Dr Bibhuti Bhusan Das

11/04/2025

https://skydive.shredvideo.com/f/wTWQAGjRAs?fbclid=IwZnRzaAN2IrtleHRuA2FlbQIxMQABHtW4Ndc4jTxiuk_eUv2bthllb7qFSpCn6nqvKDrnBuxlaYQ5HvAr0AqJSNEQ_aem_uSE1888Oa5_hTxLbstJNzA

Skydive in Weedsport, New York

10/18/2025

Rating Scale for Psychiatric Illness:

🔹 A. Most Commonly Used Rating Scales

Used routinely for initial diagnosis, symptom monitoring, and insurance documentation

Scale Name Primary Purpose / Domain Typical Use
PHQ-9 (Patient Health Questionnaire-9) Depression severity Routine depression screening & follow-up
GAD-7 (Generalized Anxiety Disorder-7) Anxiety Screening and progress tracking
C-SSRS (Columbia-Su***de Severity Rating Scale) Suicidality Required for suicidal ideation/behavior monitoring
ASRS v1.1 (Adult ADHD Self-Report Scale) ADHD symptoms Screening for adult ADHD
MDQ (Mood Disorder Questionnaire) Bipolar disorder Screens for manic/hypomanic episodes
PCL-5 (PTSD Checklist for DSM-5) PTSD symptoms Used in trauma-focused care
AUDIT / AUDIT-C (Alcohol Use Disorders Identification Test) Alcohol misuse Screening for risky or harmful drinking
DAST-10 (Drug Abuse Screening Test) Drug misuse Screening for substance use problems
SCARED (Screen for Child Anxiety Related Emotional Disorders) Child/adolescent anxiety Pediatric outpatient settings
Vanderbilt ADHD Diagnostic Rating Scale ADHD (child) Parent & teacher forms used in child psychiatry
Y-BOCS (Yale-Brown Obsessive Compulsive Scale) OCD symptom severity Used by psychiatrists & therapists
HAM-D / HDRS (Hamilton Depression Rating Scale) Depression Clinician-rated, often used for moderate-severe cases
HAM-A (Hamilton Anxiety Rating Scale) Anxiety Clinician-rated for severe anxiety
PROMIS Scales Depression, anxiety, sleep, functioning Often used in EHR-integrated systems (NIH-backed)

🔸 B. Less Commonly Used in Outpatient

Used for specific diagnoses, research, or specialist clinics

Scale Name Domain Use Context
BDI-II (Beck Depression Inventory-II) Depression Older but still widely respected self-report tool
BAI (Beck Anxiety Inventory) Anxiety Similar to GAD-7, more detailed
PANSS (Positive and Negative Syndrome Scale) Schizophrenia Usually for psychosis tracking in outpatient follow-up
BPRS (Brief Psychiatric Rating Scale) Psychosis, mood, anxiety Sometimes used in academic or forensic settings
WHODAS 2.0 Global functioning DSM-5-recommended disability measure
PSS (Perceived Stress Scale) Stress appraisal General wellness programs
CGI (Clinical Global Impression Scale) Global improvement Research & medication response tracking
SDS (Sheehan Disability Scale) Functioning in work, school, social life For treatment outcome documentation
ISI (Insomnia Severity Index) Sleep Common in patients with depression/anxiety
PSQI (Pittsburgh Sleep Quality Index) Sleep For chronic insomnia
BAARS-IV ADHD Comprehensive adult ADHD evaluation
OCI-R (Obsessive-Compulsive Inventory–Revised)

🏥 II. INPATIENT PSYCHIATRY
🔹 A. Most Commonly Used Rating Scales

Used for diagnostic clarification, symptom monitoring, and risk management

Scale Name Domain / Use Frequency
C-SSRS (Columbia Su***de Severity Rating Scale) Su***de risk Used daily or during each shift
BPRS (Brief Psychiatric Rating Scale) Psychosis, mania, depression Regularly used for progress tracking
PANSS (Positive and Negative Syndrome Scale) Schizophrenia spectrum disorders Used weekly in long-term psychosis units
HAM-D / HDRS Depression Monitors inpatient depressive episodes
YMRS (Young Mania Rating Scale) Mania For bipolar/manic inpatients
CIWA-Ar (Clinical Institute Withdrawal Assessment – Alcohol) Alcohol withdrawal Used in detox and dual-diagnosis units
COWS (Clinical Op**te Withdrawal Scale) Op**te withdrawal Detox units
AIMS (Abnormal Involuntary Movement Scale) Tardive dyskinesia Required for patients on antipsychotics
MOCA (Montreal Cognitive Assessment) Cognition screening Used for delirium/dementia screening
MMSE (Mini-Mental State Examination) Cognition Older but still used for cognitive baselines
Brøset Violence Checklist (BVC) Violence/aggression risk Used in forensic/acute units

🔸 B. Less Commonly Used in Inpatient
Scale Name Domain / Use Comments
MADRS (Montgomery–Åsberg Depression Rating Scale) Depression More sensitive than HAM-D, used in research
HoNOS (Health of the Nation Outcome Scales) Functioning & symptom severity UK-based, used in some US academic hospitals
DASA-21 (Dynamic Appraisal of Situational Aggression) Aggression risk For high-security forensic settings
GAF (Global Assessment of Functioning) Overall functioning DSM-IV era, now rarely used
SAPS/SANS Positive/negative schizophrenia symptoms Research or forensic settings
Neuropsychiatric Inventory (NPI) Behavioral symptoms in dementia Geriatric psychiatry units
BIS/BAS Scales Impulsivity and reward sensitivity

📋 III. BY CLINICAL DOMAIN (Cross-Setting Quick Reference)
Disorder/Domain Common Rating Scales
Depression PHQ-9, HAM-D, MADRS, BDI-II
Anxiety GAD-7, HAM-A, BAI
PTSD/Trauma PCL-5, CAPS-5
Bipolar/Mania MDQ, YMRS, CARS-M
ADHD ASRS, BAARS-IV, Vanderbilt, Conners
OCD Y-BOCS, OCI-R
Psychosis/Schizophrenia PANSS, BPRS, SAPS/SANS
Substance Use AUDIT-C, DAST-10, CIWA-Ar, COWS
Sleep ISI, PSQI
Suicidality C-SSRS, SAFE-T, BSS
Cognition MOCA, MMSE
Aggression/Violence BVC, DASA-21
Global Functioning CGI, WHODAS 2.0, SDS, GAF

💡 Summary
Setting Most Commonly Used Less Commonly Used
Outpatient PHQ-9, GAD-7, C-SSRS, ASRS, MDQ, PCL-5, AUDIT-C, DAST-10 PANSS, BPRS, WHODAS, PSQI, BDI-II, CGI
Inpatient C-SSRS, BPRS, PANSS, YMRS, HAM-D, CIWA-Ar, COWS, AIMS, MOCA MADRS, HoNOS, DASA-21, NPI, SAPS/SANS

10/04/2025

🧠 I. Psychotherapy (Talk Therapy) – Major Modalities

These are the most recognized, evidence-based forms of therapy practiced by psychiatrists, psychologists, and therapists.

1. Cognitive & Behavioral Therapies

Cognitive Behavioral Therapy (CBT) – Focuses on changing negative thought patterns and behaviors.

Rational Emotive Behavior Therapy (REBT) – A form of CBT emphasizing rational thinking.

Dialectical Behavior Therapy (DBT) – Integrates CBT with mindfulness and emotion regulation; used for BPD and mood disorders.

Acceptance and Commitment Therapy (ACT) – Encourages acceptance of thoughts/feelings and commitment to values-based actions.

Exposure Therapy – Gradual exposure to fears to reduce anxiety (used for phobias, OCD, PTSD).

Behavioral Activation – Encourages engagement in positive activities to combat depression.

2. Psychodynamic & Psychoanalytic Therapies

Psychoanalysis – Based on Freudian theory; explores unconscious motives and early childhood experiences.

Psychodynamic Therapy – A shorter, modern version of psychoanalysis focusing on patterns in relationships and emotions.

Interpersonal Therapy (IPT) – Focuses on improving interpersonal relationships and communication to reduce depression.

Supportive Psychotherapy – Provides emotional support and practical advice to strengthen coping skills.

3. Humanistic & Existential Therapies

Person-Centered Therapy (Carl Rogers) – Emphasizes empathy, unconditional positive regard, and self-actualization.

Gestalt Therapy – Focuses on present moment awareness and personal responsibility.

Existential Therapy – Explores meaning, choice, and the human condition (life, death, freedom).

Logotherapy (Viktor Frankl) – Centers on finding meaning in life, even in suffering.

4. Systemic & Family-Based Therapies

Family Therapy – Addresses dynamics and communication within families.

Couples/Marriage Therapy – Works on relationship conflicts and intimacy issues.

Structural Family Therapy – Examines hierarchies and boundaries in family systems.

Strategic Family Therapy – Focuses on changing specific family interaction patterns.

Multigenerational/Transgenerational Therapy – Explores intergenerational behavior patterns.

5. Mindfulness & Integrative Therapies

Mindfulness-Based Cognitive Therapy (MBCT) – Combines mindfulness and CBT for relapse prevention in depression.

Mindfulness-Based Stress Reduction (MBSR) – Structured mindfulness meditation program to reduce stress and anxiety.

Integrative Psychotherapy – Blends techniques from multiple approaches tailored to client needs.

Holistic Therapy – Incorporates mind, body, and spirit (may include yoga, meditation, nutrition).

💬 II. Specialized & Condition-Focused Therapies

Used for specific populations or psychiatric conditions.

Trauma-Focused CBT (TF-CBT) – For children/adolescents with trauma.

Eye Movement Desensitization and Reprocessing (EMDR) – For PTSD and trauma.

Somatic Experiencing – Focuses on bodily sensations linked to trauma.

Motivational Interviewing (MI) – Enhances motivation to change (often used in addiction).

Schema Therapy – Integrates CBT, attachment, and psychodynamic elements for personality disorders.

Compassion-Focused Therapy (CFT) – Reduces shame and self-criticism.

Narrative Therapy – Helps individuals reframe and rewrite their life stories.

Solution-Focused Brief Therapy (SFBT) – Focuses on strengths and future solutions, not problems.

🧩 III. Group & Community Therapies

Group Psychotherapy – Peer-based sharing and feedback under therapist guidance.

Support Groups – Peer-led, issue-specific (e.g., grief, addiction, depression).

Psychoeducational Groups – Provide education about mental illness and coping skills.

Community-Based Therapy – Conducted in social/community settings for rehabilitation or prevention.

💊 IV. Biological & Somatic Therapies

These integrate medical and physical methods for treatment.

Pharmacotherapy – Medication management for psychiatric disorders.

Electroconvulsive Therapy (ECT) – For severe depression, catatonia, or treatment-resistant cases.

Transcranial Magnetic Stimulation (TMS) – Non-invasive brain stimulation for depression.

Vagus Nerve Stimulation (VNS) and Deep Brain Stimulation (DBS) – Neuromodulation therapies.

Ketamine-Assisted Psychotherapy (KAP) / Esketamine (Spravato) – Rapid-acting antidepressant interventions.

Biofeedback / Neurofeedback – Uses physiological monitoring to teach self-regulation.

Light Therapy (Phototherapy) – For seasonal affective disorder (SAD).

🌱 V. Creative & Experiential Therapies

Often used as adjuncts to traditional psychotherapy.

Art Therapy

Music Therapy

Dance/Movement Therapy

Drama Therapy

Play Therapy (for children)

Poetry/Bibliotherapy (using reading and writing for healing)

Animal-Assisted Therapy (e.g., equine or canine therapy)

Nature or Eco-Therapy

🧘 VI. Alternative & Complementary Approaches

Used alongside conventional psychiatric care.

Yoga Therapy

Meditation Therapy

Hypnotherapy

Reiki / Energy Healing

Acupuncture for Mental Health

Nutritional / Lifestyle Therapy

Aromatherapy

🧩 VII. Emerging & Integrative Approaches

Virtual Reality Exposure Therapy (VRET) – Immersive treatment for phobias, PTSD.

AI-Assisted Therapy – Use of chatbots and virtual agents in CBT or coaching.

Psychedelic-Assisted Therapy (e.g., psilocybin, M**A – under clinical supervision).

Teletherapy / Online Counseling – Remote psychotherapy via video or text.

10/01/2025

APA annual conference

10/01/2025

MOUD(Medications for Opioids use disorders) Training.

10/01/2025

Management of alcohol use disorders (AUD)

09/25/2025

09/23/2025

https://youtu.be/Z6rKx2e8BZo?si=T6Gyhy_N7CaRYCeC

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09/23/2025

Build a Life You Don’t Need a Vacation From Bibhuti B Das, MD

09/22/2025

https://youtu.be/R2SUsUKg3PQ?si=eaaHe0uljYrX2jb5

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09/22/2025

https://youtu.be/75ZaCeH5doY?si=UwBXRg2bMfBH5HZr

Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube.