Bedside Psychiatry Arabinda N Chowdhury
INDEX
A
Abnormal involuntary movement scale 171
Acathexis 90
Addiction severity index 171
Adult attention deficit hyperactivity disorder 132
self-report scale 171
Aesop's fables 163
Affective disorders, schedule for 170
Aggression, episodes of 79
Agoraphobia 94
Agraphia 81
Alcohol 21
abuse 58
dependence, screening test for 171
misuse of 55
problems 59
related problems 131
withdrawal syndrome 108
Alcoholism 109
Alexia, pure 81
Alexithymia 90
Alkaline phosphatase 176
Alzheimer's disease 80, 89, 138
Ambitendency 78, 84
Amenorrhea 20
Amnesia 122
anterograde 122
dissociative 117, 123
retrograde 122
traumatic 122
Amnestic disorders 122
Amotivational syndrome 181
Amphetamine 21
Anankastic personality disorder 156
Anhedonia 89
Ankle 31
clonus 31
Anorexia nervosa 97
Antipsychotics
atypical 183
conventional 184
first-generation 184
second-generation 183
Anton's syndrome 107
Anxiety 67
disorder
generalized 153
separation 148
episodic paroxysmal 153
free floating 94
general 170
inventory 170
neurotic 160
reality 160
Anxious personality disorder 156
Aphasia 35, 80, 81
anomic 80
conduction 80
expressive 80
non-fluent 80
phonemic 80
pure 81
receptive 80
semantic 80
type 81
Aphonia 82
Aprosodias 81
Aspartate aminotransferase 176
Asperger's syndrome 181
Ataxia, postural 33
Athetosis 30
Atonic seizures 77
Attention 46
alternating 120
and concentration 34, 46, 120
deficit hyperactivity disorder 132, 171
span 120
Attitude 5
of parents toward sex 19
toward opposite sex 19
Auditory verbal hallucination 112
Autism 89
spectrum disorder 150
Autistic thinking 45
Autokinetic illusion 105
Autoscopy
internal 109
negative 109
Azotemia 85
B
Babinski response 32
Beck's depression inventory 136, 170
Beck's hopelessness scale 129
Beck's scale for suicide ideation 171
Beck's suicidal intention scale 129
Behavioral
problems 18
symptoms 67
therapy 59, 184
Bender-Gestalt test 172
Bereavement exclusion, removal of 150
Biceps 31
Bilirubin 176
Binge eating 97
disorder 149
Bipolar
disorder 87, 88, 170
graph 87
Birth
complications 20
history 17
timing 20
Bizarre delusion 102
Blindness, cultural 72
Blood
pressure 26
urea nitrogen 176
Body
dysmorphic disorder 96, 117, 118
image, distortion of 44, 117, 118
mass index 74
calculate 133
system 16
Borderline personality disorder 88, 171
Brachial plexus 28
Bradylalia 83
Brain
electrical activity in 115
lesions 138
neurochemical activity in 115
tumors
clinical features of 143
general differential diagnosis of 143
Brainstem 142
corticobulbar pathways in 142
Breathing 16
Brief psychiatric rating scale 137, 171
Broca's aphasia 80
Bulimia nervosa 97
C
Cage questionnaire 171
Calcium 176
Capgras delusion 100
Cardiovascular disease 74, 174
Cardiovascular system 26
Care plan 184
Catastrophic reaction 87
Catatonia 84
malignant 85
Catatonic waxy flexibility 117
Catharsis 184
Central negative system, disorders of 114
Central nervous system examination 26, 27, 76
Central paresis 142
Cereal flexinilitas 84
Cerebellar disease 28, 33
Cerebral shock 28
Cerebrovascular disease 138
Cerebrum 142
Cervical
cord tumor 28
glandular enlargement 28
rib 28
spinal cord, upper 142
spondylosis 28
tumors 28
Charles Bonnet syndrome 111
Childhood disorders 18
Chloride 176
Cholesterol 176
Chorea 30
Clasp-knife spasticity 28
Clinical antipsychotic trials of intervention effectiveness 126
Clinical bedside frontal lobe tests 141
Clinical dementia rating 172
Clinical global impression-improvement scale 173
Clinical psychiatric evaluation and intervention, steps in 13
Clonus 29, 32
Clozapine 175
Clubbing 26
Cocaine 21
intoxication 108
Cognitive
development 19
state assessment 138
therapy 59, 184
Cogwheel rigidity 28
Coma 57, 76
psychogenic 76
Communication
attempt for 131
nonverbal 5
verbal 5
Complete blood count 174, 176
Composite international diagnostic interview 170
Comprehension, test for 36
Comprehensive psychopathological rating scale 171
Compulsion 94
Concentration, test for 46
Confusion 76
Conscious mind 158
Consciousness 27, 69
Convulsive movements 30
Cotard's syndrome 99
Couvade syndrome 102
Covert medication 185
Cranial nerves 27, 33
Crying, episodes of 79
Cryptamnesia 123
Cryptolalia 83
Cultural assessment, aim of 70
Culture-bound syndromes 182
Cyanosis 18, 26
Cyclothymia 89
D
Data Protection Act 12
De Clerembault's syndrome 99
Deafness, pure word 81
Decathexis 90
Deep tendon reflexes 32
Deep vein thrombosis 85
Delirium 76, 138
common causes of 138
Delivery
place of 18
type of 18
Delusion 127
amorous 99
elicit nature of 41
persecutory 98
Delusional misidentification syndrome 100
Delusional perception 110, 113
Delusional projection 161
Delusional thought 40, 98
type of 40
Delusions
different types of 98
paranoid 98
Dementia 106, 123, 138, 172
disability assessment for 172
multi-infarct 138
Depression 67, 170
Depressive disorder 147
Dhat syndrome 182
Diabetes 26, 74
Disruptive mood dysregulation disorder 149
Dissociation 117, 162
Dissociative fugue 118, 123
Dissociative identity disorder 113, 118, 123
Distortion 161
Distress narratives 24
Domestic abuse 60
Domestic violence 60
Dominant parietal lobe tests 140
Dramatic cluster 155
Drugs
attitude inventory 171
misuse of 55
Dysarthria 35, 82
Dysgraphia 81
Dyskinesias 30
Dyslexia 125
Dyslipidemia, management of 75
Dysmegalopsia 104
Dysmorphophobia 96, 117
delusions of 99
Dysphasia 82
Dysphonia 82
Dysphoric disorder, premenstrual 67
Dysprosody 35, 82
Dysthymia 89
Dystonia 30, 144
levodopa-induced 30
Dystonic syndromes 144
Dystrophy, muscular 28
E
Eating disorders 59, 96, 133
Eccentric cluster 154
Echolalia 91, 117
Echopraxia 84, 117
Edema 26
Ego defense mechanisms 158, 161
Ego-dystonic 185
Ekbom's syndrome 99
Electrocardiogram 177
Electroencephalogram 144, 177
Electrolytes 176
Emotional abuse 60
Emotional problems, adolescent 19
Emotional status 171
Emotional symptoms 67
Emotionally unstable personality disorder 156
Emotions 114
Encephalopathy, metabolic 80
Epilepsy 30, 89, 138
partial 30
Epileptic automatism 77
Erotic delusion 99
Excoriation disorder 149
Exhaustion 114
Extrapyramidal symptom rating scale 171
Extrapyramidal syndromes 143
Extraversion 69
Eye contact 78
F
Face and neck, involuntary movements of 30
Facial 27
dystonia 31
expressions 78
tics 30
Fact feeling orientation 7
Fantasy 162
Fast speech 82
Federal Bureau of Investigation 98
Feeding habits 18
Financial abuse 60
Finger
agnosia 140
flexion 31, 32
nose test 33
Fluent aphasia 80
Focal epilepsy 30
Folic acid 176
Folstein test 138
Forearm 28
Forensic problems 59
Forgetting 121
Formal thought disorder 39, 91
Foul body odors, delusion of 99
Free thyroxine index 176
Fregoli delusion 100
Frontal lobe
functioning, assessment of 141
syndrome 141
Frontal release signs 32
Functional level, assessment of 171
Fusion 91
G
Gait 29, 33
ataxic 29
high-stepping 29
hysterical 30
shuffling 29
waddling 30
Ganser's syndrome 123, 181
Gastrointestinal system 26
Gender identity disorder 118
General health questionnaire 170
Genitourinary system 26
Genogram 66
Gilhari syndrome 182
Gilles de La Tourette's syndrome 181
Global aphasia 81
Glucose 174, 176
Grand mal epilepsy 30
Grandiose delusions 99
Grandiosity 95
Graphesthesia 31, 33
Grasp reflex 141
Growth and developmental targets 20
Guilt 93
delusion of 57, 99
H
Halitosis 99
Hallucination 104, 115,115127
auditory 107, 111, 113, 115, 116
autoscopic 109
causes of 114
command 107, 112
complex 106
audiovisual 107
elementary 106
experiential 110
extracampine 109
fake 115
frequency of 114
functional 109
gustatory 108
haptic 108
ictal 110
imperative 107
migrainous 109
musical 109
neurological causes of 145
of bodily sensation 108
olfactory 108
organized 106
panoramic 110
proprioceptive 108, 109
second person 111
sexual 108
tactile 108
third person 111
types of 107
visual 107, 116
Hallucinosis
organic 106
peduncular 107
Halstead-Reitan battery 172
Hamilton rating scale 136
for anxiety 170
for depression 170
Harm, risk of 55
Head injury 80
Headaches 16
Hearing 16
Hebephrenia 151
Heel-knee test 33
Hematocrit 176
Hemiballismus 30
Hemiparesis
clinical picture of 142
lesions of 142
Hemoglobin 176
glycosylated 176
Hepatitis B surface antigen 176
Hepatolenticular degeneration 144
Heroin 21
Hoarding disorder 149
Hoffman's reflex 32
Homicidal ideation 93
Hopelessness 93
Horn cell, anterior 28
Humor 163
Huntington's disease 89
Hypermnesia 122
Hypersomnia 65
Hypertension 16
reduction of 75
Hypertonia, types 28
Hypervigilance 120
Hypnosis 114
Hypochondriacal delusion 100
Hypochondriasis 96, 162
Hypomania 153
Hyporeflexia 32
Hypotonia 28
ipsilateral 28
I
Illness, explanatory model of 57, 71, 133
Infections 16
Infidelity, delusions of 98
Inflammatory lesions 28
Injury 16, 28
Insomnia 65
Institutional abuse 60
Intermetamorphosis 100
International Classification of Diseases 60, 151
International Classification of Epilepsy 77
Internet use gaming disorder 150
Interview
clinical examination 1
goal of 4
management 1
phases of 6
process 5
structure of 6
Interviewer
attitude 5
behavior of 5
Intravenous drug 21
Irritability 67
Isolation 163
J
Jargon aphasia 80
Jaundice 18, 26
Jaw jerk 31
Jealousy, delusions of 98
Joint pain 16
K
Kernig's sign 33
Kidney function test 176
Kleine-Levin syndrome 181
Knee 31
Korsakoff's syndrome 122
L
Labyrinthine disease 33
Lactate dehydrogenase 176
Language evaluation 34, 35, 80
Lead-pipe rigidity 28
Learning disability 59, 125
Lesion, site of 142
Lewy body disease 138
Libido 16, 185
Lipoprotein
high-density 176
low-density 176
very low-density 176
Listening skill 5
Liver function test 174, 176
Lizard syndrome 182
Locked-in syndrome 57, 182
Logorrhoea 82
Lower limb 33
Luria-Nebraska neuropsychological battery 172
Lymphadenopathy 26
M
Magical thinking 92
Magnesium 176
Malignancy 28
Mannerisms 78, 84
Mass delusion 101
Masturbation, infantile 19
Material abuse 60
Mature defenses 163
Mean corpuscular
hemoglobin 176
concentration 176
volume 176
Medical outcomes study short form 171
Memory 34, 47, 121
autobiographical 121
declarative 121
disorders of 122, 124
disturbances, psychogenic 123
explicit 121
functions of 121
implicit 121
long-term 121
photographic 105
procedural 121
recent 48
remote 48
short-term 121
topographic 121
type of 121, 124
Menarche age 20
Meningeal signs 33
Menopause 20
Menstrual history 20
Mental capacity assessment 56
Mental disorder
code, diagnostic and statistical manual of 60
primary care of 170
Mental health
establishment 190
physical health monitoring in 74
Mental Healthcare Act 2017 189
Mental illness, rights of person with 190
Mental State Examination 26, 34, 57, 72
Metabolic syndrome 74
management of 75
Metonyms 91
Millon clinical multiaxial inventory 171
Mini-cog test 140
Mini-Mental State Examination 138
Minnesota multiphasic personality inventory 171
Montogomery-Asberg depression rating scale 170
Mood 38
and affect 34, 38, 86
congruent 110
disorder
family history of 58
graph 88
questionnaire 170
incongruent 110
stabilizer 185
swings 67, 88, 89
differential diagnosis of 88
menopausal 89
type 38, 86, 87
Moral
anxiety 160
behavior 34, 37
development 19
neurone disease 28
perseveration 85
sensory link 31, 33
system 33
Muller-Lyer illusions 105
Multidisciplinary team 72
and cultural formulation 72
Munchausen syndrome 96
Muscle
power 29, 33
tone 28, 33
wasting 28, 33
peripheral 28
proximal 28
Mutism 83
Myoclonic jerks 30
Myoclonus 144
Myositis 28
N
National Institute of Mental Health 126
Neck rigidity 33
Nephropathy, obstructive 85
Nerve injury, peripheral 28
Neuroleptic malignant syndrome 181
Neuropsychiatric inventory 172
Neuropsychiatry 170
Neuropsychologic tests 172
Neurotic disorders 186
Neuroticism 69
Non-bizarre delusion 102
Non-suicidal self-injury 150
O
Obesity 26, 74
hypoventilation syndrome 182
Obsessive
compulsive disorder 109, 153
personality traits 58
Occupational therapy 186
Oculomotor 27
Opisthotonus 30
Opium 21
Optic 27
Optical illusion 105
Oral glucose tolerance test 176
Organic brain disease 138
Organizational abuse 60
Othello syndrome 181
P
Pain 33
Palilalia 91
Pallor 26
Panic
attacks, post-traumatic stress disorder 46
disorder 153, 170
inventory, acute 170
Paracusia 107
Paragrammatism 91
Paramnesia 122
reduplicative 100, 122
Paranoia 95
conjugal 181
litigious 98
Paranoid personality disorder 156
Paraphasia 35, 83
Parasitosis delusion of 108
Parasomnia 65
Pareidolias 105
Paresis 142
different types of 142
peripheral 142
Parietal lobe
disorders 140
tests 140
Parkinson's disease 30, 89
Parosmia 108
Past-pointing test 33
Patellar clonus 31
Pedophilic disorder 150
Perioral tremor 30
Peripheral smear 176
Peroneal muscular atrophy 28
Persistent complex bereavement disorder 147
differential diagnosis of 147
Personality
disorder 59, 154, 156, 171
histrionic 156
ICD-10 classification of 156
multiple 123
specific 156
premorbid 22, 60, 68
status 171
traits 68
Petit mal epilepsy 30
Phantageusia 108
Phantom limb 105
Phantosmia 108
Phobia 170
simple 94
social 94, 170
Phobic anxiety disorder 153
Phoneme 112
Phosphorus 176
Physical abuse 19, 60
Physical problems, adolescent 19
Pickwickian syndrome 182
Pierce suicide intent scale 171
Platelet count 176
Poliomyelitis 28
Polyneuritis 28
Positive and negative symptom scale 171
Possession syndrome 182
Post-traumatic stress disorder 105, 132, 147, 150
clinician-administered 170
Potassium 176
Poverty, delusion of 99
Preconscious mind 158
Pregnancy 89
delusion of 101
false 101
phantom 101
Premenstrual syndrome 67
symptoms of 89
Primitive reflexes 32
Prothrombin time 176
Pseudocyesis 101
Pseudodementia, hysterical 181
Pseudohallucinations 110
Pseudologia fantastica 123
Psychiatric history 13, 14, 60
Psychiatric interview 3
general features of 5
Psychiatric nurse 73
Psychiatric report 168
Psychiatric screening tests 170
Psychiatry
commonly used
laboratory tests in 174
rating scales in 170
cultural assessment in 70
psychoanalytical 165
Psychological abuse 60
Psychological screening inventory 170
Psychomotor activity, level of 37
Psychosis 126, 171
first episode 185
Psychotherapy 59, 187
Psychotic
disorders 186
state, acute 46
symptoms 55
Psychotomimetic drugs 114
Pubertal development 20
Puberty
onset of 19
through adolescence 18
Pulse 26
Pyramidal tract lesion 33
Q
Querulous 98
R
Random plasma glucose 176
Rape, delusion of 102
Rating scale 136
Raven's progressive matrices 172
Reaction formation 163
Reality testing 187
Red blood cell count 176
Reflex 31, 33
arc 28
hallucinations 109
superficial 32
Regression 163
Respiratory system 26
Retention loss 121
Retrospective falsification 123
Royal College of Psychiatrist 75
S
Scale for assessment of
negative symptoms 171
positive symptoms 171
Schizoid personality disorder 156
Schizophrenia 34, 85, 109, 111, 137, 150, 151, 170, 171
catatonic 85
section of 151
symptoms in 113, 146
type of 151
School life and academic achievements 20
Sclerosis, multiple 89
Seductive behavior 131
Seizures
absence 77
complex partial 77
episode, different stages of 77
generalized 77
myoclonic 77
partial 77
simple partial 77
unclassified 77
Self-harm
inventory 171
thought 93
Sensations, proprioceptive 31
Sensory
ataxia 33
deprivation 114
inattention 33
test for 31
system 31, 33
Serotonin syndrome 32, 77
Serum gamma-glutamyl transferase 176
Serum glutamic-pyruvic transaminase 176
Serum lithium estimation 175
Sex change, delusion of 102
Sexual abuse 19, 60
Sexual activity, adolescent 19
Sexual exploitation 60
Sexual knowledge, acquisition of 19
Sexual practices 19
Sexual symptoms 19
Sexual therapy 59
Sexuality, adult 19
Sick role 188
Side effects scale 171
Simpson-Angus scale 171
Sin 93
Six-item cognitive impairment test 140
Skin 16, 26
Sleep 16
deprivation 114
disorders 65
rhythm problem 65
Sleeping beauty syndrome 181
Social anxiety 170
Social readjustment rating scale 171
Sodium 176
Solastalgia 90
Somatic delusions 99
Somatization 162
Spasmodic torticollis 31, 144
Specific learning disorder 150
Speech 27, 34, 36, 82
abnormalities 85
nonspontaneous 82
poverty of 82, 91
content of 82
pressure of 82
push of 82
slow 82
slurring 83
telegraphic 83
Spinal accessory 27
Spinal cord, corticospinal pathways in 142
Spinal shock 28
Spine 26
State-trait anxiety inventory 170
Stereognosis 31, 33
Stereotypy 84, 91
Stress 114
significant 55
Stupor 76, 84
Substance use disorder 59, 150
Suicidal ideation ever, acute 21
Suicidal intent 129
Suicidal thought 93
Suicide 54
attempts, inventory of motivations for 129
risk 136
assessment 136
Superior pulmonary sulcus tumor 28
Supinator 31
Suppression 164
Surrogate consent 12
Synesthesia 109
Syphilis 138
Syringomyelia 28
Systemic examination 26
T
Tardive dyskinesia 145
Taste 16
Tension, intracranial 143
Therapeutic drug monitoring 174
Therapeutic medication, rearrangement of 75
Therianthropy 103
Thinking, abstract 34, 44
Third person auditory hallucination 57
Thought 93
alienation 92
broadcasting of 92, 113
control 92
diffusion 92
echo 92
insertion 92
interference, delusions of 113
non-delusional 93
racing 91
system, examination of 39
withdrawal 92
Thyroid 26
function test 176
problems 16
stimulating hormone 176
Thyrotoxicosis 28
Thyroxine 176
Tobacco 21
smoking 26
Tonic-clonic seizures 77
Torsion dystonia 144
Transient global amnesia 122
Tremors 26
Triglycerides 176
Tri-iodothyronine 176
Trouble with urination 16
U
Upper limb 33
Uric acid 176
Urine analysis 176
V
Vagus 27
Vascular accident 28
Vegetative signs 65
Ventricular activation 178
Verbal fluency 36
test for 36
Vigilance 120
Violence, risk 55
factors for 126
Vision 16
Visual analog scale 172
Visual hallucination
clinical picture of 107
features of 107
Voice 34, 36, 82, 112
content of 112
W
Wasting, generalized 28
Waxy flexibility 84
Wechsler adult intelligence scale 172
Weight gain, drugs associated with 74
Wender Utah rating scale 171
Wernicke's aphasia 80
Wernicke's encephalopathy 122, 138
Wernicke-Korsakoff syndrome 122, 123
White blood cell count 176
Wilson's disease 144
World Health Organization 125
Quality of Life 171
Y
Yale-brown obsessive-compulsive scale 170
Young mania rating scale 170
×
Chapter Notes

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Bedside PSYCHIATRY
Bedside PSYCHIATRY
Arabinda N Chowdhury MBBS MD FAMS PhD FAMS FRCPsych PhD (Soc Anthropology) DSc Psychoanalyst Consultant Psychiatrist Leicestershire Partnership NHS Trust, UK Edited by The Publication Subcommittee Indian Psychiatric Society PK Singh (Chairperson) Shahul Ameen (Co-Chairperson) Naresh Nebhinani (Convenor)
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Bedside Psychiatry
First Edition: 2019
9789352709854
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Message
Since its birth Indian Psychiatric Society has remained committed to and proactive in imparting knowledge of psychiatry to the medical undergraduates, postgraduates and working professionals. In recent times, this role has been augmented.
Our CMEs, Conferences and respectably indexed Journal, the Indian Journal of Psychiatry have often made historic contributions. For last few years, our Publication Committee has been actively working on bringing out quality books suitable for Indian subcontinent. Two such books, already published, have been received very well.
The present volume, Bedside Psychiatry, has been uniquely designed for all medical graduates who are being trained in Psychiatry. Its approach is practical, covering almost all areas of psychiatric interview and examination. Going through it, one can see that this book is much more than just another a clinical handbook. It contains brief information about all psychiatric disorders. To us it appears as a mini Textbook of Psychiatry. The author and Professor Arabinda N Chowdhury, an accomplished academician and clinician, who has worked in India and abroad in important positions. This book embodies not only the available knowledge but also his personal clinical experience. We thank Professor Arabinda N Chowdhury for writing this book for Indian Psychiatric Society. This is the first time that Indian Psychiatric Society has undertaken publication of a book written independently by an author, which is getting published under its auspices. However, it has been editorially reviewed by our Publication Committee.
We congratulate and put on record our sincere thanks to our Publication Committee headed by Professor PK Singh. Professor PK Singh, Drs Shahul Ameen and Naresh Nebhinani have devoted lot of their time in editing this book to enhance its clarity and usefulness.
The Indian Psychiatric Society is grateful to M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India. for their help and support for quality production. We especially acknowledge the contribution of Ms Chetna Malhotra Vohra (Associate Director—Content Strategy) and Prerna Bajaj (Development Editor).
Ajit V Bhide
President
Mrugesh Vaishnav
President Elect
Vinay Kumar
Hon General Secretary
Foreword
I am honored to provide this foreword. Dr Arabinda N Chowdhury joined the NHS as a Consultant Psychiatrist in 2006. Prior to that, he was Professor and Head, Department of Psychiatry, Institute of Postgraduate Medical Education and Research, and Superintendent of Institute of Psychiatry, Kolkata, West Bengal, India.
Dr Arabinda N Chowdhury has written chapters in books on cultural competency, done several international projects, and is the person who has published the most articles on a culture-bound syndrome ‘Koro’. He has extensive experience in running and establishing services in psychiatry.
Despite all his achievements, he is one of the most humble person I have met to date. As part of his passion and self-commitment to create psychiatrists of the highest caliber, he has worked extensively on this book, which is a great resource of knowledge and a pleasure to read. It assimilates information from several aspects. One who reads it will be able to develop both an extensive knowledge and skills base in psychiatry; while also learning the importance of listening and being a caring doctor who is understanding and sensitive to the person who seeks their help. What usually takes psychiatrists years to learn has been summarized proficiently in a book less than 200 pages. This is a treasure for psychiatrists in training and gives the experienced psychiatrists a great way to refresh their knowledge and skills.
In ‘Bedside Psychiatry’, Dr Arabinda N Chowdhury skillfully draws together the key elements needed to successfully implement the art and science of clinical assessment of a patient. He begins with an introduction to the interview itself with reference to goals, process, and the key components of the physician-patient relationship. Chapter 2: History—is a guide to taking a comprehensive and thorough history. Chapter 3: Examination—emphasizes the importance of physical, central nervous system, and Mental State Examination (MSE) in a psychiatric evaluation.
The chapter on Mental State Examination, as you would expect, gets particular attention. Chapter 3 concentrates on the traditional Mental State Examination including clarification and explanation of phenomenology. Chapter 4 consists of Diagnostic Formulation, Risk Assessments, Mental Capacity Assessment and Treatment Planning, Safeguarding, and Safe Prescribing. Appendices (Appendix 1 to 38) provide additional useful clinical reference material.
I hope Arabinda N you enjoy this book as much as I have and will highly recommend it.
Fabida Noushad
Consultant Psychiatrist in Assertive Outreach Team and Pave Team
Deputy Clinical Director, Adult Mental Health Services
Leicestershire Partnership NHS Trust and Royal College Regional Advisor for Leicestershire
Northamptonshire and Rutland
OSL House, East Link, Meridian
Leicestershire, LE19 1XU, UK
Preview
Greetings and welcome to all the readers who are glancing through the page of this unique and extraordinary book. This is for the first time that the Publication Committee of Indian Psychiatric Society (IPS) has undertaken the task of publishing a book written independently by one of our own colleagues and a member of the IPS fraternity. This book is being published by the leading medical publication house of the country M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India. Being a first-time event, there was no precedence. Therefore, a completely new strategy and mechanism had to be evolved to set a trend for the future. It was decided, with the approval of the Executive Council of the IPS, that all such books, which are written independently by various authors on their own but are intended to be published under IPS banner, shall be subjected to an editorial review by a committee set up by the Publication Committee. In the case of Professor Arabinda N Chowdhury's book, for practical reasons, this task was done by the Publication Committee itself.
It is my pleasure to introduce this book, Bedside Psychiatry, to a very wide readership, which certainly will receive great acceptance because of its everyday utility. This book is essentially an updated and improvised version of his previously published book, Psychiatric Interview. The name change was affected with a view to make it more representative of the broad range of contents included in the book. This book is a distillate of Professor Chowdhury's lifetime experience with psychiatric patients and also the psychiatry trainees to whom the book has justifiably been dedicated. This book certainly has a personal touch of the author in the sense that many aspects of the major headings of mental state examination and management plan have a nonconventional dimension added to it. The process of editorial review by the Publication Committee has not made any significant changes in the finer organization or the actual contents of the book. They have respected the author's jurisdiction over these areas. The Publication Committee has limited itself to the general organization of the book, smoothening of corners at places, enhancing consistency, and ensuring flow of the book.
Bedside Psychiatry brings it much closer to the mainstream disciplines of modern medicine. The inclusion of certain amount of theoretical information as appendix, which is of immediate relevance to the clinician, also adds to the value of the book. Bedside psychiatry includes skills of collecting most relevant and valid piece of information from patients and their attendants, further supplementing this information by systematic and insightful physical and mental state assessment, and then making a diagnostic formulation, undertaking required biomedical investigations, and psychometric evaluation leading to a management plan; furthermore, how to implement this plan with due care and expertise.
It has been our pleasure and also privilege to be associated with this task and thereby gain insight and experience in return. We express our most sincere good wishes for wider circulation, acceptance, and readership of this book. We pray that may the publication of this book trigger the arrival of many more even higher quality books from our most talented psychiatric fraternity of Indian Psychiatric Society (IPS).
Long live IPS.
PK Singh
Professor and Head
Department of Psychiatry
Patna Medical College and Hospital
Patna, Bihar, India
Shahul Ameen
Consultant Psychiatrist
St Thomas Hospital
Changanacherry, Kerala, India
Naresh Nebhinani
Associate Professor
Department of Psychiatry
All India Institute of Medical Sciences
Jodhpur, Rajasthan, India
Preface
The psychiatric interview and mental state examination are the key elements of clinical psychiatry. Psychiatric trainees should have an easy-to-use interview and examination format, keeping all the relevant information on mental symptomatology in their mind. This is a brief compilation of all the relevant information usually needed for day-to-day psychiatric evaluation in adult psychiatry. This compilation helps the trainees to get all the important issues relating to examination and treatment planning along with their duties and obligation in a comprehensive manner and helps them to equip with some running clinical oral questions as well. Alongside with the practical clinical examination procedure, the relevant theoretical issues are provided in the ‘Appendix’ to offer a comprehensive insight about the clinical items.
I am deeply thankful to Dr Fabida Noushad for writing the ‘Foreword’ for this book. I am expressing my thanks to Dr Rajesh Jacob, Dr John Burke, and Dr M Chawala, all were former consultant psychiatrists of Northamptonshire Healthcare NHS Foundation Trust, for their critical review of the primary draft. I am obligated to my wife Dr Shyamali Chowdhury and daughter Dr Monali Chowdhury for their generous allowance of sufficient academic time during the initial phase of the writing.
I am very thankful to all my past postgraduate students, who over the years, helped me to learn and particularly to Drs KD Sen, Piyal Sen, VG Jhanwar, Amit Bhattacharya, Saikat Basu, S Bhakta, Arabinda Brahma, Sayanti Ghosh, and research coordinator Dr Sohini Banerjee from India. I am also grateful for what I imbibed from my colleagues in the UK, including Dr Anand Madasamy and trainees Shiva Margani, Fabian Motsi, and J Butler. I take the opportunity to express my sincere thanks to three of my colleagues who always supported me in my work: Professor Manoj Bhattacharrya, Former Dean, University College of Medicine, Calcutta University, Kolkata; Professor Makhanlal Saha, Department of Surgery, IPGME and R, Kolkata; and Dr Ajoy Chakraborty, DHS, Government of West Bengal. I must thank Dr Sayanti Ghosh, now Associate Professor of Psychiatry, NRS Medical College in Kolkata, Dr Sohini Banerjee, Assistant Epidemiologist, Care, Bihar, for stringently reviewing of the present draft with suggestions. I am also grateful to Dr Nilanjana Ray, Consultant Pediatrician, London North West University Hospitals NHS Trust, and Dr Samrat Sen Gupta, Consultant Psychiatrist, Broadmoor Hospital, Berkshire, for reviewing the draft and Chandana Chatterjee and Medha Dube for their help in the copy editing of the draft. Lastly, I would like to express my deep gratitude and sincere thanks to the Publication Committee of IPS for their kindness to publish this book. I feel honored by their acceptance, valuable suggestions, and compliments. My special thanks to Professor PK Singh, Chairperson, Publication Committee, for his continued support, constructive suggestion and critical comments on the design and content of the book. I am also thankful to two of our junior colleagues, Drs Shahul Ameen and Dr Naresh Nebhinani who very carefully reviewed the draft with their suggestion.
If this compilation benefits our adult mental health trainees, then this attempt would have been worthwhile.
Arabinda N Chowdhury