I am doing research regarding diagnosis and treatment of mental illnesses. Please answer a few questions of mine. What routine medical examinations apart from MMSE and history would you conduct? By this I mean standard routine blood investigations plus other investigations. What clinical signs would suggest performing MRI scan and would you order it with every patient? What clinical signs would suggest performing thyroid hormone tests? Would you do the thyroid hormone test with every patient admitted to the ward? Would it be a standard psychiatric procedure? What neurological and physical examinations would you conduct to rule out any other medical or neurological disorders? Schizophrenia is a dysfunction of brain’s physiology; the functioning through neurotransmitters and through hormones but actually genetic problem is always there; means there is a dysfunction at cellular level. Which neurotransmitters and hormones would be responsible for this dysfunction? What kind of dysfunction of cellular level is that? What does an elevated level of homocysteine found in schizophrenic patients tell the psychiatrist?
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I have read your queries and shall answer accordingly. Keep in mind that standard procedures for management may differ in different countries. Answers for your questions:
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Thank you for answering my questions. I am very grateful for your time and help. I have some more to ask you. What is the difference between brief reactive psychosis and brief acute psychotic episode? Explain about the medication, treatment, duration of stay in hospital and recovery. Psychiatrists observe patients behavior and mood. How would you describe behavior and mood of an agitated patient? For example, is this person tired or contrary is full of energy? When patient is described as having suicidal thoughts, and there is a risk of self-harm what kind of behavior and mood would this patient generally present? Would family history of suicide attempts be an indicator as well? Thyroid disorders mainly cause neurotic disorders. Neurotic disorders are those psychiatric illnesses in which patient maintains contact with reality and they have insight about that they have experienced mental health problems. Disorders last like psychotic patient do not have contact with reality, they live in their mind created world like in schizophrenia and patients do not have insight regarding their mental illness. Is this correct? There is no investigation to diagnose any psychiatric illness. The investigations which we do in wards are not to make psychiatric diagnosis but to monitor the side effects of different psychotropic medications. How would you comment on that? What brain changes would you observe in children and elderly patients? Why only for them? There is a connection between mental illness and sleep disorders. What kind of sleep disorders would you observe in patients? What physical symptoms would you observe in sleep deprived person? Why are you saying that TFT should be a standard procedure? What kind of imbalance is there in neurotransmitters? Is it too much dopamine and not enough serotonin, or too much serotonin and not enough dopamine? Can I use the received information in my research?
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