Psyche Review

27/11/2024

The real Donald John Trump

04/07/2024

13/05/2024

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May 14

01/07/2020

AF/010/17/006/775

23/11/2019

257100004469

13/07/2019

In the enlargement of consciousness, we begin to recognize that the coherence of the universal entity of being is the only consistent source of well-being.
All particular finite goals are incomplete and imperfect means to true love.
We become more aware by facing reality without any judging, condemning, or struggling.
We know that our individual being is the recipient of the infinite love of universal unity of Being, and so we grow in our love of what is, that is Reality, Truth, God-- which is eternal, light, and good, not what is transient, heavy, and selfish.
In the unitive phase of the third stage of self aware consciousness, we are conscious of thought in the plane of the spirit, which leads to understanding of the conflicts of all lower planes.
---Robert Cloninger

12/07/2019

When we struggle aggressively or strive idealistically to be better, we cannot see the truth and thereby grow in goodness.
The better is an obstacle to the good. Any effort to become better keeps us from entering the full state of constant awareness.
Awareness that is nonjudgmental and choiceless characterizes conscious thought in the spiritual plane, which is the unitive phase of the third stage of self awareness.
We automatically grow in goodness when we recognize the truth, whereas we block growth when we try to be better.
---Robert Cloninger

28/05/2019

A Glance At Mental Health Practice
Behaviour is often a complex phenomenon irrespective of how goal directed it is.
A lot of what humans do is to regulate emotions through several stages of cognition and accompanying action.
Mental health disciplines have often tried to medicalize behavior and give biological basis for mental disorders, there are often drawbacks for the medical view as it fails to yield sensitive and specific delineations of these conditions.
These days behavioural syndromes and endophenotypes are commonly used in research as they are thought to aggregate in families and give more meaning to interpretation of behavioural illnesses.
Several checklists have been developed over time to make diagnosis and case formulation more streamlined but the problems with these lists are that they rarely look into the biological problems of mental illness and often appear as poetic medicine or at best a social science having a vague understanding of neurobiology.
Some other problems with biological models is that they give little room for self enhancement through learning and are often focused on the relief of acute symptoms, most times except in cases of depression and anxiety, subjective feelings are reported without recourse towards understanding the possible psychosocial and biophysical foundations for such.
The good news for mental health is that there is a lot of research going on especially in the developed world and each practitioner will decide on whether to add to the progressive body of knowledge and make use of it or just stick to elementary and reductive knowledge.
--Ehinome Okojie

21/03/2019

Depressive personality ----- Dysthymia
Depressive personality ----- Schizotypal personality
Depressive personality ----- Borderline personality
Depressive personality ---- Major depression
Depressive personality ----- Bipolar Affective Disorders

26/12/2018

1. Depletion syndrome
2. Apathetic-paranoid syndrome
3. Adynamic deficiency syndrome
4. Chronic psychosis
5. Structural deformation of personality
6. Slight asthenic insufficiency syndrome
7. Chronic subdepressive syndrome
8. Chronic hyperthymic syndrome

26/12/2018

It is difficult to describe phenomenological constellations of persistent alterations in functional psychotic disorders, mainly because of the high degree of individuality and changeability of patterns of course and elements of phenomenology.

20/12/2018

A 22 year old lady was referred with a lot of symptoms which were more subjective than objective.
She had fluctuating moods, reduced interest in leisure compensated by excessive chatting, brief but frequent feelings of inadequate energy, preference for sugary food, tearfulness, romantic giddiness.
She had subtle changes in her personality making interpersonal activity more tedious. She was dramatic but not intrusive. She showed some level of impatience but was shy to voice out her frustrations. She was somewhat evasive.
She was needlessly called "psycho" by some of her schoolmates, she had a minor disorder and was placed on appropriate pharmacotherapy.

25/09/2018

Temperaments
Hyperthymic
-Strengths-
Cheerful, optimistic, confident, extraverted, energetic, productive, generous, friendly, sexually inclined.
-Weaknesses-
Irritable, impatient, distractible, apparently lacking focus, excessive confidence, meddlesome, overhedonistic, midlife crises.
Cyclothymia
- Strengths-
Broad interests, spontaneous, lively, insightful, imaginative, investigative.
-Weaknesses-
Unpredictable mood, impulsivity, low self disclosure.
Irritable
-Strengths-
Scientific, protective, investigative, little pressure to conform.
-Weaknesses-
Anxious, tense, easily angered, frequent complaints .
Dysthymic
-Strengths-
Dedicated, reliable, hard working, conscientious, organized, self analytical.
-Weaknesses-
Cheerless, low energy, anxious, self critical, high need for sleep, poor adaptability.

22/09/2018

A 42 year old male presented with complaints of weakness, trembling and slight warmth. He received antimalarials and antibiotics and after 30 hours had odd behavioural patterns with him talking to himself in a slow pattern and becoming more religious. He believed that God had turned him to a mad man to reveal some things to him about his father's wealth. He believed that he was heading to paradise and wanted his children to join him.
He was difficult to interrupt despite talking slowly and was not able to appropriately respond to questions.
He was given some tranquillizers and in the morning appeared much better and was able to interact reasonably.
A striking feature was that he needed to ask too many questions concerning his post discharge care.

21/09/2018

Dementia in Alzheimer's disease
Vascular Dementia
Unspecified Dementia
Organic amnestic syndrome
Delirium

12/09/2018

Delusions in Psychiatric Practice?
Delusions are defined false or unusual beliefs which are strongly held despite evidence to the contrary or are against subcultural beliefs or are deemed impossible.
For the purpose of this piece, a delusion will be defined as a belief which is thought to be scientific but has no scientific explanation.
A recurring theme of mental health practice is the evaluation and treatment of psychotic patients with antipsychotics. This dogma may be true in many clients, however it is the biggest cause of disability and death from its practice.
While anti-psychiatrists may be quick to point out that psychotropic drugs don't work or at best serve as glorified placebos, the reality is that the drugs do work but results are not consistent and it takes special or rigorous observational skills to determine how to deliver the best form of pharmacotherapy.
When psychosis is explicit or is characterized by carefree activity, it is likely that psychosis will be relieved by antipsychotics.
When psychosis is implicit, especially with disorganized but overly careful or passive behavior, it becomes more challenging to push for the benefits of antipsychotics.
The interesting scenario in practice is when antidepressants which are indiscriminately prescribed as anti-sadness pills end up promoting dysphoria, su***des, and psychoses.
The concept of treatment resistant mental illnesses while burdensome is overly borne by the authoritative ignorance and hypocrisy of its top guns who determine checklists of treatment protocols while weighing down on their trainees.
As long as persons hold on to models of illnesses that have no place in science or any form of factual research, the stigma we complain about will remain within because the best form of cleansing is by bringing the best quality of care in the most honest and responsible way while understanding why and how we all behave the way we do.

12/09/2018

A 27 year old man presented with complaints of using cannabis and tramadol, in addition he heard voices which were mainly indistinct, voices which were present immediately after using cannabis were feminine with funny comments. He was confined to inpatient care and placed on an antipsychotic, later two antipsychotics, he had been on his bed for most of the day and had suicidal thoughts, he even requested for tablets to help him end his life.
He admitted having low interests, low mood, low self esteem, mild psychomotor retardation and occasional indecisiveness. He denied low energy and guilt feelings.
He was subsequently weaned of his antipsychotics and left on benzodiazepines when necessary. He had improvement in his interest level, took part in several games, interacted with others, he had a slightly improved mood but was adamant that su***de through chemical ingestion might be the best thing for him.