Sub-specialty

Person Responsible

Psychoses

Dr. M. A. Zahid

Affective disorders

Dr. Mariam Al-Awadhi

Neuroses

Dr. M. A. Zahid

Personality disorders

Dr. Khaled Al-Saleh

Stress-related disorders

Dr. Abdullah Al-Hammadi

Substance abuse

Dr. Adel Al-zayed

Organic Psychiatry

Dr. Sulaiman Al-Khadhari

Liaison Psychiatry

Dr. Adel Al-zayed

Eating disorders

Dr. M. A. Zahid

Psychosexual disorders

Dr. Khaled Al-Saleh

Forensic Psychiatry

Dr. Abdullah Al-Hammadi

Old age Psychiatry

Dr. Sulaiman Al-Khadhari

Child Psychiatry

Dr. Bib Alamiri

Learning disability

Dr. Bibi Alamiri

Psychopharmacology

Dr. Mariam Al-Awadhi

Psychotherapy

Dr. Ghenaim Al-Fayez

Overall objectives

Specific objectives

Method of delivery

Bed side teaching

PBL

Demonstrate proficiency in the recognition, evaluation, and management of persons with psychosis associated with schizophrenia, affective, general medical, and other psychotic disorders.

Psychosis
1. Define the term psychosis;

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2. develop a differential diagnosis for a person presenting with psychosis, including identifying historical and clinical features which assist in the differentiation of general medical substance-induced, affective, schizophrenic and other causes;

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3. state the neurobiologic, genetic, and environmental theories of etiology  and pathophysiology of schizophrenia;

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4. summarize the epidemiology, clinical features, course, and    complications of schizophrenia;

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5. summarize the treatment of schizophrenia, including both pharmacologic and psychosocial interventions; and name the clinical features of schizophrenia that are associated with good and poor outcome, and explain the significance of negative symptoms;

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6. list the features that  differentiate delusional  disorder, schizophreniform disorder, schizoaffective disorder, and brief psychotic disorder from each other and from schizophrenia.

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2. Affective disorder
Recognize, evaluate, and state the treatments for patients with mood disorders.

Affective disorder

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5) contrast normal mood variations, states of demoralization, and bereave­ment with the pathological mood changes that constitute expressive illness;

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3. SOMATOFORM AND FACTITIOUS DISORDERS
Diagnose and discuss the principles of management of patients with somatoform disorders.

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4. PERSONALITY DISORDERS
Recognize maladaptive traits and interpersonal patterns that typify personality disorders, and discuss strategies for caring for patients with personality disorders.

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5. DELIRIUM, DEMENTIA, AND AMNESTIC AND OTHER COGNITIVE DISORDERS
Recognize the psychiatric manifestations of brain disease of known aetiology or pathophysiology and will state the evaluation and initial management of these neuropsychiatric disorders.

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6. SEXUAL DYSFUNCTIONS AND PARAPHILIAS summarize the process of evaluation and treatment of persons with sexual dysfunctions or paraphilia’s.

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Evaluate, and refer or treat, persons with sleep problems.

1. Describe normal sleep physiology, including sleep architecture, throughout the life cycle;

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2. Describe sleep hygiene treatment.

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3. Obtain a complete sleep history;

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4. Discuss the manifestations, differential diagnosis, evaluation , and treatment of primary sleep disorders, including dyssomnias and parasomnias;

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5. Describe typical sleep disturbances that accompany psychiatric and substance use disorders;

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6. Summarize the effect(s) of psychotropic medications on sleep;

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Identify, clinically evaluate, and treat the neuropsychiatric consequences of substance abuse and dependence.

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By the end of the clerkship, the student will summarize the unique factors essential to the evaluation of children and adolescents and will diagnose the common child psychiatric disorders.

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Summarize the indications, basic mechanisms of action, common side effects and drug interactions of each class of psychotropic medications, and demonstrate the ability to select and use these agents to treat mental disorders.

Anxiolytics
Discuss

1. the indications, mechanism of action, pharmacokinetics, common side ef­fects, signs of toxicity, and drug interactions of the different benzodiaze­pines and sedative-hypnotics;

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1. the consequences of abrupt discontinuation;

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1. patient characteristics associated with benzodiazepine abuse;

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1. guidelines for prescribing benzodiazepines;

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1. The differences (mechanism of action, onset of effect, and indications) be­tween buspirone and benzodiazepines.

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Summarize

1. the indications, mechanisms of action, pharmacokinetics, common or seri­ous side effects (including overdose potential), signs of toxicity, and drug interactions of tricyclics, SSRI’s, SNRI’s, NaSSA’s and antidepressants, monoamine oxidase inhibitors;

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1. the effect of antidepressants on the cardiac conduction system and EKG;

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1. dietary and pharmacologic restrictions in prescribing an MAQI;

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1. Advantages of serotonin reuptake inhibitors.

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Discuss
1. the indications, mechanisms of action, pharmacokinetics, common or serious side effects, signs of toxicity, and drug interactions of antipsychotics;

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2, differences between typical and atypical antipsychotics, including the side effects common to each group;

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1. diagnosis and management of extrapyramidal side effects including acute dystonia, parkinsonism, akathisia, tardive dyskinesia, and neuroleptic ma­lignant syndrome;

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1. The indications and special considerations in using clozapine and risperi­done.

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Discuss

1. the indications, mechanism of action, pharmacokinetics, side effects, signs of toxicity (neurological, gastrointestinal, renal, endocrine, cardiac), and drug interactions of lithium;

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1. the pretreatment assessment and strategies of use of lithium, including blood level monitoring;

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1. The indications, mechanisms of action, pharmacokinetics, common and se­rious side effects, toxicity, drug interactions, and plasma level monitoring for carbamazepine, and valproic acid.

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discuss

1. the indications, mechanisms of action, pharmacokinetics, common and se­rious side effects, signs of toxicity, and drug interactions of antiparkinso­nian agents;

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1. which antidepressants and antipsychotics have a higher incidence of anticholinergic side effects;

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1. special considerations in prescribing these medications in the elderly

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summarize

1. indications, physiologic effects, and side effects of ECT;

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1. clinical situations in which ECT may be the treatment of choice;

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1. Pre-treatment assessment, including conditions requiring special precau­tions;

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1. The medical care of the patient before, during, and after ECT treatment.

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Discuss

1. the use of beta blockers in psychiatry; and
2. The indications for and side effects of stimulants.

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Understand the principles and techniques of the psychosocial therapies sufficient to explain to a patient and make a referral when indicated.

1. State the characteristics and techniques of, and common indications and psychodynamic contraindications for psychotherapy, psychoanalysis, sup­portive psychotherapy, cognitive and behavioral therapies, group thera­pies, couples and family therapy, and psychoeducational interventions;

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1. Describe behavioral medicine interventions (e.g., relaxation training, asser­tiveness training, contingency management, stimulus control, relapse pre­vention, biofeedback), and know for which medical problems they are ef­fective (e.g., smoking cessation) and ineffective;

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1. Define and begin to recognize transference, countertransference, and com­monly used defence mechanisms; discuss the concepts of hierarchical levels of defence and regression under stress; and list some typical defence mech­anisms used in various personality disorders;

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1. State the major findings of studies of the efficacy of psychosocial interven­tions in the treatment of psychiatric and general medical disorders and in reducing health care costs

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Discuss the structure of the mental health system, as well as legal issues important in the care of psychiatric pa­tients.

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