Experts point out that inpatient treatment is essential for the safety of patients and the effectiveness of treatment, especially during periods of exacerbation in cases of depression, bipolar disorder and schizophrenia.
Üsküdar University NPISTANBUL Hospital Psychiatry Specialist Asst. Assoc. Prof. Dr. Semra Baripoğlu emphasized that inpatient treatment in psychiatric diseases is important in terms of controlling the disease, especially during periods of exacerbation.
Treatment in a hospital environment is a must
Asst. Assoc. Prof. Dr. Semra Baripoğlu said that especially in diseases such as depression, bipolar disorder and schizophrenia, in cases such as depressed mood or extreme irritability, anger, suspiciousness, aggressive behavior, severe sleep-appetite disorder, risk of harming oneself or others, refusal of treatment, the patient should be urgently kept in a controlled environment and the symptoms should be quickly relieved with a strong treatment.
Stating that this treatment can only be provided in a hospital setting, Asst. Assoc. Prof. Dr. Semra Baripoğlu said that inpatient treatment is necessary for similar reasons in cases of postpartum depression, severe anxiety disorder, severe obsessive-compulsive disorder, panic disorder, eating disorder, intoxication due to substance use or other psychiatric conditions.
Effective treatment plans are made
Stating that early diagnosis is important in psychiatric diseases as in every field of medicine, Asst. Assoc. Prof. Dr. Semra Baripoğlu emphasized that an effective treatment plan should be drawn as soon as possible. Stating that early diagnosis is important in terms of minimizing the damage that the disease will cause to the quality of life of the individual, Asst. Assoc. Prof. Dr. Semra Baripoğlu said, "We use the clinical road maps we have created in order to make an early and accurate diagnosis and to ensure that every patient receives the same quality of service at the first application."
Stating that following the doctor's examination, which includes a detailed clinical evaluation, tests that provide detailed information about the biological and psychological characteristics of the person, detailed blood tests, brain imaging techniques such as QEEG and MRI are performed, Baripoğlu said that the blood levels of the drugs used by the patient are also measured and a multidisciplinary treatment plan is drawn in the light of the data obtained from these examinations.
Hospitalization is preferred last
Stating that the goal of psychiatric treatment is to ensure that the patient's functionality is at the highest level in his/her daily life and that the treatment is terminated so that it is not needed again, Asst. Assoc. Prof. Dr. Semra Baripoğlu said, "Hospitalization is a decision to be preferred last and taken in case of absolute necessity. However, like every difficult decision, it should be taken when necessary and when it is taken, it must be implemented. Otherwise, it is inevitable that the patient and/or the people around him/her will be harmed."
Inpatient treatment ensures patient safety
Asst. Assoc. Prof. Dr. Semra Baripoğlu underlined that inpatient treatment is important because it allows for the quickest and fastest resolution of a severe disease under 24-hour medical follow-up, in an environment where patient safety is ensured and the most powerful treatments can be applied.
Advanced treatment methods are applied
Assist. Prof. Dr. Semra Baripoğlu also gave the following information about the advanced treatment methods applied at NPISTANBUL Hospital in the diagnosis and treatment stages of psychiatric diseases:
Computerized EEG (QEEG, brain mapping): Provides data on brain physiology.
Brain MRI and Brain Tomography: They are very useful diagnostic tools used in the routine evaluation of patients, enabling the detection of life-threatening non-psychiatric or related neurological diseases.
Pharmacogenetic Examination: It provides the opportunity to evaluate the effectiveness of treatment and the patient's treatment compliance by looking at the blood levels of almost all psychiatric drugs used by patients at the beginning and during the follow-up process (Therapeutic Drug Monitoring-TDM).
Pharmacogenetic Testing: When there is a serious discrepancy in drug blood levels, a more advanced test provides the opportunity to obtain information about the patient's genetic structure related to drug metabolism and to plan personalized treatment.
tTMU- dTMU (Deep TMU): It is an application whose effectiveness in the treatment of some psychiatric cases, especially treatment-resistant depression, is increasingly demonstrated by scientific studies.
Deep TMU: The treatment success increases with the title that allows it to affect the deeper structures of the brain. Deep TMU method is applied in diseases such as alcohol-cigarette-cocaine addiction, OCD and chronic pain.
Ketamine Infusion Therapy: Scientific studies have shown that the anesthetic drug called Ketamine provides regression in the symptoms of the disease by intravenous administration in cases of 'treatment-resistant depression' and its use has become widespread all over the world. With this method, satisfactory results are obtained in terms of regressing the symptoms of depression, which is 'extremely painful for the sufferer'.
Microsensory Therapies (TDCS, KET, MET): The working principle of the treatments is the application of very low-intensity direct current with electrodes placed on the forehead or earlobe. The applications are used as an adjunct to drug therapy in some neurological and psychiatric diseases (depression, anxiety, acute and chronic pain, dementia, rehabilitation after stroke, substance abuse, etc.).
