Psychiatrists and Special Population Essay

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SPECIAL POPULATION Psychiatrists often encounters patients who are in special situations such as pregnancy, extreme of ages and/or medically ill. These situations cause deviation from the normal physiological process of the body and renders the group vulnerable to adverse drug effect. Therefore it is crucial for the clinicians to have fair knowledge about appropriate medication selection and dosing while treating these special populations. Psychiatric illness during pregnancy is not an uncommon scenario. A large meta-analysis reported that up to 18% of women experience depressed mood during pregnancy with nearly 13% having an episode that would meet the Diagnostic and Statistical Manual-Fourth Edition (DSM-IV) diagnostic criteria for…show more content…
Abuse and misuse of prescription drugs, use of illicit drugs, and excessive alcohol use are growing issues among older persons. Individuals aged 50 to 59 reporting use of illicit drugs within the past year doubled from 5.1% in 2002 to 9.4% in 2007. Suicide disproportionately impacts older adults, accounting for 14% of all suicide. Appropriate dosing of medications in older adults particularly require vigilance, due to physiological changes associated with aging such as slowing down of metabolism, body weight change and declined function of organs. It is also essential to keep in mind other factors during treatment of geriatric group, such as confusion or change in mental status, memory loss, non-compliance, tendency to self-medicate and possibility of drug-drug interaction resulting from use of multiple prescription and OTC drugs. Nearly 5 million children in the U.S. have some type of serious mental illness that hinders adequate functionality. According to National Mental Health Association, one in three American children- some of pre-school age suffer from depression. Because children and adolescent are less likely to report symptoms, a large number of children with psychiatric disorders go unidentified. According to a survey, in any given year, only 20 percent of children with mental disorders are identified and receive mental health services. According to NIMH, one in twenty teens have moderately severe to severe depression, a number of
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