Manic depressive psychosis

Two types of depression 

Acute and chronic 

Mania 

1. Hypo mania

2. Hyper Mania

3. Delirious

4. Chronic

Causes of manic depressive psychosis

• Genetic

• Disturbance in the neurotransmitter

• Disturbance of the ventriculus of brain

• Psychosocial stresses 

Symptoms

• Thought disorder

• Perceptual disorder(hallucination)

• Emotional disorder

• Motor disorder

Treatment for manic depressive psychosis

1.Drug therapy

• Tricycle therapy

• imipramine

• Desipramine

• Amytrophline

• Benzodiazepine

• MOH Inhibitor

• Carbo manzipine

2.psychotherapy.CBT

⁃ It is a psychologic treatment administed to a mentally disturbed patient without providing any drugs, there are different types of psychotherapy,

• Eg: individual psychotherapy

• Group psychotherapy

• Analytical psychotherapy

• Behaviour modification therapy

• Cognitive behaviour therapy

3.supportive therapy

• musical therapy

• Recreational therapy

• Work or occupational therapy

• Alternative medicine

4.ECT 

• Should be done under general anaesthesia

PSYCHO SOMATIC DISORDER

• This disorder occurred due to psychoneuroimmunological system disturbance

1.skeleto muscular disorder

⁃ Osteoarthritis(knee)

⁃ Per arthritis(shoulder)

⁃ Lumbar spondylosis(back-pain)

⁃ Cervical spondylosis(neck-pain)

2.respiratory disorder

⁃ Bronchitis

⁃ Asthma

Children have abbreviation of mothers love will suffer from bronchitis and asthma(it mainly happens  in 0 to 4 years)

3.cardiovascular

⁃ Heart attack

⁃ Some people develop coronary heart disease

4.Gastro intenstral disorder

⁃ May have gastritis

⁃ May have peptic-ulcer

⁃ Constipation

⁃ Constipation leads to develop into irritable bowel syndrome

⁃ Ulcerative colitis

5. Uro genital disorder

• Sexual disorder

⁃ Satriyasis : increase sexuality in male

⁃ Nymphomania : increased sexuality in female

⁃ Impotency : decreased sexuality in male

⁃ Frigidity: decreased sexuality in female 

• Urinary incontinance 

 6.Dermatological disorder

• Poor resistance of skin

1. Pruritus (itching sensation)

• Generalised- all over the body

• Localised- only in one particular area

2. Psoriasis

3. Ichthyosis

4. Rosea -pinkish skinlision of face 

5. Tinea versicolor - grey whitish patches around the neck

6. Tinea sersinata 

7. Organs of other senses.

• Conductivities

• Tinnitus : some kind of ricking sensation

• Blindness( total )

• Deafness

8. Endocrine gland.

• Obesity

• Anorexia nerves

• Bringe cavity

• Menopausal distress

• Menstrual distress


Treatment:

1. joint treatment

2. Mild tranquilizer ( about 2-5 yrs )