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Simon's Condensed Summary of

Mental Health
For MBBS III @ The University of Queensland

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Simon Wilson
simon.wilson@uqconnect.edu.au

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Psychiatric History Taking & The Mental State Examination


Psychiatric History

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Clinical Interview & Viva


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Abridged History & MSE


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Viva Tips
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Mood Disorders Low Mood


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Major Depressive Disorder


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Post-Partum Mood Disorders

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Mood Disorders Elevated & Irritable Mood


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Features

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Bipolar Disorder

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L())(#&3(P#((&g&9F$4%8"$&$"%&@.#5(307&8@/.8#(3M&$"&/)74;"%84&9(.%F#()
271"'(P&74%'"N
C((%)&4#8%(#8.&9"#&?"%;&@.$84&.$3&3(/#())8D(&(/8)"3(&9"#&.0@")%&(D(#7&3.7&9"#&p&ROR
&&&)8@F0%.$("F)&"#&8$&nF845&)F44())8"$
2=N&37)/;"#84.007&(=48%(3&@""3M&.$P(#M&/.$84&.%%.45)M&/#())F#(3&)/((4;M&/(#)(4F%"#7&3(0F)8"$)M&
&&&&&&&.P8%.%8"$M&)F8483.0&83(.%8"$M&8$)"@$8.M&P#.$38")8%7M&;7/(#)(=F.08%7M&4"$9F)8"$
XX=N&CXXM&.%7/84.0O$(F#"%84&3(/#())8"$M&)4;8o".A(4%8D(M&)4;8o"/;#($8.
K7&%$6*(DN&@.$8.&i&@.a"#&3(/#())8D(&(/8)"3(
K7&%$6*(DDN&;7/"@.$8.&i&@.a"#&3(/#())8D(&(/8)"3(&
>6&7'(/9F$75:N&Vz&(/8)"3()&/(#&7(.#M&)7@/%"@I9#((&9"#&p&*OQ*&?(%E(($&(/8)"3()
VW(26576N&/")%/.#%F@&^\_M&G'2&%#.F@.O800$())M&#(.4%8D(&^P#8(9M&3#FP&.?F)(_
:#(D.0($4(N&+J,I+JUx&&CwT&&&&&Z&,Kx&;.D(&T>=&"9&CXX
<$)(%&8$&%(($)O*+6)&^Q+IV+_&&Z&.D(#.P(&"9&V&(/8)"3()&O&Q+&7(.#)
KIQKx&B./83&G7408$P&d8/"0.#&^tV&(/8)"3()&O&7(.#&g&@.$84M&3(/#())8D(&"#&@8=(3_
Q+IQKx&4"@/0(%(&)F8483(&
2656:"+"58N
>")/8%.08).%8"$&8$384.%8"$)N&
&[&B(450())M&($3.$P(#8$P&?(;.D8"F#&"#&(=4())8D(&/)74;"@"%"#&.4%8D8%7&
&[&28P$8b4.$%&/)74;"%84&)7@/%"@)
&[&f@/.8#(3&aF3P(@($%
&[&!;"FP;%)&"9&)(09&;.#@&O&;.#@8$P&"%;(#)
:;.#@.4"0"P84.0N
&[&L8%;8F@
&[&H$%84"$DF0).$%)N&)"38F@&D.0/#".%(M&4.#?.@.o(/8$(M&0.@"%#8P8$(&
&[&H$%8/)74;"%84)N&%7/84.0&1&.%7/84.0)&
&[&d($o"38.o(/8$()&^9"#&.P8%.%8"$_N&0"#.o(/.@M&38.o(/.@&Z&%./(#&"A&.)&.P8%.%8"$&8@/#"D()
&[&C.8$%($.$4(N&08%;8F@&1&4.#?(@.o8/8$(&i&D.0/#".%(
'"$I/;.#@.4"0"P84.0N
&[&:)74;"0"P84.0N&08@8%(3&#"0(&g&&4"@/08.$4(\
&[&jG!N&(A(4%8D(&.$%8I@.$84&^?(%%(#&%;.$&08%;8F@_&g&|+x&;.D(&@.#5(3&8@/#"D(@($%

Feature

Hypomania

Mania

Mania + Psychotic

2%%'

C803&(0(D.%8"$&O&
8##8%.?0(

j0(D.%(3&O&8##8%.?0(

2(D(#(07&(0(D.%(3M&
)F)/848"F)M&/)74;")8)

!I*687%5

X.7)

QOK*

QOK*

.49F=%4%F76$(
3I5F87%5

G"$)83(#.?0(M&$"%&
4"@/0(%(&
8$%(##F/%8"$

G"@/0(%(&
38)#F/%8"$

G"@/0(%(&1&D8"0($%M&
)(09I$(P0(4%

B7)"87+"(&*"#6$"5F",(YZ[(3\28

Phobic Disorders
:#"@8$($%&.D"83.$4(&"9&%;(&9(.#(3&)8%F.%8"$&Z&@.7&%#8PP(#&/.$84&.%%.45&89&)(D(#(
@:%*6&=%T76N&9(.#&"9&/F?084&/0.4()&O&($%(#8$P&4#"E3(3&/0.4()
&[&UKx&;.D(&4"$4F##($%&"#&/.)%&/.$84&38)"#3(#
<%F76$(.=%T76N&9(.#&"9&)8%F.%8"$)&(=/")8$P&%;(@&%"&)4#F%8$7O(D.0F.%8"$&?7&"%;(#)
&[&j=.@/0()N&/F?084&)/(.58$PM&(.%8$P&8$&/F?084M&D"@8%8$PM&8$%(#.4%8$P&E8%;&"//")8%(&)(=
!=N&22BfM&CH<fM&?($o")M&22'BfM&$(9.o"3"$(M&P.?./($%8$
<&"F7GF(.=%T76N&
&[&28%F.%8"$.0N&m78$PM&3#8D8$PM&(0(D.%"#)M&/F?084&%#.$)/"#%M&%F$$(0)M&?#83P()&(%4
&[&'.%F#.0&($D8#"$@($%N&;(8P;%)M&)%"#@)M&E.%(#M&3.#5$())
&[&d0""3I8$a(4%8"$&8$aF#7N&)((8$P&?0""3O$((30()&g&?#.374.#38.&i&)7$4"/(&^$"%&%.4;74.#38._
&[&H$8@.0&O&8$)(4%
&[&<%;(#)N&4;"58$POD"@8%8$PM&4"$%#.4%8$P&800$())M&4")%F@(3&4;.#.4%(#)&^8$&4;803#($_
&&&<%;(#E8)(&08%%0(&.$=8(%7&8$&089(&Z&.D"83&/;"?84&)8%F.%8"$)&E(00

Non-Situational Anxiety Disorders


U"5"*6$74"'(@517"89(!74%*'"*N&(=4())8D(&E"##7&.?"F%&@8$"#&@.%%(#)
X=N&.//#(;($)8D(&@")%&3.7)&9"#&,OQ*&Z&mF4%F.%8$PM&F)F.007&4;#"$84&^&E8%;&)%#())_
-(7&(0(@($%)N&
&[&H//#(;($)8D(
&[&C"%"#&%($)8"$N&#()%0())$())M&b3P(%8$PM&%($)8"$&;(.3.4;(M&F$.?0(&%"&#(0.=
&[&HF%"$"@84&"D(#.4%8D8%7N&>BM&/.0/8%.%8"$)M&>!'M&2<dM&4;"58$P&)($).%8"$M&4;()%&/.8$M&
&&&&&&%#(@"#)M&3#7&@"F%;M&)E(.%8$PM&'1hM&.?3"&38)4"@9"#%M&38oo8$())M&38.##;"(.M&4"03&)58$
!=N&22'BfO22BfM&!GHM&?($o")O;73#"=7o8$(O?F)/8#"$(
.657F(!74%*'"*N&/.$84&.%%.45)&E8%;"F%&)/(48b4&)%8@F0F)&i&.P"#./;"?8.&
G.$&3(D(0"/&9(.#&"9&;.D8$P&.%%.45)&Z&.$%848/.%"#7&.$=8(%7
&2=I9#((&8$&Q*OQ*M&QKx&;.D(&4;#"$84&4"F#)(&^"L_&&)"48.0&/;"?8.
!=N&22Bf)M&!GH)M&?($o")O22'BfO#(?"=(%8$(O@8#%.o./8$(OCH<f)&

Stress Reactions
!"G5787%54N
h.#8.?0()N&089(&(D($%&1&/.%8($%6)&#(.4%8"$&%"&(D($%
2%#())"#N&089(&(D($%M&4"$38%8"$&"#&48#4F@)%.$4(&%;.%&/0.4()&)%#.8$&"$&4"/8$P&)5800)
!#.F@.%84&)%#())"#N&"F%)83(&#.$P(&"9&$"#@.0&;F@.$&(=/(#8($4(
&[&T((0&.)&89&"E$O0"D(3&"$(6)&/;7)84.0&8$%(P#8%7&8)&.%&#8)5
&[&G.%.)%#"/;()M&D8"0($%&/;7)84.0O)(=F.0&.)).F0%M&9.%.0&.4483($%)M&%(##"#8)@M&%"#%F#(M&4"@?.%
G"@@"$&#(.4%8"$)N&H3aF)%@($%M&.4F%(&)%#())&O&:!2XM&38))"48.%8D(&38)"#3(#M&@($%.0&800$())
@'SI48+"58(!74%*'"*N&
H3aF)%@($%&#(.4%8"$&E8%;8$&QOQ*&"9&(D($%&g&0.)%)&u&,OQ*&&&&&&&Z&X=&"9&j=40F)8"$
]83(M&$"$I)/(48b4&(@"%8"$.0&1&?(;.D8"F#.0&2=M&@803&3(/#())8"$O.$=8(%7M&.4"/8.&
B()/"$)(&%"&)%#())"#M&"#&%#.F@.%84&)%#())"#&89&#()808($%&%"&$"%&3(D(0"/8$P&:!2X
@FI8"(<8*"44(>"6F87%5N&
f@@(38.%(07&O&9(E&@8$F%()&9"00"E8$P&%#.F@.%84&)%#())"#&Z&#()"0D(&#./8307&E8%;8$&;"F#)
X.o(3&&'.##"E8$P&"9&.%%($%8"$&1&38)"#8($%.%8"$&&#()/"$)(O38))"48.%8D(&)%F/"#O.P8%.%8"$
.%48(C*6I+687F(<8*"44(!74%*'"*N&
2=&3(D(0"/&E8%;8$&,OQ*&"9&%#.F@.%84&)%#())"#
&[&B(/(%8%8D(&#(I(=/(#8($48$PN&m.);?.45)M&;.00F48$.%8"$)O800F)8"$)M&8$%(#$.0O(=%(#$.0&4F(&38)%#())
&[&HD"83.$4(&"9&.))"48.%(3&)%8@F08
&[&H@$()8.&
&[&j@"%8"$.0&$F@?$())M&)"48.0&E8%;3#.E.0
&[&&H#"F).0N&8$)"@$8.M&.$P(#&"F%?F#)%)M&;7/(#D8P80($4(M&&4"$4($%#.%8"$M&&)%.#%0(&#()/"$)(
XX=N&;(.#&8$aF#7M&(/80(/)7M&)F?)%.$4(&F)(OE8%;3#.E.0
!=N&22Bf)M&!GHM&CH<f
K+x&#(4"D(#&E8%;8$&SOQ*M&S+x&;.D(&@"3(#.%(I)(D(#(&2=
!744%F7687#"(!74%*'"*N&
C(@"#7M&.E.#($())M&%;"FP;%)M&(@"%8"$)M&@"D(@($%M&)($).%8"$M&?(;.D8"F#
X(/(#)"$.08).%8"$N&)(09O?"37&9((0)&F$#(.0&"#&)%#.$P(
X(#(.08).%8"$N&(=%(#$.0&#(.08%7&)((@)&F$#(.0&"#&)%#.$P(
!7/()N&.@$()8.M&9FPF(&^F$(=/(4%(3&%#.D(0&9#"@&;"@(&z&F$.?0(&%"&#(@(@?(#&/.)%O83($%8%7_M&
&&&&)%F/"#M&.$.(%;()8.O)($)"#7&0"))M&@"%"#&38)"#3(#M&4"$DF0)8"$)M&@F0%8/0(&/(#)"$.08%7&38)"#3(#

Treatment
.=6*+6F%$%:7F6$
22BfN&Q)%&08$(&9"#&@")%&.$=8(%7&38)"#3(#)M&(A(4%8D(&9"#&<GX
Initially increase Sx
22'Bfl&()/(48.007&(A(4%8D(&9"#&`HX
!GHN&*c&%"&22Bf)M&Hj)&Z&40"@8/#.@8$(&8)&?(%%(#&9"#&<GX&%;.$&"%;(#)
d($o"38.o(/8$()N&)0"E&!&3")(&%"&%#(.%&8$8%8.0&2j6)&^#()%0())$())M&!&.$=8(%7_&g&8@@(38.%(&
&&&&&&.$=8"07%84&(A(4%&^?F%&"$07&F)(3&.4F%(07&g&#()8)%.$4(&1&E8%;3#.E.0_
CH<fN&#.#(07&F)(3&g&2j6)&1&9""3&z&3#FP&8$%(#.4%8"$)
I?0"45(#)N&&.F%"$"@84&2=M&&/(#9"#@.$4(&.$=8(%7
&d:&1&/")%F#.0&;7/"%($)8"$
.49F=%$%:7F6$
Gd!N&)/(48b4&/;"?8.)M&/.$84&38)"#3(#&1&:!2X
j03(#07N&/.#.3"=84.0&?($o"&#=$&u&Qx
:)74;"37$.@84&%;(#./7M&9.@807&%;(#./7&1&4"F$)(008$P&.0)"&F)(9F0 &[&%.05.%8D(&(@"%8"$&#(0(.)(M&
(=48%(@($%M&&@"D(@($%

@517"89N&$"#@.0&#()/"$)(&%"&F$5$"E$O8$%(#$.0OD.PF(&%;#(.%
3"6*N&#()/"$)(&%"&5$"E$O(=%(#$.0O3(b$8%(&%;#(.%
.=%T76N&8$%($)(M&8##.%8"$.0&9(.#&^i&8$)8P;%_&%"&"?a(4%M&.4%8D8%7&
&&&&"#&)8%F.%8"$&g&@.7&%#8PP(#&/.$84&.%%.45
!7O"*"5876$(!76:5%4"4,(@517"89
:;"?84&X8)"#3(#)N
&[&HP"#./;"?8.&i&/.$84&38)"#3(#
&[&2"48.0&/;"?8.
&[&2/(48b4&/;"?8.
'"$I)8%F.%8"$.0&X8)"#3(#)N
&[&`($(#.08)(3&H$=8(%7&X8)"#3(#
&[&:.$84&X8)"#3(#
2%#())&B(.4%8"$)N
{&%;7#"83M&/;.("4;#"@"47%"@.M&
&[&H4F%(&2%#())&B(.4%8"$
H4;M&4.#38.4&^G>TM&.##;7%;@8._
&[&:!2X
&[&H3aF)%@($%&X8)"3(#
*cN&eM&@(384.0&4"$38%8"$M&)F?)%.$4(&F)(
X"*?"4H!%'4%5(B6LN&
H$=8(%7&g&:(#9"#@.$4(&4F#D(&&
&&8)&I);./(3
&[&C803I@"3(#.%(&w&!&/(#9"#@.$4(
&[&>8P;&w&"&/(#9"#@.$4(

:(#9"#@.$4(

Anxiety Disorders

H$=8(%7&O&H#"F).0

@"87%$%:9N&
`($(%84&1&d8"0"P84.0N&
&[&:.$84&38)"#3(#&1&<GX&@")%&;(#8%.?0(M&`HX&0())&4(#%.8$&
&[&'(F#"%#.$)@8%%(#&3(9(4%)N
&&&&&I&`HXNKI>!&"#&`HdH&)7)%(@)
&&&&&I&:.$84&38)"#3(#N&KI>!M&'H&1&`HdH
&&&&&I&<GXN&KI>!&;7/(#)($)8%8D8%7&
:)74;")"48.0N&
&[&2%#())9F0&089(&(D($%)&O&%#.F@.%84&)%#())"#)
&[&2=&4.F)(3&?7&8$.//#"/#8.%(&%;"FP;%I/#"4())&1&3.$P(#
&&&&&&"D(#()%8@.%8"$N&9(.#&&2'2&&!&9(.#&&&

;T4"447#"H/%+&I$47#"(!74%*'"*
27@/%"@.%84&9"#&t&*OK*&Z&*x&/#(D.0($4(M&CwT
;T4"447%5N&8$D"0F$%.#7&%;"FP;%O8@.P(O8@/F0)(&
&[&B(4F##($%&1&"?%#F)8D(M&F$/0(.).$%O38)%F#?8$P
&[&f$)8P;%M&?F%&F$.?0(&%"&#()8)%&Z&#(4"P$8)(3&.)&9"#(8P$
/%+&I$47%5N&#(/(%8%8D(&@($%.0O/;7)84.0&.4%)
&[&G"@/(00(3&%"&/(#9"#@M&"&.$=8(%7M&&(=4())8D(
&[&W$/0(.).$%l&#()8)%.$4(&w&!&.$=8(%7
!=N&22BfM&!GHM&.$%8/)74;"%84)M&/8$3"0"0M&40"$.o(/.@

Obsession
T(.#&"9&4"$%.@8$.%8"$
:.%;"0"P84.0&3"F?%
B(/#(;($)8?0(&%;"FP;%O
8@.P()O8@/F0)()
27@@(%#7&1&/#(48)8"$

Compulsion
].);8$PM&40(.$8$PM&
.D"83.$4(
G;(458$P&"9&"@8))8"$&
^)%"D(&5$"?)M&0"45)_
H4%)&"9&#(3(@/%8"$M&
)((58$P&#(.))F#.$4(
B(/(.%(307&.##.$P8$P&
"?a(4%)

!7O"*"5876$(!76:5%4"4,(;T4"447%54(N(/%+&I$47%54
X(/#())8"$&g&*+x&3(/#())(3&/%)&;.D(&<IG&)7@/%"@)
&[&&"9&<GX&/%)&;.D(&3(/#())8D(&(/8)"3(&8$&089(%8@(&

28@"$6)&G"$3($)(3&2F@@.#7&"9&C($%.0&>(.0%;

Personality Disorders
!7+"547%56$(6&&*%6F=N&:X&%#.8%)&38A(#&9#"@&$"#@.0&/(#)"$&
"$07&8$&3(P#((&g&"$&.&4"$%8$FF@J&
/68":%*7F6$(6&&*%6F=N&38)%8$4%&%7/()&"9&:X)M&38D83(3&8$%"&
4.%(P"#8()&^E8%;&4"$)83(#.?0(&"D(#0./&8$&%#.8%)_&Z&fGXQ+&.$3&
X2CIfh&)7)%(@

Features

!7O"*"5876$(!76:5%4"4(R(."*4%56$789(!74%*'"*4
24;8o"/;#($8.N&)"48.0&E8%;3#.E.0M&)F)/848"F)$())M&(44($%#84&
&&&&&&83(.)
X(/#())8"$N&)(09I;.#@M&&@""3M&&)(09I8@.P(
2F?)%.$4(&.?F)(&O&@.$8.N&.PP#())8"$M&8##()/"$)8?808%7M&
&&&&&&8@/F0)8D8%7&

Cluster A
:.#.$"83
24;8o"83
24;8o"%7/.0
^#()(@?0()&
)4;8o"/;#($8._

Odd or eccentric "Mad"

Prevalence

[&X8)%#F)%&1&)F)/848"$
[&f$%(#/#(%&@"%8D()&.)&@.0(D"0($%
[&2"48.0&3(%.4;@($%&1&8$38A(#($4(
[&&(@"%8"$.0&(=/#())8"$

+JK&g&*JKxM&C&p&T&
&8$&0"E&2j2
+JK&g&QJKxM&C&p&T
&8$&/#8)"$(#)

[&{&%;"FP;%M&?(;.D8"F#&1&.A(4%&g&#()(@?0()&?F%&y&4;.#.4%(#8)%84&2=
&&(44($%#84M&"33&?(08(9)M&"33&/(#4(/%8"$)&^(P&.F#.)_M&83(.)&"9&
&&&&&&&#(9(#($4(M&)F)/848"$O/.#.$"8.M&D.PF(&%;"FP;%M&)"48.0&E8%;3#.E.0

SxM&CtT
&8$&)4;8o"/;#($84&
#(0.%8D()

Cluster B

Dramatic, emotional, erratic "Bad"

d"#3(#08$(

[&j@"%8"$.007&F$)%.?0(&Z&/#"3F4%&"9&&)%#())
[&f$)%.?808%7N&#(0.%8"$);8/)M&)(09I8@.P(M&.A(4%M&8@/F0)8D8%7M&@""3
[&B(4F##($%&)(09I;.#@\

*xM&T&p&C
&8$&7"F$P(#&.P()
C")%&)(D(#(&8$&*+6)
Ux&)F8483(&#.%(

H$%8)"48.0

[&X8))"48.0&g&#(/(.%(3&F$0.E9F0O.P#())8D(&?(;.D8"F#
[&X(4(8%9F0M&078$PM&#(450())&8##()/"$)8?808%7
[&L.45&"9&#(@"#)(&"#&8$.?808%7&%"&(=/(#8($4(&PF80%

Sx&CM&&QxT
C")%&8$&*KIVV&7"

>8)%#8"$84

[&X#.@.%84&g&(=.PP(#.%(3&(=/#())8"$)&"9&(@"%8"$&^0.?80(M&);.00"E_
[&H%%($%8"$&)((58$PM&)(3F4%8D(&?(;.D8"F#)

*ISxM&C&w&T

'.#48))8%84

[&`#.$38")(&)($)(&"9&)(09I8@/"#%.$4(M&(@/.%;7
[&'((3&9"#&.3@8#.%8"$

u&QxM&C&p&T

Cluster C
X(/($3($%
HD"83.$%
<?)())8D(I
4"@/F0)8D(
C"+&"*6+"58N&/(#)"$.08%7&%#.8%)&.%&?8#%;&g&?8"0"P84.0&i&
($D8#"$@($%.0&^(P&8$IF%(#"&%"=8$)_&
&[&C8$8@.0&/.#($%&O&/.#($%8$P&8$/F%
&[&!($3&%"&.//(.#&0.%(#&8$&/(#)"$.08%7N
&[&HA(4%(3&?7N&.?F)(M&"#P.$84&?#.8$&8$aF#7M&$84;(&b$38$P
&[&e&@"38b(#)N&4"/8$P&)%70()M&@.a"#&089(&(D($%)
&[&2"48.0&@"38b(#)N&2j2&^&"#&_M&)4;""0O9.@807O9#8($3)
!"&!()%N
&[&>"E&3"&7"F&4"/(&8$&38v4F0%&)8%F.%8"$)\
&[&>"E&3"&7"F&P(%&.0"$P&E8%;&"%;(#)\&
&[&>"E&383&7"F&P"&.%&)4;""0\
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&[&B(m(=N&$"#@.0&)%8@F0F)&%#8PP(#)&.$"%;(#&@"3.08%7
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2%8%*(<9+&8%+4N
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!"$7*7I+(N(!"+"5876N&
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&&&&p&j)/(48.007&8$&L(E7I?"37&3(@($%8.
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j/80(/)7&^()/J&%(@/"#.0&0"?(_
X(b48($48()N
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j$3"4#8$(N&%;7#"83M&/.#.%;7#"83M&.3#($.0
2Lj
>F$%8$P%"$6)&38)(.)(
H4F%(&8$%(#@8%%($%&/"#/;7#8.&

37*48H>65?(<9+&8%+4N
HF38%"#7&>.00F48$.%8"$)N
&[&B(/(.%8$P&%;"FP;%)&.0"F3
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&[&BF$$8$P&4"@@($%.#7
!;"FP;%&8$)(#%8"$&O&E8%;3#.E.0
!;"FP;%&?#".34.)%8$P
:.))8D8%7&g&.A(4%M&8@/F0)(&"#&D"08%8"$
2"@.%84&/.))8D8%7
X(0F)8"$.0&/(#4(/%8"$&^$")(&%"F4;&w&)8P$.0_

Features

H&@($%.0&)%.%(&Z&1"**%"9%8"$)+8)%=()#%0/+1().%Z&8@/.8#(3&%;"FP;%)&1&/(#4(/%8"$

@"87%$%:9N&"#P.$84M&)F?)%.$4(&F)(M&)4;8o"/;#($8.&)/(4%#F@M&@""3&)/(4%#F@&38)"#3(#)
&[&H4F%(N&"$)(%&8$&u&QV&3.7)M&3F#.%8"$&u&,OQ*
&[&G;#"$84N&3F#.%8"$&p&,OQ*
."*F"&87%5N&@.58$P&)($)(&"9&%;(&8$9"#@.%8"$&9#"@&"F#&K&)($)()
&[&>.00F48$.%8"$)N&/(#4(/%8"$&E8%;"F%&)%8@F0F)&g&.//(.#)&#(.0&%"&/.%8($%
&[&:)(F3"I;.00F48$.%8"$N&.#8)()&8$&%;(&*54I/8)(:/&)/.4(&g&E8%;8$&%;(&@8$3
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&&p&HF38%"#7&;.00F48$.%8"$)N&@")%&4"@@"$&
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&&&&&I&G"@/0(=N&/;#.)()M&)($%($4()&"#&38.0"P&
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&&&&&I&G"@@"$&8$&"#P.$84&8$aF#7&Z&3(08#8F@M&"448/8%.0&0"?(&%F@"F#)M&(/80(/)7M&3(@($%8.
&&&&&I&:)74;".4%8D(&)F?)%.$4()N&L2XM&@()4.08$(M&P0F(O/(%#"0M&.04";"084&;.00F48$")8)
&&p&2"@.%84&;.00F48$.%8"$)N&?"37&)($).%8"$
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&&&&&I&h8)4(#.0&1&58$()%;(%84
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C=%I:=8(!74%*'"*N
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&&&p&:#8@.#7N&.#8)()&3(&$"D"&^$"%&*c&%"&/)74;"/.%;_&Z&)4;8o"/;#($8.&1&Qc&/)74;"%84&38)"#3(#)
&&&p&2(4"$3.#7N&9#"@&/#(I(=8)%8$P&/)74;"/.%;"0"P7&g&@""3&38)"#3(#)
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&[&<D(#D.0F(3&83(.)N&/0.F)8?0(&?(08(9M&?(4"@(&/#("44F/8(3M&
&&&&p&89&3(0F)8"$)N&4.$&P8D(&0"P84.0&#(.)"$&9"#&?(08(9
&&&&p&89&<GXN&$"%&F$3()8#.?0(&%;"FP;%)&^<GXN&?(;.D8"F#)&.#(&8##.%8"$.0&1&F$3()8#.?0(_
&[&X8)"#P.$8)(3&%;"FP;%
&&&&p&G8#4F@)%.$%8.0&O&%.$P($%8.0N&3(0.7(3&P".0I#(.4;8$P&O&"?08nF(&#()/"$)()&%"&nF()%8"$)
&&&&p&X(#.80@($%O0"")(&.))"48.%8"$N&);89%&9#"@&"$(&83(.&%"&.$"%;(#&F$#(0.%(3&"$(
&&&&p&]"#3&).0.3N&aF@?0(&"9&F$#(0.%(3&E"#3)&^q#.@?08$Pq_
&&&&p&'("0"P8)@)N&4#(.%8$P&$(E&E"#3)
&&&&p&T08P;%&"9&83(.)&O&%;"FP;%&?0"458$P
&&&&p&:(#)(D(#.%8"$&
&&&&p&j4;"0.08.
&[&'(P.%8D(&27@/%"@)N&8$384.%(&.&3(b48%
&&&&p&H/.%;7M&/"D(#%7&^%;"FP;%O)/((4;_M&?0F$%(3&.A(4%M&)"48.0&8)"0.%8"$M&HXL)M&4"P$8%8"$
&[&:)74;"@"%"#&9F$4%8"$N
&&&&p&G.%.%"$8.N&(=4())&"0&3(4#(.)(3&/F#/")(0())&@"%"#&.4%8D8%7&g&@"D(@($%M&%"$(&1&/")8%8"$

Delusion Types
."*4"FI8%*9N&?(8$P&;.#@(3&O&%;#(.%($(3&O&;.#.))(3&O&D84%8@&"9&4"$)/8#.47
U*65'7%4"N&(=4(/%8"$.007&/"E(#9F0M&%.0($%(3&"#&8@/"#%.$%
>")"*"5F"N&"?a(4%)M&/("/0(&"#&(D($%)&;.D(&/(#)"$.0&)8P$8b4.$4(
&[&!hO#.38"&%.058$P&%"O.?"F%&%;(&/.%8($%
>"$7:7%I4N&?(08(9&"9&.&#(08P8"F)&%;(@(
P*%8%+6576N&.$"%;(#&/(#)"$&8)&8$&0"D(&E8%;&/.%8($%
D5G'"$789N&0"D(#&;.)&?(($&F$9.8%;9F0
2747'"587GF687%5N
&[&G./P#.)&)7$3#"@(N&&9.@808.#&/(#)"$&;.)&?(($&#(/0.4(3&E8%;&.$&8@/")%(#
&[&T#(P"08&)7$3#"@(N&)%#.$P(#&8)&.4%F.007&.&9.@808.#&/(#)"$&8$&38)PF8)(
E7=7$7487FN&"$)(09M&"%;(#)&"#&%;(&E"#03&8)&$"$I(=8)%($%&O&.?"F%&%"&($3
<%+687FN&;7/"4;"$3#8.4.0&g&4"$4(#$8$P&"$(6)&?"37&"#&9F$4%8"$8$P
D5)"48687%5N&j5?"@6)&)7$3#"@(&g&)@.00&?F%&D8)8?0(&.$8@.0)
/%58*%$N&%;"FP;%)&O&9((08$P&O&.4%8"$)&O&8@/F0)()&4"$%#"00(3&"#&@.3(&?7&(=%(#$.0&.P($47&
&[&f$)(#%8"$N&83(.)&?(8$P&8@/0.$%(3&8$&;(.3
&[&]8%;3#.E.0N&83(.&#(@"D(3&9#"@&;(.3
&[&d#".34.)%8$PN&%;"FP;%)&?#".34.)%&%"&"%;(#)M&%;(7&5$"E&E;.%&/.%8($%&8)&%;8$58$P

Pychopathology
!;"FP;%&9"#@
X(0F)8"$)

C""3I4"$P#F($%
`#.$38")(&O&/(#)(4F%"#7

2/((4;
d8"0"P84.0
:)74;"@"%"#&9F$4%8"$

28@"$6)&G"$3($)(3&2F@@.#7&"9&C($%.0&>(.0%;

Mania

G8#4F@)%.$%8.0
!.$P($%8.0
T08P;%&"9&83(.)

:#())F#(3M&;.#3&%"&
8$%(##F/%
&)0((/&#(nF8#(@($%
&($(#P7
HP8%.%8"$

Schizophrenia

L"")(&.))"48.%8"$
'("0"P8)@
!;"FP;%&?0"458$P
W$#(0.%(3&%"&@""3
d8oo.#(
:.))8D8%7
>()8%.$%&O&;.0%8$P
L())&;7/(#.4%8D(&O&@"#(&
)0((/
HP8%.%8"$M&4.%.%"$8.M&
$(P.%8D(&)7@/%"@)

Dementia
`0"?.0&4"P$8%8D(&1&/(#)"$.08%7&8@/.8#@($%&8$&40(.#&4"$)48"F)$())

Clinical Features

:#(D.0($4(N&+JSx&"D(#.00

H$&8##(D(#)8?0(M&4;#"$84&.4nF8#(3&)7$3#"@(&g&/#"P#())8D(&3(%(#8"#.%8"$&8$&9F$4%8"$
&[&2($80(&^0.%(I"$)(%_N&t&,K&7(.#)&"03
&[&:#(I)($80(&^(.#07I"$)(%_N&u&,K&7(.#)&"03
&r&X(b$8%8D(&X=&.%&.F%"/)7&"$07&g&@84#")4"/84&4;.$P()
/$757F6$(!76:5%474N
()/&);"#%I%(#@&1&@(%.@(@"#7
&[&CF0%8/0(&4"P$8%8D(&8@/.8#@($%)N&@(@"#7&z&tQ&"9N&./;.)8.M&./#.=8.&^0(.#$(3&@"%"#_M&.P$")8.&
^#(4"P$8%8"$_M&.$"@8.&^$.@8$_M&0.$PF.P(M&(@"%8"$M&#(.38$PM&{&(=(4F%8D(&9=$M&HXL)
&[&TF$4%8"$.0&8@/.8#@($%&8)&.&3(408$(&"9&/#(D8"F)&9F$4%8"$
&[&X"()&$"%&"$07&"44F#&3F#8$P&3(08#8F@
&[&'"%&3F(&%"&)4;8o"/;#($8.M&3(/#())8"$&"#&"%;(#&H=8)&f&4"$38%8"$)&

Dementia
Tyoe
H0o;(8@(#6)
S+I,+x&
h.)4F0.#&
^@F0%8I8$9.#4%_
Q+IS+x

L(E7Id"37
*+x

T#"$%"%(@/"#.0
*+x&/#(I)($80(

Features
[&`#.3F.0&"$)(%&1&/#"P#())8D(&3(408$(&g&8$4#(.)8$P&/#(DJ&E8%;&.P(
[&X8.P$")8)&?7&(=40F)8"$&9"#&"%;(#&%7/()
[&20"E(3&?7&.4(%704;"08$()%(#.)(&8$;8?8%"#)&&)F#D8D.0
[&T"4.0&$(F#"0"P84.0&)8P$)&1&)7@/%"@)
[&jD83($4(&"9&GhH
[&W$(D($O)%(/E8)(&3(%(#8"#.%8"$&"9&9F$4%8"$&^$(E&8$9.#4%)_
[&d8$)E.$P(#6)N&/(#8D($%#84F0.#&8)4;.(@8.&g&HXM&?F%&4;.#.4%(#8)%84&G!
[&X.7I%"I3.7&mF4%F.%8"$)&8$&4"P$8%8D(&/(#9"#@.$4(
[&h8)F.0&;.00F48$.%8"$)&^#(4F##($%_
[&:.#58$)"$8)@&)8P$)N&#8P838%7M&?#.3758$()8.M&%#(@"#
[&B(4F##($%&9.00)&1&)7$4"/(
[&!#.$)8($%&4"$)48"F)$())&38)%F#?.$4()
[&j=%#(@(&)($)8%8D8%7&%"&.$%8/)74;"%84)&&4.%.)%#"/;84&:.#58$)"$8)@
[&j.#07&3(408$(&g&38)8$;8?8%8"$&1&%.4%0())$())M&(@"%8"$.0&?0F$%8$P
[&H%%($F.%(3&)/((4;M&(4;"0.08.M&/(#)(D(#.%8"$M&@F%8)@
[&j.#07&0"))&"9&8$)8P;%
[&<%;(#&4"P$8%8D(&9F$4%8"$&#(0.%8D(07&)/.#(3

2"+%*9(D+&67*+"58N&#(4($%&@(@"#7&&.00&@(@"#7
&[&:(#)"$.0&3(%.80)&^$.@(&(%4_&#(%.8$(3&F$%80&0.%(&8$&38)(.)(
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@&=6476N&0"))&"9&0.$PF.P(&g&&#(4(/%8D(&1&(=/#())8D(
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@&*6176N&0"))&"9&)5800(3&@"%"#&@"D(@($%)&^"%;(#E8)(&8$%.4%_
@:5%476N&4.$6%&#(4"P$8)(O83($%897&9.@808.#&"?a(4%)O/("/0(
P1"FI87#"(3I5F87%5N&4.$6%&/0.$O)(nF($4(&4"@/0(=&%.)5)
."*4%56$789(N(K"=6#7%I*N&8$%#"D(#%(3M&E8%;3#.E.0&
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.49F=768*7F(<1N&
&[&>.00F48$.%8"$)N&S+x&g&@")%07&D8)F.0
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&[&X(/#())8"$&1&.$=8(%7N&K+x
E"I*%$%:7F6$(<1N
&[&Q+I*+x&;.D(&)(8oF#()
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&[&C.7&;.D(&@7"40"$84&a(#5)
!7O"*"5876$(!76:5%4"4(R(/%:5787#"(D+&67*+"58,
&[&X(@($%8.
&[&X(08#8F@
&[&H@$()84&)7$3#"@(
&[&:)74;".4%8D(&)F?)%.$4(&F)(&O&E8%;3#.E.0
&[&C($%.0&#(%.#3.%8"$&O&0(.#$8$P&38).?808%8()&
&[&:)74;"%84&38)"#3(#)
&[&C""3&38)"#3(#)
&[&X8))"48.%8D(&38)"#3(#)
&[&HP(I#(0.%(3&4"P$8%8D(&3(408$(
&[&T.4%8%8"F)&38)"#3(#&1&@.08$P(#8$P&

Feature

Delirium

Dementia

@"87%$%:9N&
;54"8
H4F%(
`#.3F.0
H0o;(8@(#6)&X8)(.)(N&/3$O4.%.?"08)@&"9&.@70"83&&)($80(&/0.nF()
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T0F4%F.%8$P
:#"P#())8D(
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/%54F7%I45"44
f@/.8#(3
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&&&g&C")%07&0.%(I"$)(%&1&)/"#.384&^U+x_&g&9.@808.#&HX&^Q+x_&;.)&(.#08(#&"$)(%
."*F"&8I6$(F=65:"4
G"@@"$
f$&0.%(&)%.P()
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&&&&&&&&4;"08$()%(#.)(&8$;8?8%"#)&P8D(&)7@/%"@.%84&%#(.%@($%&8$&@803I@"3(#.%(&HX
a%*?I&N
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h.)4F0.#&X(@($%8.N&@F0%8/0(&4"#%84.0&8$9.#4%)&"#&)@.00&8$9.#4%)&8$&E;8%(&@.%%(#M&GhX&BT6)
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:)74;"0"P84.0&g&&CC2jM&)/(48b4&%()%)
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11

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&[&G.04F0.%(&%.#P(%&E(8P;%)&&(.%8$P&/0.$
&[&:)74;"%;(#./7
&[&](8P;%&@"$8%"#8$P&
&[&Gd!
&[&B(PF0.#&D8)F.0&"?)
&[&T.@807&8$D"0D(@($%
&[&j3F4.%8"$N&$F%#8%8"$&1&/)74;"(3F4.%8"$
&[&G"$)83(#&22Bf)&^mF"=(%8$(_&89&3(/#())(3O.$=8"F)&g&&w&4.$&@8))&.&9(E&3.7)

12

!7O"*"5876$(!76:5%4"4(R(L"7:=8(F=65:"4,
<#P.$84&4"$38%8"$)N
&[&G.$4(#M&?#.8$OG'2&%F@"F#)
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&[&G;#"$84&8$9(4%8"$M&HfX2
&[&G;#"$84&8$m.@@.%"#7&4"$38%8"$)
&[&j/80(/%84IjnF8D.0($%&)(8oF#()&
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&&&&&&1&?8%8$PM&(=.@8$.%8"$&"9&"?a(4%)&?7&@"F%;M&F$.?0(&%"&
&&&&&&8P$"#(&)%8@F08M&;7/(#)(=F.08%7M&;7/(#/;.P8.
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&&&&&&&;7/(#/;.P8.&g&"$)(%&8$&.3"0()4($4(M&C&p&T
C($%.0&X8)"#3(#)
&[&H$"#(=8.&$(#D").&Z&?8$P(I/F#P(&%7/(
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&&&&&&p&L())&)(D(#(&E%M&$"&@"#?83&9(.#M&.@($"##;(.&#.#(
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'(F#"0"P84.0N&
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f$384.%8"$)N
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[&2(D(#(&(0(4%#"07%(&8@?.0.$4(
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C.$.P(@($%N
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Gd!N&(A(4%8D(&.%&8$3F48$P&E(8P;%&P.8$
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&[&f3($%897&.F%"@.%84&%;"FP;%)&1&4"/8$P&)%#.%(P8()&
X7$.@84&/)74;"%;(#./7N&)"@(%8@()&F)(3&g&/%&#()8)%.$4(
T.@807&%;(#./7N&"9%($&F)(3&8$&4"@?8$.%8"$&E8%;&Gd!
.=6*+6F%8="*6&9N&$"$(&9"#&3(b$8%8D(&!=&"9&4"#(&)7@/%"@)
&[&G7/#";(/%.38$(N&.$%8;8)%.@8$(&1&.$%8)(#"%"$(#P84
&[&G;0"#/#"@.o8$(
&[&H@8%#8/%708$(
&[&G0"@8/#.@8$(M&/8@"o83(
&[&<0.$o./8$(N&&E(8P;%M&4"P$8%8"$M&.$=8(%7M&)0((/
T0F"=(%8$(N&#()F0%)&8$&E(8P;%M&!=&4"I@"#?83&3(/#())8"$
&&&&&g&<$07&89&"%;(#&<GX&2=&1&$"%&0"E&E(8P;%
&[&HD"83&!GH6)N&;7/"%($)8"$M&.##;7%;@8.M&3(;73#.%8"$&
!<2HDQ(!76:5%487F(/*78"*76(R(@5%*"176(E"*#%46
&QJ&f$%($)(&9(.#&"9&P.8$8$P&E(8P;%
&*J&B(9F).0&%"&@.8$%.8$&p&|Kx&(=/(4%(3&?"37&E(8P;%&
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&VJ&X8)%F#?(3&?"37&8@.P(

28@"$6)&G"$3($)(3&2F@@.#7&"9&C($%.0&>(.0%;

Bulimia Nervosa
!7O"*"5876$(!76:5%4"4(R(L"7:=8($%44,
H$"#(=8.&$(#D").
dF08@8.&$(#D").
C(384.0&4.F)()N
[&j$3"4#8$(&38)"#3(#)
&[&G.$4(#
[&G;#"$84&8$9(4%8"$O8$m.@@.%8"$
&[&`f&38)(.)(
X(/#())8"$
<GX
:)74;"%84&38)"#3(#)
H04";"0&O&)F?)%.$4(&.?F)(
X(@($%8.&
K%'9(2644(D5'"1N&

BMI =

Weight (kg)
Height (m)2

&[&'"#@.0N&*+I*K
&[&H$"#(=8.&$(#D").N&&QRJK
&[&C(384.0&3.$P(#N&&QSJK

[&<?()8%7N&t&S+
[&`#"))&"?()8%7N&t&V+

<86*#687%5(<95'*%+"N
&[&&/;7)84.0&)%#($P%;&1&%8#(3$())
&[&`8338$())M&@"@($%.#7&?0.45"F%)
&[&:.0(M&4"03M&3#7&1&@.#5(3&)58$
&[&&@($%.0&.0(#%$())
&[&!;8$M&3#7&"#&9.008$P&"F%&;.8#
&[&:#("44F/.%8"$&E8%;&9""3&g&/(#)8)%($%&%;"FP;%)&"#&3#(.@)
&[&!"78$P&E8%;&9""3M&#8%F.08)%84&(.%8$P
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&[&&4"@/#(;($)8"$&1&4"$4($%#.%8"$
&[&H/.%;7M&&@"%8D.%8"$O.@?8%8"$
&[&X(/#())8"$M&@""38$())M&8##8%.?808%7
&[&&>7/(#4"#%8)"0(@8.
&[&!;7#"83&9F$4%8"$&)F//#())8"$
&[&H@($"##;"(.
>")""'75:(<95'*%+",(
C(%.?"084&38)%F#?.$4()&9#"@&#()%.#%8$P&$F%#8%8"$&
27@/%"@)N
&[&T0F83&1&(0(4%#"07%(&8@?.0.$4(N&()/&&/;")/;.%(
&[&'(F#"M&/F0@M&4.#38.4M&@F)4F0.#&1&;.(@&4"@/084.%8"$)
C(4;.$8)@N
&[&G"$D(#)8"$&9#"@&9.%&%"&G><&@(%.?"08)@&
&[&&@(%.?"084&#.%(M&<*&3(@.$
&[&T0F83&1&(0(4%#"07%(&);89%&&&&&4.#38.4&E"#50".3
!#(.%@($%N
&[&2F//0(@($%.0&P0F4")(&1&%;8.@8$(M&@"$8%"#8$P&(0(4%#"07%()&

28@"$6)&G"$3($)(3&2F@@.#7&"9&C($%.0&>(.0%;

Bulimia Nervosa

dF08@8.N&?8$P(&(.%8$P&.$3&&)(09I4"$%#"0
d8$P(&(.%8$P&1&8$.//#"/#8.%(&E.7)&"9&/#(D($%8$P&E(8P;%&P.8$&g&.$&8@/F0)(&4"$%#"0&38)"#3(#
&[&d8$P()&"9%($&9"00"E(3&?7&PF80%M&3(/#())8"$&"#&)(09I38)PF)%&
d"37&E(8P;%&@.8$%.8$(3&"#&8$4#(.)()&^89&.$"#(=8.&$(#D")._&Z&q9.80(3&.%%(@/%q&.%&.$"#(=8.
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P&7'"+7%$%:9(N(@"87%$%:9N
QIQJKx&"9&E"@($&g&@83I.3"0()4($4(&"$)(%M&/#()($%.%8"$&8$&(.#07&*+6)
H(%8"0"P7N&H)&H'M&>=OT>=&"?()8%7M&T>=&.A(4%8D(&38)"#3(#O)F?)%.$4(&F)(
!76:5%487F(/*78"*76N
&[&:(#)8)%($%&/#("44F/.%8"$&E8%;&9""3&1&8##()8)%8?0(&9""3&4#.D8$P)
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&[&C"#?83&9(.#&"9&9.%$())
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&[&j=/0"#(&/"))8?808%7&"9&/#8"#&.$"#(=8.&$(#D").&^K+x_
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<IT89&"4N
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2(.)"$.0&.A(4%&38)"#3(#&"#&.%7/84.0&3(/#())8"$N&&?8$P(&8$&E8$%(#
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G"I@"#?83&8@/F0)(&?(;.D8"F#N
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2656:"+"58N
C")%&F$4"@/084.%(3&4.)()&3"&$"%&#(nF8#(&;")/8%.08).%8"$
L())&)(4#(%8D(&.?"F%&)7@/%"@)&g&"F%/.%8($%)&@.$.P(@($%&8)&$"%&38v4F0%&
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:)74;"37$.@84&%;(#./7
:;.#@.4"%;(#./7N
&[&H$%83(/#()).$%)N&;(0/9F0&Z&22Bf)M&8@8/#.@8$(M&3()8/#.@8$(M&%#.o"3"$(M&CH<f6)
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G"@?8$(&Gd!&1&@(384.%8"$)&^&3")(&22Bf_&9"#&@")%&(A(4%8D(&!=

13

Somatoform & Factitious Disorder


X8)"#3(#)&"9&@(384.007&F$(=/0.8$(3&)7@/%"@)&

Somatoform Disorders

A5"1&$675"'(<1((c(!1
:#(D.0($4(N&u&Qx&Z&CwT&&^*Q7&D)&*R7_

G0.))&"9&@($%.0&38)"#3(#)&g&)7@/%"@)&)FPP()%8D(&"9&/;7)84.0&38)"#3(#
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<%+687^687%5(!74%*'"*N&&&&&&&&&&+J*x&089(%8@(&/#(D.0($4(&g&"$)(%&u&*K7"&g&TNC&w&Q+NQ
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&&&&&&&38v4F0%7M&8@/.8#(3&4""#38$.%8"$O?.0.$4(
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C8)8$%(#/#(%.%8"$&"9&$"#@.0&?"37&)($).%8"$&.)&)(#8"F)&1&/#"P#())8D(&/;7)84.0&38)(.)(
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B(9F)(&%"&.44(/%&$F@(#"F)&3"4%"#6)&#(.))F#.$4(&
K%'9(!94+%*&=7F(!74%*'"*N&37)@"#/;"/;"?8.&g&D.#8.$%&"9&;7/"4;"$3#84.0&38)"#3(#&
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<%+68%)%*+(@I8%5%+7F(!94)I5F87%5N
H)48?(&)7@/%"@)&%"&"$(&/.#%84F0.#&"#P.$O)7)%(@&F$3(#&H'2&4"$%#"0
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&[&B()/N&/)74;"P($84&;7/(#D($%80.%8"$&1&4"FP;
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27@/%"@)N
&[&<?a(4%8D(&H'2N&)E(.%8$PM&mF);8$PM&/.0/8%.%8"$)M&%#(@"#
&[&2F?a(4%8D(N&/.8$)M&?F#$8$PM&;(.D8$())M&%8P;%$())M&9((08$P&?0".%(3
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."*4748"58(<%+68%)%*+(.675(!74%*'"*N
2(D(#(&1&/(#)8)%($%&/.8$&%;.%&4.$$"%&?(&"%;(#E8)(&(=/0.8$(3
W)F.007&4"##()/"$3)&%"&(@"%8"$.0&38v4F0%8()&1&/)74;")"48.0&)%#())"#)
:.8$&8)&%;(&3"@8$.$%&)7@/%"@&

Factitious Disorder & Malingering


27@/%"@)&8$%($%8"$.007&/#"3F4(3&"#&9(8P$(3&g&:%)&P8D(&4"$D8$48$P&;8)%"#8()
C.7&@.$F9.4%F#(&)8P$)N&E.#9.#8$&"O3M&8$)F08$&"O3M&4"$%.@8$.%(&F#8$(&).@/0()&(%4
X8A(#($%8.%(3&9#"@&"%;(#&38)"#3(#)&?7&/.%8($%6)&@"%8D.%8"$
36F8787%I4(!74%*'"*N&C$4;.F)($6)&27$3#"@(
&[&T"4F)(3&"$&/#8@.#7&8$%(#$.0&P.8$&g&.))F@8$P&)845&#"0(&&;")/8%.08).%8"$&1&%#(.%@($%
26$75:"*75:N&
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14

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Other Topics
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Pain

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Crisis

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Adolescent Psychiatry

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Forensic Psychiatry
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15

Alcohol & Substance Abuse


Alcohol-Related Disorders

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@$F%=%$HD5'IF"'(@+5"476N&J"0*+D"KL*%*.$20"'/&Z&!;8.@8$(&^dQ_&3(b48($47
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&&&&&g&%#(.%.?0(&89&/#"@/%&dQ&#(/0.4(@($%&^/.#($%(#.0_
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&[&:#"P$")8)N&*+x&#(4"D(#7
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&[&B=N&?($o")M&4;;0"#38.o(/"=83(&g&;8P;&3")(M&%./(#8$P&"D(#&KIROR&g&.D"83&E8%;&j%<>O)F?)%.$4(
&[&!;8.@8$(&%"&.D"83&](#$845(6)&
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&[&H4.@/#").%(N&&`HdH&%#.$)@8))8"$&w&&4#.D8$P)&g&&#(0./)(
&[&'.0%#(="$(N&</"83&#(4(/%"#&.$%.P"$8)%&g&&9#(n&1&)(D(#8%7&"9&#(0./)(&^K+&@PO3.7_
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&[&`""3&9.4%"#)N&)%.?0(&#(0.%8"$);8/&1&08D8$PM&a"?M&)"48.0&)F//"#%)M&8$)8P;%&1&@"%8D.%8"$
&[&SIV=&@"#%.08%7&#.%(&Z&SIVx&)F8483(&#8)5&^,+IQ*+=&;8P;(#&%;.$&/"/F0.%8"$_

Other Drugs

.49F=%6F87#"(<IT4865F"N&;.)&(A(4%&"$&G'2&
C%$"*65F"N&#(nF8#(&!&3")(&9"#&).@(&(A(4%
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9F0b0&"?08P.%8"$)M&/;7)84.007&;.o.#3"F)M&0(P.0&/#"?0(@)M&
#(4F##($%&8$%(#/(#)"$.0&/#"?0(@)
D58%17F687%5N&38)%F#?.$4(&"9&4"$)48"F)$())M&/(#4(/%8"$M&
@""3M&?(;.D8"F#&1&/;7)8"0"P7&g&)F?)%.$4(I)/(48b4&
)7$3#"@(
a78='*6L6$N&)F?)%.$4(I)/(48b4&g&"$&4()).%8"$O#(3F4%8"$
!"&"5'"5F"N&/;7)84.0M&/)74;"0"P84.0&1&?(;.D8"F#.0
&[&!"0(#.$4(&1&E8%;3#.E.0&.#(&)8P$)&"9&/;7)84.0&3(/($3($4(
&&&&&&^?F%&$"%&#(nF8#(3_
CF)%&;.D(&Sz&3F#8$P&/#(D8"F)&7(.#N
&[&2%#"$P&3()8#(&O&4"@/F0)8"$&%"&F)(&)F?)%.$4(
&[&X8v4F0%8()&8$&4"$%#"008$P&8$%.5(&O&F$)F44())9F0&nF8%
&[&!"0(#.$4(N&&nF.$%8%7&%"&.4;8(D(&).@(&#()F0%)
&[&]8%;3#.E.0&)7@/%"@)
&[&'(P0(4%&"9&8$%(#()%)&1&.4%8D8%8()
&[&>.#@9F0&F)(&g&3()/8%(&.E.#($())&"9&4"$)(nF($4()&
!"$7*7I+(C*"+"54N&.&@(384.0&(@(#P($47
&[&<$)(%N&QOR&I&ROR&.9%(#&0.)%&3#8$5&^/(.5&SIVOR_
&[&X(08#8F@N&40"F38$P&"9&4"$)48"F)$())&1&&4"P$8%8"$&
&[&h8D83&;.00F48$.%8"$)&1&800F)8"$)&8$&.$7&@"3.08%7
&[&C.#5(3&%#(@"#
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&[&T.4%"#)N&800$())&^;(/.%8%8)M&/.$4#(.%8%8)M&/$(F@"$8._&
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&[&2=N&($(#P7M&.0(#%$())M&(F/;"#8.M&.//(%8%(M&4"$9F)8"$M&/.#.$"8.M&d:M&>BM&%#(@"#)M&3#7
&&&&&&&@"F%;M&;.00F48$.%8"$)M&/)74;")8)M&;7/(#%;(#@8.M&);.00"E&?#(.%;8$P
&[&]8%;3#.E.0N&.?3"&/.8$M&./.%;7M&&3(/#())8"$M&8##8%.?808%7M&38)"#8($%.%8"$M&{&)0((/M&@F)40(&.4;(
&[&C(4;.$8)@N&&4.%(4;"0.@8$(&#(0(.)(M&XH&#(F/%.5(M&CH<&^@(%.?"08)@N&XHM&KI>!M&'H_
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&[&C=N&4.$&)%"/&.?#F/%07l&22Bf&9"#&3(/#())8"$M&?($o")O.$%8/)74;"%84)&^/)74;")8)_M&Gd!
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&[&:((#&/#())F#(
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Alcohol Withdrawal Type
Onset
:)74;"@8@(%84)N&
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,&I&S,&;#)
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&&&&&&&.$.0P()84M&;.00F48$.%8"$M&.//(%8%(M&>BM&D.)"380.%8"$M&?#"$4;"380.%8"$
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&[&C(4;.$8)@N&&.3($70.%(&4740.)(&^&H!:&&4HC:_
,&I&V|&;#)
);"#%&/")%I84%.0&/(#8"3M&#.#(07&)%.%F)&(/80(/84F)
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!"$7*7I+(C*"+"54N&3(08#8F@M&.P8%.%8"$M&>BM&>!'M&
V|&I&U,&;#)
9(D(#M&38./;"#()8)

16

28@"$6)&G"$3($)(3&2F@@.#7&"9&C($%.0&>(.0%;

Risk Assessment & Suicidality


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2FPP()%8D(&.4%)N
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&[&:#(4.F%8"$)&%"&.D"83&38)4"D(#7
&[&X.$P(#"F)&@(%;"3N&D8"0($%&^;.$P8$PM&aF@/8$PM&b#(.#@)_
&&&&&&&@"#(&)FPP()%8D(&%;.$&"D(#3")8$P&(%4
&[&'"&;(0/&)"FP;%&.9%(#&.4%
2"586$(<868"N
GF##($%07&X(/#())(3\
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T(.%F#()&"9&;"/(0())$())&1&E"#%;0())$())\
!;"FP;%&4"$%($%\&'(P.%8D(&%;(@()\
:#"%(4%8D(&9.4%"#)\
W$38.P$")(3&@($%.0&800$())\

Screening for Intent


!;"FP;%)
!;#(.%)
:0.$)
:#(D8"F)&H%%(@/%)
2(09I>.#@

Q
*
S
V
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&!7/(N&D(#?.0M&E#8%%($M&?"37&0.$PF.P(M&?(;.D8"F#
&!.#P(%N&/#"9())8"$.0)M&/#"@8$($%&/("/0(M&/"08%848.$)M&
&&&&&8$%8@.%()O(=6)M&.4nF.8$%.$4()M&)%#.$P(#)&
&:(#/(%#.%"#N
&&&[&24#(.@(#N&(=/#())&(@"%8"$
&&&[&24;(@(#)N&8$)%#F@($%.0&O&@.$8/F0.%8D(
&&[&2;"45(#)N&4.04F0.%(3&%"&;.#@&O&9#8P;%($
&H))())8$PN
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&&[&];"&383&8%\
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&&!"&"%;(#)N&@.5(&8%&40(.#&7"F&%.5(&8%&)(#8"F)07M&.))())&%;#(.%M
&&&&&&&);.#(&(D.0F.%8"$&1&8$%($3(3&.4%8"$&/0.$M&8$9"#@&D84%8@&O&
&&&&&&&/"084(M&D"0F$%.#7&"#&f!<&.3@8))8"$
C6*64%ON&X#&;.)&.&3F%7&%"&%;(&/.%8($%&1&)/(48b4.007&
%;#(.%($(3&8$38D83F.0)

Suidice Risk Factors

H&@($%.0&)%.%(&Z&1"**%"9%8"$)+8)%=()#%0/+1().

.49F=768*7F(D$$5"44N&U+x&;.D(&38.P$").?0(&/)74;8.%#84&800$())&
&[&B(4($%&38)4;.#P(&.%&;8P;&#8)5&g&;8P;()%&QI*OK*&
&[&X(/#())8"$&8)&@")%&4"@@"$&^K+I|+x_&g&QKx&089(%8@(&#8)5&"9&)F8483(
&[&24;8o"/;#($8.N&Q+x&089(%8@(&#8)5
&[&>8P;()%&#8)5N&7"F$PM&8$%(008P($%M&F$(@/0"7(3M&@.0(&E8%;&P""3&8$)8P;%M&#(0./)8$P
!*I:4(N(@$F%=%$N&
&[&X(/#()).$%M&8@/.8#)&aF3P(@($%M&38)8$;8?8%8"$&&085(08;""3&"9&.4%8$P&"$&)F8483.0&%;"FP;%)
&[&L89(%8@(&#8)5&9"#&.04";"0&3(/($3($4(N&SIVx
.=947F6$(D$$5"44N
&[&X8).?08$P&"#&F$/0(.).$%&4"$38%8"$&i&4"I@"#?83&3(/#())8"$
&[&G"@@"$07N&4;#"$84&/.8$M&G'2&^(/80(/)7M&C2M&>F$%8$P%"$6)_M&4.$4(#&^P($8%.0)M&?#(.)%_M&
&&&&&&&&($3"4#8$(&^GF);8$P6)M&/"#/;7#8._
@'#"*4"(B7)"(P#"584N&4"@@"$&8$&,OQ*&/#8"#&%"&)F8483(&.%%(@/%
;8="*(36F8%*4N&.44())&%"&E(./"$)O3#FP)M&2j2M&T>=&^3(/#())8"$M&j%<>&.?F)(M&)F8483(_

!"&*"447%5(@44"44+"58
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!7)%;7@8.
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/"$4($%#.%8"$&#(3F4(3
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<I7F7'"(>74?(36F8%*4,
<(=&^@.0(_
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>.%8"$.0&%;"FP;%&8@/.8#@($%
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;#P.$8)(3&/0.$
E"&)/"F)(
<(09I;.#@

Risk Assessment
b"9(.*%F"44"4N
f3($%897N&.))())@($%M&4"00.%(#.0M&3(%.80(3&8$9"#@.%8"$
C.$.P(N&/0.$&^9"#&)/(48b4&?(;.D8"F#)_M&&#8)5&9.4%"#)M&&/#"%(4%8D(&9.4%"#)&1&)%#F4%F#(M&
&&&&&&&408$84.0&8$%(#D($%8"$&^@(3&#(D8(EM&0(.D(M&/)74;"I)"48.0&!=_
C"$8%"#N&&#(D8(E&9#(nF($47M&&@"$8%"#8$P&"9&#8)5)&1&3()%.?808)8$P&9.4%"#)M&%;(#./(F%84&.008.$4(
36F8%*4N&)F?)%.$4(&F)(M&.4%8D(&2=M&9"#($)84&>=M&$"$I4"@/08.$4(M&@F0%8/0(&38)"#3(#)M&2j2M&
&&&&&&&/)74;"/.%;7M&D8"0($%&83(.%8"$M&"//"#%F$8%7O.44())M&8@/F0)8D(O.$P#7M&7"F$P(#M&8$)8P;%&O&
&&&&&&&4"/8$PM&y&)"48.0&)F//"#%M&F$)%.?0(&08D8$PM&&)%#())"#)&Z&38D83(&8$%"&b=(3&1&37$.@84&9.4%"#)
/%+&%5"584N&085(08;""3M&$.%F#(M&)(D(#8%7&1&8@@(38.47&Z&4"$)83(#&.00&9"F#
b"9(eI"487%54N
&[&:0.$$(3&"#&8@/F0)8D(&?(;.D8"F#\
&[&];.%&8)&%;(&#(0.%8"$);8/&%"&/)74;")8)O@($%.0&38)"#3(#O)F?)%.$4(&F)(\
&[&];.%&.#(&%;(&#8)5&9.4%"#)&4F##($%07\
&[&f)&%;(&?(;.D8"F#&8$)%#F@($%.0&^0(.#$(3&%"&#(.4;&.&P".0_&"#&#(.4%8D(\&
&[&H#(&%;(#(&.$7&8@@(38.%(&%#8PP(#)\
&[&H%%8%F3()&%"&D8"0($4(&1&/#"D"4.%8"$\
&[&];"&.#(&%;(&D84%8@)\&)/(48b4&8$38D83F.0)\&P($3(#\&)%#.$P(#)\
<F*""575:N
&[&>8)%"#7&"9&D8"0($4(&g&.4%)M&83(.%8"$M&%;#(.%)\&&
&[&GF##($%07N&;")%80(M&PF.#3(3M&/.#.$"83M&9((08$P&%;#(.%($(3O@.58$P&%;#(.%)M&3()%#F4%8D(\
&[&H44())&%"&E(./"$)\
&r&jD83($4(I?.)(3&)%#F4%F#(3&#8)5&.))())@($%&8$)%#F@($%)&.#(&.D.80.?0(&r

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&[&4"@.&.$3&3(.%;&89&F$%#(.%(3
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&[&;.00F48$.%8"$)

28@"$6)&G"$3($)(3&2F@@.#7&"9&C($%.0&>(.0%;

17

Psychopharmacology
Antidepressants
C/@N&+'()0(7).1($/3%('(70+'($/3%1"9/70+'($/3%81"'(70+'($/&
C<HN&/#()7$./%84&?0"45.3(&"9&KI>!&1&'H&^1&G<C!_&#(F/%.5(&/F@/)&g&2jB!&1&'j!
f$384N&3(/#())8"$M&?8/"0.#M&)4;8o".A(4%8D(M&.$=8(%7M&(.%8$P&38)"#3(#)
&[&H0)"&?0"45&@F)4.#8$84M&;8)%.@8$(#P84&1&I.3#($(#P84&#(4(/%"#)&&2j6)
2jN&)(3.%8"$M&4.#38"%"=848%7M&.$%84;"08$(#P84
G"$%#.N&#(4($%&CfM&.##;7%;@8.M&)(D(#(&08D(#&38)(.)(M&@.$8.
<<>D&g&)(0(4%8D(&)(#.%"$8$&#(F/%.5(&8$;8?8%"#)N&*/0)0+1($/3%N5"O/)($/3%8()+1"70+'3%7+0"O/)($/
C<HN&/#()7$./%84&?0"45.3(&"9&KI>!&#(F/%.5(&/F@/)&^2jB!_&1&KI>!Q.M*MS&.P"$8)%
&[&B=&4;"84(&89&4.#38.4&38)(.)(&"#&#8)5&"9&<OX
2jN&0())&.$%84;"08$(#P84&1&)(3.%8"$l&)(=F.0&37)9F$4%8"$M&#8)5&)F8483(&^mF"=(%8$(_\
&[&'1hM&38.##;"(.M&.?3"&/.8$M&.$=8(%7O.P8%.%8"$M&8$)"@$8.M&)E(.%8$P&g&@")%&#()"0D(&"D(#&%8@(
G"$%#.N&@.$8.
2@;D&g&@"$".@8$(&"=83.)(&8$;8?8%"#N&%7#/$/1>($/3%)0+$.18.70"'($/3%'"81"4/'(2/
C<HN&f##(D(#)8?0(&8$;8?8%8"$&"9&CH<IH&.$3&Id
2jN&4;(()(&#(.4%8"$&^%7#.@8$(&8$%.5(&&&'H&#(0(.)(&&;7/(#%($)8D(&4#8)8)_
G"$%#.N&/;("4;#"@"47%"@.M&4(#(?#"D.)4F0.#&38)(.)(M&;(/.%84&8@/.8#@($%M&@.$8.
E6<<@&g&'H&1&2/(48b4&2(#"%"$8$(#P84&H$%83(/#()).$%
C<HN&.$%.P"$8)(&I.3#($(#P84&1&KI>!*MS&#(4(/%"#)&g&$"&2jB!&(A(4%
<E>D&g&2(#"%"$8$I'H&#(F/%.5(&8$;8?8%"#&Z&2jB!&1&'j!

Class

Generic Name

<<>D

C/@
E6<<@
<E>D

2(#%#.08$(
T0F"=(%8$(
G8%.0"/#.@
:.#"=(%8$(
H@8%#8/%708$(
f@8/#.@8$(
C8#%.o./8$(
h($0.9.=8$(

Trade Name

Dose

"0"9%
:#"o.4
G(0(=.
:.=80&O&H#./.=
j0.D80
!"9#.$80&O&!"0(#.3(
HD.$o.

K+&I&Q++&@P
*+&I&V+&@P&@.$(&g&jX
*+&I&V+&@P
*+&I&V+&@P&@.$(&g&.$=8(%7
RK&I&QK+&@P
RK&I&QK+&@P
S+&I&VK&@P

jA(="#

RK&I&QK+&@P

Mood Stabilizers
f$384.%8"$)N&.4F%(&1&@.8$%($.$4(&"9&@.$8.&.$3O"#&?8/"0.#&3(/#())8"$
G"$%#.N&/#(P$.$47O?#(.)%&9((38$PM&#($.0&8$)Fv48($47M&%;7#"83&38)(.)(M&4.#38.4&4"$38%8"$)M&
&&&&&&&$(F#"0"P84.0&4"$38%8"$)&^(P&:.#58$)"$6)M&>F$%8$P%"$6)_
B78=7I+N&
Teratogenic
C<HN&@"3F0.%(&'!I8$3F4(3&*$3&@())($P(#&)7)%(@
f$384N&.4F%(&@.$8.M&d:HX&/#"/;70.=8)M&!=I#()8)%.$%&3(/#())8"$l&24;HAM&.P#())8"$O8@/F0)8D8%7
2jN&%;8#)%M&/"0738/)8.M&/"07F#8.M&E(8P;%M&"(3(@.l&b$(&%#(@"#M&)58$&/#"?0(@)M&4"$4($%#.%8"$&O&
&&&&&&&@(@"#7&/#"?0(@)M&;7/"%;7#"838)@M&#($.0&9F$4%8"$M&4.#38.4&^!&m.%%($8$PO8$D(#)8"$_M&
&&&&&&&0(F5"47%")8)M&%(#.%"P($84
f$%(#.4%8"$)N&&0(D(0N&'2HfX)M&38F#(%84)M&HGj8&
G"$%#.N&#($.0&38)(.)(M&3(;73#.%8"$M&)"38F@&3(/0(%8"$M&/#(P$.$47
Q6$&*%68"N
C<HN&f$;8?8%&`HdH&%#.$).@8$.)(
f$384N&(/80(/)7M&.4F%(&@.$8.M&d:HX&/#"/;70.=8)&
2jN&.//(%8%(OE(8P;%M&)(3.%8"$M&38oo8$())M&.$50(&)E(008$PM&;.8#&0"))M&'1hM&%#(@"#M
&&&&&&&;.(@.%"0"P84.0&^?0((38$P&%8@(M&%;#"@?"47%"/($8.M&0(F5"/($8._M&08D(#&($o7@(&0(D(0)
/6*T6+6^6&75"N
C<HN&`HdH&.P"$8)%
f$384N&(/80(/)7M&d:HX&/#"/;70.=8)&^89&F$#()/"$)8D(&%"&08%;8F@_M&#./83&47408$P&?8/"0.#M&!=I#()8)%.$%
&&&&&&@.$8.M&3(/#())8"$&"#&)4;8o"/;#($8.M&8@/F0)(&4"$%#"0&38)"#3(#)
2jN&'1hM&#.);()M&?0F##(3&D8)8"$O38/0"/8.M&.%.=8.M&3#"E)8$())M&9.%8PF(M&;7/"$.%#(@8.M&mF83
&&&&&&&#(%($%8"$M&;.(@.%"0"P84.0&^0(F5"/($8.M&%;"@?"47%"/($8.M&(")8$"/;808._M&08D(#&($o7@()
B6+%8*7:75"N&
C<HN&'.I4;.$$(0&?0"45(#&g&/#(D($%)&#(0(.)(&"9&(=48%.%"#7&'!6)&^P0F%.@.%(M&.)/.#%.%(_

Generic Name
L8%88F@
h.0/#".%(
G.#?.@.o(/8$(

18

Trade Name
j/808@

/;22;E(<D!P(P33P/C<
@587F=%$75"*:7FN&3#7&@"F%;M&4"$)%8/.%8"$M&F#8$.#7&#(%($%8"$M&
?0F##(3&D8)8"$
fH6'*"5"*:7F(T$%F?6'"N&/")%F#.0&;7/"%($)8"$
-7486+75"*:7F(T$%F?6'"N&E(8P;%&P.8$M&)(3.%8"$
/6*'7%8%17F("O"F8N&!&/#"0"$P.%8"$M&2!&(0(D.%8"$M&;(.#%&
?0"45M&.##;7%;@8.&
U"5"*6$(C7&4()%*(@587'"&*"446584N&
[&H0E.7)&%./(#&3")(&?(9"#(&E8%;3#.E.0
&&p&X8)4"$%8$F.%8"$&)7$3#"@(N&`f&38)%F#?.$4(M&.P8%.%8"$M&
&&&&&&&&&38oo8$())M&;(.3.4;(M&%#(@"#M&8$)"@$8.&
&[&G.F)(&0"E(#&)(8oF#(&%;#();"03&Z&4.F%8"$&E8%;&(/80(/)7&
&[&G"@?8$.%8"$&%;(#./7&w&&#8)5N&2j6)&1&"D(#3")(&
&[&22Bf)&@.7&8$4#(.)(&.$=8(%7&9"#&QI*OK*&8$8%8.007
&[&>.D(&.&3(0.7(3&"$)(%&Z&.%&0(.)%&QI*OK*
&[&].);"F%&/(#8"3&89&4;.$P8$P&.$%83(/#()).$%)
U"5"*6$(<7'"(PO"F84N
H$%83(/#()).$%)N
&[&f$)"@$8.
&[&H$=8(%7
&[&'1h
&[&>7/"%($)8"$&O&;7/(#%($)8"$
&[&&>(.3.4;(
&[&2(=F.0&37)9F$4%8"$&^&E8%;&@8#%.o./8$(_
H$%8/)74;"%84)N
&[&j:2j
&[&'C2
&[&j$3"4#8$(&^&/#"0.4%8$_
&[&C(%.?"084&^P0FM&08/83)M&E(8P;%_
&[&G0"o./8$(&"$07N&3#""08$PM&.P#.$F0"47%")8)M&4.#38.4
B78=7I+(C%17F789N
'.##"E&%;(#./(F%84&E8$3"EN&+JK&I&QJ+&@@"0OL
&[&'1hM&./.%;7M&4".#)(&%#(@"#M&.%.=8.M&E(.5$())
!"=84&t&QJK&@@"0OLM&3.$P(#"F)&t&*J+&@@"0OL
&[&'7)%.P@F)M&37).#%;#8.M&4"$)48"F)$())M&%($3"$&#(m(=()M
&&&&&&&"08PF#8.M&;7/"%($)8"$M&4"$DF0)8"$)M&4"@.
!=N&;73#.%8"$M&#($.0&9F$4%8"$&1&(0(4%#"07%()l&.$%84"$DF0).$%)M
&&&&&&&;.(@"38.07)8)&^89&#($.0&9.80F#(_
<"*%8%575(<95'*%+"N
G.F)()N
&[&G"@?8$.%8"$&"9&*&.$%83(/#()).$%)&^()/&22Bf&z&CH<f_
&[&<D(#3")(&^.$%83(/#()).$%)M&"/8"83)&g&%#.@.3"0M&/(%;838$(_&
&[&f$)Fv48($%&E.);I"F%
:#()($%.%8"$N
&[&G"P$8%8D(N&.P8%.%8"$&1&4"$9F)(3
&[&H'2N&2'2
&[&'(F#"N&F$4""#38$.%(3M&.%.=8.M&%#(@"#M&#(m(=()
C=N&&3")(M&)F//"#%8D(&4.#(

Dose
RK+&I&QK++&@P&&g&Q+++I*K++&@P
V++&I&|++&@P&g&Q+++I*+++&@P
*++&I&V++&@P&Z&Q+++I*+++&@P

28@"$6)&G"$3($)(3&2F@@.#7&"9&C($%.0&>(.0%;

Psychopharmacology
PgC>@.X>@2D!@B(<D!P(P33P/C
.6*?754%5765(2%8%*(<9+&8%+4N&@F)4F0.#&#8P838%7M&
&&&&&&&?#.3758$()8.M&#()%8$P&%#(@"#&g&E8%;8$&QOQ*&"9&4"@@($48$P
&!=N&.$%84;"08$(#P84)&^?($o"%#"/8$(_M&&3")(M&4;.$P(&3#FP
@FI8"(!948%576N&)F)%.8$(3&@F)4F0.#&4"$%#.4%8"$)&g&E8%;8$&R*&
&&&&&&&;#M&@"#(&4"@@"$&8$&7"F$P&@($
&!=N&.$%84;"08$(#P84)M&&3")(M&4;.$P(&3#FP
@?68="476N&8$$(#&#()%0())$())M&@F)4F0.#&38)4"@9"#%&g&,I,+OR
&!=N&:#"/.$"0"0M&);"#%I%(#@&?($o")M&&3")(M&4;.$P(&3#FP
C6*'7#"(!94?75"476N&#;7%;@84&@"D(@($%)&^;(.3M&08@?)M&
&&&&&&&%#F$5_&g&4;(E8$PM&P#8@.48$PM&/#"%#F38$PO3.#%8$P&%"$PF(
&[&X(D(0"/)&8$&*+K&"9&/.%8($%)&F$3(#&0"$PI%(#@&!=
&!=N&]8%;3#.E&89&/"))8?0(M&40"o./8$(M&?($o")
E"I*%$"&87F(26$7:5658(<95'*%+"N&)(D(#(&@F)4F0.#&#8P838%7M&
&&&&&&&mF4%F.%8$P&4"$)48"F)$())M&H'2&38)%F#?.$4(&^F$)%.?0(&d:M&
&&&&&&&9(D(#M&#./83&/F0)(M&)E(.%8$P_M&G5&0(D(0)&g&VIQQOR
&!=N&E8%;3#.EM&3.$%#"0($(&^&)/.)@_M&?#"@"4#8/%8$(&^#(D(#)(&
&&&&&&&XH&?0"45.3(_M&4""0&/%M&@"$8%"#&D8%.0)M&#($.0&9=$&.$3&W1j
!"&%8(@587&49F=%87F4N
!7/84.0)
&[&T0F/($%8="0
&[&T0F/;($.o8$(&g&&?7&)@"58$P
&[&>.0"/(#83"0&g&&?7&)@"58$P
&[&F40"/;($%8="0
H%7/84.0)N
&[&<0.$o./8$(&g&/")%I8$a(4%8"$&)7$3#"@(&QxN&)(3.%8"$M&
&&&&&&&&4"$9F)8"$M&{&)/((4;M&F$4"$)48"F)$())&g&8$a&8$%"&?0""3
&[&B8)/(#83"$(&^B8)/(#3.0&4"$)%._

Antipsychotics
:)74;8.%#84&8$384.%8"$)N&)4;8o"/;#($8.M&)4;8o".A(4%8(M&3(0F)8"$.0&38)"#3(#M&3(/#())8"$O@.$8.&
&&&&&&&E8%;&/)74;"%84&9(.%F#()M&/)74;"%84&(/8)"3(&*c&%"&@(384.0O)F?)%.$4(&F)(M&3(08#8F@M&3(@($%8.
&&&&&&&^?(;.D8"F#.0&38)%F#?.$4()_M&.P8%.%8"$O.$=8(%7OD8"0($%O8@/F0)8D(&?(;.D8"F#&
'"$I/)74;8.%#84&8$384N&@"%"#&%84)M&'1h&^/#"4;0"#/(#.o8$(_M&;844F/)&1&/#F#8%8)
C9&7F6$(@587&49F=%87F4&&Z&X*B&p&KI>!*&(A(4%
d0"45&X*&#(4(/%"#)&8$&@()"08@?84&XH&/.%;E.7)&g&!=&;.00F48$.%8"$)M&3(0F)8"$)M&%;"FP;%&38)"#3(#
283(&(A(4%)&P($(#.%(3&?7&X*&?0"45.3(&8$&"%;(#&#(P8"$)&"9&?#.8$&g&$8P#")%#8.%.0&
&[&'8P#")%#8.%.0&^?.).0&P.$P08.O)%#8.%F@_N&j:2j
&[&C()"4"#%84.0N&&$(P.%8D(&1&4"P$8%8D(&2=
&[&!F?(#"8$b$38?F0.#N&&/#"0.4%8$&)(4#(%8"$&^P.0.4%"##;"(.M&.@($"##;"(.M&)(=F.0&37)9F$4%8"$_
&[&G;(@"#(4(/%"#&!#8PP(#&"$(N&.$%8I(@(%84&(A(4%&^&'1h_
H0)"&?0"45&"%;(#&#(4(/%"#)N&.338%8"$.0&2j6)
&[&H$%84;"08$(#P84N&3#7&@"F%;M&4"$)%8/.%8"$M&F#8$.#7&#(%($%8"$M&?0F##(3&D8)8"$
&[&I.3#($(#P84&#(4(/%"#)N&/")%F#.0&;7/"%($)8"$&^38oo8$())M&)7$4"/(_
&[&>8)%.@8$(#P84&#(4(/%"#)N&&E(8P;%M&)(3.%8"$
&[&G.#38.4N&/#"0"$P(3&!M&.##;7%;@8.)M&@7"4.#38%8)M&)F33($&3(.%;
&[&X(#@.%"0"P84.0N&/;"%")($)8%8D8%7M&#.);()&^()/&4;0"#/#"@.o8$(_
&[&<%;(#N&)(8oF#(&%;#();"03M&;(/.%"%"=84M&4;"0()%.%84&a.F$384(M&/.$47%"/($8.M&.P#.$F0"47%")8)&
@89&7F6$(@587&49F=%87F4&Z&KI>!*&p&X*&^@"#(&)(0(4%8D(&9"#&@()"08@?84&w&&j:2j_
T(E(#&j:2jM&@"#(&(A(4%8D(&.P.8$)%&$(P.%8D(&2=
d0"45&KI>!*H&1&X*&#(4(/%"#)&g&D.#8.?0(&@F)4.#8$84M&;8)%.@8$(#P84&1&I.3#($(#P84&?0"45.3(
&[&G0"o./8$(N&?0"45)&XQ&1&XV&pX*
2jN
&[&B8)/(#83"$(N&:#0M&E(8P;%M&"#%;")%.%84&;7/"%($)8"$M&j:2j&^;8P;&3")(_
&[&<0.$o./8$(N&&E(8P;%M&)(3.%8"$M&{&P0F4")(&%"0(#.$4(M&08/83&.?$"#@.08%8()M&&#8)5&38.?(%()
&[&H@8)F0/;#83(N&:#0
&[&G0"o./8$(N&.P#.$F0"47%")8)M&$(F%#"/($8.M&@7"4.#38%8)M&;7/(#).08D.%8"$M&&E(8P;%M&)(3.%8"$M
&&&&&&&{&P0F4")(&%"0(#.$4(M&08/83&.?$"#@.08%8()M&@"3J&#8)5&38.?(%()M&)(8oF#(&#8)5&^;8P;&3")(_

Class

Generic Name
B8)/(#83"$(

h(N(hN&;.0"/(#83"0&z&@83.o"0.@&fC&K&@P

@89&7F6$
VW
C9&7F6$

<0.$o./8$(
F(%8./8$(
G0"o./8$(
>.0"/(#83"0
G;0"#/#"@.o8$(
F40"/($%;8="0

Anxiolytic & Hypnotic Drugs

Trade Name
B8)/(#3.0
B8)/(#3.0&4"$)%.
7/#(=.
2(#"nF(0
G0"/8$(
2(#($.4(
L.#P.4%80
G0"/8="0
H44F/;.)(

Dose
Q&@P&?3&&*&I&,&@P&3.807
*K&@P&&RK&(D(#7&*OK*
KIQ+&&*+&@P&$"4%(
S++&I&K++&@P&
*++&I&,++&@P
Q&I&RJK&@P
K+&I&,++&@P
Q++&&,++&@P&(D(#7&*IVOK*
Q++&&V++&@P&(D(#7&QOQ*

@517%$987FN&#(3F4()&.$=8(%7&&&&&&-9&5%87FN&8$3F4()&)0((/

H00&4.$&#()F0%&8$N&%"0(#.$4(M&3(/($3($4(&1&E8%;3#.E.0&
H338%8D(&(A(4%&E;($&4"@?8$(3&E8%;&j%<>M&"/8.%()M&?.#?8%F#.%()M&!GH)&1&.$%8;8)%.@8$()
&&&#8)5&"9&#()/8#.%"#7&3(/#())8"$
K"5^%'76^"&75"4N&
C<HN&/"%($%8.%(&`HdH&.4%8"$
jA(4%)N&;7/$"%84M&.$=8"07%84M&.$%8I4"$DF0).$%M&@F)40(&#(0.=.$%&Z&)(03"@&9.%.0&8$&<OX
f$384N&8$)"@$8.M&.$=8(%7&38)"#3(#)M&j%<>&E8%;3#.E.0M&.5.%;8)8.M&.4F%(&@.$8.O/)74;")8)M
&&&&&&&(/80(/)7&/#"/;70.=8)M&)(8oF#()M&@F)40(&)/.)@&^38.o(/.@_
2jN&3#"E)8$())M&.%.=8.M&&4""#38$.%8"$M&#()/8#.%"#7&3(/#())8"$M&3(/($3($4(

Class
<=%*8H
@F875:
B%5:H
@F875:

Generic Name
!(@.o(/.@&^QQ;#_
<=.o(/.@&^|;#_
L"#.o(/.@&^QK;_
G;0"#38.o(/"=83(
X8.o(/.@

Trade Name
!(@.o(
H0(/.@
H%8D.$
L8?#8F@
h.08F@

Dose
K&I&*+&@P
VK&I&U+&@P
Q&I&Q+&@P
Q+&I&V+&@P
K&I&V+&@P

Route
:<
:<
:<M&fCM&fh
:<
:<M&:BM&fhM&fC

KI4&7*%5"N&KI>!Q.&.P"$8)%&g&$"&;7/$"%84M&.$%84"$DF0).$%&"#&@F)40(&#(0.=.$%&/#"/(#%8()
f$384N&`HX&
<"'6875:(-7486+75"4N&38/;($;73#.@8$(&
f$384N&8$)"@$8.
<=%*8H6F875:(-9&5%87F4N&&o"/840"$(M&o"0/83(@M&o.0(/0"$
;8="*4N&40"@(%;8.o"0(M&@(/#"?.@.%(M&4;0"#.0&;73#.%(&^2j)_

28@"$6)&G"$3($)(3&2F@@.#7&"9&C($%.0&>(.0%;

19

Psychotherapy & Electroconvulsive Therapy


Types of Therapy

:#(D.0($4(N&u&Qx&Z&CwT&&^*Q7&D)&*R7_

/%I54"$$75:(N(<I&&%*87#"(.49F=%8="*6&9N
G"F$)(008$PN&?#8(9&g&9"#&@8$"#&@($%.0&;(.0%;&O&8$%(#/(#)"$.0&8))F()
&[&2%#())9F0&089(&48#4F@)%.$4()
&[&>(0/8$P&408($%)&F)(&"E$&)%#($P%;)M&/#"D83(&8$9"#@.%8"$&1&.3D84(
&[&d($(b48.0&9"#&.$=8(%7&1&3(/#())8"$&8$&`:&)(%%8$P
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21

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