simpo 9 - symptom-based psychosomatic cases early detection in daily practice - dr ronny spkj

Simposium Kedokteran Nasional Clinical Updates 2015|14-15 Maret 2015|FK UGM 1983 & 2009

dr. Ronny Tri Wirasto, Sp.KJ

Symptom Based Psychosomatic Cases : Early Detection in Daily Practice

Dept of Psychiatry, Medical Faculty Gadjah Mada University - Dr. Sardjito General Hospital

Simposium 9


Objectives

To understand

Mechanism of mind-body system interaction

Somatic complaints as mental disorder symptoms

How to manage psychosomatic problems in primary care services

To be able to

Perform screening examination for disorders in psychosomatic cases

Manage of psychosomatic problems in primary care


Topics

Concepts of psychosomatic

Diagnosis of psychosomatic cases

Early detection


BRAIN AND NEURONAL SYSTEM

SOMATIC ORGAN/BODY/OTHER

ORGAN SYSTEM

SENSORIC

MOTORIC

MENTAL :CognitiveAffective

Psychomotor


HIGH COST

MISSED LEADING

DIAGNOSIS

OVER/UNDER DIAGNOSIS

OVER EXAMINATION

FINANCIAL SUPPORT


Concepts of psychosomatic

Relation between psychological factors andphysiological phenomena in general and diseasepathogenesis in particular

Integrates mind and body into a psychobiologicalunit

to study psychological and biologicalprocesses as dynamic interacting systems


Psychosomatic :

Term

Model of disorder, relationship

Physiological process or function

Cause and effect, occurrence and symptoms

Not diagnosis


Disorders described as psychosomatic in other classifications can be found here in

F45.- (somatoform disorders)

F50.- (eating disorders),

F52.- (sexual dysfunction), and

F54.- (psychological or behavioral factors associated with disorders or diseases classified elsewhere)


Psychological and behavioural factors associated with disorders or diseases classified elsewhere

to record the presence of psychological or behavioural influences thought to have played a major part in the manifestation of physical disorders that can be classified by using other chapters of ICD-10

asthma (F54 plus J45.-); dermatitis and eczema (F54 plus L23-L25); gastric ulcer (F54 plus K25.-); mucous colitis (F54 plus K58.-); ulcerative colitis (F54 plus K51.-); and urticaria (F54 plus L50.-)


Early Detection

Assessing level of distress

Exploring factors of predisposing, precipitating and causing

Following guideline of the specific complaint


Heart Burn

Nature Reviews Gastroenterology & Hepatology 10, 371-380 (June 2013)


Talking about mind-body relation is

PSYCHIATRY*

*Wallace E R & Gach J. History of psychiatry andmedical psychology.Spinger.2008

@psikiaterjogja psikiaterjogja [email protected]


Terima Kasih

simpo 9 - symptom-based psychosomatic cases early detection in daily practice - dr ronny spkj

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