Ok, aku terlupa pulak! Salam to all :)
Previous post aku ad cita kan yg sekarang aku tgh posting psychiatry....
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My first impression of this posting??... i just want to pass it safely...jahat betul!!
tapi seriously psychiatry bukanlah passion aku sgt sbb aku sendiri pun dah macam tak betoi sikit so mcm mna nak treat people kan? so i just want to play safe game...
tapi lagi...posting nh mcm interesting sikit la sebab mostly covers on human behaviour dan yg lain daripada lain sikit sbb more focus on the history taking....
Setakat nih, our class just full of lectures yg mmg sya tido la kebanyakannya...and jgn igt sya student bermasalah tp kalau korang tya meds school lain....sitting in the lecture hall just like a torture for us tau..ngantuk sgt...tambah2 kalau lecturer monotonous..me yg helpless bukan nak salahkan lecturer! sorry drs!...
Tapi tido2 aku pun still able take note mana2 yg penting tau...bukan la memanjang ja tido....teruk betoi kan?
Nak review skit...aku ada lecture on mental state examination which mainly focus on observation and speech...
To people yg determine nak jadik psychiatrist tegar tu mmg kena ada good eyesight and mesti kena sensitif mcm detektif conan tu... supaya korang tak terlepas body gesture yg suggestive for the diagnosis...
Aku salute hormat la kat korang yg ada angan2 nak sambung master psychiatry!!
Ok back to my lecture's review...
bile dah belajar nh kadang aku rasa semua org mmg ada masalah mental cuma beza serius dgn tak serious je...
KO ade??? pls see ur own GP ASAP woii!!
Yang serious tu macam mn? pesakit mental YANG SERIUS selalunya kita tgk symptoms sama ada kacau ke tak hidup dorg dgn orang sekeliling....PALING SERIUS! Patient yg ada suicidal tought!
For mental state examination, things that should be checked :
- general appearance; gait, grooming (org kalau depression slalu pakai baju gelap2, seghabai dan tak terurus TAPI kalau manic patient, dia akan pakai colorful), posture ( awkward suggest for extrapyrimdal disease...acute dystonia? parkinson?), facial expression (masklike facies /flat expression boleh jadi schizo, parkinson, depression)
- motor behavior; restless, mannerism, stereotype movement, waxy flexibility cerea..
- response to the interview; kena tgk body language patient; aggresive ke? restless? less interest ke?
- mood; penting utk narrow down diagnosis..tgk mood dia sama je ke, berubah2 atau incongruence? incongruence nh mcm mood yg salah utk situation example mcm kalau pt gelak bila cerita tentang ahli keluarga yg dh passed away...kan xkena tuu...nh symptoms mixed manic!
- speech; slow ke fast? fast nh selalunya pt manic; overtalkative
- hallucination; tgk pt gaze kalau2 fixed at one place..maybe heard something?
- delusion
- illusion?
- thought; ask patient about suicidal thought? BAHAYA NH!
- sensorium?
- cognition; patient memory?
effective interview kena start dgn building rapport first...dont start kalau pt drowsy sbb kta takkan dpt the real story from them...
contoh effective interview utk manic patient
kalau tgk video nh, pt tu look restless, full of ideas...talk non stops and patient's shirt colorful kan?? Aku kalau dpt patient mcm nh seghabut la...melayan dia sembang smpai esok pun tak habis...
yang nh pulak interview utk patient depression
starting video tu pun facial expesson look sad, always look down...mcm ada masalah...patient lingering fingers showing some mannerism...lack of sleep..fear...
My lecturer ad pesan, for psychiatry bile time nak interview tu jgn tunjuk kita nak rush sgt and let it be open ended question...Patient somehow just need someone to share the problem and listens to them...tu pun dah dikira therapy...
That is one part...
Second lecture was about HANDLING SUICIDAL PATIENT!
The best thing bile Dr Syed tunjuk video nh! check it out..
Haha, mmg lawak!! igtkan dah berkecai dah...tgk2 vacuum jadik hero :)
Why people want to commit suicide?? Hidup nih sekali je senang2 je matikan...Its in the hands of ALLAH SWT and you don't have any right to take charges of it...
HEARTBROKEN?? LOSS OF HOPE?? FEELING USELESS?? DEPRESSION??
Sape2 yg ada suicidal thought tu sila2 mengucap panjang2...ingat mak ayah....kesian kt keluarga and diri sendiri jugak....
org2 yg ada tendency nak buat kerja2 gila nh kita takboleh tinggalkan dia soghang2...kena selalu pantau...
family pulak kena support patient2 yg mcm nh...jgn pulaukan sbb masalah personal masing...
kalau kita tgk dkt paper, blog byk cita pasal gadis bunh diri la sbb pakwe lari..., pakwe xnak bertanggungjawab la...dah mengandung la...gambar bogel tersebar....MALU woii!!
Satu je aku nak pesan...please think first before you do it!! jgn sebab CINTA ITU BUTA, last2 korang merana kat neraka!
okay keep calm and go on sya...
my last lecture was about BIPOLAR MOOD DISORDER, as name imply bipolar so ada dua personality...
selalunya org2 mcm nh kejap kita tgk ok kejap tak....tapi kalau tgk balik aku pun kadang2 mcmtu jugak....
hah!! nh la beza org normal dgn tak normal....kita kena tengok duration of symptoms tu...kejap ke berpanjangan...
definition mestilah EXTREME SUSTAINED DEPRESSION OR ELATION ACCOMPANIED BY CHANGE OF BEHAVIOUR, PERCEPTION, AND IDEATION!
alahai, something comin up! wait for part 2 pulak ye...
till then with love <3
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