History of Psychiatry

The word ‘psychiatry’ is originally derived from the Greek word psyche, a word used to refer to both the soul and the common butterfly. It is perhaps suggestive of the Greeks’ views of the human soul and inner thoughts that they selected a word which also described a beautiful but elusive creature. The Greeks are credited with writing some of the earliest manuals about mental disorder, although at this time most mental disorders were believed to stem from the supernatural. Rather than see doctors to help deal with their illnesses, individuals would instead be turned towards religious leaders. Since little was understood of the cause of mental illness, these leaders would often resort to exorcisms or elaborate rituals to purge the evil spirits from those afflicted.

During the middle ages, the first institutions catering specifically to the mentally ill were founded. In Europe, these institutions served more as holding facilities aimed to keep patients from harming themselves or others in the outside world. Little effort was given to treatment, as the nature of mental disorders was still very much misunderstood. In the middle east, however, groundbreaking work was being done in several nations, and doctors began to theorize that mental disorder could be related to or caused by similar circumstances which caused other known maladies. Looking at psychiatric issues as medical problems rather than supernatural causes was a major step in developing treatment programs. Arab and Persian doctors explored various new techniques, experimenting with medicines, music therapy, and salt baths.

It wasn’t until the late 18th century that the first humane treatment approaches were introduced to Europe. Philippe Pinel, a French physician, is widely credited for outlining these methods. Prior to this point, institutions in most of Europe were still little more than holding facilities. As the century turned, the rising impact of the University was felt, and psychiatry began to arise as an accepted field of study. Institutions across Europe and America began to spring forth, and as their numbers grew, the opportunity for widespread medical study developed.

The 20th century brought major changes to psychiatry and psychology. Improving technology and better medical understanding led some psychologists to theorize that medical disorders were organic in nature–rooted in biology rather than some malady which needed to be purged. This led to a much more sympathetic handling of patients, where the emphasis was shifted towards treatment and illness management rather than forcing a cure. The burgeoning development of neuropsychology and micropsychology helped to strengthen these theories, and modern psychopharmacology began to emerge.

Today, psychiatry is a diverse and complex field supported by psychological, medical, and pharmaceutical therapy approaches. while the field continues to develop and expand, doctors today have a much more concrete understanding of brain chemistry and the ways that medicines may interact with their patients, allowing them to provide approaches that are not only safer, but (most importantly) are much more likely to succeed.

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Types of Therapy Pt. 2: Family Psychiatry

The Basics of Family Therapy

Family psychiatry is a distinct school of therapy in many western cultures, and can offer benefits to families in several ways. Sometimes, in cases of an individual family member seeking help for distinct issues (such as addiction or a mental health disorder) family therapy can help the rest of the family to cope with the single member’s dilemmas, and through better understanding can learn to help them in their journey to recovery. Family therapy sessions in these cases may or may not be conducted with the individual family member present, and may in fact be sought out even in cases where the individual has yet to (or refuses to) seek treatment. Family members can learn in these situations how they can help the individual make it through their difficulties, and can in some senses act as a stand-in therapist, an educated support system when the idea of professional help is too intimidating for the individual.

In other situations, family therapy is sought for dysfunctions amongst or between the actual members of the family unit. A therapist will work with the members of the family both individually and as a group, “sitting in” on the conflicts and offering advice and strategies to help reduce tensions and create positive problem solving strategies in the future.

What to Expect

In some cases, family members perceive a sense of blame directed at another family member or themselves. It is important to note that most therapists will try and steer the family away from blame and accusation and towards understanding of the cause and effect patterns which shape interactions between the family members. Meeting with multiple members of the family at once allows the therapist to watch these patterns unfolding and can often shed new light on behavior patterns which may go ignored in the home environment.

The number of sessions varies depending on the issue at hand and what the family’s availability is, but normally somewhere between five and twenty sessions is normal. Therapists will sometimes work with the family in one series of sessions while an individual member of the family seeks separate counseling as well. This is often the case with addiction therapy or mental health therapy (such as for patients diagnosed with schizophrenia, where the family learns various coping strategies while the individual does the same).

Working with a therapist can help your family examine the ways problems develop, as well as the roles the members take and the patterns of behavior that occur. Therapists often focus on teaching new ways of expressing thoughts and feelings so that potentially explosive situations are instead resolved with a few key words that remove blame implication. Therapists will also help your family focus on its strengths to help resolve its weaknesses. At the end of your sessions, your family can be left with a greater understanding for each other and an improved ability to share, communicate, and interact as a family.

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Psychiatric Medication: Can It Help Me?

Can medication really help?

For many, the reluctance to seek psychiatric help is amplified by the fear of being placed on medication. There are several reasons for this, ranging from the social stigma of “needing drugs,” to the concern over side effects and adverse reactions to the medication. But while it is of course always important to be aware of potential side effects when taking medication, the world of psychiatric medicine has made tremendous advances in the past decades. Fifty years ago, there was little relief for patients suffering from depression, anxiety, or attention deficit disorder. These conditions were often misunderstood, and the medical field was just beginning to tap into the area that would become neuroscience. Today, psychiatric medications are available that can vastly improve quality of life for those suffering from mental or behavioral disorders. They can diminish or even sometimes eliminate symptoms when taken regularly, and can help to improve the effectiveness of therapy sessions by increasing focus and reducing the feelings of stress and hopelessness.

How do Psychiatric Medications work?

Understanding what psychiatric drugs are and how they work is an important step in becoming comfortable with the idea of medical help. Psychiatric medications are generally grouped based on how they affect the body. Some common categories include antidepressants, antipsychotics, stimulants, and antianxiety medications. These medications can play a pivotal role in helping to restore normal brain activity where there is an imbalance. The human brain is a complex organ; when the brain’s neurotransmitters (chemical messengers) stop behaving normally for any reason, changes in mood, thoughts, behaviors, and emotions can occur. Psychiatric medications help to fix the brain’s broken “machinery,” repairing broken links or counteracting chemical imbalances which may be causing problems.

What can Psychiatric Medications do for me?

Some of the most frustrating symptoms of mental and behavioral disorders may be helped by psychiatric medication. Psychiatric drugs can:

  • Decrease feelings of hopelessness
  • Prevent panic or anxiety attacks
  • Diminish hallucinations or delusions
  • Improve memory and concentration
  • Reduce inappropriate behavior and control cravings

The complex nature of many of these medications means that professional medical help, such as that from a licensed psychiatrist, should always be sought out before taking any psychiatric drug. A psychiatrist will take a detailed history of your condition and symptoms, and work with you to determine the best possible course of action in regards to medication. It is important to note that even with the advances made in the medical field, each patient is truly unique, and some people may be affected differently my certain medications than others. Because of this, working with your doctor becomes exceptionally important, especially when starting or stopping medications or switching to new medications. A psychiatrist will help monitor your symptoms and any potential side effects to make sure that you receive the best possible treatment for your body chemistry and that reaction to drugs are kept to an absolute minimum. While the idea of taking medication to treat your condition is never something to take lightly, working with a professional psychiatrist means the best possible treatment options for your individual case. And with the advances made by modern psychiatry and neuroscience, the possible benefits could be life changing.

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Psychiatry Basics

What is Psychiatry?

Psychiatry is a diverse field of medicine which deals with varying approaches to the diagnosis, treatment, and future prevention of mental disorders, emotional disorders, and behavioral disorders. Psychiatrists use their medical background and training in combination with therapy to help their patients understand their conditions and alleviate their symptoms.

There are many different areas of psychiatry, ranging from general adult or child psychiatry to eating disorders, substance dependence, and neuropsychiatry. Not every psychiatrist or psychiatric institution treats every kind of disorder, so it is especially important in the field of psychiatry to speak to a professional to determine the best path for seeking treatment.

Diagnostics and treatment of mental disorders have changed dramatically over time, largely due to significant advances in neuroscience and medical technology. Today, doctors and patients have a vast arsenal of medical tests and neuroimaging to aid in diagnosis, in addition to a much better understanding of human psychology and general brain disorders. Modern psychiatrists use a combination approach to therapy, combining both social and biological sciences to determine the cause of a patient’s problems. Many disorders are today understood to develop from chemical imbalances or improper brain function, leading patients to feel dislocated from the societal norms around them. Psychiatrists help their patients understand that the cause of their symptoms is often biological, and through this understand work towards helping the patient manage or even cure their symptoms entirely.

What do psychiatrists do?

Most psychiatrists begin initial consultations with a thorough review of a patient’s history regarding the illness or problems they are seeking help for. This may include questions regarding how long the problems have been manifesting, previous treatments, medical history, and general questions regarding the patient’s social history, such as family, work, or other relationships. After this initial consultation, the psychiatrist may recommend that the patient be scheduled for laboratory or other tests to help clarify the diagnosis or establish a firmer idea of where the disorders are originating. From here, the psychiatrist will work with the patient to create a treatment plan, and schedule ongoing appointments or consultations to monitor progress.

What’s the difference between Psychiatry and Psychology?

Psychiatrists must complete medical degrees prior to specializing in psychiatry. This medical background allows psychiatrists to combine their knowledge of psychological disorders with an understanding of the physiological and biological problems that can be the cause of many disorders. Psychiatrists are able to prescribe medication to patients and understand the close interaction between brain disorders and how the body reacts to certain medications.

Psychiatrists combine the social understanding and therapeutic approach to mental health common in psychology with a doctor’s medical insight and ability to prescribe medication. For this reason, many individuals who have struggled to find progress with talk therapy or psychology sessions may be able to find relief from their problems by seeking the help of a medical psychiatrist.

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Types of Therapy Pt. 1: Addiction Psychiatry

Addition Psychiatry is a specialized subsection of psychiatry relating to the diagnosis and treatment of addiction related disorders. Major changes have been made in recent decades to the realm of addiction psychiatry, largely due to changing definitions of what is considered “addiction.” Previously, addiction disorders were only considered in cases of psychoactive (commonly called “mind-altering”) substances, such as alcohol, tobacco, and drugs. Today, most professionals accept a broader definition of addiction to account for all disorders involving psychological dependency, including additions to gambling, sex, pornography, food, work, and many others.

The American Society of Addiction Medicine defines addition as a primary, chronic disease of brain reward, motivation, memory and related circuitry. It is characterized by an impairment in behavioral control which leads an individual to seek out the source of their addition in spite of harm to themselves, their personal lives, or their relationships in other facets of life (such as work or school). People with addiction disorders generally display a continually diminishing recognition of their behavior as problematic; that is, the further into addition that a person slips, the less likely they are to be able to find solutions without professional help. Without treatment, addiction disorder can become completely debilitating to a person’s normal functioning, and in some cases (especially where drug dependency is a problem) can lead to death.

Seeking help for addiction disorders is difficult on several counts. First, the progressive nature of the disorder often means that those who suffer may not see their actions as warranting psychiatric help in the first place. On top of this, the negative social connotations regarding addiction make admitting to it a very demoralizing event. This should not be the case. Addiction is a serious chemical disorder requiring professional psychiatric assistance and meriting just as much credulity as any other chemical imbalance or medical problem.

Luckily, the field of addiction psychiatry has seen tremendous advances since the turn of the last century, making seeking help an easier and less shameful process for those who suffer.

Addiction therapy begins in the same way as many other branches of psychiatric study, with an evaluation to determine the patient’s history and when the initial problems began to arise. Addiction therapy presents unique challenges in that many of the activities which patients become addicted to were not necessarily harmful to begin with (such as work, sex, or television). Psychiatrists first work with patients to establish reasons for the development of the addiction, and may prescribe medication to help reduce withdrawal symptoms and help bring the urge to revisit addictive behaviors under control.

Addiction psychiatrists go through additional training to specialize in addiction therapy, and can provide an invaluable resource to their patients. Through the use of carefully monitored medications and a system of interpersonal therapeutic care, addiction psychiatrists free their patients from the harmful cycles of their addiction, allowing them to live normal, fully functioning lives once again.

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