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Sunday, 8 September 2013

Practicing Orange County Psychiatry Requires Preparation

By Cecile Ingram


Preparations to be admitted to a medical school start early. During your college years take courses in science, biology, math, chemistry and physics. Your grades must be excellent and your degree should be in one of the sciences. Volunteer work in a hospital setting helps you pursue the goal of practicing Orange County psychiatry.

There are four years of medical school before you are graduated. After that, you will be admitted into a residency program. For psychiatry, it is a four year program. While you are treating patients under supervision, you can decide which area of psychiatry you want to specialize in.

When the residency is completed, there is a licensing requirement to fulfill. Each physician must be licensed in the state where he or she will practice. After passing that exam, there is an option to take another to become board certified. That certification will be in effect for a decade and may lead to more job opportunities.

When you do an assessment of a patient, begin with examining his or her mental status. Psychological testing and a physical exam precede neuroimaging or any other tests. The diagnosis should follow the dictates of the Diagnosis and Statistical Manual of Mental Disorders, commonly referred to as the DSM.

The ICD is another manual that helps to identify the disorder that each patient has. Following a diagnosis, the treatment prescribed may be a combination of medication and psychotherapy. If the mental illness is severe, he or she will be treated in a hospital setting. If less severe, he or she can be treated on an outpatient schedule.

It was in 1967 that the inappropriate treatments, lobotomy and electroshock therapy were found to be detrimental. The lobotomy was an operation that removed aggressive tendencies from problem patients. However, by removing a part of the frontal lobe of the brain, they removed the personality as well. The patient was left in an almost vegetative state as far as cognition was concerned.

Another treatment that seemed to originate from a Frankenstein movie was electroconvulsive therapy. It used electric shock to bring a patient out of deep depression when nothing else worked. It also had the ability to break teeth and sometimes bones as the patient tensed up in response to the current running through the body.

A psychiatrist straddles the two worlds of medical practice. On one hand he is a medical school graduate who is familiar with all body organs and their functions and physical maladies. On the other, he is focused on the workings of the mind. These two facets are diverse, yet intertwined in each human being.

Three facets of psychiatry are mental illness, severe learning disabilities and personality disorder. There has been a change in methods of diagnosing and treating mental disorders, aligning them more closely with physical medical practices.

At one time the psychiatrist would spend an hour providing face-to-face therapy sessions. Currently, the trend is to share treatment with the psychologist, who performs the therapy. The psychiatric care is a brief office visit to prescribe medication.

Orange County psychiatry is knowledgeable about what disorders require what treatment. The psychiatrist deals with addictions, forensics, neuropsychiatry, cross-cultural and child and adolescent subspecialties. Some focus their practice on one of these and become an authority on it. The mental health of each patient is carefully evaluated and receives appropriate treatment.




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