Some thoughts about the epidemiology and etiology of mental disorders /last part/

The form of the wording is: - demographic data - name, age, occupation, marital status; - descriptive formulation - lists the main phenomena, signs that characterize mental disorder, describes the onset (acute or submolecular), the duration of the disease and the course of the pathology. These data are derived from the history, mental and somatic status, and serve as a differential diagnosis; - differential diagnosis - list all the diagnoses to be considered in order of their likelihood, including those disorders for which further investigation is required.

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Also included is a corporeal disease if it can explain some or all of the symptoms; - etiology - the role of the different factors for the current condition of the patient is revealed, the family history (genetic prerequisites) and the history of the disease are analyzed, the properties of the personality (psychological research); - Studies - List all the studies that are needed to confirm the diagnosis and reject alternative options. Research is available to help clarify etiology more thoroughly; - treatment - the treatment plan is outlined. It is a logical continuation of discussion of etiology and diagnosis. Explains the possibility of prophylaxis in the future; - prognosis - describes the expected outcome of the disease episode, both in terms of symptoms and in terms of follow-up / self-care, employability, resocialization /.

The risk of relapse is reported. These data point to some diagnostic options that are ranked in probability. All elements of the information gathered that could be considered for or against each of them to discuss the most probable are discussed. The formulation is made immediately after taking the history and mental status. Later on, after receiving additional research, the wording can be changed.The prognosis of mental illness depends in part on the nature of the disease, and also on factors that act independently of the diagnosis. When attempts are made to predict the future course of the disease, the following features should be considered: genetic factors; factors related to early childhood; premorbid person (before the disease); maturity and immaturity; level of premorbid realization; subject psychiatric anamnesis; unlocking factors; adaptation to life during the illness; way of initiation of the disease; duration of the disease; consent to treatment; the nature of the disease.