29^th World Psychiatrists Meet December 07-08, 2017 Dubai, UAE

Biography:

Abstract:

Biography:

Abstract:

Biography:

Abstract:

Biography:

She is working as a Cosultant Psychiatrist at Kent and Medway NHS & Social Care Partnership Trust, NHS Trust.

Abstract:

ADHD is a neurobiological condition characterized by core symptoms and persistent patterns of inattention and/or hyperactivity and impulsiveness. ADHD is a persisting disorder. Of the young people with a sustained diagnosis most will go on to have significant difficulties in adulthood, which may include continuing ADHD, personality disorders, emotional and social difficulties, substance misuse, unemployment and involvement in crime. ADHD is a disorder that changes its presentation in different age groups. In children: Academic/social dysfunction, disruptive behavior and skill deficiencies. In adolescents: Academic failure, alcohol and substance abuse, low self-esteem and parental conflict. In adults: Psychological dysfunction/disability, psychiatric comorbidities, significant job impairment, relationship difficulties, offending behavior and low self-esteem. The identification of ADHD in adults is still uncommon. There are still few specialist or general mental health services for adults with ADHD, however, services are being developed in many areas across the world. There is also a pool of adult patients in whom the diagnosis of ADHD has been unidentified and where ineffective treatments have been put in place for alternative diagnoses, which may account for the high rates of contact, reported with mental health services for adults with ADHD and in turn, associated cost implications. Transition from childhood into adulthood remains a major concern in young people with mental health problems, particularly those with ADHD who are vulnerable and require continuing care into adulthood. In 2007, WHO-WMH survey initiative the estimated worldwide prevalence of adult ADHD was 3.4% in the general adult population. Additional data to consider when estimating the potential prevalence and following on the potential patients are: (1) Release of DSM V which potentially lowers the threshold for adult diagnosis, (2) Increasing recognition and awareness of adult ADHD and (3) Availability of existing pharmacological and psychological interventions. Adults with ADHD generally have a high rate of comorbid conditions that add not only to the impairment associated with ADHD but also the disorder’s economic burden. Approximately, 75% of adults with ADHD have at least one comorbid condition. Common co-existing conditions in adults include personality disorders, bipolar disorder, obsessive-compulsive disorder and substance misuse. ADHD prevalence in general psychiatric outpatient clinics is estimated to be between 17 and 24%.

References

1.        Asherson, et al. (2012) Under diagnosis of adult ADHD: Cultural influences and societal burden. Journal of Attention Disorders; 16 (5): 20S-38S.

2.        Rao P and Place M (2011) Prevalence of ADHD in four general adult outpatient clinics in the north-east of England. Progress in neurology and psychiatry; 15: 7-11.

3.        Syed H, Masaud T M, Nkire N, Iro C and Garland M R (2010) Estimating the prevalence of adult ADHD in the psychiatric clinic: A cross-sectional study using the adult ADHD self-report scale (ASRS). Irish Journal of Psychological Medicine; 27(4): 195-197.

4.        Kolar D, et al. (2008) Treatment of adults with attention-deficit/hyperactivity disorder. Neuropsychiatric Disease and Treatment; 4(2): 389-403.

Fayyad J, De Graaf R, Kessler R, et al. (2007) Cross-national prevalence and correlates of adult attention deficit hyperactivity disorder. British Journal of Psychiatry; 190: 402-9.

Biography:

Stergios Kaprinis is a clinical psychiatrist and an associate professor of psychiatry at the Aristotle University of Thessaloniki, Greece. He has obtained his PhD from the same University on the linguistic study of patients with Alzheimer's Disease. He has completed one year of post-graduate studies at the UCSD in San Diego, California, USA and has obtained a university diploma on cross-cultural psychiatry from the Paris V University in Paris, France. He is working at a teaching hospital since 2006, extensively participating in the students' educational program, and is in charge of the hospital's memory disorders outpatient department. He is interested in cross-cultural psychiatry, psychiatry and philosophy, psychogeriatrics and bipolar disorders.

Abstract:

One of the most fundamental problems in psychiatry is the difficulty in defining what is normal and what is pathological. Unlike what is the case in other medical specializations, in psychiatry the borders between health and disease are blurry. Despite the scientific progress in neuroscience and genetics, psychiatry is still bereft of any test or examining method that will yield objective, hard evidence, pointing out to the existence or not of a mental disease. It has been stated that-psychiatry is the meeting point of two subjectivities, that of the doctor and that of the patient. This statement is still as strong as it was when it was first made. There is no objective method of defining mental disease and all tests administered to the psychiatric patient are either inconclusive or subject to the patient’s perception of them and the psychiatrist’s interpretation of the whole procedure. Psychiatric thinking and consequently, psychiatric discourse has been so heavily influenced by analytical thinking and by the dissection of information to the tiniest bit, that nothing seems certain any more. Everything seems to be equally important, or unimportant. The borders between health and disease became very blurry. The borders between one disease and another are indiscernible any more. On one hand this might be good. Patients are viewed more holistically, as a person and an entity, not as objects to be tagged and be conveniently tucked away in a little box. The waning of the categorical system in favor of a more dimensional approach (which will become more apparent with the 5^th edition of the DSM) signals more degrees of freedom in our approach of the patient. More degrees of freedom, however, mean a greater degree of uncertainty, a greater degree of entropy. Are we equipped enough to navigate in this more uncertain world? Or are we going to be drifted away by the first current, the first fad that will come our way? The signs are unfortunately not good. Despite the absence of hard evidence, more and more eminent psychiatrists believe that schizophrenia and bipolar disorders are not distinct nosological entities, but rather the two ends of the same spectrum. Most of us psychiatrists have the best of intentions to help a suffering fellow human, but we have forgotten synthetical and abstract thinking and have allowed ourselves to be led astray by a hodgepodge of information that we were in no position to evaluate well enough. I believe that we need to go back to the psychopathological sources of psychiatry and re-educate ourselves to think in a different way than the way proposed by the oncoming wave of dimensionality.

Biography:

Rafidah Bahari has obtained her Medical degree from the Queen’s University of Belfast and Membership from the Royal College of Psychiatrist, London. She is currently pursuing her PhD form Cyberjaya University College of Medical Sciences, Malaysia, in developing a novel faith based intervention for PTSD. Her research interests include PTSD, spiritual and religious interventions, validation, systematic reviews and qualitative studies.

Abstract:

About 7.4% of Malaysians involved in motor vehicle accidents (MVA) develop post-traumatic stress disorder (PTSD). However, these patients rarely present themselves for treatment due to stigma against mental illness and lack of knowledge about the condition. It is then necessary to educate the Malaysian public about PTSD in a way that is relevant and acceptable to them. The aim of this paper is to describe, how a patient education material for PTSD was developed for the Malaysian population. The study was done in three phases. In the first phase, a qualitative study exploring experiences, thoughts and feelings about barriers to presentation was conducted. These findings were translated into a patient leaflet about PTSD and the draft was piloted with three new patients. Feedback was used to improve the leaflet and the final draft was distributed to eight members of the public for a final testing. A total of 20 subjects were involved. Findings from the qualitative study supported the fact that while many had symptoms, they rarely attributed them to PTSD. Many were misinformed about the condition and obtained their information mainly through social media or social contacts. Drafts of the patient leaflet were discussed with patients and non-patients before the final product was obtained. The main content of the leaflet included detailed explanation about the condition and its treatment, as well as psychological, social and spiritual approaches they can use to mediate symptoms in the acute aftermath of the event. The target of this leaflet is patients presenting to emergency departments shortly following their MVA. In conclusion, through this research based process, a patient education material tailored for the Malaysian population was produced. Whether it has any impact in reducing symptoms and improving quality of life for survivors of motor vehicle accidents in Malaysia remains to be seen.

Recent Publications

1.        M N A A and Bahari R (2017) The effectiveness of psycho-spiritual therapy among mentally ill patients. Journal of Depression and Anxiety; 6(2): 1-2.

2.        Ismail K I, Ismail R and Bahari R (2016) Confirmatory factor analysis of the Malay post-traumatic stress disorder checklist (MPCL-C) among nurses of Kuala Krai Hospital post bah-kuning. Asian Jr. of Microbiol., Biotech. Env. Sc.; 18(4): 883-888.

Biography:

Kadhim Alabady is a Fellow of the Royal College of Physicians and Surgeons of Glasgow. He has completed his Doctorate degree in Public Health and Epidemiology, Master’s degree in Clinical Epidemiology (MSc), Master’s degree in Public Health (MPH), all from The Netherlands universities with broad experience driving research and development (R&D) strategies and operations. He has been registered as an Epidemiologist Grade A with The Netherlands Epidemiological Society. He has numerous publications in the UK in mental illnesses, cancer, cardiovascular diseases, diabetes, dementia, autism, COPD, population health, road casualties and others.

Abstract:

Introduction & Aim: Mental health problems affect women and men equally, but some are more common among women. To provide a baseline of the current picture of major mental health challenges among women in Dubai, which can then be used to measure the impact of interventions or service development.

Method: We have used mixed methods evaluation approaches. This was used to increase validity of findings by using a variety of data collection techniques. We have integrated qualitative and quantitative methods in this piece of work. Conducting the two approaches is to explore issues that might not be highlighted enough through one method.

Results: The prevalence of people who suffer from different types of mental disorders remains largely unknown, many women are unwilling to seek professional help because of lack of awareness or the stigma attached to it. It is estimated that, there were around 2,928-4,392 mothers in Dubai (2014) suffering from postnatal depression of which 858-1,287 early intervention can be effective. The system for managing health care for women with mental illness is fragmented and contains gaps and duplications. It is estimated that 1,029 girls aged 13-19 years affected with anorexia nervosa.

Conclusion & Recommendation: Work is required with primary health care in order to identify women with undiagnosed mental illnesses. Further work is undertaken within primary health care to assess disease registries with the aim of helping GP practices to improve their disease registers. Also, it is important to conduct local psychiatric morbidity surveys in Dubai to obtain data and assess the prevalence of essential mental health symptoms and conditions that are not routinely collected to get a clear sense of what is needed and to assist decision and policy making in getting a complete picture on what services are required. There is a need for a crisis response team to respond to emergencies in the community. Continuum of care should be given as there is a significant gap in the services for women once they diagnosed with mental disorder.

Biography:

Mohd Hazim received his formal education at SMK Datok Lokman, Kuala Lumpur and continued his CCE studies at the University of Auckland, New Zealand in Psychology. Has graduated in the field of Bachelor of Teaching and Counseling from the Institute of Teacher Education Malaysia Darulaman Campus and is currently pursuing for post-graduate studies. He actively writes and presents research papers on national and international level.

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Biography:

 Shaeraine raaj is a RCSI BST Trainee at Phoenix Care Center.

Abstract:

Background: Phoenix Care Centre is the only Psychiatric Intensive Care Unit in Ireland. This mental health facility was opened in May 2013. Phoenix Care Centre provides a tertiary service for patients who require an intensive care setting for the treatment of acute episodes of their mental illness within a locked therapeutic environment. Phoenix Care Center covers a population of 1.8 million within the catchment areas of Dublin, Wicklow and the North-East region. Over the last 20 years, a small group of patients has shown to be difficult to manage in a General Hospital setting. Risks leading to referral include significant aggression, risk of assault, actual assault and absconding.

Aim: The aim of this study is to identify the referral pattern to a Psychiatry Intensive Care Unit in Ireland and to demonstrate the diagnosis, mean length of stay, gender and the indication for referrals over a 2-year period.

Method: A retrospective chart study was carried out over admission to the PICU in the preceding two years. All patients admitted between January 2014 and January 2016 to the PICU formed the study group (n=67). Information concerning patient’s characteristics was obtained at the time of admission. This included gender, mean length of stay, indication for referral and the ICD 10 diagnosis.

Results: Based on the data collection, there was a higher rate of referrals of males to the Phoenix Care Centre [Males: (n=45) and Females: (n=22)]. The incidence for females was higher as they reach the 4^th decade of their life compared to males who had a higher incidence in the 2^nd decade of life. Both male and female referrals gradually decrease in incidence as they age.

Conclusion: Males referred most frequently had a diagnosis of Schizophrenia (57.8%) compared to females who most commonly had a diagnosis of schizoaffective disorder (45.9%). Personality disorder and affective disorder were the least referred diagnoses for both female and males. Assaults was the most common reason for referral in both males and females, sexual assault and those with a history of absconding were less common.