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Uitgebreide samenvatting klinische psychiatrie VUB

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ppt's+ notities; soms ook eventuele verduidelijkingen en herhalingen die ik zelf heb opgezocht. Samenvatting is zo gemaakt dat men de HOC eigenlijk niet meer moet bekijken.

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  • January 16, 2023
  • 115
  • 2022/2023
  • Summary
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2023




Klinische psychiatrie
SAMENVATTING (NOTITIES+PPTS+SAMENVATTING ANDERE)
ALIES JACOBS

,Inhoudsopgave
1. gebruik van de DSM-V................................................................................5
1.1 inleiding.................................................................................................................... 5
1.1.1 psychopathologie............................................................................................... 5
1.1.2 psychiatrische stoornis.......................................................................................6
1.2 classificatie............................................................................................................... 7
1.2.1 algemeen........................................................................................................... 7
1.2.2 DSM/ICD............................................................................................................. 8
1.2.3 voor- en nadelen................................................................................................ 8
1.2.4. Geschiedenis..................................................................................................... 9
1.3 diagnostiek............................................................................................................... 9
1.4 globale veranderingen dsm-5...................................................................................9
1.5 opzet dsm-5............................................................................................................ 10
1.5.1 veranderingen deel 2.......................................................................................10
1.5.2 deel 3............................................................................................................... 12
1.6 stellingen................................................................................................................ 12
1.7 conclusie................................................................................................................. 13

2. inleiding................................................................................................... 13
2.1 inleiding.................................................................................................................. 13
2.1.1 normaliteit en psychopathologie......................................................................13
2.1.2 probleem met subjectiviteit..............................................................................14
2.1.3 epidemiologie................................................................................................... 14
2.1.4 prevalentie psychiatrische stoornissen.............................................................15
2.2 geschiedenis van de psychiatrie.............................................................................16
2.3 etiopathogenese..................................................................................................... 18
2.3. fysiopathogenese................................................................................................... 18
2.3.1 genetica........................................................................................................... 18
2.3.2 klinisch Epidemiologische studies....................................................................20
2.4 Psychopathogense.................................................................................................. 21
2.4.1 psychologisch perspectief................................................................................21
2.4.3 psychische functies.......................................................................................... 22
2.4.4 stoornis in het psychisch functioneren.............................................................22

3. neurocognitieve stoornissen.....................................................................27
3.1 algemeen................................................................................................................ 27
3.1.1 epidemiologie................................................................................................... 27
3.1.2 het geheugen................................................................................................... 27
3.1.3 ouderdom......................................................................................................... 27
3.1.4 neuropsychologische testen.............................................................................28
3.2 dementie................................................................................................................ 31
3.2.1 algemeen......................................................................................................... 31
3.2.2 epidemiologie................................................................................................... 31
3.2.3 klinische kenmerken......................................................................................... 32
3.2.4. Denegeratieve oorzaken (38) = soorten eigenlijk...........................................34
3.2.4 diagnostiek....................................................................................................... 37
3.2.5 behandeling..................................................................................................... 38
3.3 delirium.................................................................................................................. 39
3.3.1 Epidemiologie................................................................................................... 39

, 3.3.2 klinische kenmerken ; DSM..............................................................................39
3.3.3 subtypes........................................................................................................... 39
3.3.4 oorzaken; I WATCH DEATH...............................................................................39
3.3.5 behandeling..................................................................................................... 40
3.4 amnestische stoornissen........................................................................................40

4. middelengerelateerde en verslavingsstoornissen.......................................41
4.1 stoornissen in het gebruik.......................................................................................41
4.1.1 misbruik van een middel..................................................................................41
4.1.2 middelenafhankelijkheid..................................................................................41
4.2 stoornissen door het gebruik..................................................................................41
4.2.1 intoxicatie door een middel..............................................................................41
4.2.2 onthouding van een middel..............................................................................42
4.3 psychoactieve stoffen.............................................................................................42
4.3.1 algemeen......................................................................................................... 42
4.3.2 alcoholgebruik.................................................................................................. 43
4.3.3 Stoornissen door het gebruik van drugs...........................................................45
4.4 middelengerelateerde en verslavingsstoornissen...................................................45
4.4.1 diagnostiek...................................................................................................... 45
4.4.2 etiopathogenese............................................................................................... 45
4.5 aan middelen gebonden stoornissen......................................................................47
4.5.1 etiopathogenesis.............................................................................................. 47
4.5.2 prognose.......................................................................................................... 47
4.5.3 preventie-behandeling.....................................................................................47

5. schizofrenie en andere psychotische stoornissen.......................................48
5.1 schizofrenie............................................................................................................ 49
5.1.1 kenmerken....................................................................................................... 49
5.1.2 Comorbiditeit.................................................................................................... 51
5.1.3 differentiële diagnostiek...................................................................................51
5.1.4 epidemiologie................................................................................................... 52
5.1.5 etiopathogenese............................................................................................... 52
5.1.6 behandeling..................................................................................................... 55
5.1.7 prognose & beloop........................................................................................... 56
5.2 verwante stoornissen.............................................................................................. 57
5.2.1 Schizofreniforme stoornis.................................................................................57
5.2.2 schizoaffectieve stoornis..................................................................................58
5.2.3 waanstoornis.................................................................................................... 58
5.2.4 kortdurende psychotische stoornis...................................................................58
5.2.5 gedeelde psychotische stoornis........................................................................59

6. stemmingsstoornissen..............................................................................59
6.1 definitie episodes.................................................................................................... 59
6.1.1 symptoomcriteria depressieve episodes..........................................................59
6.1.2 symptoomcriteria manische episode................................................................59
6.1.3 manisch vs depressief......................................................................................60
6.1.4 symptoomcriteria hypomane episode..............................................................60
6.1.5 symptoomcriteria gemengde episode..............................................................60
6.2 kenmerken depressieve stemmingsstoornissen.....................................................61
6.2.1Uni: depressie: specificaties..............................................................................61
6.2.2 Uni: dysthymie................................................................................................. 61
6.2.3 andere depressieve stemmingsstoornissen......................................................61
6.3 kenmerken bipolaire stemmingsstoornissen...........................................................61
6.3.1Bi: cyclothymie.................................................................................................. 62

, 6.3.2 andere.............................................................................................................. 62
6.4 diagnostiek en Comorbiditeit..................................................................................62
6.5 comorbiditeit en differentiële diagnose..................................................................62
6.6 epidemiologie......................................................................................................... 63
6.6 etiopathogenese en Psychopathogenese................................................................63
6.7 prognose depressieve stoornis-beloop....................................................................64
6.8 behandeling............................................................................................................ 64
6.8.1 psychotherapie................................................................................................. 65
6.8.2 psychofarmaca................................................................................................. 65
6.8.3 andere.............................................................................................................. 65
6.9 suïcidaal proces...................................................................................................... 66
6.9.1 ontremmende factoren.....................................................................................67
6.9.2 beschermende factoren....................................................................................67
6.9.3 waarschuwingssignalen....................................................................................67
6.9.4 exploratie suïcidaliteit (suicidepreventievlaanderen).......................................68

7. angststoornissen......................................................................................68
7.1 inleiding ; begrip angst........................................................................................... 69
7.2 angststoornissen cerebaal hersen-angstcricuit.......................................................69
7.3 behandeling............................................................................................................ 69
7.4 soorten angststoornissen........................................................................................69
7.3.1 specifieke of enkelvoudige fobieën..................................................................69
7.3.2 paniekstoornis.................................................................................................. 70
7.3.3 agorafobie........................................................................................................ 71
7.3.4 sociale fobie..................................................................................................... 72
7.3.5 obsessief-impulsieve stoornis...........................................................................72
7.3.6 gegeneraliseerde angststoornis (GAS).............................................................73
7.3.7 posttraumatische stressstoornis.......................................................................74
7.3.8 Acute stresstoornis........................................................................................... 75
7.4 epidemilogie........................................................................................................... 75

8. eetstoornissen.........................................................................................75
8.1 Anorexia nervosa.................................................................................................... 75
8.1.1 klinische kenmerken 8......................................................................................76
8.2 bulimia nervosa...................................................................................................... 76
8.2.1 klinische kenmerken......................................................................................... 76
8.3 diagnostiek............................................................................................................. 77
8.4 etiopathogenese..................................................................................................... 78
8.5 behandeling............................................................................................................ 78

9. ontwikkelingsstoornissen.........................................................................79
9.1 ADHD...................................................................................................................... 79
9.1.1 klinische kenmerken......................................................................................... 80
9.1.2 ontwikkelingspathologie ; ontwikkelingsverloop...............................................80
9.1.4 classificatie : algemeen....................................................................................82
9.1.5 epidemiologie................................................................................................... 82
9.2 ASS......................................................................................................................... 83
9.2.1 klinische kenmerken......................................................................................... 83
9.2.2 screening.......................................................................................................... 84
9.2.3 epidemiologie................................................................................................... 84

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