Geriatric Psychiatry Centre
This section is concerned with the evaluation, diagnosis and treatment of psychopathology for individuals aged 18 years and over. The treatment is provided in out-patient and in-patient clinics using the latest medical equipment and methods.
A comprehensive evaluation and treatment of patients is carried out by a team consisting of psychiatrists, psychologists, and social services specialists.
The treatment program is determined according to the prior diagnosis / diagnosis that is made after the consultation by the out-patient clinic team with needed checkups and images of the brain, blood tests by the laboratory and neuropsychological tests and the report of the social study which were studied by the experts. If necessary, it will be consulted and examined by other medical branches as required.
Based on the same principles, all treatment options are used according to contemporary medicine with the aim of achieving the highest level of treatment success.
According to the needs of the patient, the treatment program consists of many services such as drug therapy and additional biological treatments (brain stimulation techniques, phototherapy, etc.), individual / marital / family and collective psychological studies by the psychologist, social studies, and treatment specified by specialists.
Bipolar disorder is defined as “excessive mood changes from excessive joy to depression.” These mood swings may include periods, that a person suffering from bipolar disorder, is in a normal mood.
What are the symptoms of bipolar disorders?
The disease has two opposing stages:
1- Obsession or hypomania
- Unusual excessive joy, anger, irritation or aggression
- Excessive speech, and moving from subject to another.
- Acceleration of ideas.
- Exaggerated self-esteem.
- Extraordinary energy, less sleep.
- Impulsivity, gratis desire to reach saturation (shopping spree, sudden travel, random sex extremes, high-risk business investments, fast driving)
2- Bipolar depression
- Despair and feeling sad.
- Insomnia
- Lack of the enjoyment of life.
- Severe energy loss and stagnation.
- Physical and mental disability.
- Difficulty in making decisions and focusing.
- Loss of appetite and weight changes.
- Sleep problems.
- Difficulty in concentrating, memory problems.
- Physical pain not responding to treatment, digestive problems.
- Feeling guilty, lack of value.
- Death and suicidal thoughts.
In bipolar disorder, mood changes occur periodically. During this period the patient feels vitality, activity, indifference and strength, insomnia, excessive movement, permanent speech, irritability, aggressive behavior, excessive and unnecessary shopping. In periods of obsession, some patients may refuse treatment by saying that their creativity has increased and that their work is going well. However, as the disease progresses, the results can be very exciting and can lead to disaster. The patient may spend excess money and makes risky decisions and behaviors, and random sexual intercourse which can create financial and health risks for the patient.
Treatment of bipolar disorder:
Antidepressant or delirium medicines are used according to the patient’s condition, as the doctor decides the treatment plan after the consultation, the brain mapping, and the needed analyzes.
If the symptoms are very severe, and the patient is in a state of psychological setback, whether it is depression or hypomania, the treatment is not enough, especially since the patient rejects his illness and does not admit that there is a disorder in his life, then he is hospitalized to avoid risky behaviors or thinking about suicide. Nearly 90% of patients with bipolar disorder have been hospitalized at least once in their lives. Upon entering the hospital in addition to the medication, psychological rehabilitation sessions, electrical sessions, and deep brain stimulation are given according to the needs of the condition.
Depression
Depression is not one of the characteristics of personality or a type of pamper.
Depression is not a simple process and the patient cannot fight this disease alone
Symptoms of depression:
Refraction of emotions, thoughts, behavior, and physical functions as a reflection of brain malfunction. Not all symptoms can be combined for every patient.
The main symptoms of depression include the pessimistic and sad emotional condition, content of pessimistic thought, despair, feeling powerless, inability to enjoy life, and loss of interest in almost every subject. The person suffers from depression most of the day, especially in the morning. There is a feeling of emptiness and everything can be meaningless. Because of a lack of motivation, it is difficult to set a goal and focus on the target.
Worries and fears, there may be feelings such as internal disturbances and stress. Some patients may complain that they cannot cry.
Negative events, which occurred in the past, often come to the patient’s mind, a feeling of remorse can increase. The patient constantly feels that he is worthless, or guilty, and finds it difficult to trust himself, feeling lonely. There may be negative thoughts about the future.
Concentration decreases, slowing down and reducing speech, forgetting, attention may be distorted, difficulty to learn something new, energy decreasing, the patient gets tired quickly.
Lack of sleep or waking up in the morning and not sleeping again, there may be a tendency to sleep and prolong bedtime. There is loss of appetite and weight loss that a person can suicide or harm those around him/her.
What are the causes of depression?
There is no single cause for depression. Depression develops as a result of an interaction or combination of biological, psychological and social factors.
How is severe depression treated?
Psychotherapy, drug and brain stimulation techniques are used to treat depression. With effective treatment, a partial improvement can be achieved within weeks, and full recovery can be achieved within 4 months.
In cases of mild depression, psychotherapy may be sufficient by itself. Drug therapy is also used together with psychotherapy or phototherapy in seasonal depression. If the requested improvement has not been achieved, magnetic stimulation therapy can be used which is a powerful technique for brain stimulation.
In severe cases, the patient’s hospitalization is performed if he/she suffers from a risk of suicide, in addition to intensive individual psychotherapy, in which co-treatment and needed biological treatments are applied. Various treatment methods can be used, such as magnetic stimulation therapy techniques, and Electroconvulsive therapy (ECT).
The treatment continues for at least six months for patients suffering from depression for the first time, then the medication termination plan can be developed according to the person’s condition. For patients who suffer from depression multiple times, it is recommended that the treatment continue for many years.
Anxiety and social phobia
It can be defined as fear or anxiety in certain situations when a person enters a new environment or meets new people, he/she feels anxiety, fear, and difficulty about self-expression.
The person feels excited and depressed when he/she is forced to meet a new person in his/her living environment. If he’s a student, he’ has a trouble talking in the classroom, and he doesn’t wish to talk about that anxiety. If he/she is forced to speak, his/her face may be red, gets silent, and there may be tremors in his/her hands, or stops talking.
The secondary harmful effect of the disease is manifested by the trend towards withdrawal from society. In the early period of illness, a child cannot tell anyone because he is ashamed of this problem. In our society, shy children can be ignored even before they get praise. If the disease is not known on time, then the treatment of the child will be very difficult in the future. During university years, the problem increases because the problem becomes more and more deep when not treated.
Is it possible to know the environment in which a person suffering from social phobia was grown up?
The risk of developing social phobia increases if parents used to criticize their children. A child who is being controlled for everything, becomes broken, anxious and even the good intentions of parents negatively effect on the child. In every detail of daily life, the child is exposed to psychological and physical violence, he/she feels guilty, worthless, and his confidence is low. This leads to not expressing himself in school life in the future, as the child is afraid of criticism because he/she fears that he will be among the negligent.
How effective is the drug in treating social phobia?
It can be said that the drugs used in a year and a half are a very effective treatment. These medications are from the antidepressant group. In most cases, these medications eliminate the symptoms, sometimes these medications are used just before the patient is being exposed to phobia. Suppose he/she will have a social phobic speech; it is recommended to use the drug 1 hour before this performance. Of course, a person controls his/her mind more easily when there are no physical symptoms.
Those who do not want to make mistakes, they actually have irrational thoughts about luxuries and the thoughts are corrected by treatment. The patient needs to change the negative thoughts he/she is experiencing in practice.
Neurofeedback method is performed briefly during the treatment process.
Using Neurofeedback technique used with individual psychotherapy, we aim to raise the awareness by confronting the patient with his/her fear, and to increase motivation, the patient learns to modify behavior in individual psychotherapy and learns to control his/her breathing and heartbeat and thus has an organized ability to control his/her body and thinking.
Obsessive-compulsive disorder
What is obsessive-compulsive disorder?
It is a type of anxiety disorder, a disease that lock a person in in a cycle of repeated thoughts and behaviors. A person suffering from obsessive-compulsive disorder becomes anxious because of frequent thoughts, fears or concerns that he/she cannot control. The reason for the anxiety caused by these thoughts is the need to perform some rituals or actions quickly (oppression).
Repetition stops anxiety temporarily, and when obsessive thoughts happen again, a person must repeat the thought many times for the same thing. This obsessive–compulsive disorder OCD can prevent people from performing their normal daily work by stealing hours from a person’s day.
People suffering from obsessive-compulsive disorder may be aware that their concerns are not real or meaningless, but they cannot stop repeating these actions.
What are the symptoms of obsessive-compulsive disorder (OCD)?
- Fear of contamination.
- Fear of harming another person.
- Fear of making mistakes.
- Fear of being notorious or behaving in a socially unacceptable manner.
- Fear of thinking about evil or wrong.
- System, symmetry and the need of perfection.
- High suspicion and the need of continuous guarantees.
Symptoms of general obsessive-compulsive disorder (widespread).
- Frequent washing, shower or washing hands.
- Refusing to shaking hands or touching the door handle.
- Checking that the door is locked or the gas handle is locked.
- Continuous loud or low count when performing routine tasks.
- The continuous arrangement of things.
- Having food in a specific order.
- Repetition of words, images or ideas that are often disturbing.
- Repetition of some words, phrases or prayers.
- The need to perform a specified number of functions.
- Collecting things of no value.
What causes obsessive-compulsive disorder?
Although the cause is not completely understood, research has shown that biological and environmental factors may be associated with obsessive-compulsive disorder.
How is obsessive-compulsive disorder treated?
The patient does not recover on his own, so it is important to treat it. The best method of treatment is cognitive behavioral therapy.
Cognitive behavioral therapy: The goal of cognitive behavioral therapy is to ensure that people suffering from obsessive-compulsive disorder face their fears without doing repeated things, which reduces anxiety. This treatment also focuses on reducing exaggerated or catastrophic thoughts common in patients with obsessive-compulsive disorder.
Drug therapy: tricyclic antidepressants, Selective serotonin reuptake inhibitors (SSRIs) can help treating OCD. In severe cases where patients do not respond to medications and cognitive behavioral therapy, electroconvulsive therapy or brain surgery can be used during electrical sessions, the electrodes are placed on the patient’s head and a series of electrical shocks are given to the brain causing seizures, which cause the release of neurotransmitters in the brain.
As a result of continuous treatment, patients live normal or almost normal. Early diagnosis always reduces treatment time.
Symptoms of general obsessive-compulsive disorder (widespread):
- Frequent washing, shower or washing hands.
- Refusing to shaking hands or touching the door handle
- Checking that the door is locked or the gas handle is locked.
- Continuous loud or low count when performing routine tasks.
- The continuous arrangement of things.
- Having food in a specific order.
- Repetition of words, images or ideas that are often disturbing.
- Repetition of some words, phrases or prayers.
- The need to perform a specified number of functions.
- Collecting things of no value.
What causes obsessive-compulsive disorder?
Although the cause is not completely understood, research has shown that biological and environmental factors may be associated with obsessive-compulsive disorder.
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After taking all the information required, we will assess the condition of the disease within only 24 hours of receiving your information and will provide you with all information about the treatment plan, details of treatment, treatment costs, duration of stay in Turkey and other services in our center.
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