Psychiatry Centre Pediatric & Adults
Pediatric and adult psychiatry:
It is one of the branches of medicine that is concerned with difficulties related to the pediatric and adults spiritual, cognitive, academic and social fields from the age of 0 to 18 years.
Pediatric and adult psychiatry includes a wide range of tasks in order to develop healthy development from birth to the end of adolescence and work to diagnose and treat existing disorders.
Speech and talking therapy
Speech and talking disorders include diagnostic and psychotherapy services. And in the Ergo-therapy Center, the sensory processing clinic.
One of the most important goals of the Ergo-therapy center is to reduce psychiatric illness among patients while maintaining their health and making them more social and develop their self-confidence, revealing and encouraging their various skills and abilities and using them in daily life. This center also targets occupational therapy (Argu- therapy), such as music, art therapy, sports and marble art, to gain a full awareness for patients that an efficient assessment of free time results in improving the quality of life.
The new treatment methods for treating autism (the sensory processing clinic)
This center aims to increase the quality of daily life for children and young patients suffering from development retardation and special needs between the ages of 0-14 using play methods and professional art. Rehabilitation is implemented according to the personal development program. It is included under the heading Personal Occupational Therapy; sensory processing treatment, behavior development, social skills development, and in addition to this we also aim to develop an engine with basic language skills.
At the pediatric Ergo-therapy Center: Studies are being conducted to treat various diseases such as autism, cerebral palsy, Down syndrome, mental problems, learning disabilities and hyperactivity.
The services of pediatric and adolescent clinical psychology clinic.
The pediatric and adolescent clinical psychology patients are treated during their hospital stay. Our hospital is concerned with the privacy of the patient, and in addition to that, certain rules and laws were established based on the safety of the patient and his psychological state.
Since Istanbul NP Brain Hospital for the brain gives priority to the comfort of patients and their relatives, there may be two types of room options designed according to the needs of different patients, a standard single room and a highly rated hotel suite.
Our basis is to give complete safety and comfort to our patients.
Room furniture is designed to fit the comfort, safety and security of patients and their relatives. In addition to that, our services (VIP services) include a special TV for each patient with Arab and international channels, treasury, personal sofa and daily newspaper services.
All rooms are designed meticulously and complete care for the patient’s comfort and keeping his/her privacy where daily treatment sessions will take place. In addition, a luxurious lounge and winter gardens on all floors, so that our patients can feel at home.
What is Attention deficit hyperactivity disorder (ADHD)?
Attention deficit hyperactivity disorder (ADHD) is a disease that can lead to academic, social and psychological problems that cause serious life-long adverse effects.
What is the extent spread of ADHD in society? The extent spread of this disease in the community is very high, reaching about 5-7%, and 60-70% of this disease, start in childhood and continue to the adulthood.
What are the causes of ADHD?
Since the causes of attention deficit hyperactivity disorder do not depend on the positions of parents and professors’ mistakes, it is a biological neuropathic disease.
Follow-up studies of this disease revealed that:
- The percentage of drop-out compared to those who suffer and those who do not suffer from attention deficit hyperactivity disorder (32-40%).
- University completion rate (5-10%).
- The percentage of low or no friends (50-70%).
- The percentage of reduced work performance (70-80%).
- The percentage of interest in anti-social activities (40-50%).
- The percentage of smoke and drug-alcohol use is very high.
- The percentage of a person’s infection for a sexually transmitted disease and pregnancy at an early age among children who grow up with ADHD.
- The percentage of depression in the period of adulthood (20-30%).
- The percentage of the appearance of personality disorder (18-25%).
Since we note a high rate of error orientation and exposure to risk situations with many facets compared to normal cases.
Despite all the negative results of this disease, studies show that: Only less than half of patients with ADHD receive treatment.
What are the criteria for ADHD attributable to the Association for Diagnosis and Statistics of Psychiatric Disorders?
It is the diagnostic and statistical manual of psychiatric disorders published by the American psychiatric association that specifies the criteria for diagnosing psychiatric illnesses with statistics for the person who suffer from ADHD:
- Do not pay attention to details, always make mistakes.
- He/ She has trouble continuing and keeping concentration.
- It appears that he/she cannot hear.
- He/ She has difficulty in following queries.
- He/ She has difficulty in living in organization.
- Fleeing or disliking things that refuse concentration.
- wasting items.
- Ease of distraction.
- Forgetting daily duties
What are the behaviors of hyperactive and impulsive people?
- Not being fixed in a certain place, being restless, hands and feet.
- He feels difficult to stay in a particular place for a long time.
- Excessive running and climbing during childhood and instability during adulthood.
- Difficulty busy quietly doing a certain thing.
- Move too much as a working machine
- He answers when addressing him without giving an opportunity to complete his question.
- To feel difficult in matters that require waiting or standing in queue.
- To interrupt others’ speech.
To diagnose ADHD, you must have 6 or more of the above symptoms in children and at least 5 symptoms after the age of 17 years. Moreover, the occurrence of symptoms is not sufficient to diagnose the disease. Symptoms must appear in different environments and in large numbers
Do symptoms of ADHD differ by age?
Symptoms of ADHD vary according to the period (childhood, adolescence, and adulthood), and as the years progress, the symptoms change. For this reason, ADHD can take place in an individual’s life in different periods, that is, he can live hyperactivity and impulsive disorders in a period of life, and ADHD progress and continue with the individual.
How is ADHD treated?
All official pediatric psychiatric clinics, both in the world and Turkey, demonstrate that ADHD is a biological neuropathic disease and there is agreement in the opinion that one of the most important treatment options for ADHD is drug therapy, and in addition to this treatment, organizing psychotherapy sessions include behavioral identification sessions, in addition to these instructions to increase concentration to speed up treatment and increase the rate of improvement.
How is autism treated?
The family is informed about autism disease once diagnosed; the child is directed to the appropriate training program as soon as possible. The behavioral analysis which is the most important educational method scientifically proven in autism is applied. In addition to the individual education, speech and talking teaching at an appropriate age and sensory processing therapy are among the recommended methods. It is important for parents to participate in the educational program and to support the socio-emotional field at times other than the child’s education times.
No effective treatment for autism was found. However, treatment may be necessary due to lack of attention, behavior problems, sleep problems, and anger control problems that accompany some autistic children. The autism treatment plan should last for many years, so it is extremely important to inform the family about autism disease. There are a few cases, it was determined that the diagnosis was completely absent from training in the short and early term. Much continuing education for many years is essential. The fact that the child’s intelligence is normal, the symptoms are mild and the development of speaking skills before the age of 6 is a good predictive indicator. Scientific studies have shown that methods such as nutrition therapy, Hyperbaric oxygen therapy, heavy metal depletion and neurofeedback are not effective.
Recently, new studies respond to the issue of how to treat autism disease. In this context, the effectiveness of this treatment method is checked by transcranial magnetic stimulation (TMS). We will highlight how autism is treated and the end result of this research.
How do you recognize autism?
Autism disease cannot be identified and diagnosed by the analysis of the blood in urine (hematuria) or neuroimaging method, that is, there is no biological marker that can be used for diagnosis. The diagnosis is based on the clinical observation and behavioral characteristics. Autism is usually seen with children when they are two years old and can be diagnosed. However, with good clinical observation, symptoms can be detected even for a one year old. It is not possible to identify a child in the womb. This is why the issue of how to treat autism comes up when diagnosing autistic parents. In this context, we have tried to outline briefly the cases that parents should take care of.
Some of the signs that can be a sign for the family: children between 6-9 months.
- No parentage or low voice volume compared to his peers
- Lack of visual or auditory response to parents or educators.
- Not or avoiding eye contact and a mutual smile
- When called by his name, he does not interact or respond.
- Isolationist and does not ask to play with other children.
- Excessive and unusual interest in some things or toys.
- 20-47% of children suffering from autism begin to regress after a year of normal development.
For the family, the red flags can be calculated by the following points: After one year:
- He/ She does not respond to your smile.
- He/ She does not look at your face when you are talking to him or looks at your face slightly
- He/ She does not refer to shapes (such as a ball, a bag) or animals when asked.
- He/ She does not bring games to play with them.
- He/ She does not want to participate
He/ She does not play games such as imitation games or (he/she eats baby’s food, sleeps shaking a toy). One year old, he/ she does not begin to utter words, at the age of two years he/ she does not start forming a sentence of two words.
In order to be able to diagnose, it is not necessary that all of the above expressions be present in the child. Not all children with autism have the same violent autism. Some children may not be able to establish a strong social relationship, and they have no conversation at all and they are in the severe autism schedule where repeated movements are severe. While with some children, the symptoms may be mild.
Autism spectrum disorder is a disorder in which the severity of symptoms varies for each child. A large proportion of children with autism also suffer from mental retardation. Neurological disorders such as epilepsy can also be detected with some children suffering from this disorder.
How is it often seen?
Although autism was described as a rare disorder in the 1970s, its frequency increased dramatically in the first decade of the current century. According to data released by the Centers for Disease Control, the rate is 1/150 in 2006 and 1/464 in 2014.
When the causes of the increase in the frequency of autism are checked, increased awareness of diagnosis can be considered, absence of mild symptoms and evaluation of this group of diseases and an increase in repeated occurrence of a parent at a later age. However, it is believed that the increase in frequency may be another unknown cause. Autism is 3-4 times more common in boys than in girls.
Physiotherapy Center: Our Ergo-therapy Center helps children with autism to achieve success in activities that are meaningful to them. For more information about visiting our work center, visit our website.
This department is concerned with evaluation, diagnosis and treatment of psychiatric illnesses. The services provide outpatient and inpatient treatment services using the latest medical tools 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 medical preview by the outpatient team with the necessary tests and brain images, blood tests by the laboratory and neuropsychological tests and the report of the social study studied by the experts. If necessary, a medical review and tests will be done by other medical branches as required.
Based on the same principles, all treatment options are used in the hands of 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 several services such as drug therapy and additional biological treatments (brain stimulation techniques, phototherapy, etc.), individual / marital / family and group psychological studies by a psychologist, social studies, and treatment specified by specialists.