International Neuropsychiatric Disease Journal 2021-03-08T07:06:09+00:00 International Neuropsychiatric Disease Journal Open Journal Systems <p style="text-align: justify;"><strong>International Neuropsychiatric Disease Journal (ISSN:&nbsp;2321-7235) </strong>aims to publish high quality papers (<a href="/index.php/INDJ/general-guideline-for-authors">Click here for Types of paper</a>) in all areas of ‘Neuropsychiatric Disease related research’.&nbsp;The journal also encourages the submission of useful reports of negative results. This is a quality controlled,&nbsp;OPEN&nbsp;peer reviewed, open access INTERNATIONAL journal.</p> Gay Behaviors and Persistent Problems: Looked Globally Through the Lens of an Overview and a Single Case Report 2021-03-08T07:06:09+00:00 Basmah Abdulaziz Helmi Naseem Akhtar Qureshi <p><strong>Background: </strong>Prior to 1973, homosexuality was considered a mental disorder. Gay Rights Movement in European-Western world, controversial variegated theories and political all out efforts ultimately removed homosexuality from Diagnostic and Statistical Manual of Mental Disorders (DSM-I&amp;II) with highly conflicting consequences to major religions of the world.</p> <p><strong>Objective: </strong>This study aimed to overview gay behavior and described a single case with assaults and mixed emotions of gay activities at younger age who visited psychiatric clinics for consultation and treatment of gay behavior.</p> <p><strong>Methods:</strong> Electronic searches of relevant literature were conducted for retrieving most influential articles published in PubMed, Google Scholar and ScienceDirect using keywords and Boolean Operators and following eligibility criteria retained 54 articles. We comprehensively evaluated this case in outpatient clinic and systematically administered 12 sessions of cognitive behavior therapy (CBT).</p> <p><strong>Results: </strong>Currently, the diagnostic terms in terms of sexual and transgender identity disorder are used to address the problems of gay people in DSM or high risk homosexual behavior having problems with lifestyle in International Classification of Diseases (ICD-10). One person with chronic passive gay behavior with distressful aversion at later stage presented to the psychiatric clinic, expressed strong desire and motivation to change it, and after 12 CBT sessions improved and began to enjoy heterosexual life.</p> <p><strong>Conclusion:</strong> Although homosexuality fully derecognized in two major diagnostic classification systems of mental disorders across the world, some persons with agonizing and painful gay symptoms and psychiatric disorders and addictions to various substances eventually seek help from mental health professionals who manage them by diverse interventions resulting in better outcome and good quality of life including marital stability. Therefore, gay people presenting with psychological conditions or distressful behaviors need mental health services for changing their gay to heterosexual style and simultaneously addressing mental and physical disorders globally.</p> 2021-02-19T00:00:00+00:00 ##submission.copyrightStatement## Diseases of Burnout during the Pandemic of the New Corona Virus in Intensive Care Physicians and Its Impact on Serving the Population: A Descriptive Bibliographic Review 2021-03-08T07:06:08+00:00 Alaís Brito Nascimento Brenda Marques Rodrigues Emanuelle Negrão Quaresma Daniele Salgado de Sousa Rebeson Moraes da Silva <p>The mental health issue during the COVID-19 pandemic must consider different populations: doctors / health professionals; general population and patients with mental disorders. When analyzing the stress-generating environment, such as intensive care units and emergencies, one must keep in mind the great demand for work and overload of professionals who are in this current pandemic scenario. Thus, this study aims to review the literature on the problems arising from the <em>Burnout</em> Syndrome in intensive care physicians during the COVID-19 pandemic. This study constitutes a descriptive bibliographic review on information about the main mental health complications of intensive care physicians directly involved in coping with the COVID-19 pandemic. The searches were performed in bibliographic databases Medline, Embase, Pubmed and Central, after the re-reading of each article, the data of interest were extracted and analyzed in a descriptive way for the composition of this work. Among the factors that modify the working environment of intensive care physicians working in the front line to combat COVID-19, are: limited hospital resources, threat of exposure to the virus as an additional occupational risk, longer shifts, disturbed sleep patterns, subsequent high dilemmas regarding duties with the patient versus fear of exposure to family members, increased workload, increased physical and mental fatigue, stress, anxiety and physical exhaustion. That said, measures must be taken to support intensive care groups in this phase of global public health. The measures include psychological counseling, organization of the workday, provision of personal protective equipment and training on safety measures. The present review showed evidence of how accentuated the cases of burnout and other emotional manifestations related to work stress worsened with the pandemic of COVID-19. Such emotional conditions have a negative impact on the care of patients undergoing intensive care units, as work stress causes illness, low motivation, unproductiveness and less self-confidence in their own work skills.</p> 2021-02-24T00:00:00+00:00 ##submission.copyrightStatement## Restraints and Restrictive Interventions during Essential Personal Care in Elderly People Living with Dementia in Care Homes 2021-03-08T07:06:08+00:00 Matthew Crooks Katherine Wakenshaw Julie Young Kayleigh Purvis Karin Smith Jennifer Loan Laura Bell Ian Andrew James <p>Care home staff are frequently required to provide invasive personal care for their residents, and on occasions need to use restraint and restrictive practices with people with dementia. This often occurs in situations where the residents no longer have the insight that they require help and may misperceive the personal assistance as an assault. On a practical level, a significant number of people with dementia are currently being admitted to inpatient units due to their level of resistance around essential personal care. Often these same people are settled at all other times. This paper provides practical advice on how to support residents and their caregivers, and gives clinical, legal and ethical guidance. Previous work undertaken by the present authors have shown that care staff require supervision and coaching on this topic.</p> <p>The paper includes training materials used by the authors.&nbsp; This includes a composite, fictitious case example that illustrates approaches that are compliant with UK guidelines.&nbsp; It addresses the training of staff working in care homes.</p> <p>As such this paper provides a review and practical example of the appropriate use of restraint for residents unable to consent to the ‘intimate’ care they are receiving. It describes a method delivered in a person-centred manner and within a legal framework.&nbsp; Having read this paper, care home staff should feel more confident, competent and secure in the assistance they are providing in this contentious area.</p> 2021-03-04T00:00:00+00:00 ##submission.copyrightStatement##