Clinical Psychiatry and Clinical Psychology

A.Y. 2024/2025
5
Max ECTS
64
Overall hours
SSD
M-PSI/08 MED/25
Language
Italian
Learning objectives
The course aims at providing the fundaments of pathophysiology, psychopathology, clinic and therapeutic interventions of the main psychiatric disorders. In addition, the purpose of the course is to develop the knowledge of the main elements of clinical psychology and their application to the clinical practice: the clinical interview, the psychic examination, the doctor-patient relationship, the psychometric assessment, the analysis of the normal and pathological psychic development in the different phases of the individual's life.
Expected learning outcomes
At the end of the course, the student must have learned the fundaments of Psychiatry and Clinical Psychology, particulary in relation to:

· Pharmacological bases of main psychotropics (antidepressants, antipsychotics, Lithium, mood stabilizers and benzodiazepines);
· Etiopathology, biology, epidemiology and clinical i of the main psychiatric disorders;
· Acquisition of the necessary elements to collect the psychiatric anamnesis and carry out the mental examination;
· Acquisition of the elements to formulate a correct psychiatric diagnosis and differential diagnosis;
· Cpacity to recognize the main psychiatric disorders and make a differential diagnosis in the context of different psychiatric disorders;
· Capacity to collect a psychiatric history, carry out a complete psychic exam and evaluate the symptoms of a patient with a psychiatric illness;
· Acquisition of the bases of clinical psychology and their applications in order to understand, prevent and intervene appropriately on patient's functional impairment on an individual, family and socio-relational level;
· Recognize aspects of adolescent psychopathology that could trigger psychiatric disorders in adulthood;
· Main elements of clinical psychology related to the doctor-patient relationship, clinical interview, psychometric assessment, and psychopathological analysis with particular reference to the psychodiagnostic and psychotherapeutic areas.
Single course

This course cannot be attended as a single course. Please check our list of single courses to find the ones available for enrolment.

Course syllabus and organization

Linea Policlinico

Prerequisites for admission
There are no prerequisites
Assessment methods and Criteria
Methods for verifying learning and evaluation criteria:
Exam methods: for those who have attended the course, there is the possibility of taking a partial written test while the course is still in progress. The written test will be conducted in person (in the classroom) through a multiple-choice questionnaire (4 options, only one correct answer). There would be about forty questions, to be subsequently followed/concluded with a final exam.

The written test is exclusively reserved for "attending students" and will be held only once at the end of the course (date to be determined). The points obtained in class from the discussion of a film would then be added to the grade obtained from the test. The class exercise consists of analyzing a film and a maximum of 2 points can be obtained from the analysis.
Whoever decides to take the ongoing test with the sum of the points obtained from the analysis of the film and refuses the final score loses the extra points acquired (from the film). The initial test is not mandatory for those who decide not to take it, and the extra points obtained with the analysis of the films will be valid for the oral exam. All other official appeals will be oral.
Psychiatry
Course syllabus
The most important psychopathological categories and major and minor psychiatric disorders.

Psychopathology with the following disorders inherent to: perception, ideation, consciousness, memory, volition, attention, affectivity, reality relations and criticism;

Psychopathological disorders inherent to: Perception, Ideation, Vigilance, Consciousness, Ego Consciousness, Attention, Will;

Ego functions

The Reality Relationship

Criticism

Neurocognitive disorders and dementia

Delirium and confusional states

Schizophrenic and schizophrenic spectrum disorders and other psychotic disorders

Depressive disorders and suicide;

Bipolar and related disorders;

Anxiety disorders; Obsessive-compulsive disorder and related disorders; Stress-related disorders;

Somatic symptom disorders and related disorders;

Dissociative disorders,

Substance-related and addiction disorders;

Eating disorders

Personality disorders;

Sleep disorders;

Organisation of Mental Health Departments;

Legal aspects of Forensic Psychiatry and TSO (Compulsory Health Treatment).
Teaching methods
The lessons will be carried out in mixed mode (both face-to-face and with the Microsoft Teams platform). The lessons will be transmitted on the Microsoft Teams platform only for those who for reasons communicated to the secretariat will not be able to attend the lesson in person.

Attendance in the classroom is compulsory for those who want "attending" status. Lessons will not be recorded. All the course materials will be uploaded on the Teams channel.

During the lessons, attending students will present an analysis of a film assigned to them, which they will have seen at home, and which will be exhibited and presented in class as if it were the analysis of a clinical case and then discussed with the whole class.
The presentation and discussion of the film can give students an additional two points on their final grade.
The lessons in Blended mode will be held in the classroom (mixed teaching method), in which students will view some clips taken from films, and then comment on the films afterwards in the classroom.
Teaching Resources
Psicopatologia:
--Sims' Symptoms inthe Mind 4th Edition.An Introduction toDescriptivePsychopathology. Femi Oyebode. Elsevier.
--Hallucinations inPsychoses andAffective Disorders.Editors: Brambilla P,Mauri MC, AltamuraCA. Publisher: Springer.
--Brain Evolution,Language andPsychopathology in Schizophrenia. Editors:Brambilla P, Marini A.Publisher: Routledge,Taylor & FrancisGroup.

Psichiatria:
--Psychodynamic Psychiatry in Clinical Practice. Glen O. Gabbard. American Psychiatric Association Publishing
--Manuale di Psichiatria Clinica. Editor: Paolo Brambilla. Publisher: Minerva Medica
--DSM 5, Diagnostic and statistical manual of mental disorders, Fifth edition. Arlington: American Psychiatric Association, 2013
--Clinical Cases in Psychiatry: Integrating Translational Neuroscience Approaches. Editors: Brambilla P, Altamura CA. Publisher: Springer.
--Manuale di Neuroscienze Psichiatriche e Computazionali. Editor: Paolo Brambilla. Publisher: Minerva Medica.
--Bipolar Disorder Vulnerability. Editors: Soares JC, Brambilla P, Walss-Bass C. Publisher: Elsevier.
-- M. D'Agostini et al. Movies as innovative tools for teaching psychiatry: a new model for cinemedicine. Minerva Psychiatry, Mar 13, 2023. DOI: 10.23736/S2724-6612.22.02397-1
— Psichiatria e psicologia clinica: Bressi C., Invernizzi G., McGraw-Hill, 2017.

Psicofarmacolgia:
--Stahl's EssentialPsychopharmacology.Cambridge UniversityPress, 2014. 4th Edition
Clinical psychology
Course syllabus
The prevalent dimensions of clinical psychology will be described:

· the basis of clinical psychology and their applications;
· to understand, prevent and intervene on the patient's difficulties on an individual, family and socio-relational level;
· the main notions of the psychopathological aspects that can be found in the adolescent life that could develop into psychiatric disorders in adulthood;
· the main elements of clinical psychology related:
· the doctor-patient relationship;
· the clinical interview;
· the psychopathological analysis and the defense mechanisms activated in the relationship, with particular reference to the psychodiagnostic and psychotherapeutic areas.
Teaching methods
· Lectures regarding major and minor psychiatric psychopathological disorders;
· Non formal teaching lessons (DNF): Role playing and clinical case discussion; Written clinical case and oral discussion (six groups of rotating students): anamnesis; psychopathology, diagnostic and therapeutic indications;
· Professional activities: insertion of students in the various territorial services offered by the Complex Psychiatric Operating Unit (SPDC; DH; CPS; CRA; CD) and favoring the clinical application of the theoretical tools learned.
Lectures, role-playing, discussion of oral clinical cases, and writings.
Teaching Resources
· Slides, booklet provided by the professor
· Sadock B, Sadock V. A., Ruiz P. Kaplan and Sadock's Synopsis of Psychiatry: Behavioral Science/Clinical Psychiatry. Lippincott Williams and Wilkins. Cap.31 Child Psychiatry
· Slides and booklet provided by the professor
Clinical psychology
M-PSI/08 - CLINICAL PSYCHOLOGY - University credits: 1
Lessons: 12 hours
Professor: Brambilla Paolo
Shifts:
Turno
Professor: Brambilla Paolo
Psychiatry
MED/25 - PSYCHIATRY - University credits: 4
Informal teaching: 16 hours
Lessons: 28 hours
: 8 hours
Professor: Brambilla Paolo
Shifts:
Turno
Professor: Brambilla Paolo

Linea San Donato

Clinical psychology
M-PSI/08 - CLINICAL PSYCHOLOGY - University credits: 1
Lessons: 12 hours
Professor: Truzoli Roberto
Shifts:
Turno
Professor: Truzoli Roberto
Psychiatry
MED/25 - PSYCHIATRY - University credits: 4
Informal teaching: 16 hours
Lessons: 28 hours
: 8 hours
Shifts:

Linea San Giuseppe

Prerequisites for admission
There are no prerequisites
Assessment methods and Criteria
Written exam. For the course of Psychiatry and Psychology clinic it consists of 31 multiple choice questions, each including 3 answers, 1 of which is correct. 1 point is assigned for each correct answer, 0 points for each wrong or missing answer. To pass the test, a student must provide at least 18 correct answers. The global evaluation of the learning outcomes is the weighted mean of the scores obtained for the two courses based on their credits. The secretary staff will inform students about both the course scores and the final evaluation. Upon students' acceptance of the evaluation, the president of the exam commission will proceed with its electronic registration.
Psychiatry
Course syllabus
The most important psychopathological categories and major and minor psychiatric disorders.

Psychopathology with the following disorders inherent to: perception, ideation, consciousness, memory, volition, attention, affectivity, reality relations and criticism;

Psychopathological disorders inherent to: Perception, Ideation, Vigilance, Consciousness, Ego Consciousness, Attention, Will;

Ego functions

The Reality Relationship

Criticism

Neurocognitive disorders and dementia

Delirium and confusional states

Schizophrenic and schizophrenic spectrum disorders and other psychotic disorders

Depressive disorders and suicide;

Bipolar and related disorders;

Anxiety disorders; Obsessive-compulsive disorder and related disorders; Stress-related disorders;

Somatic symptom disorders and related disorders;

Dissociative disorders,

Substance-related and addiction disorders;

Eating disorders

Personality disorders;

Sleep disorders;

Organisation of Mental Health Departments;

Legal aspects of Forensic Psychiatry and TSO (Compulsory Health Treatment).
Teaching methods
Teaching includes: lectures
Innovative teaching: role playing of clinical cases prepared by the students and presented in groups with discussion with the teacher
Innovative teaching: Projection and Discussion of scientific publications on gender psychiatry
Non-formal teaching in small groups in which students analyse clinical cases brought by the teacher focusing on aetiopathogenesis, differential diagnosis and clinical in-depth analysis
Teaching Resources
Psicopatologia:
--Sims' Symptoms inthe Mind 4th Edition.An Introduction toDescriptivePsychopathology. Femi Oyebode. Elsevier.
--Hallucinations inPsychoses andAffective Disorders.Editors: Brambilla P,Mauri MC, AltamuraCA. Publisher: Springer.
--Brain Evolution,Language andPsychopathology in Schizophrenia. Editors:Brambilla P, Marini A.Publisher: Routledge,Taylor & FrancisGroup.

Psichiatria:
--Psychodynamic Psychiatry in Clinical Practice. Glen O. Gabbard. American Psychiatric Association Publishing
--Manuale di Psichiatria Clinica. Editor: Paolo Brambilla. Publisher: Minerva Medica
--DSM 5, Diagnostic and statistical manual of mental disorders, Fifth edition. Arlington: American Psychiatric Association, 2013
--Clinical Cases in Psychiatry: Integrating Translational Neuroscience Approaches. Editors: Brambilla P, Altamura CA. Publisher: Springer.
--Manuale di Neuroscienze Psichiatriche e Computazionali. Editor: Paolo Brambilla. Publisher: Minerva Medica.
--Bipolar Disorder Vulnerability. Editors: Soares JC, Brambilla P, Walss-Bass C. Publisher: Elsevier.
-- M. D'Agostini et al. Movies as innovative tools for teaching psychiatry: a new model for cinemedicine. Minerva Psychiatry, Mar 13, 2023. DOI: 10.23736/S2724-6612.22.02397-1
— Psichiatria e psicologia clinica: Bressi C., Invernizzi G., McGraw-Hill, 2017.

Psicofarmacolgia:
--Stahl's EssentialPsychopharmacology.Cambridge UniversityPress, 2014. 4th Edition
Clinical psychology
Course syllabus
The basis of clinical psychology and their applications;
to understand, prevent and intervene on the patient's difficulties on an individual, family and socio-relational level;
the main notions of the psychopathological aspects that can be found in the adolescent life that could develop into psychiatric disorders in adulthood;
the main elements of clinical psychology related:
the doctor-patient relationship;
the clinical interview;
the psychopathological analysis and the defense mechanisms activated in the relationship, with particular reference to the psychodiagnostic and psychotherapeutic areas.
Teaching methods
· Lectures regarding major and minor psychiatric disorders;
· Non formal teaching lessons (DNF): Role playing and clinical case discussion; Written clinical case and oral discussion (six groups of rotating students): anamnesis; psychopathology, diagnostic and therapeutic indications;
· Professional activities: insertion of students in the various territorial services offered by the Complex Psychiatric Operating Unit (SPDC; DH; CPS; CRA; CD) and favoring the clinical application of the theoretical tools learned.
Teaching Resources
· Sadock B, Sadock V. A., Ruiz P. Kaplan and Sadock's Synopsis of Psychiatry: Behavioral Science/Clinical Psychiatry. Lippincott Williams and Wilkins. Cap.31 Child Psychiatry
· Slides, booklet provided by the professor



· Slides and booklet provided by the professor
Clinical psychology
M-PSI/08 - CLINICAL PSYCHOLOGY - University credits: 1
Lessons: 12 hours
Professor: Bressi Cinzia
Psychiatry
MED/25 - PSYCHIATRY - University credits: 4
Informal teaching: 16 hours
Lessons: 28 hours
: 8 hours
Professor: Bressi Cinzia
Professor(s)
Reception:
based on appointment
Via Della Commenda, 10/12 - Ospedale Maggiore Policlinico - Pad. Alfieri, first floor
Reception:
by appointment (phone, e-mail)
Reception:
by appointment to be agreed via e-mail
Hall 60 Ospedale L. Sacco via G..B. Grassi, 74 Milano