Veidlapa Nr. M-3 (8)
Study Course Description
Psychiatry
Course Code
PUNK_028
Branch of Science
Clinical medicine; Psychiatry
ECTS
4.00
Target Audience
Medicine
LQF
Level 7
Study Type And Form
Full-Time
Study Course Implementer
Course Supervisor
Elmārs Rancāns
Structure Unit Manager
Elmārs Rancāns
Structural Unit
Department of Psychiatry and Narcology
Contacts
Riga, 2 Tvaika Street, pnk@rsu.lv, +371 67080131
About Study Course
Objective
To give knowledge about epidemiology, aetiology, pathogenesis, clinical features, diagnostics and course (according to ICD-10) of mental and behavioural disorders; to give knowledge about emergency case management in psychiatry; basic principles of prophylaxis, pharmacological treatment, social rehabilitation and role of psycho therapeutic treatment of mental and behavioural disorders in primary care; to give knowledge about organization and practical work of metal health care; to give knowledge about ethical and legal principles in psychiatry; and distributions of competence between different physicians when it comes to planning and organizing health care of mentally ill patients. To teach skills and to develop competencies in psychiatry according to requirements for speciality of a physician. To develop empathetic attitude towards patients and their family members, to reflect on and to improve their own attitudes towards mental health problems.
Preliminary Knowledge
• Anatomy, physiology, pathological physiology and anatomy; • Developmental and medical psychology; • Ethics in medicine; • Epidemiology; • Public health; • Medical genetics; • Basic principles of clinical care; • Basics of Neurology; • Radiological investigation of central nervous system; • Basics psychopharmacology; • Basics of psychotherapy.
Learning Outcomes
Knowledge
1.To present, show and systematize knowledge about the prevalence, etiology, pathogenesis, clinical symptoms, diagnosis and course of mental and behavioral disorders (according to ICD-10).
Individual work and tests
Prerequisite check • Cumulative assessment in the course • Written examination • Case presentation in the class Schizophrenia • Clinical case presentation in the class Affective disorders • Symptomatic disorders
2.To present, show and systematize knowledge about the treatment of psychiatric emergencies; the basic principles of the prevention and pharmacological treatment of mental illness in primary care.
Individual work and tests
Symptomatic disorders • Clinical case presentation in the class Affective disorders • Case presentation in the class Schizophrenia • Written examination • Cumulative assessment in the course • Prerequisite check
3.To outline, show and systematize knowledge of the basic principles of social rehabilitation of psychiatric patients and the role of psychotherapeutic treatment in primary care.
Individual work and tests
Prerequisite check • Cumulative assessment in the course • Written examination • Case presentation in the class Schizophrenia • Clinical case presentation in the class Affective disorders • Symptomatic disorders
Skills
1.Skills acquired in carrying out a full psychiatric assessment, detecting, assessing and describing basic psychiatric symptoms in general medical practice.
Individual work and tests
Clinical case presentation in the class Affective disorders • Case presentation in the class Schizophrenia • Written examination • Individual interactive H5P tasks • Cumulative assessment in the course
2.Skills acquired: to differentiate between normal and stress response in everyday situations and psychiatric pathology, to assess the risk of self-harm.
Individual work and tests
Cumulative assessment in the course • Individual interactive H5P tasks • Written examination • Clinical case presentation in the class Affective disorders • Case presentation in the class Schizophrenia
3.Skills acquired: Empathic interviewing of patients with mental disorders, awareness of the importance of therapeutic relationship in psychiatry.
Individual work and tests
Individual interactive H5P tasks
4.Skills acquired in reporting a psychiatric clinical case to other doctors and care staff; assessing and planning the type of care for the patient.
Individual work and tests
Cumulative assessment in the course • Individual interactive H5P tasks • Case presentation in the class Schizophrenia • Written examination • Symptomatic disorders • Clinical case presentation in the class Affective disorders
5.Ability to assess the impact of family relationships on the patient.
Individual work and tests
Individual interactive H5P tasks
6.Skills acquired to be aware of the basic principles of multidisciplinary teamwork and to be able to participate in it.
Individual work and tests
Symptomatic disorders
Competences
1.Plan and advise on the management of the organisation, operation, ethical and legal principles of the psychiatric care service; the division of competences between the various specialists.
Individual work and tests
Case presentation in the class Schizophrenia • Symptomatic disorders • Written examination • Cumulative assessment in the course • Clinical case presentation in the class Affective disorders
2.Competence in planning, organizing and evaluating the results of the care of mentally ill patients.
Individual work and tests
Case presentation in the class Schizophrenia • Clinical case presentation in the class Affective disorders • Written examination • Cumulative assessment in the course • Symptomatic disorders
3.Respect confidentiality and informed consent in psychiatric care; understand and be sensitive to the stigma of patients and their families; explain the nature of the disease to the patient and his family.
Individual work and tests
Individual interactive H5P tasks
4.To be aware of your personal attitude towards mental and behavioural disorders and its impact on patients and the treatment process.
Individual work and tests
Individual interactive H5P tasks • Symptomatic disorders
5.Ability to integrate the latest scientific advances in psychiatry into everyday work and research development.
Individual work and tests
Symptomatic disorders • Cumulative assessment in the course • Written examination
Assessment
Individual work
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual work |
-
|
-
|
|
To get acquainted with the video lectures of the course. Before each practical class, get acquainted with the corresponding video lectures or presentation materials, video or descriptions of clinical cases; prepare descriptions of clinical cases (indicated for each class in e-studies), Studying of mandatory and additional literature. |
||
|
2.
Individual interactive H5P tasks |
-
|
Test
|
|
Watch the video "Diagnostic Interview in Psychiatry", "Mental Status Examination", answer the test questions, submit the assessments. The task is counted if the first video has at least 75%, the second 70% of correct answers. |
||
|
3.
Case presentation in the class Schizophrenia |
33.00% from total grade
|
10 points
|
|
Watch the video. Create a description of the patient's mental state. Describe the currently observed psychopathological symptoms. Formulate the patient's clinical diagnosis according to the ICD-10 classification system. Justify the diagnosis. Name the differential diagnoses with justification. Assess whether the patient is currently exposed to any safety risks. Describe and justify what non-pharmacological and pharmacological forms of assistance would be useful for the patient at the moment. Justify the choice of medication, indicate doses, duration of the course and possible side effects/caution. |
||
|
4.
Clinical case presentation in the class Affective disorders |
33.00% from total grade
|
10 points
|
|
Read the attached clinical case. Create a description of the patient's mental state. Describe the currently observed psychopathological symptoms. Formulate the patient's clinical diagnosis according to the ICD-10 classification system. Justify the diagnosis. Name the differential diagnoses with justification. Assess whether the patient is currently exposed to any safety risks. Describe and justify what non-pharmacological and pharmacological forms of assistance would be useful for the patient at the moment. Justify the choice of medication, indicate doses, duration of the course and possible side effects/precautions. |
||
|
5.
Symptomatic disorders |
34.00% from total grade
|
10 points
|
|
Prepare a presentation on one of the topics (presentations can be done in pairs, presentation time up to 10 min.):
Present it and lead a discussion on this topic. |
||
Examination
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Prerequisite check |
-
|
Test
|
|
A 10 question multiple choice test must be completed before the start of each practical class. It is passable with 70% or more correct answers. |
||
|
2.
Cumulative assessment in the course |
50.00% from total grade
|
10 points
|
|
To get a cumulative assessment, all 8 classes in the course must be attended, the H5P interactive tasks Diagnostic Interview in Psychiatry and Assessment of Mental Status must be completed successfully, and 7 multiple-choice test questions (70% correct answers) must be answered before each class. The average grade for the three homework assignments must be 8 or more. The final assessment for the exam is the average grade in points obtained in the homework assignments. Homework assignments that must be completed before the class (topics 4, 5, and 6) must also be submitted. |
||
|
3.
Written examination |
50.00% from total grade
|
10 points
|
|
The written exam is intended for those students who do not get the cumulative grade, or who want to improve it. The exam is taken by randomly selecting 3 exam questions each from their own group on the symptomatology, diagnosis and treatment of mental disorders. The volume of each question is designed to be answered in 20 minutes (total exam length 60 minutes). When taking the exam, the final assessment in the course will be formed from the average assessment of the independent work + the average grade of the exam (both grades two digits after the comma) / 2. |
||
Study Course Theme Plan
FULL-TIME
Part 1
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
Video
|
2
|
Topics
|
Short review of the history of psychiatry. Classification of mental disorders. The structure of mental health care in Latvia.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
Video
|
2
|
Topics
|
Schizophrenia and its treatment through centuries.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
Video
|
2
|
Topics
|
Mood (affective) disorders.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
Video
|
2
|
Topics
|
Behavioural and emotional disturbances occurring in childhood and adolescence.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
5
|
Topics
|
Classification of mental disorders (according to ICD-10). Mental health care in Latvia. Legislation and legal aspects. Clinical interview and description of the clinical case in psychiatry. General psychopathology. Disorders of perception, thinking, affect, anxiety and cognition.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
5
|
Topics
|
General symptoms, classification and diagnostics according to ICD-10 of schizophrenia and other psychotic disorders, basic principles of treatment and rehabilitation.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
5
|
Topics
|
General features of organic mental disorders. Clinical symptoms and differential diagnosis of dementia, treatment possibilities and care.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
5
|
Topics
|
Mental and behavioural disorders due to psychoactive substance use.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
5
|
Topics
|
Clinical features and treatment of mood (affective) disorders.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
5
|
Topics
|
Neurotic, stress related and somatoform disorders.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
5
|
Topics
|
Symptomatic mental disorders, clinical features, differential diagnosis, treatment principles and care.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
5
|
Topics
|
Disorders of psychological development, behavioural and emotional disorders with onset usually occurring in childhood and adolescence.
|
Total ECTS (Creditpoints):
4.00
Contact hours:
48 Academic Hours
Final Examination:
Exam
Bibliography
Required Reading
1.
David Semple; Roger Smyth. Oxford Handbook of Psychiatry. 4th ed. OUP Oxford. 2019. eBook., Database: eBook Collection (EBSCOhost)Suitable for English stream
2.
Harrison, Paul Geddes, John Sharpe. Michael Lecture Notes: Lecture Notes: Psychiatry. 10th ed. Willey – Blackwell, Hoboken, NJ, USA, 2014 – pieejama datubāzē Ebook Central (ProQuest) (jaunāks izdevums nav izdots)Suitable for English stream
3.
The ICD-10 Classification of Mental and Behavioural Disorders, World Health Organization, Geneva, version 2019.Suitable for English stream
4.
Taylor, David M., et al. The Maudsley Prescribing Guidelines in Psychiatry. John Wiley & Sons, Incorporated, 2021. ProQuest Ebook CentralSuitable for English stream
5.
E. Tērauds, L.Sīle, J. Vrubļevska, M. Taube, Ļ. Renemane, M. Gēbele, L. Valaine, I. Bite, M. Meldere, S. Paudere-Logina. Autori 2015.g. E. Tērauds, E. Rancāns, R. Andrēziņa, B. Kupča, G. Ancāne, I. Ķiece, Ņ. Bezborodovs. Depresijas diagnostikas un ārstēšanas vadlīnijas. Atjaunotais izdevums 2026. Latvijas psihiatru asociācija. Rīga, 2026.g., 64 lpp. Latvian only
Additional Reading
1.
SPKC Klīniskie algoritmi, pacientu ceļi, indikatori (ESF projekts), Psihiskā veselība, 2020. Atjaunotie depresijas klīniskie algoritmi 2026
2.
L. Lejiete, J. Iznovs, L.Sīle, E. Tērauds. UDHS diagnostikas un ārstēšanas rekomendācijas pieaugušajiem. Latvijas psihiatru asociācija. Rīga, 2026.g., 62 lpp. Latvian only
3.
E. Tērauds, E. Rancāns, R. Andrēziņa, B. Kupča, I. Ķiece, I. Zārde, Ņ. Bezborodovs. Šizofrēnijas diagnostikas un ārstēšanas vadlīnijas. 3. Izdevums. Latvijas psihiatru asociācija. Rīga, 2014.g., 43 lpp. Latvian only
4.
E. Tērauds, E. Rancāns, R. Andrēziņa, B. Kupča. Bipolāri afektīvo traucējumu diagnostikas un ārstešanas vadlīnijas. 2. Izdevums. Latvijas psihiatru asociācija. Rīga, 2016.g., 48 lpp. Latvian only
5.
Rancāns E., Tērauds E., Zaļkalns J., Riževa I., Tirāns E., Taube M. Depresijas un neirotisko traucējumu diagnostikas un ārstēšanas rekomendācijas ģimenes ārstiem. RSU Psihiatrijas un narkoloģijas katedra. Rīga, 2012.g. 32 lpp. Latvian only
6.
R. Andēziņa, E. Tērauds, L. Ķevere, Ņ. Bezborodovs. Uzmanības deficīta un hiperaktivitātes sindroma (UDHS) diagnostikas un korekcijas vadlīnijas bērniem un pusaudžiem. RSU Psihiatrijas un narkoloģijas katedra. Rīga 2014.g., 31 lpp. Latvian only
7.
R. Andrēziņa, E. Tērauds. Praktiskā psihofarmakoterapija. Rīga, 2015.g. 40 lpp.