Psychiatry

Psychiatry

Psychiatry deals with the diagnosis, treatment and prevention of mental health conditions. Psychiatrists are Medical Doctors who have gone on to specialise in Psychiatry. They deal with problems such as anxiety, attention deficit hyperactivity disorder (ADHD), obsessive-compulsive disorder (OCD), post traumatic stress disorder (PTSD), depression and bipolar disorder.

Our psychiatrists

Dr Mar Grau Escriva

MD Psychiatrist

Dr Mar Grau - Psychiatrist

Our clinical rooms

Diagnostic criteria for attention deficit disorder were designed to identify ADHD in children, not adults. Diagnostic criteria often don’t help diagnose ADHD in adults who are bright, hardworking problem-solvers who have found clever ways around their symptoms, like learning to hyper-focus on demand. Most ADHD diagnoses happen when kids are disruptive. People who fly under the radar may never get diagnosed.
Attention deficit hyperactivity disorder was once diagnosed as ADD or ADHD. Previously, patients with more predominant inattentive symptoms were diagnosed with ADD, and patients with more hyperactive and impulsive symptoms were diagnosed with ADHD. Today, according to changes in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), the condition is simply called ADHD, and patients are diagnosed with one of three presentations.
Attention Deficit Hyperactivity Disorder is a neurobehavioral disorder. Symptoms include significant attention difficulties, hyperactivity, impulsiveness or a combination. It is significantly under-diagnosed. The DSM-5 identifies three types of ADHD: primarily hyperactive-impulsive, primarily inattentive, and combined type. Other symptoms include sense of underachievement, a tendency to worry, a sense of insecurity, mood swings, and others.
Worries, fear and anxieties are common to us all. These are normal human feelings when in a perceived threatening or difficult situation. Problems can arise if these reactions are not switched off, that is, if the stress response becomes chronic or excessive.
Anxiety can have mental, physical, and behavioral symptoms. Anxiety can often lead to depression.
Dr Grau has extensive experience evaluating PTSD. Understanding your symptoms and treatment can help you regain a sense of control over your life. The primary treatment is psychotherapy, but can also include medication.
Depression affects not only how we feel, but how we think about things, our energy levels, our concentration, our sleep and other body rhythms, our behaviours, how we interact with others, and other aspects of our life.
Many patients with depression do not recover after their initial treatment. Sometimes treatment only partially relieves the depressive symptoms, or the person experiences side-effects. A number of different treatment options can be explored. Work with your doctor or other mental health professional to find the best treatment possible, even though it may take time and effort to try new approaches.
OCD is a common and heterogeneous condition characterized by recurrent unwanted thoughts, images or impulses (obsessions) that provoke anxiety, as well as efforts to resist or neutralize the obsessional anxiety through avoidance behavior and deliberate overt or covert actions (compulsive rituals).
Body Dysmorphic Disorder (BDD) is a body image problem. It is defined as a preoccupation with one or more features that are not noticeable or abnormal to others. The preoccupation causes significant distress. A person with BDD may avoid certain social and public situations, or may spend a lot of time and energy hiding the perceived defect. They may spend several hours a day thinking about their perceived defect, or they may feel compelled to repeat certain time consuming behaviours such as checking their appearance in a mirror, seeking reassurance, picking their skin, comparing their appearance to others, and other compulsive behaviours.
Bipolar disorder is a mood disorder involving extreme swings of mood from mania to depression (highs and lows). Everyone’s experience of bipolar disorder is different. Some people have more depressive episodes, while others have more manic ones. Sometimes a manic episode involves a mixture of depressive features. This is known as a mixed episode. Some people have long periods of stability between episodes, while others experience them more frequently. The duration and severity of the episodes also differs from person to person.
Psychosis describes experiences, such as hearing things, having paranoid and suspicious thoughts, or holding unusual beliefs, which other people don’t experience or share. These and other symptoms can make your thoughts and emotions feel confused and disorganised. Psychotic experiences can be highly distressing and disruptive.
Sleep is a fundamental requirement that plays a crucial role in physical restoration aspects of our body, cognitive function, and emotional processing.
Worry is often experienced as a chain of negative thoughts, images and doubts about things that might happen in the future.
An independent medical examination is an impartial assessment of the medical condition of a patient.