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?
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?
What are Examples of Financial Abuse? Your ability to work is negatively impacted.
Have you ever felt taken advantage of financially?
Does anyone else make decisions about your money or property?
Has anyone asked you to sign papers you didn’t understand?
Has anyone taken money from your bank account, wallet, or valuables without permission?
Have you been pressured to change your Power of Attorney or Will?
Do you manage your own finances, or does someone else do it for you?
Are there new people in your life influencing your financial decisions?
Has your loved one's standard of living or lifestyle changed unexpectedly?
Have you discussed your loved one's wishes and preferences for their financial
management?
What steps have you taken to report and address suspected financial
exploitation?
Have you involved any elder abuse advocacy organizations or support services?
What steps have you taken to protect your loved one from further exploitation or
retaliation?
Is there mutual agreement and open discussion on finances in your relationship?
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?
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
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?
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.
Why are we here at this point? What is the current situation?
Is the person conscious and oriented to time, place, person, and situation?
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
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)?
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?
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?
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?
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.
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?
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?
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)
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?
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.
How do you know if this is a medical emergency or medical nonemergency? Answer
Emergencies
Emergency Psychiatry
What should an emergency medical doctor or any psychiatrist exclude before diagnosing and treating any emergency medical condition relevant to psychiatry? Answer
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? Answer
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
When can a person be subject to involuntary judicial admission to a psychiatric facility? Answer
When can a person not be subject to involuntary judicial admission to a psychiatric facility? Answer
Psychiatric Consultations
What should you know about evaluation, diagnosis, and treatment of psychiatric medical conditions in various healthcare settings? Answer
What is included in a comprehensive psychiatric consultation?
Answer
What do you have to do before a patient or individual from the public seeks individualized doctor consultation? Answer
What should you expect from a doctor during individualized consultation? Answer
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
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?
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.
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.
Homicidal ideation
Suicidal ideation
Attempted homicide
Attempted suicide
Acute Psychosis
Agitation and Aggression
Acute depression is a sudden-onset, severe depressive episode that can significantly disrupt mood, behavior, and daily functioning.
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.
Abuse, Neglect, Exploitation and Mistreatment
Aggressive
Choking
Complicated grief
Confused thinking
Deep, ongoing sadness, or feeling down
Decompensation of Personality Disorders
Detachment from reality (delusions), paranoia (the belief that others are “out to get you) or hallucinations (seeing things that aren't there)
Detention (confinement)
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?
Drug or alcohol abuse
Emotional and Psychological Trauma
Environmental factors (hostile environment).
Excessive anger, hostility, and/or violence
Extreme mood changes, from highs to lows, often shifting very quickly
Extreme tiredness, low energy, or sleeping problems
Functional impairment (not taking care of self. inability to gain relevant skills and knowledge relevant to age).
Human rights violations from others.
I am facing deprivation of rights under the law, discrimination, exclusion, sabotage, and intentional harm from others.
Inability to manage day-to-day stress and problems
Incarceration/Reason for incarceration
Intentional enforced harms from others.
Involuntary admission to a psychiatric facility
Irritability
Intoxication / Alcohol intoxication
Likely to be harmful to self or others.
Loosening of social inhibitions.
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.
Marked changes in eating habits
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).
Neglect of responsibilities
Overdoses, drug interactions, and dangerous reactions from psychiatric medications, especially antipsychotics, are considered psychiatric emergencies.
Other.
Panic attacks.
Personality disorders (harmful to others).
Persistent impairment
Presence of delusions
Psychosis(delusions, hallucinations, catatonia, thought disorder, loss of contact with reality).
Reduced ability to concentrate
Serious drug reactions with psychiatric or non-psychiatric medications.
Substance abuse.
Substance dependence
Significant, rapid changes in behavior.
Strong feelings of fear, worry, or guilt
Survival needs issues.
Trafficking in Women and Children for Sexual Exploitation
Trouble understanding situations and other people
Violent behavior
Violence or other rapid changes in behavior.
Withdrawal from others and from activities you used to enjoy
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.
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.
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?
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
Borderline Personality Disorder: Living Without Emotional Skin
Indicated
by five (or more) of the following:
Anger/Inappropriate, intense anger or difficulty controlling anger
(e.g., frequent displays of temper, constant anger, recurrent
physical fights).
Frantic efforts to avoid real or imagined abandonment. (Note:
Do not include suicidal or self-mutilating behavior covered in
Criterion 5.)
A pattern of unstable and intense interpersonal relationships
characterized by alternating between extremes of idealization
and devaluation.
Identity disturbance: markedly and persistently unstable selfimage
or sense of self.
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.)
Recurrent suicidal behavior, gestures, or threats, or selfmutilating
behavior.
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).
Chronic feelings of emptiness.
Transient, stress-related paranoid ideation or severe
dissociative symptoms.
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.
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
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.
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
Obsessive-Compulsive Disorder: Trapped in Loops
Panic Disorder: Terror That Arrives Without Warning
Post-Traumatic Stress Disorder: When Trauma Doesn’t Stay in the Past
Social Anxiety Disorder: Far Beyond Shyness
Specific Phobias: When Fear Outgrows Its Usefulness
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
Apathy/Loss of initiative or desire to participate in any activity
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.
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.
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?
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
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.
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.
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
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.
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.
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.
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 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.
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 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 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
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?
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.
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.
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
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.
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).
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.
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.
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.
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.
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 70â€â€ÂÂÂor as high as 75â€â€ÂÂÂindicates a limitation in intellectual functioning.
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.â€ÂÂÂÂ
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.
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.
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.
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 3â€â€ÂÂÂ15, 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?
Remoteâ€â€ÂÂÂcan person remember past events?
· Recentâ€â€ÂÂÂcan person remember 3/3 objects after 5 min?
Immediateâ€â€ÂÂÂhow 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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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
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.
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
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?
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:
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.
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 labelâ€â€ÂÂÂthe most serious type of warningâ€â€ÂÂÂon 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.
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 relapseâ€â€ÂÂÂtheir 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.
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.
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.
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?
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.
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 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
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.
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?
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.
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.
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.
Where is reference resource for psychiatry?
Courts should place this reference resource â€â€ÂÂÂwww.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?
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.
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?
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 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.
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
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 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
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.
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
Benzodiazepines: These are commonly prescribed for anxiety and sleep disorders. Examples include:
Diazepam (Valium)
Lorazepam (Ativan)
Temazepam (Restoril)
Alprazolam (Xanax)
Flurazepam (Dalmane).
Non-Benzodiazepine Hypnotics (Z-Drugs): These are often preferred for their lower risk of dependence. Examples include:
Zolpidem (Ambien)
Eszopiclone (Lunesta)
Zaleplon (Sonata).
Barbiturates: These are less commonly used today due to their potential for dependence and overdose. Examples include:
Phenobarbital (Luminal)
Secobarbital (Seconal)
Pentobarbital (Nembutal).
Melatonin Receptor Agonists: These drugs mimic the action of melatonin, a hormone that regulates sleep. An example is:
Ramelteon (Rozerem).
Orexin Receptor Antagonists: These are newer medications that target the orexin system, which regulates wakefulness. An example is:
Suvorexant (Belsomra).
Sedating Antidepressants: Some antidepressants have sedative properties and can be used off-label for sleep. Examples include:
Trazodone
Doxepin (Silenor).
Therapeutic Categories
Analgesics/Antipain
Anesthetics
Antibacterials
Anticonvulsants
Antidementia Agents
Antidepressants
Antidotes, Deterrents, and Toxicologic Agents
Antiemetics
Antifungals
Antigout Agents
Anti-inflammatory Agents
Antimigraine Agents
Antimyasthenic Agents
Antimycobacterials
Antineoplastics
Antiparasitics
Antiparkinson Agents
Antipsychotics
Antivirals
Anxiolytics: Antidepressants/Anxiolytics, Other
Bipolar Agents
Blood Glucose Regulators
Blood Products/Modifiers/Volume Expanders
Cardiovascular Agents
Central Nervous System Agents Amphetamines, ADHD/Non-amphetamines, ADHD/Non-amphetamines, Other
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.
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.
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)
Depressive Symptoms (lasting at least 2 weeks or more) and Manic Symptoms
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 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 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
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.
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
Have you been to therapy before? If yes, how did it go?
Tell me about the important relationships in your life.
Can you tell me more about that?
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?
Do you think these are emergency or nonemergency needs?
Do you think this is a medical emergency or a medical nonemergency?
Has any specific thing happened that led to this issue?
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?
How does Dr. Asif Qureshi elaborate on this issue?
How do you manage this issue?
How are you a problem solver?
How am I a problem solver?
How is she a problem solver?
How has the internet changed problem-solving?
How has the internet changed the duties and responsibilities of this executive job?
How have problem-solving case diaries been maintained?
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?
How can you resolve this problem?
How could you resolve this problem?
How should you resolve this problem?
How may you resolve this problem?
How must you resolve this problem?
How might you resolve this problem?
How would you resolve this problem?
How shall you resolve this problem?
How will you resolve this problem?
How was he a problem solver?
How were they problem solvers?
How did he resolve this problem?
How had he resolved this problem?
How + adjective
How accurately can you resolve this problem?
How better can you resolve this problem?
How best can you resolve this problem?
How closely can you resolve this problem?
How distantly can you resolve this problem?
How easily can you resolve this problem?
How fast can you resolve this problem?
How far can you resolve this problem?
How many problems are there?
How much is the salary?
How long will this research last?
How often can you resolve this problem?
How likely can you resolve this problem?
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?
How could this be prevented?
How do you feel about your current situation?
How do you plan to resolve these issues?
How do you plan to resolve this issue?
How is this troubling your everyday activity?
How many emergency medical symptoms are there?
How many issues do I have at this point? How many issues do you have?
How will we measure progress?
How would you describe your mood?
If it is an emergency issue, what type of emergency is it?
If this is a medical emergency: What type of medical emergency is it?
Is it a medical emergency?
Is there a need to establish new departments due to these issues?
Is this an administrative issue or an academic concerns/learning Difficulty? Administrative issue.
Is this an emergency or a non-emergency issue?
Is this one problem or many problems? Many problems.
Is this troubling your everyday activity?
Interrogative adjectives: what, which, whose
What + helping verb
What can be done later? What needs to be done immediately?
What did you understand?
What do I have to do?
What do I think caused it?
What do you have to do?
What do you think causes it?
What have you done so far for this?
What have you tried so far to deal with the problem?
What is normal?
What is not justified in this situation?
What is the best solution?
What is the conclusion?
What is the diagnosis at this point?
What is the issue? What are the issues? What seems to be the issue or issues?
What is the location?
What is the plan of action?
What is the treatment at this point?
What must a revised plan look like?
What must all supervisors in this situation know as circulated by Program Director Dr. Asif Qureshi?
What must all those who are in public administration know?
What must all websites display, including the websites of governments, universities, educational resources, news resources, and any other similar entity?
What must an existing medical emergency physician know?
What must an existing psychiatrist know?
What must be circulated to all on or after July 22, 2026?
What must be circulated to all?
What must be monitored in this situation?
What must be the focus relevant to this situation and government department?
What must be the plan of action for them?
What must be the priority?
What must be written for the chosen job?
What must every household get from the government?
What must happen after December 13, 2025, relevant to these issues?
What must happen at the executive level in the government on or after November 26, 2025?
What must happen if staff shows noncompliance?
What must happen next?
What must happen on or after January 17, 2026, relevant to these issues?
What must happen to this person?
What must happen worldwide in government human resources at the executive level on or after May 27, 2026?
What must officers and lawmakers know about decision-making?
What must others know?
What must others understand?
What must reimbursement specialists know?
What must you know about decision-making?
What must you know about the 12 teachings of Dr. Asif Qureshi?
What must your main focus be?
What shall we give the children?
What should the name of the new department be?
What will happen if you continue having this?
What will happen if you do not have this?
What would you like to discuss among my list of issues?
What would solve all their problems in this situation?
What would you like to include or add that has not been included or added?
What would you like to be?
What would I like to discuss?
What would you like to discuss?
What would you like to add that is appropriate?
What would you like to add, delete, or modify?
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).
What brings you to therapy?
What have you tried so far to deal with the problem?
Have you been to therapy before? If yes, how did it go?
How do you feel about your current situation?
Tell me about the important relationships in your life.
How would you describe your mood?
What are your goals for therapy?
Can you tell me more about that?
What best describes the situation? https://qureshiuniversity.com/departments.html
What causes it? What do you think causes it? Fix the underlying cause. The treatment is to fix the underlying cause.
What department is responsible for resolving this issue?
What describes the problem: job related, on the way, at home, or problems created by others? My problems are problems created by others.
What gets priority: problem solving relevant to their jobs or their punctuality?
What helps?
What makes it worse?
What needs to be done immediately?
What needs to be done to verify what caused it?
What professional is responsible for resolving this issue?
What reduces it?
What type of emergency is it?
What various solutions came to your mind?
When
When did it start? Where did it start? How did it start?
Where
Where are the remedies?
Where are the solutions?
Where is it? For example, is the stress or pain in the head, in the chest, in the abdomen, or in any other location?
Which
Which entity or location is responsible for resolving this issue?
Which individual is responsible for resolving this issue?
Which solution should be implemented?
Who
Who has the answer? Who has the duty and responsibility to answer? Who is willing to answer?