器质性精神障碍（七年制）.ppt

Organic Mental Disorder Introduction Organic Mental Disorders: The term is used to denote psychiatric disorders that arise from demonstrable biological etiology. It includes mental disorder due to Brain Diseases and mental disorder caused by physical diseases. Organic functional Mental Disorders due to Brain Diseases 1.Feature: There is demonstrable structural and pathologic change in the brain. The psychiatric disorders arise from these changes. Mental Disorders due to Brain Diseases Mental Disorders due to Brain Diseases 3. Method of diagnosis: 1)To collect clinical data objectively and accurately by history taking and mental examination. To take basic laboratory examination. 2) Further investigation: X-rays, CT, MRI, DSA, SPECT, EEG. 3) Psychological test: WAIS, WCST, MMPI, EPQ, MMSE Mental Disorders due to Brain Diseases 4. Aspect of diagnosis It is whether the syndrome is acute or chronic. It is whether the impairment of psychological function is general or local. It is whether the underlying dysfunction of the brain is general or local. Mental Disorders due to Brain Diseases 4. Aspect of diagnosis Acute generalized psychological impairment ---Delirium Chronic generalized psychological impairment ---Dementia Specific psychological impairment ---impairment of memory, thinking, perception, personality, or mood. Mental Disorders due to Brain Diseases 5. Treatment Principal Etiological treatment Pharmacological treatment Psychotherapy Intensive care Common Syndrome 1、Delirium 2、Dementia 3、Amnestic Syndrome Delirium 1.Introduction It is a clinical syndrome comprising a diminished level of consciousness, cognitive impairment, perceptual abnormalities including both hallucinations and illusions, typically visual though in any modality, and disturbance of behaviour, typically agitation. The disorder tends to present over a short period, from