Osteopathic psychiatry Flashcards
Osteopathic Principles
- The Body is a Unit
- Structure & Function are Reciprocally Interrelated
- Self-Healing & Self-Regulating - Rationale Care is based on these 4 principles
Define Osteopathic Medicine
The preferred term for a complete system of medical care practiced by physicians with an unlimited license that is represented by a philosophy that combines the needs of the patient with the current practice of medicine, surgery and obstetrics. Emphasizes the interrelationship between structure and function, and has an appreciation of the body’s ability to heal itself.
Define Psychiatry
The medical specialty concerned with the prevention, diagnosis, and treatment of mental illness.
*Define Osteopathic Psychiatry
The field of psychiatry as approached through the lens of the osteopathic philosophy.
*Osteopathic Philosophy
a concept of health care supported by expanding scientific knowledge that embraces the concept of the unity of the living organism’s structure (anatomy) and function (physiology).
Elements of Body Unity
- Body - anatomy and Physiology
- Mind - interface between memory and anatomy
- Spirit - animation
- all are reciprocally interrelated
- The whole is greater than the sum of its parts = Synergy
Common sites of SD in Psychiatry?
- Occipital bone - schizophrenia
- SBS - manic depression
- Frontosphenoid in involutional dementias
- C2, T4-6
- Cranial Rhythm alterations
Body Unity Models that encourage Physicians to look the patient as a whole rather than just parts of the disease? (2)
- Biopsychosocial Assessment
2. Non-reductionism
What is Psychoneuroimmunology?
- the study of the interaction between psychological processes and the nervous and immune systems of the human body.
- the body is trying to regain homeostasis (Allostasis)
- Various stimuli result in Somatic, Visceral & Emotional sequelae by acting through the SNS and HPA systems
What is Neuroendocrineimmune?
- the body’s hormonal response to stressors
- Ex: Increased cortisol release during stress acts on the hippocampal formation and impair memory
Body Unity: Ped and Adult patients with asthma
Relaxation training resulted in a reduction in asthma attacks and a reduction in bronchodilators use
Elements of Structure and Function in Psych?
Structure: Anatomy
Function: Physiology
Both are interrelated
Wide Dynamic Range Neurons (WDR)
- spinal segmentation is fiction because the spinal cord is continuous
- Convergence: Dermatome, Myotome, Sclerotome
- Primary Afferents release inflammatory polypeptides locally resulting in increased Self-stimulation
- WDR: Interneurons = root of “facilitated segments”
S & F of Treatment Modalities in Psychiatry
- Psychotherapy & Pharmacotherapy induced neurobiology changes
- Pharmacology includes Pharmacodynamics and Pharmacokinetics
OMM in Psych
- Evaluate the whole patient
- Autonomics
- Cranial Strain pattern
- C2, T4-6
- HVLA is less effective
- > 24 hours after electric convulsive therapy (ECT)
Effects of OMM in Psych patients
- decreased inpatient days
- Paxil + adjunct OMT effective
- Cannabimimetic effects
- reduces anxiety
- reduces depression
Self-Healing in Psychiatry
- Neuro-protective antioxidants and macrophages
- Neuron regeneration
- Altering cognitions to cope with stressors and reconcile past experiences
Self-Regulating in Psychiatry
- receptors increase or decrease regulation in response to synaptic cleft NT concentration levels
- Emotions serve as signals for internal states in response to external stimuli
- Cortisol inhibits ACTH release in stress
Rational Treatment
- apply tenets
- consultant to the patient
- Patient owns their health
- Body Unity Breakdown
What to look for in Patient History?
- areas of heath
- sources of Body Unit Breakdown
- Impaired Structure and Function
- Impaired self-healing/self-regulating mechanisms
- Modifiable vs static factors
What do vital signs tell us?
a measurable account of sympathetic stress response on the body unit
Treatment Plan should include?
- Body, Mind, Spirit
- Patient Goal = Search and grown towards health
