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INTRODUCTION ABOUT PSYCHIATRY
Psychiatry is a field of Medicine which deals with the diagnosis, treatment and prevention of mental, emotional and behaviouraldisorder. It integrates biological, social and psychological aspects of mental health to provide holistic medical care for a wide range of symptoms. Psychiatry has rapidly grown to a major medical specialty. It has made rapid strides to become one of the most researched scientific branch of Medicine and have become available to a large number of people. The department has liaison with various clinical departments in the hospital including General Medicine, Neurology, Obstetrics and Gynecology, Surgery and Child Health.In  future the field of mental health will be one of the most exciting area of great interest and rapid growth.
 

 
Psychiatric assessment typically starts with a mental status examination and the compilation of a case historyPsychological tests and physical examinations may be conducted, including on occasion the use of neuroimaging or other neurophysiological techniques. Mental disorders are diagnosed in accordance with criteria listed in diagnostic manuals such as the widely used Diagnostic and Statistical Manual of Mental Disorders (DSM), published by the American Psychiatric Association, and the International Classification of Diseases (ICD), edited and used by the World Health Organization. The fifth edition of the DSM (DSM-5) was published in 2013, and its development was expected to be of significant interest to many medical fields.
 
HISTORY OF THE DEPARTMENT
            Separate Psychiatry OP is functioning in this college since 1975 even when it was a district headquarters hospital. With the advent of District Headquarters converted into medical college in 1991 separate Department of Psychiatry started functioning. Since then it has grown in phases and now the department is functioning in a separate building with two floors with an area of about 806.7 Sq.meter. The Department offers Outpatient and Inpatient services and special clinics. Department is equipped with basic facilities to treat all acute and chronic psychiatric patients, patients with suicidal tendencies, drug abuse and alcoholism, childhood and adolescent psychological  problems. Treatment modalities available  are   medications, psychotherapy, counselling and electro-convulsive therapy and are used as and when required. The department co-ordinates with other departments and offer psychiatric assistance on call 24hours to the needy in-patients admitted in the whole hospital.  The Department offers training to MBBS students, PHC Medical Officers under DMHP, Nursing students of various colleges ever since it’s inception. Post Graduate course in Psychiatry (MD) was started in 2016 and now the intake of PGs are 5 in number every year.  


                                                    

BRIEF PROFILE OF PSYCHIATRY DEPARTMENT                    
                  Department of psychiatry is currently functioning in a separate building
       Ground Floor has got – OP space, class room, nursing station, and patient’s waiting hall, pharmacy, and 10 bedded ward    
    First floor has got – Faculty rooms, ECT room, ECT recovery room, and duty doctor room, nursing station, 10 bedded ward with adequate toilet facilities
    Second floor has got – Library cum Seminar Hall, Nursing Station, 20 bedded ward and separate room to lodge legal case.
Faculty details AS ON 20/12/2018
S.No nAME dESIGNATION
1 dR.M.RAJESWARI md.,dpm H.O.D AND PROFESSOR
2 DR.K.S.RAVISHANKAR md.,dpm PROFESSOR
3 DR.N.BALASUBRAMANI md (PSY) ASSISTANT PROFESSOR
4 DR.S.SHANKAR mD (PSY) ASSISTANT PROFESSOR
5 DR.R.SEKAR MD (PSY) Senior resident
 
BED STRENGTH AVAILABLE
Male ward                --------------------                         25
Female ward             -------------------                          15
PERIODIC ACADEMIC ACTIVITIES HELD IN THEDEPARTMENT
Department gives training to

 
  1. M.D {Psychiatry} post graduate :
 
S.No Academic Programmes Timings
1 Case conference Every Friday
2 Seminar presentations Every Wednesday
3 Journal club Thursday( 15 days once)
4 Thesis discussion Month last Tuesday
5 Didactic lecture Weekly once
6 Guest lecture Monthly once
 
 Special postings for Post graduates
1 Medicine 1 month GMKMCH, Salem
2 Neurology 2 months GMKMCH, Salem
3 Child psychiatry 1 month ICH, Chennai
4 Legal psychiatry 15 days IMH, Chennai
 
 
 
 
      2. Under Graduate students
15 days 0P posting &20 theory classes in prefinal year are handled by department faculties
 20 CLASSES (Every year From March 3rd week –August 2nd week)
1 Introduction to psychiatry
2 Sign and symptoms in psychiatry
3 Organic psychiatry
4 Schizophrenia
5 Mood disorders
6 Anxiety disorders
7 Substance related disorders
8 Trauma and stress related disorders
9 Eating and Sleep disorders
10 Sexual Disorders
11 Psychosomatic medicine
12 Psychopharmacology 1
13 Psychopharmacology 2
14 Psychotherapies
15 Child psychiatry 1
16 Child psychiatry  2
17 Geriatric psychiatry
18 Legal psychiatry
19 Community Psychiatry
20 Ethics in psychiatry
 
     3.C.R.R.I
  All undergraduate students undergo psychiatric training during their internship in the department for 15 days.               
4.M.D (Gen.)PG students
         M.D (Gen) students undergo 15 days training in the department
5. Nursing students.
          Diploma &BSc nursing students attend psychiatry op for clinical posting
          Theory classes are also taken by department faculties.
      
RESEARCH AND PUBLICATIONS 
This centre is the participant centre in National Drug Abuse Monitoring System (DAMS) funded by National Drug Abuse Monitoring Centre AIIMS, New Delhi. Data regarding alcoholism and other drug abuse are being collected and compiled and sent to New Delhi periodically.
Published articles
S.No Title Journal  Authors
1. A Study of Psychiatric Morbidity and Stressful Life Events in Psoriasis The International Journal of Indian Psychology, Volume 6, Issue 3, July-September, 2018 Dr.Balasubramani1, Dr.Gurumoorthy2.
2. A Study on Personality Profile of Alcohol Relapse Patients The International Journal of Indian Psychology, Volume 6, April - June, 2018 Dr.Balasubramani2, Dr.Gurumoorthy1.
3. Socio-Demographic Variables and Psychiatric Morbidity in Self Inflicted Burns Victims – Cross Sectional Observational Study The International Journal of Indian Psychology, Volume 6, Issue 3, July-September, 2018 Dr. S. Shankar1 
Dr. S. Ananda Krishna  Kumar2
4. Minor Physical Anomalies, Neurological Soft Signs, and Neurocognitive Dysfunction in Patients with Schizophrenia, Bipolar Disorder and Their Respective Normal Siblings– a CrossSectional Case Control Study The International Journal of Indian Psychology, Volume 6, Issue 3, July-September, 2018 Dr. S. Shankar1 
Dr. S. Ananda Krishna Kumar2
5. Cognitive dysfunction in cerebellar disorder IP Indian journal of neurosciences, july to sep 2018;4(3):105-113 Dr. S. Shankar  1
Dr. K. Gunasekaran  2
Dr.K.Thiruvarutchelvan 3
 
POST GRADUATES
S.No TOPIC NAME year
1 A study of  correlation between serum C-Reactive protein with cognitive deficit in schizophrenia cases DR.RAMESH BABU.A 3rd
2 STUDY OF NEUROLOGICAL SOFT SIGNS AND NEURO PSYCHOLOGICAL DYSFUNCTION IN  SPECIFIC DEVELOPMENTAL DISORDERS OF SCHOLASTIC SKILLS DR.MUTHUKUMARAN.R 2nd  
3 PSYCHIATRIC MORBIDITY, self esteem, and social adjustment in persons with gender identity disorder-transsexualism who have undergone sex reassignment surgery versus those who have not undergone sex reassignment surgery: A cross sectional comparative study DR.SANDHYA.K 2nd
4 A  STUDY ON  Correlation of vitamin D levels in first episode schizophrenia DR.SUDHA.P 2nd
5 A STUDY OF CORRELATION OF SEXUAL DYSFUNCTION WITH SERUM URIC ACID IN ALCOHOL DEPENDENT INDIVIDUALS DR.MARUDHAVANAN.A 2nd
6 a comparative study of lipid profile in depressive disorder with normal controls and its correlation with cardiovascular Morbidity DR.ENOCH.R.G 2nd
7 Assessment of risk factors for relapse among alcohol dependant individuals- a comparative study Dr. Dharani 1st
8 Emotional  behavioural disturbances, self esteem and quality of life in vertically acquired HIV infected children- Cross sectional observational study  
Dr. Sangeetha
1st
9 Behavioural disturbance in children with intellectual disability- A cross sectional observation study Dr.Preetha 1st
10 Short term outcome of Acute and Transient psychotic disorder and factors influencing the onset Dr. Gandhimathi 1st
11 A study of behavioural and psychological manifestations in patients with dementia Dr. Sargunam 1st
 
RESEARCH TOPICS / E-JOURNAL
 
3rd year
 
Dr.Ramesh Babu
Acquired Aphasia following Epilepsy –Landau Kleffner syndrome.
 
 
 
2nd year
 
 
Dr. Muthukumar
Clinical and biochemical predictors of Delirium tremens in patients with alcohol dependent syndrome
 
 
Dr. Sandhya
Prevalence of Internet addiction and it’s correlation with general health and psychological status of undergraduate medical students: A cross sectional study
Dr. Sudha A cross sectional comparative study on psychiatric morbidity, socio demographic profile and suicidal intent between suicidal burns and suicide by oral poisoning
Dr. Marudhavanan Cognitive dysfunction in pre dialysis chronic kidney disease patients: A cross sectional study
Dr. Enoch A correlative study of depressive symptoms and quality of life in chronic schizophrenia
 
POSTGRADUATE(PG) COURSE:
            M.D Psychiatry postgraduatecourse, one (1) seat started in the academic year 2016-17. Post Graduate Seat is increased from 1 to 5 in the academic year 2017-18.
5 students have joined in the academic year 2017-18 and 2018-19
 PRIZES ANDAWARDS CONSTITUTED BY THE DEPARTMENT  
Every year Dr.A.VenkobaRao gold medal exam is in psychiatry is being conducted for final year under graduate students and a gold medal is presented to the winner.
Students trained in the department have consistently participated in the psychiatric quiz competition conducted by the Indian Psychiatric Society in thestate, regional and national level and have won prizes.
  •  2010state and zonal  winners& 2012state winners
            Recent QUIZ Achievements
The department is the consistent winner of State/Zonal Quiz competition both in UG and PG
Undergraduate quiz winners:
year conference Names place
2015 TANPSYCON (State level ) Madhana gopal G
Supriya S ( 2012 Batch)
1st
2016 TANPSYCON (State level ) Kiruthika .V
Nikitha .A ( 2013 Batch)
1st
2016 IPSOCON( South Zone) Kiruthika .V
Nikitha .A ( 2013 Batch)
1st
2017 TANPSYCON (State level ) Riyaz Dheen.A
Murali. M(2014 Batch)
1st
2017 Chengalpattu Med col, state level Psy quiz Riyaz Dheen.A
Murali. M(2014 Batch)
1st
2017 IPSOCON ( South Zone) Riyaz Dheen.A
Murali. M(2014 Batch)
3rd
2018 Chengalpattu Med col, state level Psy quiz Riyaz Dheen.A
Murali. M(2014 Batch)
2nd
Postgradute quiz winners
Year Conferences /CME Name Place
2018 TANPSYCON 2018
(Kanyakumari)
Dr.R.G.Enoch
2nd yr PG
1st 
 
 
 

 
 
 
CME/WORKSHOP/CONFERENCES
TANPSYCON 2017 - YERCAUD
Our Department organized the state level psychiatry conference in yercaud on july 8th and 9th. Topic was BIOLOGICAL PSYCHIATRY - LIGHTING THE DARKEST PATH. Participated by psychiatrist and post graduates from  various part of our state, it was a two day conference with various academic activities conducted like topic presentations from speakers, Quiz for UG and PG Students, posters, free papers and award papers. 
DR.MGR University given 5 credit points for this conference
conferencePhotos

 
                   
 
TRAININGS OFFERED
DMHP(District Mental Health Programme)
This centre is nodal centre for training medical /paramedical staffs fromneighbouringdistricts Namakkal and Dharmapuri under District Mental HealthProgram. Training program and workshops were organized on behalf of the department.
  • 2009- Medical officers fromDharmpuri and Nammakkal were  trained
  • 2010- Medical officers  and paramedical from Nammakkal were trained
  • 2017 – Fund allotted for DMHP in Salem District.
 
SERVICES OFFERED
No. of units in the Department   - 1
O.P Days and timing               - All days including Govt.Holidays except Sundays- 8AM-12 Noon
IP Unit and admission day      - 1 unit: All days are admission days except Sunday
Bed strength                           - 40beds
Average O.P                            - 250 -300/day
Average I.P                              - 30 - 32/day
Apart from the routine Outpatient and Inpatient management the following therapies are given to the patients periodically
1. Electroconvulsive therapy


15-20 sittings of Modified ECT given /week
ECT statistics  (last 3 years).
year NO of ECT given
2014  206
2015 396
2016 390
 
2. Bio feedback and Aversion Therapy.
3. Psychotherapy sessions.
4. Psychometric assessments.
 
CONSULTATION LIAISON PSYCHIATRY
Psychiatry dept in GMKMCH is having liaison with many other specialties which includes general medicine, general surgery, O&G, pediatrics, emergency medicine,&orthopedics.
Other supportive investigatory facilities relevant to psychiatry like CT, MRI, EEG and other lab facilities for necessary biochemical investigations are available in this center.
LEGAL PSYCHIATRY:
Periodic central jail visit, Salem fortnightly
Mentally ill patients referred through judicial magistrate were admitted in psychiatry ward or strong room in GmkmcH .Usually patients are observed for maximum of 10 days as per MHA 1987 and the observation report is sent to judicial magistrate
 
DISABILITY CERTIFICATION:
OnTuesdays – Every week
We attend periodic camps organized by the dept of differently abled for mentally ill and for mentally retarded in various parts of the district.
 
HEALTH EDUCATION PROGRAMMES:
      Patients were educated on mental health on routine basis by the college of nursing students
Health education activities are done on important days like

 
  1. World Mental health day/week (October – 10)
  2. World Schizophrenia day/week (May – 24)
  3. World Alzheimer day (September – 21)
  4.  International  day against drug abuse and illicit trafficking (June – 26)
 
Mental health day Celebration:
 
Every year October 10th is world mental health day . Our department of Psychiatry celebrates mental health day every October 10th .

 
year WHO theme celebrations
2014 Living with Schizophrenia skit( depicting the theme), speech and essay writing competition
2015 Dignity in mental health skit( depicting the theme), speech and essay writing competition
2016 Dignity in Mental Health – Psychological and Mental Health first aid for all skit( depicting the theme), speech and essay writing competition
2017 Mental Health in the work place Our dept Released Book on Occupational Mental Health – For GMKMCH employess
2018 Young People and Mental health in a changing world Conducted 1 day CME for 1st year MBBS students and BSc Nursing students
 
 


SPECIAL CLINICS CONDUCTED BY THE DEPARTMENT
The following special clinics are run for offering special services

 
Days Special clinics
Tuesday Disability certification / Child Guidance Clinic
Wednesday Central Jail visit
Thursday De addiction clinic
Friday Suicide prevention clinic
Saturday Geriatric clinic / Occupational Mental health Clinic
 
 
Statistics:
CENSUS
OP and IP Census (Last four years)
Year 2015 2016 2017 2018
Month OP IP OP IP OP IP OP IP
JANUARY 4081 56 4437 67 4509 72 4046 74
FEBRUARY 4343 58 6143 69 4168 74 4597 70
MARCH 4659 52 5262 65 4605 78 4366 69
APRIL 4504 60 4507 68 4377 80 3776 70
MAY 4700 62 5011 63 4219 77 3747 107
JUNE 4624 54 5300 60 4736 82 3595 91
JULY 4928 59 4845 68 4005 79 3769 102
AUGUST 4560 64 5170 72 4392 82 3790 90
SEPTEMBER 4656 60 4716 65 4123 81 3632 95
OCTOBER 4692 59 4903 70 4468 85 3526 73
NOVEMBER 4345 66 5043 68 4365 62    
DECEMBER 4547 56 4534 72 3950 68    
 
 












       






SPECIALITY CLINICS(last 4 years)
CENSUS



 
MONTH CHILD GUIDANCE CLINIC – TUESDAY DEADDICTION
THURSDAY
SUICIDE PREVENTION CLINIC – FRIDAY GERIATRIC PSYCHIATRY - SATURDAY
JAN 15 17 101 87 38
FEB 15 31 91 77 35
MAR 15 35 95 76 42
APR 15 20 86 65 41
MAY 15 36 82 72 37
JUNE 15 20 76 45 45
JULY 15 18 108 58 48
Aug 15 35 99 55 50
Sep 15 21 100 58 45
Oct 15 26 85 56 33
Nov 15 21 89 60 39
Dec 15 27 95 77 43
Jan 16 11 99 80 42
Feb 16 20 88 65 50
Mar 16 26 102 69 36
Apr 16 16 96 71 37
may  16 30 100 80 45
june16 36 105 86 47
july 16 33 98 90 43
aug   16 40 96 82 50
sep   16 40 99 82 41
oct 16 42 92 84 45
nov 16 44 104 85 43
dec 16 45 101 83 49
jan  17 46 107 86 51
feb   17 47 98 87 53
mar  17 40 95 79 39
apr   17 43 99 81 45
may  17 45 105 78 47
june 17 47 104 75 48
july 17 39 101 86 42
aug  17 41 106 81 44
sep   17 38 99 80 51
oct  17 47 99 82 50
nov 17 63 134 66 72
deC   17 51 179 76 94
jan  18 78 171 103 98
feb   18 101 172 68 68
mar  18 103 112 56 84
apr   18 63 148 60 86
may  18 63 117 71 99
june 18 75 159 65 82
july 18 98 158 69 132
aug  18 133 173 55 94
sep   18 103 159 66 98
oct  18 63 177 76 68
nov 18        
deC   18        
 
 
                                                               
 
 
 
 
 





























 

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