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Showing posts from December, 2020

Biopsychosocial Model of Healthcare and doctor-patient relationship

The biopsychosocial model of healthcare emphasizes the following paradigms of doctor-patient relationship Psychosocial assessment, Use of communication skills, Informational care, Counseling, Crises intervention, and Extension of care to the family.     "The biopsychosocial model is an interdisciplinary model that looks at the interconnection between biology, psychology, and socio-environmental factors. The model specifically examines how these aspects play a role in topics ranging from health and disease models to human development. George L. Engel developed this model in 1977 and is the first of its kind to employ this type of multifaceted thinking. The biopsychosocial model has received criticism about its limitations but continues to carry influence in the fields of psychology, health, medicine, and human development." Source: Biopsychosocial model -

NICE Guidance on Electroconvulsive Therapy

NICE recommends to use electroconvulsive therapy (ECT) only to attain quick and short-term improvement of severe symptoms if an adequate trial of other options has not been effective and/or when the condition is considered to be potentially life-threatening, in individuals with: catatonia a prolonged or severe manic episode. Indication to an individual must be based a documented assessment of the risks and potential benefits to the individual. Exercise caution when considering electroconvulsive therapy during pregnancy, in older people, and in children and young people. Valid consent should be obtained in all cases where the individual can grant or refuse consent. The decision to use electroconvulsive therapy should be made jointly by the individual and the clinician(s) responsible for treatment, based on an informed discussion after full information about the risks and potential benefits, without pressure or coercion, the involvement of patient advocates and/or carers is strongly enc

What is the approximate salary package in the psychiatric department for a junior doctor?

Is it different from the ED salary packge for a junior SHO level? My current packge is 42,969 plus 50% banding = 64,453 per annum in emergency duty, junior level non-trainee post. Will it decrease if I move to a non-trainee SHO (speciality house officer) post in the same trust in psychiatry? £64,000 is a good salary for a junior doctor. The salary packages depend on level of responsibility and frequency of oncalls. All jobs advertised will have a range & given your previous experience you can ask them to give you higher side of the range It will definitely go down but you will have more time and more work life balance,—more valuable than money. I assume your salary is so high as there is so much unsocialable hours. I imagine base salary will be the same but total less as just some twilights, night and weekends- normal day will be 9-5. It should say pay in the job description

Can you apply for the MTI UK Scheme before passing MRCPsych?

You do not need to pass MRCPsych paper-A or Paper B before you apply for the MTI. You can apply to the program before passing any part of the MRCPsych exams. The following are your requirements to enter the MTI scheme.  GMC-recognized primary medical qualification from an internationally accepted medical institution.  An acceptable internship (or equivalent) of 12 months.  Three years of experience working in Psychiatry in the last five years.  Working in psychiatry for the last year.  A score of 7.5 in IELTS academic or grade b on OET taken in the last 18 months.   You have received or will work towards a postgraduate qualification in psychiatry.

What was the 1970s psychoanalytic approach to children with autism?

The 1970s psychoanalytic approach: Applied Behavior Analysis (ABA), based on operant-conditioning, target behaviors (excess of unwanted and or deficits of wanted) are modified with reinforcement approximations ( shaping ). Applied behavior analysis, also called behavioral engineering, applying empirical approaches based upon the principles of respondent and operant conditioning to change behavior of social significance. It is the applied form of behavior analysis; the other two forms are radical behaviorism and the experimental analysis of behavior. (Wikipedia)

1960s Psychoanalytic Approach to Children with Autism

The 1960s psychoanalytic approach to children with autism: Base on Lovaas- socialization study Building social behavior in children with autism by use of electric shock. Method- use of identical twins: Tell them to come here and shock them until they move toward the experimenter. They based applied behavior analysis on it, supported by decades of research behind the Lovaas approach and more if you include the research into Skinner's theories, on which they base it. Predictors of response Early: better the outcome in younger children.  Intensive more sessions per week.  Duration: longer duration of therapy.  With Parents: Children accompanied by parents in therapy do better.

What are the psychoanalytic approaches to the treatment of patients with autism?

Holding therapy (Tinbergen 1983): A failure to bond Parent holds child to cause the autistic defense to crumble. Humanistic play therapy (Axline 1965): Encouraged the expression of feelings through play and unconditional positive regard. OPTIONS (Kaufman 1976) Parents spent every waking hour with child follow child lead

Factors that Obstruct Effective Communication

Factors that Obstruct Effective Communication The following factors can interfere with effective communication during clinical assessment.  Lack of exclusivity, for example, assessment on the bedside inside a unit of 20 patients.  Anxiety by a doctor, because of which divides their attention and concentrating, not the assessment is difficult.  Awkward seating that makes it difficult to relax while assessing a patient.  Lack of attention to the nonverbal cues Offensive remarks. Frequent interruptions.  Selective listening. Daydreaming.