    12. Can you repeat all three words?
    13. Can you name a sequence of two simple objects, such as a wristwatch and a pencil? Show the patient two simple objects, such as a wristwatch and a pencil, and ask the patient to name them.
    14. Can you repeat the following “No ifs, ands, or buts”?
    15. Can you take a paper in your hand, fold it in half, and put it on the floor?
    16. Can you read and obey the following: CLOSE YOUR EYES?
    17. Can you write a sentence (The sentence must contain a subject and a verb and make sense. I will be investigating this case. Future continuous tense. Subject-verb-object pattern)?
    18. Can you _______? Can you count backwards from 100 by 7? How do you spell World Backwards?
    19. Can you copy the design shown (two intersecting pentagons)?

  5. Decision-Making

    If you were choosing between two job offers, what factors would you consider?
    What would you do if you found a wallet on the street?
    How do you decide when to seek help for a problem?
    If you had a financial crisis, how would you manage it?
    How do you decide what’s important in your life?

  6. Insight

    What questions must be answered relevant to a person with substance use disorder?
    What do you think might be causing the difficulties you're experiencing?
    How do you think these issues are affecting your life?
    What steps have you taken to address these problems?

  7. Mood

    How would you describe your mood over the past week?
    On a scale of 1-10, with 10 being the best you've ever felt and 1 being the worst, where would you rate your mood right now?
    What’s your current feeling?
    Have you noticed any changes in your mood lately?
    What emotions are you experiencing right now?
    How do you usually feel?

  8. Problem-Solving

    How do you resolve a problem? The answer to this question depends on the situation. The answer to this question depends on the issue or issues at this point.

  9. Speech

    Speech: “Can you tell me about your day?”
    Can you repeat what I just said? (assesses comprehension and immediate recall).
    How do you feel about what I just said? (assesses affect and prosody).
    Can you describe your day in your own words? (assesses coherence and narrative ability).
    Do you have any trouble speaking clearly or quickly? (assesses rate and clarity).
    Do you use gestures or writing to help you communicate? (assesses alternate communication).
    Do you find it hard to express yourself?

  10. Thought Content

    Homicidal ideation
    Suicidal ideation

    Do you ever have thoughts of harming yourself or others?
    Have you ever thought about killing someone?
    Have you thought seriously about killing yourself?
    How often do you think about it?
    Do you have a plan?
    Do you ever have thoughts of harming yourself or others?

    Past behavior

    Ask the patient: “Have you ever tried to hurt yourself?”
    “Have you ever tried to kill yourself?”

    Phobias and Anxieties

    Are there specific things or situations that cause you intense fear or panic?

    Obsessions & Preoccupations

    Are there certain thoughts or worries that you that you can't get out of your mind?
    Do you feel compelled to perform certain rituals or actions over and over?

    Delusions & Paranoia

    Is there anyone trying to harm you, spy on you or control your mind?
    Do you believe you have special powers of abilities that others don't have?
    Do you ever feel the people are talking about you or watching you?

  11. Thought Process

    Do you ever feel like your thoughts are disconnected or don't make sense to others?
    Do you find it difficult to stick to one topic when you are talking?
    Do you ever feel that thoughts are being put into your head? (thought insertion)
    Can you walk me through your typical day, from morning to night?


Sleep
Do you ever experience nightmares? (could be a sleep disorder or a trauma disorder)

What are the duties and responsibilities of this job?
Assessment of the issue.
Answer relevant questions.
What is the diagnosis?
What is the treatment?
Administrative issue: What is the conclusion?
What is the plan of action?

Restorative Justice

What is Restorative Justice?
Identifying Needs and Repairing Harm

Client’s Name__________________________
Date of Birth___/____/____
Today’s Date___ /____/ ____
Screening for Psychiatric Disorders: What do you have to do?
  1. Emergencies

  2. Crisis

  3. Non-Emergency
    Screening for Psychiatric Disorders
    Your Symptoms Checklist (Please Check All That Apply)
    1. Abuse, Neglect, Exploitation and Mistreatment
      Other Conditions for Clinical Attention
      Social Determinants of Health
      Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition
      Questions that need to be answered.

    2. Anxiety Disorders
      GAD, Panic Disorder, Agoraphobia, Social Anxiety Disorder, Specific Phobia.

    3. Bipolar & Related Disorders
      Bipolar I, Bipolar II, Cyclothymic Disorder.

    4. Depressive Disorders
      Major Depressive Disorder, Persistent Depressive Disorder, PMDD.

    5. Disruptive, Impulse‑Control, & Conduct Disorders
      Oppositional Defiant Disorder, Conduct Disorder, Intermittent Explosive Disorder.

    6. Dissociative Disorders
      Dissociative Identity Disorder, Dissociative Amnesia, Depersonalization/Derealization Disorder.

    7. Elimination Disorders
      Enuresis, Encopresis.

    8. Feeding & Eating Disorders
      Anorexia Nervosa, Bulimia Nervosa, Binge‑Eating Disorder.

    9. Gender Dysphoria Gender Dysphoria in Children, Adolescents, and Adults.

    10. Neurocognitive Disorders
      Delirium, Major/Minor Neurocognitive Disorder (e.g., Alzheimer’s).

    11. Neurodevelopmental Disorders
      ADHD, Autism Spectrum Disorder, Intellectual Disability, Communication Disorders, Specific Learning Disorder, Motor Disorders (Tics, Tourette’s).

    12. Obsessive‑Compulsive & Related Disorders
      OCD, Body Dysmorphic Disorder, Hoarding Disorder, Trichotillomania.

    13. Paraphilic Disorders
      Exhibitionistic, Voyeuristic, Pedophilic, Sexual Masochism/Sadism Disorders.

    14. Personality Disorders
      Cluster A (Paranoid, Schizoid, Schizotypal) Cluster B (Borderline, Antisocial, Narcissistic, Histrionic) Cluster C (Avoidant, Dependent, Obsessive‑Compulsive)

    15. Schizophrenia Spectrum & Other Psychotic Disorders
      Schizophrenia, Schizoaffective Disorder, Delusional Disorder, Brief Psychotic Disorder.

    16. Sexual Dysfunctions
      Female Orgasmic Disorder, Premature Ejaculation.

    17. Sleep‑Wake Disorders
      Insomnia Disorder, Narcolepsy, Sleep Apnea, Parasomnias.

    18. Somatic Symptom & Related Disorders
      Somatic Symptom Disorder, Illness Anxiety Disorder, Conversion Disorder.

    19. Substance‑Related & Addictive Disorders
      Alcohol Use Disorder, Opioid Use Disorder, Gambling Disorder.

    20. Trauma‑ & Stressor‑Related Disorders
      PTSD, Acute Stress Disorder, Adjustment Disorders, Reactive Attachment Disorder.
    1. Abuse, Neglect, Exploitation and Mistreatment
      Other Conditions for Clinical Attention
      Social Determinants of Health
      Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition

    2. Depressive Symptoms (lasting at least 2 weeks or more) and Manic Symptoms

    3. Impulse Control Problems

    4. Anxiety Symptoms Obsessive-Compulsive Behaviors

    5. Attention-Deficit / Hyperactivity Disorder

    6. Oppositional Defiant Disorder

    7. Conduct Disorder / Delinquency

    8. Anger Management Problems

    9. Marital / Couples Conflict

    10. Psychoticism

    11. Sexual Abuse

    12. Grief / Loss Unresolved

    13. Low Self-Esteem

    14. Type A Behavior

    15. Vocational Stress

    16. Chemical / Alcohol Dependence

    17. Screening for Personality Disorders


    Psychiatrist
    Psychiatry Residency Program
    What is a psychiatrist?
    A psychiatrist is a physician who works to prevent, diagnose, and treat mental, behavioral, and emotional disorders.

    Program Director: Dr. Asif Qureshi
    Continuing education for existing psychiatrists
    Training programs for aspiring psychiatrists


    Psychiatry and Behavioral Sciences
    Human behavior
    Mental Health
    Psychiatry

    Assessment of a patient by a physician.
    Alphabetical listing of psychiatric complaints
    History taking and further evaluation by specific physician on duty.
      Assessment of a patient by a physician.

    1. What best describes you? Answer

    2. Screening for Psychiatric Disorders: What do you have to do? Answer

    3. General psychiatrist: What are the skills and knowledge required for this job? Answer

    4. Forensic psychiatrist: What are the skills and knowledge required for this job? Answer

    5. Statistics relevant to mental health in the United States: What do the statistics reveal? Answer

    6. What is considered to be a ICD-10 Mental Health Billable Diagnosis? Answer

    7. What must an existing psychiatrist know? Answer

    8. What must an aspiring psychiatrist prepare and practice? Answer

    9. Assessment relevant to situation. Answer

    10. What are healthy coping skills? Answer

    11. What are the different types of counseling? Answer

    12. What is on the alphabetical listing of psychiatric complaints? Answer/ Answer

    13. Medical emergency situation: What questions will you ask? Answer

    14. Medical nonemergency situation: What questions will you ask? Answer Answer

    15. How will you further proceed in this situation? Answer

      Human Behavior: Why People Do What They Do

    16. What is human behavior? Answer

    17. What is student misbehavior? Answer

    18. What is mental health? Answer

      Symptoms and sign


    19. How do you know if this is a medical emergency or medical nonemergency? Answer

      Emergencies
      Emergency Psychiatry


    20. What should an emergency medical doctor or any psychiatrist exclude before diagnosing and treating any emergency medical condition relevant to psychiatry? Answer

    21. What is emergency psychiatry? Answer

    22. What conditions require emergency psychiatry consultation? Answer

    23. What should an emergency medical record look like? Answer

      Tests and Procedures
      Diagnosis and Treatment


    24. What should police know about psychiatry?Answer

    25. Where are the skills and knowledge of psychiatry applicable in the real world? Answer

    26. What are the guidelines for counseling in psychiatry? Answer

      Psychiatric disorders


    27. What are psychiatric disorders? Answer

    28. DSM- 5 CODE/ ICD 10 CODE Answer

      Prevention
      Rights of a patient


    29. What are the rights of a patient? Answer

    30. What are the rights of a psychiatric patient or a person with developmental disabilities? Answer

    31. Who should create and update the statute relevant to involuntary admission to a psychiatric facility in the state? Answer

      Workers in psychiatry

    32. What are various workers in psychiatry? Answer

      Behavioral Intensive Care Unit
      Psychiatric intensive care unit (PICU)
      Involuntary admission to a psychiatric facility

    33. How should police verify the findings in case they are called for involuntary admission to a psychiatric facility? Answer

    34. What are the harmful tricks that oppressors and their harmful associates use to label a normal person while depriving him/her of rights and inflicting intentional harms as mentally challenged person or with mental illness? Answer

    35. When can a person be subject to involuntary judicial admission to a psychiatric facility? Answer

    36. When can a person not be subject to involuntary judicial admission to a psychiatric facility? Answer

      Psychiatric Consultations

    37. What should you know about evaluation, diagnosis, and treatment of psychiatric medical conditions in various healthcare settings? Answer

    38. What is included in a comprehensive psychiatric consultation? Answer

    39. What do you have to do before a patient or individual from the public seeks individualized doctor consultation? Answer

    40. What should you expect from a doctor during individualized consultation? Answer

      Drug Screening


    41. Do you use drugs or drink alcohol? Answer

      Forensic psychiatry


    42. What is forensic psychiatry? Answer

    43. What is a forensic psychiatrist? Answer

      Food (Nutrition and Health)
      Glossary of psychiatry



    44. What is on the list? Answer

      Human Rights
      Human Rights Violations



    45. What are examples of various human rights? Answer

      License of doctor of medicine


    46. Have there been scandals in America about issuance of professional licenses, including that of a doctor of medicine? Answer

    47. What should be the focus of a doctor of medicine? Answer

      Medications in psychiatry
      List of psychiatric medications by condition treated



    48. What should a doctor, psychiatrist, or clinician verify before prescribing or recommending psychiatric medication? Answer

      Psychiatry, law and justice


    49. Who may utilize this program for education and reference? Answer

      Psychiatry and Media.


    50. Should the media get involved in an awareness campaign from medical doctors associated with psychiatry and mental health care? Answer

    51. How should the media handle articles and an awareness campaign from medical doctors associated with psychiatry and mental health care? Answer

      Mental status examination


    52. What questions should a doctor answer in a mental status examination? Answer

      Psychiatric hospital


    53. What should you monitor in a psychiatric hospital? Answer

      Questions doctors, psychiatrists, and clinicians needs to answer.


    54. What is the diagnosis? Answer

    55. How did you reach this diagnosis? Answer

      Reference resource for psychiatry

    56. Where is reference resource for psychiatry? Answer

      Referral request.

    57. How should you write a referral for medical evaluation? Answer

      Academic Problem (Study Skills, Time Management)


    58. What recommendations should you expect? Answer

      When You Harm Others Intentionally

    59. What are intentional enforced harms? Answer

    60. What are examples of intentional enforced harms? Answer

      Research


    61. What have been various significant findings in psychiatry research? Answer

    What must an existing psychiatrist know?
    What must an aspiring psychiatrist prepare and practice?
    1. Assessment of a patient by a psychiatrist.

    2. Behavioral intensive care unit

    3. Online child and adolescent online outpatient and inpatient psychiatry through a legal guardian

    4. Diagnosis and treatment

    5. Drug screening

    6. Emergencies in psychiatry

    7. English language relevant to medical emergency physicians

    8. Food (nutrition and health)

    9. Forensic psychiatry

    10. Glossary of psychiatry

    11. Grants, remuneration, reimbursement, and resources

    12. Issues related to intentional harms from others

    13. Human behavior: Why do people do what they do?

    14. Human rights and human rights violations

    15. Involuntary admission to a psychiatric facility

    16. Doctor of medicine license

    17. Life stressors

    18. List of psychiatric medications by condition treated

    19. Mental status examination

    20. Prevention

    21. Problems of academic progress (study skills, time management)

    22. Program director of psychiatry Dr. Asif Qureshi

    23. Psychiatric consultations, non-emergency

    24. Psychiatric hospital

    25. Psychiatry and the media

    26. Psychiatry, law, and justice

    27. Questions aspiring psychiatrists must be ready to answer

    28. Questions doctors, psychiatrists, and clinicians need to answer relevant to diagnosis

    29. Questions existing psychiatrists must be ready to answer

    30. Recognition issues: What is on the list?

    31. Reference resource for psychiatry

    32. Referral request

    33. Research

    34. Rights of a patient

    35. Symptoms and signs

    36. Workers in psychiatry


    Who has established these guidelines?
    Doctor Asif Qureshi





    Assessment of a patient by a physician.
    Where do we start?
    Has anyone already created a profile of the patient?

    ______________________________________

    Where is the profile of the patient?

    ______________________________________

    What is the profile of the patient?

    ______________________________________

    Where is the patient now?

    ______________________________________

    What seems to be the issue or issues?

    ______________________________________

    The answer to this question can be from patient or others.

    What are the sources of these facts?

    ______________________________________

    Patient
    Legal guardian
    Parent
    Relative
    Community resident
    Healthcare provider
    Administrator or police
    If other, specify

    ______________________________________

    Is it a medical or nonmedical issue?

    ______________________________________

    What are medical and nonmedical issues?

    ______________________________________

    Human healthcare complaint, issue, problem, concern is a medical issue.
    Utility fault (water, electricity, or gas) and similar concerns are nonmedical issues.
    http://www.qureshiuniversity.com/emergencyworld.html

    How old is the patient?

    ______________________________________

    Once the category of medical condition is identified through medical history, further questions are needed relevant to the category of medical condition.
    International classification of human diseases.
    What is the latest version of the international classification of human diseases.
    ICD 10 Stands for International Classification of Diseases version 10.

    What type of issue can a person have?

    ______________________________________

    Medical Emergency (survival issues, medicolegal issues, critical issues, post-medical emergency, medical emergencies that need ER consultation)
    Medical nonemergency.
    Nonmedical emergency.
    Non medical issue that is not an emergency.

    What best describes the issue?

    ______________________________________

    Medical emergency
    Medical nonemergency
    Medicolegal case
    Nonmedical issue

    Nonmedical issues means patient has an issue; at the same time, a professional other than a physician has to bring solutions or remedies.
    Is this a medical emergency or medical nonemergency?

    ______________________________________

    How do you know if this is a medical emergency or medical nonemergency?

    ______________________________________

    Unconsciousness at a public location, sudden unconsciousness at home, trauma, survival needs issues, seizures, burns, drowning, pregnancy emergencies need on-the-spot evaluation and treatment.
    In the medical emergency room, treatment if patient has any of these: http://www.qureshiuniversity.com/medicalemergencyworld.html

    What is the diagnosis?

    ______________________________________
    Alphabetical listing of psychiatric complaints
    Psychiatric disorders

    What category of human medical condition is this?

    ______________________________________

    Behavioral, mental, and neurodevelopmental disorders of human.
    Blood and blood-forming organs diseases, immune mechanism diseases of human.
    Certain conditions originating in the perinatal period of human.
    Circulatory system diseases of human.
    Congenital malformations, deformations, and chromosomal abnormalities of human.
    Digestive system diseases of human.
    Ear and mastoid process diseases of human.
    Endocrine, nutritional, and metabolic diseases of human.
    External causes of morbidity of human.
    Eye and adnexa diseases of human.
    Factors influencing health status and contact with health services of human.
    Genitourinary system diseases of human.
    Infectious and parasitic diseases of human.
    Injury, poisoning, and certain other consequences of external causes of human.
    Musculoskeletal system and connective tissue diseases of human.
    Medicolegal case of human.
    Neoplasms of human.
    Nervous system diseases of human.
    Old age-related issues of human.
    Pregnancy, childbirth, and the puerperium of child-bearing age of women.
    Respiratory system diseases of human.
    Skin and subcutaneous tissue diseases of human.
    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified of human.

    What is the best location to further treat this medical condition?

    ______________________________________

    On the spot
    Emergency medical room
    Intensive care unit
    Hospital ward
    Home healthcare

    What is the treatment plan?

    ______________________________________

    Where are the skills and knowledge of psychiatry applicable in the real world?
    1. Annotation or definition of a psychiatrist

    2. Abilities a doctor should have

    3. Age-specific social skills (Social Sciences)

    4. Addiction psychiatry

    5. Alphabetical listing of psychiatric complaints

    6. Behavioral Health Unit/Psychiatry ward

    7. Behavior Counseling

    8. Behavioral Therapy

    9. Biological psychiatry

    10. Case management

    11. Case Reports

    12. Causes of psychiatric complaints

    13. Coauthor

    14. Counseling Services

    15. Child and adolescent psychiatry

    16. Community psychiatry

    17. Controversies in psychiatry

    18. Cross-cultural psychiatry

    19. Diagnostic and Statistical Manual of Mental Disorders (DSM IV)

    20. Doctor Consultation (Psychiatric Consultation)

    21. Drug Screening

    22. Emergency Psychiatry

    23. Emergency medical record
      What should an emergency medical record look like?

    24. Emotional/Behavioral Disorders (Children)

    25. Forensic psychiatry

    26. Food (Nutrition and Health)

    27. Geriatric psychiatry

    28. Glossary of psychiatry

    29. Human Rights Violations

    30. Intellectual Disability (Mental Retardation)

    31. Intentional enforced harms

    32. Involuntary admission to a psychiatric facility

    33. License of doctor of medicine

    34. Liaison psychiatry

    35. Medical Doctor(Required skills for the evaluation and treatment of patients with psychiatric disorders in the general medical setting)

    36. Mental status examination

    37. Mini-mental state examination (MMSE)

    38. Multi-Axial Diagnosis

    39. Medications in psychiatry

    40. Mental retardation (appearing before adulthood)

    41. Neuropsychiatry

    42. Psychiatric Diseases & Conditions A-Z Index

    43. Personality disorders screening

    44. Personality Disorders

    45. Psychiatric disorders

    46. Psychiatry, law and justice

    47. Psychiatry and home office.

    48. Psychiatry and family courses or counseling.

    49. Psychiatry and duties of police.
        What should police know about psychiatry?

    50. Psychiatry and home health care.

    51. Psychiatry and the Internet.

    52. Psychiatry and OPD.

    53. Psychiatry and state department of health.

    54. Psychiatry and duties of courts.

    55. Psychiatry and Media.

    56. Political abuse of psychiatry

    57. Psychiatric hospital

    58. Psychiatry and work-specific or occupational training.

    59. Psychiatry and duties of counselors or social workers.
        What are the guidelines for counseling in psychiatry

    60. Psychiatry and duties of schools or the state department of education.

    61. Psychiatry and state or non-state legislators.

    62. Psychiatry and education of quacks.

    63. Psychiatry and complaints.

    64. Psychiatry and new patient consultation.

    65. Psychiatry and duties of psychiatric nurses.

    66. Psychiatry and education of medical students.

    67. Psychiatry and psychiatry research.

    68. Psychiatry and continuing education of medical doctors.

    69. Psychiatric disorders

    70. Questions doctors, psychiatrists, and clinicians needs to answer.

    71. Questions you need to ask a doctor, psychiatrist, or clinician in case medication is prescribed or recommended.

    72. Rights of a patient
        What are the rights of a patient?
        What are the rights of a psychiatric patient or a person with developmental disabilities?
        Who should create and update the statute relevant to involuntary admission to a psychiatric facility in the state?

    73. Reference resource for psychiatry

    74. Referral request

    75. Research

    76. Sponsoring medical research

    77. Stress (Life Stressors)

    78. Social skills in alphabetical order (Good human character/Good human behavior)

    79. Social psychiatry

    80. Textbook of Hospital Psychiatry

    81. Treatment

    82. Workers in psychiatry
        What are various workers in psychiatry?
    Psychiatry
    Annotation or definition of a psychiatrist

    Mental Health

    What is human behavior?
    Human behavior is the sum of what people think, feel, and do. Normal and abnormal variations.

    What is student misbehavior?
    Inappropriate types of behavior or feelings under normal circumstances.

    Student misbehavior can be defined as a student’s action or interaction that disrupts or distracts the flow of the learning processes. That is any behavior that is inappropriate in the classroom can be termed as students’ misbehavior.

    Reasons Why Students Misbehave in Your Class

    There are so many reasons why students misbehave in class. These are often due to the following factors: a) student (b) teacher, and (c) environmental/societal factors. These factors are discussed in detail below:

    Student Factors

    Student factors are those emanating from the student and his/her personality. Some of these factors are;

    1. Impulsivity: This is a personality factor that makes the student react quickly to actions without much prior thought. That is, when the student faces a situation, he/she spends less time thinking through it before putting up responsive behavior.

    This means the more prone students are to react quickly to issues without thinking through it, the more they are likely to misbehave in class. Thus, they are less likely to control themselves in situations.

    Impulsivity is mostly caused by psychological disorders such as Disruptive Behavior Disorder (DBD), Oppositional Defiant Disorder (ODD), Attention/Deficit Hyperactivity Disorder (ADHD), etc. It is, however, important to note that not all behavioral impulsiveness is as a result of psychological disorder.

    2. Personal skill deficiency: This happens when the student lacks certain skills that will help him/her cope with the classroom environment and/or other students. For instance, when students lack personal skills such as empathy, knowledge of desired social behavior, self-discipline, etc., they are more likely to misbehave in the classroom.

    3. Belief deficiency: The beliefs of students sometimes lead them to misbehave in the classroom. These misbehaviors are classified here. Example, some students believe that some courses/subjects are not important in school and because of that, they tend to put behaviors that are disruptive against teachers of those courses. Misbehavior antecedents such as that are considered a belief deficiency.

    Teacher factors

    These are the factors that emanate from the actions and/or inactions of the teacher that result in students’ misbehavior. They are explained in details below;

    1. Failure to teach effectively: I have mentioned earlier in my previous articles that effective classroom management doesn’t occur in a vacuum. Of course, you have to put in place a classroom setting that is conducive for your students to achieve their educational and emotional needs.

    Failure to do so will result in the chaos that will impede all your teaching and learning efforts. One of the ways to promote an environment that is suitable for learning is for you to teach effectively.

    Example, if you don’t plan your lessons adequately you will lose the expert power you exercise over your students. This will reduce your control and influence over happenings in your classroom.

    For instance, if you don’t have extra materials to engage students who are quick to finish their activities, they may get space to distract the class or their colleagues. But if you plan to teach effectively, you will be able to find a way to engage those students who will likely finish their activities quickly.

    2. Inaccurate expectations: First, I have come across colleagues who just expect the student to accept blindly all that they are saying. With this, some teachers are quick to blame external factors like the parents of students for their children’s misbehavior. This is inaccurate. Why?

    Because this prevents you from actively thinking of a solution to your students’ behavior. It also degrades your relationships with students’ parents who otherwise could be your partners in finding solutions to students’ misbehavior.

    Second, your aim is to train your students to become strong adults. But how do they become strong adults? Most teachers’ perceptions of this question are wrong. This is because strong adults don’t accept all that people tell them.

    Students develop this behavior in their childhood. Thus, they will always try to defend and stand for all that they believe in.

    So, if you think your students are deliberately trying to frustrate you by not listening to you or standing for what they believe, you will lose control of yourself and your classroom. Now, the onus lies on you to work hard to find ways of managing these behaviors effectively without squelching your students’ development processes.

    3. Inaccurate judgment: I think you want your students to grow to become smart, well-adjusted, and strong. Thus, you want them to become independent adults who can think and make decisions for themselves. But you have to understand that these qualities are developed in the early years of the student.

    So, be careful not to exercise wrong judgment on your students’ behavior. Example, don’t always scold your students for expressing their own will. Else, you will squelch their strong will to become strong adults.

    Also, don’t punish your student for an initial refusal or reluctance to do what you have asked him/her to do. This is because they might end up making the right choice of behavior if you insist on them.

    Finally, if your student doesn’t listen to you it doesn’t mean you have failed as a teacher. To be successful you only have to teach appropriate/proper consequence. Thus, you are not to force your students to listen to you but you are going to teach them the consequences of listening versus not listening to you.

    Therefore, your job is to determine beforehand the consequences for each set of behavior in the classroom. This will guide your students in their behavior. If you fail to do so you will likely lose the battle in the classroom. Also, if you exercise wrong judgment and punish your students for everything they will rebel and that will be more frustrating for you.

    Environmental/Societal Factors

    These are factors that are societal in nature but promotes students’ misbehavior in the classroom. Below are some of these factors:

    1. Family: Your students family set up affects their behavior in school. This could be a reason why one of your students will misbehave in the classroom. For example, a student from a broken home is likely to misbehave more than any student whose parents are still together. Also, students from awful and poor upbringing are likely to several problems that will make them misbehave in the classroom.

    So, your knowledge of all these should help you understand your students and to manage their behavior appropriately.

    2. Sociability: The desire of your students to interact with others may lead them to misbehave. This may occur due to peer pressure and/or a desire to impress others. With this, students are more interested in their friends such that they will choose to misbehave. Also, due to their interactions with others during the break time, their communication will continue into the classroom.

    So, understanding this will help you put in place adequate steps to limit the tendencies of this factor.

    3. Other responsibilities/works: If your students have other responsibilities to carry out outside school, it may become a reason for their misbehavior. Thus, these students will have other things to worry about and this may limit the attention they give to classroom activities and tasks.

    For example, heavy work schedule, relationships and/or financial problems may force your students to misbehave. These responsibilities will put much pressure on students to misbehave.

    Therefore, you need to understand and be aware of these behavioral tendencies in order to help your students to cope with the classroom environment.

    How to Deal with Student Misbehavior

    I think it is possible to prevent student misbehavior in the classroom. This can be done through the following:
    1.You can effectively reduce student misbehavior by giving effective single-action ______. What is expected of you?
    2.If you are capable of giving effective _______, you will effectively prevent student misbehavior.
    3.There is no classroom without flare-ups and tantrums, so your ability to handle them will reduce misbehavior significantly.
    4.Instituting behavioral contracts is an effective way to help you improve your management of behavioral problems.
    5.Your ability to manage and reduce misbehavior will highly be dependent on your ability to manage transitions effectively.
    6.You will also have to discourage interruptions effectively.
    7.Improved behavior in out-of-class settings
    8.Develop an effective homework routine.

    What is threatening behavior?
    Words or gestures that create a reasonable fear of harm or injury.
    Words or gestures that cause emotional distress.
    Direct or indirect threats of harm or injury.
    Prolonged or frequent shouting that creates a reasonable fear of harm or injury.

    What is violent behavior?
    Violent behavior is defined as the use of physical force or violence to inflict harm on others, to endanger the health or safety of another person or property, or restrict the freedom of action or movement of another person. These include slapping, punching, striking, pushing, or otherwise physically attacking a person; unwelcome physical contact; throwing, punching, or otherwise handling objects in an aggressive manner; or stalking an individual.

    What's the Job Description of a Clinical Psychiatrist?
    Clinical psychiatrists use counseling, therapy, and medication to help people cope with various mental health problems.

    Clinical psychiatrists are medical doctors who diagnose patients' mental health issues and treat them through medication and various forms of therapy.

    What is mental health?

    Why is there a need to elaborate on this question?
    Nowadays, people tend to be champions of mental health care without knowing its definition.

    There are advertisements like rally for mental health or funding for mental health, but these individuals do not know the definition of mental health.
    Mental health exploitation has become a new trend for certain unscrupulous people to extract funding from the system for those who are not helped by it. Those who are getting funding do not know the definition of mental health.
    Everyone knows that exploiters, opportunists, dishonest, incompetent people have infiltrated the system and are extracting resources intended for mental health while free resources are available at this resource.

    What is mental health?
    Mental health includes our emotional, psychological, and social well-being.

    If a harmful, lying, badly behaved, incompetent individual and his or her associates are fraudulently placed in administration, what will happen to the emotional, psychological, and social well-being of an individual or individuals?
    The emotional, psychological, and social well-being of an individual or individuals will get harmed.

    A prerequisite for the emotional, psychological, and social well-being of an individual or individuals in the state or outside the state is to have truthful, well behaved, competent, public service-oriented administrators and associates in the state and outside the state.

    How can we improve our mental health?
    Associate with truthful, well behaved, public service-oriented people in the state and outside the state.
    Anyone can get stressed. Fix the causes of stress.
    Talk about or express your feelings.
    Exercise regularly.
    Eat healthful meals.
    Get enough sleep.
    Spend time with friends and loved ones.
    Develop new skills.
    Relax and enjoy your hobbies.
    Set realistic goals.
    Talk to your primary health professional.
    Form and maintain healthy relationships.
    Remember that it is better to be alone than to be in a sick relationship.
    Use your abilities to reach your potential.
    Deal with life’s challenges
    Identify sources of harms and fix sources of harms on you and your surroundings.
    Make sure that truthful, well behaved, competent, public service-oriented administrators and associates are in the state and outside the state for public services.
    Here are further facts.

    Mental health and role of primary care physician.

    What should a primary care physician know about mental health?
    A primary care physician should know everything about mental health.
    A primary care physician should rarely refer a case that is a diagnostic puzzle.

    Questions you need to answer in the referral.

    What complaints, issues, and problems did the individual present to you that need referral?

    What complaints, issues, and problems do not need a referral?
    If an individual feels stressed, this does not need referral from primary care physician to another physician of different abilities.

    Referral or Reference

    What referral or reference of any department in the state or outside the state should you give?
    Please see the examples of essential department in the state or outside the state.

    Why was there need to elaborate on the issues?
    If you give a referral or reference of any entity other than these departments in the state or outside the state, most of these agencies or entities have gang members that have inflicted harms and can inflict harms.

    What is a Psychiatrist?
    A psychiatrist is a medical doctor with additional experience and knowledge of psychiatric disorders and normal human behavior. If you know what is normal, then you can diagnose and manage abnormal medical conditions.

    Psychiatrists are trained in the medical, psychological, and social components of mental, emotional, and behavioral disorders and utilize a broad range of treatment modalities, including diagnostic tests, prescribing medications, psychotherapy, and helping patients and their families cope with stress and crises. Psychiatrists increasingly work in integrated settings and often lead or participate on treatment teams and provide consultation to primary care physicians and other medical specialties.

    What is the difference between a doctor of medicine and a psychiatrist?
    A psychiatrist is a doctor of medicine with additional abilities of a psychiatrist.

    You need to have abilities of doctor of medicine with additional abilities of a specific specialty to deserve to be called a specialist.

    What is a doctor of medicine?
    A doctor of medicine is a human being:
    1. Able to reach a correct diagnosis and treatment of a human being in various healthcare settings.
    2. Able to answer relevant questions of human healthcare.
    3. Able to offer Internet human healthcare.
    4. Able to offer public health advice.
    5. Able to offer patient education guidelines.
    6. Able to offer administrative issues guidelines.

    If a doctor of medicine can guide new medical students and postgraduates, he or she can be designated a professor or guide.

    What additional abilities should a psychiatrist have compared to a doctor of medicine?
    Ability to deal with stress and intentional enforced harms.
    Human rights violations knowledge.
    Psychiatric disorder knowledge.
    Medicolegal cases knowledge.
    Forensic psychiatry knowledge.
    Vast knowledge of psychiatric medications.

    Is there a difference between complaints due to stress, intentional enforced harms from others, human rights violations from others, and mental illness?
    Yes.

    What is the difference between complaints due to stress, intentional enforced harms from others, human rights violations from others, and mental illness?
    Fixing the underlying causes of stress, intentional enforced harms from others, human rights violations from others will make an individual far better and normal.

    What is mental illness?
    Mental illness is a term used for a group of psychiatric disorders.
    You should not diagnose anyone with mental illness unless you verify that the person is not having stress, intentional enforced harms from others, and human rights violations from others.

    The boundary between mental distress and mental illness is clear if you know everything about stress, intentional enforced harms from others, human rights violations from others, and psychiatric disorders.

    How difficult is it to get an appointment with a psychiatrist?
    Take a look at this.
    www.qureshiouniversity.com/psychiatryworld.html.
    Everything is displayed at this location.
    Guidelines for patients.
    Guidelines for relatives, friends, and well-wishers of patients.
    Education for doctor of medicine with additional abilities of a psychiatrist.
    Continuing education for existing psychiatrists.
    Guidelines for family doctors and local hospitals.

    If you have any further issues, forward the patient’s profile or issues to Doctor Asif Qureshi.

    Who seeks psychiatric consultation?
    Civilized people seek psychiatry consultation.

    What is a psychiatric Consultation?
    A psychiatric consultation is a comprehensive evaluation of psychiatric complaints in a nonemergency setting that can have psychological, biological, medical, social, or any other causes.

    What is Psychiatry?
    Psychiatry is medical specialty dealing with the diagnosis and management of psychiatric disorders and enhancing normal human behavior.

    What are psychiatric disorders?
    Pysciatric disorders include threatening behavior; violent behavior; psychotic disorder; infancy, childhood, and adolescence mental health or behavior disorders; cognitive disorders, substance-related disorders; mood disorders; anxiety disorders; somatoform disorders; fictitious disorders; dissociative disorders, sexual and gender identity disorders; eating disorders; sleep disorders; impulse control disorders; adjustment disorders; personality disorders; and abuse and neglect medical conditions.

    What isn't a psychiatric disorder?
    What isn't a psychiatric disorder still may need psychiatric consultation?
    What will a normal person do if subjected to harmful conditions?

    This isn't a psychiatric disorder, but needs psychiatric consultation.

    What will happen if you don't diagnose and manage a psychiatric emergency correctly?
    Possibilities include homicides, suicides, assaults, harassments, harm to self, harm to others, disability, escalation of conflict and disputes, decreased productivity, and other harms.

    Can a case be a psychiatric and legal emergency at the same time?
    Yes.

    What will happen if you diagnose a psychiatric emergency incorrectly?
    The person diagnosed incorrectly could suffer emotional distress Or other harms.

    What factors influence adherence to medical doctors? or psychiatrists? recommendations?
    Confidence in the experience and knowledge of the medical doctors or psychiatrists.
    Confidence that the diagnosis is correct.
    Confidence in the standard of treatment as per preventive and curative concepts of medicine.
    Compliance with environmental factors.

    What factors influence the best outcome of medical doctors? or psychiatrists? recommendations?
    Correct diagnosis.
    Recommendations as per international standards and recent advances regarding preventive and curative concepts of medicine.
    Compliance with environmental factors.

    What should a psychiatric complaint look like?
    He or she is getting anger bouts, is forgetful, abusive, provokes quarrels, is hostile, and misinterprets facts.

    How do you file revision of diagnosis?
    Based on the recent discovery of case scenario of deprivation of rights under the color of law, discrimination, abuse, neglect, harassments, physical torture, psychological torture, disruption, or exclusion.

    What should you do before you act on any information?
    You need to verify.

    Can a psychologist or clinician reach a correct diagnosis without knowing about medical subjects and medical conditions?
    No.

    Who is more knowledgeable, a forensic psychiatrist or a judge without knowledge of forensic psychiatry?
    A forensic psychiatrist is more knowledgeable than a judge without knowledge of forensic psychiatry.

    Who is more knowledgeable, a forensic psychiatrist or a forensic psychologist without knowledge of forensic psychiatry?
    A forensic psychiatrist is more knowledgeable than a forensic psychologist.
    A forensic psychiatrist is basically a doctor of medicine with additional abilities of general psychiatry and forensic psychiatry.
    Client’s Name__________________________
    Date of Birth___/____/____
    Today’s Date___ /____/ ____

    Alphabetical listing of psychiatric complaints
    What is on the alphabetical listing of psychiatric complaints?

    Crisis

    Emergency

    1. Abuse, Neglect, Exploitation and Mistreatment

      What describes this situation?

      What is the profile of the person?

      Does the client face any of these issues at this point?
      Deprivation of rights under the color of law
      Discrimination
      Retaliation
      Exclusion
      Abuse
      Harassment
      Neglect
      Intentional infliction of emotional distress
      Intentional defamation
      Intentional repeated sabotage
      Misinterpretation of facts
      Physical abuse
      Psychological abuse
      Resource deprivation
      Relationship sabotage
      Provocation to start a quarrel
      Sabotage
      Survival needs deprivation
      Specifically mentioned harms
      If yes, fix these issues first.

      If someone is in immediate danger, call 9-1-1 or the local police. If the danger is not immediate, but you suspect that abuse has occurred or is occurring, please tell someone. To report a concern, contact the Adult Protective Services (APS) agency in the state where the older adult resides. Find the APS reporting number for each state by visiting:
      The State Resources section of the National Center on Elder Abuse website
      The Eldercare Locator website or calling 800-677-1116.

    2. Homicidal ideation

    3. Suicidal ideation

    4. Attempted homicide

    5. Attempted suicide

    6. Acute Psychosis

    7. Agitation and Aggression

    8. Acute depression is a sudden-onset, severe depressive episode that can significantly disrupt mood, behavior, and daily functioning.

    9. Acute stress reaction is a short‑term response to a traumatic or intensely stressful event, with symptoms such as anxiety, irritability, poor sleep, flashbacks, and physical signs like a racing heart, typically lasting from hours to a few days.

    10. Abuse, Neglect, Exploitation and Mistreatment

    11. Aggressive

    12. Choking

    13. Complicated grief

    14. Confused thinking

    15. Deep, ongoing sadness, or feeling down

    16. Decompensation of Personality Disorders

    17. Detachment from reality (delusions), paranoia (the belief that others are “out to get you) or hallucinations (seeing things that aren't there)

    18. Detention (confinement)

    19. Disorderly Conduct / Disorderly Conduct Statute and Ordinances Cover a Wide Range of Behavior
      Does the patient get angry without any provocation?
      Does the patient shout without provocation or deprivation of rights?
      Does the patient assault others without provocation or deprivation of rights?

    20. Drug or alcohol abuse

    21. Emotional and Psychological Trauma

    22. Environmental factors (hostile environment).

    23. Excessive anger, hostility, and/or violence

    24. Extreme mood changes, from highs to lows, often shifting very quickly

    25. Extreme tiredness, low energy, or sleeping problems

    26. Functional impairment (not taking care of self. inability to gain relevant skills and knowledge relevant to age).

    27. Human rights violations from others.

    28. I am facing deprivation of rights under the law, discrimination, exclusion, sabotage, and intentional harm from others.

    29. Inability to manage day-to-day stress and problems

    30. Incarceration/Reason for incarceration

    31. Intentional enforced harms from others.

    32. Involuntary admission to a psychiatric facility

    33. Irritability

    34. Intoxication / Alcohol intoxication

    35. Likely to be harmful to self or others.

    36. Loosening of social inhibitions.

    37. Maladaptive effects – It impairs daily functioning or relationships. A change in normal behavior refers to a shift from the usual patterns of thought, emotion, and action that a person typically exhibits.

    38. Marked changes in eating habits

    39. Manic or hypomanic episodes of bipolar disorder can reach the level of a psychiatric emergency. Emergence of suddenly severe psychiatric symptoms can be frightening to patients and their families, even in patients with previous mental health history (eg, psychosis or mood conditions).

    40. Neglect of responsibilities

    41. Overdoses, drug interactions, and dangerous reactions from psychiatric medications, especially antipsychotics, are considered psychiatric emergencies.

    42. Other.

    43. Panic attacks.

    44. Personality disorders (harmful to others).

    45. Persistent impairment

    46. Presence of delusions

    47. Psychosis(delusions, hallucinations, catatonia, thought disorder, loss of contact with reality).

    48. Reduced ability to concentrate

    49. Serious drug reactions with psychiatric or non-psychiatric medications. Substance abuse.

    50. Substance dependence

    51. Significant, rapid changes in behavior.

    52. Strong feelings of fear, worry, or guilt

    53. Survival needs issues.

    54. Trafficking in Women and Children for Sexual Exploitation

    55. Trouble understanding situations and other people

    56. Violent behavior

    57. Violence or other rapid changes in behavior.

    58. Withdrawal from others and from activities you used to enjoy

    59. A number of medical conditions can produce signs and symptoms that can present as very similar to psychiatric illness. Many of these can be life-threatening, such as hypoglycemia and other metabolic abnormalities, poisoning, and head trauma. It is important for emergency psychiatry professionals to be able to quickly rule out medical causes of distress and immediately obtain appropriate medical help for emergent non-psychiatric medical symptoms. Emergency psychiatry professionals will inevitably encounter patients who feign symptoms, especially suicidality or psychosis, for secondary gain. Sometimes referred to as “malingering, contingent symptoms/malingering is probably overdiagnosed and may be the result of clinician countertransference.

    Non-emergency
    1. Abuse, Neglect, Exploitation and Mistreatment

      What describes this situation?

      What is the profile of the person?

      Does the client face any of these issues at this point?
      Deprivation of rights under the color of law
      Discrimination
      Retaliation
      Exclusion
      Abuse
      Harassment
      Neglect
      Intentional infliction of emotional distress
      Intentional defamation
      Intentional repeated sabotage
      Misinterpretation of facts
      Physical abuse
      Psychological abuse
      Resource deprivation
      Relationship sabotage
      Provocation to start a quarrel
      Sabotage
      Survival needs deprivation
      Specifically mentioned harms
      If yes, fix these issues first.

      If someone is in immediate danger, call 9-1-1 or the local police. If the danger is not immediate, but you suspect that abuse has occurred or is occurring, please tell someone. To report a concern, contact the Adult Protective Services (APS) agency in the state where the older adult resides. Find the APS reporting number for each state by visiting:
      The State Resources section of the National Center on Elder Abuse website
      The Eldercare Locator website or calling 800-677-1116.

    2. Generalized Anxiety Disorder (GAD)
      What are the diagnostic criteria?
      Symptoms: At least 3 of the following must be present and represent a noticeable change from usual behavior: 1. Anger/Irritability.
      2. Being easily fatigued.
      3. Concentration problems / Difficulty concentrating or mind going blank.
      4. Pacing/Restlessness or feeling keyed up or on edge.
      5. Muscle tension.
      6. Sleep disturbance (difficulty falling or staying asleep, or restless, unsatisfying sleep).

      The anxiety and worry are associated with three (or more) of the following six symptoms (with at least some symptoms having been present for more days than not for the past 6 months):
      Note: Only one item is required in children.
      1. Anger/Irritability.
      2. Being easily fatigued.
      3. Concentration problems / Difficulty concentrating or mind going blank.
      4. Pacing/Restlessness or feeling keyed up or on edge.
      5. Muscle tension.
      6. Sleep disturbance (difficulty falling or staying asleep, or restless, unsatisfying sleep).

      What describes your situation at this point?

    3. Bipolar Disorder: The Extremes of Mood
        Bipolar Disorder Types
        1. Bipolar I Disorder: Requires at least one manic episode, which may be preceded or followed by hypomanic or major depressive episodes.
        2. Bipolar II Disorder: Requires at least one hypomanic episode and one major depressive episode, with no history of a full manic episode.
        3. Cyclothymic Disorder: Chronic fluctuating mood with periods of hypomanic and depressive symptoms that do not meet full criteria for hypomanic or major depressive episodes.
      Core Diagnostic Features
      Bipolar disorder involves distinct episodes of mood disturbance that are not better explained by other psychiatric conditions such as schizophrenia or schizoaffective disorder.

      The main types of episodes include:
      I. Manic Episode
      Mood: Abnormally elevated, expansive, or irritable mood lasting at least 1 week (or any duration if hospitalization is required). Symptoms: At least 3 of the following (or 4 if mood is only irritable) must be present and represent a noticeable change from usual behavior:
      Homicidal ideation/Excessive involvement in risky activities/Unsafe Activity/
      Inflated self-esteem or grandiosity
      Decreased need for sleep (e.g., feeling rested after only 3 hours)
      More talkative than usual or pressure to keep talking
      Flight of ideas or racing thoughts
      Distractibility
      Increase in goal-directed activity or psychomotor agitation
      Functional Impact: Mood disturbance must cause marked impairment in social or occupational functioning, require hospitalization, or include psychotic features.

      II. Hypomanic Episode
      Mood: Elevated, expansive, or irritable mood lasting at least 4 consecutive days. Symptoms: Same as manic episode, but less severe and no psychotic features. Functional Impact: Observable change in functioning but not severe enough to cause marked impairment or require hospitalization.
      III. Major Depressive Episode
      Mood: Depressed mood or loss of interest/pleasure for at least 2 weeks.
      Symptoms: At least 5 of the following:
      Significant weight change or appetite disturbance
      Sleep disturbances
      Psychomotor agitation or retardation
      Fatigue or loss of energy
      Feelings of worthlessness or excessive guilt
      Diminished ability to think or concentrate
      Recurrent thoughts of death or suicidal ideation

    4. Borderline Personality Disorder: Living Without Emotional Skin Indicated by five (or more) of the following:
      1. Anger/Inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights).
      2. Frantic efforts to avoid real or imagined abandonment. (Note: Do not include suicidal or self-mutilating behavior covered in Criterion 5.)
      3. A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation.
      4. Identity disturbance: markedly and persistently unstable selfimage or sense of self.
      5. Impulsivity in at least two areas that are potentially selfdamaging (e.g., spending, sex, substance abuse, reckless driving, binge eating). (Note: Do not include suicidal or selfmutilating behavior covered in Criterion 5.)
      6. Recurrent suicidal behavior, gestures, or threats, or selfmutilating behavior.
      7. Affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days).
      8. Chronic feelings of emptiness.
      9. Transient, stress-related paranoid ideation or severe dissociative symptoms.

    5. Clinical Depression (Major Depressive Disorder) / Major Depressive Disorder: More Than Just Sadness
        Major depressive disorder is diagnosed when a person has at least five symptoms during the same 2‑week period, including either depressed mood or loss of interest/pleasure, causing significant distress or impairment, and not attributable to substances or medical conditions.

        Criterion A — Symptoms (≥5 during the same 2‑week period)
        At least one of the symptoms must be (1) depressed mood or (2) loss of interest or pleasure.

        Symptoms:

        Suicidal ideation: Recurrent thoughts of death, suicidal ideation, or suicide attempt.
        Depressed mood most of the day, nearly every day.
        Markedly diminished interest or pleasure in almost all activities.
        Significant weight loss or gain (change >5% in a month) or appetite change.
        Insomnia or hypersomnia.
        Psychomotor agitation or retardation observable by others.
        Fatigue or loss of energy.
        Feelings of worthlessness or excessive/inappropriate guilt.
        Diminished ability to think, concentrate, or indecisiveness.

        Criterion B — Functional Impairment
        Symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

        Criterion C — Not due to substances or medical conditions
        The episode is not attributable to the physiological effects of a substance or another medical condition.

        Criterion D — Not better explained by psychotic disorders
        Symptoms are not better explained by schizophrenia spectrum or other psychotic disorders.

        Criterion E — No history of manic or hypomanic episodes
        There has never been a manic or hypomanic episode (unless substance‑induced).

        Duration Requirement
        The symptoms must persist for at least two weeks, though severe, rapidly developing cases may be diagnosed sooner.

        It is characterized by discrete episodes of at least 2 weeks’
        duration (although most episodes last considerably longer) involving clear
        cut changes in affect, cognition, and neurovegetative functions and interepisode remissions.

        Careful consideration should be given to the delineation of normal sadness and grief from a major depressive episode. Bereavement may induce great suffering, but it does not typically induce an episode of major depressive disorder.

        A more chronic form of depression, persistent depressive disorder, can be diagnosed when the mood disturbance continues for at least 2 years in adults or 1 year in children. This diagnosis, new in DSM-5, includes the DSM-IV diagnostic categories of chronic major depression and dysthymia.

    6. Schizophrenia

      Core Symptom Requirement (Criterion A)
      At least two (or more) of the following symptoms must be present for a significant portion of time during a 1‑month period (or less if successfully treated).
      The Five Key Symptoms of Schizophrenia

      Active Phase Symptoms

      I. Hallucinations
      II. Delusions
      III. Disordered Speech

      Residual Phase Symptoms

      IV. Disorganized Behavior
      V. Negative Symptoms

      Schizoaffective disorder and bipolar/depressive disorder with psychotic features must be ruled out.

      Functional Impairment
      In addition to meeting the criteria for the 5 key symptoms above, to be diagnosed with schizophrenia, a person’s day-to-day life must be significantly impaired.

      Duration Requirement (Criterion B)
      Continuous signs of the disturbance persist for at least 6 months, including:
      At least 1 month of active‑phase symptoms (Criterion A).
      Prodromal or residual periods may include attenuated forms of Criterion A symptoms or only negative symptoms
      Functional Impairment (Criterion C) For a significant portion of time since onset, there is markedly reduced functioning in work, interpersonal relations, or self‑care compared to prior levels

    7. Antisocial Personality Disorder (ASPD)
      A. Pervasive pattern of disregard for and violation of the rights of others since age 15, indicated by 3 or more of the following:
      Failure to conform to lawful behaviors (repeated acts grounds for arrest).
      Deceitfulness (lying, aliases, conning for profit/pleasure).
      Impulsivity or failure to plan ahead.
      Irritability and aggressiveness (repeated fights or assaults).
      Reckless disregard for safety of self or others.
      Consistent irresponsibility (failure to sustain work or honor obligations).
      Lack of remorse (indifference or rationalizing harm done).

      B. Age ≥ 18 years
      The individual must be at least 18 at the time of diagnosis.

      C. Evidence of Conduct Disorder before age 15
      Includes aggression, property destruction, deceit/theft, or serious rule violations.

      D. Antisocial behavior does not occur exclusively during schizophrenia or bipolar disorder
      Ensures symptoms are not better explained by another major mental illness.

    8. Substance Use Disorders: The Neuroscience of Addiction

    9. Attention deficit hyperactivity disorder / ADHD: A Neurodevelopmental Condition, Not a Discipline Problem

    10. Dementia
      Signs and symptoms of dementia
        Acting impulsively
        Difficulty speaking, understanding and expressing thoughts, or reading and writing
        Experiencing memory loss, poor judgment, and confusion
        Hallucinating or experiencing delusions or paranoia
        Losing balance and problems with movement
        Losing interest in normal daily activities or events
        Not caring about other people’s feelings
        Repeating questions
        Taking longer to complete normal daily tasks
        Trouble handling money responsibly and paying bills
        Using unusual words to refer to familiar objects
        Wandering and getting lost in a familiar neighborhood
      Types
      I. Alzheimer’s disease
      II. Frontotemporal dementia
      III. Lewy body dementia
      IV. Vascular dementia
      V. Mixed dementia

    11. Obsessive-Compulsive Disorder: Trapped in Loops

    12. Panic Disorder: Terror That Arrives Without Warning

    13. Post-Traumatic Stress Disorder: When Trauma Doesn’t Stay in the Past

    14. Social Anxiety Disorder: Far Beyond Shyness

    15. Specific Phobias: When Fear Outgrows Its Usefulness

    16. Negative Human Emotions
      Angry (Agitated, Irritated, Resentful, Miffed, Upset, Mad, Furious, Raging)

      Sad (Down, Blue, Mopey, Grieved, Dejected, Depressed, Heartbroken)

      Scared (Tense, Nervous, Ancious, Jittery, Frightened, Panic-Stricken, Terrified)

      Surprise (Surprise Amazement, surprise, astonishment)

      Angry
      Anxious
      Annoyed
      Agony
      Apprehensive

      Burdened

      Concerned
      Crushed
      Confused
      Cautious
      Contempt

      Drained
      Destructive
      Doubtful
      Depressed
      Dissatisfied
      Disappointed
      Disgusted

      Embarrassment
      Envy

      Exasperated
      Exhausted

      Frustrated
      Fear

      Grief
      Greed
      Guilt

      Harassed
      Humiliation
      Hostile
      Hesitant

      Intimidated
      Indifferent
      Ignored
      In rage

      Jumpy
      Jealousy
      Manipulated

      Misery

      Nervous

      Obnoxious
      Overwhelmed

      Pressured
      Panic

      Rude
      Regret
      Remorse
      Revenge

      Stressed
      Sad
      Shame
      Suspicious
      Scared
      Shocked

      Tired


      Uncomfortable
      Upset

      Wary
      Wasteful
      Worry
      Weary

      Symptoms & Signs
      Non‑Emergency Psychiatric Symptoms
      Sleep or appetite changes – dramatic shifts in sleep patterns or eating habits.
      Mood changes – rapid or intense shifts in emotions, persistent sadness, irritability, or loss of interest in activities.
      Withdrawal – pulling away from friends, family, or social activities.
      Decline in personal care – difficulty maintaining hygiene or self‑care routines.
      Problems thinking – trouble concentrating, remembering, or thinking logically.
      Increased sensitivity – heightened reaction to sights, sounds, smells, or touch.
      Apathy – loss of motivation or desire to participate in activities.
      Feeling disconnected – sense of unreality or detachment from self or surroundings.
      Unusual behavior – odd or uncharacteristic actions.
      Changes in school or work – drop in performance, absenteeism, or relationship issues.
      Excessive worry or fear – persistent anxiety or fear that disrupts daily life.
      Multiple unexplained physical complaints – headaches, stomach aches, or other pains without clear medical cause
    17. Apathy/Loss of initiative or desire to participate in any activity

    18. Avoidance of situations

    19. Being unable to limit the amount of alcohol you drink

    20. Blunted

    21. Building a tolerance so that you need an increasing number of drinks to feel the effects

    22. Carelessness about personal grooming

    23. Change in appetite

    24. Changed sleeping pattern

    25. Changes in Behavior/Sleep disturbance

    26. Changes in Emotion and Motivation

    27. Changes in Thinking and Perception

    28. Chronic fatigue, lack of energy

    29. Confusion

    30. Constipation

    31. Crying spells

    32. Decrease concentration and memory

    33. Decreased appetite

    34. Decreased coordination

    35. Delusions

    36. Depression

    37. Depression as the drug wears off

    38. Diarrhea, muscle aches

    39. Difficulties with concentration or attention

    40. Difficulty concentrating

    41. Distress in social situations

    42. Dizziness

    43. Drinking alone or in secret

    44. Drop in functioning. An unusual drop in functioning, at school, work or social activities, such as quitting sports, failing in school or difficulty performing familiar tasks

    45. Drowsiness

    46. Dry mouth

    47. Elated mood

    48. Especially if alcohol isn't available

    49. Euphoria

    50. Experiencing physical withdrawal symptoms such as nausea, sweating and shaking

    51. Feeling a need or compulsion to drink

    52. Feeling disconnected: A vague feeling of being disconnected from oneself or ones surroundings; a sense of unreality

    53. Feeling that self or others have changed or are acting different in some way

    54. Flashbacks, a re-experience of the hallucinations even years later

    55. Flat or inappropriate emotion

    56. Flushing

    57. Frequent self-criticism

    58. Grandiose delusions

    59. Greatly impaired perception of reality, for example, interpreting input from one of your senses as another, such as hearing colors guilt

    60. Gulping drinks, ordering doubles, becoming intoxicated intentionally to feel good or drinking to feel "normal"

    61. Hallucinations

    62. Having legal problems

    63. Having problems with relationships

    64. Headache, sweating

    65. Heart palpitations

    66. Helplessness

    67. High blood pressure

    68. Hopelessness

    69. Hyperventilation

    70. Illogical thinking: Unusual or exaggerated beliefs about personal powers to understand meanings or influence events; illogical or thinking typical of childhood in an adult

    71. Impaired memory and concentration

    72. Impaired motor function

    73. Impatience

    74. Increased appetite

    75. Increased blood pressure and heart rate

    76. Increased energy and overactivity

    77. Increased heart rate

    78. Increased heart rate, blood pressure and temperature

    79. Increased sensitivity / Heightened sensitivity to sights, sounds, smells or touch; avoidance of over-stimulating situations

    80. Indecisiveness and confusion

    81. Indecisiveness, irritability

    82. Insomnia

    83. Irregular menstrual cycle

    84. Irritability when your usual drinking time nears

    85. Keeping alcohol in unlikely places at home

    86. Lack of coordination

    87. Lack of emotional responsiveness

    88. Lack of energy, overeating or loss of appetite

    89. Lack of inhibitions

    90. Lack of insight.

    91. Losing interest in activities and hobbies that used to bring pleasure

    92. Loss of appetite

    93. Loss of interest in hobbies, sports, and other favorite activities

    94. Loss of interest in personal appearance(Social grooming)

    95. Loss of memory

    96. Loss of motivation, chronic fatigue

    97. Loss of motivation, drug or alcohol use

    98. Loss of sexual desire

    99. Making a ritual of having drinks before, with or after dinner and becoming annoyed when this ritual is disturbed or questioned

    100. Memory impairment

    101. Mood changes / Rapid or dramatic shifts in emotions or depressed feelings

    102. Mind racing or going blank

    103. Mood swings

    104. Nasal congestion and damage to the mucous membrane of the nose in users who Snort drugs

    105. Nausea and vomiting

    106. Nausea, vomiting

    107. Needing less sleep than usual

    108. Needle marks (if injecting drugs)

    109. Nervousness / Fear or suspiciousness of others or a strong nervous feeling

    110. Not remembering conversations or commitments, sometimes referred to as blacking out

    111. Numbness

    112. Obsessive or compulsive behavior

    113. Overeating or loss of appetite

    114. Panic

    115. Paranoia

    116. Paranoid thinking

    117. Permanent mental changes in perception

    118. Phobic behavior

    119. Poor memory

    120. Rapid heartbeat

    121. Problems thinking / Problems with concentration, memory or logical thought and speech that are hard to explain

    122. Rapid speech

    123. Rapid thinking and speech

    124. Red eyes

    125. Red or glassy eyes

    126. Reduced ability to carry out work or other roles.

    127. Reduced energy and motivation

    128. Reduced sense of pain

    129. Restlessness

    130. Restlessness or feeling on edge or nervousness

    131. Runny nose

    132. Sadness

    133. Sedation

    134. Self-blame, pessimism

    135. Self-criticism, self-blame, pessimism

    136. Sense of alteration of self

    137. Sensory Changes(A heightened sense of visual, auditory and taste perception. A reduction or greater intensity of smell, sound or color)

    138. Shortness of breath

    139. Sleeplessness

    140. Sleep disturbance

    141. sleeping too much or too little

    142. Sleep or appetite changes / Dramatic sleep and appetite changes or decline in personal care

    143. Slowed breathing

    144. Slowed breathing and decreased blood pressure

    145. Slowed reaction time

    146. Slurred speech

    147. Social isolation or withdrawal

    148. Strange ideas

    149. Sudden change in behavior

    150. Sudden mood swings

    151. Suspiciousness

    152. Tendency to believe others see you in a negative light

    153. Thoughts of death and suicide

    154. Tingling and numbness

    155. Tiredness

    156. Tremors

    157. Tremors/shaking

    158. Unexplained aches and pains

    159. Unrealistic and/or excessive fear and worry

    160. Unusual behavior / Odd, uncharacteristic, peculiar behavior

    161. Unusual perceptual experiences

    162. Vivid dreams

    163. Weight loss

    164. Weight loss or gain

    165. Withdrawal from family members and/or long-term friends

    166. Withdrawal from others

    167. Withdrawal / Recent social withdrawal and loss of interest in activities previously enjoyed

    168. Worrying

    169. Symptoms & Signs A-Z List - Z
      Symptoms or Signs
      What should you elaborate about a symptom or sign?

      Is it a medical emergency or non-emergency?
      Do you know what are emergency medical symptoms, signs, or complaints?
      What are emergency medical symptoms, signs or complaints?

      Does this need on-the-spot diagnosis and treatment?
      What is it?
      When did it start?
      How did it start?
      Where did it start?
      What is the most likely diagnosis?
      What do you think causes it?
      Why do you think this happened?
      What are the consequences of this symptom or sign?
      What are the salient features of this symptom or sign?When did the problem start?
      Where did the problem start?
      How did the problem start?
      What relieves or aggravates the problem?
      How long does this problem last?
      Does this problem occur in any specific situation?
      What are the further details of the situation?
      Is there any other problem associated with this problem?
      What are the further details of the associated problem?
      What medication have you taken for this problem?
      Have you seen any medical doctor for this problem?
      How many medical doctors have you seen for this problem?
      What did the medical doctor diagnose and recommend for this problem?
      What other terms are related to this symptom or sign?
      What causes it?

      Harms Evaluation/Medico-legal

      When did it happen?
      How did it happen?
      Where did it happen?
      Who all are involved?
      What are their profiles?
      Which, whose profile is required?
      Why did they do this?
      What should be done?
      Here are further facts.

      Crisis
      Mental Health Crisis
      Crisis
      Their ability to function in daily life breaks

      Clarifying Roles and Responsibilities

      What skills, knowledge, and abilities are needed for success?
      Do you have the right people on the team?
      Are there skill gaps?

      What do you have to do?
      Monitoring Harm to Self or Others
      Monitoring Activities of Daily Living
      ADL Monitoring: What It Is and Why It Matters

      What Is a Mental Health Crisis?
      The signs of a mental health crisis differ from person to person. Still, there are ways you can be ready in an emergency.

      A mental health crisis is when someone’s behaviors prevent them from functioning or indicate they might harm themselves or others.

      Disability: What is it?
      Disability includes physical, mental, and sensory impairments and chronic illnesses that limit major life activities.

      What are major life activities?
      1. Bathing
      2. Dressing
      3. Grooming / Presentable relevant to context or situation.
      4. Oral Care
      5. Toileting
      6. Cooking
      7. Eating
      8. Uses the Phone
      9. Housework.
      10. Transferring
      11. Managing Resources: Food, Hygiene products, clothing, housing, healthcare, safety, job, ____, plan
      12. Walking.
      13. Climbing Stairs
      14. Laundry
      15. Shopping
      16. Driving
      17. Managing Medications
      18. Managing Finances
      19. Sleep wake cycle. Proper housing with attached bath necessary.

      Limitation in maintaining social functioning

      Understanding a Psychiatric Crisis
      A psychiatric crisis — often referred to as a mental health crisis — is a situation in which a person’s emotions, thoughts, or behaviors become so overwhelming that they can no longer cope using their usual strategies, and their ability to function in daily life breaks. It can also occur when someone is at risk of harming themselves or others, or when they can no longer care for themselves safely Relias.

      Key Features
      Overwhelming distress: The person feels unable to manage their emotions, thoughts, or behaviors.

      Loss of coping mechanisms: Normal ways of handling stress or problems fail.

      Functional impairment: The person may struggle to work, maintain relationships, or take care of basic needs.

      Risk to self or others: This can include suicidal thoughts, self-harm, or dangerous behavior Psych Central+1.

      Common Triggers Psychiatric crises can be sudden or develop over time. They may be caused by:

      Severe mental health conditions (e.g., depression, PTSD, psychosis)

      Trauma or life events (e.g., loss, abuse, major life changes)

      Substance use or withdrawal

      Accumulated stress or lack of support.

      Signs to Watch For
      Signs vary, but may include:

      Intense sadness, hopelessness, or anxiety
      Sudden anger or withdrawal from others
      Sleep or eating disturbances
      Physical symptoms like headaches, stomachaches, or exhaustion
      Suicidal ideation, plans, or attempts
      Hallucinations, delusions, or disorganized thinking.

      Urgency
      Any threat or attempt of suicide or self-harm is considered a mental health crisis and a medical emergency Psych Central. Even non-life-threatening crises require prompt professional intervention to prevent escalation.

      When to Seek Help

      If you or someone you know is experiencing a psychiatric crisis:
      Call or text 988 (U.S. Suicide & Crisis Lifeline) for 24/7 support.
      Use Crisis Text Line: Text “HOME” to 741741.
      Contact local mental health services or emergency responders trained in crisis intervention.

      In short: A psychiatric crisis is a critical moment when a person’s mental state is so disrupted that they need immediate help to regain safety and stability. Recognizing the signs early and acting quickly can make a life-saving difference.

      What is crisis?
      Critical event or point of decision which, if not handled in an appropriate and timely manner (or if not handled at all), may turn into a disaster or catastrophe.

      Are there crisis medical emergencies?
      Yes, there are.

      How are crisis medical emergencies different from other medical emergencies?
      Crisis medical emergencies have counseling as a component of treatment.

      Who should diagnose and treat a human crisis?
      A competent medical doctor should diagnose and treat a human crisis.
      A crisis counselor can provide supportive services.

      What can cause crisis?
      Murder
      Rape
      Sudden early age death
      Disaster
      Severe stress
      Conspiracy or conspiracies
      Earthquakes or other natural disasters
      Fires that are harmful to humans
      Other harms.

      Those who have been harmed by these events or circumstance need crisis counseling. Crises are medico legal cases.
      Crisis counseling usually needs Internet guidelines, Internet chat, e-mail counseling, telephone hotline, and/or face-to-face emergency counseling.

      Do all case scenarios of crisis need hospitalization?
      No, they don't.

      Can an unjustified hospitalization lead to further harms?
      Yes, it can.

      What should you advise people in crisis?
      Ask them to report the problem and call again if they feel distressed.

      What are various methods to manage crisis?
      What is a crisis hotline?


      If you are a new patient, a new medical record should be created for you.
      You will need to answer many questions.

      If you face any emergency after an annual health assessment, you are required to report to your primary health care provider so that you get advice on how this could be prevented.

      All medical emergencies a patient faces must be managed by the nearest medical emergency provider and later reported to the patient’s primary health care provider.

      Should a crisis be diagnosed and treated by a medical doctor or a counselor?
      Ideally, a crisis should be diagnosed and treated by a medical doctor.
      The counseling part can be done by a competent counselor

      Crisis plan
      Make a crisis plan.

      What does a crisis plan look like?

      Crisis
      Crisis Management Questions and Answers
      What is the difference between Crisis and Emergency?

      Crisis vs Emergency

      A crisis is a decisive, difficult or unstable situation that involves an impending change. An emergency is a situation poses a serious and immediate risk to health, life or property, which often requires urgent intervention.

      Implications

      A crisis is a negative change. An emergency is a situation that needs immediate intervention.

      Usage

      Crisis can refer to negative changes that take place in the security, political, economic, environmental and societal situation of a ________. Emergency can refer to natural disasters, major accidents or medical emergencies such as heart attacks or outbreak of a disease.

      Behavioral Intensive Care Unit
      Psychiatric intensive care unit (PICU)
      Involuntary admission to a psychiatric facility
      How should police verify the findings in case they are called for involuntary admission to a psychiatric facility?
      What are the harmful tricks that oppressors and their harmful associates use to label a normal person while depriving him/her of rights and inflicting intentional harms as mentally challenged person or with mental illness?
      When can a person be subject to involuntary judicial admission to a psychiatric facility?
      When can a person not be subject to involuntary judicial admission to a psychiatric facility?
      Case management
      What is case management?
      Case management refers to the coordination of services on behalf of an individual who may be considered a case in different settings, such as health care, nursing, rehabilitation, social work, and law.

      If diagnosis of an individual is wrong, case management is ineffective.
      If professionals with case management are incompetent or not fit for duty, an individual can be harmed.

      States that are deficient in case management services must enhance them.

      What are the prerequisites of effective case management?
      A doctor of medicine should be competent.
      If an individual claims to be a medical specialist, he or she should have at least basic abilities of a doctor of medicine.
      A case manager should be competent with legal abilities.
      The state legal system should have insight of human rights and competent professionals, including lawyers and judges.

      What are the parameters that determine the elements of effective case management with regard to a human being?
      Here are further guidelines.

      Questions you need to answer

      What do you know about case management?
      What should be the abilities of a case manager?


      Case Manager
      Human Services Case Manager
      Resident Services Case Manager

      Discussion and psychiatry

      Does discussion help in psychiatric medical conditions?
      Yes, it does.

      How does discussion help in psychiatry medical conditions?
      Discussion helps to identify harms.
      Discussion helps in suggesting solutions or remedies for harms.
      A discussion coordinator helps bringing solutions or remedies for harms. Healthy discussion keeps your mind active.
      An inactive mind is susceptible to psychiatric disorders.

      Storytelling is one form of discussion.

      How will discussion or story telling help residents?
      Most of the residents have psychiatric medical conditions.
      Discussion will help them to identify the harms.
      They can gain motivation from discussion.

      What can be the context of discussion/storytelling?
      Harms.
      Ongoing struggles.
      Achievements.

      Harms should be the focus of storytelling/discussion.

      If you discuss harms and bring solutions or remedies, then this activity/discussion is going to be helpful.

      If you discuss harms and give suggestions to resolve the harms during meetings and e-mails than this is going to be helpful.

      Questions for discussion or storytelling.

      How have you been harmed?
      What problems are you facing?
      How would you like to resolve these harms?
      What are your goals?

      Here are further guidelines.
      http://www.qureshiuniversity.com/discussion.html
      Case Reports
      What is a case report relevant to human healthcare?
      In human healthcare, a case report is a detailed report of the symptoms, signs, diagnosis, treatment, and follow-up of an individual patient.

      These usually are findings that others do not know or findings and recommendations that need revision of diagnosis and treatment.

      Who is circulating this case report?
      Doctor Asif Qureshi

      About the Founder
      http://www.qureshiuniversity.com/aboutthefounder.html

      What is extraordinary about this case report?
      It is valid, original, credible, and educational.

      Case Report 1

      On March 10, 2014 1PM at C4 Broadway 5710 North Broadway St. Chicago, IL 60660, I tried to evaluate with conversation a Caucasian man in his 40s who has lived in Chicago, Illinois, for more than 40 years.

      What has he been told?
      His diagnosis is schizophrenia.

      What has he been told about what causes this medical condition?
      Genetics.

      What are the symptoms and signs of schizophrenia?
      These are the prominent symptoms and signs.
      Patient has lost touch with reality.
      Lack of insight into the condition itself.
      There can be other symptoms and signs less concerning.

      What are my findings?
      This individual had neither lost touch with reality nor had lack of insight into conditions based on the facts brought in front of him.

      He could answer all my questions.
      He was aware of the location at that point.
      He had properly taken care of himself while bathing and putting on proper clothes.

      What are my recommendations?
      Revision of diagnosis

      Wrong diagnosis is medical negligence.
      Case Report 2

      Why was there a need to establish this?
      http://www.qureshiuniversity.com/psychiatryworld.html psychiatric services? Take a look at this.
      A simple consultation is approximately $800.
      A comprehensive consultation is almost always less than $1,500.

      Who has displayed these types of consultations?
      Gateway Psychiatric Services
      548 Market St # 18351
      San Francisco, CA 94104-5401

      On March 10, 2014, at 3.20 PM, this was verified.

      Take a look at this.
      http://www.qureshiuniversity.com/psychiatryworld.html
      Have you look at this resource to verify if your questions and concerns have been answered?

      If you go through this resource, you will realize there is no need for $800 consultation or $1,500 comprehensive psychiatric consultation.
      Case Report 3

      Harmful healthcare providers.

      What are examples of harmful healthcare providers?
      This is happening in America up to March 10, 2014.
      An individual complaint that he feels stress after specific harms.
      He displays all his profile to prove there are no other symptoms and signs.

      The unethical healthcare provider makes self-styled symptoms and signs and records them in his medical records.
      He makes self-styled diagnosis and records that he needs five various types of services at the healthcare provider. The individual clearly mentions that he does not have these symptoms and signs that you have recorded.
      What was the location?
      On March 10, 2014 1PM at C4 Broadway 5710 North Broadway St. Chicago, IL 60660,

      How are such healthcare providers allowed to have public dealing?

      How can these harms be prevented?
      Ask them to answer relevant questions.
      Ask them to displays their competence publicly through Internet.

      The world’s medical doctors make sure that every individual has high quality of life up to 90 years.
      More facts are at www.qureshiuniversity.com.
      Coauthor
      Can you be a coauthor for these resources?
      Can you recommend another doctor of medicine or psychiatrist to be a coauthor for this resource?

      If you would like to be associated with these resources as a doctor of medicine or psychiatrist, what do you have to do?

      What is expected of a coauthor?

      A coauthor will read through the facts, recommend any addition, deletion or modification, and recommend that others utilize this as a reference resource.

      If you are a medical student or postgraduate, what do you have to do?
      Learn from these resources.
      Causes of psychiatric complaints
      What are the most common causes of psychiatric complaints?
      Stress.
      Intentional enforced harms from others.
      Human rights violations from others.

      Other causes

      Substandard education
      Genetic
      Biological
      Systemic

      Education is the most essential component of psychiatric treatment.
      A Mnemonic for Symptoms of Major Depression and Dysthymia
      SIGECAPS = SIG + Energy + CAPSules

      Sleep disorder (either increased or decreased sleep)*
      Interest deficit (anhedonia)
      Guilt (worthlessness,* hopelessness,* regret)
      Energy deficit*
      Concentration deficit*
      Appetite disorder (either decreased or increased)*
      Psychomotor retardation or agitation
      Suicidality

      ‘DIGFAST’: Mnemonic for the Cardinal Symptoms of a Manic Episode Distractibility

      Indiscretion (DSM-IV's excessive involvement in pleasurable activities . . . )

      Grandiosity
      Flight of ideas
      Activity increase
      Sleep deficit (decreased need for sleep)
      Talkativeness (pressured speech)

      A Mnemonic for Symptoms of Borderline Personality Disorder and Suggested Screening Questions
      Identity problem
      Do you have trouble knowing who ___________ is? (say patient's name)
      Disordered affect
      Are you a moody person?
      Empty feeling
      Do you often feel empty inside?
      Suicidal behavior
      When something goes really wrong in your life, like ____ __________, do you ever do something to hurt yourself, like cutting yourself or overdosing? Here are further guidelines.

      Controversies in psychiatry
      What are some of the known controversies in psychiatry?
      The NIMH has withdrawn support for the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5), circulated in 2013 and 2014.
      What should a doctor know relevant to psychiatry?
      Doctor Consultation


      Psychiatry history essentials
      Patient Profile
      Individualized consultation nonemergency patient
      Comprehensive patient assessment
      How is a comprehensive patient assessment done?

      Psychiatric Consultations
      What should you know about evaluation, diagnosis, and treatment of psychiatric medical conditions in various healthcare settings?
      Never diagnose a psychiatric medical condition unless you make sure the individual is not being harmed in any way.

      Always get answers to these questions.

      How do you know if the individual has any of these:
      Stress without intentional enforced harms or without human rights violations. Intentional enforced harms from others. Human rights violations from others?


      Ask questions relevant to the issues mentioned.
      Verify the findings with questions relevant to issues mentioned.

      Answers to these questions are essential.

      Does the individual have any of this?
      Stress.
      Intentional enforced harms from others.
      Human rights violations from others.

      If yes, fix these issues immediately.

      What is the profile of the patient who needs doctor consultation?

      What best describes intentional or willful harms on you?

      Deprivation of rights under the color of law.
      Intentional harms.
      Provocation.
      Retaliation.
      If the individual cannot answer himself or herself, ask an individual who is trustworthy, not harmful, and truthful to get answers to relevant questions.

      If any one of these exists, what should be written in the diagnosis?
      Intentional enforced harms.
      Medicolegal case.

      Why should every state have stress counseling resources?
      At any point, an individual can have stress.

      What will happen if stress on an individual is ignored?
      Ignoring stress can cause an acute stress reaction.
      Various complications of stress can occur.

      Psychiatric Consultation

      What is included in a comprehensive psychiatric consultation?
      Questions relevant to stress.
      Questions relevant to intentional enforced harms from others.
      Questions relevant to human rights violations from others.
      Questions relevant to major mental illnesses.
      Questions relevant to personality disorders.
      Questions relevant to mental retardation in children.
      Questions relevant to dementia in elders.
      Questions relevant to systemic medical conditions.
      Evaluation relevant to specific symptoms, signs, and complaints.

      Take a look at this.
      Questions you need to answer.
      JavaScript Form Validation
      Question 1

      What is your Email address?
      Question 2

      What is the name of the individual who needs doctor consultation?
      Question 3

      What is the date of birth of the individual who needs doctor consultation?
      Question 4

      What is your mailing address?
      Question 5

      What is your telephone number?
      Question 6

      Where is the patient now?
      Question 7

      How old is the patient?
      Question 8

      What is the gender of the patient?
      Question 9

      What are the sources of medical history?
      Question 10

      What best describes the patient?:
      Question 11

      In general, how is your physical and mental health?
      Question 12

      Do you have any appointments scheduled with doctors or other specialists?
      Yes
      No
      Question 13

      Have you been in the hospital in the last month?
      Yes
      No
      Question 14

      Do you have health problems that you need help with right away?
      Yes
      No
      Question 15

      Do you need extra help to access services, such as a wheelchair ramp, a computer screen reader or large print materials?
      Yes
      No
      Question 16

      Screening for survival needs

      Do you have enough of these resources from the state?
      Food
      Clothing
      Housing
      Health care
      Transportation
      Security
      Education
      Consumer goods
      Communication

      Do you need any of these resources to be enhanced?
      Question 17

      What are the issues?
      Question 18

      Is your complete medical history ready?
      Yes
      No
      Question 19

      Can I get a copy of your photo identity card?
      Primary Care Physician Name, Address and Phone:__________________

      Emergency Contact Name:______________

      Relationship:________________________

      Question 20

      Your Height:_________________________

      Your Weight:_________________________
      Question 21

      Referred by:_________________________
      Question 22

      What seems to be the problem?
      Question 23

      What is the reason for consultation?
      Question 24

      What best describes problem of the patient?
      Sleep problems.
      Anger.
      Relationship problem.
      Not taking care of self.
      Not taking care of others.
      Misinterpreting the facts.
      Recent social withdrawal or loss of interest in others.
      Illogical thinking typical of childhood but in an adult.
      Repeatedly checking or doing activities that seem abnormal.
      Restlessness.
      Administrative abuse/harms from others.
      Thoughts or threats to hurt oneself or others.
      Social withdrawal after death of a person known to the patient.
      Communication problem (speech, writing, reading, expression).
      Not enough food, clothing, housing needs, transportation, health care, or education.
      Other issues.
      You need to give details of the issues or problems.

      Life-threatening conditions.

      Suicidal thoughts.
      Homicidal thoughts.
      Assault, violent actions or behavior.
      Delirium or extreme agitation.
      Feeling that harms have been inflicted or are being inflicted, and that harms are going to be inflicted that need to be prevented.
      Question 25

      Is the claim any one of these?
      Psychological torture
      Physical torture
      Corruption in politics of regulations
      Racism
      Deprivations of rights under the color of law
      Political abuse
      Discrimination
      Disruption
      Exclusion
      Question 26

      Did anyone beat or torture you at any point since birth?
      Question 27

      Is there any incident or issue in past, present, or future that is causing distress to you?
      Question 28

      Did you experience any one of these that has troubled you since the day you were born?

      Assault.
      Accidents.
      Child abuse or captivity.
      Childbirth.
      Death of a loved one.
      Fire.
      Rape.
      Natural disaster (hurricanes, earthquakes, tsunamis).
      Road traffic crash.
      Building collapse.
      Fire.
      Shooting.
      Neglect of a child leading to a serious harms.
      Domestic violence.
      War.
      Genocide.
      Torture.

      If yes, what are the details?

      If any other traumatic, stressful, harmful, or horrifying event, give more details.
      Question 29

      What conditions require emergency psychiatry consultation?
      1. Attempted suicide.
      2. Attempted homicide.
      3. Substance abuse.
      4. Psychosis(delusions, hallucinations, catatonia, thought disorder, loss of contact with reality).
      5. Suicidal thoughts, homicidal thoughts.
      6. Violence or other rapid changes in behavior.
      7. Abuse.
      8. Environmental factors (hostile environment).
      9. Functional impairment (not taking care of self. inability to gain relevant skills and knowledge relevant to age).
      10. Personality disorders (harmful to others).
      11. Panic attacks.
      12. Loosening of social inhibitions.
      13. Likely to be harmful to self or others.
      14. Serious drug reactions with psychiatric or non-psychiatric medications.
      15. Intentional enforced harms.
      16. Other.
      Here are further guidelines.

      What best describes you?
      Question 30

      Is the individual on any medication?
      Question 31

      Intentional enforced harms

      What are intentional enforced harms?
      Question 32

      Commons Signs and Symptoms of Major Mental Illnesses
      Anxiety
      Bi-Polar Disorder
      Chemical Dependency
      Depression
      Psychotic Disorders

      Take a look at this.
      What best describes you?
      Aggressive
      Anger
      Anxiety
      Avoidance of situations
      Being unable to limit the amount of alcohol you drink
      Blunted
      Building a tolerance so that you need an increasing number of drinks to feel the effects
      Carelessness about personal grooming
      Change in appetite
      Changed sleeping pattern
      Changes in Behavior / Sleep disturbance
      Changes in Emotion and Motivation
      Changes in Thinking and Perception
      Chest pain
      Choking
      Chronic fatigue, lack of energy
      Confusion
      Constipation
      Crying spells
      Decrease concentration and memory
      Decreased appetite
      Decreased coordination
      Delusions
      Depression
      Depression as the drug wears off
      Diarrhea, muscle aches
      Difficulties with concentration or attention
      Difficulty concentrating
      Distress in social situations
      Dizziness
      Drinking alone or in secret
      Drowsiness
      Dry mouth
      Elated mood
      Especially if alcohol isn't available
      Euphoria
      Experiencing physical withdrawal symptoms such as nausea, sweating and shaking
      Feeling a need or compulsion to drink
      Feeling that self or others have changed or are acting different in some way
      Flashbacks, a re-experience of the hallucinations even years later
      Flat or inappropriate emotion
      Flushing
      Frequent self-criticism
      Grandiose delusions
      Greatly impaired perception of reality, for example, interpreting input from one of your senses as another, such as hearing colors guilt
      Gulping drinks, ordering doubles, becoming intoxicated intentionally to feel good or drinking to feel "normal"
      Hallucinations
      Having legal problems
      Having problems with relationships
      Headache, sweating
      Heart palpitations
      Helplessness
      High blood pressure
      Hopelessness
      Hyperventilation
      Impaired memory and concentration
      Impaired motor function
      Impatience
      Increased appetite
      Increased blood pressure and heart rate
      Increased energy and overactivity
      Increased heart rate
      Increased heart rate, blood pressure and temperature
      Indecisiveness and confusion
      Indecisiveness, irritability
      Insomnia
      Irregular menstrual cycle
      Irritability
      Irritability when your usual drinking time nears
      Keeping alcohol in unlikely places at home
      Lack of coordination
      Lack of emotional responsiveness
      Lack of energy, overeating or loss of appetite
      Lack of inhibitions
      Lack of insight.
      Losing interest in activities and hobbies that used to bring pleasure
      Loss of appetite
      Loss of interest in hobbies, sports, and other favorite activities
      Loss of interest in personal appearance(Social grooming)
      Loss of memory
      Loss of motivation, chronic fatigue
      Loss of motivation, drug or alcohol use
      Loss of sexual desire
      Making a ritual of having drinks before, with or after dinner and becoming annoyed when this ritual is disturbed or questioned
      Memory impairment
      Mind racing or going blank
      Mood swings
      Nasal congestion and damage to the mucous membrane of the nose in users who Snort drugs
      Nausea and vomiting
      Nausea, vomiting
      Needing less sleep than usual
      Needle marks (if injecting drugs)
      Neglect of responsibilities
      Not remembering conversations or commitments, sometimes referred to as blacking out
      Numbness
      Obsessive or compulsive behavior
      Overeating or loss of appetite
      Panic
      Paranoia
      Paranoid thinking
      Permanent mental changes in perception
      Phobic behavior
      Poor memory
      Rapid heartbeat
      Rapid speech
      Rapid thinking and speech
      Red eyes
      Red or glassy eyes
      Reduced ability to carry out work or other roles.
      Reduced energy and motivation
      Reduced sense of pain
      Restlessness
      Restlessness or feeling “on edge” or nervousness
      Runny nose
      Sadness
      Sedation
      Self-blame, pessimism
      Self-criticism, self-blame, pessimism
      Sense of alteration of self
      Sensory Changes(A heightened sense of visual, auditory and taste perception. A reduction or greater intensity of smell, sound or color)
      Shortness of breath
      Sleep disturbance
      sleeping too much or too little
      Slowed breathing
      Slowed breathing and decreased blood pressure
      Slowed reaction time
      Slurred speech
      Social isolation or withdrawal
      Strange ideas
      Sudden change in behavior
      Sudden mood swings
      Suspiciousness
      Tendency to believe others see you in a negative light
      Thoughts of death and suicide
      Tingling and numbness
      Tiredness
      Tremors
      Tremors/shaking
      Unexplained aches and pains
      Unrealistic and/or excessive fear and worry
      Unusual perceptual experiences
      Violent Behavior
      Vivid dreams
      Weight loss
      Weight loss or gain
      Withdrawal from family members and/or long-term friends
      Withdrawal from others
      Worrying
      Question 33

      Who is writing answers to these questions?
      The patient.
      Someone else on behalf of patient.

      If someone else is answering these questions on behalf of the patient, how are you related to the patient?
      Sister
      Cousin
      Brother
      Mother
      Father
      Case manager
      Relative
      Primary care physician
      Nurse
      If other, specify.
      Question 34

      Does the individual have any of this?
      Stress.
      Intentional enforced harms from others.
      Human rights violations from others.

      If yes, fix these issues immediately.
      Question 35

      How do you know an individual has stress, intentional enforced harms from others, or human rights violations from others?
      Here are further guidelines.

      What best describes you?
      Question 36

      Questions relevant to stress.

      What is troubling you at present?
      Question 37

      What is troubling you from the past or about the future?
      Question 38

      Questions relevant to intentional enforced harms from others.

      Who has harmed you in the past or present or is likely to harm you in the future?
      Question 39

      Questions relevant to human rights violations from others.

      Do you know what basic human rights are?
      Question 40

      What best describes your human rights violations from others?
      Question 41

      Oppressor screening

      How do you know a person is harmful or a gang member?
      He or she has disregard for human rights of others.
      He or she has harmed others and is likely going to harm others.
      He or she has prejudice toward good charactered, well-behaved individuals.
      A harmful individual will not have proper answers to questions relevant to good character, good behavior, or human rights.

      What type of individual goes to jail or has involuntary admission to a psychiatric facility?
      Is there an oppressor/harmful individual in the community?
      How has/is this individual harming others?
      How is this individual likely to continue to harm others?
      Is he or she acting alone or is a gang member?
      Who are among the other gang members?
      I have read and agree to the Terms & Conditions.

      Are you ready to get started, or do you have other questions about the Internet consultation?

      Have you read the facts about the services you are getting?
      Everything is displayed publicly.
      There is no hidden agenda.
      There is no professional damages for these services through www.qureshiuniversity due to the fact that everything is displayed publicly for scrutiny by any professional.
      If any individual or professional feels any professional abilities need to be added, he or she can forward recommendations.

      Where are you in the process?

      I am trying to get information about the services via the Internet: how it works, whether it is right for me.
      I have decided to get consultation, recommendations; I need to set up remuneration issues.
      I have decided to get consultation and am in the process of answering questions.
      I have a question about online questions and consultation. Other.
      I have read and agree to the Terms & Conditions.

      These are basic questions.
      There are many more.

      Once the above listed relevant questions about comprehensive patient assessment are answered and received, you will get another questions list relevant to age, gender, location, problems, or issues, if any.

      This will be followed by specific recommendations.
      What best describes the patient?
      Child
      Adolescent girl
      Adolescent boy
      Woman
      Man
      What do you have to do before a patient or individual from the public seeks individualized doctor consultation?

      Has this issue been explained at the public health level?
      Take a look at this.
      http://www.qureshiuniversity.com/publichealthworld.html

      Has this issue been explained in patient education?
      Take a look at this.
      http://www.qureshiuniversity.com/patienteducation.html

      If yes, you need to go through these facts.

      If no, you need to seek individualized doctor consultation.

      A doctor should first try to resolve health issues at the public health level or patient education.

      If the public health level or patient education does not resolve your issues, individualized doctor consultation is required.

      What should you expect from a doctor during individualized consultation?
      1. Obtaining a complete medical history.
      2. Verifying the obtained complete medical history.
      3. Reviewing patient records.
      4. Performing physical examinations.
      5. Medical test recommendations.
      6. Monitoring in various settings.
      7. Treatment/recommendations.
      What are the various methods of completing a medical history?
      You need to complete the options listed.
      You need to answer relevant questions.
      Depending on the situation, more questions can be asked.

      How healthy are you?
      How can various emergencies be prevented in the state and outside the state?
      Enhance various essential departments in the state.
      Take all nonemergency complaints and issues seriously.
      Resolve nonemergency complaints and issues immediately before they become an emergency.
      If you ignore nonemergency complaints and issues, this can become an emergency.
      What will happen if you don't resolve a conflict or dispute?
      What is conflict?
      What is a conflict of interest?
      There are a number of examples that explain this situation.
      When can a conflict of interest occur?
      What are the types of conflict?
      Are disagreement and conflict the same?
      What are some examples?
      What causes it?
      How do people respond to conflict?

      Don't reach self-styled conclusions.
      Did anyone provoke this behavior?

      What are the non-psychiatric causes of the symptoms?

      What organizations have been found to be abusing a "petition for involuntary judicial admission to a psychiatric facility?"

      How should they be disciplined?

      What are the organizations whose staff has been found to be incompetent, leading to unjustified admission to a psychiatric facility?

      What are various stages of conflict?
      Pre-conflict, confrontation, crisis, and outcome.

      How do you manage conflict?
      You first need to understand the issues, problems, claims.

      Are we facing a conflict or a dispute?
      Understanding conflict.
      Analyzing the conflict
      Who is involved?
      Education
      Finding solutions
      How do you manage retaliation?
      Mutual understanding
      Communication channels opened
      Determine management strategy
      What is the appropriate way to manage it?
      Pre-negotiation
      Negotiation
      Post-negotiation
      Post conflict management

      Drug Screening
      Do you use drugs or drink alcohol?

      Are these substances harming your health or increasing your risk for other problems?

      Have you used drugs other than those required for medical reasons?

      Do you abuse more than one drug at a time?

      Are you unable to stop using drugs when you want to?

      Have you ever had blackouts or flashbacks as a result of drug use?

      Do you ever feel bad or guilty about your drug use?

      Does your spouse (or parents) ever complain about your involvement with drugs?

      Have you neglected your family because of your use of drugs?

      Have you engaged in illegal activities in order to obtain drugs?

      Have you ever experienced withdrawal symptoms (felt sick) when you stopped taking drugs?

      Have you had medical problems as a result of your drug use (e.g. memory loss, hepatitis, convulsions, bleeding)?

      Do you inject drugs?

      How often do you use drugs

      Which recreational drugs you have used in the past year?

      ____ Alcohol
      ____ Amphetamines
      ____ Barbiturates (except phenobarbital)
      ____ Benzodiazepines
      ____ Cannabis (marijuana, pot)
      ____ Cocaine
      ____ Cotinine (a breakdown product of nicotine)
      ____ Hallucinogens (LSD, mushrooms)
      ____ Heroin
      ____ Inhalants (paint thinner, aerosol, glue)
      ____ Injection Drugs
      ____ LSD
      ____ MDMA (Ecstasy)
      ____ Methadone
      ____ Methamphetamine (speed, crystal)
      ____ Morphine
      ____ Narcotics (heroin, oxycodone, methadone, etc.)
      ____ Other Drugs
      ____ PCP
      ____ Phenobarbital
      ____ Prescription Medications
      ____ Rohypnol and GHB
      ____ Steroids
      ____ Tranquilizers (valium)
      ____ Tobacco
      ____ Tricyclic antidepressants (TCA's)
      ____ other ______________________________

      Have you used drugs other than those required for medical reasons?

      Have you abused prescription drugs?

      Do you abuse more than one drug at a time?

      Can you get through the week without using drugs (other than those required for medical reasons)?
      Are you always able to stop using drugs when you want to?

      Do you abuse drugs on a continuous basis?

      Do you try to limit your drug use to certain situations?

      Have you had “blackouts” or “flashbacks” as a result of drug use?

      Do you ever feel bad about your drug abuse?

      Does your spouse (or parents) ever complain about your involvement with drugs?

      Do your friends or relatives know or suspect you abuse drugs? Has drug abuse ever created problems between you and your spouse?

      Has any family member ever sought help for problems related to your drug use?

      Have you ever lost friends because of your use of drugs?

      Have you ever neglected your family or missed work because of your use of drugs?

      Have you ever been in trouble at work because of drug abuse?

      Have you ever lost a job because of drug abuse?

      Have you gotten into fights when under the influence of drugs?

      Have you ever been arrested because of unusual behavior while under the influence of drugs?

      Have you ever been arrested for driving while under the influence of drugs?

      Have you engaged in illegal activities in order to obtain drug?

      Have you ever been arrested for possession of illegal drugs?

      Have you ever experienced withdrawal symptoms as a result of heavy drug intake?

      Have you had medical problems as a result of your drug use (e.g., memory loss, hepatitis, convulsions, bleeding, etc.)?

      Have you ever gone to anyone for help for a drug problem?

      Have you ever been in a hospital for medical problems related to your drug use?

      Have you ever been involved in a treatment program specifically related to drug use?

      Have you been treated as an outpatient for problems related to drug abuse?

      Urine drug screen

      Drug test

      Alcohol
      Amphetamines
      Barbiturates (except phenobarbital)
      Benzodiazepines
      Cannabis
      Cannabis (marijuana)
      Cocaine
      Cotinine (a breakdown product of nicotine)
      Hallucinogens (LSD)
      Heroin
      Inhalants
      Injection Drugs
      LSD
      MDMA (Ecstasy)
      Methadone
      Methamphetamine
      Morphine
      Other Drugs
      PCP
      Phenobarbital
      Prescription Medications
      Rohypnol and GHB
      Steroids
      Tobacco
      Tricyclic antidepressants (TCA's)

      Normal Results

      No drugs in the urine.

      What Abnormal Results Mean

      If the test result is positive, another test called gas-chromatography mass spectrometry (GC-MS) may be done to confirm the results. The GC-MS will help tell the difference between a false positive and a true positive.

      In some cases, a test will register a false positive. This can result from interfering factors such as some foods, prescription medications, and other drugs.
      Emergency Psychiatry
      What is emergency psychiatry?
      Emergency psychiatry is the clinical application of psychiatry in emergency settings.

      What conditions require emergency psychiatry consultation?
        1. Attempted suicide.
        2. Attempted homicide.
        3. Substance abuse.
        4. Psychosis(delusions, hallucinations, catatonia, thought disorder, loss of contact with reality).
        5. Suicidal thoughts, homicidal thoughts.
        6. Violence or other rapid changes in behavior.
        7. Abuse.
        8. Environmental factors (hostile environment).
        9. Functional impairment (not taking care of self. inability to gain relevant skills and knowledge relevant to age).
        10. Personality disorders (harmful to others).
        11. Panic attacks.
        12. Loosening of social inhibitions.
        13. Likely to be harmful to self or others.
        14. Serious drug reactions with psychiatric or non-psychiatric medications.
        15. Intentional enforced harms.
        16. Other.

      What should an emergency medical doctor or any psychiatrist exclude before diagnosing and treating any emergency medical condition relevant to psychiatry?
      Exclude intentional enforced harms. Intention enforced harms are emergencies; however, they need solutions and remedies, not medications or hospitalizations.

      How may individuals arrive for emergency psychiatric service?
      1. Voluntarily.
      2. Referral from another health professional.
      3. Through involuntary commitment.

      How should wrong referrals or abuse of involuntary commitment in emergency psychiatry be prevented?
      1. Education of police officers.
      2. Education of emergency medical doctors and psychiatrists.
      3. Public awareness that sending anyone for psychiatric referral or involuntary commitment through trickery or malice is a Class A misdemeanor.

      What should patients expect from emergency psychiatry?
      1. Medications.
      2. Counseling.
      3. Involuntary hospital admission.
      4. Voluntary hospital admission.
      5. Outpatient facilities.
      6. Partial hospitalization.
      7. Residential treatment centers.
      8. E-mail or telephone counseling.
      9. In case of intentional enforced harms, solutions, remedies, or adjudication.

      What is the essential requirement of a psychiatric behavioral unit or ward?
      Provide a protected environment.
      Other.
      Here are further guidelines.
      http://www.qureshiuniversity.com/psychiatryworld.html

      What is the future of psychiatry?
      Demand for psychiatric services is going to increase as people tend to be more civilized.

      Here are further guidelines.
      http://www.qureshiuniversity.com/emergencypsychiatry.html

      Forensic psychiatry
      What is forensic psychiatry?
      What is a forensic psychiatrist?
      What kinds of determinations do forensic psychiatrists make in civil proceedings?
      What about criminal cases?
      Can there be civil proceedings and criminal proceedings at the same time?
      How does a forensic psychiatrist go about conducting an evaluation?
      Is a forensic psychiatrist the same thing as a forensic psychologist?
      How is forensic psychiatry useful to the legal process?
      Are forensic psychiatrists "advocates" for one side or the other in legal matters?
      What is a forensic pathologist?
      Where do forensic pathologists work?
      What does a forensic pathologist do?
      Why is knowledge of stress, intentional enforced harms from others, and human rights violations from others essential for a doctor or healthcare provider?
      What is the profile of the individual for whom forensic psychiatrist consultation has been sought?
      Who has sought forensic psychiatrist consultation for a specific individual?
      What has led to seeking forensic psychiatrist consultation for a specific individual?
      How should a lawyer select a forensic expert for a specific case?
      How has Internet human health care changed the public service of forensic psychiatry?
      What can be reasons a person is not fit for specific work/duty/profession?
      What best describes the individual whose fitness for duty required forensic psychiatric consultation?
      Have previous doctors, psychiatrists, or clinicians made any wrong diagnosis and wrong recommendations relevant to the individual?
      What is the actual genuine diagnosis and treatment of the individual?
      What is a forensic psychiatrist?
      A forensic psychiatrist is a medical doctor with, first, the additional training of a psychiatrist, and then with special training and experience (forensic) in the application of psychiatric knowledge to questions posed by the legal system. A forensic psychiatrist may also have a clinical practice. However, when acting in the capacity of a forensic specialist, he or she is not providing therapy to alleviate the patient's suffering or to help the patient be free and healthy, but an objective evaluation for use by the retaining institution, attorney, or court.

      Forensic pathologists (one kind at least) are the physicians who perform autopsies, a different medical specialty altogether.

      What is a forensic psychiatrist?
      A forensic psychiatrist is a medical doctor with, first, the additional training of a psychiatrist, and then with special training and experience (forensic) in the application of psychiatric knowledge to questions posed by the legal system. A forensic psychiatrist may also have a clinical practice.

      In addition to the highly visible role of expert witness, the forensic psychiatrist performs numerous consultative services out of the public eye. These include client management, witness evaluation, witness preparation, jury selection, and establishing witness credibility. You can decide in each individual case which of these services will be most helpful to your client. But it helps to engage in an ongoing dialogue with the consulting expert.

      What is an expert witness and what is the role of a psychiatrist as an expert witness?
      First let's define a witness as a person with knowledge not normally possessed by the average person concerning the topic that he is to testify about. An expert witness is a witness who has knowledge beyond that of the ordinary layperson such that he or she could give testimony regarding an issue that requires expertise to understand.

      What is the difference between a forensic psychologist and a forensic psychiatrist?
      A forensic psychologist is initially qualified as a psychologist (PhD), and then trained at postgraduate level to practice in the forensic field. A forensic psychiatrist is first qualified as a doctor of medicine, and then taken further training to qualify as a psychiatrist. After training in general psychiatry, one pursues further fellowship to develop skills as a forensic psychiatrist.

      How does a forensic psychiatrist go about conducting an evaluation?
      A properly conducted forensic evaluation is an extended, in-depth process. It entails multiple interviews, detailed review and comparison of what the examinee has communicated on different occasions, microanalysis of the data (with consideration of sequence, tone, and nonverbal behavior), and cross-checking with corroborative evidence (interviews with relevant others, police and medical records, other expert witness reports, and psychological testing).

      This evaluation must be conducted with subtlety and delicacy. The examinee not only may falsify or misattribute, but also may minimize or deny symptoms of traumatic stress or exhibit amnesia or denial of past events whose remembrance evokes such stress. Thus, people under stress may forget details that subsequently emerge, or they may embellish their memories and engage in wishful thinking. Neither of these distortions ipso facto constitutes malingering or perjury.

      The essence of forensic psychiatry lies in creating a working alliance with the person being examined for the limited purposes of the examination. It is to have the person be a collaborator (albeit sometimes a reluctant, conflicted, or inhibited one) in reconstructing the mental, emotional, and physical states in question.

      What is the difference between treatment-related clinical evaluation and forensic evaluation?
      The most important difference lies in the purpose of the evaluation. In treatment-related clinical evaluation, the psychiatrist typically performs an initial psychiatric evaluation for an hour or so, primarily focusing on the patient's presenting problems with an ultimate goal of formulating a diagnostic impression and treatment plan. The assumption is that there will be ongoing therapeutic relationship such that diagnosis and treatment becomes a continuous process; many times, there is no urgent need to know "everything" you can possibly know about the patient since there will be follow-up interviews. The psychiatrist is an advocate for the patient's welfare and what matters is what the patient feels or believes, whether it's the truth or not.. On the other hand, a forensic evaluation (or any independent psychiatric evaluation for that matter) is requested by a third-party rather than the individual being evaluated. The purpose of evaluation is to answer specific questions posed by the requesting third-party or agency. Although these questions typically involve diagnostic impressions, the forensic psychiatrist usually gives opinions transcending beyond a diagnosis of the mental condition. In fact, most of the opinions sought by the requesting agency can only be helpful if the psychiatrist is able to explain the link between the mental disorder and the psychiatric-legal issue in question. Obviously, in evaluation settings like this, the psychiatrist is not an advocate for the individual's welfare and the evaluation does not create a patient-doctor relationship. I would like to believe that the forensic psychiatrist is an advocate for truth rather than an advocate for the hiring agency either. Most of these evaluations are a "one-time" evaluation and thus it is crucial to get all necessary and obtainable information in order to arrive at expert opinions.

      What is a forensic pathologist?
      They specialize in determining the causes of sudden, unexpected or violent deaths.

      What does a forensic pathologist do?
      According to the College of American Pathologists, forensic pathologists are experts in investigating and evaluating cases of sudden, unexpected, suspicious and violent death, as well as other specific classes of death defined by state laws.

      Where do forensic pathologists work?
      Most serve the public as a coroner or a medical examiner, or by performing autopsies for those officials.

      Why is knowledge of stress, intentional enforced harms from others, and human rights violations from others essential for a doctor or healthcare provider?
      If you do not have knowledge of stress, intentional enforced harms from others, and human rights violations from others. you are likely going to reach a wrong diagnosis and treatment for a human being.

      Questions that need to be answered.

      What is the profile of the individual for whom forensic psychiatrist consultation has been sought?

      Who has sought forensic psychiatrist consultation for a specific individual?

      What has led to seeking forensic psychiatrist consultation for a specific individual?

      How should a lawyer select a forensic expert for a specific case?

      Get honest answers from a forensic psychiatry expert or an Internet human healthcare resource.
      Display this resource www.qureshiuniversity.com/psychiatryworld.html in front of him or her and get his or her response.
      There is no better psychiatry resource around at this point.
      Do not be swayed by a board certified psychiatrist or licensed psychiatrist, without getting answers to relevant questions.

      How has Internet human health care changed the public service of forensic psychiatry?
      Previously, forensic psychiatrist had to testifying in court.
      Nowadays, a lawyer can give reference of this resource on behalf of a forensic psychiatrist.

      Fitness for duty

      What can be reasons a person is not fit for specific work/duty/profession?
      Illiterate.
      Personality disorder (liar, etc).
      Harmful to self or others.
      Lack of knowledge of specific profession.
      Insufficient knowledge of specific profession.
      Criminal traits.
      Disability; after reasonable adjustment an individual cannot fulfill expected standard of service/profession.
      Lack of desire for public service.

      What best describes the individual whose fitness for duty required forensic psychiatric consultation?
      Having a license does not mean an individual has knowledge of a specific profession.

      Wrong diagnosis and treatment from others.

      Have previous doctors, psychiatrists, or clinicians made any wrong diagnosis and wrong recommendations relevant to the individual?
      If the previous doctors, psychiatrists, or clinicians have not focused on stress, intentional enforced harms from others, and human rights violations from others, the diagnosis and treatment is wrong.

      What is the actual genuine diagnosis and treatment of the individual?
      First possibilities in psychiatry diagnosis: stress, intentional enforced harms from others, or human rights violations from others.

      Here are further guidelines.
      Food (Nutrition and Health)
      Age and Lifestyle

      What is his/her age?
      Are you vegetarian or vegan? ¡ Yes ¡ No
      Do you take nutritional supplements?
      Yes
      No
      If yes, what kind?

      When the weather is nice, how often do you spend at least 10 minutes a day in full sun without sunscreen?
      Daily
      3-5 times a week
      1-3 times a week
      Not on a regular basis
      Never

      General Nutrition

      1. How often do you buy food from the outer aisles of the grocery store?
      (i.e., fresh or frozen fruits and vegetables, fresh meat or seafood, dairy, grains, and nuts from the bulk bins)
      All the time ¡Often ¡Sometimes ¡Not at all*

      2. How often do you buy food from the center aisles of the grocery store?
      (i.e., foods that come in cans, bags, or boxes, such as crackers, canned soups, cereals, and frozen dinners)
      Not at all ¡Sometimes
      Often
      All the time

      3. How often do you eat out at restaurants or fast-food restaurants?
      Not at all
      Sometimes
      Often
      All the time

      4. What do you eat when you snack?

      Fruits and Vegetables

      1. How often do you eat fresh or frozen green vegetables, such as kale, collard greens, chard, or spinach?
      All the time
      Often
      Sometimes
      Not at all

      2. How often do you eat fresh or frozen fruits and vegetables from at least 3 different color groups
      (e.g., red berries, purple eggplant, orange sweet potatoes, and green broccoli) all in one day?
      All the time
      Often
      Sometimes
      Not at all

      3. What are your favorite fruits and vegetables?

      Dairy, Seafood, and Meat

      1. How often do you eat low-fat dairy products such as yogurt or cheese, soy, or rice-milk products?
      All the time
      Often
      Sometimes
      Not at all

      2. How often do you eat fish, such as sardines, salmon, trout, and tilapia?
      All the time
      Often
      Sometimes
      Not at all

      3. How often do you eat red meat, such as beef, mutton, lamb, goat, and game meats (e.g., rabbit, venison, buffalo)?
      Not at all
      Sometimes
      Often
      All the time

      4. How often do you eat other meats, such as chicken, turkey, pork, and game birds (e.g., pheasant, quail)?
      All the time
      Often ¡Sometimes
      Not at all

      5. How often do you eat processed meats, such as bacon, sausage, hot dogs, and bologna?
      Not at all
      Sometimes
      Often
      All the time

      6. How often do you eat fried, canned, or smoked meats?
      Not at all
      Sometimes
      Often
      All the time

      Here are further guidelines.

      Different Types of Thought Disorders
      What Are the Different Types of Thought Disorders?

      Glossary of psychiatry
      Glossary of Mental Health/Mental Illness Terminology
      A

      Addiction

      An organism's psychological or physical dependence on a drug, characterised by tolerance and withdrawal.

      Adjustment disorder

      A pathological psychological reaction to trauma, loss or severe stress. Usually these last less than six months, but may be prolonged if the stressor e.g. pain or scarring is enduring.

      Affect

      A person's affect is their immediate emotional state which the person can recognise subjectively and which can also be recognised objectively by others. A person's mood is their predominant current affect.

      Agnosia

      An inability to organise sensory information so as to recognise objects (e.g. visual agnosia) or sometimes even parts of the body, (e.g. hemisomatoagnosia).

      Agoraphobia

      Fear of the marketplace literally; taken now to be a fear of public of public places associated with panic disorder.

      Akathisia

      An inner feeling of excessive restlessness which provokes the sufferer to fidget in their seat or pace about.

      Amnesia

      A partial of complete loss of memory. Anterograde amnesia is a loss of memory subsequent to any cause e.g. brain trauma. Retrograde amnesia is a loss of memory for a period of time prior to any cause.

      Anorexia nervosa

      Anorexia nervosa is an eating disorder characterised by excess control - a morbid fear of obesity leads the sufferer to try and limit or reduce their weight by excessive dieting, exercising, vomiting, purging and use of diuretics. Sufferers are typically more than 15% below the average weight for their height/sex/age. Typically they have amenorrhoea (if female) or low libido (if male). 1-2% of female teenagers are anorexic.

      Anxiety

      Anxiety is provoked by fear or apprehension and also results from a tension caused by conflicting ideas or motivations. Anxiety manifests through mental and somatic symptoms such as palpitations, dizziness, hyperventilation, and faintness.

      Asthenia

      Asthenia is a weakness or debility of some form, hence neurasthenia, a term for an illness seen by dctors around the turn of the century, a probable precursor to chronic fatigue syndrome and myalgic encephalomyelitis (ME).

      Agoraphobia

      A panic disorder that involves intense fear and avoidance of any place or situation where it is perceived that escape might be difficult or help unavailable in the event of developing sudden panic-like symptoms. The fear can especially be directed towards situations in which feelings of panic have occurred before. These situations may include driving, shopping, crowded places, traveling, standing in line, meetings, social gatherings and even being alone.

      Alzheimer’s Disease

      A progressive disorder that gradually destroys a person’s memory and ability to learn, reason, make judgments, communicate and carry out daily activities. Individuals with more advanced stages of Alzheimer’s disease may also experience changes in personality and behavior such as anxiety, suspiciousness or agitation, as well as delusions or hallucinations. The disease usually starts in middle or old age, beginning with memory loss concerning recent events and spreading to memory loss concerning events that are more distant.

      Anxiety Disorders

      Chronic feelings of overwhelming anxiety and fear, unattached to any obvious source, that can grow progressively worse if not treated. The anxiety is often accompanied by physical symptoms such as sweating, cardiac disturbances, diarrhea or dizziness. Generalized anxiety disorder, panic disorder, agoraphobia, obsessivecompulsive disorder and posttraumatic stress disorder are considered anxiety disorders (all defined individually in Glossary).

      Asperger’s Syndrome

      A Pervasive Developmental Disorder (PDD) characterized by normal language and intelligence development, but impaired social and communication skills as well as difficulty with transitions or changes. Individuals with Asperger’s Syndrome often have obsessive routines and may be preoccupied with one particular field of interest. Although they may be low functioning in many areas, they often have above-average performance in a narrow field.

      Attention Deficit Disorder (ADD)

      A biologically-based disorder that includes distractibility and impulsiveness. Recent research suggests that ADD can be inherited and may be due to an imbalance of neurotransmitters (chemicals used by the brain to control behavior) or abnormal glucose metabolism in the central nervous system. Attention Deficit Hyperactivity Disorder (ADHD) A form of ADD that includes hyperactivity. Children with ADHD are unable to sit still. They may walk, run or climb around when others are seated, and often talk when others are talking.

      Autism

      A Pervasive Developmental Disorder (PDD) that affects a person’s ability to communicate, form normal social relationships and respond appropriately to the external world. Autism typically appears in the first three years of life, although there may be signs in infancy such as avoiding eye contact and abruptly stopping language development. Children with autism may stare into space for hours, throw uncontrollable tantrums and show no interest in people including their parents. They may pursue strange, repetitive activities with no apparent purpose. Some people with autism can function at a relatively high level, with speech and intelligence intact. Others, however, have serious learning problems and language delays, and some never speak.

      B

      Bipolar Disorder

      Also known as manic-depressive illness. A serious illness that causes shifts in a persons mood, energy and ability to function. Dramatic mood swings can move from feelings of extreme euphoria or irritability to depression, sometimes with periods of normal moods in between. Manic episodes may include such behaviors as prolonged periods without sleep or uncontrolled shopping. Each episode of mania or depression can last for hours, weeks or several months. Borderline Personality Disorder A mental illness marked by a pattern of unstable personal relationships and self image, as well as marked impulsivity. Individuals with Borderline Personality Disorder often have a strong fear of abandonment and may exhibit recurrent suicidal behavior, gestures or threats or self-mutilating behavior. They also may have inappropriate, intense anger or difficulty controlling anger. Brain Disorder Any abnormality in the brain that results in impaired functioning or thinking.

      Bulimia nervosa

      Described by Russell in 1979, bulimia nervosa is an eating disorder characterised by lack of control. Abnormal eating behaviour including dieting, vomiting, purging and particularly bingeing may be associated with normal weight or obesity. The syndrome is associated with guilt, depressed mood, low self-esteem and sometimes with childhood sexual abuse, alcoholism and promiscuity. May be asociated with oesophageal ulceration and parotid swelling (Green's chubby chops sign).

      C

      Case Management

      Case management focuses on accelerating the use of available services to restore or maintain independent functioning to the fullest extent possible. In pursuing this goal, case management helps people connect to needed services and supports within the community.

      Catatonic

      A marked psychomotor disturbance that may involve stupor or mutism, negativism, rigidity, purposeless excitement and inappropriate or bizarre posturing. Catatonic schizophrenia is a form of the illness characterized by a tendency to remain in a fixed stuporous state for long periods. This catatonia may give way to short periods of extreme excitement.

      Community Solutions

      Continuum of Care

      A complete range of programs for children and adolescents with mental illness. According to the American Academy of Child and Adolescent Psychiatry, a seamless continuum of care includes, from least to most intensive:
      Office or outpatient clinic, with visits usually under one hour.
      Intensive case management, with specially trained individuals coordinating or providing psychiatric, _______, legal and medical services to help the child or adolescent live successfully at home and in the community.
      Home-based treatment services, with a team of specially trained staff members who go into a home and develop a treatment program to help the child and family.
      Family support services, which help families care for their children, possibly including parent training and support groups.
      A Day treatment program, an intensive combination of psychiatric treatment with special education, which the child or adolescent usually attends five days a week.
      A Partial hospitalization (day hospital), which provides all the treatment services of a psychiatric hospital; however, the patients go home each evening.
      Emergency/crisis services, providing 24-hour support for emergencies. May include hospital emergency departments and mobile crisis teams.
      Respite care services, which provide a brief period in which the patient stays away from home with specially trained individuals.
      Therapeutic group home or community residence, which usually includes six to 10 children or adolescents in each home. This may be linked with a day treatment program or specialized educational program.
      Crisis residence, which provides short-term (usually fewer than 15 days) crisis intervention and treatment. Patients receive 24-hour supervision.
      Residential treatment facility, where seriously disturbed patients receive intensive and comprehensive psychiatric treatment in a campus-like setting on a longer-term basis.
      Hospital treatment, where patients receive comprehensive psychiatric treatment in a hospital. The length of treatment depends on each situation.

      Co-occurring/Comorbidity

      In general, the existence of two or more illnesses “ whether physical or mental “ at the same time in a single individual. With SAMHSA, the term usually means the coexistence of mental illness and substance abuse.

      Coordinated Network

      In referring to mental health, communication and coordination among mental health, public and private agencies that may be working with the same individual. The goal is to benefit the individual with seamless care across the system.

      CRCG (Community Resource Coordination Group)

      A local group composed of public and private providers that come together to develop individual service plans for children, youth and adults whose needs can be met only through interagency coordination and cooperation.

      Cultural Competence

      A group of skills, attitudes and knowledge that allows persons, organizations and systems to work effectively with diverse racial, ethnic and social groups.

      Compulsion

      The behavioural component of an obsession. The individual feels compelled to repeat a behaviour which has no immediate benefit beyond reducing the anxiety associated with the obsessional idea. For instance for a person obsessed by the idea that they are dirty, repeated ritual handwashing may serve to reduce anxiety.

      Confabulation

      Changing, loosely held and false memories created to fill in organically-derived amnesia

      Cyclothymia

      A variability of mood over days or weeks, cycling from positive to negative mood states. The variability is not as severe in amplitude or duration as to be classified as a major affective disorder.

      D

      Delusion

      A belief that is false, fanciful or derived from deception. In psychiatry, a false belief strongly held in spite of evidence that it is not true, especially as a symptom of a mental illness.

      Dementia

      A condition of declining mental abilities, especially memory. Individuals with dementia may have trouble doing things they used to do such as keeping the checkbook, driving a car safely or planning a meal. They often have trouble finding the right word and may become confused when given too many things to do at one time. Individuals with dementia may also experience changes in personality, becoming aggressive, paranoid or depressed. Department of Aging and Disability Services (DADS) Created in September 2004, this department consolidates the mental retardation services and state school programs of the Department of Mental Health and Mental Retardation; community care, nursing facility, and long-term care regulatory services of the Department of Human Services; and aging services and programs of the Department on Aging.

      Department of Assistive and Rehabilitative Services

      Deaf and Hard of Hearing Services.

      Depression

      In psychiatry, a disorder marked especially by sadness, inactivity, difficulty with thinking and concentration, a significant increase or decrease in appetite and time spent sleeping, feelings of dejection and hopelessness and sometimes suicidal thoughts or attempts to commit suicide. While standing alone as a mental illness, depression also can be experienced in other disorders such as bipolar disorder. Depression can range from mild to severe, and is very treatable with today’s medications and/or therapy.

      Diagnosable Mental Illness

      Any mental illness or mental disorder, including those that have not yet received a formal diagnosis from a medical or mental health professional. Sometimes referred to as a brain disorder.

      Deja vu

      Haven't you been here before? An abnormal experience where an individual feels that a particular or unique event has happened before in exactly the same way.

      Delirium

      An acute organic brain syndrome secondary to physical causes in which consciousness is affected and disorientation results often associated with illusions, visual hallucinations and persecutory ideation.

      Delusion

      An incorrect belief which is out of keeping with the person's cultural context, intelligence and social background and which is held with unshakeable conviction.

      Delusional mood

      Also known as wahnstimmung, a feeling that something unusual is about to happen of special significance for that person.

      Delusional perception

      A normal perception which has become highly invested with significance and which has become incorporated into a delusional system, e.g. 'when I saw the traffic lights turn red I knew that the dog I was walking was a Nazi and a lesbian Nazi at that'.

      Dementia

      An chronic organic mental illness which produces a global deterioration in cognitive abilities and which usually runs a deteriorating course.

      Depersonalisation

      An experience where the self is felt to be unreal, detached from reality or different in some way. Depersonalisation can be triggered by tiredness, dissociative episodes or partial epileptic seizures.

      Depression

      An affective disorder characterised by a profound and persistent sadness. Derealisation An experience where the person perceives the world around them to be unreal. The experience is linked to depersonalisation.

      Dyskinesia

      Abnormal movements as in tardive dyskinesia a late onset onet of abnormal involuntary movements. Tardive dyskinesia is conventionally thought a late side effect of first generation antipsychotics, but some abnormal movements were seen in schizophrenia before the introduction of antipsychotics.

      Dyspraxia

      A dyspraxia is a difficulty with a previously learnt or acquired movement or skill. An example might be a dressing dyspraxia or a constructional dyspraxia. Dyspraxias tend to indicate cortical damage, particularly in the parietal lobe region. Dissociative Disorder

      A disorder marked by a separation from or interruption of a person’s fundamental aspects of waking consciousness, such as personal identity or personal history. The dissociative aspect in any form is thought to be a coping mechanism stemming from trauma of some kind. The individual literally dissociates or separates from a situation or experience that is too traumatic to integrate with the conscious self. There are many forms of dissociative disorders: Dissociative amnesia: Characterized by blocking out critical information, usually of a traumatic or stressful nature. The amnesia may be localized to a specific window of time; selective, allowing the patient to remember only small parts of events that took place in a defined period of time; generalized to the patients entire life; or systematized, in which the loss of memory is related to a specific category of information. Dissociative fugue: A rare disorder in which an individual suddenly and unexpectedly takes physical leave of his or her surroundings and sets off on a journey of some kind. Individuals in a fugue state are unaware of or confused about their identities. Rarely, these individuals will assume a new identity. Dissociative identity disorder: Previously known as multiple personality disorder. Individuals with DID have more than one distinct identity or personality state that surfaces on a recurring basis.

      DSM-IV

      The Diagnostic and Statistical Manual of Mental Disorders.

      E

      Early Intervention

      In mental health, diagnosing and treating mental illnesses early in their development. Studies have shown early intervention can result in higher recovery rates. However, many individuals do not have the advantage of early intervention because the stigma of mental illness and other factors keep them from pursuing help until later in the illness’ development.

      Eating Disorder

      A serious disturbance in eating behavior, such as extreme and unhealthy reduction of food intake or severe overeating. Usually accompanied by feelings of distress or extreme concern about body shape or weight. Eating disorders, which are treatable, usually develop in adolescence or early adulthood and frequently co-occur with other psychiatric disorders such as depression, substance abuse and anxiety disorders. Eating disorders can lead to serious physical health complications including heart conditions and kidney failure, which may lead to death. The main types of eating disorders are anorexia nervosa and bulimia nervosa.

      Echolalia

      A speech disorder in which the person inappropriately and automatically repeats the last words he or she has heard. Palilalia is a form of echolalia in which the last syllable heard is repeated endlessly.

      Echopraxia

      A movement disorder in which the person automatically and inappropriately imitates or mirrors the movements of another.

      Electroconvulsive Therapy (Electroshock Therapy)

      A treatment for some severe mental illnesses in which a brief application of electrical stimulus is used to generate a generalized seizure. According to the National Institutes of Health, this therapy has been highly successful in treating certain types of depression, especially when followed with anti-depressant medication. It has not been effective with individuals who have less severe forms of depression.

      Evidence-Based Practice

      Refers to treatment guidelines that can be supported by quality clinical research.

      Family-Driven Care

      In mental health, a model in which families have a primary decision-making role in the care of their own children. Families also have a primary role in the policies and procedures governing care for all children in their community. Family involvement includes choosing supports, services and providers; setting goals; designing and implementing programs; monitoring outcomes; and determining the effectiveness of all efforts to promote the mental health of children and youth.

      Family Resource Centers

      First rank symptoms

      Schneider classified the most characteristic symptoms of schizophrenia as first-rank features of schizophrenia. These included third person auditory hallucinations, thought echo, thought interference (insertion, withdrawal, and broadcasting), delusional perception and passivity phenomena.

      Flight of ideas

      In mania and hypomania thoughts become pressured and ideas may race from topic to topic, guided sometimes only by rhymes or puns. Ideas are associated though, unlike thought disorder.

      Frontal lobe syndrome

      This follows frontal lobe damage or may be consequent upon a lesion such as a tumour of infarction. There is a lack judgement, a coarsening of personality, disinhibition, pressure of speech, lack of planning ability, and sometimes apathy. Perseveration and a return of the grasp reflex may occur.

      G

      Generalized Anxiety Disorder

      Characterized by excessive uncontrollable worry about everyday things. The chronic worrying can affect daily functioning and cause physical symptoms, filling an individuals days with tension even though there is little or nothing to provoke it. Unlike a phobia, Generalized Anxiety Disorder is not triggered by a specific object or situation. Individuals with this disorder are always anticipating disaster, often worrying excessively about health, money, family or work. In addition to chronic worry, symptoms may include trembling, muscular aches, insomnia, abdominal upsets, dizziness and irritability.

      H

      Hallucination

      An abnormal sensory experience that arises in the absence of a direct external stimulus, and which has the qualities of a normal percept and is experienced as real and usually in external space. Hallucinations may occur in any sensory modality.

      Hypomania

      An affective disorder characterised by elation, overactivity, an insomnia.

      I

      Illusion

      An abnormal perception caused by a sensory misinterpretation of and actual stimulus, sometimes precipitated by strong emotion, e.g. fear provoking a person to imagine they have seen an intruder in the shadows.

      Insight

      In psychotic mental disorders and organic brain syndromes a patient's insight into whether or not they are ill and therefore requiring treatment may be affected. In depression a person may lack insight into their best qualities and in mania a person may overestimate their wealth and abilities.

      J

      Jamais vu

      An abnormal experience where an individual feels that a routine or familiar event has never happened before. (See Dejà vu).

      Juvenile Justice Facility

      Encompasses detention centers, shelters, reception or diagnostic centers, training schools, ranches, forestry camps or farms, halfway houses, group homes and residential treatment centers for young offenders.

      Korsakoff's Syndrome

      A syndrome of amnesia and confabulation following chronic alcoholism. Short-term memory is particularly affected.Named after the Russian psychiatrist Korsakoff.

      M

      Mania

      An affective disorder characterised by intense euphoria, overactivity and loss of insight.

      Managed Care

      Managed Health Care Plan

      Manic-Depressive Disorder
      See Bipolar Disorder
      Mental Disorder

      A health condition characterized by alterations in thinking, mood or behavior (or a combination of the three). Mental disorders are mediated by the brain and associated with distress and/or impaired functioning. They can be the result of family history, genetics or other biological, environmental, social or behavioral factors that occur alone or in combination.

      Mental Health

      The condition of being mentally and emotionally sound and well adjusted, characterized by the absence of mental disorder and by adequate adjustment. Individuals with mental health feel comfortable about themselves, have positive feelings about others and exhibit an ability to meet the demands of life.

      Mental Health Services

      Diagnostic, treatment and preventive services that help improve the way individuals with mental illness feel, both physically and emotionally, as well as the way they interact with others. These services also intervene on behalf of those who have a strong risk of developing a mental illness.

      Mental Illness

      Refers collectively to all diagnosable mental disorders.

      Mental Retardation

      Below normal intellectual ability that originates during the developmental period. Mental retardation is associated with impairment in maturation, learning and/or social adjustment. In general with mental retardation, the IQ is equivalent to or less than 70 and the condition is present from birth or infancy. Individuals with mental retardation have abnormal development, learning difficulties and problems in social adjustment.

      Multiple Personality Disorder See Dissociative Disorder

      N



      Neologism

      A novel word often invented and used in schizophrenic thought disorder.

      Neuroleptic Malignant Syndrome

      A syndrome ascribed to neuroleptics. The syndrome includes hyperpyrexia (temperature over 39 degrees Celsius), autonomic instability and muscular rigidity. The syndrom is not dose related and appears to be related to a very wide variety of substances including antidepressants, antipsychotics and lithium. There is a significant risk of mortality. Whether the syndrome is a variant of the lethal catatonia syndrome (described before the advent of modern neuroleptics) is a debated point.

      Neurobiology

      A branch of the life sciences that deals with the anatomy, physiology and pathology of the nervous system. The term refers especially to the biology of the brain when used in conjunction with learning disorders, some mental illnesses, Alzheimer’s disease and other diseases that may be caused or impacted by the central nervous system.

      Neuropsychiatry

      A branch of medicine concerned with both neurology (the scientific study of the nervous system) and psychiatry (a branch of medicine that deals with the science and practice of treating mental, emotional and behavioral disorders).

      Nonverbal Learning Disorder

      A neurological disorder originating in the right hemisphere of the brain. Because reception of information is impaired in the right brain, those with nonverbal learning disorder may experience a lack of psychomotor coordination and an inability to recognize nonverbal social cues such as body language, facial expressions, personal space, touch and tone of voice. It can also affect organizational and evaluative skills.

      O

      Obsession

      An unpleasant or nonsensical thought which intrudes into a person's mind, despite a degree of resistance by the person who recognises the thought as pointless or senseless, but nevertheless a product of their own mind. Obsessions may be accompanied by compulsive behaviours which serve to reduce the associated anxiety.

      Obsessive-Compulsive Disorder

      A disorder in which individuals are plagued by persistent, recurring thoughts or obsessions that reflect exaggerated anxiety or fears. Typical obsessions include worry about being contaminated or fears of behaving improperly or acting violently. The obsessions may lead to the performance of ritual or routine compulsions such as washing hands, repeating phrases or hoarding. Oppositional Defiant Disorder A disruptive behavior pattern of childhood and adolescence characterized by defiant, disobedient and hostile behavior, especially toward adults in positions of authority.

      P

      Panic Disorder

      An anxiety disorder in which individuals have feelings of terror that strike suddenly and repeatedly with no warning. Individuals cannot predict when an attack will occur and may develop intense anxiety between episodes, worrying when the next one will strike. Symptoms can include heart palpitations, chest pain or discomfort, sweating, trembling, tingling sensations, a feeling of choking, fear of dying, fear of losing control and feelings of unreality.

      Parietal Lobe signs

      Parietal lobe signs include various agnosias (such as visual agnosias, sensory neglect, and tactile agnosias), dyspraxias (such as dressing dyspraxia), body image disturbance, and hemipareses or hemiplegias.

      Passivity phenomena

      In these phenomena the individual feels that some aspect of themselves is under the external control of another or others. These may therefore include 'made acts and impulses' where the individual feels they are being made to do something by another, 'made movements' where their arms or legs feel as if they are moving under another's control, 'made emotions' where they are experiencing someone else's emotions, and 'made thoughts' which are categorised elsewhere as thought insertion and withdrawal.

      Perseveration

      Describes an inappropriate repetition of some behaviour or thought or speech. Echolalia is an example of perseverative speech. Talking exclusively on one subject might be described as perseveration on a theme. Perseveration of thought indicates an inability to switch ideas, so that in an interview a patient may continue to give the same responses to later questions as he did to earlier ones. Perseveration is sometimes a feature of frontal lobe lesions.

      Pervasive Developmental Disorder (PDD)

      A class of neurological disorders usually evident by age 3. They are characterized by severe and pervasive impairment in social interaction skills, communication skills and possibly by stereotyped behavior, interests and activities. Pervasive Developmental Disorders include autism, Asperger’s syndrome and nonverbal learning disorder.

      Personality Disorders

      An enduring pattern of inner experience and behavior that deviates from expectations. A personality disorder is pervasive and inflexible, beginning in adolescence or early adulthood. Individuals with a personality disorder tend to be stable over time, but the disorder leads to distress or impairment. There are currently 10 personality disorders identified in DSM-IV:
      • Antisocial Personality Disorder: Lack of regard for the moral or legal standards in the local culture, along with a marked inability to get along with others or abide by societal rules. Sometimes called psychopaths or sociopaths.
      • Avoidant Personality Disorder: Marked social inhibition, feelings of inadequacy and extremely sensitive to criticism.
      • Borderline Personality Disorder: Lack of one's own identity, with rapid changes in mood, intense unstable interpersonal relationships, marked impulsivity, instability in affect and in self-image.
      • Dependent Personality Disorder: Extreme need of other people, to a point where the person is unable to make any decisions or take an independent stand on his or her own. Submissive behavior and fear of separation. Marked lack of decisiveness and self-confidence.
      • Histrionic Personality Disorder: Exaggerated and often inappropriate displays of emotional reactions, approaching theatricality, in everyday behavior. Sudden and rapidly shifting expressions of emotion.
      • Narcissistic Personality Disorder: Behavior or a fantasy of grandiosity, a lack of empathy, a need to be admired by others, an inability to see the viewpoints of others and hypersensitivity to the opinions of others.
      • Obsessive-Compulsive Personality Disorder: Characterized by perfectionism and inflexibility as well as preoccupation with uncontrollable patterns of thought and action.
      • Paranoid Personality Disorder: Marked distrust of others, including the belief, without reason, that others are exploiting, harming or trying to deceive him or her; lack of trust; belief of others' betrayal; belief in hidden meanings; unforgiving and grudge holding.
      • Schizoid Personality Disorder: Primarily characterized by a very limited range of expressing and experiencing emotion. Indifferent to social relationships.
      • Schizotypal Personality Disorder: Peculiarities of thinking, odd beliefs and eccentricities of appearance, behavior, interpersonal style and thought (e.g., belief in psychic phenomena and having magical powers).

      Phobia

      An intense and sometimes disabling fear reaction to a specific object or situation that poses little or no actual danger. The level of fear is usually recognized by the individual as being irrational.

      Postpartum Depression

      A potentially serious condition that occurs within six months after childbirth in which a woman feels extreme sensations of sadness, despair, anxiety and/or irritability. Differs from “baby blues” in intensity and duration. Postpartum often keeps a woman from doing the things she needs to do every day. Some symptoms include:
      • Loss of interest or pleasure in life
      • Loss of appetite
      • Less energy and motivation to do things
      • A hard time falling asleep or staying asleep
      • Sleeping more than usual
      • Increased crying or tearfulness
      • Feeling worthless, hopeless or overly guilty
      • Feeling restless, irritable or anxious
      • Unexplained weight loss or gain
      • Feeling like life isn't worth living
      • Having thoughts about hurting herself
      • Worrying about hurting her baby

      Postpartum Psychosis

      A rare but very serious mental illness that can affect new mothers within the first six months after childbirth. Women lose touch with reality, often having hallucinations and delusions focused on the baby. Other symptoms include severe insomnia, paranoia, agitation and restlessness. Homicidal and suicidal thoughts are not uncommon. This condition poses significant danger to the baby's safety and should be managed as a medical emergency requiring hospitalization of the mother.

      Posttraumatic Stress Disorder

      A psychological reaction that occurs after experiencing a highly stressing event, such as wartime combat, physical violence or a natural disaster. It is usually characterized by depression, anxiety, flashbacks, recurrent nightmares and avoidance of reminders of the event. Individuals can feel emotionally numb, especially with people who were once close to them. Also called delayed-stress disorder or posttraumatic stress syndrome.

      Psychiatry

      The branch of medicine that deals with the science and practice of treating mental, emotional or behavioral disorders.

      Psychosis

      A serious mental disorder characterized by defective or lost contact with reality, often with hallucinations or delusions, causing deterioration of normal social functioning.

      Psychotropic

      In mental illness, a medication prescribed to treat the illness or symptoms of that illness.

      R

      Recovery

      According to the President’s New Freedom Commission on Mental Illness, a process by which people who have a mental illness are able to work, learn and participate fully in their communities. For some individuals, recovery is the ability to live a fulfilling and productive life despite a disability. For others, recovery implies the reduction or complete remission of symptoms.

      Residential Treatment

      Intensive and comprehensive psychiatric treatment in a campus-like setting, usually for a minimum of several months.

      Resilience

      An ability to recover from or adjust easily to significant challenges such as misfortune or change.

      S

      Schizoid

      A pervasive pattern of detachment from social relationships, social isolation and a restricted range of expressing emotions in interpersonal settings. Pattern begins in early adulthood. Does not occur exclusively with schizophrenia, but may also appear with another psychotic disorder or a pervasive developmental disorder. Schizoid behavior is indicated by four or more of the following:
      • neither desires nor enjoys close relationships, including being part of a family
      • almost always chooses solitary activities
      • has little, if any, interest in having sexual experiences with another person
      • takes pleasure in few, if any, activities
      • lacks close friends or confidants other than first-degree relatives
      • appears indifferent to the praise or criticism of others
      • shows emotional coldness, detachment or flattened affectivity

      Schizophrenia

      A psychotic disorder characterized by loss of contact with the environment, noticeable deterioration in the level of functioning in everyday life and disintegration of feeling, thought and conduct. Individuals with schizophrenia often hear internal voices not heard by others (hallucinations) or believe things that other people find absurd (delusions). The symptoms also may include disorganized speech and grossly disorganized or catatonic behavior. Individuals with schizophrenia have marked impairment in social or occupational functioning.

      Seasonal Affective Disorder (SAD)

      A form of depressive illness only occurring during winter months, associated with overeating and sleepiness. Responsive to antidepressants and phototherapy. Little researched and scientifically controversial.

      Screening

      In mental health, a brief formal or informal assessment to identify individuals who have mental health problems or are likely to develop such problems. If a problem is detected, the screening can also determine the most appropriate mental health services for the individual.

      Selective Serotonin Reuptake Inhibitors (SSRI)

      A class of antidepressants that act within the brain to increase the amount of serotonin, a chemical nerves use to send messages to one another (neurotransmitter). Neurotransmitters are released by one nerve and taken up by other nerves. Those that are not taken up by other nerves are taken up by the same nerve that released them, a process called reuptake. By inhibiting reuptake, SSRIs allow more serotonin to be taken up by other nerves. Serious Emotional Disturbance (SED) A diagnosable mental disorder found in individuals from birth to 18 years of age. The disorder is so severe and long lasting it seriously interferes with functioning in family, school, community or other major life activities.

      Serious Mental Illness

      A diagnosable mental disorder found in individuals aged 18 years and older. The disorder is so severe and long lasting, it seriously interferes with a person’s ability to take part in major life activities.

      Social Anxiety Disorder

      Characterized by extreme anxiety about being judged by others or behaving in a way that might cause embarrassment or ridicule. Individuals experience excessive selfconsciousness in everyday social situations. Physical symptoms may include heart palpitations, faintness, blushing and profuse sweating. Individuals often worry for days or weeks in advance of a dreaded situation. Symptoms may be limited to only one type of situation, such as fear of speaking in formal or informal situations or eating, drinking or writing in front of others. In its most severe form, individuals may experience symptoms anytime they are around other people.

      Special Education

      In _______, education that ensures all children with disabilities have available to them a free appropriate public education that emphasizes services designed to meet their unique needs and prepare them for ________ and independent living. Services may be available to students with a physical disability, mental retardation, emotional disturbance, learning disability, autism, speech disability or traumatic brain injury.

      State Hospitals

      Stigma

      A mark of shame or discredit. A sign of social unacceptability.

      Strength-Based Treatment

      In mental health, a process that builds upon an individual’s strengths to work towards recovery.

      Substance Abuse

      The inappropriate use of and possibly addiction to illegal and legal substances including alcohol and prescription and non-prescription drugs.

      System of Care

      A partnership of mental health, education, child welfare and juvenile justice agencies as well as teachers, children with serious emotional disturbances and their families and other caregivers. These agencies and individuals work together to ensure children with mental, emotional and behavioral problems and their families have access to the services and supports they need to succeed. Together, this team creates an individualized service plan that builds on the unique strengths of each child and each family. The plan is then implemented in a way that is consistent with the family’s culture and language.

      T

      Tardive dyskinesia

      An abnormal involuntary movement disorder which may manifest as lipsmacking bucco-lingual movements or grimacing, truncal movements or athetoid limb movements.

      Thought blocking

      The unpleasant experience of having one's train of thought curtailed absolutely, often more a sign than a symptom.

      Thought broadcasting

      The experience that one's thoughts are being transmitted from one's mind and broadcast to everyone.

      Thought disorder

      A disorder of the form of thought, where associations between ideas are lost or loosened.

      Thought echo

      Where thoughts are heard as if spoken aloud, when there is some delay these are known as echo de la pensée and when heard simultaneously, Gedankenlautwerden.

      Thought insertion

      The experience of alien thoughts being inserted into the mind.

      Thought withdrawal

      The experience of thoughts being removed or extracted from one's mind. Therapy

      Treatment of physical, mental or behavioral problems that is meant to cure or rehabilitate. Psychotherapy emphasizes substituting desirable responses and behavior patterns for undesirable ones.

      W

      Wraparound

      A process in which families with children who have severe emotional disturbance are able to address their needs through a strengths-based, family-driven team approach. A “wraparound facilitator” helps link families of children with severe emotional disturbances with needed services and supports. All members of the family are served through a partnership with the facilitator and other service professionals. The family can choose others they want to have as a part of the team, including friends, ______ members and relatives. Wraparound helps develop creative strategies to meet the needs of each person that may include both traditional and non-traditional approaches and supports.
      Human Rights
      Human Rights Violations


      What are examples of various human rights?
      Are human rights laws state laws, international laws, or both?
      What is a state?
      What are other names of human rights laws?
      Where are human rights applicable on planet Earth?
      What state has the duty to take care of basic human rights of an individual?
      What do you know about human rights?
      What should you know about human rights?
      What are the basic human rights?


      Human Rights Violations

      What do you know about human rights violations?
      What are examples of various human rights violations?
      How do you classify criminal offenses?
      Where do you place human rights violations in the classification of criminal offenses?


      Right to life

      What should you know about human right of right to life?
      Does a civilized human being have a right to live in the community?
      What are examples of human rights violations by violating one’s right to be heard by a competent, independent, and impartial tribunal or judiciary in the state?


      Human rights violations investigations

      What is the location of this human rights violation?
      Who is the victim of human rights violations at this location?
      What needs to be done to prevent these human rights violations?


      Questions you need to answer about human rights.

      What needs to be done to protect human rights in the state and outside the state?
      Who has the duty to monitor human rights violations in the state and outside the state?
      What should be the role of the world military in protecting human rights?
      Is the world military ready to protect human rights?
      What should be the role of international police in protecting human rights?
      Are international police ready to protect human rights?
      What are examples of various human rights?
      Right to life.
      Right to food, clothing, housing, health care, transportation, security, and education are basic human rights.
      Right to freedom from torture.
      Right to live without abuse.
      Right to freedom from slavery.
      Right to housing.
      Right to be heard by a competent, independent, and impartial tribunal.
      Right to a public hearing.
      Right to be heard within a reasonable time.
      Right to file complaint/complaints.
      Right to counsel.
      Right to interpretation.
      Right to family life.
      Right to an adequate standard of living.
      Right to human health care.
      Right to free education .
      Right to participation in cultural life.
      Right to freedom of speech.
      Right to freedom from fear,
      Right to freedom of thought, conscience, and religion.
      Right to freedom of movement.
      Right to restoration of rights.
      Right to debate.
      Right to refuse to kill a human.
      Right to live in the community.
      Right to participate in the human/political life of the state without discrimination or repression.
      Rights of persons with special needs.

      Each right has further details.

      Are human rights laws state laws, international laws, or both?
      Human rights laws are both state laws and international laws.

      What is a state?
      A state is a land area of at least 360,000 square miles with proper human survival products and services.

      State means state of Illinois, California, New York, Yukon, in North America.
      State means Kashmir, Karnataka, Jiangsu, Magadan Oblast, Germany, France, in Asia.
      States in Latin America, Africa, and Australia have been listed. Oceans.
      Individual continents.

      Here are further guidelines.
      http://www.qureshiuniversity.com/state.html

      What are other names of human rights laws?
      Human rights act.

      Where are human rights applicable on planet Earth?
      Human rights are universal (applicable everywhere) and egalitarian (the same for everyone).

      What state has the duty to take care of basic human rights of an individual?
      The state an individual is resident of at this point and plans to live in for at least the next five years has the duty to take care of the basic human rights of that individual.

      The state in which an individual lived for first 18 years of his or her life has the duty to supervise and monitor, as well.

      Are basic human rights violations criminal or civil cases?
      Basic human rights violations are criminal cases.

      What should you do if you detect basic human rights violations?
      In case of basic human rights violations, immediate solutions and remedies are required.
      The case you are dealing is an extreme human rights violation.
      Alert everyone that this is an extreme case of human rights violations.
      The victim suffers from extreme human rights violations.

      Human Rights violations

      What do police know about human rights violations in the state and outside the state?
      What should police know about human rights violations in the state and outside the state?
      What should you do as a police officer if you detect an individual without survival needs including food and housing, or an individual indicates to you that he/she does not have survival needs including food, housing, communication resources, or other survival needs?
      How does the world’s military monitor human rights violations around the planet earth?


      Complaints of human rights violations can be filed from within the state or outside the state from any individual based on truth and genuine harms.

      An administrator or judge cannot violate basic human rights of an individual even if a lawyer or any other individual tries to persuade the administrator or judge to do so.
      Here are further guidelines.

      Intellectual Disability (Mental Retardation)
      What is intellectual disability?
      What are the signs of intellectual disability in children?
      What causes intellectual disability?
      How is intellectual disability diagnosed?
      What services are available for people with intellectual disability?
      What can I do to help my intellectually disabled child?
      What is intellectual disability?
      Is intellectual disability the same as mental retardation? Why do some programs and regulations still say mental retardation?
      Is intellectual disability the same as developmental disabilities?
      Is intellectual disability determined by just an IQ test?
      What causes intellectual disability?
      What is the most modern thinking about how to help people with intellectual disability?
      What role has AAIDD played in defining intellectual disabilty?
      Can intellectual disability be prevented?
      How is intellectual disability diagnosed?
      What services are available for people with intellectual disability?
      What can I do to help my intellectually disabled child?
      Intellectual disability (ID), once called mental retardation, is characterized by below-average intelligence or mental ability and a lack of skills necessary for day-to-day living. People with intellectual disabilities can and do learn new skills, but they learn them more slowly. There are varying degrees of intellectual disability, from mild to profound.

      What is intellectual disability?
      Someone with intellectual disability has limitations in two areas. These areas are:

      Intellectual functioning. Also known as IQ, this refers to a person’s ability to learn, reason, make decisions, and solve problems. Adaptive behaviors. These are skills necessary for day-to-day life, such as being able to communicate effectively, interact with others, and take care of oneself.

      IQ (intelligence quotient) is measured by an IQ test. The average IQ is 100. A person is considered intellectually disabled if he or she has an IQ of less than 70 to 75.

      To measure a child’s adaptive behaviors, a specialist will observe the child’s skills and compare them to other children of the same age. Things that may be observed include how well the child can feed or dress himself or herself; how well the child is able to communicate with and understand others; and how the child interacts with family, friends, and other children of the same age.

      Intellectual disability is thought to affect about 1% of the population. Of those affected, 85% have mild intellectual disability. This means they are just a little slower than average to learn new information or skills. With the right support, most will be able to live independently as adults.

      What are the signs of intellectual disability in children?
      There are many different signs of intellectual disability in children. Signs may appear during infancy, or they may not be noticeable until a child reaches school age. It often depends on the severity of the disability. Some of the most common signs of intellectual disability are:

      Rolling over, sitting up, crawling, or walking late Talking late or having trouble with talking Slow to master things like potty training, dressing, and feeding himself or herself Difficulty remembering things Inability to connect actions with consequences Behavior problems such as explosive tantrums Difficulty with problem-solving or logical thinking In children with severe or profound intellectual disability, there may be other health problems as well. These problems may include seizures, mental disorders, motor handicaps, vision problems, or hearing problems.

      What causes intellectual disability?
      Anytime something interferes with normal brain development, intellectual disability can result. However, a specific cause for intellectual disability can only be pinpointed about a third of the time.

      The most common causes of intellectual disability are:

      Genetic conditions. These include things like Down syndrome and fragile X syndrome.
      Problems during pregnancy. Things that can interfere with fetal brain development include alcohol or drug use, malnutrition, certain infections, or preeclampsia.
      Problems during childbirth. Intellectual disability may result if a baby is deprived of oxygen during childbirth or born extremely premature.
      Illness or injury. Infections like meningitis, whooping cough, or the measles can lead to intellectual disability. Severe head injury, near-drowning, extreme malnutrition, exposure to toxic substances such as lead, and severe neglect or abuse can also cause it.

      How is intellectual disability diagnosed?
      Intellectual disability may be suspected for many different reasons. If a baby has physical abnormalities that suggest a genetic or metabolic disorder, a variety of tests may be done to confirm the diagnosis. These include blood tests, urine tests, imaging tests to look for structural problems in the brain, or electroencephalogram (EEG) to look for evidence of seizures.

      In children with developmental delays, the doctor will perform tests to rule out other problems, including hearing problems and certain neurological disorders. If no other cause can be found for the delays, the child will be referred for formal testing.

      Three things factor into the diagnosis of intellectual disability: interviews with the parents, observation of the child, and testing of intelligence and adaptive behaviors. A child is considered intellectually disabled if he or she has deficits in both IQ and adaptive behaviors. If only one or the other is present, the child is not considered intellectually disabled.

      After a diagnosis of intellectual disability is made, a team of professionals will assess the child’s particular strengths and weaknesses. This helps them determine how much and what kind of support the child will need to succeed at home, in school, and in the community.

      What services are available for people with intellectual disability?
      For babies and toddlers, early intervention programs are available. A team of professionals works with parents to write an Individualized Family Service Plan, or IFSP. This document outlines the child’s specific needs and what services will help the child thrive. Early intervention may include speech therapy, occupational therapy, physical therapy, family counseling, training with special assistive devices, or nutrition services.

      School-aged children with intellectual disabilities (including preschoolers) are eligible for special education for free through the public school system. This is mandated by the Individuals With Disabilities Education Act (IDEA). Parents and educators work together to create an Individualized Education Program, or IEP, which outlines the child’s needs and the services the child will receive at school. The point of special education is to make adaptations, accommodations, and modifications that allow a child with an intellectual disability to succeed in the classroom.

      What can I do to help my intellectually disabled child?
      Steps to help your intellectually disabled child include:

      Learn everything you can about intellectual disabilities. The more you know, the better advocate you can be for your child. Encourage your child’s independence. Let your child try new things and encourage your child to do things by himself or herself. Provide guidance when it’s needed and give positive feedback when your child does something well or masters something new.

      Get your child involved in group activities. Taking an art class or participating in Scouts will help your child build social skills. Stay involved. By keeping in touch with your child’s teachers, you’ll be able to follow his or her progress and reinforce what your child is learning at school through practice at home. Get to know other parents of intellectually disabled children. They can be a great source of advice and emotional support.

      What is intellectual disability?
      Intellectual disability is a disability characterized by significant limitations both in intellectual functioning (reasoning, learning, problem solving) and in adaptive behavior, which covers a range of everyday social and practical skills. This disability originates before the age of 18.

      Is intellectual disability the same as mental retardation? Why do some programs and regulations still say mental retardation?
      The term intellectual disability covers the same population of individuals who were diagnosed previously with mental retardation in number, kind, level, type, duration of disability, and the need of people with this disability for individualized services and supports. Furthermore, every individual who is or was eligible for a diagnosis of mental retardation is eligible for a diagnosis of intellectual disability.

      While intellectual disability is the preferred term, it takes time for language that is used in legislation, regulation, and even for the names of organizations, to change.

      Is intellectual disability the same as developmental disabilities?
      "Developmental Disabilities" is an umbrella term that includes intellectual disability but also includes other disabilities that are apparent during childhood.

      Developmental disabilities are severe chronic disabilities that can be cognitive or physical or both. The disabilities appear before the age of 22 and are likely to be lifelong.Some developmental disabilities are largely physical issues, such as cerebral palsy or epilepsy. Some individuals may have a condition that includes a physical and intellectual disability, for example Down syndrome or fetal alcohol syndrome.

      Intellectual disability encompasses the “cognitive” part of this definition, that is, a disability that is broadly related to thought processes. Because intellectual and other developmental disabilities often co-occur, intellectual disability professionals often work with people who have both types of disabilities.

      Is intellectual disability determined by just an IQ test?
      No. The evaluation and classification intellectual disability is a complex issue. There are three major criteria for intellectual disability: significant limitations in intellectual functioning, significant limitations in adaptive behavior, and onset before the age of 18.

      The IQ test is a major tool in measuring intellectual functioning, which is the mental capacity for learning, reasoning, problem solving, and so on. A test score below or around 70—or as high as 75—indicates a limitation in intellectual functioning.

      Other tests determine limitations in adaptive behavior, which covers three types of skills:
      •Conceptual skills—language and literacy; money, time, and number concepts; and self-direction
      •Social skills—interpersonal skills, social responsibility, self-esteem, gullibility, naïveté (i.e., wariness), social problem solving, and the ability to follow rules, obey laws, and avoid being victimized
      •Practical skills—activities of daily living (personal care), occupational skills, healthcare, travel/transportation, schedules/routines, safety, use of money, use of the telephone
      AAIDD publishes the most advanced scientific thinking on this matter in the 11th edition of its manual, Intellectual Disability: Definition, Classification, and Systems of Supports. In defining and assessing intellectual disability, AAIDD stresses that, in addtion to an assessement of intellectual functioning and adaptive behavior, professionals must consider such factors as
      •community environment typical of the individual’s peers and culture •linguistic diversity
      •cultural differences in the way people communicate, move, and behavior

      What causes intellectual disability?
      There are a number of causes. Our understanding of the causes of intellectual disability focuses on the types of risk factors (biomedical, social, behavioral, and educational) and the timing of exposure (prenatal, perinatal, and postnatal) to those factors.

      What is the most modern thinking about how to help people with intellectual disability?
      The overarching reason for evaluating and classifying individuals with intellectual disabilities is to tailor supports for each individual, in the form of a set of strategies and services provided over a sustained period.

      Our goal is to enhance people’s functioning within their own environment in order to lead a more successful and satisfying life. Some of this enhancement is thought of in terms of self-worth, subjective well being, pride, engagement in political action, and other principles of self-identity.

      What role has AAIDD played in defining intellectual disabilty?
      AAIDD, the world’s largest and oldest organization of intellectual disability professionals, has played a major role in evolving ideas about and approaches to intellectual disability. In fact, the Association, founded in 1876, has published 11 editions of its definitional manual between 1908 and 2010, each edition containing the latest scientific understanding of the condition.

      The first definitions of the condition focused on a failure to adapt socially to the environment. Later definitions added a medical approach that considered heredity and pathology and called for individuals with intellectual disability to be segregated. Then the rise of the cognitive testing movement brought an emphasis on measuring intellectual functioning by IQ test. The IQ test became the way to define the group and classify the people within it.

      In its 1959 definition and classification manual, AAIDD first attempted a dual-criterion approach: a definition that mentioned both intellectual functioning and “impairments in maturation, learning, and social adjustment.” In its 1961 manual, AAIDD folded the “impairments” description into the phrase “adaptive behavior,” a term still used today. The definition was refocused in 1992 to reflect a new way of understanding and responding to the condition.. AAIDD moved away from a diagnostic process that identified deficits solely on the basis of an IQ score, and began considering social, environmental, and other elements as well. Most crucially, the emphasis shifted from providing programs to people with intellectual disability to designing and delivering support tailored to each individual to help them reach their highest level of functioning.

      The third element of the definition involves age of onset. Early definitions mentioned “the developmental period.” AAIDD’s 2002 definition clarified that the disability originates "before the age of 18.”

      The mainstay of MR/ID treatment is the development of a comprehensive management plan for the condition. The complex habilitation plan for the individual requires input from care providers from multiple disciplines, including special educators, language therapists, behavioral therapists, occupational therapists, and community services that provide social support and respite care for families affected by MR/ID.

      No specific pharmacologic treatment is available for cognitive impairment in the developing child or adult with MR/ID. Medications, when prescribed, are targeted to specific comorbid psychiatric disease or behavioral disturbances.

      What do we know about parenting by people who have an intellectual disability?

      Health Guidelines for Adults with an Intellectual Disability.

      Adults with mild intellectual disability (ID) experience stressful social interactions and often utilize maladaptive coping strategies to manage these interactions.

      Here are further guidelines.


      When You Harm Others Intentionally

      Intentional enforced harms
      F43.8Other reactions to severe stress
      DSM- 5 CODE/ ICD 10 CODE
      What are intentional enforced harms?
      Who authors and updates ICD-10 classification of mental and behavioral disorders?
      What does ICD-10 classification of mental and behavioral Disorders say about intentional enforced harms?
      Who authors and updates the Diagnosis and Statistical Manual of Mental Disorders?
      What does the Diagnosis and Statistical Manual of Mental Disorders say about intentional enforced harms?


      What are intentional enforced harms?
      What are examples of intentional enforced harms?

      Deprivation of food, clothing, housing, health care, transportation, security, education, consumer goods, and communication are intentional, willful harms.

      Willful violations of human rights are intentional harms.

      Who has the duty to prevent intentional enforced harms?
      Who authors and updates ICD-10 classification of mental and behavioral disorders?
      What does ICD-10 classification of mental and behavioral disorders reveal about intentional enforced harms?
      Who authors and updates the Diagnosis and Statistical Manual of Mental Disorders?
      What does the Diagnosis and Statistical Manual of Mental Disorders reveal about intentional enforced harms?
      What are your rights as a civilized human being?
      Who is a civilized human being?
      How do you define a civilized human being?
      What are provoke and crush techniques?
      What techniques induce stress, harass, entrap?
      How have these techniques been maliciously used for involuntary, judicial admission to a psychiatric facility?
      What is been done to protect victims of these malicious techniques?
      How is retaliation detected, prevented, and managed?
      How are police educated to handle such situations?
      How are counselors trained to screen such abuse?
      How are petitioners given counseling to know the consequences of such misuse?
      How many such incidents and admissions happen every year in each county?
      What are the duties and responsibilities of administrators to prevent and manage abuse in this situation?
      Who has the duty and responsibility to fund such research?
      What are the duties and responsibilities of medical doctors and psychiatrists to detect, prevent, report, and manage such abuse?
      How can incompetent, racist, medical doctors and psychiatrists be detected?
      Are there pecuniary and punitive damages for these harms?
      Yes, there are.

      Here are further guidelines.

      Mental status examination
      What questions should a doctor answer in a mental status examination?
      Who needs a mental status examination?
      Every patient needs a mental status examination.
      In certain situations, an individual may be specifically recommended for mental status examination.

      What is a mental status examination?
      Specific conversation questioning.
      Observations relevant to the individual.
      Physical examination in case required (When is physical examination of a patient required? See the guidelines for physical examination).

      The Mental Status Examination (MSE) is a standardized procedure used to evaluate the client’s mental and emotional functioning at the time the client is seen by the mental health professional. It involves a precise series of observations as well as some specific questions.

      Each of the topics listed below is included in the MSE because it provides valuable information about the client’s function.

      What is the best method for a doctor of medicine to do a mental status examination?
      Start a conversation with the patient and ask these questions:
      What is your name?
      What is your date of birth?
      What is your mailing address?
      How long have you lived at this location?
      How are you feeling now?


      If the individual cannot understand, read, write, or speak the English language, arrange an interpreter for the time being and recommend education for English language abilities.

      If the individual can understand, read, write, and speak the English language, here are further conversation questions.

      What is today's date and time? (This gets an answer to orientation.)
      How would you describe your mood: happy, sad, miserable, frightened, angry? (This gets an answer to mood.)
      What is on your mind that you would like to discuss now? (This gets an answer to thought content.)
      Can you count down from one hundred by sevens? (This gets an answer to calculating test/serial sevens.)
      What has happened in your past that I should know? (This gets an answer to memory.)
      What do you recall of your remote past experiences? (This gets answer to memory.)
      What has happened in the past 24 hours in your life that I should know? (This gets an answer to recent memory.)
      Do you feel you are normal or Ill? (This gets an answer to insight.)


      Observations relevant to the patient.

      What have you observed in this individual relevant to the parameters enumerated?
      Appearance
      Affect
      Attitude
      Behavior
      Consciousness
      Concentration
      Insight
      Language
      Judgment
      Motor activity
      Memory
      Mood
      Orientation
      Patient hygiene
      Perceptions
      Speech
      Thought form
      Thought process
      Thought content
      Further evaluation and referral

      What best describes your observation/findings for the patient?
      Agitated: Yes/No
      Blocking, or a sudden interruption in thought processes (like anxious, depressed, dysphoric, euphoric, angry): Yes/No
      Cooperative/not cooperative
      Eye contact: Normal/abnormal
      Hostile/polite
      Irritable/withdrawn
      Unpleasant/pleasant
      Restless/calm
      Self-care abilities: Normal/abnormal
      Speech (Appropriate/inappropriate)
      Stress/intentional enforced harms/human rights violations from others
      Unable to provide reliable information/able to provide reliable information
      Answer relevant questions from those listed.

      Appearance

      How does the patient look?
      Emaciated (extremely thin because of serious illness or lack of food).
      Obese (extremely fat).
      Healthy.
      Age appropriate height, weight.
      Clothes relevant to particular subculture (explain).
      Unkempt, dirty clothes/washed, clean clothes.
      Neatly dressed.
      Well groomed.
      Cleanliness with proper bath.
      Obvious physical signs such as tremor, goiter, ptosis.

      Are the facial expressions like smiles/cries appropriate to the situation?

      General appearance and behavior

      Does the patient appear his/her stated age?
      What is his/her facial expression, dress, and grooming?
      Is the patient unkempt or malnourished?
      Does he/she smell?
      If yes, ask these questions.
      How often do you take a bath, brush your teeth, change clothes?
      Are there any scars, lacerations, tattoos?
      Does the patient use a wheelchair, cane, eyeglasses, or a hearing aid?
      Is there any motor overactivity, underactivity, or rigidity?
      Is the patient cooperative, calm, or agitated?
      Does he/she regard the examiner during the interview?
      Does he she avoid eye contact?
      Does his/her mouth move when he/she is not talking?

      DSM criteria, according to diagnostic and statistical manual .
      State your assessment in the format (Axis 1-V)
      When was it last updated?
      Affect

      Is the patient's affect appropriate to the conversation?

      Sensorium and intellect

      What language does the patient speak?
      Can the patient name objects and repeat words, questions, or phrases?
      Can the patient multiply 7 x 8 and divide 75 by 3?
      Is the patient aware of current events and past history?
      Can the patient compare and contrast properly?
      How are an apple and an orange alike?
      What is the difference between a cow and a pig?
      What is the difference between a human being and a cow? How does the patient appear to you?
      Does the patient make eye contact?
      Does the tone of the patient’s voice change?
      Attitude (Politeness)

      Is the individual polite or hostile?
      If the individual is polite in front of you, is the individual always polite in normal conditions and environment without provocations or duress?
      If yes, his/her attitude is normal.

      Politeness means your words and gestures should be pleasant to others. Being polite is a matter of etiquette, manners, being considerate of people's feelings.

      Hostile means rude or boorish.

      Attitude (Politeness)
      How to Be Polite

      Is the person cooperative, irritable, belligerent etc.?
      Is there any indication of malingering or factitious behavior? Explain.
      Ability to perform calculations:

      Can the patient perform simple addition, multiplication, subtraction, and division?
      Are the responses appropriate for the patient’s level of education?
      Are there any problems in calculations?
      Behavior

      Is the individual cooperative?
      Is the person suicidal, homicidal, or both? What leads you do this conclusion?


      Behavior

      Rapport. Degree of cooperation. Motility, gestures, disinhibition.
      Consciousness
      Level of alertness:

      Is the patient conscious?
      If not, can the patient be awakened?
      Can the patient remain focused on your questions and conversation?
      What is attention span of the patient?


      In case of altered sensorium, get answers to these questions.

      How would you rate Glasgow Coma Scale of this patient in the range of 3—15, with a score of 3 indicating brain death (the lowest defined level of consciousness), and 15 indicating full consciousness?

      Cognition: level of consciousness, memory (immediate, recent, remote), orientation (time, place, person), concentration: serial 7s, abstract thinking.

      If nothing else, apparent level of consciousness. Orientation. Concentration, attention (digit span, serial sevens). Short term memory (name and address, recent events). Further testing when indicated for: naming/comprehension difficulties, constructional apraxia, dysgraphia, left-right orientation, verbal fluency, sensory/visual inattention, perseveration, astereognosis. May include subjective estimate of approximate intelligence.
      Cultural considerations
      Content of thought: delusions, suicidal thoughts, amount of thought and rate of production, continuity of ideas.
      Fund of Knowledge

      Can the person answer simple geography questions, such as naming bordering states?
      Insight and judgment

      What kind of problems are you having currently?
      Do you need help?
      What would you like to do next?
      What do you plan to do when you leave?

      Do you reach any diagnosis under these harmful conditions or remove harmful conditions for the person who has been oppressed and transferred to a psychiatric facility?
      If theory isn't clear, there will be conflict and disputes. Problems won't be solved.
      Simple negligence or wrong planning can lead to conflicts, disputes, and harms.

      How could this have been prevented?
      We should focus on expected outcome.

      Insight: extent of the individual's awareness of the problem.

      Hospitalized Patient

      Why were you brought here? or
      What brings you to the hospital?

      Judgment: If you found a letter on the ground in front of a mailbox, what would you do with it?").
      Language

      How are English language understanding, reading, writing, and speaking abilities of the individual?
      The individual can understand, read, write, and speak the English language.
      The individual is unable to understand, read, write, and speak the English language.
      Memory: Short term memory is assessed by listing three objects, asking the patient to repeat them to you to insure that they were heard correctly, and then checking recall at 5 minutes. Long term memory can be evaluated by asking about the patients job history, where they were born and raised, family history, etc.

      QUESTIONS TO ASK

      Long-term memory:

      Where did you live when you were growing up?
      What was the name of the school you went to?
      Short-term memory:

      What did you have for breakfast?
      What did you do yesterday?

      Remote—can person remember past events?
      · Recent—can person remember 3/3 objects after 5 min?
      Immediate—how well can the person do digit span back and forward?
      Mood

      Do you get angry, sad, depressed, or happy without any reason?
      How would you rate your mood on a scale of 1-10?

      How does the person describe his or her mood?
      Is the person’s affect congruent with the stated mood? Explain.

      Subjective mood over last days/weeks. Variability of mood. Energy, enjoyment, interest, anhedonia? Reports being tearful? Recent and current suicidal intent. Biological features of affective disorder: appetite, weight, sleep (initial/middle/terminal insomnia), diurnal mood variation, libido, constipation.

      Questions to ask about mood

      How do you generally feel most of the time?
      What's your mood like?
      How would you say you feel generally - happy, sad, frightened, angry?

      Mood words

      Happy
      Very happy
      Fine
      OK
      Fed up
      Sad
      Low
      Miserable
      Depressed
      Cross
      Angry
      Worried
      Afraid
      Down
      Cheerful
      Bad
      Excited
      Bright

      Questions to ask about low or high mood

      Do you feel miserable all the time?
      Do you ever cheer up, even a little bit?
      Do you ever enjoy anything?
      If something nice happens, do you cheer up a bit?
      Do you cry?
      Would you say that you're more cheerful than usual?

      Questions about suicidal intent


      8 Signs Someone Is at Risk of Suicide

      What to watch for
      Talking about suicide
      A bipolar or depression diagnosis
      Feelings of guilt
      Drinking or drug use
      Anxiety
      Buying a firearm
      Health problems
      Internet searches
      Signs that someone is considering suicide may also show up on a computer. For instance, a Web-browser history may show that a person has been researching suicide and ways to kill himself,

      Do you ever feel really desperate?
      Do you ever feel life is not worth living?
      Do you ever feel it would be better if you were dead?
      Do you ever feel that it wouldn't matter if you didn't wake up in the morning?
      Do you ever wish you were dead?
      Have you thought seriously about killing yourself?
      Have you thought about how you might kill yourself?
      Have you done anything about getting ready to kill yourself? (E.g. paying bills, hoarding tablets.)
      Do you think that you might actually kill yourself?
      Do you really want to die?
      Would you say that you were determined to kill yourself?

      Questions about biological features of affective disorder

      Is there any pattern to how your mood changes through the day?
      Is there any time of day when you tend to feel better or worse?
      Do you tend to feel worse in the evening?
      What's your appetite like?
      How are you eating?
      Is there any change in your weight?
      How are you sleeping?
      What time do you get to sleep and what time do you wake?
      Do you sleep right through or wake in the night?
      After you've woken do you get back to sleep?
      What time do you eventually wake in the morning?
      Is there any change in your interest in sex?
      Are you less interested in sex than usual?
      Is there any change in how often you defecate / have your bowels open?
      Do you experience constipation?
      Is there any change in your energy levels?
      Do you have more or less energy than usual?

      Questions about thought form

      Do your thoughts seem faster than normal?
      Do you find you have lots and lots of different thoughts?
      Does your mind seem to be slowed down?
      Do you ever have the experience when your thoughts suddenly stop?
      Do you ever feel that your mind is suddenly wiped blank and you have no thoughts at all?

      Questions about delusions

      Do you ever feel that people are following you?
      Do you ever feel that people are seeking to harm you in some way?
      Do people spy on you?
      Has anything strange or unusual been going on?
      Is there anything special about yourself which makes you different from other people?
      Is there anything you can do which other people can't?
      Is there anything which particularly bothers you?
      How did you find out this was happening?
      When did you realise this?
      How do you know about this?
      Are you sure this is happening or might you be imagining it?
      Are you absolutely certain this is what's going on?
      Do you think that somebody has put a spell on you?
      Is a spirit/djinn/demon causing problems for you?

      Questions about thought insertion

      Do you ever have thoughts in your mind which are not your own?
      Does anything else use your mind to think with?
      Does anything put thoughts into your mind from outside?
      Where do those thoughts come from?

      Questions about thought withdrawal

      Does anything ever take your thoughts away?
      Do you ever have your mind wiped blank?
      Does anything take thoughts out of your mind so that they're not there any more?

      Questions about thought broadcast

      Can other people tell what you are thinking?
      Do your thoughts ever go out of your own mind?
      Do your thoughts go out of your mind to other people?
      Are your thoughts ever put on the television or radio?
      Do your thoughts go out of your mind to somewhere else?

      Questions about passivity

      Do you ever feel that somebody else controls your body?
      Do you ever have something else moving your arms or legs?
      Can anybody else move your body without you being able to stop them?
      Do you ever find that a spirit/djinn/demon controls your body?
      Has anything inside your body or brain been changed?
      Is there anything strange inside your body?

      Questions about depressive cognitions

      What's your opinion of yourself?
      Do you think you're better than most people, worse, or about the same?
      Are you a good or bad person?
      Are there things you feel guilty about?
      Do you feel more guilty about things than most people?
      Do you feel guilty about things which other people wouldn't feel guilty about?
      What's your view of the future?
      Do you think things will get better or worse?
      Do you hope things might get better?
      Is there any possibility that things might get better?
      Do you see any possibility at all that things might get better, even a little bit?

      Questions about panic attacks

      Do you get panic attacks?
      Do you get times when you feel very frightened?
      Do you feel anxious?
      Do you feel afraid?
      Does your heart beat fast?
      Do you feel your heart beating hard?
      Do you feel dizzy?
      Do you feel faint?
      Do you feel sick?
      Do you feel shaky?
      Do you have an uncomfortable feeling in your stomach?
      Do you feel breathless?
      What do you think is going to happen?
      Do you think you're going to die?
      Do you think you're going to faint?
      Does this happen in particular places?
      Can this happen when you're at home?

      Questions about compulsions

      How often do you wash?
      Do you wash your hands a lot?
      Do you always do it in a particular way?
      Do you feel that you have to do it?
      Do you try to resist but find that you can't?
      What would happen if you didn't do it?
      Do you have to check you've locked the door properly?
      Do you check locks, windows, switches, electrical appliances?
      How many times would you check?
      Do you do the checking in a particular order?
      How much time does it take you?

      Questions about perceptual abnormalities

      Do you hear voices?
      Do you see visions?
      Do you hear people talking when there's nobody there?
      Do you hear things other people don't hear?
      Do you ever hear anything strange?
      Where do the voices come from?
      Are the voices in your head or outside?
      Are these thoughts in your mind or sounds that you would hear with your ears?
      How many voices are there?
      Do they talk to you or do they talk to each other about you?
      Do they ever talk about what you are doing?
      Do they repeat your thoughts or comment on your thoughts?
      Do your thoughts ever sound loud, as if somebody next to you could hear them?
      Do the voices tell you to do things?
      Do you ever hear angels talking?
      Do you ever hear spirits/djinns/demons talking?
      Do you see strange things?
      Do you see things other people don't see?
      Do things ever smell strange or taste strange?
      Do you feel things touching you?
      Do you feel things changing inside your body?
      Orientation (Awareness of environment)

      Orientation in terms of time, place, person, and self is assessed to determine the presence of confusion or clouding of consciousness. This is important information for determining whether the person has organic mental impairment.

      QUESTIONS TO ASK

      Can you tell me today’s date?
      Do you know the day of the week?
      What month is it?
      What year is it?
      Do you know where you are?
      Do you know who I am?
      Do you remember your name?
      Patient Hygiene (Appearance/Social grooming/hygiene)
      Perceptions

      Hallucinations, illusions. Describe modality and nature, taking particular care in relation to possible first-rank symptoms, other perceptual disturbances (derealisation; depersonalisation; heightened/dulled perception).
      Speech
      What is the rate and volume?
      Is it monotone?
      What is the rhythm?
      Is there dysarthria?
      Is there an increase in latency (normal time to respond is 3-5 seconds)?
      Is the amount of speech increased or decreased?
      Is it spontaneous or does the patient talk only when a questions is asked?
      Is the speech stilted?
      What is the level of the vocabulary?
      Are there neologisms, word approximations, phonemic or semantic paraphasias?

      Flow of thought
      Content of thought
      Is patient suicidal or homicidal?
      Do you plan to get involved in any kind of violence?
      Did you ever get arrested?
      Do you think it was justified?
      Do you hear any voices?
      Do you see things that aren't there?
      Do you hear, see, smell, taste, or feel things that aren't there?
      Do you feel someone is hearing your thoughts?
      Do you feel someone is inserting thoughts in you?
      Do you have beliefs that no other person had or is having up to now?

      Speech: Is it normal in tone, volume and quantity? Behavior: Pleasant? Cooperative? Agitated? Appropriate for the particular situation?

      Rate, volume, quantity, fluency. Any accent, dysarthria, problems with language. Use of obscenities. Mention briefly gross thought disorder, neologisms, obvious dysphasia. Uninterruptible.

      Is speech normal or tangential or circumstantial? Give Examples.

      Can the patient stop talking, if requested?
      Thought form

      (Abnormalities of stream usually included here.) Loosening of associations, derailment, neologisms, punning, clang associations, etc. Appropriateness of answers. Subjective rate, quantity, experience of thought block. ______ of content.
      Thought Process: This is a description of the way in which they think. Are their comments logical and presented in an organized fashion? If not, how off base are they? Do they tend to stray quickly to related topics? Are their thoughts appropriately linked or simply all over the map?
      Thought Content: A description of what the patient is thinking about. Are they paranoid? Delusional (i.e. hold beliefs that are untrue)? If so, about what? Phobic? Hallucinating (you need to ask if they see or hear things that others do not)? Fixated on a single idea? If so, about what. Is the thought content consistent with their affect? If there is any concern regarding possible interest in committing suicide or homicide, the patient should be asked this directly, including a search for details (e.g. specific plan, time etc.). Note: These questions have never been shown to plant the seeds for an otherwise unplanned event and may provide critical information, so they should be asked!

      Thought content

      Include passivity experiences and thought insertion, broadcasting, withdrawal. Delusions, over-valued ideas. Depressive cognitions consisting of low self-esteem, guilt, hopelessness. Grandiosity. Preoccupations, obsessions. Traditionally compulsive behaviours, panic attacks and anxiety-related symptoms are often described here.

      Are there any delusions?
      Is the person suicidal? Homicidal? What leads you do this conclusion?
      Mini-mental state examination (MMSE)
      The MSE is not to be confused with the mini-mental state examination (MMSE), which is a brief neuro-psychological screening test for dementia.

      Multi-Axial Diagnosis
      Axis I: All psychological diagnostic categories except mental retardation and personality disorder

      Axis II: Personality disorders and mental retardation

      Axis III: General medical condition; acute medical conditions and physical disorders

      Axis IV: Psychosocial stressors

      Axis V: Global Assessment of Functioning or Children’s Global Assessment Scale for children and teens under the age of 18
      License of doctor of medicine
      Have there been scandals in America about issuance of professional licenses, including that of a doctor of medicine?
      Yes.

      What should be the focus of a doctor of medicine?
      Abilities to be a doctor of medicine are essential.
      This takes many years of desire to learn and desire for public service.
      Issuing a license of doctor of medicine nowadays takes just a few minutes.
      Do not claim to be a specialist without having minimum abilities required of a doctor. This is how a specialist is interpreted.
      A psychiatrist is a medical doctor with additional abilities of a psychiatrist.
      A surgeon is a medical doctor with additional abilities of a surgeon.
      A doctor who performs medical operations is called a surgeon.
      An individual who can do an eight-inch incision and close in three layers is not a surgeon.
      A surgeon is basically a doctor of medicine.
      Being a doctor of medicine means a human being is able to reach a correct diagnosis and treatment of a human being in various healthcare settings, able to offer Internet human healthcare, public health advice, patient education guidelines, and administrative issues guidelines.
      Being a licensed doctor of medicine does not mean the individual has minimum abilities of a doctor of medicine.
      Being a board-certified member does not mean the individual has the minimum abilities of a doctor of medicine.

      In case you display or circulate your abilities as a doctor of medicine, the system will recognize you.
      The system will come forward to offer you a license of doctor of medicine.
      In situations where the system maintains silence or does not reply to your issues, You have the right to complaint and contest this exclusion provided you have competence and abilities of a doctor of medicine.

      What should various professional boards, certification resources, or licensing resources advise professionals, including doctor of medicine?
      You real-world performance is essential.
      You should be able to answer relevant questions in the real world from time to time relevant to your profession.
      There should be no complaints.
      You should resolve complaints immediately before they become a big scandal.
      You should have general abilities.
      You should have profession-specific abilities.
      You have to prove your performance in the real world.

      Here are further guidelines.

      Abilities a doctor should have
      Medical Doctor(Required skills for the evaluation and treatment of patients with psychiatric disorders in the general medical setting)
      1.Ability to take a medical-psychiatric history
      2.Ability to recognize and categorize symptoms
      3.Ability to assess neurological dysfunction
      4.Ability to assess the risk of ________
      5.Ability to assess medication effects and drug–drug interactions
      6.Ability to know when to order and how to interpret psychological testing
      7.Ability to assess interpersonal and family issues
      8.Ability to recognize and manage hospital stressors
      9.Ability to place the course of hospitalization and treatment in perspective
      10.Ability to formulate multiaxial diagnoses
      11.Ability to perform psychotherapy
      12.Ability to prescribe and manage psychopharmacological agents
      13.Ability to assess and manage agitation
      14.Ability to assess and manage pain
      15.Ability to administer drug detoxification protocols
      16.Ability to make medicolegal determinations
      17.Ability to apply ethical decisions
      18.Ability to apply systems theory and resolve conflicts
      19.Ability to initiate transfers to a psychiatry service
      20.Ability to assist with disposition planning
      Here are further guidelines.
      http://www.qureshiuniversity.com/doctorworld.html


      Medications in psychiatry
      List of psychiatric medications by condition treated
      What should a doctor, psychiatrist, or clinician verify before prescribing or recommending psychiatric medication?
      Correct diagnosis is essential.
      Wrong diagnosis is medical negligence and is subject to punishments or disciplinary action with relief to the victim.
      No question can remain unanswered while reaching a correct diagnosis.
      Up to April 11, 2014, a doctor, psychiatrist, or clinician in America did not know anything about stress, intentional enforced harms, or human rights violations from others. Such individuals have been placed at prestigious healthcare establishments in America. This shows the quality of healthcare in the system.

      Take a look at case reports. See how wrong diagnoses and misinterpretation of facts are harming residents.

      What medication has been elaborated at this resource?
      1. Antianxiety medications (benzodiazepines)

      2. Antidepressants

      3. Antipsychotic medications

      4. Attention deficit/hyperactivity disorder (ADHD) medication

      5. Atypical antipsychotic medications

      6. Autism medication

      7. Depressants

      8. Drug dependence therapy

      9. Drugs to treat insomnia (sleeping pills)

      10. Hallucinogens (not prescribed now)

      11. Mood stabilizers

      12. Parkinson's disease and restless leg syndrome medication

      13. Stimulants
      Here is a preferred drug list that Illinois revised effective April 7, 2014.
      Here are further guidelines.

      Medication that is available through the state (Preferred drug list).
      Medication that exists but may not be available through the state.

      Depressants that are used as hypnotics, sedatives, and anesthetics.

      Stimulants that treat disorders such as attention deficit hyperactivity disorder and narcolepsy, and to suppress the appetite.

      What are psychiatric medications?
      Psychiatric medications treat mental disorders. Sometimes called psychotropic or psychotherapeutic medications, they have changed the lives of people with mental disorders for the better. Many people with mental disorders live fulfilling lives with the help of these medications. Without them, people with mental disorders might suffer serious and disabling symptoms.

      Psychiatric Medications:
      The Six Main Classes

      Anxiolytics – If you suffer from nervousness, anxiety related disorders, or panic attacks this class of psychiatric medication is the one you are looking for.

      Anti-depressants – These compounds treat the various types of mood disorders which leave a patient feeling depressed. These disorders include clinical depression itself, as well as related problems like anxiety, BPD, dysthymia, or even eating disorders. There are different types of antidepressants, including:

      ?MAOIs - Monoamine Oxidase Inhibitors
      ?SARI - Serotonin Antagonist and Reuptake Inhibitors
      ?NDRI - Norepinephrine Dopamine Reuptake Inhibitors
      ?TCAs - Tricyclic Antidepressants
      ?SNRI - Serotonin Norepinephrine Reuptake Inhibitors
      ?SSRI - Selective Serotonin Reuptake Inhibitors

      Anti-psychotics – These powerful psychiatric medications are prescription only and only given under supervised care by licensed psychiatrists. This is because they have serious side effects in and of themselves, and are therefore only used on the most serious of conditions, such as mania, psychosis, or schizophrenia.

      Depressants – Our final class of psychiatric medication is the depressants. These find their usage as sedatives (these help a person sleep), and in applications like anesthesiology.

      Mood stabilizers – Another potent class of drug, these are intended for the treatment of conditions like bipolar disorder or schizoaffective disorder. Though not as severe as psychosis, these disorders are still quite serious themselves.

      Stimulants – This class of drug is designed to treat those who suffer from things like attention deficit disorder (or ADHD as well), narcolepsy, or as appetite control or suppression enhancements. Because stimulant medications are Schedule II controlled substances, the doctor must give the patient a written prescription each time and refills are not allowed (by law).

      How are medications used to treat mental disorders?
      Medications treat the symptoms of mental disorders. They cannot cure the disorder, but they make people feel better so they can function.

      Medications work differently for different people. Some people get great results from medications and only need them for a short time. For example, a person with depression may feel much better after taking a medication for a few months, and may never need it again. People with disorders like schizophrenia or bipolar disorder, or people who have long-term or severe depression or anxiety may need to take medication for a much longer time.

      Some people get side effects from medications and other people don't. Doses can be small or large, depending on the medication and the person. Factors that can affect how medications work in people include:

      Type of mental disorder, such as depression, anxiety, bipolar disorder, and schizophrenia
      Age, sex, and body size
      Physical illnesses
      Habits like smoking and drinking
      Liver and kidney function
      Genetics
      Other medications and herbal/vitamin supplements
      Diet
      Whether medications are taken as prescribed.

      Antianxiety medications (benzodiazepines)

      What medications are used to treat anxiety disorders?
      Antidepressants, anti-anxiety medications, and beta-blockers are the most common medications used for anxiety disorders.

      Anxiety disorders include:

      Obsessive compulsive disorder (OCD)
      Post-traumatic stress disorder (PTSD)
      Generalized anxiety disorder (GAD)
      Panic disorder
      Social phobia.

      Antidepressants

      Antidepressants were developed to treat depression, but they also help people with anxiety disorders. SSRIs such as fluoxetine (Prozac), sertraline (Zoloft), escitalopram (Lexapro), paroxetine (Paxil), and citalopram (Celexa) are commonly prescribed for panic disorder, OCD, PTSD, and social phobia. The SNRI venlafaxine (Effexor) is commonly used to treat GAD. The antidepressant bupropion (Wellbutrin) is also sometimes used. When treating anxiety disorders, antidepressants generally are started at low doses and increased over time.

      Some tricyclic antidepressants work well for anxiety. For example, imipramine (Tofranil) is prescribed for panic disorder and GAD. Clomipramine (Anafranil) is used to treat OCD. Tricyclics are also started at low doses and increased over time.

      MAOIs are also used for anxiety disorders. Doctors sometimes prescribe phenelzine (Nardil), tranylcypromine (Parnate), and isocarboxazid (Marplan). People who take MAOIs must avoid certain food and medicines that can interact with their medicine and cause dangerous increases in blood pressure. For more information, see the section on medications used to treat depression.

      Benzodiazepines (anti-anxiety medications)

      The anti-anxiety medications called benzodiazepines can start working more quickly than antidepressants. The ones used to treat anxiety disorders include:

      Clonazepam (Klonopin), which is used for social phobia and GAD
      Lorazepam (Ativan), which is used for panic disorder
      Alprazolam (Xanax), which is used for panic disorder and GAD.
      Buspirone (Buspar) is an anti-anxiety medication used to treat GAD. Unlike benzodiazepines, however, it takes at least two weeks for buspirone to begin working.

      Clonazepam, listed above, is an anticonvulsant medication. See FDA warning on anticonvulsants under the bipolar disorder section.

      Beta-blockers

      Beta-blockers control some of the physical symptoms of anxiety, such as trembling and sweating. Propranolol (Inderal) is a beta-blocker usually used to treat heart conditions and high blood pressure. The medicine also helps people who have physical problems related to anxiety. For example, when a person with social phobia must face a stressful situation, such as giving a speech, or attending an important meeting, a doctor may prescribe a beta-blocker. Taking the medicine for a short period of time can help the person keep physical symptoms under control.

      What are the side effects?

      See the section on antidepressants for a discussion on side effects. The most common side effects for benzodiazepines are drowsiness and dizziness. Other possible side effects include:

      Upset stomach
      Blurred vision
      Headache
      Confusion
      Grogginess
      Nightmares.
      Possible side effects from buspirone (BuSpar) include:
      Dizziness
      Headaches
      Nausea
      Nervousness
      Lightheadedness
      Excitement
      Trouble sleeping.

      Common side effects from beta-blockers include:

      Fatigue
      Cold hands
      Dizziness
      Weakness.

      In addition, beta-blockers generally are not recommended for people with asthma or diabetes because they may worsen symptoms.

      How should medications for anxiety disorders be taken?
      People can build a tolerance to benzodiazepines if they are taken over a long period of time and may need higher and higher doses to get the same effect. Some people may become dependent on them. To avoid these problems, doctors usually prescribe the medication for short periods, a practice that is especially helpful for people who have substance abuse problems or who become dependent on medication easily. If people suddenly stop taking benzodiazepines, they may get withdrawal symptoms, or their anxiety may return. Therefore, they should be tapered off slowly.

      Buspirone and beta-blockers are similar. They are usually taken on a short-term basis for anxiety. Both should be tapered off slowly. Talk to the doctor before stopping any anti-anxiety medication.

      Antidepressants

      What medications are used to treat depression?
      Depression is commonly treated with antidepressant medications. Antidepressants work to balance some of the natural chemicals in our brains. These chemicals are called neurotransmitters, and they affect our mood and emotional responses. Antidepressants work on neurotransmitters such as serotonin, norepinephrine, and dopamine.

      The most popular types of antidepressants are called selective serotonin reuptake inhibitors (SSRIs). These include:
      Fluoxetine (Prozac)
      Citalopram (Celexa)
      Sertraline (Zoloft)
      Paroxetine (Paxil)
      Escitalopram (Lexapro).
      Other types of antidepressants are serotonin and norepinephrine reuptake inhibitors (SNRIs). SNRIs are similar to SSRIs and include venlafaxine (Effexor) and duloxetine (Cymbalta). Another antidepressant that is commonly used is bupropion (Wellbutrin). Bupropion, which works on the neurotransmitter dopamine, is unique in that it does not fit into any specific drug type.

      SSRIs and SNRIs are popular because they do not cause as many side effects as older classes of antidepressants. Older antidepressant medications include tricyclics, tetracyclics, and monoamine oxidase inhibitors (MAOIs). For some people, tricyclics, tetracyclics, or MAOIs may be the best medications.

      What are the side effects?
      Antidepressants may cause mild side effects that usually do not last long. Any unusual reactions or side effects should be reported to a doctor immediately.
      The most common side effects associated with SSRIs and SNRIs include:

      Headache, which usually goes away within a few days.
      Nausea (feeling sick to your stomach), which usually goes away within a few days.
      Sleeplessness or drowsiness, which may happen during the first few weeks but then goes away.
      Sometimes the medication dose needs to be reduced or the time of day it is taken needs to be adjusted to help lessen these side effects.
      Agitation (feeling jittery).
      Sexual problems, which can affect both men and women and may include reduced sex drive, and problems having and enjoying sex.
      Tricyclic antidepressants can cause side effects, including:

      Dry mouth.
      Constipation.
      Bladder problems. It may be hard to empty the bladder, or the urine stream may not be as strong as usual. Older men with enlarged prostate conditions may be more affected.
      Sexual problems, which can affect both men and women and may include reduced sex drive, and problems having and enjoying sex.
      Blurred vision, which usually goes away quickly.
      Drowsiness. Usually, antidepressants that make you drowsy are taken at bedtime.
      People taking MAOIs need to be careful about the foods they eat and the medicines they take. Foods and medicines that contain high levels of a chemical called tyramine are dangerous for people taking MAOIs. Tyramine is found in some cheeses, wines, and pickles. The chemical is also in some medications, including decongestants and over-the-counter cold medicine.

      Mixing MAOIs and tyramine can cause a sharp increase in blood pressure, which can lead to stroke. People taking MAOIs should ask their doctors for a complete list of foods, medicines, and other substances to avoid. An MAOI skin patch has recently been developed and may help reduce some of these risks. A doctor can help a person figure out if a patch or a pill will work for him or her.

      How should antidepressants be taken?
      People taking antidepressants need to follow their doctors' directions. The medication should be taken in the right dose for the right amount of time. It can take three or four weeks until the medicine takes effect. Some people take the medications for a short time, and some people take them for much longer periods. People with long-term or severe depression may need to take medication for a long time.

      Once a person is taking antidepressants, it is important not to stop taking them without the help of a doctor. Sometimes people taking antidepressants feel better and stop taking the medication too soon, and the depression may return. When it is time to stop the medication, the doctor will help the person slowly and safely decrease the dose. It's important to give the body time to adjust to the change. People don't get addicted, or "hooked," on the medications, but stopping them abruptly can cause withdrawal symptoms.

      If a medication does not work, it is helpful to be open to trying another one. A study funded by NIMH found that if a person with difficult-to-treat depression did not get better with a first medication, chances of getting better increased when the person tried a new one or added a second medication to his or her treatment. The study was called STAR*D (Sequenced Treatment Alternatives to Relieve Depression).

      What is an Alternative Therapy?
      A health treatment that is not classified as standard Western medical practice is referred to as complementary and alternative medicine (CAM). CAM encompasses a variety of approaches. They include everything from diet and exercise to mental conditioning and lifestyle changes. Examples of CAM therapies include:
      Acupuncture
      Aromatherapy
      Biofeedback
      Chiropractic treatments
      Dietary supplements
      Guided imagery
      Hypnosis
      Massage therapy
      Meditation
      Relaxation

      Are herbal medicines used to treat depression?
      Which Herbal Supplements Can Help Depression?
      Here are further guidelines.

      FDA warning on antidepressants

      Antidepressants are safe and popular, but some studies have suggested that they may have unintentional effects, especially in young people. In 2004, the FDA looked at published and unpublished data on trials of antidepressants that involved nearly 4,400 children and adolescents. They found that 4 percent of those taking antidepressants thought about or tried suicide (although no suicides occurred), compared to 2 percent of those receiving placebos (sugar pill).

      In 2005, the FDA decided to adopt a "black box" warning label—the most serious type of warning—on all antidepressant medications. The warning says there is an increased risk of suicidal thinking or attempts in children and adolescents taking antidepressants. In 2007, the FDA proposed that makers of all antidepressant medications extend the warning to include young adults up through age 24.

      The warning also says that patients of all ages taking antidepressants should be watched closely, especially during the first few weeks of treatment. Possible side effects to look for are depression that gets worse, suicidal thinking or behavior, or any unusual changes in behavior such as trouble sleeping, agitation, or withdrawal from normal social situations. Families and caregivers should report any changes to the doctor.

      Finally, the FDA has warned that combining the newer SSRI or SNRI antidepressants with one of the commonly-used "triptan" medications used to treat migraine headaches could cause a life-threatening illness called "serotonin syndrome." A person with serotonin syndrome may be agitated, have hallucinations (see or hear things that are not real), have a high temperature, or have unusual blood pressure changes. Serotonin syndrome is usually associated with the older antidepressants called MAOIs, but it can happen with the newer antidepressants as well, if they are mixed with the wrong medications.

      Antipsychotic medications

      What medications are used to treat schizophrenia?
      Antipsychotic medications are used to treat schizophrenia and schizophrenia-related disorders. Some of these medications have been available since the mid-1950's. They are also called conventional "typical" antipsychotics. Some of the more commonly used medications include:
      Chlorpromazine (Thorazine)
      Haloperidol (Haldol)
      Perphenazine (generic only)
      Fluphenazine (generic only).
      In the 1990's, new antipsychotic medications were developed. These new medications are called second generation, or "atypical" antipsychotics.

      One of these medications was clozapine (Clozaril). It is a very effective medication that treats psychotic symptoms, hallucinations, and breaks with reality, such as when a person believes he or she is the president. But clozapine can sometimes cause a serious problem called agranulocytosis, which is a loss of the white blood cells that help a person fight infection. Therefore, people who take clozapine must get their white blood cell counts checked every week or two. This problem and the cost of blood tests make treatment with clozapine difficult for many people. Still, clozapine is potentially helpful for people who do not respond to other antipsychotic medications.

      Other atypical antipsychotics were developed. All of them are effective. Agranulocytosis is less likely to occur with these medications than with clozapine, but it has been reported. These include:

      Risperidone (Risperdal)
      Olanzapine (Zyprexa)
      Quetiapine (Seroquel)
      Ziprasidone (Geodon)
      Aripiprazole (Abilify)
      Paliperidone (Invega)
      Lurasidone (Latuda)
      The antipsychotics listed here are some of the medications used to treat symptoms of schizophrenia. Additional antipsychotics and other medications used for schizophrenia are listed in the chart at the end.

      Note: The FDA issued a Public Health Advisory for atypical antipsychotic medications. The FDA determined that death rates are higher for elderly people with dementia when taking this medication. A review of data has found a risk with conventional antipsychotics as well. Antipsychotic medications are not FDA-approved for the treatment of behavioral disorders in patients with dementia.

      What are the side effects?
      Some people have side effects when they start taking these medications. Most side effects go away after a few days and often can be managed successfully. People who are taking antipsychotics should not drive until they adjust to their new medication. Side effects of many antipsychotics include:
      •Drowsiness
      •Dizziness when changing positions
      •Blurred vision
      •Rapid heartbeat
      •Sensitivity to the sun
      •Skin rashes
      •Menstrual problems for women.
      Atypical antipsychotic medications can cause major weight gain and changes in a person's metabolism. This may increase a person's risk of getting diabetes and high cholesterol.1 A person's weight, glucose levels, and lipid levels should be monitored regularly by a doctor while taking an atypical antipsychotic medication.

      Typical antipsychotic medications can cause side effects related to physical movement, such as:
      Rigidity
      Persistent muscle spasms
      Tremors
      Restlessness.
      Long-term use of typical antipsychotic medications may lead to a condition called tardive dyskinesia (TD). TD causes muscle movements a person can't control. The movements commonly happen around the mouth. TD can range from mild to severe, and in some people the problem cannot be cured. Sometimes people with TD recover partially or fully after they stop taking the medication.

      Every year, an estimated 5 percent of people taking typical antipsychotics get TD. The condition happens to fewer people who take the new, atypical antipsychotics, but some people may still get TD. People who think that they might have TD should check with their doctor before stopping their medication.

      How are antipsychotics taken and how do people respond to them?
      Antipsychotics are usually pills that people swallow, or liquid they can drink. Some antipsychotics are shots that are given once or twice a month.

      Symptoms of schizophrenia, such as feeling agitated and having hallucinations, usually go away within days. Symptoms like delusions usually go away within a few weeks. After about six weeks, many people will see a lot of improvement.

      However, people respond in different ways to antipsychotic medications, and no one can tell beforehand how a person will respond. Sometimes a person needs to try several medications before finding the right one. Doctors and patients can work together to find the best medication or medication combination, and dose.

      Some people may have a relapse—their symptoms come back or get worse. Usually, relapses happen when people stop taking their medication, or when they only take it sometimes. Some people stop taking the medication because they feel better or they may feel they don't need it anymore. But no one should stop taking an antipsychotic medication without talking to his or her doctor. When a doctor says it is okay to stop taking a medication, it should be gradually tapered off, never stopped suddenly.

      How do antipsychotics interact with other medications?
      Antipsychotics can produce unpleasant or dangerous side effects when taken with certain medications. For this reason, all doctors treating a patient need to be aware of all the medications that person is taking. Doctors need to know about prescription and over-the-counter medicine, vitamins, minerals, and herbal supplements. People also need to discuss any alcohol or other drug use with their doctor.

      To find out more about how antipsychotics work, the National Institute of Mental Health (NIMH) funded a study called CATIE (Clinical Antipsychotic Trials of Intervention Effectiveness). This study compared the effectiveness and side effects of five antipsychotics used to treat people with schizophrenia. In general, the study found that the older medication perphenazine worked as well as the newer, atypical medications. But because people respond differently to different medications, it is important that treatments be designed carefully for each person. You can find more information on CATIE here.

      Attention deficit/hyperactivity disorder (ADHD) medication

      What medications are used to treat ADHD?
      Attention deficit/hyperactivity disorder (ADHD) occurs in both children and adults. ADHD is commonly treated with stimulants, such as:

      Methylphenidate (Ritalin, Metadate, Concerta, Daytrana)
      Amphetamine (Adderall)
      Dextroamphetamine (Dexedrine, Dextrostat).
      In 2002, the FDA approved the nonstimulant medication atomoxetine (Strattera) for use as a treatment for ADHD. In February 2007, the FDA approved the use of the stimulant lisdexamfetamine dimesylate (Vyvanse) for the treatment of ADHD in children ages 6 to 12 years.

      What are the side effects?
      Most side effects are minor and disappear when dosage levels are lowered. The most common side effects include:

      Decreased appetite. Children seem to be less hungry during the middle of the day, but they are often hungry by dinnertime as the medication wears off.
      Sleep problems. If a child cannot fall asleep, the doctor may prescribe a lower dose. The doctor might also suggest that parents give the medication to their child earlier in the day, or stop the afternoon or evening dose. To help ease sleeping problems, a doctor may add a prescription for a low dose of an antidepressant or a medication called clonidine.
      Stomachaches and headaches.
      Less common side effects. A few children develop sudden, repetitive movements or sounds called tics. These tics may or may not be noticeable. Changing the medication dosage may make tics go away. Some children also may appear to have a personality change, such as appearing "flat" or without emotion. Talk with your child's doctor if you see any of these side effects.How are ADHD medications taken?
      Stimulant medications can be short-acting or long-acting, and can be taken in different forms such as a pill, patch, or powder. Long-acting, sustained and extended release forms allow children to take the medication just once a day before school. Parents and doctors should decide together which medication is best for the child and whether the child needs medication only for school hours or for evenings and weekends too.

      ADHD medications help many children and adults who are hyperactive and impulsive. They help people focus, work, and learn. Stimulant medication also may improve physical coordination. However, different people respond differently to medications, so children taking ADHD medications should be watched closely.

      Are ADHD medications safe?
      Stimulant medications are safe when given under a doctor's supervision. Some children taking them may feel slightly different or "funny."

      Some parents worry that stimulant medications may lead to drug abuse or dependence, but there is little evidence of this. Research shows that teens with ADHD who took stimulant medications were less likely to abuse drugs than those who did not take stimulant medications.

      FDA warning on possible rare side effects

      In 2007, the FDA required that all makers of ADHD medications develop Patient Medication Guides. The guides must alert patients to possible heart and psychiatric problems related to ADHD medicine. The FDA required the Patient Medication Guides because a review of data found that ADHD patients with heart conditions had a slightly higher risk of strokes, heart attacks, and sudden death when taking the medications. The review also found a slightly higher risk (about 1 in 1,000) for medication-related psychiatric problems, such as hearing voices, having hallucinations, becoming suspicious for no reason, or becoming manic. This happened to patients who had no history of psychiatric problems.

      The FDA recommends that any treatment plan for ADHD include an initial health and family history examination. This exam should look for existing heart and psychiatric problems.

      The non-stimulant ADHD medication called atomoxetine (Strattera) carries another warning. Studies show that children and teenagers with ADHD who take atomoxetine are more likely to have suicidal thoughts than children and teenagers with ADHD who do not take atomoxetine. If your child is taking atomoxetine, watch his or her behavior carefully. A child may develop serious symptoms suddenly, so it is important to pay attention to your child's behavior every day. Ask other people who spend a lot of time with your child, such as brothers, sisters, and teachers, to tell you if they notice changes in your child's behavior. Call a doctor right away if your child shows any of the following symptoms:

      Acting more subdued or withdrawn than usual
      Feeling helpless, hopeless, or worthless
      New or worsening depression
      Thinking or talking about hurting himself or herself
      Extreme worry
      Agitation
      Panic attacks
      Trouble sleeping
      Irritability
      Aggressive or violent behavior
      Acting without thinking
      Extreme increase in activity or talking
      Frenzied, abnormal excitement
      Any sudden or unusual changes in behavior.

      While taking atomoxetine, your child should see a doctor often, especially at the beginning of treatment. Be sure that your child keeps all appointments with his or her doctor.

      Which groups have special needs when taking psychiatric medications? Psychiatric medications are taken by all types of people, but some groups have special needs, including:

      Children and adolescents
      Older adults
      Women who are pregnant or may become pregnant.

      Children and adolescents

      Most medications used to treat young people with mental illness are safe and effective. However, many medications have not been studied or approved for use with children. Researchers are not sure how these medications affect a child's growing body. Still, a doctor can give a young person an FDA-approved medication on an "off-label" basis. This means that the doctor prescribes the medication to help the patient even though the medicine is not approved for the specific mental disorder or age.

      For these reasons, it is important to watch young people who take these medications. Young people may have different reactions and side effects than adults. Also, some medications, including antidepressants and ADHD medications, carry FDA warnings about potentially dangerous side effects for young people. See the sections on antidepressants and ADHD medications for more information about these warnings.

      More research is needed on how these medications affect children and adolescents. NIMH has funded studies on this topic. For example, NIMH funded the Preschoolers with ADHD Treatment Study (PATS), which involved 300 preschoolers (3 to 5 years old) diagnosed with ADHD. The study found that low doses of the stimulant methylphenidate are safe and effective for preschoolers. However, children of this age are more sensitive to the side effects of the medication, including slower growth rates. Children taking methylphenidate should be watched closely.15,16,17

      In addition to medications, other treatments for young people with mental disorders should be considered. Psychotherapy, family therapy, educational courses, and behavior management techniques can help everyone involved cope with the disorder. Click here for more information on child and adolescent mental health research.

      Older adults

      Because older people often have more medical problems than other groups, they tend to take more medications than younger people, including prescribed, over-the-counter, and herbal medications. As a result, older people have a higher risk for experiencing bad drug interactions, missing doses, or overdosing.

      Older people also tend to be more sensitive to medications. Even healthy older people react to medications differently than younger people because their bodies process it more slowly. Therefore, lower or less frequent doses may be needed.

      Sometimes memory problems affect older people who take medications for mental disorders. An older adult may forget his or her regular dose and take too much or not enough. A good way to keep track of medicine is to use a seven-day pill box, which can be bought at any pharmacy. At the beginning of each week, older adults and their caregivers fill the box so that it is easy to remember what medicine to take. Many pharmacies also have pillboxes with sections for medications that must be taken more than once a day.

      Women who are pregnant or may become pregnant

      The research on the use of psychiatric medications during pregnancy is limited. The risks are different depending on what medication is taken, and at what point during the pregnancy the medication is taken. Research has shown that antidepressants, especially SSRIs, are safe during pregnancy. Birth defects or other problems are possible, but they are very rare.

      However, antidepressant medications do cross the placental barrier and may reach the fetus. Some research suggests the use of SSRIs during pregnancy is associated with miscarriage or birth defects, but other studies do not support this.20 Studies have also found that fetuses exposed to SSRIs during the third trimester may be born with "withdrawal" symptoms such as breathing problems, jitteriness, irritability, trouble feeding, or hypoglycemia (low blood sugar).

      Most studies have found that these symptoms in babies are generally mild and short-lived, and no deaths have been reported. On the flip side, women who stop taking their antidepressant medication during pregnancy may get depression again and may put both themselves and their infant at risk.20,21

      In 2004, the FDA issued a warning against the use of certain antidepressants in the late third trimester. The warning said that doctors may want to gradually taper pregnant women off antidepressants in the third trimester so that the baby is not affected.22 After a woman delivers, she should consult with her doctor to decide whether to return to a full dose during the period when she is most vulnerable to postpartum depression.

      Some medications should not be taken during pregnancy. Benzodiazepines may cause birth defects or other infant problems, especially if taken during the first trimester. Mood stabilizers are known to cause birth defects. Benzodiazepines and lithium have been shown to cause "floppy baby syndrome," which is when a baby is drowsy and limp, and cannot breathe or feed well.

      Research suggests that taking antipsychotic medications during pregnancy can lead to birth defects, especially if they are taken during the first trimester. But results vary widely depending on the type of antipsychotic. The conventional antipsychotic haloperidol has been studied more than others, and has been found not to cause birth defects.23,24

      After the baby is born, women and their doctors should watch for postpartum depression, especially if they stopped taking their medication during pregnancy. In addition, women who nurse while taking psychiatric medications should know that a small amount of the medication passes into the breast milk. However, the medication may or may not affect the baby. It depends on the medication and when it is taken. Women taking psychiatric medications and who intend to breastfeed should discuss the potential risks and benefits with their doctors.

      Decisions on medication should be based on each woman's needs and circumstances. Medications should be selected based on available scientific research, and they should be taken at the lowest possible dose. Pregnant women should be watched closely throughout their pregnancy and after delivery.

      Autism medication

      SSRIs

      Selective serotonin reuptake inhibitors (SSRIs), commonly known as anti-depressants, or drugs that are used to treat anxiety, depression, and obsessive-compulsive disorder (OCD). Some of the FDA approved SSRI drugs used to treat symptoms of autism that can be administered to children above the age of seven include fluoxetine (Prozacâ„¢), fluvoxamine (Luvoxâ„¢), sertraline (Zoloftâ„¢), and clomipramine (Anafranilâ„¢).

      Anti psychotic (old)

      Older anti-psychotic drugs like Haloperidol, Chlorpromazine, Thioridazine, and Fluphenazine help in the treatment of behavioral disorders by controlling the intensity of the neurotransmitter dopamine in the brain. However, some of these drugs are known to have side effects like sedation, muscle stiffness, and abnormal movements.

      Anti psychotic (new) - Risperidone

      Recent studies have developed newer anti-psychotic drugs like Risperidone, which have proven effective in the treatment of aggression and self-injury among autistic children with fewer side effects. The maximum side effect of Risperidone has been increased appetite and weight gain. Other effective antipsychotic drugs include Zyprexa and Geodon. Another moderately prescribed drug for controlling hypertensive behavior is Clonidine.

      Anti-convulsants

      Anti-convulsants are drugs that control seizures. Since one in every four autistic patients has seizures, the use of anti-convulsants sometimes becomes imperative in managing symptoms. Drugs such as carbamazepine (Tegretol), lamotrigine (Lamictal), topiramate (Topamax), or valproic acid (Depakote) are some of the most used anti-convulsants. However, these drugs can only reduce the amount of seizures, not eliminate their occurrence completely.

      Stimulants – Ritalin

      Stimulants are drugs that are used for the treatment of autism symptoms to control and treat the autistic tendencies of inattention and hyperactivity. Drugs such as methylphenidate (Ritalin) are prescribed for attention deficit hyperactivity syndrome (ADHD) and have proven sufficiently competent in treating the similar symptoms of autism.

      Depressants

      Alcohol

      For instance, in North America a blood alcohol content of 0.10 (0.10% or one tenth of one percent) means that there are 0.10 g of alcohol for every dL of blood.

      Barbiturates
      Benzodiazepines
      Opioids
        Morphine
        Heroin
        Codeine
        Hydrocodone
        Oxycodone
        Methadone

      Miscellaneous[edit]Alpha and beta blockers (Carvedilol, Propanolol, atenolol, etc.)
      Anticholinergics (Atropine, hyoscyamine, scopolamine, etc.)
      Anticonvulsants (Valproic acid, carbamazepine, lamotrigine, etc.)
      Antihistamines (Diphenhydramine, doxylamine, promethazine, etc.)
      Antipsychotics (Haloperidol, chlorpromazine, clozapine, etc.)
      Dissociatives (Dextromethorphan, ketamine, phencyclidine, nitrous oxide, etc.)
      Hypnotics (Zolpidem, zopiclone, chloral hydrate, chloroform, etc.)
      Muscle relaxants (Baclofen, carisoprodol, cyclobenzaprine, etc.)
      Sedatives (Gamma-hydroxybutyrate, etc.)

      Drug dependence therapy

      Used in the treatment of alcoholism and opioid dependence

      INN Common brand name(s)
      Acamprosate Campral
      Baclofen Baclosan, Kemstro, Lioresal
      Buprenorphine Subutex
      Buprenorphine/naloxone Suboxone
      Disulfiram Antabuse
      Methadone Dolophine
      Naltrexone Depade, ReVia, Vivitrol
      Ondansetron Zofran

      Used for smoking cessation

      Generic name Brand names
      Bupropion Voxra, Zyban
      Cytisine Tabex
      Varenicline Champix, Chantix

      Drugs to treat insomnia (sleeping pills)

      Benzodiazepines
      Z-drugs
      Melatonergic agents
      Barbiturates
      Sedating antidepressants
      Antihistamines
      Others

      Benzodiazepines
      INN Common brand name(s)
      Brotizolam Lendormin
      Estazolam Eurodin, ProSom
      Flunitrazepam Hipnosedon, Hypnodorm, Rohypnol, Vulbegal
      Flurazepam Dalmadorm, Dalmane
      Loprazolam Dormonoct
      Lormetazepam Noctamid
      Midazolam Dormicum, Hypnofast
      Nimetazepam Erimin
      Nitrazepam Alodorm, Dumolid, Mogadon, Pacisyn, Radedorm 5
      Phenazepam Phenazepam, Phenorelaxan, Phezipam
      Quazepam Doral, Dormalin
      Temazepam Normison, Restoril
      Triazolam Halcion
      Z-drugs

      INN Common brand name(s)
      Eszopiclone Lunesta
      Zaleplon Andante, Sonata, Starnoc
      Zolpidem Ambien CR, Hypnogen, Intermezzo, Ivadal, Sanval, Snovitel, Stilnoct, Stilnox, Sublinox
      Zopiclone Imovane, Imrest, Piclodorm, Somnol, Zimovane
      Melatonergic agents
      INN Common brand name(s)
      Agomelatine Melitor, Thymanax, Valdoxan
      Melatonin Circadin, Melaxen
      Ramelteon Rozerem
      Barbiturates

      INN Common brand name(s)
      Amobarbital Amytal Sodium
      Amobarbital/secobarbital Tuinal
      Butobarbital Neonal, Soneryl
      Cyclobarbital/diazepam Reladorm
      Pentobarbital Nembutal Sodium
      Phenobarbital Luminal
      Secobarbital Seconal Sodium
      Sedating antidepressants
      INN Common brand name(s)
      Amitriptyline Elavil, Endep, Laroxyl, Lentizol, Saroten, Sarotex, Tryptizol, Tryptomer
      Doxepin Silenor
      Mianserin Bolvidon, Depnon, Lerivon, Tolvon
      Mirtazapine Avanza, Remeron, Zispin
      Trimipramine Rhotrimine, Stangyl, Surmontil
      Trazodone Deprax, Desyrel, Oleptro, Trittico
      Trimipramine Rhotrimine, Stangyl, Surmontil
      Antihistamines

      INN Common brand name(s)
      Alimemazine Nedeltran, Theralen, Theralene, Theraligene
      Cyproheptadine Periactin, Peritol
      Diphenhydramine Benadryl, Dimedrol, Daedalon, Nytol
      Doxylamine Donormyl, Dormidina, Dozile, NyQuil, Restavit, Somnil, Unisom SleepTab
      Hydroxyzine Atarax, Vistaril
      Promethazine Avomine, Fargan, Phenergan, Pipolphen, Promethegan, Prothiazine, Romergan, Sominex
      Others

      INN Common brand name(s)
      Chloral hydrate Chloraldurat, Somnote
      Clomethiazole Distraneurin, Heminevrin
      Glutethimide Doriden
      Motherwort
      Niaprazine Nopron
      Sodium oxybate Alcover, Xyrem
      Tizanidine Sirdalud, Zanaflex
      Valerian
      Melatonin Circadin


      Listed below are some drugs that can be used to treat insomnia.

      Ambien (zolpidem): The original version of Ambien works well at helping you get to sleep, but some people tended to wake up in the middle of the night. Ambien CR is an extended release version. It helps you get to sleep within 15 to 30 minutes, and the new extended release portion helps you stay asleep. You should not take Ambien or Ambien CR unless you are able to get a full night's sleep -- at least 7 to 8 hours. The FDA has approved a prescription oral spray called Zolpimist, which contains Ambien's active ingredient, for the short-term treatment of insomnia brought on by difficulty falling asleep. The FDA requires that these drugs are offered in lower doses for women. Women clear the drugs from their systems more slowly than men and the agency says blood levels of the drugs could still be high enough the following morning to affect activities that require alertness, such as driving. The FDA says doctors should consider the lower dose for men too.

      Lunesta (eszopiclone): Lunesta also helps you fall asleep quickly, and studies show people sleep an average of seven to eight hours. Don't take Lunesta unless you are able to get a full night's sleep as it could cause grogginess. Rozerem (ramelteon): This is a sleep medication that works differently than the others. It works by targeting the sleep-wake cycle, not by depressing the central nervous system. It is prescribed for people who have difficulty falling asleep. Rozerem can be prescribed for long-term use and the drug has shown no evidence of abuse and dependence.

      Sonata (zaleplon): Of all the new sleeping pills, Sonata stays active in the body for the shortest amount of time. That means you can try to fall asleep on your own. Then, if you're still staring at the clock at 2 a.m., you can take it without feeling drowsy in the morning. However, if you tend to wake during the night, this might not be the best choice for you.

      Silenor (doxepine): In 2010, this sleep drug was approved for use in people who have trouble staying asleep. Silenor may help with sleep maintenance by blocking histamine receptors. Do not take this drug unless you are able to get a full seven or eight hours of sleep. Dosage is based on your health, age, and response to therapy.

      Benzodiazepines: These older sleeping pills (Halcion, Restoril, Xanax, and others) are useful when you want an insomnia medication that stays in the system longer. For instance, they have been effectively used to treat sleep problems such as sleepwalking and night terrors. However, these drugs may cause you to feel sleepy during the day and can also cause dependence, meaning you may always need to be on the drug to be able to sleep.

      Antidepressants : Some antidepressant drugs, such as Desyrel ( trazodone ) and Remeron (mirtazapine) are particularly effective in treating sleeplessness and anxiety.

      Over-the-Counter Sleep Aids: Most of these sleeping pills are antihistamines. They generally work well but can cause some drowsiness the next day.

      Over-the-counter sleep aids are available in nearly any pharmacy. Here's a listing of common choices and the potential side effects:

      Diphenhydramine (Benadryl, Unisom sleep). Diphenhydramine is a sedating antihistamine. Side effects might include daytime drowsiness, dry mouth, dizziness and memory problems.

      Doxylamine (Unisom SleepTabs). Doxylamine is also a sedating antihistamine. Side effects are similar to diphenhydramine, including daytime drowsiness, dry mouth, dizziness and memory problems.

      Melatonin. The hormone melatonin helps control your natural sleep-wake cycle. Some research suggests that melatonin supplements might be helpful in treating jet lag or reducing the time it takes to fall asleep — although the effect is typically mild. The most common melatonin side effects include daytime sleepiness, dizziness and headaches. Other, less common melatonin side effects might include abdominal discomfort, mild anxiety, irritability, confusion and short-lasting feelings of depression.

      Valerian. Supplements made from this plant might reduce the amount of time it takes to fall asleep as well as promote better sleep overall. However, the active ingredient isn't clear and potency can vary. Side effects of valerian supplements might include headache, abdominal discomfort, excitability or uneasiness, and heart disturbances.

      Store brands containing the same active ingredients as brand-name sleep aids are commonly available.

      If you decide to use over-the-counter sleep aids
      If you think you'd benefit from over-the-counter sleep aids, follow these steps:

      Start with your doctor. You don't need your doctor's OK to take an over-the-counter sleep aid, but it's a good idea to check with him or her anyway. Your doctor can make sure the sleep aid won't interact with other medications or underlying conditions, as well as determine the best dosage.

      Keep precautions in mind. Diphenhydramine and doxylamine aren't recommended for people who have closed-angle glaucoma, asthma, chronic obstructive pulmonary disease, severe liver disease or urinary retention — which can be preceded by a weak urine stream or trouble starting urination. In addition, most sleep aids aren't recommended for women who are pregnant or breast-feeding.

      Take it one day at a time. Over-the-counter sleep aids are a temporary solution for insomnia. Generally, they're not intended to be used for longer than two weeks.

      Avoid alcohol. Never mix alcohol and sleep aids. Alcohol can increase the sedative effects of the medication. Beware of side effects. Don't drive or attempt other activities that require alertness while taking sleep aids.

      Mood stabilizers

      What medications are used to treat bipolar disorder?
      Bipolar disorder, also called manic-depressive illness, is commonly treated with mood stabilizers. Sometimes, antipsychotics and antidepressants are used along with a mood stabilizer.

      Mood stabilizers
      People with bipolar disorder usually try mood stabilizers first. In general, people continue treatment with mood stabilizers for years. Lithium is a very effective mood stabilizer. It was the first mood stabilizer approved by the FDA in the 1970's for treating both manic and depressive episodes.

      Anticonvulsant medications also are used as mood stabilizers. They were originally developed to treat seizures, but they were found to help control moods as well. One anticonvulsant commonly used as a mood stabilizer is valproic acid, also called divalproex sodium (Depakote). For some people, it may work better than lithium.6 Other anticonvulsants used as mood stabilizers are carbamazepine (Tegretol), lamotrigine (Lamictal) and oxcarbazepine (Trileptal).

      Atypical antipsychotics

      Atypical antipsychotic medications are sometimes used to treat symptoms of bipolar disorder. Often, antipsychotics are used along with other medications.

      Antipsychotics used to treat people with bipolar disorder include:
      Olanzapine (Zyprexa), which helps people with severe or psychotic depression, which often is accompanied by a break with reality, hallucinations, or delusions7 Aripiprazole (Abilify), which can be taken as a pill or as a shot
      Risperidone (Risperdal)
      Ziprasidone (Geodon)
      Clozapine (Clorazil), which is often used for people who do not respond to lithium or anticonvulsants.8 Lurasidone (Latuda)

      Antidepressants

      Antidepressants are sometimes used to treat symptoms of depression in bipolar disorder. Fluoxetine (Prozac), paroxetine (Paxil), or sertraline (Zoloft) are a few that are used. However, people with bipolar disorder should not take an antidepressant on its own. Doing so can cause the person to rapidly switch from depression to mania, which can be dangerous.9 To prevent this problem, doctors give patients a mood stabilizer or an antipsychotic along with an antidepressant.

      Research on whether antidepressants help people with bipolar depression is mixed. An NIMH-funded study found that antidepressants were no more effective than a placebo to help treat depression in people with bipolar disorder. The people were taking mood stabilizers along with the antidepressants. You can find out more about this study, called STEP-BD (Systematic Treatment Enhancement Program for Bipolar Disorder), here.

      What are the side effects?
      Treatments for bipolar disorder have improved over the last 10 years. But everyone responds differently to medications. If you have any side effects, tell your doctor right away. He or she may change the dose or prescribe a different medication.

      Different medications for treating bipolar disorder may cause different side effects. Some medications used for treating bipolar disorder have been linked to unique and serious symptoms, which are described below.

      Lithium can cause several side effects, and some of them may become serious. They include:

      Loss of coordination
      Excessive thirst
      Frequent urination
      Blackouts
      Seizures
      Slurred speech
      Fast, slow, irregular, or pounding heartbeat
      Hallucinations (seeing things or hearing voices that do not exist)
      Changes in vision
      Itching, rash
      Swelling of the eyes, face, lips, tongue, throat, hands, feet, ankles, or lower legs. If a person with bipolar disorder is being treated with lithium, he or she should visit the doctor regularly to check the levels of lithium in the blood, and make sure the kidneys and the thyroid are working normally.

      Some possible side effects linked with valproic acid/divalproex sodium include:

      Changes in weight
      Nausea
      Stomach pain
      Vomiting
      Anorexia
      Loss of appetite.

      Valproic acid may cause damage to the liver or pancreas, so people taking it should see their doctors regularly.

      Valproic acid may affect young girls and women in unique ways. Sometimes, valproic acid may increase testosterone (a male hormone) levels in teenage girls and lead to a condition called polycystic ovarian syndrome (PCOS).11,12 PCOS is a disease that can affect fertility and make the menstrual cycle become irregular, but symptoms tend to go away after valproic acid is stopped.13 It also may cause birth defects in women who are pregnant.

      Lamotrigine can cause a rare but serious skin rash that needs to be treated in a hospital. In some cases, this rash can cause permanent disability or be life-threatening.

      In addition, valproic acid, lamotrigine, carbamazepine, oxcarbazepine and other anticonvulsant medications (listed in the chart at the end of this document) have an FDA warning. The warning states that their use may increase the risk of suicidal thoughts and behaviors. People taking anticonvulsant medications for bipolar or other illnesses should be closely monitored for new or worsening symptoms of depression, suicidal thoughts or behavior, or any unusual changes in mood or behavior. People taking these medications should not make any changes without talking to their health care professional.

      Other medications for bipolar disorder may also be linked with rare but serious side effects. Always talk with the doctor or pharmacist about any potential side effects before taking the medication.

      For information on side effects of antipsychotics, see the section on medications for treating schizophrenia.

      For information on side effects and FDA warnings of antidepressants, see the section on medications for treating depression.

      How should medications for bipolar disorder be taken?
      Medications should be taken as directed by a doctor. Sometimes a person's treatment plan needs to be changed. When changes in medicine are needed, the doctor will guide the change. A person should never stop taking a medication without asking a doctor for help.

      There is no cure for bipolar disorder, but treatment works for many people. Treatment works best when it is continuous, rather than on and off. However, mood changes can happen even when there are no breaks in treatment. Patients should be open with their doctors about treatment. Talking about how treatment is working can help it be more effective.

      It may be helpful for people or their family members to keep a daily chart of mood symptoms, treatments, sleep patterns, and life events. This chart can help patients and doctors track the illness. Doctors can use the chart to treat the illness most effectively.

      Because medications for bipolar disorder can have serious side effects, it is important for anyone taking them to see the doctor regularly to check for possibly dangerous changes in the body.

      Parkinson's disease and Restless legs syndrome

      INN Common brand name(s)
      Cabergoline Cabaser, Dostinex
      Gabapentin enacarbil Horizant
      Pergolide Permax
      Piribedil Pronoran, Trivastal
      Pramipexole Daquiran, Mirapex, Mirapexin, Oprymea, Sifrol, Vasiprax
      Ropinirole Adartrel, Requip, Ropark
      Rotigotine Neupro
      Tramadol Tramal, Troxal, Ultram

      Stimulants

      INN Common brand name(s)
      Amphetamine mixed salts Adderall
      Dexmethylphenidate Attenade, Focalin
      Dextroamphetamine Dexedrine, Dextrostat
      Lisdexamfetamine Vyvanse
      Methamphetamine Desoxyn
      Methylphenidate Concerta, Daytrana, Methylin, Ritalin

      What should I ask my doctor if I am prescribed a psychiatric medication?
      You and your family can help your doctor find the right medications for you. The doctor needs to know your medical history; family history; information about allergies; other medications, supplements or herbal remedies you take; and other details about your overall health. You or a family member should ask the following questions when a medication is prescribed:

      How will this medication help me?
      How will I be better off after taking this medication?
      What is the name of the medication?
      What is the medication supposed to do?
      How and when should I take it?
      How much should I take?
      What should I do if I miss a dose?
      When and how should I stop taking it?
      Will it interact with other medications I take?
      Do I need to avoid any types of food or drink while taking the medication? What should I avoid? Should it be taken with or without food?
      Is it safe to drink alcohol while taking this medication?
      What are the side effects? What should I do if I experience them?
      Is the Patient Package Insert for the medication available?

      After taking the medication for a short time, tell your doctor how you feel, if you are having side effects, and any concerns you have about the medicine.

      Psychiatry, law and justice
      Who may utilize this program for education and reference?

      1. Emergency medical doctor
      2. Consultant in emergency medicine
      3. Psychiatrist
      4. Attending physician
      5. Head of the department of psychiatry
      6. Heads of other departments
      7. Registrar in psychiatry
      8. Postgraduate emergency medicine doctor
      9. Postgraduate psychiatry doctor
      10. Court worker
      11. Administrator
      12. Police
      13. Security officer
      14. Lawyer
      15. Judge
      16. Hospital worker
      17. Legislator
      18. Maintenance worker
      19. Community counseling center worker
      20. Media
      21. Health department worker
      22. Medical student
      23. Social work student
      24. Medical student intern
      25. Social work student
      26. Social work Intern
      27. Social worker
      28. Social work master's worker
      29. Social work PhD worker
      30. Parents
      31. Teacher
      32. Principal
      33. Patient
      34. State Department of Health
      35. Nurse
      36. Therapist
      37. General public

      If you identify yourself with anyone on the list, this program is for you.
      What best describes you in the list?
      Do you think anyone else needs this program for education and reference?
      Here are further guidelines.
      Psychiatry, law and justice
      Why was there a need to establish this education and reference resource?
      What led to writing of this book?
      Why was there need to write this book?
      Take a look at this.
      Involuntary judicial admission to a psychiatric facility
      I researched and monitored involuntary and judicial admission to a psychiatric facility for a specific time period.

      Every week lawsuits were filed in a specific court:
      Involuntary judicial admission to a psychiatric facility; victim seeks damages; victim seeks injunction; victim seeks punishment of oppressors.

      As a matter of fact, abuse of involuntary judicial admission to a psychiatric facility has been recognized.

      When can a person be subject to involuntary judicial admission to a psychiatric facility?

      When can a person not be subject to involuntary judicial admission to a psychiatric facility?

      Can a person be subject to involuntary judicial admission to a psychiatric facility if someone else lies?
      No.

      Can a person be subject to involuntary judicial admission to a psychiatric facility if his rights are violated, and if he genuinely protests because his rights are violated?
      No.

      Can a person be subject to involuntary judicial admission to a psychiatric facility if there is a dispute and the other party failed to resolve it?
      No.

      Can a person be subject to involuntary judicial admission to a psychiatric facility because of a politically motivated or monopoly motivated malicious scheme?
      No.

      Can a person be subject to involuntary judicial admission to a psychiatry facility if due to lies or due to incompetence of medical doctor there is wrong diagnosis?
      No.

      Can a person be subject to involuntary judicial admission to a psychiatric facility because he/she belongs to a different religion?
      No.

      Who has the duty and responsibility to educate those oppressing others and subjecting them to involuntary judicial admission to a psychiatric facility due to bias, prejudice, or hate?

      Who has the duty and responsibility to punish those abusing and oppressing people this way due to incompetence, being members of a monopoly, bias, prejudice, or hate?

      What reward or compensation should there be for those who were subject to this type of unfair intentional harm due to incompetence, bias, prejudice or hate?

      How should those who were subject to this type of unfair intentional harm due to incompetence, bias, prejudice, or hate be compensated or rewarded?

      What have you done to prevent such abuse and intentional harm and compensate those who were subject to this type of harms due to incompetence, bias, prejudice, or hate?

      Have you come across any such incident or case?
      Take a look at this.

      2009.
      The University of Illinois was marred by scams and scandals, and all trustees were replaced. Now, there are scams and scandals of selecting and placing incompetent medical doctors and the rest of the staff.

      Michael J. Schrift
      University of Illinois at Chicago
      Department of Psychiatry
      Chicago, IL 60612
      Michael J. Schrift, D.O., is the Director of Neuropsychiatry and Medical Director of the Neurobehavior Program.
      Does he deserve to be there?

      Eric Gausche
      University of Illinois Medical Center
      Department of Psychiatry.
      They have no answer to these questions.
      What is the most important duty and responsibility of a medical doctor?
      What is good human character?
      What is good human behavior?
      What are the rights of a civilized human being?
      Who is a civilized human being?
      Should they be permitted to handle cases?
      They have no correct answers to many more questions.

      How will you handle Carl Brakman, LCSW at the University of Illinois Medical Center at Chicago, Department of Psychiatry, who gives his self-styled conclusions?

      How will you handle a non-medico clinician at Chicago Lakeshore Hospital, Illinois, who accepts not being a medical doctor and still writes diagnoses and further referrals without having experience in various hospital medical settings or having studied relevant medical books, putting others into harm because of unfair placement?

      What is the budget of University of Illinois Medical Center at Chicago?
      How much is spent on training medical doctors?
      Is the training of good quality, good standard?
      No.
      Who should be held responsible for this substandard training?

      How will you protect the public from medical and legal professionals who display the license number without being able to answer questions?

      Is their remuneration far more than their competence and quality of service they provide?
      Yes.

      Do they deserve such remuneration?
      No.

      What is being done regularly to audit their competence and medical malpractice, case by case?
      Here are further guidelines.
      Take a look at this.

      What are the harmful tricks that oppressors and their harmful associates use to label a normal person while depriving him/her of rights and inflicting intentional harms as mentally challenged person or with mental illness?

      1. Misinterpretation of facts, written or verbal.
      2. Misinterpretation of facts due to prejudice, bias, incompetence, or grouping with gang members.
      3. Malicious discovery.
      4. Lies.
      5. Provocation to elicit malicious discovery.
      6. Instigating and inducing statements under duress.
      7. Deprivation of rights to elicit malicious discovery.
      8. Smear campaign with misinterpretation of facts to defame.
      9. Defamation with statements like 'do not tell him/her,' 'do not tell him/her I told you.'
      10. Politically motivated malicious harmful tricks.

      Are there pecuniary and punitive damages for these harms?
      Yes, there are.
      How should police verify the findings in case they are called for involuntary admission to a psychiatric facility?
      What are the harmful tricks that oppressors and their harmful associates use to label a normal person while depriving him/her of rights and inflicting intentional harms as mentally challenged person or with mental illness?
      When can a person be subject to involuntary judicial admission to a psychiatric facility?
      When can a person not be subject to involuntary judicial admission to a psychiatric facility?
      Here are further guidelines.
      Psychiatric disorders
      Disorder Category
      Disorder Name
      DSM- 5 CODE/ ICD 10 CODE

      Adult behavioral health problems
      What are psychiatric disorders?
      Diagnostic and Statistical Manual of Mental Disorders, 5th Edition: DSM-5 by American Psychiatric Association
      Proposed DSM-5 Organizational Structure and Disorder Names

      1. Adjustment Disorders
      2. Anxiety Disorders
      3. Cognitive Disorders
      4. Developmental Disorders
      5. Dissociative Disorders
      6. Eating Disorders
      7. Factitious Disorders
      8. Intentional Enforced Harms
      9. Impulse-Control Disorders
      10. Mental Disorders Due to a General Medical Condition
      11. Mood Disorders
      12. Psychiatric Medical Emergencies
      13. Personality Disorders
      14. Psychotic Disorders
      15. Sexual and Gender Identity Disorders
      16. Sleep Disorders
      17. Somatoform Disorders
      18. Substance Related Disorders

      Psychiatric Diseases & Conditions A-Z Index
      1. Acute stress reactions (Acute stress disorder)

      2. Academic Problem (Study Skills, Time Management)

      3. Acculturation Problem

      4. Adjustment disorder

      5. Adjustment Disorder Unspecified

      6. Adjustment Disorder With Anxiety

      7. Adjustment Disorder With Depressed Mood

      8. Adjustment Disorder With Disturbance of Conduct

      9. Adjustment Disorder With Mixed Anxiety and Depressed Mood

      10. Adjustment Disorder With Mixed Disturbance of Emotions and Conduct

      11. Adolescent antisocial behavior

      12. Adult antisocial behavior

      13. Adult Antisocial Behavior

      14. Adverse Effects of Medication NOS

      15. Adverse effects of medication-not otherwise specified

      16. Age-Related Cognitive Decline

      17. Aggression or impulsivity

      18. Agitation

      19. Agoraphobia

      20. Agoraphobia Without History of Panic Disorder

      21. Alcohol Abuse

      22. Alcohol and drug abuse

      23. Alcohol Dependence

      24. Alcohol Intoxication

      25. Alcohol Intoxication Delirium

      26. Alcohol Withdrawal

      27. Alcohol Withdrawal Delirium

      28. Alcoholic hallucinosis

      29. Alcohol-Induced Anxiety Disorder

      30. Alcohol-Induced Mood Disorder

      31. Alcohol-Induced Persisting Amnestic Disorder

      32. Alcohol-Induced Persisting Dementia

      33. Alcohol-Induced Psychotic Disorder, With Delusions

      34. Alcohol-Induced Psychotic Disorder, With Hallucinations

      35. Alcohol-Induced Sexual Dysfunction

      36. Alcohol-Induced Sleep Disorder

      37. Alcohol-Related Disorder NOS

      38. Alzheimer's disease

      39. Amnestic disorder

      40. Amnestic Disorder Due to...[Indicate the General Medical Condition]

      41. Amnestic Disorder NOS

      42. Amphetamine Abuse

      43. Amphetamine Dependence

      44. Amphetamine Intoxication

      45. Amphetamine Intoxication Delirium

      46. Amphetamine Withdrawal

      47. Amphetamine withdrawal psychosis

      48. Amphetamine-Induced Anxiety Disorder

      49. Amphetamine-Induced Mood Disorder

      50. Amphetamine-Induced Psychotic Disorder, With Delusions

      51. Amphetamine-Induced Psychotic Disorder, With Hallucinations

      52. Amphetamine-Induced Sexual Dysfunction

      53. Amphetamine-Induced Sleep Disorder

      54. Amphetamine-Related Disorder NOS

      55. Anorexia Nervosa

      56. Anterograde amnesia

      57. Antisocial Personality Disorder

      58. Anxiety disorder

      59. Anxiety Disorder Due to...[Indicate the General Medical Condition]

      60. Anxiety Disorder NOS

      61. Anxiety or panic

      62. Anxiolytic-related disorders

      63. Asperger syndrome

      64. Asperger's Disorder

      65. Attention deficit disorder

      66. Attention deficit hyperactivity disorder

      67. Attention-Deficit/Hyperactivity Disorder NOS

      68. Attention-Deficit/Hyperactivity Disorder, Combined Type

      69. Attention-Deficit/Hyperactivity Disorder, Predominantly Hyperactive-Impulsive Type

      70. Attention-Deficit/Hyperactivity Disorder, Predominantly Inattentive Type

      71. Autism

      72. Autistic Disorder

      73. Autophagia

      74. Avoidant Personality Disorder

      75. Barbiturate dependence

      76. Benzodiazepine dependence

      77. Benzodiazepine misuse

      78. Benzodiazepine withdrawal

      79. Bereavement

      80. Bibliomania

      81. Binge eating disorder

      82. Bipolar disorder

      83. Bipolar Disorder NOS

      84. Bipolar I disorder

      85. Bipolar I Disorder, Most Recent Episode Depressed, In Full Remission

      86. Bipolar I Disorder, Most Recent Episode Depressed, In Partial Remission

      87. Bipolar I Disorder, Most Recent Episode Depressed, Mild

      88. Bipolar I Disorder, Most Recent Episode Depressed, Moderate

      89. Bipolar I Disorder, Most Recent Episode Depressed, Severe With Psychotic Features

      90. Bipolar I Disorder, Most Recent Episode Depressed, Severe Without Psychotic Features

      91. Bipolar I Disorder, Most Recent Episode Depressed, Unspecified

      92. Bipolar I Disorder, Most Recent Episode Hypomanic

      93. Bipolar I Disorder, Most Recent Episode Manic, In Full Remission

      94. Bipolar I Disorder, Most Recent Episode Manic, In Partial Remission

      95. Bipolar I Disorder, Most Recent Episode Manic, Mild

      96. Bipolar I Disorder, Most Recent Episode Manic, Moderate

      97. Bipolar I Disorder, Most Recent Episode Manic, Severe With Psychotic Features

      98. Bipolar I Disorder, Most Recent Episode Manic, Severe Without Psychotic Features

      99. Bipolar I Disorder, Most Recent Episode Manic, Unspecified

      100. Bipolar I Disorder, Most Recent Episode Mixed, In Full Remission

      101. Bipolar I Disorder, Most Recent Episode Mixed, In Partial Remission

      102. Bipolar I Disorder, Most Recent Episode Mixed, Mild

      103. Bipolar I Disorder, Most Recent Episode Mixed, Moderate

      104. Bipolar I Disorder, Most Recent Episode Mixed, Severe With Psychotic Features

      105. Bipolar I Disorder, Most Recent Episode Mixed, Severe Without Psychotic Features

      106. Bipolar I Disorder, Most Recent Episode Mixed, Unspecified

      107. Bipolar I Disorder, Most Recent Episode Unspecified

      108. Bipolar I Disorder, Single Manic Episode, In Full Remission

      109. Bipolar I Disorder, Single Manic Episode, In Partial Remission

      110. Bipolar I Disorder, Single Manic Episode, Mild

      111. Bipolar I Disorder, Single Manic Episode, Moderate

      112. Bipolar I Disorder, Single Manic Episode, Severe With Psychotic Features

      113. Bipolar I Disorder, Single Manic Episode, Severe Without Psychotic Features

      114. Bipolar I Disorder, Single Manic Episode, Unspecified

      115. Bipolar II Disorder

      116. Body Dysmorphic Disorder

      117. Borderline Intellectual Functioning

      118. Borderline Personality Disorder

      119. Breathing-Related Sleep Disorder

      120. Brief Psychotic Disorder

      121. Bulimia Nervosa

      122. Burn sequelae

      123. Caffeine Intoxication

      124. Caffeine-Induced Anxiety Disorder

      125. Caffeine-Induced Sleep Disorder

      126. Caffeine-related disorder

      127. Caffeine-Related Disorder NOS

      128. Cannabis Abuse

      129. Cannabis Dependence

      130. Cannabis Intoxication

      131. Cannabis Intoxication Delirium

      132. Cannabis-Induced Anxiety Disorder

      133. Cannabis-Induced Psychotic Disorder, With Delusions

      134. Cannabis-Induced Psychotic Disorder, With Hallucinations

      135. Cannabis-Related Disorder NOS

      136. Catatonic disorder

      137. Catatonic Disorder Due to...[Indicate the General Medical Condition]

      138. Catatonic schizophrenia

      139. Change of mental status

      140. Child abuse

      141. Child or Adolescent Antisocial Behavior

      142. Childhood amnesia

      143. Childhood antisocial behavior

      144. Childhood Disintegrative Disorder

      145. Chronic Motor or Vocal Tic Disorder

      146. Circadian rhythm sleep disorder

      147. Circadian Rhythm Sleep Disorder, Delayed Sleep Phase Type

      148. Circadian Rhythm Sleep Disorder, Jet Lag Type

      149. Circadian Rhythm Sleep Disorder, Shift Work Type

      150. Circadian Rhythm Sleep Disorder, Unspecified Type

      151. Claustrophobia

      152. Cocaine Abuse

      153. Cocaine Dependence

      154. Cocaine Intoxication

      155. Cocaine Intoxication Delirium

      156. Cocaine Withdrawal

      157. Cocaine-Induced Anxiety Disorder

      158. Cocaine-Induced Mood Disorder

      159. Cocaine-Induced Psychotic Disorder, With Delusions

      160. Cocaine-Induced Psychotic Disorder, With Hallucinations

      161. Cocaine-Induced Sexual Dysfunction

      162. Cocaine-Induced Sleep Disorder

      163. Cocaine-Related Disorder NOS

      164. Cognitive disorder

      165. Cognitive Disorder NOS

      166. Communication disorder

      167. Communication Disorder NOS

      168. Conduct disorder

      169. Conduct Disorder, Adolescent Onset Type

      170. Conduct Disorder, Childhood Onset Type

      171. Conversion Disorder

      172. Coping with illness

      173. Cotard delusion

      174. Cyclothymia

      175. Cyclothymic Disorder

      176. Death, dying, and bereavement

      177. Delirium

      178. Delirium Due to...[Indicate the General Medical Condition]

      179. Delirium NOS

      180. Delirium tremens

      181. Delusional Disorder

      182. Dementia

      183. Dementia Due to ______ Disease

      184. Dementia Due to Creutzfeldt-Jakob Disease

      185. Dementia Due to Head Trauma

      186. Dementia Due to Huntington's Disease

      187. Dementia Due to Parkinson's Disease

      188. Dementia Due to Pick's Disease

      189. Dementia Due to...[Indicate the General Medical Condition]

      190. Dementia NOS

      191. Dementia of the Alzheimer's Type, With Early Onset, Uncomplicated

      192. Dementia of the Alzheimer's Type, With Early Onset, With Delirium

      193. Dementia of the Alzheimer's Type, With Early Onset, With Delusions

      194. Dementia of the Alzheimer's Type, With Early Onset, With Depressed Mood

      195. Dementia of the Alzheimer's Type, With Late Onset, Uncomplicated

      196. Dementia of the Alzheimer's Type, With Late Onset, With Delirium

      197. Dementia of the Alzheimer's Type, With Late Onset, With Delusions

      198. Dementia of the Alzheimer's Type, With Late Onset, With Depressed Mood

      199. Dependent Personality Disorder

      200. Depersonalization disorder

      201. Depression

      202. Depressive disorder

      203. Depressive Disorder NOS

      204. Derealization disorder

      205. Desynchronosis

      206. Determination of capacity and other forensic issues

      207. Developmental coordination disorder

      208. Diagnosis Deferred on Axis II

      209. Diagnosis or Condition Deferred on Axis I

      210. Diogenes Syndrome

      211. Disorder of Infancy, Childhood, or Adolescence NOS

      212. Disorder of Written Expression

      213. Dispareunia

      214. Disruptive Behavior Disorder NOS

      215. Dissociative Amnesia

      216. Dissociative Disorder NOS

      217. Dissociative Fugue

      218. Dissociative Identity Disorder

      219. Dissociative identity disorder (multiple personality disorder)

      220. Dyslexia

      221. Dyspareunia (Not Due to a General Medical Condition)

      222. Dyssomnia NOS

      223. Dysthymia

      224. Dysthymic Disorder

      225. Eating Disorder NOS

      226. Eating disorders

      227. EDNOS

      228. Ekbom's Syndrome (Delusional Parasitosis)

      229. Encopresis

      230. Encopresis, With Constipation and Overflow Incontinence

      231. Encopresis, Without Constipation and Overflow Incontinence

      232. Enuresis (not due to a general medical condition)

      233. Erotomania

      234. Ethical issues

      235. Exhibitionism

      236. Expressive Language Disorder

      237. Factitious disorder

      238. Factitious Disorder NOS

      239. Factitious Disorder With Combined Psychological and Physical Signs and Symptoms

      240. Factitious Disorder With Predominantly Physical Signs and Symptoms

      241. Factitious Disorder With Predominantly Psychological Signs and Symptoms

      242. Family problems

      243. Feeding Disorder of Infancy or Early Childhood

      244. Female Dyspareunia Due to...[Indicate the General Medical Condition]

      245. Female Hypoactive Sexual Desire Disorder Due to...[Indicate the General Medical Condition]

      246. Female Orgasmic Disorder

      247. Female Sexual Arousal Disorder

      248. Fetishism

      249. Fregoli delusion

      250. Frotteurism

      251. Fugue

      252. Ganser syndrome (due to a mental disorder)

      253. Gender Identity Disorder in Adolescents or Adults

      254. Gender Identity Disorder in Children

      255. Gender Identity Disorder NOS

      256. General adaptation syndrome

      257. Generalized anxiety disorder

      258. Geriatric abuse

      259. Grandiose delusions

      260. Hallucinogen Abuse

      261. Hallucinogen Dependence

      262. Hallucinogen Intoxication

      263. Hallucinogen Intoxication Delirium

      264. Hallucinogen persisting perception disorder

      265. Hallucinogen-Induced Anxiety Disorder

      266. Hallucinogen-Induced Mood Disorder

      267. Hallucinogen-Induced Psychotic Disorder, With Delusions

      268. Hallucinogen-Induced Psychotic Disorder, With Hallucinations

      269. Hallucinogen-related disorder

      270. Hallucinogen-Related Disorder NOS

      271. Histrionic personality disorder

      272. Human rights violations from others

      273. Huntington's disease

      274. Hypersomnia Related to ... [Indicate the Axis I or Axis II Disorder]

      275. Hypnosis

      276. Hypoactive Sexual Desire Disorder

      277. Hypochondriasis

      278. Hypomanic episode

      279. Identity Problem

      280. Impulse control disorder

      281. Impulse-Control Disorder NOS

      282. Impulse-control disorder not elsewhere classified

      283. Inhalant abuse

      284. Inhalant Dependence

      285. Inhalant Intoxication

      286. Inhalant Intoxication Delirium

      287. Inhalant-Induced Anxiety Disorder

      288. Inhalant-Induced Mood Disorder

      289. Inhalant-Induced Persisting Dementia

      290. Inhalant-Induced Psychotic Disorder, With Delusions

      291. Inhalant-Induced Psychotic Disorder, With Hallucinations

      292. Inhalant-Related Disorder NOS

      293. Insomnia due to a general medical condition

      294. Insomnia Related to ... [Indicate the Axis I or Axis II Disorder]

      295. Intellectual disability

      296. Intentional enforced harms from others

      297. Intermittent explosive disorder

      298. Kleptomania

      299. Korsakoff's syndrome

      300. Lacunar amnesia

      301. Learning Disorder NOS

      302. Major depressive disorder

      303. Major Depressive Disorder, Recurrent, In Full Remission

      304. Major Depressive Disorder, Recurrent, In Partial Remission

      305. Major Depressive Disorder, Recurrent, Mild

      306. Major Depressive Disorder, Recurrent, Moderate

      307. Major Depressive Disorder, Recurrent, Severe With Psychotic Features

      308. Major Depressive Disorder, Recurrent, Severe Without Psychotic Features

      309. Major Depressive Disorder, Recurrent, Unspecified

      310. Major Depressive Disorder, Single Episode, In Full Remission

      311. Major Depressive Disorder, Single Episode, In Partial Remission

      312. Major Depressive Disorder, Single Episode, Mild

      313. Major Depressive Disorder, Single Episode, Moderate

      314. Major Depressive Disorder, Single Episode, Severe With Psychotic Features

      315. Major Depressive Disorder, Single Episode, Severe Without Psychotic Features

      316. Major Depressive Disorder, Single Episode, Unspecified

      317. Major depressive episode

      318. Male Dyspareunia Due to...[Indicate the General Medical Condition]

      319. Male erectile disorder

      320. Male Erectile Disorder Due to...[Indicate the General Medical Condition]

      321. Male Hypoactive Sexual Desire Disorder Due to...[Indicate the Medical Condition]

      322. Male Orgasmic Disorder

      323. Malingering

      324. Manic episode

      325. Mathematics disorder

      326. Medication-Induced Movement Disorder NOS

      327. Medication-Induced Postural Tremor

      328. Medication-related disorder

      329. Melancholia

      330. Mental Disorder NOS Due to...[Indicate the General Medical Condition]

      331. Mental Retardation, Severity Unspecified

      332. Mild Mental Retardation

      333. Minor depressive episode

      334. Misophonia

      335. Mixed episode

      336. Mixed Receptive-Expressive Language Disorder

      337. Moderate Mental Retardation

      338. Mood disorder

      339. Mood Disorder Due to...[Indicate the General Medical Condition]

      340. Mood Disorder NOS

      341. Mood episode

      342. Morbid jealousy

      343. Munchausen's syndrome

      344. Munchausen's syndrome by proxy

      345. Narcissistic personality disorder

      346. Narcolepsy

      347. Neglect of child

      348. Neglect of Child (if focus of attention is on victim)

      349. Neuroleptic Malignant Syndrome

      350. Neuroleptic-Induced Acute Akathisia

      351. Neuroleptic-Induced Acute Dystonia

      352. Neuroleptic-Induced Parkinsonism

      353. Neuroleptic-Induced Tardive Dyskinesia

      354. Neuroleptic-related disorder

      355. Nicotine Dependence

      356. Nicotine withdrawal

      357. Nicotine-Related Disorder NOS

      358. Night eating syndrome

      359. Nightmare disorder

      360. No Diagnosis on Axis II

      361. No Diagnosis or Condition on Axis I

      362. Noncompliance With Treatment

      363. Obsessive-Compulsive Disorder

      364. Obsessive-compulsive disorder (OCD)

      365. Obsessive-Compulsive Personality Disorder

      366. Obsessive-compulsive personality disorder (OCPD)

      367. Occupational Problem

      368. Oneirophrenia

      369. Opioid Abuse

      370. Opioid dependence

      371. Opioid Intoxication

      372. Opioid Intoxication Delirium

      373. Opioid Withdrawal

      374. Opioid-Induced Mood Disorder

      375. Opioid-Induced Psychotic Disorder, With Delusions

      376. Opioid-Induced Psychotic Disorder, With Hallucinations

      377. Opioid-Induced Sexual Dysfunction

      378. Opioid-Induced Sleep Disorder

      379. Opioid-related disorder

      380. Opioid-Related Disorder NOS

      381. Oppositional Defiant Disorder

      382. Oppositional defiant disorder (ODD)

      383. Other (or Unknown) Substance Abuse

      384. Other (or Unknown) Substance Dependence

      385. Other (or Unknown) Substance Intoxication

      386. Other (or Unknown) Substance Withdrawal

      387. Other (or Unknown) Substance-Induced Anxiety Disorder

      388. Other (or Unknown) Substance-Induced Delirium

      389. Other (or Unknown) Substance-Induced Mood Disorder

      390. Other (or Unknown) Substance-Induced Persisting Amnestic Disorder

      391. Other (or Unknown) Substance-Induced Persisting Dementia

      392. Other (or Unknown) Substance-Induced Psychotic Disorder, With Delusions

      393. Other (or Unknown) Substance-Induced Psychotic Disorder, With Hallucinations

      394. Other (or Unknown) Substance-Induced Sexual Dysfunction

      395. Other (or Unknown) Substance-Induced Sleep Disorder

      396. Other (or Unknown) Substance-Related Disorder NOS

      397. Other Conduct Disorder

      398. Other Female Sexual Dysfunction Due to...[Indicate the General Medical Condition]

      399. Other Male Sexual Dysfunction Due to...[Indicate the General Medical Condition]

      400. Pain

      401. Pain disorder

      402. Pain Disorder Associated With Both Psychological Factors and a General Medical Condition

      403. Pain Disorder Associated With Psychological Factors

      404. Panic Disorder With Agoraphobia

      405. Panic Disorder Without Agoraphobia

      406. Paranoid personality disorder

      407. Paraphilia NOS

      408. Parasomnia

      409. Parasomnia NOS

      410. Parent-Child Relational Problem

      411. Parkinson's Disease

      412. Partner Relational Problem

      413. Pathological gambling

      414. Pediatric psychiatric illness

      415. Pedophilia

      416. Perfectionism

      417. Persecutory delusion

      418. Personality change due to a general medical condition

      419. Personality Change Due to...[Indicate the General Medical Condition]

      420. Personality disorder

      421. Personality Disorder NOS

      422. Personality disorders

      423. Pervasive developmental disorder (PDD)

      424. Pervasive Developmental Disorder NOS

      425. Phase of Life Problem

      426. Phencyclidine (or phencyclidine-like)-related disorder

      427. Phencyclidine Abuse

      428. Phencyclidine Dependence

      429. Phencyclidine Intoxication

      430. Phencyclidine Intoxication Delirium

      431. Phencyclidine-Induced Anxiety Disorder

      432. Phencyclidine-Induced Mood Disorder

      433. Phencyclidine-Induced Psychotic Disorder, With Delusions

      434. Phencyclidine-Induced Psychotic Disorder, With Hallucinations

      435. Phencyclidine-Related Disorder NOS

      436. Phobic disorder

      437. Phonological disorder

      438. Physical abuse

      439. Physical Abuse of Adult (if by partner)

      440. Physical Abuse of Adult (if by person other than partner)

      441. Physical Abuse of Adult (if focus of attention is on victim)

      442. Physical Abuse of Child

      443. Physical Abuse of Child (if focus of attention is on victim)

      444. Pica

      445. Polysubstance Dependence

      446. Polysubstance-related disorder

      447. Post-traumatic embitterment disorder (PTED)

      448. Posttraumatic Stress Disorder

      449. Posttraumatic stress disorder (PTSD)

      450. Pregnancy-related care

      451. Premature ejaculation

      452. Primary hypersomnia

      453. Primary insomnia

      454. Profound Mental Retardation

      455. Psychiatric care in the intensive care unit

      456. Psychiatric manifestations of medical and neurological illness

      457. Psychogenic amnesia

      458. Psychological and neuropsychological testing

      459. Psychological factor affecting medical condition

      460. Psychological factors affecting medical illness

      461. Psycho-oncology

      462. Psychopharmacology of the medically ill

      463. Psychosis

      464. Psychotic disorder

      465. Psychotic Disorder Due to...[Indicate the General Medical Condition], With Delusions

      466. Psychotic Disorder Due to...[Indicate the General Medical Condition], With Hallucinations

      467. Psychotic Disorder NOS

      468. Pyromania

      469. Reactive attachment disorder of infancy or early childhood

      470. Reading disorder

      471. Recurrent brief depression

      472. Relational disorder

      473. Relational Problem NOS

      474. Relational Problem Related to a Mental Disorder or General Medical Condition

      475. Relational Problems

      476. Religious or Spiritual Problem

      477. Residual schizophrenia

      478. Restraints

      479. Retrograde amnesia

      480. Rett's disorder

      481. Rumination Disorder

      482. Rumination syndrome

      483. Sadomasochism

      484. Schizoaffective disorder

      485. Schizoid personality disorder

      486. Schizophrenia

      487. Schizophrenia, Catatonic Type

      488. Schizophrenia, Disorganized Type

      489. Schizophrenia, Paranoid Type

      490. Schizophrenia, Residual Type

      491. Schizophrenia, Undifferentiated Type

      492. Schizophreniform disorder

      493. Schizotypal personality disorder

      494. Seasonal affective disorder

      495. Sedative, Hypnotic, or Anxiolytic Abuse

      496. Sedative, Hypnotic, or Anxiolytic Dependence

      497. Sedative, Hypnotic, or Anxiolytic Intoxication

      498. Sedative, Hypnotic, or Anxiolytic Intoxication Delirium

      499. Sedative, Hypnotic, or Anxiolytic Withdrawal

      500. Sedative, Hypnotic, or Anxiolytic Withdrawal Delirium

      501. Sedative-, Hypnotic-, or Anxiolytic-Induced Anxiety Disorder

      502. Sedative-, Hypnotic-, or Anxiolytic-Induced Mood Disorder

      503. Sedative-, Hypnotic-, or Anxiolytic-Induced Persisting Amnestic Disorder

      504. Sedative-, Hypnotic-, or Anxiolytic-Induced Persisting Dementia

      505. Sedative-, Hypnotic-, or Anxiolytic-Induced Psychotic Disorder, With Delusions

      506. Sedative-, Hypnotic-, or Anxiolytic-Induced Psychotic Disorder, With Hallucinations

      507. Sedative-, Hypnotic-, or Anxiolytic-Induced Sexual Dysfunction

      508. Sedative-, Hypnotic-, or Anxiolytic-Induced Sleep Disorder

      509. Sedative-, hypnotic-, or anxiolytic-related disorder

      510. Sedative-, Hypnotic-, or Anxiolytic-Related Disorder NOS

      511. Selective mutism

      512. Separation anxiety disorder

      513. Severe mental retardation

      514. Sexual abuse

      515. Sexual Abuse of Adult (if by partner)

      516. Sexual Abuse of Adult (if by person other than partner)

      517. Sexual Abuse of Adult (if focus of attention is on victim)

      518. Sexual Abuse of Child

      519. Sexual Abuse of Child (if focus of attention is on victim)

      520. Sexual Aversion Disorder

      521. Sexual Disorder NOS

      522. Sexual Dysfunction NOS

      523. Sexual Masochism

      524. Sexual Sadism

      525. Shared psychotic disorder

      526. Sibling Relational Problem

      527. Sleep disorder

      528. Sleep Disorder Due to ... [Indicate the General Medical Condition], Hypersomnia Type

      529. Sleep Disorder Due to ... [Indicate the General Medical Condition], Insomnia Type

      530. Sleep Disorder Due to ... [Indicate the General Medical Condition], Mixed Type

      531. Sleep Disorder Due to ... [Indicate the General Medical Condition], Parasomnia Type

      532. Sleep disorders

      533. Sleep terror disorder

      534. Sleepwalking disorder

      535. Social anxiety disorder

      536. Social phobia

      537. Somatization disorder

      538. Somatoform disorder

      539. Somatoform Disorder NOS

      540. Specific phobia

      541. Stendhal syndrome

      542. Stereotypic movement disorder

      543. Stress

      544. Stuttering

      545. Substance-related disorder

      546. Tardive dyskinesia

      547. Terminal illness

      548. Tic Disorder NOS

      549. Tourette syndrome

      550. Tourette's Disorder

      551. Transient global amnesia

      552. Transient Tic Disorder

      553. Transvestic Fetishism

      554. Trichotillomania

      555. Undifferentiated Somatoform Disorder

      556. Unspecified Mental Disorder (nonpsychotic)

      557. Vaginismus (Not Due to a General Medical Condition)

      558. Vascular Dementia, Uncomplicated

      559. Vascular Dementia, With Delirium

      560. Vascular Dementia, With Delusions

      561. Vascular Dementia, With Depressed Mood

      562. Voyeurism
      What are psychiatric disorders?
      Pysciatric disorders include threatening behavior; violent behavior; psychotic disorder; infancy, childhood, and adolescence mental health or behavior disorders; cognitive disorders, substance-related disorders; mood disorders; anxiety disorders; somatoform disorders; fictitious disorders; dissociative disorders, sexual and gender identity disorders; eating disorders; sleep disorders; impulse control disorders; adjustment disorders; personality disorders; and abuse and neglect medical conditions.

      What isn't a psychiatric disorder?
      What isn't a psychiatric disorder still may need psychiatric consultation?
      What will a normal person do if subjected to harmful conditions?

      This isn't a psychiatric disorder, but needs psychiatric consultation.

      What will happen if you don't diagnose and manage a psychiatric emergency correctly?
      Possibilities include homicides, suicides, assaults, harassments, harm to self, harm to others, disability, escalation of conflict and disputes, decreased productivity, and other harms.

      Can a case be a psychiatric and legal emergency at the same time?
      Yes.

      Academic Problem (Study Skills, Time Management)
      What recommendations should you expect?
      You should expect at least one of these recommendations.
      The student is being educated with a substandard curriculum.
      The student is being educated with a curriculum that is not going to help in real world.
      The student has incompetent teacher or teachers.
      The student needs to be surrounded by academically advanced intelligent students.
      The student is facing a harmful environment leading to failure to thrive and learn.
      A harmful environment can be inadequate food, verbal or physical abuse, inhabitable living conditions, inadequate survival needs compared to others, negligence of parents or guardian, and inadequate resources for learning.
      In rare situations, the student has a congenital or developmental disability.

      What is mental illness?
      What is a psychotic disorder?
      Mental illness and behavioral disorder: Is there a difference?
      What is being paranoid?
      What isn't being paranoid?
      What isn't mental illness?
      What symptoms or signs will a normal person manifest subject to harmful conditions?
      What is a diagnostic and statistical manual?
      How often is a diagnostic and statistical manual updated?
      Who is in charge of updating this manual?
      Are there any controversies associated with it?
      What is it called when a person sees and hears one thing and says and writes something else?
      What in included in taking care of oneself?
      What are the indications a person is taking care of others?
      What is the difference between taking care of others with and without having accepted such duty and responsibility?

      This is a broad term.

      If you don't have the correct answer to this question, you need to do further research.

      A person asks for Muslim medical doctor at Swedish covenant hospital after seeing the doctors there to be incompetent or harmful. Where should you look for Muslim medical doctors?

      Harmful incidents

      How do you feel about it?
      What comes to your mind after you recall this incident?
      Do you get good or bad feelings?

      Who creates a mental health legal statute?
      Who should create a mental health legal statute?
      What should be taken into consideration before creating a mental health statute?
      How often should this be updated?

      Can a person reach a correct diagnosis and manage cases without knowing about the medical condition or disorder, its symptoms, signs, relevant underlying pathogenesis, anatomy, physiology, biochemistry, and related knowledge?

      No.
      Personality disorder

      What are personality disorders?
      What is not a personality disorder?

      What are the symptoms, signs, and issues that should alert mandatory psychiatrist consultation?
      What questions should you ask a psychiatrist to determine his or her competence?

      What should a psychiatrist or medical doctor know to prevent wrong diagnosis and treatment?


      If you're not sure what the problem might be, review the common symptoms to see if any of them sound like you or your loved one.

      •Attention Deficit Hyperactivity Disorder (ADHD)
      •Obsessive Compulsive Disorder (OCD)
      •Post-Traumatic Stress Disorder (PTSD)
      •Postpartum Depression
      Common symptoms of adult behavioral health problems
      If you aren't sure what the problem might be, review this list of typical symptoms to see if any of them seem familiar. This is not an accurate diagnostic tool, but can provide a rough indication of where you should see a behavioral health care professional.

      You might have Attention Deficit Disorder (ADD, also known as ADHD for Attention Deficit Hyperactivity Disorder) if you:
      •Are easily distracted by sights and sounds
      •Don't pay attention to detail
      •Don't seem to listen when spoken to
      •Make careless mistakes
      •Don't follow through on instructions or tasks
      •Avoid or dislike activities that require longer periods of mental effort
      •Lose or forget items necessary for tasks
      •Forgetful in day-to-day activities
      •Restless, fidget and squirm
      •Talk excessively
      •Interrupt others
      Try our online screening tool | Providers who can help

      Your may have an anxiety disorder if you experience:

      •Worry or dread
      •Obsessive or intrusive thoughts
      •Sense of imminent danger or catastrophe
      •Fear or panic
      •Restlessness
      •Irritability
      •Impatience
      •Ambivalence
      •Trouble concentrating
      •Rapid or irregular heartbeat
      •Sweating, especially the palms
      •Dry mouth
      •Flushing or blushing
      •Muscle tension
      •Shortness of breath
      •Lightheadedness or faintness
      •Difficulty sleeping
      •Shaking
      •Choking sensation
      •Frequent urination
      •Nausea or vomiting
      •Diarrhea
      •Constipation
      •Feeling of "butterflies" in the stomach
      •Tingling sensations
      •Nail biting or other habitual behavior

      Bipolar Disorder often includes:

      •Dramatic mood swings ranging from elated excitability to hopeless despondency
      •Extreme changes in energy and behavior
      •Periods of highs that include:
      •Persistent and inexplicable elevation in mood
      •Increased energy and effort toward goal-directed activities
      •Restlessness and agitation
      •Racing thoughts, jumping from one idea to another
      •Rapid speech or pressure to keep talking
      •Trouble concentrating
      •Decreased need for sleep
      •Overconfidence or inflated self-esteem
      •Poor judgment, often involving spending sprees and sexual indiscretions

      •Periods of lows that include:
      •Prolonged sad, hopeless, or empty mood
      •Feelings of guilt, worthlessness, or helplessness
      •Loss of interest or pleasure in activities once enjoyed
      •Decreased energy or fatigue
      •Trouble concentrating, remembering, making decisions
      •Restlessness or diminished movements, agitation
      •Sleeping too much or too little
      •Unintended weight loss or gain
      •Thoughts of death or suicide with or without suicide attempts
      These same symptoms might be a sign of depression.

      Symptoms of depression include:

      Symptoms can change over time and may include:

      •Persistent feelings of sadness, anxiety, or emptiness
      •Hopelessness
      •Feeling guilty, worthless, or helpless
      •Loss of interest in hobbies and activities
      •Loss of interest in sex
      •Feeling tired
      •Trouble concentrating, remembering, or making decisions
      •Trouble sleeping, waking up too early, or oversleeping
      •Eating more or less than usual
      •Weight gain or weight loss
      •Thoughts of death or suicide with or without suicide attempts
      •Restlessness or irritability
      •Physical symptoms that defy standard diagnosis and do not respond well to medical treatments

      Symptoms of Obsessive Compulsive Disorder (OCD) are:

      •Obsessions – unwanted, repetitive and intrusive ideas, impulses or images
      •Compulsions – repetitive behaviors or mental acts usually performed to reduce the distress associated with obsessions

      Common obsessions include:

      •Persistent fears that harm may come to self or a loved one
      •Unreasonable concern with being contaminated
      •Unacceptable religious, violent, or sexual thoughts
      •Excessive need to do things correctly or perfectly

      Common compulsions include:

      •Excessive checking of door locks, stoves, water faucets, light switches, etc.
      •Repeatedly making lists, counting, arranging, or aligning things
      •Collecting and hoarding useless objects
      •Repeating routine actions a certain number of times until it feels just right
      •Unnecessary re-reading and re-writing
      •Mentally repeating phrases

      Those with Oppositional Defiant Disorder (ODD) show negative, angry, and defiant behaviors much more often than most people of the same age.

      The cause of ODD is unknown. Like other psychiatric disorders, ODD results from a combination of genetic, family, and social factors. Children with ODD may inherit chemical imbalances in the brain that predispose them to the disorder.

      Risk factors include:

      •Sex: Male
      •Age: Childhood and teen years
      •A parent with a mood, conduct, attention deficit, or substance abuse disorder
      •Marital conflict
      •Child abuse
      •Inconsistent parental attention
      View more information on ODD

      If you have experienced some kind of trauma, you might experience Post-Traumatic Stress Disorder (PTSD). Symptoms fall into three categories:

      Re-experiencing of the event
      Dreams/nightmares
      Flashbacks
      Anxious reactions to reminders of the event
      Hallucinations
      Avoidance
      Avoiding close emotional contact with family and friends
      Avoiding people or places that are reminders of the event
      Loss of memory about the event
      Feelings of detachment, numbness
      Arousal
      Difficulty falling or staying asleep
      Anger and irritability
      Difficulty concentrating
      Being easily startled
      Physical symptoms may also occur such as:

      •Stomach and digestive problems
      •Chest pain
      •Headaches
      •Dizziness
      People with PTSD may also abuse alcohol or drugs.

      Beware of Postpartum Depression:

      Symptoms usually occur within 6 months after childbirth, and may last from a few weeks to a few months. Symptoms range from mild depression to severe psychosis. Postpartum depression is different than "baby blues", which is a mild form of depression that occurs within a few days after childbirth, and lasts up to a week.

      Symptoms may include:

      •Loss of interest or pleasure in life
      •Loss of appetite
      •Rapid mood swings
      •Episodes of crying or tearfulness
      •Poor concentration, memory loss, difficulty making decisions
      •Difficulty falling or staying asleep
      •Feelings of irritability, anxiety, or panic
      •Restlessness
      •Fear of hurting or killing oneself or one's child
      •Feelings of hopelessness or guilt
      •Obsessive thoughts, especially unreasonable, repetitive fears about your child's health and welfare
      •Lack of energy or motivation
      •Unexplained weight loss or gain
      More serious symptoms associated with postpartum depression that may require immediate medical attention include:

      •Lack of interest in your infant
      •Suicidal or homicidal thoughts
      •Hallucinations or delusions
      •Loss of contact with reality

      Schizophrenia could be the problem if:

      Symptoms usually start in adolescence or early adulthood. They often appear slowly and become more disturbing and bizarre over time.

      Symptoms include:

      •Hallucinations – seeing or hearing things/voices that are not there
      •Delusions – strong but false personal beliefs that are not based in reality •Disorganized thinking
      •Disorganized speech – lack of ability to speak in a way that makes sense or carry on a conversation
      •Catatonic behavior – slow movement, repeating rhythmic gestures, pacing, walking in circles
      •Emotional flatness – flat speech, lack of facial expression, and general disinterest and withdrawal
      •Inappropriate laughter
      •Poor hygiene and self-care

      Associated conditions include:
      •Obsessive-compulsive disorder
      •Substance abuse

      What are some psychotic disorders? Schizophrenia, schizoaffective disorder, schizophreniform disorder, brief psychotic disorder.

      What characteristics are associated with psychotic disorder?
      Characteristics associated with psychotic disorders include delusion, hallucination, bizarre behavior, incoherent or disorganized speech, and/or disorganized behavior.

      What are delusions?
      Delusions are described as false, inaccurate beliefs a person holds onto even when he/she is presented with accurate information.

      What is not delusion?
      If someone else misinterprets a fact or facts about an individual, that does not mean the individual has delusion.

      If an individual has been updated about certain facts and he or she answers questions based on facts best known to the individual, this is not delusion.

      What should you be able to answer if you interpret anyone having delusions?

      What did he or she say that you interpret as delusion or delusions?
      Once this question is answered, further questions need to be answered.

      What are hallucinations?
      Hallucinations are internal sensory perceptions, such as sights or sounds, which are not actually present.

      What isn't a psychotic disorder?
      A person is documented with fresh torture marks in 2006, after having been beaten. Is it persecutory ideation, psychotic disorder, or real torture? What is the correct answer?
      Real torture.

      What isn't delusion?
      How many Muslims are in the world?
      Do all Muslims have delusions?
      How many agree the elections in 2009 were a fraud?
      Do all of them have delusions?
      No. This isn't a delusion.

      What are infancy, childhood, and adolescence mental health or behavior disorders?
      Learning disorders
      Communication disorders
      Motor skills disorders
      Pervasive developmental disorders
      Attention deficit and disruptive behavior disorders.
      Feeding and eating disorders of infancy or early childhood
      Tic disorders
      Elimination disorders
      Mental retardation
      Other disorders of infancy, childhood, adolescence.

      How could this be prevented?
      Encourage children to build their speech skills every day.
      Encourage children to communicate as much as possible.
      Encourage children to exercise daily.
      Teach children social skills every day.
      Select a language for children that is universally in use, for example the English language.

      What are cognitive disorders?
      Delirium
      Dementia
      Amnesia
      Other cognitive disorders

      What substances cause substance-related disorders?
      Alcohol
      Amphetamines
      Caffeine
      Cannabis
      Cocaine
      Hallucinogens
      Inhalants
      Nicotine
      Opoids
      Phencyclidine

      What are sedative, hypnotic, or anxiolytic-related disorders? Polysubstance-related disorder?

      What are mood disorders?
      Major depressive disorder
      Dysthymic disorder
      Bipolar disorders, including hypomanic, mixed, and depressed.

      What are anxiety disorders?
      Panic attack
      Phobias
      Obsessive-compulsive disorder
      Post-traumatic stress disorder
      Acute stress disorder
      Generalized anxiety disorder

      What are some somatoform disorders?
      Somatization disorder
      Conversion disorder
      Pain disorder
      Hypochondriasis

      What are fictitious disorders?
      Fictitious disorder with mostly psychological symptoms
      Fictitious disorder with mostly physical symptoms
      Fictitious disorder with both psychological and physical symptoms
      Fictitious disorder not otherwise specified

      What are some dissociative disorders?
      Dissociative amnesia
      Dissociative identity disorder
      Dissociative fugue
      Depersonalization disorder

      What should you not do?
      Don't provoke, don't misinterpret the facts, don't prolong the issues and settlement, don't complicate the problems further.

      How often does this occur?
      If the incident occurs due to provocation and oppression, we don't treat the oppressed. We treat the oppressors.

      How do you define oppressor or oppressors?
      One who violates others? rights, provokes intentionally, puts others into intentional problems, deprives others of their rights.

      What are the types of individualized harms?
      What are some of the harmful conditions?
      Deprivation of rights under the color of law, discrimination, provocation, abuse, physical torture, psychological torture, neglect, disruption, exclusion.

      Who designs training materials for medical doctors at this hospital?
      You need further training in this subject.



      Personality disorders screening
      Who specifically should have yearly screening for personality disorders?
      Leaders.
      Managers.
      Individuals in public service.
      Harms can occur if such individual gets involved in public service.

      Here is an example.
      Personality Disorder:
      Patient is conscious, oriented in time, space, and person.
      Vitals are normal and there are no other complaints.
      Does that mean the person is normal?
      The patient can have personality disorder.

      How do you screen personality disorders in yearly health assessment?
      Ask others if he or she lies.
      Lying is a criminal offense.
      Lying can be due to personality disorder, antisocial personality disorder, or other personality disorders.

      Patient must nominate at least two people to comment about his or her personality.

      Questions you need to ask.

      Do you know this person?
      How do you know this person?
      How would you describe this person’s character, behavior, and competence?
      How would you describe the personality of this person?

      How would you describe your personality?
      I am always truthful.
      I answer questions truthfully to the best of my ability and knowledge.
      I feel that I have a personality disorder or disorders.
      Others have mentioned that I have personality disorder or disorders.
      Others say that I lie (quote incidents).
      Various incidents make me think I have personality disorder or disorders.

      How would 100 of your neighbors within walking distance describe you?
      Alcoholic.
      Cheating traits.
      Civilized/uncivilized.
      Deaf and mute.
      Drug addict.
      Mute.
      Fraudulently placed.
      Good charactered/bad charactered
      Gang association/civilized association.
      Harmful/helpful.
      Hostile/polite.
      Illiterate/highly educated.
      Leadership qualities.
      Liar/truthful.
      Mentally retarded/intelligent.
      Not a good person to know/good person to know.
      Opportunist.
      Oppressor/oppressed.
      Personality disorder/expected behavior.
      Predictable/unpredictable.
      Unskilled/highly skilled.
      Violent.
      Well behaved.

      What are the specific issues, symptoms, signs, or complaints the day, date, and time you are answering these questions?

      What is the day, date, time, and location you are answering these questions?

      What is profile of the individual helping you answer these questions, including assistance with computer and Internet?

      Here are further guidelines.

      Incarcerated Women and Girls
      What are the issues at this point?

      Personality Disorders
      Antisocial Personality Disorder
      Avoidant Personality Disorder
      Borderline Personality Disorder
      Dependent Personality Disorder
      Histrionic Personality Disorder
      Multiple Personality Disorder, see Dissociative Identity Disorder
      Narcissistic Personality Disorder
      Obsessive-Compulsive Personality Disorder
      Paranoid Personality Disorder
      Schizoid Personality Disorder
      Schizotypal Personality Disorder

      Symptoms

      General symptoms of a personality disorder
      Personality disorder symptoms include:

      • Frequent mood swings
      • Stormy relationships
      • Social isolation
      • Angry outbursts
      • Suspicion and mistrust of others
      • Difficulty making friends
      • A need for instant gratification
      • Poor impulse control
      • Alcohol or substance abuse

      Specific types of personality disorders
      The specific types of personality disorders are grouped into three clusters based on similar characteristics and symptoms. Many people with one diagnosed personality disorder also have signs and symptoms of at least one additional personality disorder.

      Cluster A personality disorders
      These are personality disorders characterized by odd, eccentric thinking or behavior and include:

      Paranoid personality disorder

      • Distrust and suspicion of others
      • Believing that others are trying to harm you
      • Emotional detachment
      • Hostility

      Schizoid personality disorder

      • Lack of interest in social relationships
      • Limited range of emotional expression
      • Inability to pick up normal social cues
      • Appearing dull or indifferent to others

      Schizotypal personality disorder

      • Peculiar dress, thinking, beliefs or behavior
      • Perceptual alterations, such as those affecting touch
      • Discomfort in close relationships
      • Flat emotions or inappropriate emotional responses
      • Indifference to others
      • "Magical thinking" — believing you can influence people and events with your thoughts
      • Believing that messages are hidden for you in public speeches or displays

      Cluster B personality disorders
      These are personality disorders characterized by dramatic, overly emotional thinking or behavior and include:

      Antisocial (formerly called sociopathic) personality disorder

      • Disregard for others
      • Persistent lying or stealing
      • Recurring difficulties with the law
      • Repeatedly violating the rights of others
      • Aggressive, often violent behavior
      • Disregard for the safety of self or others

      Borderline personality disorder

      • Impulsive and risky behavior
      • Volatile relationships
      • Unstable mood
      • Suicidal behavior
      • Fear of being alone

      Histrionic personality disorder

      • Constantly seeking attention
      • Excessively emotional
      • Extreme sensitivity to others' approval
      • Unstable mood
      • Excessive concern with physical appearance

      Narcissistic personality disorder
      Believing that you're better than others

      • Fantasizing about power, success and attractiveness
      • Exaggerating your achievements or talents
      • Expecting constant praise and admiration
      • Failing to recognize other people's emotions and feelings

      Cluster C personality disorders
      These are personality disorders characterized by anxious, fearful thinking or behavior and include:

      Avoidant personality disorder

      • Hypersensitivity to criticism or rejection
      • Feeling inadequate
      • Social isolation
      • Extreme shyness in social situations
      • Timidity

      Dependent personality disorder

      • Excessive dependence on others
      • Submissiveness toward others
      • A desire to be taken care of
      • Tolerance of poor or abusive treatment
      • Urgent need to start a new relationship when one has ended

      Obsessive-compulsive personality disorder

      • Preoccupation with orderliness and rules
      • Extreme perfectionism
      • Desire to be in control of situations
      • Inability to discard broken or worthless objects
      • Inflexibility

      Obsessive-compulsive personality disorder isn't the same as obsessive-compulsive disorder, a type of anxiety disorder.

      When to see a doctor
      If you have any signs or symptoms of a personality disorder, see your doctor, mental health provider or other health care professional. Untreated, personality disorders can cause significant problems in your life, and they may get worse without treatment.

      Helping a loved one
      If you have a loved one who you think may have symptoms of a personality disorder, have an open and honest discussion about your concerns. You may not be able to force someone to seek professional care, but you can offer encouragement and support. You can also help your loved one find a qualified doctor or mental health provider and make an appointment. You may even be able to go to an appointment with him or her.


      Complications

      Complications and problems that personality disorders may cause or be associated with include:

      • Depression
      • Anxiety
      • Eating disorders
      • Suicidal behavior
      • Self-injury
      • Reckless behavior
      • Risky sexual behavior
      • Child abuse
      • Alcohol or substance abuse
      • Aggression or violence
      • Incarceration
      • Relationship difficulties
      • Social isolation
      • School and work problems

      Antisocial Personality Disorder

      Antisocial personality disorder is characterized by a long-standing pattern of a disregard for other people's rights, often crossing the line and violating those rights. It usually begins in childhood or as a teen and continues into their adult lives.

      Antisocial personality disorder is often referred to as psychopathy or sociopathy in popular culture.

      Individuals with Antisocial Personality Disorder frequently lack empathy and tend to be callous, cynical, and contemptuous of the feelings, rights, and sufferings of others. They may have an inflated and arrogant self-appraisal (e.g., feel that ordinary work is beneath them or lack a realistic concern about their current problems or their future) and may be excessively opinionated, self-assured, or cocky. They may display a glib, superficial charm and can be quite voluble and verbally facile (e.g., using technical terms or jargon that might impress someone who is unfamiliar with the topic). Lack of empathy, inflated self-appraisal, and superficial charm are features that have been commonly included in traditional conceptions of psychopathy and may be particularly distinguishing of Antisocial Personality Disorder in prison or forensic settings where criminal, delinquent, or aggressive acts are likely to be nonspecific. These individuals may also be irresponsible and exploitative in their sexual relationships.

      Symptoms of Antisocial Personality Disorder

      Antisocial personality disorder is diagnosed when a person's pattern of antisocial behavior has occurred since age 15 (although only adults 18 years or older can be diagnosed with this disorder) and consists of the majority of these symptoms:

      • Failure to conform to social norms with respect to lawful behaviors as indicated by repeatedly performing acts that are grounds for arrest
      • Deceitfulness, as indicated by repeated lying, use of aliases, or conning others for personal profit or pleasure
      • Impulsivity or failure to plan ahead
      • Irritability and aggressiveness, as indicated by repeated physical fights or assaults
      • Reckless disregard for safety of self or others
      • Consistent irresponsibility, as indicated by repeated failure to sustain consistent work behavior or honor financial obligations
      • Lack of remorse, as indicated by being indifferent to or rationalizing having hurt, mistreated, or stolen from another

      As with all personality disorders, the person must be at least 18 years old before they can be diagnosed with it. There should also be evidence of Conduct Disorder in the individual as a child, whether or not it was ever formally diagnosed by a professional.

      Antisocial personality disorder is more prevalent in males (3 percent) versus females (1 percent) in the general population.

      Like most personality disorders, antisocial personality disorder typically will decrease in intensity with age, with many people experiencing few of the most extreme symptoms by the time they are in the 40s or 50s.

      How is Antisocial Personality Disorder Diagnosed?

      Personality disorders such as antisocial personality disorder are typically diagnosed by a trained mental health professional, such as a psychologist or psychiatrist. Family physicians and general practitioners are generally not trained or well-equipped to make this type of psychological diagnosis. So while you can initially consult a family physician about this problem, they should refer you to a mental health professional for diagnosis and treatment. There are no laboratory, blood or genetic tests that are used to diagnose antisocial personality disorder.

      Many people with antisocial personality disorder don't seek out treatment. People with personality disorders, in general, do not often seek out treatment until the disorder starts to significantly interfere or otherwise impact a person's life. This most often happens when a person's coping resources are stretched too thin to deal with stress or other life events.

      A diagnosis for antisocial personality disorder is made by a mental health professional comparing your symptoms and life history with those listed here. They will make a determination whether your symptoms meet the criteria necessary for a personality disorder diagnosis.

      Causes of Antisocial Personality Disorder

      Researchers today don't know what causes antisocial personality disorder. There are many theories, however, about the possible causes of antisocial personality disorder. Most professionals subscribe to a biopsychosocial model of causation -- that is, the causes of are likely due to biological and genetic factors, social factors (such as how a person interacts in their early development with their family and friends and other children), and psychological factors (the individual's personality and temperament, shaped by their environment and learned coping skills to deal with stress). This suggests that no single factor is responsible -- rather, it is the complex and likely intertwined nature of all three factors that are important. If a person has this personality disorder, research suggests that there is a slightly increased risk for this disorder to be "passed down" to their children.

      Treatment of Antisocial Personality Disorder

      Treatment of antisocial personality disorder typically involves long-term psychotherapy with a therapist that has experience in treating this kind of personality disorder. Medications may also be prescribed to help with specific troubling and debilitating symptoms. For more information about treatment, please see antisocial personality disorder treatment.

      Avoidant Personality Disorder

      People with avoidant personality disorder experience a long-standing feeling of inadequacy and are extremely sensitive to what others think about them. This leads to the person to be socially inhibited and feel socially inept. Because of these feelings of inadequacy and inhibition, the person with avoidant personality disorder will seek to avoid work, school and any activities that involve socializing or interacting with others.

      Individuals with Avoidant Personality Disorder often vigilantly appraise the movements and expressions of those with whom they come into contact. Their fearful and tense demeanor may elicit ridicule from others, which in turn confirms their self-doubts. They are very anxious about the possibility that they will react to criticism with blushing or crying. They are described by others as being "shy," "timid," "lonely," and "isolated."

      The major problems associated with this disorder occur in social and occupational functioning. The low self-esteem and hypersensitivity to rejection are associated with restricted interpersonal contacts. These individuals may become relatively isolated and usually do not have a large social support network that can help them weather crises. They desire affection and acceptance and may fantasize about idealized relationships with others. The avoidant behaviors can also adversely affect occupational functioning because these individuals try to avoid the types of social situations that may be important for meeting the basic demands of the job or for advancement.

      Symptoms of Avoidant Personality Disorder

      Avoidant personality disorder is characterized by a long-standing pattern of feelings of inadequacy, extreme sensitivity to what other people think about them, and social inhibition. It typically manifests itself by early adulthood and includes a majority of the following symptoms:

      • Avoids occupational activities that involve significant interpersonal contact, because of fears of criticism, disapproval, or rejection
      • Is unwilling to get involved with people unless certain of being liked
      • Shows restraint within intimate relationships because of the fear of being shamed or ridiculed
      • Is preoccupied with being criticized or rejected in social situations
      • Is inhibited in new interpersonal situations because of feelings of inadequacy
      • Views themself as socially inept, personally unappealing, or inferior to others
      • Is unusually reluctant to take personal risks or to engage in any new activities because they may prove embarrassing

      As with all personality disorders, the person must be at least 18 years old before they can be diagnosed with it.

      Avoidant personality disorder appears to occur between 0.5 and 1.0 percent in the general population.

      Like most personality disorders, avoidant personality disorder typically will decrease in intensity with age, with many people experiencing few of the most extreme symptoms by the time they are in the 40s or 50s.

      How is Avoidant Personality Disorder Diagnosed?

      Personality disorders such as avoidant personality disorder are typically diagnosed by a trained mental health professional, such as a psychologist or psychiatrist. Family physicians and general practitioners are generally not trained or well-equipped to make this type of psychological diagnosis. So while you can initially consult a family physician about this problem, they should refer you to a mental health professional for diagnosis and treatment. There are no laboratory, blood or genetic tests that are used to diagnose avoidant personality disorder.

      Many people with avoidant personality disorder don't seek out treatment. People with personality disorders, in general, do not often seek out treatment until the disorder starts to significantly interfere or otherwise impact a person's life. This most often happens when a person's coping resources are stretched too thin to deal with stress or other life events.

      A diagnosis for avoidant personality disorder is made by a mental health professional comparing your symptoms and life history with those listed here. They will make a determination whether your symptoms meet the criteria necessary for a personality disorder diagnosis.

      Causes of Avoidant Personality Disorder

      Researchers today don't know what causes avoidant personality disorder. There are many theories, however, about the possible causes of avoidant personality disorder. Most professionals subscribe to a biopsychosocial model of causation -- that is, the causes of are likely due to biological and genetic factors, social factors (such as how a person interacts in their early development with their family and friends and other children), and psychological factors (the individual's personality and temperament, shaped by their environment and learned coping skills to deal with stress). This suggests that no single factor is responsible -- rather, it is the complex and likely intertwined nature of all three factors that are important. If a person has this personality disorder, research suggests that there is a slightly increased risk for this disorder to be "passed down" to their children.

      Treatment of Avoidant Personality Disorder

      Treatment of avoidant personality disorder typically involves long-term psychotherapy with a therapist that has experience in treating this kind of personality disorder. Medications may also be prescribed to help with specific troubling and debilitating symptoms. avoidant personality disorder treatment.

      Borderline Personality Disorder


      The main feature of borderline personality disorder (BPD) is a pervasive pattern of instability in interpersonal relationships, self-image and emotions. People with borderline personality disorder are also usually very impulsive.

      This disorder occurs in most by early adulthood. The unstable pattern of interacting with others has persisted for years and is usually closely related to the person’s self-image and early social interactions. The pattern is present in a variety of settings (e.g., not just at work or home) and often is accompanied by a similar lability (fluctuating back and forth, sometimes in a quick manner) in a person’s emotions and feelings. Relationships and the person’s emotion may often be characterized as being shallow.

      A person with this disorder will also often exhibit impulsive behaviors and have a majority of the following symptoms:

      • Frantic efforts to avoid real or imagined abandonment
      • A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation
      • Identity disturbance, such as a significant and persistent unstable self-image or sense of self
      • Impulsivity in at least two areas that are potentially self-damaging (e.g., spending, sex, substance abuse, reckless driving, binge eating)
      • Recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior
      • Emotional instability due to significant reactivity of mood (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days)
      • Chronic feelings of emptiness
      • Inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights)
      • Transient, stress-related paranoid thoughts or severe dissociative symptoms

      As with all personality disorders, the person must be at least 18 years old before they can be diagnosed with it.

      Borderline personality disorder is more prevalent in females (75 percent of diagnoses made are in females). It is thought that borderline personality disorder affects approximately 2 percent of the general population.

      Like most personality disorders, borderline personality disorder typically will decrease in intensity with age, with many people experiencing few of the most extreme symptoms by the time they are in the 40s or 50s.

      Details about Borderline Personality Disorder Symptoms

      Frantic efforts to avoid real or imagined abandonment.

      The perception of impending separation or rejection, or the loss of external structure, can lead to profound changes in self-image, emotion, thinking and behavior. Someone with borderline personality disorder will be very sensitive to things happening around them in their environment. They experience intense abandonment fears and inappropriate anger, even when faced with a realistic separation or when there are unavoidable changes in plans. For instance, becoming very angry with someone for being a few minutes late or having to cancel a lunch date. People with borderline personality disorder may believe that this abandonment implies that they are “bad.” These abandonment fears are related to an intolerance of being alone and a need to have other people with them. Their frantic efforts to avoid abandonment may include impulsive actions such as self-mutilating or suicidal behaviors.

      Unstable and intense relationships.

      People with borderline personality disorder may idealize potential caregivers or lovers at the first or second meeting, demand to spend a lot of time together, and share the most intimate details early in a relationship. However, they may switch quickly from idealizing other people to devaluing them, feeling that the other person does not care enough, does not give enough, is not “there” enough. These individuals can empathize with and nurture other people, but only with the expectation that the other person will “be there” in return to meet their own needs on demand. These individuals are prone to sudden and dramatic shifts in their view of others, who may alternately be seen as beneficient supports or as cruelly punitive. Such shifts other reflect disillusionment with a caregiver whose nurturing qualities had been idealized or whose rejection or abandonment is expected.

      Identity disturbance.

      There are sudden and dramatic shifts in self-image, characterized by shifting goals, values and vocational aspirations. There may be sudden changes in opinions and plans about career, sexual identity, values and types of friends. These individuals may suddenly change from the role of a needy supplicant for help to a righteous avenger of past mistreatment. Although they usually have a self-image that is based on being bad or evil, individuals with borderline personality disorder may at times have feelings that they do not exist at all. Such experiences usually occur in situations in which the individual feels a lack of a meaningful relationship, nurturing and support. These individuals may show worse performance in unstructured work or school situations.

      You can also learn more about the detailed characteristics of borderline personality disorder.

      How is Borderline Personality Disorder Diagnosed?

      Personality disorders such as borderline personality disorder are typically diagnosed by a trained mental health professional, such as a psychologist or psychiatrist. Family physicians and general practitioners are generally not trained or well-equipped to make this type of psychological diagnosis. So while you can initially consult a family physician about this problem, they should refer you to a mental health professional for diagnosis and treatment. There are no laboratory, blood or genetic tests that are used to diagnose borderline personality disorder.

      Many people with borderline personality disorder don’t seek out treatment. People with personality disorders, in general, do not often seek out treatment until the disorder starts to significantly interfere or otherwise impact a person’s life. This most often happens when a person’s coping resources are stretched too thin to deal with stress or other life events.

      A diagnosis for borderline personality disorder is made by a mental health professional comparing your symptoms and life history with those listed here. They will make a determination whether your symptoms meet the criteria necessary for a personality disorder diagnosis.

      Causes of Borderline Personality Disorder

      Researchers today don’t know what causes borderline personality disorder. There are many theories, however, about the possible causes of borderline personality disorder. Most professionals subscribe to a biopsychosocial model of causation — that is, the causes of are likely due to biological and genetic factors, social factors (such as how a person interacts in their early development with their family and friends and other children), and psychological factors (the individual’s personality and temperament, shaped by their environment and learned coping skills to deal with stress). This suggests that no single factor is responsible — rather, it is the complex and likely intertwined nature of all three factors that are important. If a person has this personality disorder, research suggests that there is a slightly increased risk for this disorder to be “passed down” to their children.

      Treatment of Borderline Personality Disorder

      Treatment of borderline personality disorder typically involves long-term sychotherapy with a therapist that has experience in treating this kind of personality disorder. Medications may also be prescribed to help with specific troubling and debilitating symptoms. For more information about treatment, please see borderline personality disorder treatment.

      Dependent Personality Disorder

      Dependent personality disorder is characterized by a long-standing need for the person to be taken care of and a fear of being abandoned or separated from important individuals in his or her life. This leads the person to engage in dependent and submissive behaviors that are designed to elicit care-giving behaviors in others. The dependent behavior may be see as being "clingy" or "clinging on" to others, because the person fears they can't live their lives without the help of others.

      Individuals with Dependent Personality Disorder are often characterized by pessimism and self-doubt, tend to belittle their abilities and assets, and may constantly refer to themselves as "stupid." They take criticism and disapproval as proof of their worthlessness and lose faith in themselves. They may seek overprotection and dominance from others. Occupational functioning may be impaired if independent initiative is required. They may avoid positions of responsibility and become anxious when faced with decisions. Social relations tend to be limited to those few people on whom the individual is dependent.

      Chronic physical illness or Separation Anxiety Disorder in childhood or adolescence may predispose an individual to the development of dependent personality disorder.

      Symptoms of Dependent Personality Disorder

      Dependent personality disorder is characterized by a pervasive fear that leads to "clinging behavior" and usually manifests itself by early adulthood. It includes a majority of the following symptoms:

      • Has difficulty making everyday decisions without an excessive amount of advice and reassurance from others
      • Needs others to assume responsibility for most major areas of his or her life
      • Has difficulty expressing disagreement with others because of fear of loss of support or approval
      • Has difficulty initiating projects or doing things on his or her own (because of a lack of self-confidence in judgment or abilities rather than a lack of motivation or energy)
      • Goes to excessive lengths to obtain nurturance and support from others, to the point of volunteering to do things that are unpleasant
      • Feels uncomfortable or helpless when alone because of exaggerated fears of being unable to care for himself or herself
      • Urgently seeks another relationship as a source of care and support when a close relationship ends
      • Is unrealistically preoccupied with fears of being left to take care of himself or herself

      As with all personality disorders, the person must be at least 18 years old before they can be diagnosed with it.

      Dependent personality disorder is the most commonly diagnosed personality disorder in mental health clinics.

      Like most personality disorders, dependent personality disorder typically will decrease in intensity with age, with many people experiencing few of the most extreme symptoms by the time they are in the 40s or 50s.

      How is Dependent Personality Disorder Diagnosed?

      Personality disorders such as dependent personality disorder are typically diagnosed by a trained mental health professional, such as a psychologist or psychiatrist. Family physicians and general practitioners are generally not trained or well-equipped to make this type of psychological diagnosis. So while you can initially consult a family physician about this problem, they should refer you to a mental health professional for diagnosis and treatment. There are no laboratory, blood or genetic tests that are used to diagnose dependent personality disorder.

      Many people with dependent personality disorder don't seek out treatment. People with personality disorders, in general, do not often seek out treatment until the disorder starts to significantly interfere or otherwise impact a person's life. This most often happens when a person's coping resources are stretched too thin to deal with stress or other life events.

      A diagnosis for dependent personality disorder is made by a mental health professional comparing your symptoms and life history with those listed here. They will make a determination whether your symptoms meet the criteria necessary for a personality disorder diagnosis.

      Causes of Dependent Personality Disorder

      Researchers today don't know what causes dependent personality disorder. There are many theories, however, about the possible causes of dependent personality disorder. Most professionals subscribe to a biopsychosocial model of causation -- that is, the causes of are likely due to biological and genetic factors, social factors (such as how a person interacts in their early development with their family and friends and other children), and psychological factors (the individual's personality and temperament, shaped by their environment and learned coping skills to deal with stress). This suggests that no single factor is responsible -- rather, it is the complex and likely intertwined nature of all three factors that are important. If a person has this personality disorder, research suggests that there is a slightly increased risk for this disorder to be "passed down" to their children.

      Treatment of Dependent Personality Disorder

      Treatment of dependent personality disorder typically involves long-term psychotherapy with a therapist that has experience in treating this kind of personality disorder. Medications may also be prescribed to help with specific troubling and debilitating symptoms. For more information about treatment, please see dependent personality disorder treatment.

      Symptoms of
      Histrionic Personality Disorder

      Histrionic personality disorder is characterized by a long-standing pattern of attention seeking behavior and extreme emotionality. Someone with histrionic personality disorder wants to be the center of attention in any group of people, and feel uncomfortable when they are not. While often lively, interesting and sometimes dramatic, they have difficulty when people aren't focused exclusively on them. People with this disorder may be perceived as being shallow, and may engage in sexually seductive or provocating behavior to draw attention to themselves.

      Individuals with Histrionic Personality Disorder may have difficulty achieving emotional intimacy in romantic or sexual relationships. Without being aware of it, they often act out a role (e.g., "victim" or "princess") in their relationships to others. They may seek to control their partner through emotional manipulation or seductiveness on one level, whereas displaying a marked dependency on them at another level.

      Individuals with this disorder often have impaired relationships with same-sex friends because their sexually provocative interpersonal style may seem a threat to their friends' relationships. These individuals may also alienate friends with demands for constant attention. They often become depressed and upset when they are not the center of attention.

      People with histrionic personality disorder may crave novelty, stimulation, and excitement and have a tendency to become bored with their usual routine. These individuals are often intolerant of, or frustrated by, situations that involve delayed gratification, and their actions are often directed at obtaining immediate satisfaction. Although they often initiate a job or project with great enthusiasm, their interest may lag quickly.

      Longer-term relationships may be neglected to make way for the excitement of new relationships.

      Symptoms of Histrionic Personality Disorder

      A pervasive pattern of excessive emotionality and attention seeking, beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:

      • Is uncomfortable in situations in which he or she is not the center of attention
      • Interaction with others is often characterized by inappropriate sexually seductive or provocative behavior
      • Displays rapidly shifting and shallow expression of emotions
      • Consistently uses physical appearance to draw attention to themself
      • Has a style of speech that is excessively impressionistic and lacking in detail
      • Shows self-dramatization, theatricality, and exaggerated expression of emotion
      • Is highly suggestible, i.e., easily influenced by others or circumstances
      • Considers relationships to be more intimate than they actually are

      As with all personality disorders, the person must be at least 18 years old before they can be diagnosed with it.

      Histrionic personality disorder is more prevalent in females than males. It occurs about 2 to 3 percent in the general population.

      Like most personality disorders, histrionic personality disorder typically will decrease in intensity with age, with many people experiencing few of the most extreme symptoms by the time they are in the 40s or 50s.

      How is Histrionic Personality Disorder Diagnosed?

      Personality disorders such as histrionic personality disorder are typically diagnosed by a trained mental health professional, such as a psychologist or psychiatrist. Family physicians and general practitioners are generally not trained or well-equipped to make this type of psychological diagnosis. So while you can initially consult a family physician about this problem, they should refer you to a mental health professional for diagnosis and treatment. There are no laboratory, blood or genetic tests that are used to diagnose histrionic personality disorder.

      Many people with histrionic personality disorder don't seek out treatment. People with personality disorders, in general, do not often seek out treatment until the disorder starts to significantly interfere or otherwise impact a person's life. This most often happens when a person's coping resources are stretched too thin to deal with stress or other life events.

      A diagnosis for histrionic personality disorder is made by a mental health professional comparing your symptoms and life history with those listed here. They will make a determination whether your symptoms meet the criteria necessary for a personality disorder diagnosis.

      Causes of Histrionic Personality Disorder

      Researchers today don't know what causes histrionic personality disorder. There are many theories, however, about the possible causes of histrionic personality disorder. Most professionals subscribe to a biopsychosocial model of causation -- that is, the causes of are likely due to biological and genetic factors, social factors (such as how a person interacts in their early development with their family and friends and other children), and psychological factors (the individual's personality and temperament, shaped by their environment and learned coping skills to deal with stress). This suggests that no single factor is responsible -- rather, it is the complex and likely intertwined nature of all three factors that are important. If a person has this personality disorder, research suggests that there is a slightly increased risk for this disorder to be "passed down" to their children.

      Treatment of Histrionic Personality Disorder

      Treatment of histrionic personality disorder typically involves long-term psychotherapy with a therapist that has experience in treating this kind of personality disorder. Medications may also be prescribed to help with specific troubling and debilitating symptoms. For more information about treatment, please see histrionic personality disorder treatment.

      Symptoms of
      Dissociative Identity Disorder

      Also Known as Multiple Personality Disorder

      The presence of two or more distinct identities or personality states (each with its own relatively enduring pattern of perceiving, relating to, and thinking about the environment and self). At least two of these identities or personality states recurrently take control of the person's behavior. Inability to recall important personal information that is too extensive to be explained by ordinary forgetfulness. The disturbance is not due to the direct physiological effects of a substance (e.g., blackouts or chaotic behavior during Alcohol Intoxication) or a general medical condition (e.g., complex partial seizures). Note: In children, the symptoms are not attributable to imaginary playmates or other fantasy play. •What is Dissociation? Do people really have multiple personalities? •The Differences Between Bipolar Disorder, Schizophrenia and Multiple Personality Disorder •General Treatment Guidelines for Multiple Personality Disorder

      Narcissistic Personality Disorder

      Narcissistic Personality Disorder is characterized by a long-standing pattern of grandiosity (either in fantasy or actual behavior), an overwhelming need for admiration, and usually a complete lack of empathy toward others. People with this disorder often believe they are of primary importance in everybody's life or to anyone they meet. While this pattern of behavior may be appropriate for a king in 16th Century England, it is generally considered inappropriate for most ordinary people today.

      People with narcissistic personality disorder often display snobbish, disdainful, or patronizing attitudes. For example, an individual with this disorder may complain about a clumsy waiter's "rudeness" or "stupidity" or conclude a medical evaluation with a condescending evaluation of the physician.

      In laypeople terms, someone with this disorder may be described simply as a "narcissist" or as someone with "narcissism." Both of these terms generally refer to someone with narcissistic personality disorder.

      Symptoms of Narcissistic Personality Disorder

      In order for a person to be diagnosed with narcissistic personality disorder (NPD) they must meet five or more of the following symptoms:

      • Has a grandiose sense of self-importance (e.g., exaggerates achievements and talents, expects to be recognized as superior without commensurate achievements)
      • Is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love
      • Believes that he or she is "special" and unique and can only be understood by, or should associate with, other special or high-status people (or institutions)
      • Requires excessive admiration
      • Has a very strong sense of entitlement, e.g., unreasonable expectations of especially favorable treatment or automatic compliance with his or her expectations
      • Is exploitative of others, e.g., takes advantage of others to achieve his or her own ends
      • Lacks empathy, e.g., is unwilling to recognize or identify with the feelings and needs of others
      • Is often envious of others or believes that others are envious of him or her
      • Regularly shows arrogant, haughty behaviors or attitudes

      As with all personality disorders, the person must be at least 18 years old before they can be diagnosed with it.

      Narcissistic personality disorder is more prevalent in males than females, and is thought to occur in less than 1 percent in the general population.

      Like most personality disorders, narcissistic personality disorder typically will decrease in intensity with age, with many people experiencing few of the most extreme symptoms by the time they are in the 40s or 50s.

      Learn more about the symptoms and characteristics of someone with narcissitic personality disorder.

      How is Narcissistic Personality Disorder Diagnosed?

      Personality disorders such as narcissistic personality disorder are typically diagnosed by a trained mental health professional, such as a psychologist or psychiatrist. Family physicians and general practitioners are generally not trained or well-equipped to make this type of psychological diagnosis. So while you can initially consult a family physician about this problem, they should refer you to a mental health professional for diagnosis and treatment. There are no laboratory, blood or genetic tests that are used to diagnose personality disorder.

      Many people with narcissistic personality disorder don't seek out treatment. People with personality disorders, in general, do not often seek out treatment until the disorder starts to significantly interfere or otherwise impact a person's life. This most often happens when a person's coping resources are stretched too thin to deal with stress or other life events.

      A diagnosis for narcissistic personality disorder is made by a mental health professional comparing your symptoms and life history with those listed here. They will make a determination whether your symptoms meet the criteria necessary for a personality disorder diagnosis.

      Causes of Narcissistic Personality Disorder

      Researchers today don't know what causes narcissistic personality disorder. There are many theories, however, about the possible causes of narcissistic personality disorder. Most professionals subscribe to a biopsychosocial model of causation -- that is, the causes of are likely due to biological and genetic factors, social factors (such as how a person interacts in their early development with their family and friends and other children), and psychological factors (the individual's personality and temperament, shaped by their environment and learned coping skills to deal with stress). This suggests that no single factor is responsible -- rather, it is the complex and likely intertwined nature of all three factors that are important. If a person has this personality disorder, research suggests that there is a slightly increased risk for this disorder to be "passed down" to their children.

      Treatment of Narcissistic Personality Disorder

      Treatment of narcissistic personality disorder typically involves long-term psychotherapy with a therapist that has experience in treating this kind of personality disorder. Medications may also be prescribed to help with specific troubling and debilitating symptoms.

      Obsessive-Compulsive Personality Disorder

      Obsessive-Compulsive Personality Disorder is characterized by a preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and efficiency. This

      When rules and established procedures do not dictate the correct answer, decision making may become a time-consuming, often painful process. Individuals with Obsessive-Compulsive Personality Disorder may have such difficulty deciding which tasks take priority or what is the best way of doing some particular task that they may never get started on anything.

      They are prone to become upset or angry in situations in which they are not able to maintain control of their physical or interpersonal environment, although the anger is typically not expressed directly. For example, a person may be angry when service in a restaurant is poor, but instead of complaining to the management, the individual ruminates about how much to leave as a tip. On other occasions, anger may be expressed with righteous indignation over a seemingly minor matter.

      People with this disorder may be especially attentive to their relative status in dominance-submission relationships and may display excessive deference to an authority they respect and excessive resistance to authority that they do not respect.

      Individuals with this disorder usually express affection in a highly controlled or stilted fashion and may be very uncomfortable in the presence of others who are emotionally expressive. Their everyday relationships have a formal and serious quality, and they may be stiff in situations in which others would smile and be happy (e.g., greeting a lover at the airport). They carefully hold themselves back until they are sure that whatever they say will be perfect. They may be preoccupied with logic and intellect.

      Symptoms of Obsessive-Compulsive Personality Disorder

      A pervasive pattern of preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and efficiency, beginning by early adulthood and present in a variety of contexts, as indicated by four (or more) of the following:

      • Is preoccupied with details, rules, lists, order, organization, or schedules to the extent that the major point of the activity is lost
      • Shows perfectionism that interferes with task completion (e.g., is unable to complete a project because his or her own overly strict standards are not met)
      • Is excessively devoted to work and productivity to the exclusion of leisure activities and friendships (not accounted for by obvious economic necessity)
      • Is overconscientious, scrupulous, and inflexible about matters of morality, ethics, or values (not accounted for by cultural or religious identification)
      • Is unable to discard worn-out or worthless objects even when they have no sentimental value
      • Is reluctant to delegate tasks or to work with others unless they submit to exactly his or her way of doing things
      • Adopts a miserly spending style toward both self and others; money is viewed as something to be hoarded for future catastrophes
      • Shows significant rigidity and stubbornness

      As with all personality disorders, the person must be at least 18 years old before they can be diagnosed with it.

      Obsessive-Compulsive personality disorder is approximately twice as prevalent in males than females, and occurs in about 1 percent of the general population.

      Like most personality disorders, Obsessive-Compulsive personality disorder typically will decrease in intensity with age, with many people experiencing few of the most extreme symptoms by the time they are in the 40s or 50s.

      How is Obsessive-compulsive Personality Disorder Diagnosed?

      Personality disorders such as obsessive-compulsive personality disorder are typically diagnosed by a trained mental health professional, such as a psychologist or psychiatrist. Family physicians and general practitioners are generally not trained or well-equipped to make this type of psychological diagnosis. So while you can initially consult a family physician about this problem, they should refer you to a mental health professional for diagnosis and treatment. There are no laboratory, blood or genetic tests that are used to diagnose obsessive-compulsive personality disorder.

      Many people with obsessive-compulsive personality disorder don't seek out treatment. People with personality disorders, in general, do not often seek out treatment until the disorder starts to significantly interfere or otherwise impact a person's life. This most often happens when a person's coping resources are stretched too thin to deal with stress or other life events.

      A diagnosis for obsessive-compulsive personality disorder is made by a mental health professional comparing your symptoms and life history with those listed here. They will make a determination whether your symptoms meet the criteria necessary for a personality disorder diagnosis.

      Causes of Obsessive-compulsive Personality Disorder

      Researchers today don't know what causes obsessive-compulsive personality disorder. There are many theories, however, about the possible causes of obsessive-compulsive personality disorder. Most professionals subscribe to a biopsychosocial model of causation -- that is, the causes of are likely due to biological and genetic factors, social factors (such as how a person interacts in their early development with their family and friends and other children), and psychological factors (the individual's personality and temperament, shaped by their environment and learned coping skills to deal with stress). This suggests that no single factor is responsible -- rather, it is the complex and likely intertwined nature of all three factors that are important. If a person has this personality disorder, research suggests that there is a slightly increased risk for this disorder to be "passed down" to their children.

      Treatment of Obsessive-compulsive Personality Disorder

      Treatment of obsessive-compulsive personality disorder typically involves long-term psychotherapy with a therapist that has experience in treating this kind of personality disorder. Medications may also be prescribed to help with specific troubling and debilitating symptoms.

      Paranoid Personality Disorder

      People with paranoid personality disorder are generally characterized by having a long-standing pattern of pervasive distrust and suspiciousness of others. A person with paranoid personality disorder will nearly always believe that other people's motives are suspect or even malevolent. Individuals with this disorder assume that other people will exploit, harm, or deceive them, even if no evidence exists to support this expectation. While it is fairly normal for everyone to have some degree of paranoia about certain situations in their lives (such as worry about an impending set of layoffs at work), people with paranoid personality disorder take this to an extreme -- it pervades virtually every professional and personal relationship they have.

      Individuals with Paranoid Personality Disorder are generally difficult to get along with and often have problems with close relationships. Their excessive suspiciousness and hostility may be expressed in overt argumentativeness, in recurrent complaining, or by quiet, apparently hostile aloofness. Because they are hypervigilant for potential threats, they may act in a guarded, secretive, or devious manner and appear to be "cold" and lacking in tender feelings. Although they may appear to be objective, rational, and unemotional, they more often display a labile range of affect, with hostile, stubborn, and sarcastic expressions predominating. Their combative and suspicious nature may elicit a hostile response in others, which then serves to confirm their original expectations.

      Because individuals with Paranoid Personality Disorder lack trust in others, they have an excessive need to be self-sufficient and a strong sense of autonomy. They also need to have a high degree of control over those around them. They are often rigid, critical of others, and unable to collaborate, and they have great difficulty accepting criticism.

      Symptoms of Paranoid Personality Disorder

      A pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent, beginning by early adulthood and present in a variety of contexts, as indicated by four (or more) of the following:

      • Suspects, without sufficient basis, that others are exploiting, harming, or deceiving him or her
      • Is preoccupied with unjustified doubts about the loyalty or trustworthiness of friends or associates
      • Is reluctant to confide in others because of unwarranted fear that the information will be used maliciously against him or her
      • Reads hidden demeaning or threatening meanings into benign remarks or events
      • Persistently bears grudges, i.e., is unforgiving of insults, injuries, or slights
      • Perceives attacks on his or her character or reputation that are not apparent to others and is quick to react angrily or to counterattack
      • Has recurrent suspicions, without justification, regarding fidelity of spouse or sexual partner

      As with all personality disorders, the person must be at least 18 years old before they can be diagnosed with it.

      Paranoid personality disorder is more prevalent in males than females, and occurs somewhere between 0.5 and 2.5 percent in the general population.

      Like most personality disorders, paranoid personality disorder typically will decrease in intensity with age, with many people experiencing few of the most extreme symptoms by the time they are in the 40s or 50s.

      How is Paranoid Personality Disorder Diagnosed?

      Personality disorders such as paranoid personality disorder are typically diagnosed by a trained mental health professional, such as a psychologist or psychiatrist. Family physicians and general practitioners are generally not trained or well-equipped to make this type of psychological diagnosis. So while you can initially consult a family physician about this problem, they should refer you to a mental health professional for diagnosis and treatment. There are no laboratory, blood or genetic tests that are used to diagnose paranoid personality disorder.

      Many people with paranoid personality disorder don't seek out treatment. People with personality disorders, in general, do not often seek out treatment until the disorder starts to significantly interfere or otherwise impact a person's life. This most often happens when a person's coping resources are stretched too thin to deal with stress or other life events.

      A diagnosis for paranoid personality disorder is made by a mental health professional comparing your symptoms and life history with those listed here. They will make a determination whether your symptoms meet the criteria necessary for a personality disorder diagnosis.

      Causes of Paranoid Personality Disorder

      Researchers today don't know what causes paranoid personality disorder. There are many theories, however, about the possible causes of paranoid personality disorder. Most professionals subscribe to a biopsychosocial model of causation -- that is, the causes of are likely due to biological and genetic factors, social factors (such as how a person interacts in their early development with their family and friends and other children), and psychological factors (the individual's personality and temperament, shaped by their environment and learned coping skills to deal with stress). This suggests that no single factor is responsible -- rather, it is the complex and likely intertwined nature of all three factors that are important. If a person has this personality disorder, research suggests that there is a slightly increased risk for this disorder to be "passed down" to their children.

      Treatment of Paranoid Personality Disorder

      Treatment of paranoid personality disorder typically involves long-term psychotherapy with a therapist that has experience in treating this kind of personality disorder. Medications may also be prescribed to help with specific troubling and debilitating symptoms.

      Schizoid Personality Disorder

      Schizoid Personality Disorder is characterized by a long-standing pattern of detachment from social relationships. A person with schizoid personality disorder often has difficulty expression emotions and does so typically in very restricted range, especially when communicating with others.

      A person with this disorder may appear to lack a desire for intimacy, and will avoid close relationships with others. They may often prefer to spend time with themselves rather than socialize or be in a group of people. In laypeople terms, a person with schizoid personality disorder might be thought of as the typical "loner."

      Individuals with Schizoid Personality Disorder may have particular difficulty expressing anger, even in response to direct provocation, which contributes to the impression that they lack emotion. Their lives sometimes seem directionless, and they may appear to "drift" in their goals. Such individuals often react passively to adverse circumstances and have difficulty responding appropriately to important life events. Because of their lack of social skills and lack of desire for sexual experiences, individuals with this disorder have few friendships, date infrequently, and often do not marry. Employment or work functioning may be impaired, particularly if interpersonal involvement is required, but individuals with this disorder may do well when they work under conditions of social isolation.

      Symptoms of Schizoid Personality Disorder

      Schizoid personality disorder is characterized by a pattern of detachment from social relationships and a restricted range of expression of emotions in interpersonal settings, beginning by early adulthood and present in a variety of contexts, as indicated by four (or more) of the following:

      • Neither desires nor enjoys close relationships, including being part of a family
      • Almost always chooses solitary activities
      • Has little, if any, interest in having sexual experiences with another person
      • Takes pleasure in few, if any, activities
      • Lacks close friends or confidants other than first-degree relatives
      • Appears indifferent to the praise or criticism of others
      • Shows emotional coldness, detachment, or flattened affectivity

      As with all personality disorders, the person must be at least 18 years old before they can be diagnosed with it.

      Schizoid personality disorder is more prevalent in males than females. Its prevalence in the general population is not known.

      Like most personality disorders, schizoid personality disorder typically will decrease in intensity with age, with many people experiencing few of the most extreme symptoms by the time they are in the 40s or 50s.

      How is Schizoid Personality Disorder Diagnosed?

      Personality disorders such as schizoid personality disorder are typically diagnosed by a trained mental health professional, such as a psychologist or psychiatrist. Family physicians and general practitioners are generally not trained or well-equipped to make this type of psychological diagnosis. So while you can initially consult a family physician about this problem, they should refer you to a mental health professional for diagnosis and treatment. There are no laboratory, blood or genetic tests that are used to diagnose schizoid personality disorder.

      Many people with schizoid personality disorder don't seek out treatment. People with personality disorders, in general, do not often seek out treatment until the disorder starts to significantly interfere or otherwise impact a person's life. This most often happens when a person's coping resources are stretched too thin to deal with stress or other life events.

      A diagnosis for schizoid personality disorder is made by a mental health professional comparing your symptoms and life history with those listed here. They will make a determination whether your symptoms meet the criteria necessary for a personality disorder diagnosis.

      Causes of Schizoid Personality Disorder

      Researchers today don't know what causes schizoid personality disorder. There are many theories, however, about the possible causes of schizoid personality disorder. Most professionals subscribe to a biopsychosocial model of causation -- that is, the causes of are likely due to biological and genetic factors, social factors (such as how a person interacts in their early development with their family and friends and other children), and psychological factors (the individual's personality and temperament, shaped by their environment and learned coping skills to deal with stress). This suggests that no single factor is responsible -- rather, it is the complex and likely intertwined nature of all three factors that are important. If a person has this personality disorder, research suggests that there is a slightly increased risk for this disorder to be "passed down" to their children.

      Treatment of Schizoid Personality Disorder

      Treatment of schizoid personality disorder typically involves long-term psychotherapy with a therapist that has experience in treating this kind of personality disorder. Medications may also be prescribed to help with specific troubling and debilitating symptoms.

      Schizotypal Personality Disorder

      Schizotypal personality disorder is characterized by someone who has great difficulty in establishing and maintaining close relationships with others. A person with schizotypal personality disorder may have extreme discomfort with such relationships, and therefore have less of a capacity for them. Someone with this disorder usually has cognitive or perceptual distortions as well as eccentricities in their everyday behavior.

      Individuals with Schizotypal Personality Disorder often have ideas of reference (e.g., they have incorrect interpretations of casual incidents and external events as having a particular and unusual meaning specifically for the person). People with this disorder may be unusually superstitious or preoccupied with paranormal phenomena that are outside the norms of their subculture.

      Individuals with Schizotypal Personality Disorder often seek treatment for the associated symptoms of anxiety, depression, or other dysphoric affects rather than for the personality disorder features per se.

      Symptoms of Schizotypal Personality Disorder

      Schizotypal personality disorder is characterized by a pattern of social and interpersonal deficits marked by acute discomfort with, and reduced capacity for, close relationships as well as by cognitive or perceptual distortions and eccentricities of behavior, beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:

      • Ideas of reference (excluding delusions of reference)
      • Odd beliefs or magical thinking that influences behavior and is inconsistent with subcultural norms (e.g., superstitiousness, belief in clairvoyance, telepathy, or "sixth sense"; in children and adolescents, bizarre fantasies or preoccupations)
      • Unusual perceptual experiences, including bodily illusions
      • Odd thinking and speech (e.g., vague, circumstantial, metaphorical, overelaborate, or stereotyped)
      • Suspiciousness or paranoid ideation
      • Inappropriate or constricted affect
      • Behavior or appearance that is odd, eccentric, or peculiar
      • Lack of close friends or confidants other than first-degree relatives
      • Excessive social anxiety that does not diminish with familiarity and tends to be associated with paranoid fears rather than negative judgments about self

      As with all personality disorders, the person must be at least 18 years old before they can be diagnosed with it.

      Schizotypal personality disorder appears in less than 3 percent of the general population.

      Like most personality disorders, schizotypal personality disorder typically will decrease in intensity with age, with many people experiencing few of the most extreme symptoms by the time they are in the 40s or 50s.

      How is Schizotypal Personality Disorder Diagnosed?

      Personality disorders such as schizotypal personality disorder are typically diagnosed by a trained mental health professional, such as a psychologist or psychiatrist. Family physicians and general practitioners are generally not trained or well-equipped to make this type of psychological diagnosis. So while you can initially consult a family physician about this problem, they should refer you to a mental health professional for diagnosis and treatment. There are no laboratory, blood or genetic tests that are used to diagnose schizotypal personality disorder.

      Many people with schizotypal personality disorder don't seek out treatment. People with personality disorders, in general, do not often seek out treatment until the disorder starts to significantly interfere or otherwise impact a person's life. This most often happens when a person's coping resources are stretched too thin to deal with stress or other life events.

      A diagnosis for schizotypal personality disorder is made by a mental health professional comparing your symptoms and life history with those listed here. They will make a determination whether your symptoms meet the criteria necessary for a personality disorder diagnosis.

      Causes of Schizotypal Personality Disorder

      Researchers today don't know what causes schizotypal personality disorder. There are many theories, however, about the possible causes of schizotypal personality disorder. Most professionals subscribe to a biopsychosocial model of causation -- that is, the causes of are likely due to biological and genetic factors, social factors (such as how a person interacts in their early development with their family and friends and other children), and psychological factors (the individual's personality and temperament, shaped by their environment and learned coping skills to deal with stress). This suggests that no single factor is responsible -- rather, it is the complex and likely intertwined nature of all three factors that are important. If a person has this personality disorder, research suggests that there is a slightly increased risk for this disorder to be "passed down" to their children.

      Treatment of Schizotypal Personality Disorder

      Treatment of schizotypal personality disorder typically involves long-term psychotherapy with a therapist that has experience in treating this kind of personality disorder. Medications may also be prescribed to help with specific troubling and debilitating symptoms.
      Here are further guidelines.

      Psychiatry and Media.

      Should the media get involved in an awareness campaign from medical doctors associated with psychiatry and mental health care?
      Yes.

      How should the media handle articles and an awareness campaign from medical doctors associated with psychiatry and mental health care?

      Ask them these questions.
      What is good human character?
      What is good human behavior?
      What's normal?
      What is enforced suffering?
      What are the rights of a civilized human being?
      Who is a civilized human being?
      How do you define a civilized human being?

      If they are able to answer correctly, reinforce them.
      If they aren't able to answer correctly, counsel them to upgrade their skills and knowledge as they may mislead individuals and communities, even if they claim to be award winners.
      Here are further guidelines.

      Psychiatric hospital
      Assisted living
      Crisis stabilization
      Involuntary nature of psychiatric hospitalization
      Juvenile wards
      Long-term care facilities
      Political imprisonment
      Medium-term
      Open units
      Secure units

      What should you monitor in a psychiatric hospital?
      Behavior, vitals, character.

      How should you monitor a psychiatric hospital?
      Let's examine this.
      Threat to self, threat to others, harmful to self, harmful to others, assault on self, assault on others, not taking care of self, not taking care of others who have accepted the duty and responsibility. Vitals, character evaluation, behavior in various settings.

      Can a person be confined involuntarily to a psychiatric facility because someone else misinterpreted the facts?
      No.

      How could this have been prevented?
      Proper understanding of the issues, proper training of the staff, fulfilling genuine rights.

      What is the duty and responsibility of a nurse?
      A nurse is responsible to take vital signs, collect human samples, administer medication, monitor patients? behavior, take history under the supervision of a medical doctor.

      What history should a nurse ask?
      As directed by the medical doctor.

      Why were you brought here? or
      What brings you to the hospital?

      What kind of problems are you having currently?
      Do you need help?
      What would you like to do next?
      What do you plan to do when you leave?

      Do you reach any diagnosis under these harmful conditions or remove harmful conditions for the person who has been oppressed and transferred to a psychiatric facility?
      If theory isn't clear, there will be conflict and disputes. Problems won't be solved.
      Simple negligence or wrong planning can lead to conflicts, disputes, and harms.

      How could this have been prevented?
      We should focus on expected outcome.

      How do you monitor blood pressure?
      Random, early morning before breakfast, after walking.

      Is specific size cuff of blood pressure machine necessary for accurate blood pressure monotoring?
      Yes.

      What needs to be done to educate counselors?
      All social work counselors should be taught legal and psychological expertise.

      Can you reach a diagnosis from reporting a frivolous incident under controlled conditions?
      No.

      How do you reach correct psychiatric diagnosis?
      A medical history is very important.
      Psychiatric history is part of medical history.
      Without correct medical history, diagnosis can be wrong.
      Without correct diagnosis, treatment can be ineffective, even harmful.

      Do you include misinterpretation of incidents to reach a correct diagnosis?
      No.

      How do you investigate an incident for psychiatric evaluation?
      Case history and incident report are two different things.

      What were the date, time, place, circumstances, and relevant background?
      What is the relevant background to this case?
      Is this background relevant to this case?
      Did this happen in a planned meeting?
      Did this happen outside the meeting?
      Was it a planned meeting?
      Who initially provoked it?
      Do we include incidents under controlled and harmful conditions as relevant to reach a correct diagnosis?


      Psychiatric History

      What should you ask in a psychiatric history?

      This is in addition to routine medical history.

      Outpatient consultations.

      Online and telephone consultations.
      Hospital setting.
      What brings you to the hospital?
      How old are you?
      What is the date today?
      What is your date of birth?
      Where are you now?
      Do you have a family in Chicago, Illinois?
      Who else lives with you?

      Did anyone persuade you to answer this way?
      Who persuaded you to answer this way?
      How is their character and behavior?

      What are the problems?
      What seems to be the problem?
      What was running through your mind at the time?
      What were you afraid might happen?
      How did that make you feel?
      What did you do then?
      When did you last feel well - your usual self?
      What was happening around that time?
      What do you like doing?
      When did you last do something you really enjoyed?
      Do you like watching TV, books, and socializing?
      Do you ever feel life is not worth living?
      Have you ever had thoughts of ending your life?
      How are you coping at work? How are things at home?
      Are you still seeing your friends?
      How is this affecting the other members of the family?
      How are your children getting on at school?
      How does your spouse respond to your problems?
      How are you getting on with him/her?
      Can I speak to him/her about it?
      Have you ever felt this way before?
      What did you do about it?
      What really helped?
      Do you have enough food, clothes, housing, transportation, health care, and resources?


      Who are parents, caretaker, or guardian of the patient?
      Please answer the following questions.
      How often does he or she take a bath, brush his/her teeth, exercise, clean the bed, floor, kitchen, sink, and put out garbage?
      What is the difference between protest and abusive language?
      Does he or she utter abusive language?
      What type of behavior has he or she demonstrated? What was the situation?
      How often does he or she speak to his/her parents, brothers, sisters, and relatives?
      How often doe he or she speak to friends?
      What does he or she speak about to his or her classmates?
      How long does he or she speak every day?
      What type of food does he or she consume everyday?
      How many meals does he or she consume everyday?
      How long does he or she wait between meals?
      How long does he or she walk every day?
      How long does he or she sleep every day?
      When does he or she sleep and get up?
      Is he or she a member of a monopoly?
      Does he or she have a fixed time for bathing, brushing his/her teeth, exercising, cleaning his/her living place, speaking, eating, changing clothes? Does he or she often start a quarrel?
      Does he or she have often unreasonable anger outbursts?
      Does he or she often misinterpret facts?
      Does he or she unreasonably call police to harass others?
      Does he or she forget things?
      Does he or she assault others?
      Does he or she attempt suicide?

      If the answer to any of these questions is yes, it is a psychiatric emergency.

      What should not be available in psychiatry hospital to those admitted?
      Sharp objects, razors, blades, and other harmful objects.

      Can those who dispute issues ranging from political to other claims be sent to a psychiatric facility?
      No.

      What is restraint?
      In a psychiatric hospital, intervention to prevent an excited or violent patient from harming him/herself or others. Medical restraints also are used to prevent falls

      Can restraint cause aggravation of a problem?
      Yes.

      Can restraining materials cause more harms than preventing harms?
      Yes.

      How can restraint harm?
      Restraint can cause aggravation of the underlying problem; restraint materials also can cause problem.

      How do you know what type of restraint to get?
      This depends on availability of materials and type of conditions.
      Nylon or leather. The majority of restraints are machine washable. In the case of leather medical restraints, sterilization can be achieved through the use of at least 70% isopropyl (rubbing) alcohol. Methods of sterilization such as autoclaving, steam, and BTO gas are not recommended.

      When should you use restraint?
      When the person can cause harm to him/herself or others.

      When should you not use restraint?
      With normal or wrong diagnosis, prejudice, or biased directive.

      What should be consequences of unjustified restraint?
      Disciplinary action against all involved.

      Who should decide about restraint?
      Psychiatrist or medical doctor, social worker, family members, community members, legal experts, and others. This has to be decided in a team.

      What should you know about medical restraints?
      What type of medical restraint is needed (hand, ankle, seating, etc.) What type of material should the medical restraint be made of (leather, nylon, etc.)?
      Does it need a lock?
      No, a lock can cause more problem if an unlocking problem arise. Not all restraints come with a lock.
      Restaints need 24-hour supervision by a nurse or a medical doctor, and security.

      What kind of restrictions are there on selling medical restraints?
      They can be sold only to health care facilities.
      Most medical restraints are adjustable.

      What are restraint alternatives?

      How exactly will you place the cuff of the blood pressure machine?

      Hospital and Healthcare Products

      Patient Hygiene Solutions

      A range of wipes, foams and bodywashes for effective patient cleansing.

      What are the different types of human thermometers?

      What are the best and latest thermometers available?

      How is accuracy of products verified before being utilized?

      Who verifies the accuracy of these products?

      What standards and criteria do they utilize?

      Who sets these standards and criteria?

      How did they reach this standards and criteria?

      How often are patients with psychiatric emergencies needlessly hospitalized because of the admitting physician's inexperience, fatigue, or lack of knowledge about alternative resources?

      Here are further guidelines.

      Here are further guidelines.
      Questions doctors, psychiatrists, and clinicians needs to answer.
      What is the diagnosis?
      How did you reach this diagnosis?
      What did the individual say or do that led to this diagnosis?
      How did you verify your findings?
      If you verified the findings, how did you verify that the findings are consistent?
      How often do these symptoms, signs, and findings occur?
      Do you know everything about stress, intentional enforced harms, and human rights violations from others?
      How did you verify that the individual is not victim of stress or intentional enforced harms or human rights violations from others?


      Medical Negligence

      Who has the duty to adjudicate wrong diagnosis of a human being in the state and outside the state?

      If all questions are answered by the doctor, psychiatrist, or clinician, then go ahead with these questions.

      Questions you need to ask a doctor, psychiatrist, or clinician in case medication is prescribed or recommended.

      How will this medication help me?
      How will I be better off after taking this medication?
      What is the name of the medication?
      Is it known by other names?
      What is known about its helpfulness with others who have a similar condition?
      How will the medication help me?
      How long before I see improvement?
      When will it work?
      What are the side effects which commonly occur with this medication?
      What are the less common or serious side effects which can occur?
      Is this medication addictive? Can it be abused?
      What is the recommended dosage?
      How often will the medication be taken?
      Are there any laboratory tests that need to be completed before I begin this medication?
      Will any tests need to be done while I am taking this medication?
      Are there any medications or food I should avoid while taking this medication?
      How long will I be taking this medication?
      How will the decision be made to stop this medication?
      What is the medication supposed to do?
      How and when should I take it?
      How much should I take?
      What should I do if I miss a dose?
      When and how should I stop taking it?
      Will it interact with other medications I take?
      Do I need to avoid any types of food or drink while taking the medication? What should I avoid?
      Should it be taken with or without food?
      Is it safe to drink alcohol while taking this medication?
      What are the side effects? What should I do if I experience them?
      Is the Patient Package Insert for the medication available?

      After taking the medication for a short time, tell your doctor how you feel, if you are having side effects, and any concerns you have about the medicine.
      Reference resource for psychiatry
      Where is reference resource for psychiatry?
      Courts should place this reference resource —www.qureshiuniversity.com/psychiatryworld.html — for cases that involve psychiatry and courts.

      Do you know any reference resource for psychiatry better than this resource with open access through the Internet?

      How is this resource better than any other resource?
      Referral request.

      How should you write a referral for medical evaluation?
      Dear Medical Colleague:

      This referral is sent to Doctor Asif Qureshi.
      Profile elaborated at this resource
      http://www.qureshiuniversity.com/aboutthefounder.html
      We need your individualized consultation for patients.
      The profile of the patient has been enclosed.
      This is in addition to Internet questions We have answered: www.qureshiouniversity.com/psychiatryworld.html
      Please evaluate this patient and provide correct diagnosis and various treatment options for this individual.
      We have answered all relevant questions displayed from your side.

      We went through public health and patient education guidelines from your side. Take a look at this.
      http://www.qureshiuniversity.com/publichealthworld.html

      Take a look at this.
      http://www.qureshiuniversity.com/patienteducation.html

      We feel individualized doctor consultation from you is essential for this individual.

      Moreover, our doctors are not able to reach to correct diagnosis and treatment in various healthcare setting.
      Please teach them through Internet and in person. We are nominating five doctors for this training from you.

      Doctors nominated to you have a desire to learn.
      Doctors nominated to you are dedicated to public service.
      Doctors nominated to you know that psychiatry is not the only medical specialty. A doctor should have knowledge of all specialties.
      Doctors nominated desire to get involved in Internet human healthcare, public health, patient education, and then individualized healthcare.
      The profile of the doctor forwarding the referral has been enclosed.

      Thank you for your public service.
      Stress (Life Stressors)

      Does the individual have any of this?
      Stress.
      Intentional enforced harms from others.
      Human rights violations from others.


      If yes, fix these issues immediately.

      How do you know if the individual has stress, intentional enforced harms, or both?
      Ask questions relevant to stress and intentional enforced harms.
      Verify the findings with questions relevant to stress and questions relevant to intentional enforced harms.

      Why should every state have stress counseling resources?
      At any point, an individual can have stress.

      What will happen if stress on an individual is ignored?
      Ignoring stress can cause an acute stress reaction.
      Various complications of stress can occur.

      Why is knowledge about stress essential for doctors?
      Multi-axial diagnosis
      Axis IV: Psychosocial stressors are an essential component of multi-axial diagnosis.
      Within stressors, there can be intentional enforced harms and human rights violations.

      Stress has more than 180 causes.
      Some of the causes of stress are intentional enforced harms and human rights violations.
      Not all causes of stress are intentional enforced harms or human rights violations.
      Intentional enforced harms can be civil and criminal issues.
      Basic human rights violations are criminal issues.

      What are other names of stress?
      Life stressors.
      Human stress.

      What does the Diagnostic and Statistical Manual of Mental Disorders (DSM5) reveal about these topics: stress, intentional enforced harms, and human rights violations?
      An answer from the American Psychiatric Association is awaited.

      How is this resource — www.qureshiuniversity.com/psychiatryworld.html – better than resources from the American Psychiatric Association?
      The resource www.qureshiuniversity.com/psychiatryworld.html is updated as soon as new verified research findings are available.

      Reading about stress will decrease stress.
      Discussing stress will decrease stress.
      In case of intentional enforced harms or human rights violations, fix the underlying cause immediately.

      What will happen to lab parameters of a normal human being subjected to repeated stress and harmful conditions?
      How do stress and harm affect adrenaline?
      How does adrenaline affect glucose, hematocrit, osmolality, and other metabolisms?


      Here are further guidelines.

    You are required to maintain these documents and enclosures for future reference.
    Questions aspiring psychiatrists must be ready to answer
    What questions must you be ready to answer?

    Where is your profile?

    What is your profile?

    What is your location at this point? If you are far from Chicago, Illinois, and are in North America, Asia, Africa, Latin America, or Australia, you can still get educated through distance education.

    What is the area of service or location in which you plan to work?

    Setting Boundaries
    Know Your Boundaries

    The difference between attempting to control another and setting a boundary is whether the focus is on the other person (control) or on you (boundary).

    Setting Boundaries

    The Importance of Setting Boundaries for Mental Health

    What are personal boundaries?
    1. Emotional boundaries

    2. Material boundaries

    3. Physical boundaries

    4. Sexual boundaries

    5. Time boundaries

    6. Workplace boundaries

    Research
    Issues
    At the minimum, the state department of health, in coordination with other departments worldwide, must sponsor such medical research.

    Why should they sponsor this medical research?
    There is no other resource that has done medical research in questions and answers the way it is displayed at http://www.qureshiuniversity.com/psychiatryworld.html

    What have been various significant findings in psychiatry research?
    Up to March 27, 2020 doctors, psychiatrists, and clinicians in America did not know that stress, intentional enforced harms, and human rights violations are medical diagnosis.
    These conditions do not need medication.
    These conditions need their underlying cause fixed with solutions and remedies.

    As per the international classification of diseases, "Stress" is a diagnosis.
    As per the American Psychiatric Association DMS 5, a response is awaited.
    A letter has been enclosed.
    I will appreciate it if you remind them of this letter and get answers to relevant questions.
    Continuing education of staff is required.

    Deprivation of rights under the color of law.
    Discrimination.
    Exclusion.

    Discuss how to fix the deprivation of rights under the color of law and his discrimination exclusion.

    What is my experience relevant to these issues?
    Take a look at the facts.

    Psychiatric symptoms: What causes them?
    Most of the time the causes are intentional harms from others.

    Intentional harms from others: What are various examples?
    Abuse
    Deprivation of rights under the color of law
    Discrimination
    Exclusion
    Harmful environment
    Harmful influence from others
    Neglect
    Physical torture
    Psychological torture
    Sabotage of rights
    Gross misconduct of others
    Other similar harms

    What do you have to do?
    Screen the person for various harms from others.
    Fix the underlying cause.

    What should Doctor Asif Qureshi get for the issues detailed at www.qureshiuniversity.com/departments.html?
    Federal reimbursement
    State reimbursement
    International reimbursement

    How does Dr. Asif Qureshi elaborate on these issues?
    How do you manage this situation?
    What best describes you?
    Existing psychiatrist
    New Patients
    Understanding a Patient in Detention
    Medical student psychiatry
    Patient
    Relative, well-wisher, or similar entity related to the patient
    Administrator or regulator
    Other (describe)

    Patient

    Where is the profile of the patient?

    What is the profile of the patient?

    What seems to be the problem?

    What psychiatry problems from the list do you think you have at this point?

    First try to help yourself using the mentioned guidelines.
    See the list relevant to this situation.
    Go through the coping skills.
    Go through the questions with each medical condition relevant to you. You will feel better.
    You can forward a press release to the nearest media outlet so that they display your problem via the internet.
    It is impossible to have in-person face-to-face therapy appointments because millions of individuals need mental health services.
    Due to various harms from others, public deliberations of these issues via the internet are required.

    Have you ever been diagnosed with any condition from the list?

    Emergency Psychiatry
    Psychiatric Diseases & Conditions A-Z Index
    Psychiatric disorders
    Commons Signs and Symptoms of Major Mental Illnesses
    Emergency
    Non-emergency

    What medications are you taking?

    Who diagnosed you?

    How did he or she reach this diagnosis?

    How old were you at that point?

    How old are you now?

    Is your current issue interfering with your everyday activities or your activities with others?

    How is your current issue interfering with your everyday activities or your activities with others?

    Here is the most important question.

    What did you understand?

    General psychiatrist: What are the skills and knowledge required for this job?

    https://www.qureshiuniversity.com/psychiatryworld.html

    Forensic psychiatrist: What are the skills and knowledge required for this job?
    https://www.qureshiuniversity.com/forensicpsychiatrist.html

    What is considered to be a ICD-10 Mental Health Billable Diagnosis?
    https://www.qureshiuniversity.com/icd10p.html

    Reimburse executive professional services

    Reimburse executive professional services: What is it?
    Reimburse means government departments compensate or remunerate an individual for the executive professional services provided.

    How does Dr. Asif Qureshi get reimbursed from Medicare?
    How does Dr. Asif Qureshi get reimbursed from Medicaid?
    How does Dr. Asif Qureshi get reimbursed from similar government departments keeping in mind that millions of Americans and non-Americans are getting helped based on online statistics?


    Statistics Relevant to Mental Health in the United States

    Statistics relevant to mental health in the United States: What do the statistics reveal?
    On January 1, 2024, this was the situation: 65 million Americans rely on Medicare and will need access to mental health. Medicare gives them mental health coverage.

    Can Dr. Asif Qureshi see 65 million Americans in in-person face-to-face therapy appointments?
    It is impossible. Other similar professional executive medical service providers cannot manage so many therapy appointments. Internet services have to be established the way Dr. Asif Qureshi has established them. They must be reminded about these services:
    www.qureshiuniversity.com/psychiatryworld.html. Government departments must provide reimbursements for Dr. Asif Qureshi for his 23 years of executive research from 1999 to 2023 in Chicago, Illinois, United States.

    What do those on Medicare have to do for mental health?
    Take a look at this: www.qureshiuniversity.com/icd10p.html. There are links to the ICD-10 Mental Health Billable Diagnosis. Those on Medicare should discuss with others the questions Dr. Asif Qureshi authored. You will feel much better. Your mental health will improve. Medicare and similar entities must forward reimbursement to Dr. Asif Qureshi.

    Read through the coping skills every day. There are at least 214 coping skills. Take a look at this: www.qureshiuniversity.com/copingskills.html. Use one coping skill per day. You will feel much better. Your mental health will improve. Experience has shown that some people in the northern parts of North America have enrolled and are asking to die. They do not want to live because they are in such extreme mental agony. This is a neglected lot. If you read the coping skills and use one coping skill each day, your mental health will be much better. Take a look at this: www.qureshiuniversity.com/copingskills.html.

    What is considered ICD-10 Mental Health Billable Diagnosis?
    www.qureshiuniversity.com/icd10p.html

    What must reimbursement specialists know?
    An assignment means a specified task or amount of work assigned. Claims specialists from government departments in Chicago, Illinois, United States asked Dr. Asif Qureshi to enlist soft skills and hard skills that were transferred to human services in Illinois so that executive healthcare services via the internet can be provided to others. I was on an assignment. Some officers do not understand the issues or situation. The executive research from Dr. Asif Qureshi continued for 23 years, from 1999 to 2023, in Chicago, Illinois, United States.

    Prescription Medications
    What does Dr. Asif Qureshi consider his favorite prescription medications for specific patients?

    Therapeutic Classification of Drugs

    Drug List by Therapeutic Category
    U.S. Pharmacopeia (USP) classification system, the AHFS system

    Benzodiazepines

    Clonazepam (Klonopin)
    Lorazepam (Ativan)
    Diazepam (Valium)
    Alprazolam (Xanax)

    Zolpidem

    Zolpidem belongs to a class of medications called sedative-hypnotics.


    Insomnia
    What medical condition needs medications for a short period of time?
    Insomnia. Insomnia may not need medication for many years.

    What is it?
    Prescription

    Name of the patient:
    Date of birth of the patient:
    Medication with strength: Diazepam 2mg
    Amount or quantity: 1 tablet
    Frequency: Once before bedtime
    How much to dispense: 5 tablets
    Route: Take 1 tablet by mouth 30 minutes before bedtime.
    Refills: No
    Date prescribed:
    Name of the doctor:
    Signature of the doctor:


    Name of the patient:
    Date of birth of the patient:
    Medication with strength: Zolpidem 5mg
    Amount or quantity: 1 tablet
    Frequency: Once before bedtime
    How much to dispense: 7 tablets
    Route: Take 1 tablet by mouth 30 minutes before bedtime.
    Refills: No
    Date prescribed:
    Name of the doctor:
    Signature of the doctor:


    Depression
    What is it?
    Prescription

    Name of the patient:
    Date of birth of the patient:
    Medication with strength: Bupropion (Wellbutrin) 100 mg
    Initial dose: 100 mg orally twice a day, increase if necessary after 3 days to 100 mg orally three times a day.
    How much to dispense: 10 tablets
    Route: Take 1 tablet by mouth
    Refills: No
    Date prescribed:
    Name of the doctor:
    Signature of the doctor:
    Take a look at this.


    Take a look at this.

    Sedative hypnotics are medications used to induce sleep or relaxation, and they include various classes such as benzodiazepines, non-benzodiazepines, and barbiturates.

    Common Classes of Sedative Hypnotics
    1. Benzodiazepines: These are commonly prescribed for anxiety and sleep disorders. Examples include: Diazepam (Valium)
      Lorazepam (Ativan)
      Temazepam (Restoril)
      Alprazolam (Xanax)
      Flurazepam (Dalmane).


    2. Non-Benzodiazepine Hypnotics (Z-Drugs): These are often preferred for their lower risk of dependence. Examples include:
      Zolpidem (Ambien)
      Eszopiclone (Lunesta)
      Zaleplon (Sonata).


    3. Barbiturates: These are less commonly used today due to their potential for dependence and overdose. Examples include:
      Phenobarbital (Luminal)
      Secobarbital (Seconal)
      Pentobarbital (Nembutal).


    4. Melatonin Receptor Agonists: These drugs mimic the action of melatonin, a hormone that regulates sleep. An example is:
      Ramelteon (Rozerem).


    5. Orexin Receptor Antagonists: These are newer medications that target the orexin system, which regulates wakefulness. An example is:
      Suvorexant (Belsomra).


    6. Sedating Antidepressants: Some antidepressants have sedative properties and can be used off-label for sleep. Examples include:
      Trazodone
      Doxepin (Silenor).

    Therapeutic Categories
    1. Analgesics/Antipain

    2. Anesthetics

    3. Antibacterials

    4. Anticonvulsants

    5. Antidementia Agents

    6. Antidepressants

    7. Antidotes, Deterrents, and Toxicologic Agents

    8. Antiemetics

    9. Antifungals

    10. Antigout Agents

    11. Anti-inflammatory Agents

    12. Antimigraine Agents

    13. Antimyasthenic Agents

    14. Antimycobacterials

    15. Antineoplastics

    16. Antiparasitics

    17. Antiparkinson Agents

    18. Antipsychotics

    19. Antivirals

    20. Anxiolytics: Antidepressants/Anxiolytics, Other

    21. Bipolar Agents

    22. Blood Glucose Regulators

    23. Blood Products/Modifiers/Volume Expanders

    24. Cardiovascular Agents

    25. Central Nervous System Agents Amphetamines, ADHD/Non-amphetamines, ADHD/Non-amphetamines, Other

    26. Dental and Oral Agents

    27. Dermatological Agents

    28. Enzyme Replacements/Modifiers

    29. Gastrointestinal Agents

    30. Genitourinary Agents

    31. Hormonal Agents, Stimulant/ Replacement/ Modifying (Adrenal)

    32. Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)

    33. Hormonal Agents, Stimulant/Replacement/Modifying (Prostaglandins)

    34. Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)

    35. Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)

    36. Immunological Agents

    37. Inflammatory Bowel Disease Agents

    38. Metabolic Bone Disease Agents

    39. Ophthalmic Agents

    40. Otic Agents

    41. Respiratory Tract Agents

    42. Sedatives/Hypnotics

    43. Skeletal Muscle Relaxants

    44. Therapeutic Nutrients/Minerals/Electrolytes
    Take a look at this.

    About the DEA
    The Drug Enforcement Administration (DEA)
    Ketamine is classified as a schedule III drug by the US Drug Enforcement Administration, meaning it has low to moderate potential for physical or psychological dependence. Scheduling a drug puts limits on how often a patient can refill their prescription and requires prescribers to be registered with the DEA and adhere to certain requirements for dispensing and storage.
    Drug Schedules
    Scheduling a drug puts limits on how often a patient can refill their prescription and requires prescribers to be registered with the DEA.
    Who received these facts?
    Drug Enforcement Administration
    Attn: Office of Diversion Control
    8701 Morrissette Drive
    Springfield, VA 22152
    https://www.dea.gov/
    ODLL@dea.gov
    DPY@dea.gov

    Subject:
    Scheduling a drug puts limits on how often a patient can refill their prescription and requires prescribers to be registered with the DEA.

    When did they receive these facts?
    September 19, 2024

    What did they receive?

    What described Dr. Asif Qureshi on September 19, 2024?
    He can guide 19 specific types of physicians.
    The facts are evidenced at www.qureshiuniversity.com/physicians.html
    He can guide 33 types of lawyers.
    The facts are evidenced at www.qureshiuniersity.com/lawyers.html
    He authored at least 5 non-fiction books.
    The facts are evidenced at www.qureshiuniversity.com/books.png
    He can guide 33 specific categories of skills.
    The facts are evidenced at www.qureshiuniersity.com/abilitiesworld.html
    He can guide more than 1000 different professions, including teachers, lawyers, engineers, physicians, and law enforcement professionals. The facts are evidenced at www.qureshiuniersity.com/professionaworld.html
    He authored professional questions and answers for at least 150 government departments. This has taken him 23 years in Chicago, Illinois, United States, from 1999 to 2023.
    The facts are evidenced at www.qureshiuniversity.com/departments.html

    I scored 100% on the United States Citizenship test in 2023, which included 100 questions: 57 questions about principles of American democracy, the system of government, and rights and responsibilities; 30 questions covering topics from the colonial period until the past few decades; and 13 questions about geography, holidays, and national symbols (see enclosure). Take a look at the following sources: https://www.qureshiuniversity.com/us.html and https://www.qureshiuniversity.com/c.html.

    https://www.qureshiuniversity.com/prescription.html

    Scheduling a drug puts limits on how often a patient can refill their prescription and requires prescribers to be registered with the DEA.

    What did you understand?
    What are the issues?

    My address: Dr. Asif Qureshi, 5042 North Winthrop Ave. Unit ___, Chicago, Illinois 60640.
    Telephone: 773-561-6102
    Email: admin@qureshiuniversity.com
    Here are further guidelines.
    Psychiatric Disorder Screening
    Your Symptoms Checklist (Please Check All That Apply)
    1. Depressive Symptoms (lasting at least 2 weeks or more) and Manic Symptoms

    2. Impulse Control Problems

    3. Anxiety Symptoms Obsessive-Compulsive Behaviors

    4. Attention-Deficit / Hyperactivity Disorder

    5. Oppositional Defiant Disorder

    6. Conduct Disorder / Delinquency

    7. Anger Management Problems

    8. Marital / Couples Conflict

    9. Psychoticism

    10. Sexual Abuse

    11. Grief / Loss Unresolved

    12. Low Self-Esteem

    13. Type A Behavior

    14. Vocational Stress

    15. Chemical / Alcohol Dependence

    16. Screening for Personality Disorders

    Coping Skills
    How does Dr. Asif Qureshi elaborate on these issues?
    How do you manage this situation?
    1. What are healthy coping skills? Answer

    2. What are unhealthy coping skills? Answer

    3. How do you cope with the situation? Answer

    4. If problems are created by others, how will you feel about these situations? Answer

    5. You feel stressed. What do you have to do? Answer

    6. What does it mean to cope? Answer

    7. Cope, cop, and coup: What is the difference? Answer

    8. Coping skills: How many are there? Answer

    9. What is a coping skills toolbox? Answer

    10. What if suggestions for new coping skills come up? Answer

    11. How do you use these coping skills? Answer

    12. What if the administrator does not have problem-solving skills relevant to his or her executive job? Answer

    13. What are the types of coping skills you need at this point? Answer

    14. What if you need more help? Answer

    15. What was circulated from Idaho? Answer

    16. What is the value of the professional services Dr. Asif Qureshi provides to others via the internet? Answer

    Coping Skills
    How does Dr. Asif Qureshi elaborate on these issues?
    How do you manage this situation?


    Coping with life stressors
    Coping with illness

    How do you cope with the situation?
    Read these guidelines from Dr. Asif Qureshi. Reading these guidelines will help you.

    If problems are created by others, how will you feel about these situations?
    You will feel stressed because of the harms from others. Take a look at coping with life stressors.
    Fix the underlying cause.

    You feel stressed. What do you have to do?
    Read these guidelines. You will feel much better.

    What does it mean to cope?
    To deal effectively with something, especially difficulties, obstacles, setbacks, and similar situations.

    Cope, cop, and coup: What is the difference?
    Cope means to deal effectively with something, especially difficulties, obstacles, setbacks, and similar situations.
    Cop means a police officer.
    Coup means a sudden change of government.

    Coping skills: How many are there?
    At least 214. There are at least 214 coping skills. See the alphabetical listing.

    What is a coping skills toolbox?
    It is a collection of various healthy items or suggestions that you can use when you are feeling stressed, anxious, or panicky.

    What are healthy coping skills?
    See the alphabetical list of at least 214 coping skills.

    What if suggestions for new coping skills come up?
    They will be placed in the new coping skills folder: www.qureshiuniversity.com/copingskillsfolder.

    What are unhealthy coping skills?
    Alcohol abuse is not allowed.
    Drug abuse is not allowed.
    Violence is not allowed. Assertive presentation is allowed.
    Lying is not allowed. You will need counseling if you start lying.
    Self-harm is not allowed.
    Harm of others is not allowed.
    Social withdrawal.
    Overeating.
    Procrastination (delaying issues).
    Sleeping too much or too little.
    Aggression is not allowed.

    How do you use these coping skills?
    You need to use what best describes your situation without harming yourself or others. Refer to the healthy and unhealthy coping skills.

    What if the administrator does not have problem-solving skills relevant to his or her executive job?
    Ask for counseling for the administrator.
    Ask for the administrator to be replaced with executives with problem-solving skills relevant to the executive job.

    What are the types of coping skills you need at this point?
    See the list of coping skills.
    See for yourself what is best for you.
    See help from others after you go through this list.

    What if you need more help?
    In-person face-to-face discussions are required.

    What was circulated from Idaho?
    It is a system problem. The entire system, in my opinion, needs to be revamped. Behavioral health plan (BHP): A new behavioral health plan is coming to Idaho. On December 27, 2023, this was circulated.

    What is the value of the professional services Dr. Asif Qureshi provides to others via the internet?
    Similar billable services charge 750 dollars for 60 minutes in California.

    Coping with illness: What do you have to do?
    Read these questions relevant to the situation: https://www.qureshiuniversity.com/questionsmc.html.

    Here are further guidelines: https://www.qureshiuniversity.com/counselingservicesworld.html.

    Here are further guidelines: https://www.qureshiuniversity.com/lifestressors.html.
    Here are further guidelines: https://www.qureshiuniversity.com/counselor.html.

    214 Coping Skills

    What are healthy coping skills?
    1. Anticipate your needs.

    2. Alphabetize your CDs/DVDs/books.

    3. Always have an alternative plan of action.

    4. Always make copies of important papers.

    5. Ask for help with the jobs you dislike.

    6. Ask someone to be your case manager, counselor.

    7. Avoid negative people.

    8. Avoid relying on chemical aids.

    9. Avoid tight fitting clothes.

    10. Be aware of the decisions you make.

    11. Be prepared for others problems solving.

    12. Be prepared for your problems solving.

    13. Be responsible for your feelings.

    14. Be with other people who are civilized.

    15. Become a better listener.

    16. Believe in yourself.

    17. Break large tasks into smaller portions.

    18. Build a computer application.

    19. Buy yourself a computer product or product you like.

    20. Clean out one closet.

    21. Clean something.

    22. Clean up trash at your room.

    23. Clean your room / closet.

    24. Color with Crayons.

    25. Color-coordinate your wardrobe.

    26. Complete something you've been putting off.

    27. Cook a favourite meal and eat it by pleasant light

    28. Contact a hotline your therapist.

    29. Cover yourself with appropriate clothing.

    30. Create or build something.

    31. Dance a jig.

    32. Develop your sense of humor.

    33. Do a brand new thing.

    34. Do a wordsearch or crossword.

    35. Do everything in moderation.

    36. Do it today.

    37. Do not rely on your memory write it down.

    38. Do not try to have all the answers.

    39. Do schoolwork.

    40. Do Yoga.

    41. Draw on yourself with a marker or computer applications.

    42. Eat healthy foods.

    43. Enlist the problems you are having.

    44. Exercise (running, walking, etc.).

    45. Exercise every day with specific exercises for yourself

    46. Exercise every day.

    47. Exercise.

    48. Feed another person that is pleasant.

    49. Feed yourself with favourite food.

    50. Find support from others

    51. Find yourself some toys and play.

    52. Fix the underlying cause.

    53. Fix the underlying causes.

    54. Freely praise other people

    55. Get enough sleep

    56. Get to work early

    57. Get together with friends and play Frisbee, soccer or basketball.

    58. Get up 15 Minutes earlier.

    59. Give yourself a facial.

    60. Go for a nice, long walk.

    61. Go for a walk alone.

    62. Go for a walk with a friend.

    63. Go see a movie.

    64. Go shopping.

    65. Go somewhere very public.

    66. Go to a gymnasium and exercise according to your needs.

    67. Go to a public library for 1 hour.

    68. Go to a resource that knows more than you.

    69. Have a support network of people, places and things.

    70. Have goals for yourself.

    71. Hug a friend whom you like.

    72. Hug a pillow.

    73. Hum a fantasy doll.

    74. Hunt for your perfect home on-line.

    75. Hyperfocus on something like a rock, hand, etc.

    76. Identify the causes of stress relevant to you. If you do not know what they are, search for them.

    77. If you do not fix the underlying causes, the complaint/problem will not be resolved.

    78. Keep a journal.

    79. Knit or sew if you like.

    80. Know if you consume same curry everyday you will not like this. Make a list of foods you like.

    81. Know your limitations and let others know them too.

    82. Learn a new language.

    83. Learn a new langiage what is more popular.

    84. Learn a new skill.

    85. Learn the words of a new song.

    86. Learn to meet your own needs.

    87. Learn to whistle a tune.

    88. Leave work early with permission.

    89. Let yourself handle one issue at a time.

    90. Listen to music or songs that are pleasant to your mind.

    91. Listen to a nice song you like.

    92. Listen to music.

    93. Look at a work of art

    94. Look at challenges differently

    95. Look at pretty things, like flowers or art.

    96. Look for the silver lining

    97. Look up at the research you have done

    98. Look up new words and use them

    99. Look up recipes, cook a meal.

    100. Maintain your weight.

    101. Make a crisis plan.

    102. Make a CD/playlist of your favorite songs.

    103. Make a list of blessings in your life.

    104. Make a list of goals for the week/month/year/5 years.

    105. Make Barfi. Bake cookies.

    106. Make a list of chart of emotions.

    107. Make duplicate keys

    108. Make hot chocolate, milkshake or smoothie.

    109. Meditate.

    110. Memorize a *joke

    111. Memorize a poem, play, or song.

    112. Move EVERYTHING in your room to a new spot.

    113. Music.

    114. Paint or draw.

    115. Paint your nails, do your make-up or hair.

    116. Pay attention to your appearance

    117. Perform a random act of kindness for someone.

    118. Pet an entity that is appropriate.

    119. Plan your dream room (colors/furniture).

    120. Plan your prom, events properly.

    121. Plant a tree.

    122. Plant some seeds.

    123. Play a musical instrument.

    124. Play patty cake with a _______

    125. Play the “15 minute game.” (Avoid something for 15 minutes, when time is up start again.)

    126. Play video/computer games.

    127. Play with a balloon.

    128. Play with a pet.

    129. Play with little kids.

    130. Play with modeling clay or Play-Dough.

    131. Post on web boards, and answer others' posts.

    132. Practice a monster smile.

    133. Practice breathing slowly.

    134. Practice grace under pressure.

    135. Practice preventative maintenance.

    136. Practice relaxation techniques.

    137. Pray, meditate.

    138. Prepare for the morning the night before.

    139. Punch a punching bag.

    140. Put a puzzle together.

    141. Put air freshener in your room.

    142. Put on clean clothes.

    143. Put safety first.

    144. Read a good book.

    145. Read a poem.

    146. Read a story curled up in bed.

    147. Read the truthful public service oriented news.

    148. Rearrange furniture in your room.

    149. Recognize the importance of unconditional love.

    150. Remember that stress is an attitude.

    151. Remember you always have options.

    152. Repair anything that doesn't work properly.

    153. Ride a bicycle.

    154. Rip paper into itty-bitty pieces.

    155. Say hello to a stranger.

    156. Say no more often.

    157. Say something nice to someone.

    158. Schedule play time into every day.

    159. Scribble/write on paper.

    160. Search for problem-/complaint-solving techniques relevant to the causes of my stress.

    161. Search for some good things your like on the internet.

    162. Search on-line for new songs/artists.

    163. Seek professional help.

    164. Set appointments ahead

    165. Set priorities in your life

    166. Shoot hoops, kick a ball.

    167. Shop” on-line (without buying any-thing). Also known as window shopping.

    168. Simplify meal times

    169. Sing.

    170. Smile

    171. Smile at least five ____.

    172. Sort through your photographs.

    173. Stand up and stretch

    174. Start collecting something.

    175. Stop a bad habit

    176. Stop saying negative things to yourself

    177. Stop thinking tomorrow will be a better day

    178. Stretch your limits a little each day

    179. Stretch.

    180. Strive for excellence NOT perfection

    181. Study problems solving.

    182. Take a bubble bath

    183. Take a different, route to work

    184. Take a hot shower or relaxing bath.

    185. Take a nap (only if you are tired).

    186. Take stock of your achievements

    187. Take up a new hobby.

    188. Talk about the issue.

    189. Talk less and listen more.

    190. Talk to someone who has professional expertise.

    191. Teach others what you have researched.

    192. Teach others new skills.

    193. Text or call to solve problems.

    194. Throw a paper airplane

    195. Tickle a _______

    196. Treat the underlying cause.

    197. Try some aromatherapy (candle, lotion, room spray).

    198. Try to do handstands, cartwheels, or backbends.

    199. Try to make as many words out of your full name as possible.

    200. Unclutter your life

    201. Use social support.

    202. Use time wisely

    203. Visualize yourself winning

    204. Walk in the rain

    205. Watch a ballet

    206. Watch a favorite TV show.

    207. Watch a video relevant to your issues or goals.

    208. Watch an old, happy movie.

    209. Watch what is pleasant and reasonable.

    210. Work at being cheerful and optimistic

    211. Write a letter or send an email.

    212. Write a letter to someone that will bring solutions remedies to issues.

    213. Write a note to a far away friend

    214. Write about incidents.
      Here are further guidelines.

    Patient
    Rights of Hospital Patients in Police Custody
    Lindsay Clancy
    What is the diagnosis?
    Bipolar disorder and postpartum psychosis
    A forensic psychiatrist diagnosed Clancy with those conditions after the killings.

    “If Defendants had not acted negligently, and rather had provided adequate care, it is more likely than not that Lindsay’s children would still be alive today,” the complaint alleges.

    What are the issues?
    Universal healthcare: Where is it?
    Who has the answer?
    Who is willing to answer?
    Who has the duty and responsibility to answer?
    Who from the government must approve the budget for these public services?


    Governor of Massachusetts
    President of the United States
    Senate Committee on Health, Education, Labor and Pensions

    What is your answer?

    Types of Jobs in Psychiatry

    Outpatient and Community-Based Mental Health Settings
    What are various examples?
    1. Psychiatrist (MD/DO)
    2. Clinical Psychologist – Focuses on psychological assessment and therapy but does not prescribe medication.
    3. Psychiatric Nurse Practitioner (PMHNP) – Provides psychiatric care, including prescribing medications under supervision or independently depending on state laws.
    4. Behavioral Health Counselor/Therapist – Offers therapy and counseling for mental health conditions, often in outpatient or community settings.
    5. Case Manager.
    6. Academic and Research Roles – Positions such as Clinical Assistant Professor of Psychiatry involve teaching, research, and clinical supervision in universities or medical schools.

    Hospital Setting
    What are various examples?
    1. Psychiatrist (MD/DO)
    2. Clinical Psychologist – Focuses on psychological assessment and therapy but does not prescribe medication.
    3. Psychiatric Nurse Practitioner (PMHNP) – Provides psychiatric care, including prescribing medications under supervision or independently depending on state laws.
    4. Behavioral Health Counselor/Therapist – Offers therapy and counseling for mental health conditions, often in outpatient or community settings.
    5. Case Manager.
    6. Academic and Research Roles – Positions such as Clinical Assistant Professor of Psychiatry involve teaching, research, and clinical supervision in universities or medical schools.
    7. Emergency Department (ED) Crisis Clinician
    8. Emergency Room Mental Health Technician — Roles, Duties, and Opportunities
    9. Mental Health Workers in Psychiatric Units

    Diazepam
    Diazepam is available for oral administration as tablets containing 2 mg, 5 mg or 10 mg diazepam, USP.
    ADULTS:
    Management of Anxiety Disorders and Relief of Symptoms of Anxiety.
    USUAL DAILY DOSE:
    Depending upon severity of symptoms—2 mg to 10 mg, 2 to 4 times daily

    ADULTS:
    Adjunctively for Relief of Skeletal Muscle Spasm.
    USUAL DAILY DOSE:
    2 mg to 10 mg, 3 or 4 times daily

    ADULTS:
    Adjunctively in Convulsive Disorders.
    USUAL DAILY DOSE:
    2 mg to 10 mg, 2 to 4 times daily

    Cognitive Behavioral Therapy (CBT)
    Focus on the mentioned issues.
    1. Thoughts
    2. Feelings
    3. Emotions
      Positive Human Emotions
      Negative Human Emotions
    4. Actions/Behavior
    5. Goals

    How Therapists Help Change Thoughts

    CBT is a structured, research‑supported therapy that focuses on the link between thoughts, feelings, and actions.

    What Exposure Therapy Is
    Exposure therapy is a structured psychological treatment designed to reduce fear and anxiety by repeatedly confronting what a person fears in a controlled, safe environment.
    Negative Human Emotions
    Angry (Agitated, Irritated, Resentful, Miffed, Upset, Mad, Furious, Raging)

    Sad (Down, Blue, Mopey, Grieved, Dejected, Depressed, Heartbroken)

    Scared (Tense, Nervous, Ancious, Jittery, Frightened, Panic-Stricken, Terrified)

    Surprise (Surprise Amazement, surprise, astonishment)

    Angry
    Anxious
    Annoyed
    Agony
    Apprehensive

    Burdened

    Concerned
    Crushed
    Confused
    Cautious
    Contempt

    Drained
    Destructive
    Doubtful
    Depressed
    Dissatisfied
    Disappointed
    Disgusted

    Embarrassment
    Envy

    Exasperated
    Exhausted

    Frustrated
    Fear

    Grief
    Greed
    Guilt

    Harassed
    Humiliation
    Hostile
    Hesitant

    Intimidated
    Indifferent
    Ignored
    In rage

    Jumpy
    Jealousy
    Manipulated

    Misery

    Nervous

    Obnoxious
    Overwhelmed

    Pressured
    Panic

    Rude
    Regret
    Remorse
    Revenge

    Stressed
    Sad
    Shame
    Suspicious
    Scared
    Shocked

    Tired


    Uncomfortable
    Upset

    Wary
    Wasteful
    Worry
    Weary


    Positive Human Emotions
    Excited (Ecstatic, Energetic, Aroused, Bouncy, Nervous, pericy, Antsy)

    Happy (Fulfilled, Contented, Glad, Complete, Satisfied, Optimistic, Pleased)

    Love (Intimate, Loving, Warm-Hearted, Tender, Sympathetic, Touched, Kind, Soft)

    Awe
    Assured
    Able
    Adequate

    Beautiful

    Compassion
    Comfortable
    Courageous
    Certain
    Capable
    Confident
    Charmed
    Cheerful
    Contented

    Determined
    Delighted

    Elated
    Energetic
    Empathy
    Eager
    Excellent
    Exhilarated
    Expectant
    Excited
    Enthusiastic

    Fascinated

    Glad
    Good
    Great
    Glorious
    Glamorous
    Graceful
    Grateful

    Humorous
    Hopeful
    Happy

    Interested
    Inspired

    Joyful

    Love
    Lively

    Magnificent

    Other positive emotions

    Powerful
    Pleasant
    Peaceful
    Pleasure
    Positive
    Playfulness
    Pride

    Relieved
    Relaxed

    Satisfied
    Strong
    Sympathy
    Sublime
    Surprised
    Stable
    Superior

    Thrilled

    Dialectical Behavior Therapy (DBT) is a specialized form of CBT
    for individuals with borderline personality disorder and difficulties regulating emotions
    Mindfulness: Enhancing present-moment awareness
    Distress Tolerance: Building strategies to survive crises without worsening the situation
    Emotion Regulation: Learning to manage intense emotions effectively
    Interpersonal Effectiveness: Improving communication and relationship skills

    Therapeutic questions for counseling
    Problem-Oriented Therapy (POT)

    What questions need to be further discussed?
    1. How do you resolve a problem?

    2. Why are we here at this point?

    3. Would you like to discuss any specific issue?

    4. Can you give brief introduction of yourself?

    5. What are the issues?

    6. How do you feel about this situation?

    7. What brings you to therapy?

    8. Have you been to therapy before? If yes, how did it go?

    9. Tell me about the important relationships in your life.

    10. Can you tell me more about that?

    11. Do you have one problem or many problems? Many problems.If you have many problems, can you identify the most urgent and important problem that should be fixed first and others that can be fixed later?

    12. Do you think these are emergency or nonemergency needs?

    13. Do you think this is a medical emergency or a medical nonemergency?

    14. Has any specific thing happened that led to this issue?

    15. How + 20 helping verbs + Subject + Action verb + Variable (noun phrase)
      How + 10 descriptive adjectives
      250 investigation questions and answers are possible.
      What did you understand?
    16. How does Dr. Asif Qureshi elaborate on this issue?

    17. How do you manage this issue?

    18. How are you a problem solver?

    19. How am I a problem solver?

    20. How is she a problem solver?

    21. How has the internet changed problem-solving?

    22. How has the internet changed the duties and responsibilities of this executive job?

    23. How have problem-solving case diaries been maintained?

    24. How have internet guidelines for executive jobs, such as www.qureshiuniversity.com/physicians.html and www.qureshiuniversity.com/departments.html authored by Dr. Asif Qureshi, been maintained in Chicago, Illinois, United States from May 10, 1999, to December 7, 2023?

    25. How can you resolve this problem?

    26. How could you resolve this problem?

    27. How should you resolve this problem?

    28. How may you resolve this problem?

    29. How must you resolve this problem?

    30. How might you resolve this problem?

    31. How would you resolve this problem?

    32. How shall you resolve this problem?

    33. How will you resolve this problem?

    34. How was he a problem solver?

    35. How were they problem solvers?

    36. How did he resolve this problem?

    37. How had he resolved this problem?

    38. How + adjective
    39. How accurately can you resolve this problem?

    40. How better can you resolve this problem?

    41. How best can you resolve this problem?

    42. How closely can you resolve this problem?

    43. How distantly can you resolve this problem?

    44. How easily can you resolve this problem?

    45. How fast can you resolve this problem?

    46. How far can you resolve this problem?

    47. How many problems are there?

    48. How much is the salary?

    49. How long will this research last?

    50. How often can you resolve this problem?

    51. How likely can you resolve this problem?

    52. How did it start? When did it start? Where did it start? How does it affect daily life? How does it feel? How intense is it? (e.g., 1–10 scale) How long has it lasted? Under what circumstances does it happen? How long has this been present? How is your current issue interfering with your everyday activities or your activities with others?

    53. How could this be prevented?

    54. How do you feel about your current situation?

    55. How do you plan to resolve these issues?

    56. How do you plan to resolve this issue?

    57. How is this troubling your everyday activity?

    58. How many emergency medical symptoms are there?

    59. How many issues do I have at this point? How many issues do you have?

    60. How will we measure progress?

    61. How would you describe your mood?

    62. If it is an emergency issue, what type of emergency is it?

    63. If this is a medical emergency: What type of medical emergency is it?

    64. Is it a medical emergency?

    65. Is there a need to establish new departments due to these issues?

    66. Is this an administrative issue or an academic concerns/learning Difficulty? Administrative issue.

    67. Is this an emergency or a non-emergency issue?

    68. Is this one problem or many problems? Many problems.

    69. Is this troubling your everyday activity?

    70. Interrogative adjectives: what, which, whose
      What + helping verb
    71. What are healthy coping skills? Answer

    72. What are unhealthy coping skills? Answer

    73. What are your goals for therapy?

    74. What are the different solutions?

    75. What are the issues?

    76. What are various possible solutions?

    77. What can be done later? What needs to be done immediately?

    78. What did you understand?

    79. What do I have to do?

    80. What do I think caused it?

    81. What do you have to do?

    82. What do you think causes it?

    83. What have you done so far for this?

    84. What have you tried so far to deal with the problem?

    85. What is normal?

    86. What is not justified in this situation?

    87. What is the best solution?

    88. What is the conclusion?

    89. What is the diagnosis at this point?

    90. What is the issue? What are the issues? What seems to be the issue or issues?

    91. What is the location?

    92. What is the plan of action?

    93. What is the treatment at this point?

    94. What must a revised plan look like?

    95. What must all supervisors in this situation know as circulated by Program Director Dr. Asif Qureshi?

    96. What must all those who are in public administration know?

    97. What must all websites display, including the websites of governments, universities, educational resources, news resources, and any other similar entity?

    98. What must an existing medical emergency physician know?

    99. What must an existing psychiatrist know?

    100. What must be circulated to all on or after July 22, 2026?

    101. What must be circulated to all?

    102. What must be monitored in this situation?

    103. What must be the focus relevant to this situation and government department?

    104. What must be the plan of action for them?

    105. What must be the priority?

    106. What must be written for the chosen job?

    107. What must every household get from the government?

    108. What must happen after December 13, 2025, relevant to these issues?

    109. What must happen at the executive level in the government on or after November 26, 2025?

    110. What must happen if staff shows noncompliance?

    111. What must happen next?

    112. What must happen on or after January 17, 2026, relevant to these issues?

    113. What must happen to this person?

    114. What must happen worldwide in government human resources at the executive level on or after May 27, 2026?

    115. What must officers and lawmakers know about decision-making?

    116. What must others know?

    117. What must others understand?

    118. What must reimbursement specialists know?

    119. What must you know about decision-making?

    120. What must you know about the 12 teachings of Dr. Asif Qureshi?

    121. What must your main focus be?

    122. What shall we give the children?

    123. What should the name of the new department be?

    124. What will happen if you continue having this?

    125. What will happen if you do not have this?

    126. What would you like to discuss among my list of issues?

    127. What would solve all their problems in this situation?

    128. What would you like to include or add that has not been included or added?

    129. What would you like to be?

    130. What would I like to discuss?

    131. What would you like to discuss?

    132. What would you like to add that is appropriate?

    133. What would you like to add, delete, or modify?

    134. What
      Interrogative adjective + noun + auxiliary verb (if needed) + subject + main verb + …?
      Interrogative adjectives: What/which/whose + noun + helping verb question: What book are you reading? Which book are you reading? Whose book are you reading? What/Which/Whose + noun + helping verb questions
      What subject does she teach? Which subject does she like best?
      What
      What (interrogative adjective) + (implied noun) + bring(s) (main verb).
    135. What brings you to therapy?

    136. What have you tried so far to deal with the problem?

    137. Have you been to therapy before? If yes, how did it go?

    138. How do you feel about your current situation?

    139. Tell me about the important relationships in your life.

    140. How would you describe your mood?

    141. What are your goals for therapy?

    142. Can you tell me more about that?

    143. What best describes the situation? https://qureshiuniversity.com/departments.html

    144. What causes it? What do you think causes it? Fix the underlying cause. The treatment is to fix the underlying cause.

    145. What department is responsible for resolving this issue?

    146. What describes the problem: job related, on the way, at home, or problems created by others? My problems are problems created by others.

    147. What gets priority: problem solving relevant to their jobs or their punctuality?

    148. What helps?

    149. What makes it worse?

    150. What needs to be done immediately?

    151. What needs to be done to verify what caused it?

    152. What professional is responsible for resolving this issue?

    153. What reduces it?

    154. What type of emergency is it?

    155. What various solutions came to your mind?

    156. When
    157. When did it start? Where did it start? How did it start?

    158. Where
    159. Where are the remedies?

    160. Where are the solutions?

    161. Where is it? For example, is the stress or pain in the head, in the chest, in the abdomen, or in any other location?

    162. Which
    163. Which entity or location is responsible for resolving this issue?

    164. Which individual is responsible for resolving this issue?

    165. Which solution should be implemented?

    166. Who
    167. Who has the answer? Who has the duty and responsibility to answer? Who is willing to answer?

    168. Will
    169. Will one person be affected or many people?

    Diagnosis-Oriented Therapy

    What questions need to be further discussed?
    What should you be able to elaborate about a medical condtion?
    1. What is it?

    2. What causes it?

    3. What complications can occur?

    4. What are the risk factors?

    5. What's normal?

    6. How is it diagnosed?

    7. What is the diagnosis?

    8. What are the symptoms?

    9. What are the signs?

    10. What are the clinical findings?

    11. What are the lab or investigation findings?

    12. What human anatomy should one know relevant to this medical condition?

    13. What human physiology should one know relevant to this medical condition?

    14. What human biochemistry should one know relevant to this medical condition?

    15. What human microbiology should one know relevant to this medical condition?

    16. How many such cases occur worldwide every year?

    17. How has diagnosis and treatment of this medical condition evolved?

    18. What medical history should you seek relevant to this issue?

    19. What happens in this medical condition?

    20. What research is being done on this issue?

    21. How can I help?

    22. How can you help?

    23. How is this medical condition reported?

    24. What should happen before reporting this medical condition?

    25. What are the types of this medical condition?

    26. What is the treatment?

    27. What are the workable treatment options?

    28. When is counseling required?

    29. When is medication required?

    30. How long should medication last?

    31. What type of medication is available?

    32. How could this be prevented?

    Last Updated: August 12, 2026