5^th International Conference on Psychiatrist, Geriatric Psychiatry and Counseling Psychology December 08-09, 2016 San Antonio, USA

Biography:

Sonali Sarkar completed her medical school in India. She pursued a career in public health. She completed her Master’s and Doctoral degrees in Public Health from University of Texas school of Public Health in Houston, TX, USA. He is a young investigator, physician researcher and scientist. She has a track record of publications including her recent publication in the World Journal of Psychiatry (impact factor 12) about the Negative Symptoms of Schizophrenia.

Abstract:

Psychiatric polypharmacy is defined as the use of two or more drugs in the treatment of a psychiatric condition. It is widely prevalent in clinical practice. The rationale for polypharmacy is not clear. Etiologic factors are patient demographics (age, gender, race, low socio-economic status), personality disorder, psychiatric conditions (psychosis, schizophrenia, affective or mood disorders), comorbidities, severity of disease, treatment- refractoriness, prescribing practice, inpatient or outpatient setting, concern for reduction of extra-pyramidal and other side effects. Among children and adolescents’ the polypharmacy correlates are age (13 -15 years), male gender, caucasian race, low socio-economic  status, medicaid or public insurance, disability, and foster care or child custody outside of biological family. Pediatric polypharmacy is also associated with a diagnosis of behavioral disorder, autism spectrum disorder, ADHD, conduct disorder/oppositional defiant disorder, personality disorder, violence, tics, psychosis, affective and mood disorder. The concurrent administration of multiple drugs increases the risk of drug interactions and adverse effect including morbidity and mortality. Psychiatric polypharmacy is also associated with cumulative toxicity, poor medication adherence and treatment non-compliance. Thus, psychiatric polypharmacy poses a significant public health problem.  However, not all polypharmacy is harmful. Polypharmacy is proven to be beneficial in patients with psychotic, mood or affective disorder having dual diagnosis with substance abuse, personality disorder (obsessive compulsive) and comorbid conditions including thyroid, pain or seizure disorder. Combination therapy with different class of drugs antidepressants or antipsychotics with different mechanism of action have beneficial therapeutic consequences. Therefore, a better understanding of physicians’ rationale for polypharmacy, patient tolerability and effectiveness of prescribing strategy is needed to guide practitioners and to inform the development of evidence based treatment guidelines.  Here we review the problem of polypharmacy in psychiatric patients, describe possible etiologic factors, associated consequences and provide recommendations for promoting beneficial polypharmacy and reducing harmful polypharmacy in clinical practice.

Biography:

M Grünerova-Lippertova has her research priorities in rehabilitation after stroke, neurotraumatology, early rehabilitation, experimental neuro-rehabilitation and psychotherapy. She was teaching at the University of Cologne: lectures and seminars in the field of rehabilitation. She is head of the Neurological Rehabilitation Centre ANR Bonn. She is also head of the Clinic of Rehabilitation Medicine in Prague and lecturer at the Charles University in Prague in the field of neuro-rehabilitation. Her innovative attitude helps finding new ways in neuro-rehabilitation care.

Abstract:

Statement of the Problem: For a successful social and occupational reintegration first of all the dimension of neuropsychological disturbances and behavioral disorders after brain damage is of major responsibility. Aim of the study was an analysis of behavioral disorders after stroke. Following questions should be answered: how many patients in sub-acute phase after stroke have deficits in behavior- which kind and degree-, are there any differences between the groups of patients with or without limitations in activities of daily living.

Orientation: Retrospective study, 61 patients 0-6 months after stroke were included. Examination of behavioral disorders was made with Neurobehavioral Rating Scale (NBRS), examination of daily behavior with Marburger Kompetenz Skala (MKS). Additional a second NBRS-scoring was made dividing up the patients in two groups: group 1 with patients with no or minor limitations in ADL vs. group 2 with patients with limitations in ADL. These two distributions were analyzed on significant differences with the non-parametrical U-test.

Findings: First of all, already in early phase of disease a huge spectrum of behavioral deficits can be recognized, mainly – next to well known symptoms of depression and fear - limitations in fatigability and attention. Results of the MKS-score of daily behavior showed most of all limits in recreational activities, physical work and mobility (driving a car, using the public transport) – this as well in self-assessment as well in foreign assessment. The hypothesis of a difference in NBRS, made by examination in the groups of patients with or without limitations in activities of daily living with the non-parametrical U-test, was affirmed by a score of p<0.001.

Conclusion & Significance: Behavioral deficits earn, especially in severely affected patients after stroke, special consideration. Early comprehension of individually neuropsychological and behavioral therapy could be expected as an important factor for improvement of reintegration of these patients.

Biography:

Carrie Lynn Brown completed her PhD in Counseling Psychology in 2012 from the University of Kentucky and Predoctoral internship requirments from Pennsylvia State University, Counseling & Psychology Services. She is a Staff Therapist at Syracuse Univeristy’s Counseling Center, and also holds the titles of Group Counseling Coordinator, Sexual and Relationship Violence Advocate, and LGBTQ Liaison. She has published 10 papers in reputed journals and serves as an ad hoc reviewer for a number of peer reviewed journals.            
 

Abstract:

The number of trans* identifed college students has increased dramatically in the past decade (ACHA Guidelines, 2015). Despite this trend, the number of college counseling centers, therapists trained and expereinced to provide services to this population remains lacking. More specially, students who are seeking medical transitions require a referral from a mental health provider for these treatments. However, many students lack the resources to receive counseling services off campus and are unable to obtain the referrals necessary for medical transitions (i.e. hormones and/or surgical procedures). Additionally, many states require letters from mental health providers for legal changes of gender identification markers on legal documents, such as driver’s licenses, birth certificates, passports, and social-security cards. This presentation introduces therapists to get an awarness about the Trans* community as well as the means for providing the proper referrals and documentation for gender transition and legal documentation changes. Review of an assessment tool regarding gender transition, as well as the existing literture regarding needs, personal experiences, and directions for future training will be provided. Additionally, exmaples of referral letters and WPATH (World Professional Association for Transgender Health) standards for composing these letter will be reviewed. Challenges, barriers, and consulation opportunitites will also be discused.

Biography:

Sejal Mehta, MD MBA has her expertise in evaluation, medication management and passion in improving the health and wellbeing of individuals across the lifespan. Her inquisitive look tele psychiatry has become more focused and intense in recent years. She is invested in creating new pathways for improving healthcare. She is looking at this vastly untouched but much needed service to community at large and elderly in particular. She has weighed positive and not-so-positive aspects of this care model and believes that it has a potential to provide easily accessible services in elderlies needing mental health care addressed.

Abstract:

Statement of the Problem: Entire US population is aging. As we have increased number of aging individuals, need for emotional and mental health support is also rising. Several problems have already been identified regarding access to mental health providers. Social, familial, financial constraints also play major role in availability of mental healthcare. New developing field of tele psychiatry has promising outlook for future. Application is being attempted in several different models throughout the country.

Methodology & Theoretical Orientation: Several recent articles have been published discussing pro-cons of tele-application of psychiatry. Psychiatry is a unique branch of medicine that has a potential for being equally effective as in-person session, if done right. There are some pitfalls like unintended HIPPA breach should be carefully managed.

Findings: Tele psychiatry is still in infantile stage. It has lots of potential to be main stream mental healthcare delivery system. Confidentiality and reimbursement are the two major factors that need to be worked out for smooth seamless care delivery.

Conclusion & Significance: Yes, tele psychiatry is a brilliant option to address issues of mental health in geriatric population. In coming years, there will be a clearer picture and t will be emerging with guidelines and protocols for it to be very high standard of care.

Biography:

Paulina Fuentes Moad, PsyD, is a Boston-based Doctor in psychology, has spent most of her professional life examining the different methods of communication that can help people speak their truth. In radio, she served as a co-host and presenter for the talk show “NAMI Latino y la Comunidad.” She is the Director and Founder of “Vive Con Vida, A.C.,” which provides mental health education via online tools and media. She has trained in different treatment modalities, such as psychodynamic and behavioral therapy, and completed her internship at Massachusetts General Hospital/Harvard Medical School at the MGH Chelsea Healthcare Center.

Abstract:

Contemporary contexts of psychotherapy highlight the importance of ‘safety’ in the therapeutic relationship. It is imperative to understand what ‘safety’ means to our patients/clients, as well as to us as providers, in order to provide the highest quality of care. While the frame and limitations of the therapeutic context provide certain psychological safety, it is also a set up that is bounded to rules and regulations that can challenge the therapy/counseling relationship in particular situations. In order to protect the wellbeing of the general public, ethical bodies implement guidelines and policies that can force psychotherapists to stop their practices, temporarily or permanently, immediately. The shattered sense of safety and transgression to the self, that such traumatic ruptures can unravel in our patients/clients, regardless of their diagnosis or lack of them, is atrocious; particularly in therapies that acknowledge and work with transference and countertransference. The unpreparedness to deal with traumatic ruptures raises questions and concerns about how we can better think and act when dealing with such situations, whether it happens to us, or by being the subsequent therapist of people who have suffered abuse in therapy or traumatic ruptures. This presentation explores hypothetic and real scenarios of people who are victims of abrupt termination of therapy or supervision due to ethical boundary violations. It describes the horrors that, such patients are exposed to and provides clinical guidelines and advice to subsequent therapists and survivors in order to better understand such a pervasive type of trauma that is often concealed.

Biography:

Dr. JAYAPRAKASH. R, Ph.D., M.D, DPM, DCH is qualified in both Pediatrics and Psychiatry. He has Ph. D in Child Psychiatry from University of Kerala, ICMR-Foreign Research fellowship in Child Psychiatry and underwent research training in the Institute of ICAMH, Sydney, Australia, Special training in child and adolescent psychiatry from NIMHANS, Bangalore and Training in educational Science for health professionals from NTTC, JIPMER, and Pondicherry. He is a fellow of Indian Association for Child and Adolescent Mental health, Indian Psychiatric Society, Indian Academy of Pediatrics. He has won various academic awards for his research papers, published many research papers on international and national medical journals and also been invited as resource person for various Governmental and non-governmental agencies. He is also working as a health activist, author of various books on health and child mental health and columnist on child mental health in leading daily in Malayalam.

Abstract:

Background: Children and adolescents with conduct disorder (CD) are heterogeneous population with wide variations in range of symptomatology, severity, age of onset, sub types, prevalence and co-morbidity, functional impairment, response to intervention and outcome. Aim: To describe psychosocial and clinical profile, course and outcome and to identify the risk factors which determine poor outcome of CD among children and adolescents.

Methods: Clinic based prospective follow up study. Consecutive 300 children in age group 6-18 years with CD, attended Behavioral Pediatrics Unit OP was collected, intervened and followed up for one year. Initial and final scores of abnormal psychosocial situation, symptom severity and functional level were assessed. Psychosocial and clinical profile, clinical course, clinically significant outcome were studied by descriptive statistics followed by significant test for hypothesis. Determinants of poor outcome of CD were identified by logistic regression.

Results: There was significant male dominance (4:1). Majority was of childhood onset type (76.7%). Main psycho social problems were single parent family (18%), family history of alcoholism (15%), domestic violence (5.3%), both together (22.4%) and psychiatric illness (8.4%). Most common complaint was ‘often argues with adults’ (99.33%). Important co-morbidities were hyperkinetic disorder (66.7%) and mixed disorders of conduct & emotion (17.3%). Clinically significant improvement (50% or more reduction in RBPC score) was observed among 64.51% of study population at the end of follow up.

Conclusion: Determinants of poor outcome of CD were single parent family, family history of alcoholism, domestic violence and  psychiatric illness, conduct symptom namely ‘’has used a weapon that can cause serious harm to others’’, co-morbid hyperkinetic disorder, mixed disorders of conduct and emotion, duration of CD and initial severity of symptoms.

Keywords: Behavioral Pediatrics Unit (BPU); conduct disorder (CD); childhood and adolescent onset type of CD; Abnormal psychosocial situation; symptom severity; functional impairment and determinants of poor outcome

Biography:

Statement of the Problem: The traumatized client enters the counseling session suffering from the neurobiological effects of psychological trauma exposure. This exposure can have a detrimental impact on the brain functioning levels as well as the homeostasis of the client’s physical body. Stress causes the body to activate its survival mechanisms, which include immune, neuroendocrine, peripheral, hypothalamic-pituitary, and neurochemical systems. The stress response can alter the brain’s functioning and its structure and may not return to pre-stress homeostasis levels. At this point, the client may demonstrate PTSD symptomology or acute stress responses. The purpose of the study is to find clinically sound approaches to relieving and reducing the long term negative effects of activation of the survival mechanism. The goal serving is to strengthen the client’s emotional core. Building resilience, or the process of adapting well in spite of adversity, can be cultivated or enhanced through this biological process. There are clinical approaches that can change these responses such as neuroplasticity which occur at a neuronal level and can alter the neuronal firings. Within the body, the use of mindfulness is one approach that can lead to more awareness and self-reflective learning. A mindfulness based approach to the experiential process provides a holistic activity that encourages non-judgmental awareness to the current moment in time. Creative mindfulness techniques and training can assist the client in building their levels of resiliency to strengthen their neurobiological response to the trauma.

Conclusion and Significance: To compensate and readjust to this process, creative mindfulness techniques are considered as a method for increasing the resilient levels within the client. Building resiliency through creative means can serve to enhance learning as well as increase mental capacities and promote wellness. Creative approaches can be an appropriate method for encouraging the reconstruction of the neural networks of the brain.

Abstract:

Cori Costello PhD, LCPC, ATR-BC is a clinical lecturer and a core faculty for the Family Institute of Northwestern University’s online counseling program out of Evanston, Illinois. She has 20 years of experience as a licensed counselor and is a registered and board certified art therapist. Her clinical research explores merging creativity and mindfulness techniques for increased resiliency in clients with a history of trauma and anxiety based responses.

Biography:

Afsaneh Nikjooy is an Assistant Professor of Physical Therapy, Department of Physical Therapy, at Iran University of Medical Sciences, Tehran, Iran. She is a member of the International Continence Society (I.C.S) and Iranian Continence Society (Ir.C.S). She has worked in pelvic floor physical therapy for more than 14 years. She has managed several courses of pelvic floor physical therapy for master students in this field in Faculty of Rehabilitation, Iran University of Medical Sciences.

Abstract:

Statement of the Problem: Chronic constipation is an annoyingly common bowel problem which has significant impact on health expenses and quality of life. Up to 50% of chronic constipation patients are outlet dysfunction type constipation, which divided into structural and functional causes. Functional defecation disorders include dyssynergic defecation (paradoxical contraction or failure to relax the pelvic floor and anal muscles during defecation). Patients with dyssynergic defecation are often unresponsive to traditional conservative medical treatments, and surgical methods have poor benefit and can lead to anal incontinence. Therefore, behavioral treatment such as biofeedback therapy is probably the best choice for this kind of functional disability.

Aim: The purpose of this study was to compare the efficacy of biofeedback therapy with standard therapy in dyssynergic defecation patients.

Methodology & Theoretical Orientation: In a randomized clinical trial, in 19 dyssynergic defecation patients, before and after treatment, pattern of defecation during straining was assessed using MRI defecography and brain fMRI.

Findings: This study showed that; the improvement of defecation function and pelvic floor motion indices (anorectal angle change and perineal motion) after biofeedback therapy have been associated with increased fMRI activity in Parietal Operculum, Insular Cortex, Lingual Gyrus and left Thalamus, during defecation compared with rest position. Also brain activation pattern in patients who had received standard therapy didn’t change post-treatment and was; Central Opercular cortex, Insular and Orbitofrontal Cortex.

Conclusion & Significance: The post-treatment alteration in brain activity pattern in biofeedback therapy group in comparison to standard therapy group during defecation was remarkable in this study. This change that coincides with increased relaxation of pelvic floor and sphincter muscles in biofeedback therapy group may reflect neural reorganization of the brain and changes in behavior, resulted from this approach.

Biography:

Mona Radwan has completed her PhD from Zagazig University and Postdoctoral studies from Lund University School of Medicine and School of Social Sciences respectively. She is one of the steering committee of Women in Great Sciences at Lund University; WINGS. She has published in reputed journals and has been serving as an Editorial Board Member of repute.

Abstract:

Our environment has become very diverse and rapidly changing, which affects every person especially, workplace. Most of us cannot cope with these changes, which has been reflected on the work environment, working conditions, the worker health, working ability and productivity. To manage these changes, making it more useful, we should study its impact on the work, which may be reflected as, annoying attitude and behavior at work; envy, mobbing, harassments and reduction in productivity. Envy damages relationships, disrupts teams, and undermines organizational performance. Most of all, it harms the one who feels it. When you’re obsessed with someone else’s success, your self-respect suffers, and you may neglect or even sabotage your own performance and possibly your career. Our goal was to promote health for workers at their work places, physically, mentally and socially. Our objectives were to measure the prevalence of stress, bullying among the academic staff of the University in 2015, to measure working ability index among the academic staff and to assess the risk factors associated with bullying, working ability index and stress among them in 2015. A cross sectional survey of 400 academic staffs in the University has been done using stress and  bullying questionnaire; the questionnaire consisted of several sections, collecting demographic data (age, gender, and marital status), work-related information (job title and working hours). Personality type A/B questionnaire. Some personality types seem to be more susceptible to effects of stress than others. For work Ability Index. We used the work ability index as a standardized tool for measuring work process, health, stress, work ability, and work-satisfaction. Among 70.8 % male and 29.2 % female with mean age 27.8±5.1 years old of the academic staff, 48.9 % of them were complaining from tension, 45.7 % of them relate depression at the work place to the unfair distribution of work, most frequent types of mobing behaviors; 57.3 % unrealistic refusal to promotion and 27.2 % sarcasim. 31.4 % of the participants tend to leave the work as result of bullying at the workplace. In conclusion, continuous exposure to the threat to professional status by exclusion, bullying behaviors, are associated with psychological troubles.

Biography:

Matshepo Matoane completed her D Litt et Phil degree in 2008 at the University of South Africa. She is a registered Clinical Psychologist and an Associate Professor, and currently the Director of Instructional Support and Services, at the University of South Africa. Her main publications are in the field of Indigenous Psychology, a field, she hopes to advance within the South African environment.

Abstract:

In a multicultural society like South Africa, classified along racial and ethnic lines, one finds four main racial groups (Whites, Blacks, Coloureds and Indians) with 11 official languages post-apartheid to accommodate this diversity. Due to its apartheid legacy, race continues to be a dominant discourse which cuts across every sphere of the South African society. It thus becomes essential to note that while the majority of the population of South Africa is made up of blacks, these remain the least educated and the least economically empowered. It is therefore not surprising to find that most psychologists are white, speak either English or Afrikaans with the majority of clients, who require psychological services being black and speaking local African languages. This makes sensitivity to cultural differences an imperative and differs somewhat from the Euroccentric and American notion of multicultural counseling, which arose in an attempt to accommodate minority groups. In this instance, it is meant to acknowledge and validate the majority of South Africans who have been alienated. This presentation focusses on some of the challenges experienced in conducting counseling within diverse cultures. The presentation argues for a move beyond cultural awareness and sensitivity in counselling to grounding of psychological theory in culture.   

Biography:

Dr. Praveen Oberai has completed her B.H.M.S from Delhi Board, M.D. from Agra University and Post Graduate Diploma in Bio-ethics, and IGNOU in collaboration with ICMR. She is working in Central Council for Research in Homoeopathy Headquarters, a premier Institute of research through Homoeopathy, for more than 25 years and is heading the department of Clinical Research.  She had been actively involved in preparation of evidence based protocols prepared in consultation with the scientists of Allied Sciences, Homoeopathic experts and bio-statisticians. In addition to this she is also coordinating the public health program of Ministry of Health and Family Welfare:  Integration of Homoeopathy/Yoga in National Programme for prevention and control of Cancer, Cardiovascular diseases, Diabetes and Stroke. As part of the monitoring team at Headquarters, she has been involved in regular monitoring of various activities at 33 Institutes/Units all over India. In addition to this she has been actively imparting training to the new recruitments/Scientists and health care personnel working at the various Institutes/Units.

Abstract:

Objective: To evaluate the usefulness of Homoeopathic intervention in “schizophrenia,” in untreated cases, antipsychotic treatment resistant, to identify indications of medicines, and to prevent relapse.

Materials and Methods: A prospective, noncomparative, open-label observational study was carried out (October 2005–September 2010) by CCRH (India) at Central Research Institute (H), Kottayam, Kerala, India. Patients between 20 and 60 years of age, presenting with symptoms of schizophrenia were screened for inclusion and exclusion criteria to enroll. The patients who were on antipsychotic drugs were allowed to continue the same along with homoeopathic medicine, the dose of antipsychotics was monitored by the psychiatrist. The symptoms of each patient were repertorized, and medicine was prescribed in 30C potency after consulting Materia Medica. Patients were followed up for 12 months. Outcome of treatment was based on internationally accepted scale, i.e., brief psychiatric rating scale (BPRS) and analysis was done using Statistical Package for the Social sciences SPSS Version 20.

Results: Out of 171 enrolled patients, 105 completed 12 months follow-up and 66 visited for varied time period. The intention to treat principle was applied for conducting analysis of these 66 patients considering the last observations carried forward. Significant difference (P = 0.0001, P < 0.05) in the mean scores of BPRS, using paired t-test was observed at end of the study. It was observed that Sulfur (n = 39), Lycopodium (n = 36), Natrum muriaticum (n = 27), Pulsatilla nigricans (n = 14) and Phosphorus (n = 12) were found to be the most effective medicines in treating schizophrenic patients.

Conclusion: The study reflects the positive role of homoeopathic medicines in the management of patients suffering from schizophrenia as measured by BPRS. Randomized controlled trials are suggested to assess the efficacy of homoeopathic medicine in schizophrenia.

Biography:

Mubashir Ahmad is an Assistant Professor in Northern University of Pakistan.

Abstract:

The aim of this was to relationship between post traumatic stress disorder impacts on employee job performance with moderation role of spirituality –case of Pakistan army’s war on terror.  Ninety seven Pakistan army personnel was taken participate in the study and All were male. Data were collected through questionnaires. The instrument which the researcher intends to use to measure PTSD symptoms is the latest version of DSM-IV which was developed in 1991 and contained 17 items. The latest version PCL 5 is developed recently in the late 2015 two other instruments were used for spirituality and perceived employee. For testing the hypothesis of my study we used Process introduced by the Andrew F Hayes. Our conceptual model is identical with the Andrew model 1 in which moderation is tested with one moderator that is spirituality. This study can be concluded in way that although PTSD negatively and badly affected the job performance of army personnel, these negative outcomes can be lessen by the spirituality. The possible explanation for this fact may be that spirituality contributes positively to the psychological well-being of a person, thus making ones’ self more resilient. Therefore, increase shock and traumatic absorption. Subsequently, the negative impacts of PTSD are lessened. Managerial implication and future direction were also discuses.

Biography:

Nesreen Alrowili joins Al Jouf University in Saudi Arabia as a Professor in the Department of Psychology in the College of Education. Nesreen received her Bachelor in Psychology from King Saud University in Riyadh, Saudi Arabia, and she is pursuing her Master of Science in Clinical Mental Health Counseling at Bay Path University in Longmeadow, Massachusetts. Nesreen have experience working in women's prison as a psychologist; she worked with some of most challenging inmate-patients - who are a danger to themselves, others or gravely disabled. Her primary research interests are in the field of Cognitive Behavioral Therapy and Social Cognition. Specifically, she is interested in empirical study of conscious and unconscious cognitive processing.

Abstract:

Online counseling is one of the recent and important services that grow up fast in the field, and shows it’s significant in treating clients. There are several researchers supporting the effectiveness of online counseling. In fact, online counseling is being highly effective in Arab society in general and in Saudi Arabia in particular. As in an Arabic culture, it is hard for them to be opened about their mental health issues, which may relate to how they have been raised on not to complain about their mental life because of the stigma. People are open to mental health therapy but not to the degree that go and seek therapy easily. Researching the word online mental health counseling would show huge result of online counseling websites, includes professional and unprofessional websites. However, there is not any specific data can tell how many websites are practicing (out there). Working in the counseling field made me realize how much people are using e- therapy and preferred it more than one on one therapy sessions. I have practiced and done online counseling for almost a year, most of my clients refuse to go to see a therapist when I had to refer them to regular sessions and rather to do it online. They were feeling that online counseling made them to be more honest, which also allowed me to provide better treatment plans for them and allowed them to be more honest with themselves while responding to the treatment plan, where they were being more comfortable to not be judged. Range of my clients considered visiting psychiatric for medical evaluations after couples of e-therapy sessions. This paper indicates that online counseling is believed to be so effective for the Arab society because it gives them higher privacy than regular sessions.

Biography:

Wai Kwong Tang was appointed as a Professor in the Department of Psychiatry, The Chinese University of Hong Kong in 2011. His main research areas are Addictions and Neuropsychiatry in Stroke. He has published over 100 papers in renowned journals, and has also contributed to the peer review of 40 journals. He has secured over 20 major competitive research grants. He has served the editorial boards of five scientific journals. He was also a recipient of the Young Researcher Award in 2007, awarded by the Chinese University of Hong Kong.

Abstract:

Depression is common following an acute stroke. Post Stroke Depression (PSD) has notable impacts on the function recovery and quality of life of stroke survivors. Incidence decreased across time after stroke, but prevalence of PSD tend to be stable. Vascular factors such as diabetes, hypertension and smoking have been related to the development of PSD. Many studies have explored the association between lesion location and the incidence of PSD. For example, lesions in frontal lobe, basal ganglia and deep white matter have been related with PSD. Furthermore, cerebral micro bleeds and functional changes in brain networks have also been implicated in the development of PSD. In this presentation, evidences of such association between the above structural and functional brain changes and PSD will be reviewed.

Biography:

Matthew D. Dovel, President & Founder of International Suicide Prevention (non-profit), Editorial Board Member of the International Journal of Emergency Mental Health and Scientist in Human Behavioral Modification has dedicated his life’s work to understanding and preventing suicide, education services to reduce suicide rates, providing post-suicide support for families and providing tested result based solutions for depression, anxiety, post-traumatic stress and suicidal ideation. In 2005, Dovel delivered Suicide Intervention training at the Cree Reservation in Oujé-Bougoumou, Canada and the 4 Phase technique reduced suicides from 1 non-fatal attempt per and 1 fatal outcome per month to 1 non-fatal attempt per month and ZERO fatal outcomes in the subsequent six months.

Abstract:

Nu-Recalls treatments focus on altering the hierarchical behavior creation inception points, and by doing so permanently eliminate unwanted learned behavioral reactions; depression, anxiety, P.T.S.D., phobias, coping mechanisms, and suicidal ideation.

What the world has lacked since the beginning of recorded history is ‘Peace of Mind’.

I hypothesized, after observing an array of disciplines, that there was a unique sequential systematic naturally occurring phenomenon in the mind that changes hierarchical values. Hierarchical values have been determined to effect the decision making process according to Sigmund Freud; all decisions are made with the intention of avoiding pain and/or seeking a pleasure outcome. (Figure 1)

The human condition 2016

• 60,000,000 people report experiencing depression each year. (WHO)

• 3,000 plus individuals commit suicide each day. (WHO)

• Every human eventually experiences an event they’d like to forget.

Nu-Rekall is so successful because it addresses the three types of ‘Memory Trauma’ associated with most mental illnesses; Suppressed, Conscious, and Conditioned. Each type of ‘Memory Trauma’ must be addressed uniquely requiring three different treatments; EMR, 4 Phase, and P.M.C.H.O. (All Nu-Rekall™ treatments are noninvasive and non-medical, ranging from 5 to 20 minutes to facilitate).

The development, testing, and results of Nu-Rekall™ procedures were preformed over a 10 year period between January 2006-2016, treating thousands of individuals and experiencing the same results, at International Suicide Prevention a 501(c)(3) public charity nonprofit, treating the most severe of mental illness; suicidal ideation.

We have never in the history of mankind had a breakthrough in mental health treatments that claim 100% success rates like Nu-Rekall™ does because, we have never been able to successfully alter past memories without the use of invasive methods, medical procedures, and mind altering drugs that do severe damage to other brain functionality creating more problems than are attempting to cure.

Biography:

Kwarteng Yeboah is a first year student in Astrakhans State University. He received Diploma in Mental Health Nursing. He has worked as a Campaign Manager for Showers of Blessing Savings and Loans before proceeding to Study Mental Health at Ankarful Psychiatric Training Collage. He has also worked as Chief Coordinator in Ghana Methodist Students Union. After he completed his diploma in Psychiatric Nursing, he also worked with several hospitals and NGO foundation as health service provider, in Ghana, Ankaful psychiatric hospital for two year, ST Patrice hospital for two years and finally settled in Kumasi south hospital as psychiatric nurse and now he is pursuing BSc in psychology in Russia.

Abstract:

Concept of mental illness like schizophrenia is increasing and is particularly severe for people living in rural communities. Ghana adopted a community-based rehabilitation (CBR) for persons with mental illness to address the problem comprehensively. However, negative attitudes towards the mentally ill, stigmatization and discrimination constitute a serious barrier to CBR. The objective of the study was to assess societal beliefs and perceptions about people with schizophrenia, among the adult population in a rural community (Offinso, Obuasi and Nkawie) and other communities in the Ashanti Region. The study used a mixed method where both qualitative and quantitative techniques were employed. A sample size was determined using a systematic approach. The respondents held fairly positive views about the mentally ill, despite a few negative authoritarian and socially restrictive attitudes and views. Though participants appeared to be knowledgeable about the possible physical, social and environmental causes of mental illness such as accidents and genetic factors, 96% of all participants thought mental illness could be due to witchcraft/evil spirits, and 60% felt that it could be a consequence of divine punishment. This is an indication that stigma and discrimination against the mentally ill were still widespread among the respondents. The widespread belief in supernatural causes is likely to act as a barrier to designing effective anti-stigma educational programs and as a result frustrating the implementation of CBR. There is a need in the Ashanti region and elsewhere to develop strategies to change stigma attached to mental illness at both the rural and urban community levels. This paper is one of the first to report to be made on attitudinal research on mental illness in the Ashanti region by selected areas and the places are Offinso municipal, Obuasi municipal and Nkawie district and other communities.