Dr Amer Siddiq on Mental Health

My interview on radio with Salam Bros on Zayan FM

Key concepts in depression management:Outcomes of treatment of people with depressionThinking cognition affecting workWeightSexual disfunction3-words:Function recoveryAbsenteeismPresenteeism (buat-buat busy)Function Recoverysituation where individual is not in recovery but would be back in his pre-stateDepression has 3 components:EmotionalPhysicalCognitionDSST ScaleWeight managementtry to use methods that restricts weight management or at least inform the patient of potential changesSexual Dysfunction

Reflecting on Lady Gaga’s comments on Oprah recently.Difference between psychiatrists and psychologists.Bio psycho-social lifestyle spiritual innovationTypes of medication:Schizophrenia — anti-psychoticBipolar — mood stabilisersAnxiety — anti-anxiety agentPsychopharmacologist - specialist in medicationIf you don’t want medication, options could include:psycho-therapydieting, exercise, personal fitness

Recorded at Casa Titik, CheratingWe don’t know our numbers - we don;t know how miuch we are drinking15 standard units per week.  If you have more then you might have a problem with drinking. Not to consume in one sitting. Take it with food. General rule:1 can (330ml) 4.5% alc = 1.5 standard units1 glass wine (100ml) = 1 standard units30ml liquor = 1 standard units Lowered risk of developing drinking problems. It’s not safe to quit cold turkey! Please don’t drink and drive!

Temubual saya di TV3 pada 10 April 2019 bersama dengan Tuan Hj. Adnan Mat, Setiausaha Agong Cuepacs Pengurusan masa Masalah bermula apabila kerja lebih 55 - 60 jam sehari. Masalah fizikalMasalah mental Puncanya… STRESS! distress —> burn out —> masalah emosi Isu fisiologikal - badan sedia bertindah (adrenalin, glucose).sakit jantungsakit angin ahmar Sintom burn out:hilang minat untuk kerjapenat selalutidak ada motivasiabsenteeism - tidak datang kerjapresenteeism - datang kerja tapi tak buat kerja Selfcare:masa bersenammasa dengan keluargaambil cutibajet teratur

My talk recently at the 5th ASEAN Region Primary Care Conference.Topic for today:Challenges of dealing with youths/key concepts of addictionsSubstance affect on the brainGateway TheoryCannabis UseChallenges / Solutions for treating youthsDealing with 2 problems:the adolescences themselvesthey are at risk of developing substance abuseThey are looking for a sense of identity, individuality.Substance are related to suicide.Anything that can be made into liquid can be vaped.Social Media and the Internet are easy access for youths to access substances.Reduce stigma to let youths to approach family members and doctors (not peer age group)Legal and Family issues.Treatment needs to be tailored to the individual.

Interview saya dengan Team Pagi Suria tentang kemurungan dalam budak-budak (depression in children). Apa tanggungjawab netizen? Jangan jadi yang suka mengecam.

Ini adalah mitos!Kenapa?Kemurungan - berterusan lebihi 2 mingguAnhedonia (mati rasa)Masalah konsentrasiRasa tak bergunaPenat, kurang tidurTidak waras

Together with Dr. Aida Syarinas.It is a psychological method to manage stress (talking therapy)Types of therapies:Cognitive behaviour therapy - working forwardsPsychodynamics therapy - working backwardsInterpersonal PsychotherapyMindfulness - breathing exercisesMotivational InterviewingSupportive psychotherapy - assist patients to get where they need to goAcceptance and Commitment therapy - for people stuck in certain life events or choric painMarital therapyEclectic therapyDurationDepends on individual issues:CBT - 12 sessionsPsychodynamics - 20-40 sessionsPatients must be committed.  Once a week is common.Requirements of a psychotherapist:Either:Clinical psychologist with psychotherapy trainingPsychiatristWorkshop with motivational interviewer

Together with Dr. Aida Syarinas talking about her interview with her sister Dr. Aizura Syafinaz in O&G.Attachment theory - Importance of bonding between the infant and the primary care giver.Anxious ambivalent attachment - strong need for closeness and affection. makes them vulnerable to sexual advances without the info of unprotected sexCan be as young as 12.Prevention starts from home: have a healthy relationship with your children.spend quality time with childrentalk to them about sex

A form of behavioural addiction (most well known is gambling)Hypersexual disorderIf you are viewing more than 4 hours a day and starting to feel guilt or shameIf you are having orgasm more than 7 times a week as results to viewing pornMen have a higher risk of this addiction.You might have an addiction if:tried to stop but unable to do so (dyscontrol)lot of time spent viewing (asocial)compulsive viewing (even when you are not enjoying it)withdrawal symptoms if not able to watchviewing more specialty material Struggling with porn addiction:going out lesstaking risk to watchwatching in public space Affects:spoilt relationshipsunable to get an erection Biology:a link with dopaminechanges in part of braindevelopment in less active part of brainSometimes linked with depression and anxiety We are now on Spotify!

Perlu surat sokongan (referral letter) dari klinik kesihatan atau klinik swasta.Kalau kecemasan, boleh ke bahagian kecemasan untuk pertolongan yang cepat.Isu kecemasan:isu keganasan - membahayai orang lainingin membunuh diri Kalau ingin menjumpai doktor (bukan pakar)di LPPKN bahagian kerja sosial (social work)di klinik kesihatanMENTARI - Pusat Mental dan Psikiatri Komuniti Hotline yang boleh dihubungi:Befrienders (03-7956 8145 - https://www.befrienders.org.my)Persatuan MIASA (013-878 1322 - https://miasa.org.my)AWAM - All Women Action Malaysia (03-7877 0224 - https://www.awam.org.my)

1st January implementation by government of Malaysia.Supplement to the BFM segment (http://www.bfm.my/smoking-is-an-addiction.html)About the banprotect family from 2nd hand smokeassist in stopping smoking Assistance to stop smokingJom Quit! - http://jomquit.moh.gov.myQuit smoking aidsCouncellingQuit-line service Ministry of Health complaints hotline - 03-8892-4530

Thank you to all my listeners for tuning in and support to keep this podcast going.Hot topics for 2018Generalised anxiety disorderPersonality disordersSuicide preventionFor 2019Moving forward with the podcastMore animated videos with psyberMore VLOGsmentalhealth.my improvementsDo follow us and spread the word!FB, Twitter, IG - @dramersiddiqpsyFB, Twitter, IG - @mazranz (technical)

The more teeth that you have at your end of life determines how good a life you had.Halitosis or smelly breath can lead to low self esteemPhysical oral health (deformation) can result to bullying, and depression issuesAccess to oral health - anxiety to visit the dentistConsequences of medicine for mental healthCan result in halitosis (histaminergic effect of schizophrenia drugs)Problem with gumsTooth loss

Imperative to get diagnosis if they want to advocate mental health!Don’t create negative views if you personally have not been seen and diagnose.Depress mood does not mean bipolar mood disorder#kamikisah

EEG, MRI, CT BrainNecessary to allow to further investigate the brain.Who should do it:If in age above 50 and suddenly develop symptoms to see mental health specialist.  Do a CT brain firstIf young, symptom of psychosis or mood.  Best to do to find possibility of reversing symptoms.diagnosed and treated with symptom, but not much improvement in recovery or a change in symptom.Follow me on:FB, IG - dramersiddiqpsy

Looks at:thyroid stimlating hormone (TSH)thyroxin T4triiodothyronine T3Used to diagnose:depression (hypothyroidism)mania (hyperthyroidism)anxietyIf it is a mood disorder because of a medical condition, will refer to an endocrinologist to prescribe required drugs to balance hormones.

Professor John Kane Kane’s criteria for treatment resistance schizophrenia (TRS):Person taking medicine and having:adequate doseadequate durationbut no response after taking medication, can sign up for TRSClozapine clinicIn 2018, it is possible that 1 of the 2 drugs is long-acting, injectable drug.70%-80% of schizophrenia patients don’t take their medicineFollow me on:FB, IG - dramersiddiqpsy

Befrienders panel discussionPositive story:  patient with Schizophrenia3% relapse with treatment, 80% relapse if without treatmentif you are having these symptoms or side effects from the medication, please speak to your doctor!New treatment was more effective. We are 1 year old!!

Which translates to We Carecreate mental health awarenessdestigmatise mental healthintroduce existing mental health care providersIndividual assessment done when walk in to clinic.Specialist will see patient on the day. dramersiddiqpsy on Facebookmentalhealh2018 on Facebookstatcircle on Instagram@stat1circie on twitter

Art exhibition with Malaysian ADHD Society until 30th November in UM art gallery.Issues affecting the younger generation:Role of stigma in preventing youth to seek mental healthInternet addiction / cyber bullyingDepressionAccess to help#kamikisah #standtogether #plainkite #psyber

Yay!!  50th Podcast!  Congratulations to my team! Coming up:October 6th - 30th November - Mental health art exhibition with UMOctober 7th - Bike Artisans Men’s Ride 100kmOctober 10th - Celebrating World Mental Health Day at UMMC, 13th Floor.October 13th - Befrienders public forum on Suicide prevention (more info to follow) 

Ini adalah audio dari temuduga saya di TV3 dalam program Wanita Hari Ini.Selamat mendengar!

defined by personality that is often rigid, and unhealthy on how they think and behave.made over a long period of time. start in teenage years, early adulthoodpatients are unable to see faults.Cluster A - paranoid, schizod personality. more distressed. unjustified beliefs. odd.Cluster B - dramatic, emotional, unpredictable behaviour. Anti-social. Narcissistic.Cluster C - anxious, timid, avoidance, OCD. Low self esteem.Disorder is treated with psychotherapy.Patients can be admitted for safety reasons (if needed)See a psychiatrist or psychologist.Find us on www.mentalhealth.my

 Patient has symptoms switching between psychosis, delusion, and mood systems independent of each other.Only 0.3-0.5% of the population evenly between men and women.Risk of substance abuse during symptoms.Could be genetic.But it can be recoverable! find us on www.mentalhealth.my

Here's a very uplifting and positive story on why you should, if suggested, see a psychiatrist.  People can’t initially figure out what the value of seeing a psychiatrist but it helps and can improve someones life. Find us on www.mentalhealth.my

Part-1 Exam:Must be good in psychopathology in your first year.Do as much reading to gain competence.It’s not just a 4-year program.  It’s a life-long study.Part-2 Exam:All about the management.  See as many patients as possible.Requires reading of current management guidelinesRead updates of the fieldPart-3 Exam:Be involved psychiatryCan’t be a psychiatrist without advocating the professionBe ethical

Openly or covertlyDirect solicitation of sexual favoursDirect physical contact Affects both men and women Happens more often in work or social setting Victim of sexual harassment can develop:chronic stressdepressionanxietytraumarecurrent memories, flashback of incidentslow mood PreventionEnsure environment is safe from these peopleSystem in organisations to allow complaintsCreate organisation culture to stress that this is not toleratedBe professional in what you doVenues to seek help Look for me at http://mentalhealth.my

How to identify? What can we do about it?We need some level of stress to function.Consequences of chronic stressIncreased metabolism, heart rateWithout control might cause medical conditions:hypertensiondiabetesstrokedeterioration in parts of the brainanxiousdevelop depressionKnow your limitsCoping with stressproblems with sleep - physical aspectproblems with mood - emotional aspectMeditation / ReligionSchedule in breaks - breathing exercises

4 main mental health issues with kids:hyperactive disorder - could be considered naughty kids in schoolautism spectrum disorder - labelled as odd-balls, playing on their own, not attentive to parentsdepressionanxiety - overlapped with depression. Usually happens at an older age.Thanks for listening.

Safe drinking levels guidelines.15 units recommended per week.1 glass of wine = 1 standard units1 can of beer (330ml, 5%) = 1.5 unitsIf usage is more can be considered binge drinkingChronic alcohol use can lead to heart issuesCome forward if you have issues regarding alcohol use.#askdramer#tanyadramer

Kemurungan - penyakit mental utamaBoleh jadi sebelum, semasa, atau selepas bersalinSintom seperti rasa bermasalah, tak sanggup hidupBiasanya masa kelahiran bayi yang pertama.Persaan sedih, bersalah, “tak nak” : terabai keperluan bayi#tanyadramer

PLUG: Malaysian Congress for Psychological Medicine Conference (19-21 July) - more details on this topic will be discussed hereDo’s and Don’t’s:think about who the audiences are. If you are sharing, please include where to find help as well.please leave out the details.  It might encourage others to try.avoid making it a headline.  We don’t want to glorify the act.more sensitive instead of sensationalavoid pictures, front covers** Look up Befrienders in Malaysia if you feel you need someone to talk to - 03-79568145 or https://www.befrienders.org.my

Mainly due to work.  It is different from depression.SymptomsLost of physical / emotional wellbeingLoss of pleasureFeeling extremely tired / difficult to sleepCausesEnvinronmentExpectation of environmentCuresAllowing longer time-offChange of workAdjusting around work might be helpfulPreventionIf you can't control you work environment, it would be harder to implement these tips.Be assertive in saying 'No!'Take your annual leave (take a break once in a while)Hazard leave (if your profession allows it)Manage expectations at workAdequate sleepExercise (6 hours before you sleep)Eat well (not instant noodles)EID MUBARAK - SELAMAT HARI RAYA

Anxiety attack brings produces physiological and psychological symptoms.Breathing exercise helps calm nerves.Must be practiced when you are well, then it will come naturally when under attack.Watch the video here: https://www.youtube.com/watch?v=3T4PA5l-q9M

Can happen just before or up to over a month after delivery.Up to 50% chance of getting after delivery.Can effects both partners.Might lead to postpartum psychosis.Symptoms:moody during pregnancy, especially 3rd trimester : not excited for their child, or similarincreased risk if prior depression has been diagnosed###Find me on twitter @DrAmerSiddiqPsy or #medtweetmy @medtweetmyhq or on Facebook and Instagram at DrAmerSiddiqPsy.  Looking forward to reading your comments and tweets!

Advocating accessibility to mental health care.Main issues that is facing students:- STRESS!All higher learning institution has panel medical centers or clinics.Department of psychological dept might be able to refer you to the correct channels. ###Find me on twitter @DrAmerSiddiqPsy or #medtweetmy @medtweetmyhq or on Facebook and Instagram at DrAmerSiddiqPsy.  Looking forward to reading your comments and tweets!

Success rate is highest in the first two weeks of RamadanmQuit program - http://jomquit.moh.gov.my/mquitcenters

Long term, defibrillating disease.Duration of untreated illness is about 3 years — Dr.KohDo I need to be on medication?  YES!It helps save the brain functions longer.Depo injection is the way to go. ### Malaysian Tatler’s Gen.T https://my.asiatatler.com/generation-t/2018-list/amer-siddiq-amer-nordin Check out my videos on FB. We are on Raku!  Thank you for hosting our podcast. www.raku.my Find me on twitter @DrAmerSiddiqPsy or #medtweetmy @medtweetmyhq or onFacebook and Instagram at DrAmerSiddiqPsy.  Looking forward to reading your comments and tweets! Also MyMentalHealth on Youtube - focusing more on Malay content

Adolescent development time is very important!Traits: Curious, risk taking, experimentingOff-the-shelf ‘drugs’ such as alcohol, tobacco are easily available.Highly likely to progress to heavy drugs: cocaine, heroin, marijuanaThey will likely fall behind in school.Medical health will also be affected.Deliberate self harm or suicide is also related to substance abuse.Challenges:increasing number of new drugsdelivery of drugs is a problemSocial media addiction can also lead to depression.Be vigilant with monitoring kids. Be apart of the development. ### Check out my videos on FB.We are on Raku!  Thank you for hosting our podcast. www.raku.myFind me on twitter @DrAmerSiddiqPsy or #medtweetmy @medtweetmyhq or on Facebook and Instagram at DrAmerSiddiqPsy.  Looking forward to reading your comments and tweets!Also MyMentalHealth on Youtube - focusing more on Malay content

Affects on:Cognition - slower to return after treatmentSleepIt is not as simple as a lack of serotonin.In Malaysia, it is sometimes viewed as weak willed or lack of religious piousness.If we don’t recognise this issue, they might be worse off rather than helping.If you know someone who you think might be depress, please help them to see a qualified therapist and get help. ###Check out my videos on FB.We are on Raku!  Thank you for hosting our podcast. www.raku.myFind me on twitter @DrAmerSiddiqPsy or #medtweetmy @medtweetmyhq or on Facebook at DrAmerSiddiqPsy.  Looking forward to reading your comments and tweets!Also MyMentalHealth on Youtube - focusing more on Malay content

This was my talk during MPAC 2018 recently. It is 40 minutes long but a good listen.If you have any questions from this talk, please contact me via FB or twitter.###Check out my videos on FB.We are on Raku!  Thank you for hosting our podcast. www.raku.myFind me on twitter @DrAmerSiddiqPsy or #medtweetmy @medtweetmyhq or on Facebook at DrAmerSiddiqPsy.  Looking forward to reading your comments and tweets!Also MyMentalHealth on Youtube - focusing more on Malay content

6-month milestone! We’re happy that we got this far and help improve the awareness of mental health.Is it just recently we hear about mental health issues?awareness has improved recentlyHelps increase number of people to come forwardAccess to Mental Health in Malaysia is readily available although it could be a little tricky to find for foreigners.My new Facebook name: DrAmerSiddiqPsy  ### Check out my videos on FB.We are on Raku!  Thank you for hosting our podcast. www.raku.myFind me on twitter @DrAmerSiddiqPsy or #medtweetmy @medtweetmyhq or on Facebook at DrAmerSiddiqPsy.  Looking forward to reading your comments and tweets!Also MyMentalHealth on Youtube - focusing more on Malay content 

Stigma prevents people to come forward.Mental health stigma is stronger than physical health problemsMy thought:have knowledge of your illnesscome forward to seek helpspeak to someone e.g. Befriendershaving more exposure of mental issues will also reduce stigmaWHO denoted a healthy person has good:mental healthsocial healthphysical healthWe hope to make mental health stigma is reduced to the same level of physical health###Check out my videos on FB.We are on Raku!  Thank you for hosting our podcast. www.raku.myFind me on twitter @DrAmerSiddiqPsy or #medtweetmy @medtweetmyhq or on FaceBook at DrAmerSiddiqPsych.  Looking forward to reading your comments and tweets!Also MyMentalHealth on Youtube - focusing more on Malay content

Having recovering patients and families take part in support and awareness.Helps reduce skeptics to the program and care.Psyco-social Rehabilitation Programs in KoreaCare Cafe - run by patients who are recovering with mental illnessPeople with mental health issues have a right but the mental health act may temporary remove that right based on the severity of their illness.Mental health art exhibition: - to celebrate world mental health dayCheck out my videos on FB. ###We are on Raku!  Thank you for hosting our podcast. www.raku.myFind me on twitter @DrAmerSiddiqPsy or #medtweetmy @medtweetmyhq or on FaceBook at DrAmerSiddiqPsych.  Looking forward to reading your comments and tweets!Also MyMentalHealth on Youtube - focusing more on Malay content

Anterograde - Unable to remember new thingsRetrograde - Unable to remember things of the pastPossible causes of amnesia:infection of the brain (meningitis)tumour in the braininflammation of the brainseisureIntervention due to mental health treatmentChronic alcohol users (confabulations)Accute stress distorder (psycholoigcal)Potential diagnosis methods:MOCAmini-mental state examination  (MMSE)electro encathelogramCT Brain scanIn Malaysia, traumatic brain injury is main cause of amnesia due to number of accidents.  Please wear safety gear, particularly helmet.No specific medication.Shoutout to PM LIVE! ###See me on MyDoctors on ASTRO Ria tonight - 19th Feb 2018 at 11pm, and every Monday after that.We are on Raku!  Thank you for hosting our podcast. www.raku.myFind me on twitter @DrAmerSiddiqPsy or #medtweetmy @medtweetmyhq or on FaceBook at DrAmerSiddiqPsych.  Looking forward to reading your comments and tweets!Also MyMentalHealth on Youtube - focusing more on Malay content

Sambungan dari series Bismillah Ad-duha di ASTRO 106.Satu penyakit kesihatan1% rakyat Malaysia18-35 tahunMasalah mania atau hypermania dan polarnya kemurungan.Type 1 - Mania sahajaType 2 - Kemurungan dan maniaDelusi dan halusinasiMengapa?KeturunanGinetikStressPengambilan dadah stimulanHyperthyroidDengarlah saya di Raku - www.raku.my.  Juga atas talian di Twitter @DrAmerSiddiqPsy atau #medtweetmy @medtweetmyhq atau di FaceBook dibawah nama DrAmerSiddiqPsych.

Anxiety is excessive exaggerated response. Symptoms:Tension (muscular, head)Restlessness or edgyHighly irritableUnexplained headacheSweating, nauseaUnrealistic view of their problems increasing their anxietyRuns in the familyMay be some biological condition that causes this.It is not as common in Malaysia, compared to panic disorder. ###See me on MyDoctors on ASTRO Ria tonight - 19th Feb 2018 at 11pm, and every Monday after that.We are on Raku!  Thank you for hosting our podcast. www.raku.myFind me on twitter @DrAmerSiddiqPsy or #medtweetmy @medtweetmyhq or on FaceBook at DrAmerSiddiqPsych.  Looking forward to reading your comments and tweets!Also MyMentalHealth on Youtube - focusing more on Malay content

Perception without a stimulusWe can co-relate sections of the brain with the symptoms.Amphetamine type drugs can contribute to the hallucinations.1% of individuals could have a mental health issue that has hallucinations.###We are on Raku!  Thank you for hosting our podcast. www.raku.myFind me on twitter @DrAmerSiddiqPsy or #medtweetmy @medtweetmyhq or on FaceBook at DrAmerSiddiqPsych.  Looking forward to reading your comments and tweets!Also MyMentalHealth on Youtube - focusing more on Malay content

Sindrom neurology - pergerakkan (tiks) ulang-kali yang luar kawalanSimple - seperti pergerakkan jariComplex - seperti melatah / mencarutAda juga kes yang sindrom tourette akan pulih sendiriDengarlah saya di Raku - www.raku.my.  Juga atas talian di Twitter @DrAmerSiddiqPsy atau #medtweetmy @medtweetmyhq atau di FaceBook dibawah nama DrAmerSiddiqPsych.