A dinosaur
LecturerNorio OZAKI, Professor
DepartmentSchool of Medicine / Graduate School of Medicine, 2016 Fall
Recommended for:4th year students


Characteristics of a mental disorder contain biological properties that hinder high-order functions of the central nervous system and also influence a patient's condition and the clinical approach required depending on environmental factors such as the psychological and social factors surrounding an individual. To understand mental disorders, it is therefore important to have multiple perspectives including biology, psychology and society.

Keeping this in mind, this class strives to deepen students' understanding of general theory content such as physical treatment focusing on grasping and evaluating mental symptoms, analyses and psychotherapy, psychological treatment (psychosocial treatment), and theories on the origins of mental disorders. We also aim for students to deepen their understandings of mental disorders ranging from those biologically based to those with strong psychological aspects by looking at each stage of life, from childhood to old age. Furthermore, from the perspective of mental disorders within society, we will allude to ethical aspects in research and judicial aspects.

Course Overview 1. Introduction to psychiatry:

Lecture on bio-psycho-social aspects of mental disorders, how the disorders can have a detrimental effect on society as well as diagnostic criteria for a mental disorder will be given.
Key words: frequency of onset, social loss, suicide, physical and mental disorders, psychiatric diagnosis, scientific nature of psychiatry. 2. Depression and bipolar disorder
Lecture on clinical state, symptoms, diagnosis and treatment of depressive disorder and bipolar disorder, which can cause problems such as suicide. High frequency of onset for depressive disorder and combination of many physical disorders will be emphasized.
Key words: depressive disorder, bipolar disorder, diagnosis, treatment. 3. Somatic symptom disorder, eating disorders, dissociative disorder, personality disorders Lecture on mental disorders, mainly based on physical disorders including somatic symptom disorder, eating disorders, dissociative disorder as well as personality disorders, focusing on borderline personality disorder.
Key words: somatic symptom disorder, eating disorders, dissociative disorder, borderline personality disorder. 4. Epilepsy and psychiatric laboratory testing: neuroimaging and psychiatric laboratory testing
As well as an overview of epilepsy (such as temporal lobe epilepsy), which will produce psychiatric symptoms, this lecture will focus on laboratory testing used in psychiatry such as neuroimaging (CT, MRI, SPECT, and PET) and physiological laboratory testing (electroencephalogram and event-related potential (ERP)).
Epilepsy, CT, MRI, SPECT, PET, electroencephalogram, event-related potential (ERP). 5. Consultation-liaison psychiatry, anxiety disorders
This lecture is about the collaboration between psychiatry and other fields regarding consultation-liaison psychiatry as well as anxiety disorders.
Key words: consultation-liaison psychiatry, psychosocial problems associated with general physical disorders, panic disorder, obsessive compulsive disorder, PTSD, social anxiety disorder. 6. Schizophrenia
The lecture will explain about the pathophysiology, symptoms, diagnosis and treatment of schizophrenia. We will discuss about how schizophrenia has been stigmatized and subjected to prejudice as well as how it starts occurring during adolescence and causes impairment over the years. In recent years, various scientific advancements have enabled us to gradually understand the clinical state of schizophrenia more clearly.
Key words: Schizophrenia, address term change, diagnosis, treatment. 7. Trends in genome research of psychiatric disorders
All around the world, a great deal of research is being conducted to further understand the etiology and pathophysiology of mental disorders in order to develop diagnostic procedure, treatment and prevention methods. This lecture will discuss these trends in the genome research of mental disorders.
Key words: genetic epidemiology, heritability, genome, Common Disease Common Variant hypothesis, Common Disease Rare Variant hypothesis. 8. Sleep-wake Disorder, psychopharmacotherapy (Antidepressants, anti-anxiety drugs)
This lecture will be about Sleep-wake Disorder, antidepressants, mood-stabilizer, anti-anxiety drugs and hypnotics.
Key words: Sleep hygiene, insomnia, sleep apnea syndrome, sleep-wake schedule disorder, narcolepsy, antidepressants, mood-stabilizer, anxiolytics and hypnotics. 9. Psychological development of infants and psychiatric disorders in children-1
This lecture will discuss diagnosis and assessment involved in the psychiatric treatment of children, intellectual disabilities (ID), autism spectrum disorder, attention deficit hyperactivity disorder (ADHD), tic disorder, onset of schizophrenia during childhood, depression and bipolar disorder, consultation-liaison psychiatry in the area of pediatric medicine.
Key Words: intellectual disabilities (ID), autism spectrum disorder, attention deficit hyperactivity disorder (ADHD), tic disorder, childhood onset mental disorder. 10. Psychological development of infants and psychiatric disorders in children-2
We will discuss infant psychiatry and psychological development, selective mutism, attachment disorder, abnormal habits, insomnia, neurotic disorders (phobias, obsessive compulsive disorder, anxiety disorders, PTSD, dissociation/conversion disorder, somatization disorder), eating disorders, truancy and social withdrawal in children.
Key words: Psychological development in infants and children, selective mutism, attachment disorder, anxiety and obsessive compulsive disorder, emotional trauma, eating disorders. 11. Psychopharmacotherapy (antipsychotic drugs), other physical therapies and psychiatric research (molecular pathogenesis)
We will discuss antipsychotic drugs and other physical therapies.
Pathophysiology elucidation studies regarding mental disorders have been conducted using genomic research, neuroscience and neuroimaging to develop treatment and diagnostic methods based on pathophysiology by solving the weakness in the current treatment and diagnostic methods while meeting the needs of patients and families.
Key words: Anti-psychotic drugs, mood-stabilizer, light therapy, electroconvulsive therapy, pathophysiology of mental disorders, animals, iPS cells, genomic medicine 12. Psychiatric research (imaging study). Psychiatric interviews and psychological testing. Lecture on research using imaging.
We will explain the essential points in psychiatric interviews that can clarify the needs of patients and families based on a good relationship between doctor and patient. We will also talk about psychological testing.
Based on a favorable doctor-patient relationship, essential points of psychiatric interviews that can clarify the needs of patients and families will be explained.
Key words: neuroimaging, doctor-patient relationship, needs of patients and families, empathy, support, psychological testing 13. Forensic psychiatry and psychosocial therapy
We will talk about forensic psychiatry with attention to human rights and informed consent as well as psychosocial treatment which is one form of psychiatric treatment.
Key Words: mental therapy, cognitive behavioral therapy, social skill training (SST), psychoeducation, group psychotherapy, mental health act, the medical treatment and supervision act, dissociative disorder, somatoform disorder. 14. Psychological Characteristics of elderly people and senile mental disorder, as well as neuropathology
We will overview psychological characteristics of elderly people as well as examples of senile mental disorders such as dementia, delirium, and organic brain disease. We will also talk about neuropathology.
Key words: Psychological and emotional changes in elderly people, considerations when treating elderly people, delirium, Alzheimer's, cerebrovascular dementia, diffuse Lewy body diseases, neuropathology.


Session Contents
1 Introduction to psychiatry
2 Depressive disorder and bipolar disorder
3 Somatic symptom disorder, eating disorders, dissociative disorder, personality disorders
4 Epilepsy and psychiatric laboratory testing: neuroimaging and physiological laboratory testing
5 Consultation-liaison psychiatry and anxiety disorders
6 Schizophrenia
7 Trends in genome research of mental disorders
8 Sleep wake disorders and psychopharmacotherapy (Antidepressants, anti-anxiety drugs)
9 Psychological development of children and mental disorders in children 1
10 Psychological development of children and mental disorders in children 2
11 Psychopharmacotherapy (antipsychotics), other physical therapy and psychiatric research (molecular pathogenesis)
12 Psychiatric research (neuroimaging). Psychiatric interview and psychological testing
13 Forensic psychiatry, Psychosocial treatments
14 Psychological traits of elderly people and senile mental disorders

Grading evaluation

Credit will be given by attending more than half of the 14 classes (More than 7 classes).

Last updated

April 29, 2020