PsychEd: Educational Psychiatry Podcast PsychEd Episode 5: Diagnosing Schizophrenia with Dr. Andrew Lustig and Dr. Jason Joannou
Jan 17, 2018
Dr. Andrew Lustig and Dr. Jason Joannou, both inpatient psychiatrists at CAMH, dive deep into the intriguing world of schizophrenia. They unravel the DSM V diagnostic criteria and discuss the real-life impacts of the disorder, highlighting its complex nature. The conversation navigates the intricate relationship between cannabis use and schizophrenia, while also emphasizing effective strategies for interviewing paranoid patients. Additionally, they address patient rights concerning involuntary admission under the Mental Health Act, advocating for a more compassionate, holistic approach to treatment.
AI Snips
Chapters
Books
Transcript
Episode notes
Misdiagnosis and Epival
- Dr. Joannou treated a misdiagnosed "treatment-resistant" schizophrenia patient.
- Increasing the patient's Epival dosage resolved visual hallucinations, suggesting a seizure disorder.
Collateral Information
- Always gather collateral information from family and friends.
- This helps determine illness onset, prodromal periods, and provides more reliable diagnostic information.
Engaging with Patients Lacking Insight
- Align with patients, especially those lacking insight.
- Emphasize shared goals like improved health and acknowledge their distress.
