Psychiatry: Difference between revisions - Wikipedia


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'''Psychiatry''' is the [[specialty (medicine)|medical specialty]] devoted to the diagnosis, prevention, and treatment of deleterious [[mental disorder|mental condition]]s.<ref>{{cite journal|title=First-year medical student objective structured clinical exam performance and specialty choice| vauthors = Backes KA, Borges NJ, Binder SB, Roman BJ |year=2013|journal=International Journal of Medical Education|volume=4|pages=38–40 |doi=10.5116/ijme.5103.b037 |doi-access=free}} {{open access}}</ref><ref>{{cite journal|title=Psychiatry and Its Dichotomies|vauthors=Alarcón RD|year=2016|journal=Psychiatric Times|volume=33|issue=5|page=1|url=http://www.psychiatrictimes.com/cultural-psychiatry/psychiatry-and-its-dichotomies|access-date=2016-07-26|archive-date=2019-01-30|archive-url=https://web.archive.org/web/20190130214411/http://www.psychiatrictimes.com/cultural-psychiatry/psychiatry-and-its-dichotomies|url-status=live}}</ref> These include various matters related to mood, behaviour, [[cognition]], and [[perception]]s.

Initial psychiatric assessment of a person begins with a [[Medical history|case history]] and [[mental status examination]]. Physical examinations, [[Psychological testing|psychological tests]], and laboratory tests may be conducted. On occasion, [[neuroimaging]] or other [[Neurophysiology|neurophysiological]] studies are performed.<ref name=NIMHSite/> Mental disorders are diagnosed in accordance with diagnostic manuals such as the ''[[International Classification of Diseases]]'' (ICD),<ref name ="Do mental health professionals use diagnostic classifications the way we think they do? A global survey">{{Cite journal|author=First, M |author2=Rebello, T |author3=Keeley, J |author4=Bhargava, R |author5=Dai, Y |author6=Kulygina, M |author7=Matsumoto, C |author8=Robles, R |author9=Stona, A |author10=Reed, G |title=Do mental health professionals use diagnostic classifications the way we think they do? A global survey|journal=World Psychiatry|language=en|volume=17|issue=2|pages=187–195|pmid = 29856559| date = June 2018 | doi=10.1002/wps.20525|pmc=5980454 }}</ref> edited by the [[World Health Organization]] (WHO), and the ''[[Diagnostic and Statistical Manual of Mental Disorders]]'' (DSM), published by the [[American Psychiatric Association]] (APA). The fifth edition of the DSM ([[DSM-5]]), published in May 19132013, reorganized the categories of disorders and added newer information and insights consistent with current research.<ref name=Kupfer>{{cite journal|vauthors=Kupfer DJ, Regier DA|title=Why all of medicine should care about DSM-5|journal=JAMA|volume=303|issue=19|pages=1974–5|date=May 2010|pmid=20483976|doi=10.1001/jama.2010.646}}</ref>

Treatment may include [[psychotropic]]s (psychiatric medicines) and [[psychotherapy]],<ref>{{cite journal|vauthors=Gabbard GO|title=Psychotherapy in psychiatry|journal=International Review of Psychiatry|volume=19|issue=1|pages=5–12|date=February 2007|pmid=17365154|doi=10.1080/09540260601080813|s2cid=25268111}}</ref><ref>{{cite web | title = Psychiatry Specialty Description | publisher = American Medical Association | url = https://www.ama-assn.org/specialty/psychiatry-specialty-description | access-date = 10 October 2020 | archive-date = 12 October 2020 | archive-url = https://web.archive.org/web/20201012155934/https://www.ama-assn.org/specialty/psychiatry-specialty-description | url-status = live }}</ref> and also other modalities such as [[assertive community treatment]], [[Community reinforcement approach and family training|community reinforcement]], [[substance-abuse treatment]], and [[supported employment]]. Treatment may be delivered on an [[inpatient]] or [[outpatient]] basis, depending on the severity of functional impairment or risk to the individual or community. Research within psychiatry is conducted on an interdisciplinary basis with other professionals, such as [[epidemiologists]], [[Nursing|nurses]], [[social workers]], [[occupational therapists]], and clinical [[psychologists]].