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Classified as

  1. Anxiety disorder Dissociative disorders
  2. Phobia                                           
  3. Somatoform disorders
  4. OCD                                               
  5. Multiple personality
  6. Anxiety is commonest psychiatric symptom & Generalized anxiety disorders are m/c psychiatric disorder in general population.
  7. Depression is the commonest psychiatric disorder in hospitalized patients
  8. Depression is the m/c psychiatric disorder in Hypothyroidism, AIDS, patient on OCP ,post partum psychosis

Obsessive compulsive Disorders (OCD)

  1. An obsession is an idea, impulse or image which intrudes into conscious awareness repeatedly
  2. It is one's own idea/impulse but is ego-alien (foreign to one's personality)
  3. Age of onset late 20s .
  4. Depression is commonly associated
  5. Washers are m/c type
  6. Defense mechanism which are involved - isolation of affect, undoing
  7. Serotonin is involved biochemically
  8. T/t of OCD
  9. Behaviour therapy is TOC
    In this thought stopping, response prevention, systematic desensitization and modeling are used
  10. Drugs

     Clomipramine (TCA) is given. Fluoxetine is an DOC

     Other drugs which are useful- Antipsychotics (like haloperidol), Buspirone


Borderline personality disorder


It Is characterized by-­

  1. Patient's own/ self-image is disturbed
  2. Impulsivity ,emotional instability (frequent mood swings)
  3. Deliberate self harm, suicidal gestures are
  4. Common chronic feeling of boredom/ emptiness

a. Ambulatory schizophrenia and pseudoneurotic schizophrenia are now included in Borderline personality disorder

b. Splitting is defense mechanism in BPD


Post traumatic stress disorder (PTSD)

  1. Seen in females after serious accidents/ rape/ disaster/ war.
  2. Symptoms develop after a period of latency ( 6 months)
  3. Symptoms are recurrent flashbacks/ dreams of event, fear, marked anxiety making arousals in night.

Dissociative Amnesia

  1. Commonest type of Dissociative disorder. Occurs in adolescent and young adults (F>M)
  2. Sudden inability to recall important personal information (Amnesia), particularly concerning stressful or traumatic life events.
  3. There may be clouding of consciousness
  4. Physical examination and investigations are normal




Dissociative fugue:

  1. Episodes of wandering away (usually from home). During episode, person usually adopts a new identity with complete amnesia for earlier life.
  2. Onset is sudden & termination is too abrupt.


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