Lecture on Psychiatry by
Dr. Mohan Sunil Kumar at Kings International Medical Academy

Kings International Medical Academy is renowned for offering excellent FMGE coaching classes, and this time, we have the privilege of having Dr. Mohan Sunil Kumar as a faculty member for our FMGE students. As an experienced Psychiatrist, Dr. Kumar’s lecture on Psychiatry was insightful, and our students were fully engaged throughout. In this blog, we will delve deeper into the topic of Psychotic Disorders.

PSYCHOTIC DISORDERS

Psychotic symptoms

1. Delusions
2. Hallucinations
3. Disorganized behaviour
4. Formal thought Disorder
5. Catatonia
6. Talking to self
7. Personality change

Primary Psychotic Disorder

• Schizophrenia

Secondary psychotic Disorder / Mood congruent

• Mood Disorders

SCHIZOPHRENIA – Eugen Bleuler

4 A’s:

• Autism
• Ambivalence
• Affective Flattening
• Association toss

Emil Kraepelin – Psychosis

• Manic depressive psychosis
• Dementia praecox

Kurt Schneider

• Auditory
  • 1st person AH – Thought Echo / sonarizalion
  • 2nd person AH – Commanding / Commentary
  • 3rd person AH
• Thought phenomena
• Made phenomena – Impulse, Volition, Affect
  • Somatic passivity – Delusion of control
  • Primary delusional Experience
    • Delusional Idea
    • Delusional Memory
    • Delusional Mood
    • Delusional perception

Negative symptoms

• Apathy
• Avolition
• Anhedonia – loss of pleasure (also seen in Depression )
• Affective flattening
• Attention deficit
• Alogia (poverty of thinking speech)

         Van Gogh – Schizophrenia + Self-Mutilation

         Pfropf – Schizophrenia – Mental Retardation

Chances of getting:

a. General – 1%

b. 3° Relative – 2%

c. 2° Relative – 3%

d. 1° Relative – 10%

e. Both parents – 40%

f. Monozygotic Twins – 47%

g. Dizygotic Twins – 10%