Wednesday, June 11, 2008
A Genesis of a Psychiatrist (SIGECAPS=maj.dep.)
When I first knew that I should know the criteria of diagnosis of almost 300 psychiatric disorders listed in ICD-10 or DSM-IV (we are free to chose one of those criteria) I felt that am not sure I want to be a psychiatrist. I got a very bad memory.
After 2 years of helpless efforts of remembering, (it was 2 years of forgetting more than remembering), I found suddenly this book pictured above. It helped me to remember the criteria better than my seniors. Better than all my colleagues.
A dear friend told me that she find it difficult to remember those criteria, and hence to diagnose psychiatric disorders. For her, and for all of you, I will post some of the mnemonics used in this clever book to help us remember the criteria of most important disorders.
SIGECAPS was devised by Dr. Carey Gross as a mnemonic for the criteria of major depressive disorder at MGH and refers to what one might write on a prescription sheet for a depressed, anergic patient: SIG: Energy CAPSules. Each letter refers to one of the major diagnostic criteria for major depressive disorder:
Sleep disorder (either increased or decreased)
Guilt (worthlessness, hoplessness, regret)
Appetite disorder (either decreased or increased)
Psychomotor retardation or agitation
4 of those 8, with depressed mood or anhedonia, for 2 weeks signify major derpression.
The picture of the band Genesis came by accedent near the book at my table and hence the picture and the title.