We are the combination of four hospitals: the General Hospital, the Children’s Hospital, the Women’s Hospital and the Traumatology, Rehabilitation and Burns Hospital. We are part of the Vall d’Hebron Barcelona Hospital Campus: a world-leading health park where healthcare plays a crucial role.
Patients are the centre and the core of our system. We are professionals committed to quality care and our organizational structure breaks down the traditional boundaries between departments and professional groups, with an exclusive model of knowledge areas.
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The commitment of Vall d'Hebron University Hospital to innovation allows us to be at the forefront of medicine, providing first class care adapted to the changing needs of each patient.
People with obsessive compulsive disorder have persistent and recurring thoughts which are generally unpleasant, known as obsessions.
These thoughts lead people to carry out repetitive actions or rituals which help them cope with the obsession. These are known as compulsions. Examples of compulsions would be: excessive hand washing, religious behaviour (such as saying a prayer exactly 15 times to stop something bad happening), counting and checking things (e.g. making sure the door is closed, the gas is off, etc.).
People with OCD very often feel that something bad will happen if they don’t carry out these compulsive actions and so they feel "obliged" to do them. This creates a great deal of anxiety and distress, as they feel it is their responsibility to stop bad things happening.
They may withdraw from the activities of daily life or completely avoid them due to fears produced by their obsessions or compulsive behaviours.
They may also have difficulty with daily tasks such as cooking, cleaning, washing themselves, etc. and experience a high level of anxiety.
Following specific recommendations can help you to live with or overcome obsessive compulsive disorder.
However, if this advice is not enough and the disorder gets worse, you should speak to a PSYCHOLOGIST AND/OR A PSYCHIATRIST, who can complement it with other types of treatment such as cognitive behavioural therapy or medication.
To try to reduce or eliminate compulsions or rituals:
Suicide is a common cause of death. Every year, around one million people across the world die of suicide. It remains the biggest external cause of death in our country (Spanish National Institute of Statistics - INE, 2017). It is estimated that suicide attempts (SA) are 10-20 times more common than suicide. Within a broad spectrum of suicidal behaviour, we find highly lethal SAs (those which are closest to suicide).
Medically serious suicide attempts (MSSA) or highly lethal suicide attempts (SA) are characterised by the fact that they present a serious organ compromise, regardless of their psychiatric severity.
MSSAs, in the broad spectrum of suicide attempts, are the closest to consummate suicide, being two populations with overlapping characteristics. MSSAs also have greater risk of death by suicide compared to low lethality suicide attempts.
An important aspect to bear in mind is that assessing survivors of serious suicidal behaviour allows us to obtain information directly from the survivor, unlike consummate suicides, in which the assessment is performed indirectly through third persons (psychological autopsy). The fact that we are able to assess people so close to suicide is hugely valuable to find out more about the psychological mechanisms of serious suicidal behaviour and the warning signs, in order to avoid suicide.
In a large proportion of these people, a prevalence of psychiatric pathology has been observed. These mainly consist of affective disorders (depression), followed by personality disorders and other disorders related to the consumption of substances. There are also other socio-environmental, non-psychiatric risk factors that should be assessed: presence of serious/chronic medical pathology, functional limitations and their adaptation (people with some sort of physical disability or older people) and social support.
Most patients present clinical depression that does not always coincide with the presence of a stressful event. They may have a history of suicide attempts. Prior to the MSSA, they may have shown thoughts of wanting to die or a more structured idea of how they would commit suicide.
People with an unstable/untreated psychiatric disorder: Unipolar affective disorders (depression) may have a greater predisposition towards suicidal behaviour.
The presence of an underlying psychiatric disorder should be assessed and treated following an MSSA.
Once the patient has recovered from a life threatening situation, a comprehensive approach should be taken, focused on clinical and socio-environmental aspects. The presence of a psychiatric pathology should be assessed and treated. It is also important, following medical discharge, to refer the patient to the mental health network and activate the Suicide Risk Code, allowing follow-up after hospitalisation.
Medical and psychiatric history and psychological assessment.
Avoid the myths that proliferate the social stigma surrounding suicide and assess the presence of suicidal thoughts with clinical and socio-demographic risk factors.
Children and teenagers with ADHD can have serious difficulties in their academic performance. Multi-modal treatment offers the best results. This means coordinating pharmacological, psychological and psychopedagogical treatments.
Parents and teachers are key to helping to minimise the symptoms and effects of these treatment methods on academic performance. Below, we offer some advice both for parents and schools with the aim of improving learning.
Use self-instruction strategies, which are messages that we give to ourselves internally and that allow us to modulate our behaviour. Some examples:
Ampullary epidermolysis is a group of genetic disorders that may present themselves in various ways, from milder forms to more severe ones: affecting the skin and mucous membranes, involving the formation of blisters and vesicles after the slightest trauma. They can also affect other organs, in different ways.
The best thing is if the patients, their families and their caregivers receive comprehensive health education, especially when they are first diagnosed, during the baby’s first few days, when skin lesions can already begin to occur.
The education aimed at preventing the evolution and complications of the disease will be given by professionals from the following disciplines:
Skin affected by ampullary epidermolysis is very sensitive to the slightest pressure or friction, which then causes a blister to form. To avoid damage, bear in mind the following recommendations:
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