Mohd Rafi’uddin Hamidon 01200910 0070 Procedure which brings to conscious awareness. unconscious conflict and associated emotions It is integral part of psychoanalysis and analysis Can be done with or without medication . for the first time. Treatment: Initially: Amphetamines. ether. Lysergic acid diethylamide (LCD) Amphetamines Increase productivity of speech Facilitating release of unconscious ideas and emotion These agents no longer use because of risk of dependence (LSD&Amphetamines) and side effect . Nitrous Oxide. Another treatment: 5% of sodium amobarbital (amytal) and thiopentone sodium (pentothal) It infuse at rate < 1cc/min to prevent sleep and respiratory distress Warning: Procedure should be done very carefully with support from anaesthetist who should be physically present . gradually approaching area(s) of conflict Indications: Abreaction e. hysteria and organic brain disorder) .Procedures: Begun with neutral topics at first. schizophrenia.g in hysteria Interview with mute patient Diagnostic test in catatonic syndrome Differentiating test in stupor (for differential diagnosis of depression. Contraindication: Airways disease (URTI) Severe renal or hepatic disease History of porphyria Hypotension Dependence on barbiturates Psychosis (except for catatonia or stupor) Other medication: Diazapam Ketamine . Aim: Reduces muscular relaxation Reduces anxiety and muscular tension Anxietymuscular tensionreinforces anxiety Are an integral part of majorities of behaviour therapies (systematic desensitisation) . Biofeedback . Yog Nindra. then relaxes and then relaxes major muscle group of the body in a prefixed and systematic order (top of body progressive downwards) 2. Jacobson’s pregressive muscular relaxation Most frequent technique Patient first tenses. Transcendental meditation (TM) of Yoga 4. ‘Shavasna’ (the corpse posture): similar to progresive relaxation but sequence of progression is below upward) 5. Pranayama and Vipasna (Indian method) 6.Method: 1. Hypnosis 3. galvanic skin response (GSR) Relaxation is easily achieved by this method Simpler form (relaxometer) uses only one parameter. uncontrolled generalised tonic clonic seizures and neuromuscular rehabilitation. EEG. incontinence. idiopathic hypertension. The use of instrument which provides immediate feedback to the patient regarding his physiological activities normally not available to conscious mind ECG. blood pressure. pulse rate. cardiac arrhythmias. tension headaches. EMG. . the GSR Other uses: Treatment of anuresis. migraine headaches. mental. vocational and economic usefulness of which the person suffering from psychiatric disorder is capable. social. residual symptoms. Restoration of fullest physical. and long term disability . Most of psychiatry disoeder patient may have poor quality of life. vocational guidance. supervised housing Vocational training and rehabilitation .1. Housing placement . transitional or supported employment. social skills therapy. cognitive remediation The Person with Disabilities (Equal Opportunities. Protection of Right and Full Participantion) Act (PDA) . 3. occupational therapy Treatment .includes psychiatric disorder and mental retardation . family therapy. sheltered workshop. 2.ensuring compliance with medication.half way homes.activity therapy. Girinda Shekhar practising psycoanalysis in Calcutta just about the time of Freud. It is not widely used in India India patients are not psychologically minded and unable to introspect They lack verbal fluency and have more physically symptoms They difficult in maitaining one-to-one relationship with physician psychiatrist (they will heal by Guru) Guru-Chela relationship by JS Neki . Patient expect the therapies to guide them and make decision for them. direct. Psychoanalysis (which avoids giving direct advice) is difficult. crisis-oriented. they used supportive psychotheraphy though use of CBT( Cognitive Behavioral Theraphy) . with therapies plaing an active role Here. Often fatalistic (‘this had to happen’. ‘it is the result of destiny and past karma’) and often have magical expectations of cure Westerm model cannot directly transplanted in India setting They should be preferably brief.