Psychiatry and Interpersonal Communication

2019 ◽  
Author(s):  
Brent D Schnipke ◽  
Randon S Welton
Keyword(s):  
Interpersonal Communication ◽  
Communication Skills ◽  
Healthcare Team ◽  
Liaison Psychiatry ◽  
Doctor Patient Communication ◽  
Good Patient ◽  
Key Words Communication ◽  
Good Patient Care ◽  
Consultation Liaison Psychiatry ◽  
Special Knowledge

Interpersonal and communication skills (ICS) are central to the practice of psychiatry. These skills are broad and can be defined in several ways, and several frameworks are presented, using the Accreditation Council for Graduate Medical Education competencies as well as other published guidelines. ICS are essential to good patient care and require special knowledge in psychiatry due to the particular diseases that are encountered. ICS are equally valuable to psychiatrists in communicating with family members, other physicians, and other members of the healthcare team, as well as in education and leadership. Recommendations for adapting ICS to these circumstances are outlined. For psychiatry trainees, regular evaluation of ICS is mandated but is also recommended for practicing psychiatrists. If deficiencies are noted, strategies for addressing them can be pursued, and suggested improvement practices are provided. This review contains 2 figures, 4 tables, and 21 references. Key Words: communication, communication skills, consultation-liaison psychiatry, doctor-patient communication, interpersonal, psychiatry, psychotherapy, therapeutic alliance, rapport

Patient Communication

2019 ◽  
pp. 45-62
Author(s):  
Michael Breyer ◽  
Lee Shockley
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Communication Skills ◽  
Medical Errors ◽  
Staff Morale ◽  
Good Communication ◽  
Potential Barriers ◽  
Good Patient ◽  
Care Workers ◽  
Good Patient Care

Good communication with patients has now been recognized as critical to their care. Although there are many potential barriers to communication in the patient care setting, health care workers understand that breaking them down to communicate in a healthy, positive fashion helps to provide patients with better care, improves staff morale, and decreases medical errors. Skilled practitioners recognize these challenges and come equipped with a toolbox designed to communicate well with patients, as they know good communication skills denote good patient care.

scholarly journals Managing severe behavioral symptoms of a patient with anti-NMDAR encephalitis: case report and findings in current literature

2015 ◽  
Vol 37 (1) ◽  
pp. 47-50 ◽  
Author(s):  
Vanina Lima Monteiro ◽  
Felipe José Nascimento Barreto ◽  
Paulo Marcos Brasil Rocha ◽  
Paulo Henrique Teixeira do Prado ◽  
Frederico Duarte Garcia ◽  
...  
Keyword(s):  
Psychiatric Symptoms ◽  
Behavioral Symptoms ◽  
Healthcare Team ◽  
Liaison Psychiatry ◽  
Neuropsychiatric Complications ◽  
Aspartate Receptor ◽  
Nmdar Encephalitis ◽  
Consultation Liaison Psychiatry ◽  
High Doses

Objective: Psychiatric symptoms emerge in the early stages of anti-N-methyl-D-aspartate receptor (anti-NMDAR) encephalitis, and patients often seek treatment in psychiatric departments before visiting any other general medical services. Numerous articles about anti-NMDAR encephalitis have been published in the scientific community worldwide, but few emphasize the role of psychiatry in symptom management.Case description: We describe the case of a patient with anti- -NMDAR encephalitis seen in our service and discuss the management of behavioral symptoms based on current scientific literature. High doses of atypical antipsychotics and benzodiazepines were used to control agitation, and trazodone was administered to treat insomnia.Comments: Consultation-liaison psychiatry may help the healthcare team adjust the management of neuropsychiatric complications that might affect inpatients with anti-NMDAR encephalitis.

scholarly journals Diagnostic Agreement between Physicians and a Consultation–Liaison Psychiatry Team at a General Hospital: An Exploratory Study across 20 Years of Referrals

2021 ◽  
Vol 18 (2) ◽  
pp. 749
Author(s):  
Mattia Marchi ◽  
Federica Maria Magarini ◽  
Giorgio Mattei ◽  
Luca Pingani ◽  
Maria Moscara ◽  
...  
Keyword(s):  
General Hospital ◽  
Depressive Disorders ◽  
Psychiatric Morbidity ◽  
Clinical Signs ◽  
Kappa Statistics ◽  
Comorbid Depression ◽  
Liaison Psychiatry ◽  
Consultation Liaison Psychiatry ◽  
Psychiatric Conditions ◽  
Diagnostic Concordance

Consultation–liaison psychiatry (CLP) manages psychiatric care for patients admitted to a general hospital (GH) for somatic reasons. We evaluated patterns in psychiatric morbidity, reasons for referral and diagnostic concordance between referring doctors and CL psychiatrists. Referrals over the course of 20 years (2000–2019) made by the CLP Service at Modena GH (Italy) were retrospectively analyzed. Cohen’s kappa statistics were used to estimate the agreement between the diagnoses made by CL psychiatrist and the diagnoses considered by the referring doctors. The analyses covered 18,888 referrals. The most common referral reason was suspicion of depression (n = 4937; 32.3%), followed by agitation (n = 1534; 10.0%). Psychiatric diagnoses were established for 13,883 (73.8%) referrals. Fair agreement was found for depressive disorders (kappa = 0.281) and for delirium (kappa = 0.342), which increased for anxiety comorbid depression (kappa = 0.305) and hyperkinetic delirium (kappa = 0.504). Moderate agreement was found for alcohol or substance abuse (kappa = 0.574). Referring doctors correctly recognized psychiatric conditions due to their exogenous etiology or clear clinical signs; in addition, the presence of positive symptoms (such as panic or agitation) increased diagnostic concordance. Close daily collaboration between CL psychiatrists and GH doctors lead to improvements in the ability to properly detect comorbid psychiatric conditions.

Consultation–Liaison Psychiatry Activities in a Renal Transplant Unit

1979 ◽  
Vol 32 (1-4) ◽  
pp. 157-163 ◽  
Author(s):  
Hellmuth Freyberger ◽  
Marianne Ludwig ◽  
Marlene Mangels ◽  
Peter Neuhaus
Keyword(s):  
Renal Transplant ◽  
Liaison Psychiatry ◽  
Consultation Liaison Psychiatry

Somatoform disorders: A help or hindrance to good patient care?

2004 ◽  
Vol 184 (6) ◽  
pp. 465-467 ◽  
Author(s):  
Michael Sharpe ◽  
Richard Mayou
Keyword(s):  
Primary Care ◽  
Patient Care ◽  
General Practitioners ◽  
Somatoform Disorders ◽  
Somatoform Disorder ◽  
Good Patient ◽  
Specific Category ◽  
Good Patient Care ◽  
Almost All ◽  
Issue Reports

The paper by de Waal and colleagues (2004, this issue) reports on the prevalence of somatoform disorders in Dutch primary care. They found that at least one out of six patients seen by general practitioners could be regarded as having a somatoform disorder, almost all in the non-specific category of undifferentiated somatoform disorder. The prevalence of the condition has major implications for medical services but what does this diagnosis mean? Is receiving a diagnosis of somatoform disorder of any benefit to the patient? Does it help the doctor to provide treatment?

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