Initial Primary Care Screening for Severe Psychiatric Illness

2006 ◽  
Keyword(s):  
Primary Care ◽  
Psychiatric Illness

Common Therapeutic Issues and Patient Questions

2017 ◽  
pp. 97-116
Author(s):  
Myrna M. Weissman ◽  
John C. Markowitz ◽  
Gerald L. Klerman
Keyword(s):  
Primary Care ◽  
Personality Disorder ◽  
Psychiatric Illness ◽  
Rating Scales ◽  
Physical Symptoms ◽  
Poor Adherence ◽  
Biological Basis ◽  
Primary Care Settings ◽  
Alcohol And Drugs ◽  
Technical Issues

This chapter reviews common therapeutic issues and various questions asked by patients during IPT. Common therapeutic issues include deciding whether a patient’s main problem is a psychiatric illness or a personality disorder, dealing effectively with passive or intellectualizing patients, keeping to the agreed-on focus and time limit of treatment, and making therapeutic use of silence in session. Technical issues such as rating scales and recording sessions are discussed, and IPT was contrasted with other types of psychotherapy such as CBT. Common patient questions include how IPT works, therapist credentials, lateness to sessions, family members attending treatment sessions, the genetic and biological basis of depression, the use of alcohol and drugs, recurrence of depression, and suicide. Some problems that are more often seen in primary care settings are also covered, such as depression manifesting through physical symptoms and poor adherence to treatment.

Burden of dysthymia and comorbid illness in adults in a Canadian primary care setting: high rates of psychiatric illness in the offspring

2004 ◽  
Vol 78 (1) ◽  
pp. 73-80 ◽  
Author(s):  
Barbara Bell ◽  
Lori Chalklin ◽  
Michael Mills ◽  
Gina Browne ◽  
Meir Steiner ◽  
...  
Keyword(s):  
Primary Care ◽  
Psychiatric Illness ◽  
Care Setting ◽  
Primary Care Setting ◽  
Comorbid Illness

Medical students’ attitudes to psychiatric illness in primary care

2008 ◽  
Vol 42 (11) ◽  
pp. 1080-1087 ◽  
Author(s):  
Robert P Dixon ◽  
Lesley M Roberts ◽  
Stephen Lawrie ◽  
Lisa A Jones ◽  
Martin S Humphreys
Keyword(s):  
Primary Care ◽  
Medical Students ◽  
Psychiatric Illness ◽  
Students Attitudes

Psychotic and Somatic Symptom and Related Disorders

2016 ◽  
pp. 707-710
Author(s):  
Brian A. Palmer
Keyword(s):  
Primary Care ◽  
Successful Treatment ◽  
Psychiatric Illness ◽  
Patient Management ◽  
Somatic Symptom ◽  
Psychiatric Symptoms ◽  
Fear Of Heights

Since 30% to 40% of ambulatory primary care visits have a psychiatric component, successful patient management often hinges on successful treatment of comorbid psychiatric illness. The key concept when assessing psychiatric symptoms is whether the symptom interferes with a patient’s functioning or causes distress. For example, a patient may have a fear of heights. If this acrophobia never causes an alteration in activity, intervention is unnecessary. If, however, this acrophobia causes distress and interferes with the patient’s functioning, intervention may be warranted.

Bipolar disorder: Managing the peaks and valleys

2020 ◽  
Vol 55 (5) ◽  
pp. 349-356
Author(s):  
W Michael Johnson ◽  
Scott A Fields ◽  
Ellen Bluett
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Bipolar Disorder ◽  
Psychiatric Illness ◽  
Treatment Options ◽  
Evidence Base ◽  
Mental Health Practitioners ◽  
Primary Care Clinics ◽  
Health Practitioners

Bipolar disorder is a psychiatric illness that is relatively common among patients presenting for treatment in primary care clinics. Physicians in primary care often face difficult decisions about how and when to intervene when a patient is experiencing depressive, manic, or hypomanic episodes consistent with bipolar disorder. This article reviews the literature on how to assess and diagnose bipolar disorder in primary care, and how to choose from the array of treatment options that exist. The psychotherapy and pharmacotherapy evidence base provides guidance on how to help patients effectively manage this ailment. Collaboration among health and mental health practitioners is key in helping manage the “peaks and valleys” of bipolar disorder. Special considerations need to be made to routinely assess for impulsivity, suicidality, and patient progress throughout the course of treatment.

The identification of psychiatric illness by primary care physicians

1990 ◽  
Vol 5 (4) ◽  
pp. 355-360 ◽  
Author(s):  
Paul D. Cleary ◽  
Barbara J. Burns ◽  
Gregory R. Nycz
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Psychiatric Illness
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