After weeks of career exploration, I have chosen to specialize on medical psychiatry. In this occupation, I plan to help people lead better lives through resolving their emotional and mental issues. I understand I will be working in an often-hectic environment of health care and hospital facilities with devastating illnesses. As a psychiatrist, I will be examining patients and treating behavioral, emotional and mental illnesses including Borderline Personality Disorder. Treatment of this disorder requires the medical professional to have background knowledge in social, biological and psychological factors, which lead to certain maladies. This will require me to talk with patients on issues or problems regarding the medical conditions in order to discern patters in though or behavior. Administration of diagnostic medical test is critical in assessing and resolving patients’ problems. I will be required to work with other medical professionals, such as psychologists and social workers, to create suitable treatment plans. At times, this may require working with patients through family and group sessions. This requires employment of treatment techniques, such as psychotherapy, hospitalization and psychoanalysis. In case of chemical imbalance, I will be required to prescribe medication to fix the emotional turmoil.
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As a psychiatrist, I will focus on Borderline Personality Disorder for patients in child and adolescent psychiatry. Subspecialties in psychiatry may include Geriatric psychiatry, psychosomatic medicine, clinical neurophysiology, forensic and pain management psychiatry, addiction psychiatry, child as well as adolescent psychiatry. Becoming a psychiatrist requires a lengthy educational process. It requires knowledge in biochemistry, medical ethics, psychology and pharmacology. The final years of the degree programme are characterized by clinical rotations, which include training in surgery, internal medicine and psychiatry.
I will be needed to finish a residency program after the Association of American Medical Colleges reports. In some cases, I will be required to undertake some didactic courses, specialty seminars, clinical rounds and research components. The topic covered include emergency care, consultation practices, psychopharmacology and multicultural psychiatric. In addition, several therapy techniques, such as cognitive psychotherapy, hypnotherapy and family therapy, will be necessary. As a psychiatrist, I will be required to be involved in research opportunities in investigating genetic factors, mood disorders leading to psychiatric problems, neuropsychondocrinology and alcohol dependency.
Because psychiatrist is a medical doctor who can diagnose and prescribe prescription, a license is mandatory for practice. The license will require that I pass the United States Medical Licensing Examination. I will be critical that I check any specified requirement or stipulation for licensure in the state, which I will be seeking employments.
Brown et. al. investigated the occurrence of trauma and dissociation in patient with Borderline Personality disorder. They first assessed dissociation with the use of structured clinical interview, which provides information concerning various dissociation disorder phenomenons (Brown et. al., 2005). In the second investigation, they used structured interviews, which not only addressed childhood sexual and physical abuse, but also four domains of interpersonal trauma (neglect, separation/loss, the witnessing of violence and emotional abuse). This study provided information regarding the frequency, severity and duration of trauma, which allowed the assessment of the relationship between symptomatic patters and the magnitude of trauma. The study frequently reported dissociative amnesia by the Borderline Personality disorder, which was significantly common to the comparison subjects. However, differences did not exist in the level of depersonalization, identity confusion, derealization, and identity alteration (Hughes, 1993).
Stiglmayr et. al. suggested that chronic emotional abuse is a critical condition for the development of Borderline Personality disorder. In addition, other types of interpersonal trauma can occur in this context although the play less significant roles in the development of pathology (Stiglmayr et. al, 2001). According to Herpertz, many people with Borderline Personality disorder are usually exposed to early environments, which are emotionally harsh, cold, and characterized by frequent insults, criticism, physical punishment and rejection (Herpertz, 2003). Kemperman concluded that the environment is linked to development of common concomitant of unexplained illness and dissociative amnesia. However, he argues that it is clear that the dissociative phenomena are not common in Borderline Personality disorder unlike in medical populations. Sexual abuse, similarly, is not a necessary development prerequisite of multiple unexplained symptoms (Kemperman et. al., 1997).
Agrawal et. al. studies established that Borderline Personality disorder shows a higher level of family conflict and significantly lower levels of family cohesion. In the studies, numerous patients with Borderline Personality behavior were raised in environments characterized by emotional distance, frequent arguments and poor support, which correlated to high levels of emotional and physical abuse reported in various groups (Agrawal, Gunderson, Holmes & Lyons-Ruth, 2004). The magnitude and pattern of the intercorrelations between the aforementioned variable as suggested by Hughes that, the relationship between unexplained symptoms in patients with Borderline Personality disorder and emotional abuse cannot solely be attributed to their environmental exposure to broadly pathogenic families (Hughes, 1993). Although Borderline Personality disorder groups have been exposed to many form physical abuse and extreme case of violence, Borderline Personality patients were more vulnerable to emotional abuse with the perpetrator in this domain inflicting greater duration and frequency of victimization (Kaysen, 1993).
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