Psychiatry and Mental Health

Code:

MI536

Acronym:

PSM

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2022/2023 - 2S

Active?	Yes
Responsible unit:	Clinical Neurosciences and Mental Health Department
Course/CS Responsible:	Integrated Master in Medicine

Cycles of Study/Courses

Acronym	No. of Students	Study Plan	Curricular Years	Credits UCN	Credits ECTS	Contact hours	Total Time
MIMED	137	Plano Oficial 2021	5	-	5,5	52	148,5

Teaching language

Suitable for English-speaking students

Objectives

1. To deepen the skills of clinical exploration and evaluation of Psychiatric Pathology.


2. To develop skills and critical attitude that allow deconstruct the different mechanisms involved in the genesis of psychopathological processes and consequently the different forms of clinical presentation.


3. To deepen the knowledge of the major psychiatric syndromes in adequacy to their epidemiological framework.


4. To understand the different forms of therapeutic intervention (pharmacological, psychological and social) and their combination in different clinical presentations. Also, to understand the indications for referral to specialized psychiatric services in the different psychopathological situations, as well as the follow-up in psychosocial rehabilitation and community intervention.


5. To develop an integrated perspective of the different concepts of Psychiatric Pathology, essential for the understanding the psychopathological processes in clinical context.

Learning outcomes and competences

The syllabus of this curricular unit highlight the importance of learning psychiatric semiology (implying exploration and assessment leading to the preparation of a clinical history, knowing the main signs and symptoms and integrating them with the knowledge of the CUs from previous years), as well as the main psychopathological concepts of the different Psychiatric Disorders. Such content addressed in a dynamic exposure, interpretation and analysis of these concepts, intend to acquire meaning in an integrative perspective in clinical context, facilitating its adequacy to the different interventions (pharmacological, psychological and social) in the field of Psychiatry and Mental Health.

Working method

Presencial

Program

1. Clinical history
Doctor-patient relationship
Psychiatric interview
2. Main psychopathological alterations and psychiatric observation
3. Mental health problems, life events and life cycle
Psychosocial determinants
Mental health problems, mental disorders and behaviors
Personality
4. Major psychiatric syndromes
Epidemiological, etiopathogenic, clinical and therapeutical aspects
Psychotic Disorders (Schizophrenia, Delusional Disorders)
Mood Disorders (Depression and Bipolar Disorder)
Anxiety Disorders (Generalised, Panic, Phobias, Post-traumatic Stress, Somatoform)
Obsessive-Compulsive Disorders
Eating Disorders (Anorexia, Bulimia)
Addictive Behaviour (Alcoholism, Drug Addiction, Pathological Gambling)
5. Suicide and self-injurious behaviours
6. Sleep disorders
7. Clinical Sexology
8. Geriatric Psychiatry
9. Childhood and Adolescence Psychiatry
10. Forensic Psychiatry
11. Psychiatric Emergencies
12. Psychotherapies

Mandatory literature

Harrison, P.;Cowen, P.; Burns, T.;; Shorter Oxford Textbook of Psychiatry. (7th edition), Oxford University Press, 2018. ISBN: 9780198747437
Figueira, M.L.; D. Sampaio; Afonso, P. ;; Manual de Psiquiatria Clínica., Lidel. Lisboa, 2014. ISBN: 978-989-752-130-0.
Vallejo Ruiloba, J,;; Introducción a la Psicopatologia y la Psiquiatria., Edit. Masson. Barcelona, 2015. ISBN: 9788445825846
Oyebode, F;;; Sims' Symptoms in the Mind: Textbook of Descriptive Psychopathology. (7th Edition). , Elsevier Health Sciences, 2022. ISBN: 9780702085253
Casey, P.; K. Brendan.;; Psicopatologia Clínica : sinais e sintomas em psiquiatria. , Libri-Faber. Lisboa., 2008. ISBN: 978-989-95046-2-2.
Fernandes, L,; Ferreira, A.R,; Sousa, L,; Almeida, S,; Morgado, P,; Fonte, A; ; Casos Clínicos em Psiquiatria e Saúde Mental, Parsifal, 2020. ISBN: 9789898760739
Sadock B.J., Sadock V.A., Ruiz P.; ;; Kaplan and Sadock's synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.).,, Wolters Kluwer Health,, 2015
World Health Organization; The ICD-10 classification of mental and behavioural disorders: diagnostic criteria for research., WHO, 1993
American Psychiatric Association (APA); Manual de diagnóstico e Estatístico de Perturbações Mentais: DSM-5., Climepsi Editora, 2014

Teaching methods and learning activities

The Curricular Unit will be taught in the form of practical training in Psychiatric Service, in an integrated and multimodal way, through theoretical and theoretical-practical teaching components and the elaboration of a clinical history. These approaches allow active participation by students, promoting a more direct contact with people with mental illness, which facilitates the understanding of theoretical knowledge. The classes cover various diagnosis and treatment environments, such as inpatient care, day hospital, external consultation, liaison, emergency service, consultancy and residences, which compound the different functional units (Adult and Old Age Psychiatry, Youth and Family Psychiatry, Community Psychiatry and Day Hospital, Liaison Psychiatry).

Expository, interrogative, demonstrative and active methodologies will be used, and the theoretical classes will include a short lecture and the theoretic-practical, will allow the discussion of clinical cases.

Conventional, audiovisual and multimedia (e.g. powerpoint and movies) teaching resources will be used.

Students will be encouraged to use techniques of self-study, through compulsory readings, individual research, preparation and analysis of clinical cases for discussion. For each topic, specific bibliography will be indicated and/or support texts will be provided, beyond the basic bibliography.

Evaluation Type

Distributed evaluation with final exam

Assessment Components

Designation	Weight (%)
Exame	90,00
Participação presencial	10,00
Total:	100,00

Amount of time allocated to each course unit

Designation	Time (hours)
Estudo autónomo	96,50
Frequência das aulas	24,00
Realização de Estágio	28,00
Total:	148,50

Eligibility for exams

Besides the classification obtained in the final written examination (multiple choice test: 90%), all students will also be continuously evaluated by the elaboration of a clinical history and by their attendance during the internship (10%).

The final approval will be conditioned to the participation in at least 2/3 of the internship and

to the final mark superior 9.5 values, in the written exam.

Calculation formula of final grade

Final classification - Corresponds to the sum of the marks obtained in the different areas of competencies previously defined: Continuous evaluation (10%) and final written exam (90%).  
Distributed evaluation with final exam.

Special assessment (TE, DA, ...)

Working students or other special contingents, who are unable to have the 10% of in-person participation, must submit a clinical history duly discussed and corrected by the tutor.

Classification improvement

According to the stipulated by the Faculty of Medicine of Porto.

Observations

Attendance

The minimum number of attendance is considered to be 75%.
Obtaining least than 50% in any of the evaluations means the student has failed.

Internal Evaluation of the Training Programme

After conducting a final anonymous survey of satisfaction among the students (including strengths, weaknesses and improvements) there should be a meeting with all teachers and tutors, preferably at the end of the academic year.
This course evaluation should include: overall assessment, evaluation methods and techniques involved, assessment of the teaching and learning context and of teachers' input.