Essential Mental Models for A Psychiatrist – The Art of Complex Problem Solving- Dr Sanil Rege
Dr. Sanil Rege is a Consultant Psychiatrist and founder of Psych Scene, a platform to enhance psychiatry education and Vita Healthcare, providing high-quality mental health care services to the public. He is a Fellow of the Royal Australian and New Zealand College of Psychiatrists and Member of the Royal College of Psychiatrists (UK). His clinical and research interests include psychosis, depression, anxiety, post-traumatic stress disorders, and personality disorders.
Author Quotes :
A family’s opinion can be disproved, but should never be ignored.
Think in terms of probabilities; there’s never one single conclusive diagnosis.
People present prodromally, and DSM-V has a specific statement which says–‘there will be patients who will not fulfil criteria but are still in need of treatment’ so that’s where understanding of neurophysiology, neuropharmacology and neuroanatomy becomes really important.
Good clinical practice is about translating academic knowledge into real-world problem-solving. The most important skills required for this are strategy development and implementation. These skills despite being crucial are not imparted in textbooks.
Clinical practice will never be the same after you master these mental models.
In this video, Dr. Sanil Rege covers the following topics:
- How to minimize errors.
He talks about how to master your trade through performance improvement and the importance of insight,-“why is this patient not getting any better?”
Strategy is a set of guiding principles, which generates a roadmap for the clinician and their team to achieve a successful outcome for the patient.
2. Strategic problem-solving
Dr. Rege emphasizes the importance of defining the outcome, the significance of recovery-oriented principles, prioritizing and the principles of causality.
3. Thinking in terms of probabilities
He covers reverse causality and confounders, bias and chance, and talks about dual diagnosis in drug and alcohol cases where most errors are made. Drug-induced psychosis may be a result of self-medication.
4. Developing a formulation matrix.
5. Using the 6 domain management plan.
Concluding this tutorial, Dr. Rege presents an overview of the OSCE.
Take-home Messages :
- Specific diagnostic criteria (DSM-IV/V) are intended as guidelines only –they should be informed by clinical judgment and not used in a cookbook fashion.
- Organic disorders within mental health patients can directly contribute to the psychopathology of the patient.
- Checklists will make your life easier.
- The Neurobiology of Trauma and PTSD Phenotypes – Dr Sanil Rege
- Clozapine Mechanism of Action and Augmentation Strategy – Dr Sanil Rege
- Pathogenesis and Diagnostic Indicators for Antiphospholipid Syndrome (APS) in Psychiatry-Dr Sanil Rege
- Antiphospholipid Syndrome and the Brain (Neuropsychiatric Manifestations of APS) – Dr Sanil Rege
- Techniques to Prepare For the EMQ and Critical Analysis (MCQ) Problems – RANZCP Written Exam-Dr Sanil Rege
- Passing the Modified Essay (MEQ) and Critical Essay (CEQ) Exam- RANZCP- Dr Sanil Rege
- Observed Clinical Activity (OCA) and MEQ – Passing the RANZCP Exam- Dr Sanil Rege
- Sanil Rege on Education and Entrepreneurship – Podcast
- A Summary of 3 Important Autoimmune Neuropsychiatric Disorders for Psychiatrists – Dr Sanil Rege
- Neuroinflammation Simplified – The Link Between the Immune System and The Brain- Dr Sanil Rege
- Q & A Session on Neuroinflammation in Psychiatry – Dr. Sanil Rege
- What is Regression Analysis in Critical Appraisal? – Dr Sanil Rege
- Principles of Entrepreneurship and Innovation in Medicine – Dr Sanil Rege
- The Power of Serendipity and Multidisciplinary Learning in Medicine – Solving a Complex Clinical Case- Dr Sanil Rege
- How To Appraise A Systematic Review and Meta Analysis in Clinical Practice- Dr Sanil Rege
- Psychiatric Formulation and Management- Tips and Techniques- Dr Sanil Rege
- Psychiatry Exams – What’s the Right Mindset?- Dr Sanil Rege
- Psychiatry Trainee to Consultant Psychiatrist – Skills Breakdown- Dr Sanil Rege
- From Psychiatry Trainee to Consultant Psychiatrist – Stages of Training for the RANZCP Exams- Dr Sanil Rege
- From Psychiatry Trainee to Consultant Psychiatrist- Dr Sanil Rege