Schizophrenia as a Disorder of Disorganized Focus of Attention ONLY.  Schizophrenia is THE psychiatric condition with variable manifestations involving all the major areas of a mental state examination, appearance and behaviour, thoughts and speech, cognitions, perceptions, mood, and most commonly, insight or reality-testing. Studies have long proposed schizophrenia being related to impaired regulation of attention; we propose a model explaining the entire range of manifestations as the result of a disorganized focus of attention.  Explaining delusions The cognitive model of depression proposes that patients with dysfunctional beliefs maintain these because of their selective attention to evidence that confirms these beliefs and their tendency to ignore the evidence against it. In the most severe cases, these dysfunctional beliefs may progress to delusions in which case they absolutely do not attend to evidence against their delusional beliefs and are preoccupied with the evid...

FCPS-2 October 2014, College of Physicians and Surgeons Pakistan Q.4 A student of BSc diagnosed with borderline personality disorder presented in an emergency after attempting self-harm following a quarrel with a boyfriend. What signs and symptoms require urgent medical treatment? What care we should take in managing this patient in the ward What psychosocial support you will activate Give instructions on discharge regarding follow-ups. Q.5 What are the various points that differentiate between the various anxiety disorders in terms of their prevalence and clinical features? Q.6 A 39-year-old woman is diagnosed with severe depression years after the death of her husband. She is suicidal and has active suicidal ideations and symptoms of psychosis and is not responding to treatment with antidepressants. The psychiatrist plans ECT on this patient.  What are the other indications to start ECT in severe depressive disorder What are the indications for ECT other than severe depressio...