Malcolms Group B1

1
Malcolms Group B1
Kristen Widdowson Yashdeep Sohal Sobia
Wyne Sati Singh Vinita Pant Rohit Singh
1. What is the evidence for counsellors ? 2.
From Charles Bonnet to all visual hallucinations
2
Definition of Counselling

• Counselling may be concerned with addressing and
  resolving specific problems, making decisions,
  coping with crises, working through conflict, or
  improving relationships with others.

• Ambiguous
• National Library for Health
• Counselling is a systematic process which gives
  individuals an opportunity to explore, discover
  and clarify ways of living more resourcefully,
  with a greater sense of well being.

3
Evidence

• Psychological therapy should be routinely
  considered as a treatment option when assessing
  mental health problems (B)
• But
• Generic counselling is not recommended as the
  main intervention for severe and complex mental
  health problems or personality disorders (D)

• DoH Treatment Choice in Psychological Therapies
  and Counselling
• Evidence Based Clinical Practice Guidelines
• These guidelines looked at evidence for all
  counselling and psychotherapies in management
  of varying diagnosis from CSF to eating disorders

4
Visual Hallucinations

• Simple hallucinations include lines, patterns or
  photopsia (flashes of light)
• Complex hallucinations are usually well formed
  and and often involve animals and figures in
  bright colours and dramatic settings

• A visual hallucination is defined as a perception
  of an external object when no such object is
  present
• Visual hallucinations can be classified as simple
  or complex

5
(No Transcript)
6
Charles Bonnet Syndrome

• Its prevalence in patients with visual impairment
  varies from 10 to 15
• The common conditions leading to the syndrome are
  age related macular degeneration, followed by
  glaucoma and cataract
• There should not be any feature of psychosis,
  dementia, intoxication, metabolic derangement, or
  focal neurological illness
• The correct diagnosis of is important considering
  the serious implications of the alternative
  diagnoses
• .

• Charles Bonnet first described this condition in
  the 1760 when he noticed his cognitively sound
  grandfather, who was blind owing to cataract and
  yet vividly saw men, women, birds, and buildings
  which were not there
• .