29^th International Conference on Psychiatry & Mental Health September 14-15, 2018 Singapore

Biography:

MS. SUCHI is an experienced International Pre School Principal/Manager who learnt Laughter exercises from many coaches around the world. She then designed Laughter Therapy which is being used  in many places such as hospitals and Senior Activity Centres. She provides individual and group therapy as well in educational. And home settingsA former Manager / Trainer ie now engages in building social awareness about ‘Depression & Anxiety ‘ and the harm it brings to people, families and communities. Her aim is to encourage people to seek help early and get on the path to recovery. Her works k has been featured in local press, TV and Radio and has been an invited speaker at various community clubs and educational  Institutions.  She has also been awarded MINDS and various community clubs  in recognition of her social work

Abstract:

Statement of the Problem: There is a lack of awareness about what are happy harmones and what can be done to get them. People tend to feel unhappy for multiple reasons and sort towards Addiction & Alcoholism  and commit suicides in some cases.

Methodology & Theoretical Orientation:Review of Books and Research shows that feeling good and taking care of our emotional well being will resolve the problems of Addiction , Alcoholism and it will decrease suicide rates as well. Adopting  Laughter therapy and getting harmones which makes one feel good will help many to recover from Depression & Anxiety thus reducing suicidal rates.

Findings: One needs to work on his/her energies using Laughter Therapy which is a  positive approach for not having Depression & Anxiety or use it as a Holistic way to  recovery.

Conclusion & Significance: The Laughter therapy which includes ways to get the dosage of happy harmones promotes overcoming Depression & Anxiety using a fun way.  Leading fulfilling lives encourages people to get a new life away from Addiction & Alcoholism . Repeated sessions to be conducted to remind people that the new life should go beyond just seeking medical and counselling help and also include rebuilding Spiritual, Physical, Emotional, Relational and Mental health. The model has been put together from for testing in many settings including hospitals ,elderly homes and senior citizen centers.  This is not a research book or paper. It is just an effort to demystify the help available for Depression & Anxiety . It is an attempt to motivate and encourage people to seek help and take a simple approach to remember and work on all aspects of their recovery.

Biography:

Catherine Maurice completed her residency training in Neurology at the University of Montreal in 2013. She then started a 2-year fellowship in neuro-oncology at the Pencer Brain Tumor Centre of Princess Margaret Hospital, Toronto, under the supervision of Dr Warren P. Mason. In 2015, University of Toronto Health Network recruited Dr. Catherine Maurice to work as an attending physician and clinical teacher. She developed a new neuro-oncology clinic focusing on the to assessment of neurologic complications resulting from systemic cancers and novel therapies. She also manages another clinic focused on primary brain tumors and is enrolled in the multidisciplinary Gamma-Knife Clinic of the Krembil Neuroscience Centre. Dr. Maurice is actively involved in teaching, trying to incorporate new technologies and virtual reality into medical education

Abstract:

We entered in a new era of cancer treatment characterized by the arrival of novel therapies. Immunotherapy has revolutionized the management of various solid tumors and hematological malignancies. On the other hand, the emergence of unpredicted multi-systemic side effects resulting from those agents became challenging for clinicians. Neurological toxicity, while rare, could be life threatening and even lethal. In addition, neurological toxicity is certainly under-diagnosed, considering the paucity of current supporting literature. Novel therapies are linked to unprecedented clinical pictures; physicians need to be vigilant. The next step, establishing a plan in the absence of algorithm, relies on judgment and insight. This presentation aims to raise awareness about the emergence of uncommon neurological events, in the new era of immunotherapy. Short cases scenarios will be presented supported by radiology images and pathology pictures. “Quiz” questions will be prepared to interact with the audience. The goal is to trigger interest about the field of Neuro-Oncology. The presentation will be adapted for guests of every level of training (students, PhD, physicians, specialists).

Biography:

J. Harini Christopher is the recipient of the Best Free Oral Paper awarded by the 21st World Congress on Mental Health, 2017 and another on mental health in the work place, WCMH, 2017 and co-author of Lester Fernandez Studentship, 2016.  She obtained her Doctoral degree in Social Work. Prior to taking a position at Sampurna Monfort College, she worked as Professor at the CMR University, Bangalore and BALM, Chennai, affiliated to the TISS University, Mumbai and earlier at the Dept. of Psychiatry, SJMCH.  She has worked in the field of mental illness for over 19 years and her main activities revolve around clinical work, academia and research relating to psychological well-being of different sections of society, which have been presented at National and International conferences and published.  She has conducted training programs with NIMH, NTA, KPAMRC and RCI and founding board member of the Persons with Cerebral Palsy and Neuro Muscular Disorders and Board Director of the Centre for Counseling, Research, Training and Consultancy

Abstract:

One in five adolescents in the world hails from the Indian subcontinent, have the highest rates of suicides in the world and is the second leading cause of death in the 5-to-24-years age group.

Aim: Epidemiological studies have been done from a cross section of adolescents living in rural and urban in-tact families. However, less focus has been given to the psychological well-being and suicidal behaviour of adolescents with early parental separation, traumatic life experiences and living in non-biological homes. 

Method: Paper and pencil method assessed socio-demographic, suicide behaviour (SBQ-4) and  psychological well-being (WHO-5) among 73 adolescents aged 10 -18 years, living in ten relocated homes, registered with Child Welfare Committee, using purposive sampling, descriptive cross sectional and single-subject design. Managers of two homes refused permission and thirteen schedules were excluded. Leading questions pertaining to early familial life or experiences in present homes were avoided due to the adolescent’s vulnerable situation. Confidentiality assured. Data was analysed using Descriptive statistics, T Test and correlation (SPSS 16), with 95% CI.

Results: Mean age was 13.86 (±1.93) years, more girls in 10-12 years (p<0.001), residing in homes for 7- 10 years (p<0.001).  One-fourth of boys were studying in high school and almost a third of girls in middle school. While girls had significantly (p<0.05) higher overall scores on SBQ (5.59 ±2.17), more boys had made/thought about killing themselves (1.51±.91), while significantly more girls (p<0.05) were contemplating suicide (1.39±.65).  Significant differences in well-being seen in one in five adolescents (p<0.001), indicating poor well-being and need for further evaluation.  

Recommendations and Conclusion: Adolescents will be the productive workforce in the next five to ten years, account for about a third of all suicides in the country and a large majority of these young attempters, have not received any kind of psycho-social interventions. The absence of accurate estimates has resulted in a serious mental health treatment gap among child and adolescents in low and middle income countries.  A multi-disciplinary team approach can solve the human-resource gap in healthcare, with psychiatric social workers’ evidence-based services playing a major role in the prevention, management and policy of mental, neurological and substance use disorders, including family and school based identification and preventive interventions. 

Biography:

Rajib Dutta is a postgraduate neurology trainee 1^st year in china with MRCP UK  London, Diploma in emergency Medicine (Royal college UK), Diploma in clinical neuropsychology(UK), Pediatric Neurology certification  BPNA (UK, ongoing). His a movement disorder and neurodegenerative specialist in china and we see different spectrum of movement disorders patient  like chorea, dystonia, PD, tremors  myoclonus, AD, FTD, ALS, LBD, WD and other disorders like, PERRY syndrome, Episodic ataxias, Parkinson plus syndromes (MSA,PSP,CBD), Dyskinesias (PKD ,PED etc) so his research interest revolves around PD, Camptocormia, Paraneoplastic antibody syndromes or degeneration related to movement disorders, he recently submitted a meta analyses of  vit D and its association with PD in frontiers of neuroscience under review plus submitted this above mentioned abstract in Movement disorders under review, working on WD with secondary PKD, Face of Giant Panda in WD, PARK 2 neuropathy.

Abstract:

Statement of the problem: Anti-Ma2 antibody -associated encephalitis, which usually occurs in young men with  germ cell tumors of  the testis with features of encephalitis ,it can also present in elderly females with basal ganglia disorder features like Parkinsonism and  cerebellar ataxia in absence of limbic or brainstem or di encephalic encephalitis. Patients may not present with any form or symptoms of encephalitis but the treatment response rate with steroids, IVIG, plasmapharesis to control the initial symptoms is very high and after resection of the tumor all the symptoms can be totally cured. So, even there is no evidence of tumor on basic contrast CT /MRI scans, other special imaging  like FDG -PET or highly advanced tumor searching imaging plus serum tumor markers of different tumors should be considered as the tumor spectrum associated with anti Ma 2 antibody encephalitis is huge and resection of the tumor can totally cure the patient.

 Case: A 68-year-old female presented to our department with resting tremor of right hand for 2 years. After 6 months, resting tremor gradually involved her right leg. Antiparkinsonian drugs were initiated but her symptoms worsened gradually. Since last 3 months, she developed features of imbalance with occasional falls and a weight loss of 10 kg. Neurological examinations showed features of Parkinsonism. Brisk DTR right side more than left with abnormal cerebellar signs.

CE MRI mild atrophy of cerebellum. Anti-Ma2 antibodies in serum and CSF positive. Serum cancer antigen 72-4 was elevated. A sigmoid colon mass was discovered by colonofiberoscopy and adenocarcinoma was diagnosed via tissue biopsy. Steroids, IVIG and resection of the tumor completely cured the disease.Conclusion: 1) Parkinsonism or cerebellar ataxia as main component of anti-Ma2-associated encephalitis was rarely reported.

2) Colon adenocarcinoma was rarely reported in this disease.

3) Response rate to treatment relatively very high.

Biography:

Satu Pihlaja is working in University of Helsinki. She had Completed her internet interventions for mental health with a research group in the Univerisity hospital of Helsinki and Uusimaa. She has recently published a review paper on therapeutic alliance in internet interventions

Abstract:

The efficacy of human supported internet-delivered asynchronous self-help cognitive-behavioral therapy (iCBT) for depression is well established. Studies suggest that guidance is important and that programmes without therapist support are less effective. Different ways of support have been studied. The objective of this study was to find out if an intensive telephone support (ITS) can increase the proportion of patients completing the programme (primary outcome), to prevent unnecessary delays during the treatment and to improve the effects of iCBT on symptoms of depression. Patients on iCBT who expressed sub-optimal motivation (n=100) have been randomly assigned to either intensive telephone support (ITS) added to iCBT or to iCBT as usual (seven sessions of standard CBT on the internet, with written asynchronous therapist-patient communication). There were significantly more programme completers in the ITS group than in control group. Predictors and mediators of these effects, as well as monetary rationale for ITS will be discussed.

Biography:

Consultant Radiologist in MRI department Nanavati Superspeciality Hospital, Mumbai. Consulting Radiologist at Sunridges Hospitals, MumbaiTeleradiology consultant for Acuscan Imaging Centre, Manjeri Diagnostic Centre, Kerala, Lotus Imaging Centre khargarh, Vidhi Diagnostics, Rajnandgaon and Nucleus Diagnostics, Lagos

Abstract:

Biography:

Prof. Radu Mutihac is Chair of Medical Physics Section, University of Bucharest, and works in Neuroscience, Signal Processing, Microelectronics, and Artificial Intelligence. As postdoc/research associate/visiting professor/full professor he has run his research at the University of Bucharest, International Centre for Theoretical Physics (Italy), Ecole Polytechnique (France), Institut Henri Poincaré (France), KU Leuven (Belgium). Data mining and exploratory analysis of neuroimaging time series were addressed during two Fulbright Grants in Neuroscience (Yale University, CT, and University of New Mexico, NM, USA). His research in fused biomedical imaging modalities was carried out at the Johns Hopkins University, National Institutes of Health, and Walter Reed Army Institute of Research, MD, USA.

Abstract:

Studies of brain connectivity alterations using resting-state functional magnetic resonance imaging (rsfMRI), diffusion tensor imaging (DTI), and, more recently diffusion spectroscopic imaging (DSI) data have advanced and enlarged our knowledge on the organization of large-scale structural and functional brain networks, which consist of spatially distributed, but functionally linked regions that continuously share information.

Brain's energy is largely consumed at rest during spontaneous neuronal activity (~20%), while task-related increases in metabolism energy are minor (<5%). Spontaneous ultralow-frequency fluctuations in BOLD-based rsfMRI signals (<0.01Hz) at the level of large-scale neural systems are not noise, but orderly and organized in a series of functional networks that permanently maintain a high level of temporal coherence among brain areas that are structurally segregated and functionally linked in resting state networks (RSNs). Some RSNs are functionally organized as dynamically competing systems both at rest and while performing various tasks.

The default mode network (DMN), the most important RSN, is even more active during rest and involved in realization of tasks like memory retrieval, emotional process, and social cognition.

Cortical connectivity at rest is reportedly altered in several neurological and psychiatric disorders. Most recently, human brain function has been imaged in fMRI, and thereby accessing both sides of the mind-brain interface (subjective experience and objective observations) has simultaneously been performed. As such, functional neuroimaging moves onto new potential applications like reading the brain states, discriminate neurological dysfunctions (if any), brain- computer interfaces, lie detection, and alike.

The contribution aims to review and evaluate the most current approaches for early detection and classification of cognitive impairments and dementia, particularly among syndromes with relatively similar behavioral effects, based on alterations in brain connectivity at rest explored by rsfMRI, DTI, and DSI.

Biography:

Lissy Puno has 27 years of extensive experience practicing in the region as a Counselling Psychologist. She is the co-founder of the International Counselling & Psychology Centre in Singapore. Lissy Puno offers counselling and psychotherapy across the developmental stages as well as gives talks, trainings and workshops covering a variety of relevant topics promoting psychological wellness.  Her work that started in the United States has also covered the Philippines, Thailand, Malaysia and Singapore.

As an Imago Relationship Therapist, Lissy has had an interest on relationships and marital enhancement as well as pre-marital preparation, relational skills such as communication, conflict resolutions and intimacy issues, recovery from infidelity, cross cultural relationships, separation and divorce, remarriage, blended families, among others. In 2016, she released her first book entitled Affairs Don’t Just Happen” which focuses on how to protect, repair and recover your relationship from infidelity. In 2018, “Stay Connected”, a couple’s journal filled with interactive tools, exercises and activities for couples to work on together was launched.  She is the workshop presenter for the “Getting the Love You Want”, a weekend workshop that provides couples with an opportunity to learn and grow in understanding and awareness of each other as well as learn relational skills to bring a deeper level of connection for the couple. 

Abstract:

Relationships and Marriages have increasingly been faced with challenges of boredom, disillusionment and infidelity.  Couples are finding themselves faced with the threat of ending the relationship sooner and find themselves at a loss on how to strengthen their relationships. Extra relational and extra marital affairs have been increasingly on the rise.  Why has it gotten out of control? When is it out of control?

 An understanding of the stages of the love relationship is crucial.  The theory of how the unconscious pull of attraction can eventually lead to disillusionment that creates vulnerability towards infidelity.  What creates the attraction between two people? Why feel a pull towards one versus the other? This period of vulnerability can be setting up the stage for an affair amidst the current trend of relationships being disposable and replaceable.  Patterns of behaviour amidst emotional turmoil will be identified as one may find themselves trapped in the web of intrigues, deception, shame and betrayal that comes with affair discovery. The pain, hopelessness and helplessness during this time may also lead to ineffective behaviour. Discover ways to nurture a relationship back into trust, safety and commitment through effective relational skills versus destructive and ineffective coping actions. The 8 C’s towards a mature and healthy relationship will be highlighted.  What type of support do couples need at this time to maintain a connected relationship through a longer life span? The role of a couple’s therapist is challenged and expanded as the relationship becomes the client and not the two individuals existing in two different worlds.  Current trends in dialogue and communication skills will be introduced.