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First published in Singapore in 2012 by

Melvyn WB Zhang and Roger CM Ho, Department of Psychological Medicine, Level 9, NUHS Tower Block

1E Lower Kent Ridge Road, Singapore 119 228.

2ndEdition published in Singapore in July 2013

3rdEdition published in Singapore in July 2014

4thEdition published in Singapore in July 2015

2016/ 5thEdition published in Singapore in July 2016

2014 Melvyn WB Zhang, Cyrus SH Ho, Rohit Shankar, Sanjeev Sockalingam, Michael Cheng & Roger CM Ho

Copyright endorsed with The Screenwriters Association Singapore & Samuel Seow Law Corporation

Serial Number: ASR2012/0006

All rights reserved. No part of this publication or electronic resource may be reproduced, stored in a retrieval system,

or transmitted in any form such as electronic, mechanical, photocopying, recording without prior permission of the

copyrighted owners.

Whilst the advice and information in this book are believed to be true and accurate at the date of going to press,

neither the authors nor the printer can accept any legal responsibility or liability for any errors or omissions that may be

made. In particular (but without limiting the generality of the preceding disclaimer) every effort has been made to check

drug dosages; however it is still possible that errors have been missed. Furthermore, dosage schedules are constantly

being revised and new side-effects recognized. For these reasons the reader is strongly urged to consult the drugcompanies' printed instructions before administering any of the drugs recommended in this book.

National Library of Singapore Cataloguing in Publication Data.

A catalogue record for this book is available from the National Library of Singapore

ISBN (Book): 978-981-07-0163-5

ISBN (DVD): 978-981-07-0164-2

ISBN (International): 978-1-105-93719-4

1 2 3 4 5 6 7 8 9 10

Editors: Melvyn WB Zhang, Cyrus SH Ho, Roger CM Ho

Undergraduate Editor: Hwang Kai Wen

Cover Design: Melvyn WB Zhang

Images: Anna Chua

Printed and bound in Singapore

Authorized Printers: E-Print(Singapore)


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Preface

_____________________________________________________

Psychiatry is a branch of medicine that focuses on the diagnosis, treatment and prevention of mental and

emotional disorders. Psychiatry offers medical students a unique experience because psychiatric

diagnosis is established by clinical interview but not based on a laboratory test or an X-ray. Medical

students may need time to adjust to this specialty because it involves treatment modality such as

psychotherapy or electroconvulsive therapy which are not found in other medical or surgical disciplines.

The duration of undergraduate posting in psychiatry is 6 weeks and it poses a challenge for medical

students to master psychiatric knowledge and skills in a short period of time. The old ideology was to study

a large psychiatric textbook. Medical students often realise that much time has elapsed without

consolidating their knowledge prior to the examination, leading to panic attacks. Some students study

textbooks published in the UK and US but these books may contain treatment recommendations which are

not relevant to the Singapore context. We believe that this new book, Mastering Psychiatry: A core

Textbook for Undergraduates will be one of the most accessible, creative and practical

books in undergraduate psychiatry to bridge the gaps of revision and application of knowledge in the

examinations and future practice . The skilful organisation comes through on every page and candidates

can revise psychiatry in an efficient manner.

The chapters in this book are based on the common syllabus of most medical schools worldwide. We also

incorporate the guidelines from the Ministry of Health (Singapore) and the National Institute of Clinical

Excellence (NICE) (United Kingdom). The materials of this book are based on the undergraduate course

taught and the wealth of clinical experience gathered by RH at the National University Hospital. Whenever

possible, the concepts are supplemented with diagrams and sample exam questions, where the readers

may gain a deeper insight, so whilst the materials are easily absorbable, they also provide a steppingstone to the OSCE examination. We believe that the preparation for OSCE is based on clinical videos and

a DVD is provided to help candidates to prepare for the OSCE. Furthermore, the OSCE grid helps to

consolidate knowledge in a practical and memorisable manner. This book also contains important

information required for the theory papers. We hope that we have produced an affordable book that lives

up to the high expectations from the readers and yet to revise psychiatry in an enjoyable and informative

way.

We have striven to make Mastering Psychiatry: A core textbook for undergraduates aninteresting,

enjoyable and useful. We would welcome constructive criticism and comments (email to

[email protected]) directed at making improvements to future editions. We believe that

readers putting effort into learning psychiatry through this book would be in a strong position to impress the

examiners and their colleagues.

Roger Ho

Melvyn Zhang

Cyrus SH Ho

Singapore 2016


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S'#-="'H%

1) The purpose of Mastering Psychiatry is to provide a free textbook and free access toa website which contains simulated videos. This is a dedication, lead by Dr. MelvynWB Zhang and Dr. Roger Ho in 2012, to medical students from the Yong Loo Lin

School of Medicine, NUS especially those students with financial difficulty and cannotafford a foreign textbook. Students can photocopy and reproduce in any format which

they prefer because the authors would like to share their knowledge with medicalstudents in the most direct and convenient way.

2) The authors do not receive any income from this book. This book is a humble setupwithout access to full typesetting service and no publisher was involved in the publicationprocess. As a result, this book does not have continuous page numbering and an index

at the back for cross-reference and cannot be comparable with a book published by apublisher.

3) There are various psychiatry textbooks in the market. University students areexpected to have the wisdom to choose their preferred textbooks. Different textbooks arewritten in different styles and they are not mutually exclusive. Mastering Psychiatry

follows the format of British revision notes for medical students. It aims to be concise andwritten in short sentences or point-forms.

4) There have been significant discoveries in psychiatric knowledge. The authors havetried their very best to include the most updated information in this book which is relevant

to clinical practice in Singapore. This book aims to be a companion for undergraduatestudies and a reference book for future practice. The authors have highlighted mistakesand clarified queries raised by previous medical students. You can find those information

in the website.

5) This book is not intended to replace clinical clerkship. Students are advised to see

patients and link their clinical observation with the book content. In examination, thereare questions based on clinical scenarios. Students are advised to use their clinical

reasoning to select the best answers. It should not not a direct recall from any textbook

without clinical reasoning.

6) We welcome constructive feedbacks and queries on Mastering Psychiatry. You couldsend your feedback and enquiries to [email protected], or contact anyone of the Singapore Lead Authors.


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Mastering Psychiatry 2016

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