A brief cognitive evaluation permits a differentiation between dementia and depression but not between psychosis and depression in elderly patients of a psychiatric outpatient unit, who had complained of memory impairment. These data may be useful to develop an easy and low cost protocol to attend the population of public health services.
IntroductionThe work describes a well-succeeded experience in the utilization of art therapy in a psychiatric clinic in the city of Rio de Janeiro, Rio de Janeiro, Brazil. The clinic is concentrated on the treatment of diverse mental disorders, in special, the disorder due to the use of psychoactive substances.ObjectiveTo present new and creative therapeutic ways inside the hospital for the treatment of patients having diverse psychiatric disorders, especially disorders due to the use of psychoactive substances.AimsDemonstrate the decrease of resistance to the treatment under the hospital system, the strengthening of the therapeutic alliance, the appreciation of the therapeutic space and the well-being promotion during the treatment.MethodsOne hundred and twenty patients, in a clinic for psychiatric treatment, participated in this therapeutic project, which offered psychological treatment through artistic and creative processes, promoting the possibility of experiencing their recovery through the realization of a Carnival programming inside the therapeutic setting.ResultsAll patients showed good acceptance to the workshops and participated in the presentations. Over the workshops, the patients also received therapeutic approaches and worked personal difficulties, which came up along the therapeutic process.ConclusionsThrough the project development, the patients showed excellent investment and appreciation of the alliance and therapeutic space, demonstrating the great potential of the psychological treatment, through the creative processes of art therapy.Disclosure of interestThe authors have not supplied their declaration of competing interest.
IntroductionThe work evaluates the nonsmoking program successful experience, carried out between the years of 2008 and 2015 in a psychiatric clinic in the city of Rio de Janeiro, Rio de Janeiro, Brazil.ObjectivesThe program has as objectives to evaluate the treatment of tobacco dependence in patients with disorders for the use of substances and other psychiatric disorders and the experience of transforming the therapeutic space of the clinic in a tobacco-free environment, considering that the use of tobacco is responsible for a large number of avoidable deaths and other aggravations to health.MethodsThe program achieved the objectives, assessing the promotion of the tobacco abstinence in a large number of patients, through the utilization of pharmacological treatment, cognitive behavioral psychotherapy, occupational therapy, art therapy and moderate physical activity.ResultsIn a 12-month period, after carrying out the program, 48% of the assessed patients kept in tobacco abstinence.ConclusionsThe study showed the percentage of patients who were discharged on tobacco abstinence and the percentage of those who kept abstemious after 12 months, demonstrating that the nonsmoking program is an efficient tool in the tobacco dependence treatment and can be used over a psychiatric hospitalization with promising results.Disclosure of interestThe authors have not supplied their declaration of competing interest.
IntroductionThe work was developed with the people hospitalized in the period of 1 year in a psychiatric clinic in Rio de Janeiro city, Brazil. 175 patients who presented dual diagnosis were evaluated.ObjectivesThe research aims to know the distribution of the most frequent psychiatric diagnosis associated with the disorders for the use of psychoactive substances. The work also has as objective to assess the treatment of patients carrying these disorders so that there is a better efficiency of the individual treatment plan.MethodsThe work consisted of the evaluation of all patients who were admitted to the clinic in the period of 1 year, using the ICD-10 for the diagnosis of dual pathologies. All the patients were assessed by the multiprofessional team, composed by general practicioner, psychiatrist, psychologist, pharmaceutic, therapist in chemical dependence, family therapist and physiotherapist. The patients were treated with the use of psychopharms, cognitive behavioral psychotherapy, 12-step program, art therapy and moderate physical activity. Family members of all patients were also interviewed.ResultsIn the evaluation conducted by the team, it was found the following distribution of the most frequent diagnosis associated to disorder for the use of psychoactive substances: depression (26.3%), personality disorder (22.9%), bipolar disorder (22.3%), non-schizophrenic psychosis (12.6%), schizophrenia (9.1%), and other diagnosis (6.8%).ConclusionsThe formulation of the dual diagnosis provided a better approach of the patients on the part of the team, promoting the strengthening of the therapeutic bond and causing positive impact on the evolution of these disorders.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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