The Psychiatry Portal

Psychiatry is the medical specialty devoted to the diagnosis, treatment, and prevention of deleterious mental conditions. These include matters related to cognition, perceptions, mood, emotion, and behavior.

Initial psychiatric assessment begins with taking a case history and conducting a mental status examination. Laboratory tests, physical examinations, and psychological assessments may also be used. On occasion, neuroimaging or neurophysiological studies are performed.

Mental disorders are diagnosed in accordance with diagnostic manuals such as the International Classification of Diseases (ICD), edited by the World Health Organization (WHO), and the Diagnostic and Statistical Manual of Mental Disorders (DSM), published by the American Psychiatric Association (APA). The fifth edition of the DSM (DSM-5) was published in May 2013. However, its release coincided with a statement by then-NIMH (National Institute of Mental Health) director Thomas Insel noting that the manual lacks validity compared to other medical specialties due to the absence of objective laboratory measures (biomarkers) for diagnosis. (Full article...)

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Attention deficit hyperactivity disorder (ADHD, similar to hyperkinetic disorder in the ICD-10) is a psychiatric disorder in which there are significant problems of attention, hyperactivity, or acting impulsively that are not appropriate for a person's age. These symptoms must begin by age six to twelve and persist for more than six months for a diagnosis to be made. In school-aged individuals inattention symptoms often result in poor school performance.

Despite being the most commonly studied and diagnosed psychiatric disorder in children and adolescents, the cause in the majority of cases is unknown. It affects about 67% of children when diagnosed via the DSM-IV criteria and 12% when diagnosed via the ICD-10 criteria. Rates are similar between countries and depend mostly on how it is diagnosed. ADHD is diagnosed approximately three times more in boys than in girls. About 3050% of people diagnosed in childhood continue to have symptoms into adulthood and between 25% of adults have the condition. The condition can be difficult to tell apart from other disorders as well as that of high normal activity. (Full article...)

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Thomas Szasz
Thomas Stephen Szasz (/ˈsɑːs/ SAHSS; April 15, 1920 – September 8, 2012) was a psychiatrist and academic, a Fellow of the American Psychiatric Association, a member of the American Psychoanalytic Association, a professor of psychiatry at the State University of New York, and starting in 1990, he was professor emeritus of psychiatry at the State University of New York Upstate Medical University in Syracuse. He was well known as a social critic of the moral and scientific foundations of psychiatry, of what he saw as social control aims of medicine in modern society, and scientism. His books The Myth of Mental Illness (1961) and The Manufacture of Madness (1970) set out some of the arguments he is most associated with.

Szasz argued that mental illnesses are not real in the sense that cancers are real. Except for a few identifiable brain diseases, such as Alzheimer's disease, there are “neither biological or chemical tests nor biopsy or necropsy findings for verifying or falsifying DSM diagnoses", i.e. there are no objective methods for detecting the presence or absence of mental illness.(Full article...)

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