ABSTRACT

This chapter details what is required in terms of competencies, skills and knowledge from junior physicians in core medical training in psychiatry. Unipolar depression is marked by persistent low mood, loss of interest and enjoyment in usually pleasurable activities, reduced energy, fatigue and fatiguability, and diminished activity. Selective serotonin reuptake inhibitors (SSRIs) are considered first-line for the majority of patients with depression. Citalopram and fluoxetine are currently the preferred SSRIs. Schneider's first-rank symptoms include delusions of being controlled by an external force; the belief that thoughts are being inserted into or withdrawn from one's conscious mind. Post-traumatic stress disorder (PTSD) can develop in people of any age following a traumatic event, for example a major disaster or childhood sexual abuse. It encompasses what became known as 'shell shock' following the First World War. Anorexia nervosa is an eating disorder characterised by refusal to maintain a healthy body weight and an obsessive fear of gaining weight.