Psychiatry

Mini Grand Rounds

Mini Grand Rounds
As part of our continuing effort to provide the public and healthcare professionals with up to date information about current issues in Psychiatry, we have developed this series called “Mini-Grand Rounds”. This collection of videos clips, prepared and delivered by the Grand Rounds Speaker, summarizes in plain language, the main points of a presentation recently delivered at the UHN’s Department of Psychiatry. Your comments are welcomed.

Dr. Rima Styra
Director of Continuing Medical Education
Department of Psychiatry
University Health Network

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▪	Mood Disorders: Should they be classified as metabolic syndrome type II In this talk, Dr. Roger McIntyre of UHN's Mood Disorders and Psychopharmacology Unit, gives a brief introduction to the history of mood disorders leading up to the new thinking about its causes
▪	Smoking cessation in patients with mental illness In this talk, Dr. Peter Selby of the Center for Addiction and Mental Health (CAMH) tackles the moral, ethical and medical issues surrounding ways to help mentally ill patients deal with their smoking addiction<
▪	Mentalizing and the Treatment of Trauma Mentalizing is the capacity to perceive and interpret human behavior as an expression of internal motivations which include needs, desires, feelings, beliefs, goals, purposes, and reasons. Understanding and improving the mentalizing process can have a significantly positive impact on the treatment of psychological conditions including unresolved traumatic experiences. In this mini round Dr Claire Pain explains the role of mentalizing in trauma therapy.
▪	STILL OUT IN THE COLD: Women, Homelessness and the Hospital Homelessness is an important and growing problem in Toronto. In this mini round, Dr Vicky Stergiopoulos discusses the health, mental health and addiction treatment needs of homeless individuals. While much is being done, there are gaps in service that still need to be addressed. Identifying future policy and program directions is the route to capitalizing on the opportunities for improved service.
▪	Obesity in Major Depression In this video Dr. Levitan reviews the thinking about the relationship between obesity and the different symptomatologies that are characteristic of depression.
▪	Ethno-Cultural Act Team for Metro Toronto: Challenges And Opportunities The Mount Sinai Assertive Community Treatment Team (ACT) is an innovation on the ACT model that focuses on recent immigrants and ethnic minorities who traditionally have more marginalized treatment in the mainstream psychiatric system. The care is delivered by a unique combination of matching the cultural backgrounds between the staff and clients, and by promoting cultural competence models. The results of this team have been remarkable.
▪	Perspectives on Suicide Suicide is closely tied to the presence of psychiatric illness such as depression. However, suicide is caused by multiple factors rather than a single issue or event. As a result, suicide prevention calls for a broadly based and comprehensive plan.
▪	Borderline Personality Disorder Patients with Borderline Personality Disorder suffer from poorly regulated moods, impulsive behavior and disturbed relationships. Suicidal behavior and suicide are a significant risk for individuals with borderline personality disorder. Although this disorder is often considered difficult to treat, now four or five psychotherapy approaches have been shown to be helpful.

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