Personal perspective fourth year training

My experience in my fourth year psychiatry placement contradicted the stereotypes of the specialty.

 

I was attached to a mental health team caring for patients from a quarter of the general practices in Dundee. I thoroughly enjoyed my placement. I have always found mental illness fascinating, but a lot of what I had heard about psychiatry was negative.

 

One patient that I saw in clinic particularly stands out in my memory. It was a lady who suffered from bipolar affective disorder. When she came to clinic she was well; she came across as a calm and pleasant person, very tidy and fashionable. I flicked through her notes and read the mental state examination from her last admission to hospital a few months previously. The contrast between the description of her behaviour then and now was stark: I wouldn’t have thought it could be the same person sat in front of me. When she was admitted she had been in a manic phase, chaotically dressed, wildly hyperactive, extremely grandiose and experiencing hallucinations. She was very unwell but with treatment she got better - back to ‘normal’. It was the same on the wards: I could see the change in some people even though I was only there for a short period of time – so much for what I’d heard people say about ‘psychiatric patients never getting better’.

 

Jude Harrison, medical student, Dundee

 

Back to student area home page

Page last updated on 16 May 2010 by E Baker-Glenn

© 2011 Royal College of Psychiatrists