29^th Euro Congress on Psychiatrists and Psychologists June 10-11, 2019 | Golden Tulip Berlin – Hotel Hamburg | Berlin, Germany

M Wasi Mohamad is a Consultant Psychiatrist and Co-Founder of Mental Health and Well Being Services Ltd, a private psychiatric clinic in Shrewsbury. He has been a Former Clinical Director of mental health in NHS and has special interest in treatments of neurodevelopmental disorders and mood disorders. He has vast experience of treating complex patients in in patient settings, setting crisis resolution services and the use of telemedicine approaches in rural areas. He was also involved in Master Mind Project which was funded by EU in establishing on line CBT and use of Telehealth. He leads NHS commissioned Adult ADHD services in Shropshire and has particular research interest in the longer term evaluation of ADHD and Bipolar Spectrum conditions. He also has particular interest in clinical leadership and finding innovative ways of providing services.

Edward Shalts has completed his Medical degree in Moscow. After immigrating to the US, he served as a Postdoctoral Neuroendocrinology Research Scientist at Columbia University. He has completed his Psychiatric Training at Beth Israel Medical Center, and went on to serve as Medical Director in the Department of Neuropsychiatry and Chairman in the Department of Psychiatry at various institutions. In addition to presentations at numerous conferences, he boasts four peer-reviewed publications in endocrinology and two books on holistic medicine. He is currently the owner of ES Psychiatric in Manhattan, where he practices the innovative concept of Brain Technology.

Brain technology is an innovative approach to the assessment, treatment and maintenance of brain function.

Based on a holistic approach, brain technology gives a new meaning to the idea of brain health by offering a unique combination of modern diagnostic and treatment modalities that provides comprehensive assessment of the brain and the body it depends on. Utilizing the latest advancements in medical technology including brain imaging, psychopharmacology, nutrition evaluations, and functional medicine, brain technology helps the modern brain by examining sensory organs, the cardiovascular system, the digestive system,  and brain funcion itself to holistically treat the brain how it really is a part of a complex system. Brain technology’s unique approach also removes the stigma of mental illness by rebranding mental health as a process of holistic approach to total health rather than a discipline that deals with “crazy people.” Indeed, while modern stressors test the limits of the ancient brain, with the likes of depression, ADHD, and anxiety on the rise, the rate of effective treatmemt has stagnated, and the fields available to treat the brain have grown apart to the point where these specializations have become both limiting and alienating. Brain technology changes all of this, and reaches out directly to the 21st century consumer in an accessible, revolutionary way to address the wellbeing of our most important organ in a time when we need it the most.

Background: Paranoid schizophrenia acquires a paraphrenic shade in a 60-year-old patient with chronic progression, lack of insight, and no longer compliant with medication. Progression has caused the loss of social support, dromomania and the associated homelessness, which cumulatively has accelerated the patient’s loss of self.

 

Objectives: Identifying the elements of semiology that dominate the clinical picture; Underlining, psychodynamic mechanisms leading to confabulatory discourse, delirium, somatic delusional ideation and pseudohallucinations.

 

Hypotheses: We assume that the patient's delirium is fueled by delusional perceptions centered on fundamental life events. We assume that the absence of a real psychosocial support system has contributed to the downfall of the psychiatric state of the patient as well as the paraphrenization of the delirium with the quasi-conscious maintenance of hallucinations.

 

Results: We highlighted the psychodynamic functioning of a schizophrenic patient with about 30 years of evolution, characterized by disorganized thinking, with a modified vocabulary which consists of the presence of neologisms and neoformation words, as well as associations by contiguity and delusional ideas based on distorted memories of non-differentiation and cloning, delusional transformation of the self, xenopathy, false relationships, memory hallucinations that create a cosmogonic world typical for paraphrenia. The attained delusions have overlapped an antisocial personality disorder leading to the decrease of violence while the imaginative world only grew stronger. 

 

Conclusions: Over the course of time the Axis I diagnosis becomes more prominent whilst the Axis II dwindles.

During childhood the patient presented a conduct disorder that led to an antisocial personality. As the psychosis progressed and gave way to the increased loss of self the antisocial personality became less pronounced, due to disorganized thinking and to the presence of ongoing delusional phenomenology.

Hyun Chul Kim has completed his Graduation at Gyeong Buk Medical University in 1999; Post Graduate Diploma in the School of Psychiatry at Hallym University in 2004; EMDR therapist course completed in 2011. He served as a Doctor for Compulsory Military Service from 2004-2007; Director of Mental Health Promotion Center in Daegu Suseong District from 2007-2011; Member of the International Association of Self Psychology (IASP) International Member of American Psychiatric Association and the Corresponding Member of the European Congress of Neuropharmacology.

Despite a great financial health care system, suicidality rate of South Korea has been the most frequent than any other countries for the past decades. Meanwhile, emerging evidence shows that human endocrine system is closely related with severe psychiatric conditions recent study shows that alteration of thyroid function is one of a major cause so as to alleviate or aggravate psychiatric condition. But the reality is shameful: Even reference values of TSH and free T4 are still under debate; consequently treatment protocol for thyroid dysfunction has also been chaotic. Otherwise, there seems no doubt that vitamin D has a pivotal role from synthesis of thyroid hormone and progesterone to gene expression of non-humane symbiotic existences. Our study showed that in the general population of South Korea, sunlight alone could not synthesize vitamin D enough to maintain clinically relevant blood level. More than taking 4000 IU every day is required for the clinical healthy state of human body but also to the symbiotic existences in the body, most prominently mitochondria and gut microbiome. Only a few months ago, we overvalued probiotics function which include Bifidobacterium or Lactobacillus species and stigmatized Fermicutes such as Coprococcus and Dialister. But the latter groups are now revealed as “real allies” to human by the courtesy of Belgium study, which was published in Feb 2019. We also studied which kind of prebiotics is more beneficial between XOS and GOS and concluded that XOS is safer than GOS in the aspect of comfort and safety. Since lots of psychiatric patients are under hyper-sensitive state of immune system, prebiotics which mainly consists of GOS might result in unexpected disruption of endocrine-immune interaction, which aggravate symptoms. Considering gut microbiome-microglia interaction, our study concluded that gut microbiomes themselves are a kind of variable, huge, flexible endocrine organs, which produce neuro-transmitters, endocrine hormones to immune modulators directly and indirectly. The products which they make interact with central nervous system via lymphatic vessel in the brain, which found only four years ago. Needless to say, if this interaction is disturbed by some reasons, local inflammation occurs in the specific brain region, like basal ganglia, which is related to OCD. For mitochondrion in the microglia cells not to be dysfunctional; like the case of gut microbiome, we ask help again to vitamin D. which encounters Vitamin D Receptor (VDR) of mitochondria, rather than nucleus of our somatic neuron, to express mt DNA and surprisingly they make essential proteins for human to live. We suggest all knowledge above should be considered when practicing regardless of physician's specialty.

Edward Shalts has completed his Medical degree in Moscow. After immigrating to the US, he served as a Postdoctoral Neuroendocrinology Research Scientist at Columbia University. He has completed his Psychiatric Training at Beth Israel Medical Center, and went on to serve as Medical Director in the Department of Neuropsychiatry and Chairman in the Department of Psychiatry at various institutions. In addition to presentations at numerous conferences, he boasts four peer-reviewed publications in endocrinology and two books on holistic medicine. He is currently the owner of ES Psychiatric in Manhattan, where he practices the innovative concept of Brain Technology.

Over the past few decades, screen technology grown exponentially, to the point where smart phones, tablets, computers, and televisions can now be found not just in every home, but every room-even every pocket! People have become more and more dependent on their screens for communication, news, entertainment, and even fitness, brain is constantly affected by stressors ranging from bright screens to the near-constant barrage of media-intense stimuli that our ancient brains are not necessarily equipped to process. There are many different ways that screen technology addiction causes stress, both psychological and physical. Constant screen technology use can have significant effects on mental health as well as physical wellbeing when it comes to things like sleep and eye sight.

Our brains are becoming more and more connected and now more than ever, we need new ways to keep our brains healthy and focused despite all the noise. Solutions can be divided in few groups: Prevention; General Solutions; and Individualized Solutions. While general solutions include good screen hygiene, which entails using protective eyewear, taking frequent breaks, and taking time to unplug, other solutions call for good brain food and supplements to support cognitive function. Prevention, on the other hand, requires training younger brains to function without dependence on technology. At any level of screen addiction, though, it is key that we recognize the dangers of our devices.

Aditya Narayan Tripathi is an associate professor in education department at Sant Tulsidas P.G. college Kadipur Sultanpur which is affiliated to Avadh University, Faizabad, U.P. India. Many research papers published and attended many international and national conferences in U.S.A. , Canada, United kingdom, Italy,Thiland, Nepal and in India too.Editor in Oceanography and petrochemical sciences in U.S.A. Associate editor in global journal of intellectual and developmental Disabilities in U.S.A. , He is Convener of education department in Avadh University Faizabad and also member of Indian Academy of health Psychology. He is editor of daily and weekly news paper, Aditya Times and founder of Degree College, Secondary School, Primary & junior High school as Karmyogi Ram Surat Tripathi Mahavidyalya , Maharshi Dayanand Inter college, Swami Vivekananda Convent Junior High school & Swami Vivekananda Convent primary school, etc.

He is an Ex - Senior Vice President of teachers Association of Avadh University Faizabad and Secretary of Press club, Ambedkar Nagar, U.P. India.

Introduction: Personality disorder is a chronic and common disease. Certainly health includes physical and mental aspects and both are eminent. Approximately one half of all psychiatric patients have personality disorder.Personality defined psychologically is the set of enduring behavioral and mental characteristics that distinguish between individual humans. Therefore personality disorders are defined by experiences. Personality refers to a distinctive set of traits, behaviour styles and patterns that makeup our character or individuality. A personality disorder is a way of thinking feeling and behaving that deviates from the expectations of the culture, causes distress all problem functioning and lasts over time. Personality disorders are enduring and persistent styles of behaviour and thought not a typical episode. The personality disorders encompass a group of behavioral disorders that are different and distinct from the psychotic and neurotic disorders. Sir Walter Scott rightly said "Ill health of body or mind is defeat health alone is victory. Let all men if they can manage it contrive to be healthy." P V Lewkan has written that a mentally healthy individual is one, who is himself satisfied lives peacefully with his neighbours makes healthy citizens of his children and even after performing these fundamental duties has enough energy left to something of benefit to society.

Aim: A study was conducted to estimate the span of personality disorder among post graduate level students.

Sample: 260 post graduate level students from both rural and urban locale were selected as a sample of the study from the  Sultanpur U.P. India.

Methodology: Sample: The sample of the study consisted of 65 urban and 65 rural locale of the age range 20 - 25 years,  who were recruited from the city and some villages of Sultanpur at the state of Uttar Pradesh in India. Whom they care his personality by doing yoga and meditation. These samples were related by the interview inventory technique. A normal group of 65 urban and 65 rural was also included in the study those were of same age. Same education and same location but not caring personality as controlled person.

Assessment technique: Following tools was administrated to the 65 urban and 65 rural local. Who was doing yoga, meditation and also as taking physical precautions as well as 65 urban and 65 rural normal people individually after establishing adequate rapport with them?

Tools: Personality inventory test (EPQ)

Data collection: Data collected by contact to each one rural and urban post graduate level students, controlled and normal group individually personal details of the subject were collected employing in profound interview technique after establishing the adequate rapport with each subject. Personality test was administrated individually.

Result: It was found that controlled group is better than normal group at post graduate level students, with reference to personality disorder.

Conclusion: It was found that post graduate level students were having disorders of personality.

Peter Woodruff is Chair and Professor of Psychiatry at Weil Cornell Medical College-Qatar and Visiting Professor at Sheffield University UK. He has expertise in clinical psychiatry, neuroscience and mechanisms of and risk factors for psychosis and other mental illnesses.

Statement of the Problem: Qatar has undergone recent rapid urbanization. We estimated: 1. the lifetime prevalence of three symptom profiles of psychotic experiences (PEs) [delusions only, hallucinations only, and both] in the general population of Qatar; and 2. Associations between PEs and both schizotypy (indicating genetic predisposition) and childhood trauma. We tested the hypothesis that lifetime prevalence of PEs would be associated with childhood trauma and schizotypal personality traits.

Methodology & Theoretical Orientation: An adult sample (N=1,353) were interviewed of whom 1,286 respondents completed all PEs questions. Iinterviews in Arabic and English included items from the Schizotypal Personality Questionnaire (SPQ), childhood trauma (terrifying experiences, beatings, abuse) and PEs. We used multinomial logistic regression with PEs as dependent variable testing associations with childhood trauma and schizotypy.

Findings: 9.3% [95% CI: 7.4-11.4] of the sample experienced hallucinations and delusions combined; with overlapping prevalence of delusions only 11.6% [95% CI: 9.5-14.1] and hallucinations only 7.0% [5.5-9.2]. Adjusting for age and gender, the strongest association was between schizotypy score and mixed PEs versus no PEs [OR=16.57, p<0.001].

Associations were also observed for delusions only [OR=4.25, p<0.001] and hallucinations only [OR=2.41, p<0.001] versus no PEs. Exposure to two or more traumatic events in childhood was significantly associated with all profiles of PEs versus no PEs [ORs ranges across profiles between 2.01-2.37]. A mixed profile of PEs was associated with odd behaviors [OR=2.47, p=0.001], abnormal ideas of reference [OR=2.33, p=0.008], odd beliefs and magical thinking [OR=3.07, p<0.001], unusual perceptual experiences [OR=4.37, p<0.001], and suspiciousness [OR=1.91, p=0.032] versus no PEs. Delusions alone were significantly associated with odd beliefs and magical thinking [OR=2.31, p=0.005] and suspiciousness only [OR=2.16, p=0.017]. Hallucinations alone were associated with odd beliefs and magical thinking [OR=3.23, p=0.001] and unusual perceptual experiences only [OR=2.81, p=0.011].

Conclusion & Significance: PEs was associated with exposure to childhood trauma. Individuals reporting mixed profiles of PEs exhibited higher overall schizotypy associated with psychosis. Future studies may prospectively delineate potential risk of psychosis in individuals with history of childhood trauma.

Dr Haroon Hamid, a foundation year trainee on the Isle of Man, with experience in Accident and Emergency, Psychiatry and General Practice. With future career goals in psychiatry, this topic was of particular interest having seen the extent of the problem through working in the Emergency Department. I was able to take time to gather this data and analyse it and instigate changes through my work with the Psychiatry division. Currently working as a medical doctor within the NHS. Graduated from University of Liverpool with MbCHB and a Masters in Research from the Department of Translational Medicine at University of Liverpool, with special interest in Neurology and affiliations with the Walton Centre Neurology Specialist Centre, Aintree Hospital, Liverpool.