Background: Around 7.3 per cent of the global disease burden was due to mental and behavioral problem. The majority of the load is correlated with unipolar depressive condition and certain conditions of mental health, including depression, anxiety, eating disorder, and substance use. Roughly 450 million persons are currently suffering from these disorders, and It is assessed that at some stage in their lifetime, one-four individuals in the world will be affected by mental health conditions. Mental health condition rank among the world's principal reasons of illness or impairment. Persons with most depressing condition or schizophrenia were 40 to 60 per cent more likely than the general population to die prematurely. Aim: To identify common mental health problems among general population. Objective: This study is planned with the objective. 1. To assess common mental health problems among general population. 2. To compare the common mental health problems among rural and urban general population. 3. To associate common mental problems, score among general population with their demographic variables. Methodology: lt is community based cross-sectional study. Sample will be general population i.e., Male and Female of Nalwadi, Arvi Naka wardha city will be involved in this study. Sample will be selected for study as per inclusion criteria and sampling technique will be N on-Probability y convenient sampling technique. Data will be collected by demographic variables of participants Global mental health assessment Marathi tool will be distributed for assessing mental health problem need 20 min for each participant. Conclusion: The conclusion will e drawn from the statistical analysis.
Paranoid is the most common delusion in people living with schizophrenia spectrum disorders which are present in about half of all people seeking treatment for a psychotic disorder. Schizophrenia is a persistent mental illness characterized by a wide range of symptoms, including delusions, hallucinations, disorganized speech or behavior, and cognitive impairment. Capgras syndrome is a form of the delusional belief in which a person has been replaced by an imposter. It can be seen in mental disorders as well as in central nervous system diseases in the form of neurodegenerative and non- neurodegenerative diseases The Capgras Syndrome is not an unusual condition, but an infrequent one which is possibly often unnoticed. A 48- years- old woman was admitted in female psychiatric ward with known case of paranoid schizophrenia with capgras syndrome. In the present case, the treatment approach was mainly somatic therapy i.e. psychopharmacotherapy, Electro convulsive Therapy (ECT) and psychological therapy. Psychiatric nurses have to play an important role to identify the symptoms and they should think critically, take action immediately to provide care to such type of patients.
Aim: - The intent of this case report is to define the top practice for a person detected with depressive disorder who has been denoted to a public mental health facility for treatment. To identify the black dog symptoms early to provide treatment and prevent potential complication. Presentation of case: A 45-year-old male patient got admitted in psychiatric ward AVBR Hospital Sawangi Meghe Wardha, Maharashtra, with the complaints of insomnia, low mood, social withdrawal, irritable, lack of interaction, lack of interest, sadness, hopelessness, helplessness, decrease appetite and suicide ideation such as hanging. patient was apparently asymptomatic 10 month ago when his younger brother passes away and his started show above clinical features of depression. patient received antidepressant drug citalopram, Imipramine and two-time Somatic therapy (Electroconvulsive Therapy). symptoms were minimized. Result: The patient was received psychopharmacological treatment antidepressant drug sertraline, citalopram, fluvoxamine along with somatic therapy (ECT) two times and psychosocial therapy, coping strategies, family therapy, yoga, recreation, meditation and symptoms was minimized. Discussion: Millions of people worldwide suffer from depression. it is most common disorder in outpatient clinic. which can result impairment and disability of individual ability to cope up with daily life. Conclusion: A positive outcome gets by the patient not only with the help of therapeutic management but also the family coping and support even. later on, due to proper psychopharmacological treatment, patient shown positive feedback and slowly all the aims are achieved which were planned in period. Finally, the patient got discharged from the hospital and now he is continuing his on follow up.
Background: Dementia is one of the most difficult medical and economic concerns that our society faces today. There are currently very few treatments available for those suffering with dementia. There are no medications available that can stop or reverse brain tissue deterioration. This is primarily due to a lack of understanding of how dementia develops. Aim: To improve the individual with dementias quality of life, followed by caregiver support. To minimize burden of this disease on caregivers. Presentation of Case: The authors present case of a 65-year-old female got admitted in female psychiatric ward AVBR Hospital Sawangi Meghe Wardha Maharashtra with chief complaint of forgetfulness, interest in environment decline, unable to communicate, poor performance at work, muttering to self, sleep disturbance, seeing people which are not seen other, fearfulness. all necessary investigation done, in mental status examination founded impairment in memory, disorientation cognitive function impairment, RBC count 3.82, WBC count 5300, Hb% 12, calcium 8.1, urea 26, creatinine 0.6, sodium 142, potassium 4.0. Alkaline phosphate 89. HIV, HBSAG non-reactive, Positron emission tomography finding that atrophy in the left temporal lobe or posterior region of the partial lobes. Positron emission tomography (PET) is a widely used imaging technique in many clinical applications including tumor detection and neurological disorder diagnosis. In particular, amyloid PET plays a significant role in dementia diagnosis. Results: The patient was received symptomatic treatment antidepressant, antianxiety, antipsychotic drug alleviates hallucinations and delusion. severity of Symptoms was minimized. Discussion: patient received treatment such antipsychotic drug according to symptom, not only antipsychotic drug is important but also other therapy are important to minimized symptoms such reorientation training, daily routine, occupation therapy, Nutrition and Body Weight, Mood changes are best controlled by keeping a calm environment with fixed daily routine. It is advisable to have some identification bracelet or card always in their possession. The doors of the house should be securely locked so that the patients cannot leave unnoticed. Conclusion: Patient received symptomatically treatment benzodiazepine antidepressant, antipsychotic to alleviate hallucinations and delusions, anticonvulsant to control seizures. Donepezil, galantamine, Memantine. Patient condition improved through reorientation training, therapy other and severity of symptoms was minimized.
Schizophrenia is a severe mental illness with a high death rate and significant societal implications. Curative treatments are not available due to a lack of understanding of its etiopathogenesis. The mild encephalitis hypothesis of schizophrenia, established primarily by Karl Bechter and Norbert Müller, is one of the new research hypotheses. According to this theory, a significant subset of schizophrenia patients suffers from a mild but persistent form of encephalitis caused by a variety of etiology ranging from viral infections to traumas to autoimmune illnesses. This inflammatory method is believed to occur in the start or during the course of the disease. The authors present case of a 65-year-old female got admitted in female psychiatric ward AVBR Hospital Sawangi Meghe, Wardha Maharashtra with chief complaint of forgetfulness, interest in environment decline, unable to communicate, poor performance at work, muttering to self, sleep disturbance, seeing people which are not seen other, fearfulness. all necessary investigation done, in mental status examination founded impairment in memory, disorientation cognitive function impairment, RBC count 3.82, WBC count 5300, Hb% 12, calcium 8.1, urea 26, creatinine 0.6, sodium 142, potassium 4.0. Alkaline phosphate 89. HIV, HBSAG non-reactive, A large number of white blood cells in the CSF An MRI that reveals evidence of brain inflammation. There was a slight increase in antinuclear antibody (1: 40 titer). Blood and CSF were positive for oligoclonal bands. The patient was received symptomatic treatment antianxiety, antipsychotic drug alleviates hallucinations and delusion. Disturbances of consciousness and orientation, catatonia, speech dysfunction, focal neurological signs, epileptic seizures/EEG abnormalities or autonomic dysfunction are warning signs in psychiatric patients which should always induce cerebrospinal fluid analysis with determination of antineuronal autoantibodies. Currently established immunotherapy strategies are summarised, taking into account international expert advice. Guided by clinical warning signs, our qualitative review enables rapid and reliable diagnosis of definite autoimmune encephalitis. This is of high relevance for the affected individuals, since early and sufficiently intense immunotherapy often leads to a good prognosis despite severe illness.
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