Clinical psychiatry course 5th class Course objectives 1- estimate total prevalence of mental disorders and that of anxiety, depression, schizophrenia, bipolar disorders, substance abuse and suicide in Iraq and western countries 2- compare mental health services at past with present and in Iraq with modern wold services 3-outline main titles in history and mental state examination 4- evaluate significance of demographics in case history 5- expect how to gather chief complaint and present illness 6- evaluate open ended vs. closed ended questions 7- follow progress of symptoms and precipitating factors 8- expect important negatives 9- expect key elements of family and personal history 10- evaluate significance of family history 11- follow history of birth ,development and behaviors of early childhood 12- evaluate significance of school , work and relationships 13- relate medical history to mental illness 14- record possibilities of substance abuse 15- observe phenomena in appearance and behaviour i.e. health , self care , facial look , activity , attitude, posture 16- link phenomena observed in appearance and behaviour with certain disorders 17- illicit pathological phenomena in speech 18- differentiate mood from affect 19- define delusions , obsessions and preoccupation 20- classify delusions 21- define formal thought disorder 22- evaluate significance of auditory hallucinations vs, visual hallucinations 23- differentiate hallucinations from pseudo hallucinations 24- relate illusions to mental disorders 25- assess clinically memory attention , concentration and intelligence 26- examine roles of dopamine , serotonin, and noradrenaline in mental illness 27- recognize value of clinical insight 28- expect anxiety symptoms 28- classify anxiety disorders 30- compare key etiological factors in anxiety disorders 31 - outline key steps of management of anxiety disorders 32- classify benzodiazepines 33- expect course of treatment with benzodiazepines 34- expect side effects of benzodiazepines 36- outline management steps of insomnia 37- describe symptoms of depression 38- Evaluate clinical significance of melancholic and atypical depression 39- outline steps of treatment of depression 40- expect side effects of SSRIs 38- define CBT and recognize its therapeutic role 41- differentiate positive from negative symptoms of schizophrenia 42- compare first and second generation antipsychotics with examples 43-point out risks with olanzepine and clozapine 44- evaluate role of rehabilitation in schizophrenia 45- consider role of depot preparations 46- differentiate bipolar I from bipolar II 47- evaluate role of mood stabilisers 48- approach unexplained physical symptoms in medical practice 49- outline management of unexplained physical symptoms 50- compare seizures with pseudo seizures 51- consider primary gain and secondary gain 52- outline steps of management of hysteria at casualty room 53- assess suicide risk 54- approach agitated patient 55- deal with delirium patients at medical wards and at casualty room 56- describe key features of PTSD 57- evaluate role of behavior therapy in phobia and PTSD 58- explain etiology of addiction 59- differentiate detoxification from rehabilitation in addiction 60- evaluate role of biological reward mechanism in addiction 61- make examples for drugs used for detoxification of alcohol and opioids 62- make examples of drugs used at reward mechanism 63- expect indications and contraindications of ECT 64- outline key features of childhood autism 65- outline key features of personality disorders