PSY 603
Subspecialty Psychiatry
2 Unit(s) (LH 30)
Course Description
At the end of this course, students should be able to:
1. describe how to perform a psychiatric evaluation of children and adolescents;
2. assess and explain proposed differential diagnosis for children and adolescents presenting
with disruptive behaviour;
3. illustrate psychiatric assessment in patients with physical illness;
4. enumerate how psychological factors affect other medical conditions;
5. discuss issues unique to psychiatric evaluation of the elderly (such as changing sensory
perception);
6. compare and contrast the clinical presentation of psychiatric disorders in the elderly versus
other adult;
7. list specific vulnerabilities and increase incidence of certain psychiatric disorders in the
elderly;
8. list various behavioural changes encountered in the emergency;
9. explain non-adherence to medical treatment, overweight/obesity, malingering, child abuse
and adult mal-treatment and neglect;
10. discuss Nigerian culture in relation to psychiatry, spiritual problems and psychiatry,
culture-bound syndromes and stigma in psychiatry; and
11. describe issues of mental health in the community and of public health importance.
Course Outline
Child psychiatry, assessment methods in children and adolescence, elimination disorders,
neurodevelopmental disorders, intellectual disability, communication disorders, autism
spectrum disorder, ADHD, specific learning disorders, motor disorders, conduct and
oppositional defiant disorders. Consultation-Liaison psychiatry, psychiatric assessment of
physical illness, somatic symptoms and related disorders like somatic disorders, illness anxiety
disorder, conversion disorder, psychological factors affecting other medical conditions,
epilepsy, endocrine condition, cardiovascular and neurological conditions. Dissociative
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disorders, organic mood and psychotic disorders. Feeding and eating disorders, sleep-wake
disorders, sexual dysfunction. Geriatric and neurocognitive disorders, delirium, major and mild
neurocognitive disorders due to alzheimer’s disease, frontotemporal lobar degeneration, Lewy
body diseases, vascular diseases, traumatic brain injury, substance/medication use, HIV
infection. Forensic Psychiatry, introduction, capacity and consent. Emergency Psychiatry,
acute behavioural disturbances, alcohol withdrawal, cannabis intoxication, medication-induced
emergency, suicide and self-harm. Special treatments, psychotherapy, introduction to
psychotherapy, cognitive behavioural therapy, problem-solving therapy, group therapy,
physical therapy: electroconvulsive therapy, light therapy, transcranial magnetic stimulation,
exercise and relaxation training in psychiatry. Special topics in psychiatry, non-adherence to
medical treatment, overweight/obesity, malingering, child abuse and neglect, adult
maltreatment and neglect, Nigerian culture, religion, spiritual problems and psychiatry,
culture-bound syndrome, stigma in psychiatry, community mental health.