PYROMANIA The recurrent, deliberate, and purposeful setting of fires. Associated features Tension or affective arousal before setting the fires. Interest in fire and the actions and tools coupled with firefighting. Gratification, or relief setting fires or witnessing the aftermaths. Patients make substantial advance arrangements. Epidemiology Eight times more frequent in men compared to women Comorbidity Substance abuse disorders Affective disorders Other impulse control disorders Personality disturbances e.g. borderline personality disorder. Attention-deficit hyperactivity disorder Learning disabilities History of Enuresis Antisocial acts, such as truancy and delinquency Aetiology Psychosocial.  A symbol of sexuality.  Abnormal craving for power and social prestige  Retaliation about the absence of the father Volunteering as a firefighter to vent the frustration Promiscuity

Assessment and Management of The Risk of Violence in Schizophrenia Scenario A 21-year-old lady with the diagnosis of schizophrenia informs you she will kill her neighbour tomorrow as she has ruined her life. She tells not to disclose this to anyone. How will you assess the homicidal risk in this patient? What treatment and follow up recommendations will you make in this case? Clinical Assessment  Listen to the patient and develop a therapeutic relationship.  begin the assessment and enquire about her demographics.  Enquire about the issue that she brought up—she will kill her neighbour.  Elaborate on how she thinks her neighbour has ruined her life.  Explore her thoughts a nd whether the patient may have persecutory delusions Assess how much resentment she feels? Follow up with inquiry about her mood, esp. about irritability and depression How she plans to commit the act Has she threatened the person? Whether she has done so in the past If so, what provoked such an in

Disaster Management: Psychological First Aid Short- and Long-Term Disaster Management Waleed Ahmad Principles and Techniques of Psychological First Aid Meet 4 basic standards. They are: Consistent with research evidence on risk and resilience following trauma, Applicable and practical in field settings, Appropriate for developmental levels across the lifespan, Culturally informed and delivered flexibly. Disaster Management in the Short-term Intervening after disasters The World Health Organization (WHO) has recommended psychological and social interventions during the reconsolidation phase after disasters to improve the mental health of the affected populations and prevent psychopathology (WHO 2003b). These interventions include: Availability of community volunteers,  Provision of non-intrusive emotional support,  Psychoeducation, and  Encouraging pre-existing positive ways of coping.