CLINICAL PSYCHOLOGY AND PSYCHIATRY IN OCCUPATIONAL THERAPY

Module PSYCHIATRY

ACCORDING TO THE 5 DUBLIN DESCRIPTORS

1 – Knowledge and understanding – The student should demonstrate knowledge and understanding of:

• recognizing and understanding the fundamental elements of the mental status examination;
• knowledge of the semiotics and psychopathology of the main psychic functions;
• knowledge of the main nosographic frameworks of psychiatric disorders according to DSM-5-TR and ICD-11;
• understanding the basic principles of psychiatric treatments (psychopharmacological, psychotherapeutic, somatic, and rehabilitative).

2 – Applying knowledge and understanding – The student should be able to:

• apply theoretical knowledge to the analysis of psychiatric clinical cases;
• carry out a proper clinical and psychopathological assessment of the patient;
• recognize the main psychiatric and medico-psychiatric comorbidities.

3 – Making judgements – The student should demonstrate the ability to:

• critically evaluate psychiatric symptoms and their clinical significance;
• critically analyze clinical cases by integrating anamnestic, clinical, and diagnostic data;
• recognize indications for compulsory health treatment and the related ethical and legal aspects.

4 – Communication skills – The student should be able to:

• use appropriate and scientifically accurate psychiatric terminology;
• clearly and systematically present clinical conditions and diagnostic hypotheses;
• effectively communicate clinical information within healthcare settings.

5 – Learning skills – The student should demonstrate the ability to:

• develop autonomous and critical learning of psychiatric knowledge;
• integrate psychiatric knowledge with that of other medical disciplines;
• develop critical study skills useful for continuing their educational pathway;
• update their knowledge through reference texts and provided teaching materials. 

Lectures accompanied by interactive discussions on clinical cases. Should the teaching be delivered in blended or online mode, appropriate adjustments will be introduced with respect to what was previously indicated, in order to ensure full adherence to the program outlined in the syllabus

Basic notions of neuropsychopharmacology. Understanding of the main medical conditions related to psychiatric disorders.

1. MAIN THEORETICAL REFERENCES IN PSYCHIATRY

2. PSYCHIATRIC SEMEIOTICS

Appearance, Motor activity, Facial expression, Language, Behavior, Psychiatric history

3. PSYCHOPATHOLOGY

Attention, Consciousness, Memory, Perception, Thought, Affectivity, Aggressive or violent behavior, Will, Activity and Psychomotricity, Intelligence

4. CLINICAL PSYCHIATRY

a) CLASSIFICATION OF PSYCHIATRIC DISORDERS – DSM-5-TR (APA, 2022); ICD-11 (WHO, 2022)

b) NEUROCOGNITIVE DISORDERS: DEMENTIAS, DELIRIUM

Epidemiology, Etiopathogenesis, Clinical features, Course, Diagnosis and differential diagnosis, Comorbidity, Prognosis, Therapy

c) SUBSTANCE USE DISORDERS

Alcohol, Amphetamines, Caffeine, Cannabis, Cocaine, Hallucinogens, Inhalants, Nicotine, Opioids, Phencyclidine, Sedatives, Hypnotics, or Anxiolytics. Pathological gambling and other behavioral addictions.

Epidemiology, Etiopathogenesis, Clinical features, Course, Diagnosis and differential diagnosis, Comorbidity, Prognosis, Therapy

d) SCHIZOPHRENIA SPECTRUM

Epidemiology, Risk factors and etiopathogenetic hypotheses, Symptomatology (prodromal phase, active phase, course and outcomes), Clinical forms, Prognosis, Diagnosis and differential diagnosis, Therapy

e) OTHER PSYCHOTIC DISORDERS

Acute and chronic delusional disorders

Nosography, Epidemiology, Etiopathogenesis, Clinical forms, Diagnosis, Course, Prognosis, Therapy

f) MOOD DISORDERS

Epidemiology, Etiopathogenesis, Clinical features (Depressive episode, Manic episode, Hypomania, Mixed states), Diagnosis, Differential diagnosis, Course (Unipolar, Dysthymic, Bipolar, Cyclothymic, Rapid cycling, Seasonal affective), Prognosis, Therapy

g) ANXIETY DISORDERS

Panic disorder and agoraphobia; Social anxiety disorder; Specific phobias; Generalized anxiety disorder; Post-traumatic stress disorder; Acute stress disorder; Anxiety disorder due to a medical condition; Substance-induced anxiety disorder.

Historical and nosographic notes, Epidemiology, Etiopathogenesis, Clinical features, Course, Diagnosis and differential diagnosis, Comorbidity, Prognosis, Therapy

h) OBSESSIVE-COMPULSIVE DISORDER (OCD)

Historical and nosographic notes, Epidemiology, Etiopathogenesis, Clinical features, Course, Diagnosis and differential diagnosis, Comorbidity, Prognosis, Therapy

i) SOMATIC SYMPTOM AND RELATED DISORDERS

Somatization disorder, Conversion disorder, Pain disorder, Hypochondriasis, Body dysmorphic disorder

Epidemiology, Etiopathogenesis, Clinical features, Course, Diagnosis and differential diagnosis, Comorbidity, Prognosis, Therapy

n) EATING DISORDERS

Anorexia nervosa; Bulimia nervosa; Binge eating disorder

Epidemiology, Etiopathogenesis, Clinical features, Course, Differential diagnosis, Comorbidity, Prognosis, Therapy

o) PERSONALITY DISORDERS

Cluster A (Paranoid, Schizoid, Schizotypal); Cluster B (Antisocial, Borderline, Histrionic, Narcissistic); Cluster C (Avoidant, Dependent, Obsessive-Compulsive)

Epidemiology, Etiopathogenesis, Clinical features, Course, Diagnosis and differential diagnosis, Comorbidity, Prognosis, Therapy

5. TREATMENT

a) Psychopharmacology

b) Psychotherapy 

c) Somatic therapies

d) Psychiatric and psychosocial rehabilitation

1.    DEPARTMENT OF MENTAL HEALTH; COMPULSORY TREATMENT

Manuale di psichiatria di Angela Favaro, Fabio Sambataro

 Editore: Piccin-Nuova Libraria  Data di Pubblicazione: novembre 2021. ISBN: 8829932086

ORAL EXAMINATION.

*** The assessment of learning may also be carried out online, should conditions require it.***

Examples of questions:

Clinical course of Major Depressive Disorder

Clinical manifestations of Bipolar I Disorder and Bipolar II Disorder

What are the main eating disorders?

Describe Obsessive-Compulsive Disorder

Characteristics of delusions

Positive and negative symptoms of Schizophrenia