Notes on Neurotic Disorders

Dr Ben Green

« Psychiatry

Suggested approach to topic:

Read the brief notes below, then see suggested references, before attempting the Self-Assessment Exercises at the end.

Brief Notes

  1. For scope of this collection of disorders please see ICD F 40 - F48
  2. Neurotic disorders represent relatively prevalent, persistent and damaging morbidity and so are not 'minor'. They represent a considerable direct and indirect cost to the country.

Panic Disorder (F41.0)

Management

Agoraphobia (F40.0)

Management

Desensitisation by CPN, friend, partner under an agreed behavioural programme

Specific or simple Phobia (F40.2)

Management

Desensitisation Hierarchy / Graded Exposure associated with anxiety management

Modeling

Flooding (ethical?)

 

Social Phobia (F40.2)

Management

Obsessive Compulsive Disorder (F42)

Management

Post Traumatic Stress Disorder (F43.1)

Management

Generalised anxiety disorder (F41.1)

Management

Somatisation Disorder (F45.0) (sometimes known as Briquet's syndrome)

Management

Conversion disorder ( F44.9)

Management

« Psychiatry

 

Suggested References and Reading

The MRCPsych Study Manual (2000) Green - Petroc Press

Theories of Personality Sixthe Edition (1999) Schultz & Schultz - Brooks/Cole

Handbook of Medical Psychiatry (1996) Moore & Jefferson - Mosby

Self Assessment Section

 

Depersonalisation:

is uncommon in psychiatric patients
often occurs in high anxiety
may follow use of MDMA
implies a defect in insight

 

What was the surname of the man who developed Gestalt Therapy?

 

Panic attacks occur in:

phaeochromcytoma
Carcinoid syndrome
hyperthyroidism
partial epilepsy

Copyright -  Ben Green 2000


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