Citation

Gautam S. Indian J. Psychiatry 2010; 52(3): 213-219.

Copyright

(Copyright © 2010, Medknow Publications)

DOI

10.4103/0019-5545.70973

PMID

unavailable

Abstract

The moral treatment of mental patients, Electro Convulsive therapy (ECT), and Psychotropic medications constitute the first, second, and third revolution in psychiatry, respectively. Addressing comorbidities of mental illnesses with chronic physical illnesses will be the fourth revolution in psychiatry. Mind and body are inseparable; there is a bidirectional relationship between psyche and soma, each influencing the other. Plausible biochemical explanations are appearing at an astonishing rate. Psychiatric comorbidity with many chronic physical disorders has remained neglected. Such comorbidity with cardiac, respiratory, Gastrointestinal, endocrinal, and neurological disorders, trauma, and other conditions like HIV and so on, needs to be addressed too. Evidence base of prevalence and causal relationship of psychiatric comorbidities in these disorders has been highlighted and strategies to meet the challenge of comorbidity have been indicated.

Language: en

Keywords

human; suicide; depression; prevalence; stroke; comorbidity; Psychiatric comorbidity; review; epilepsy; disease association; Human immunodeficiency virus infection; anxiety disorder; electroconvulsive therapy; heart infarction; Alzheimer disease; acquired immune deficiency syndrome; coronary artery disease; diabetes mellitus; hyperthyroidism; denial; gastrointestinal disease; Parkinson disease; chronic physical disorder; Fourth revolution