Abstract

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Highlights

  • The theme of the 15th biannual national congress of the South African Society of Psychiatrists (SASOP) is ‘The Psyche and the Soma’

  • As a consequence of this new view of psychiatric illness, we have for example come to realise that major depressive disorder (MDD) is a systemic disorder with wide-ranging effects on systems outside of the central nervous system (CNS)

  • Through among others its effects on the hypothalamic-pituitary-adrenal axis, MDD may play a role in loss of normal heart rate variability, and may increase the risk of thrombosis, insulin resistance, hypertension and atherosclerosis

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Summary

Introduction

The theme of the 15th biannual national congress of the South African Society of Psychiatrists (SASOP) is ‘The Psyche and the Soma’. By compartmentalising medical disorders we may run the risk of losing our ability to recognise and manage conditions that may be causing, result from or exist as co-morbid conditions with the disorders that we are managing. As a consequence of this new view of psychiatric illness, we have for example come to realise that major depressive disorder (MDD) is a systemic disorder with wide-ranging effects on systems outside of the CNS.

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