Trend of psychiatric disorders among out-patients and in-patients of a tertiary care center of India.

Background: Pattern of psychiatric disorders found among patients visiting the hospital helps in understanding the epidemiology, heath seeking behavior as well as strategic service planning and development. Methods: A retrospective health record review, of all the patients visiting out-patient care and in-patient care of psychiatry department of a tertiary care hospital in a period of two years, was conducted to assess the prevalence and trend of most common psychiatric disorders among them. Results: Major depressive disorder and Alcohol use disorder were the most common conditions found in out-patient and in-patient settings respectively. Out-patient consultations were consistently increasing whereas in-patient admissions were variable and decreasing with time. Conclusion: Current scenario and trends of psychiatric disorders among this group of patients is in line with epidemiological patterns and reflects a healthy trend of community oriented (out-patient based) care.

Profile of patients with intellectual disability visiting a tertiary care center in western India.

Background: Intellectual disability is commonly associated with variety of etio-pathological and co-morbid conditions influencing outcome of rehabilitative measures. Understanding of these factors helps in better management of disabled condition. Methods: A qualitative retrospective case record review, of patients with intellectual disability, visiting psychiatry department of a tertiary care hospital, within a period of one year, was conducted to assess their epidemiological and clinical profile. Results: Patients with Intellectual disability are brought to the hospital at all ages and commonly by their parents. Etiologically related various peri-natal factors (delayed birth cry and seizures being most common) as well as childhood medical conditions (epilepsy and recurrent respiratory/GI infections being most common) were commonly found in these patients. Milestones are delayed in almost 60-70% of cases whereas various physical and psychiatric conditions commonly co-existed with disability. Conclusion: Clinical profile of these patients demands a comprehensive evaluation and management apart from routine IQ assessment.