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- Herausgeber: John Wiley & Sons
- Kategorie: Fachliteratur
- Sprache: Englisch
Psychiatry Algorithms for Primary Care is a practical, quick reference guide to psychiatric assessment and mental healthcare in general practice. Providing algorithms informed by evidence-based guidelines, this easy-to-use resource helps busy medical and healthcare professionals quickly assess mental health problems, make informed treatment decisions, and understand when referrals to specialist mental health services are appropriate. Drawing from their extensive experience in general practice and psychiatry, the authors provide clear and authoritative guidance on a wide range of common psychiatric disorders, complex scenarios, and special considerations. Unique visual management algorithms define assessment, diagnosis, investigations and management for each condition, including Bipolar Affective Disorder, Psychosis, Depression, Dementia, and Attention Deficit Hyperactivity Disorder. Up-to-date information on medication choices and counselling strategies is found throughout the text. Designed for informing swift clinical decisions in demanding primary care settings, this indispensable reference guide: * Conforms to the diagnostic criteria in the current edition of the World Health Organization's International Classification of Diseases * Contains algorithms informed by the Royal College of General Practitioners (RCGP), Royal College of Psychiatrists (RCPsych), and the National Institute for Health and Care Excellence (NICE) guidelines * Explores common complaints that can suggest psychological or psychiatric disorders, such as insomnia and fatigue * Outlines special mental health considerations related to children, intellectual disability, autism, the elderly, and pregnancy * Includes appendices covering commonly prescribed drugs and physical examinations for patients with severe mental illness * Features numerous self-assessment questions and links to online reference tools for General Practitioners Psychiatry Algorithms for Primary Care is a much-needed resource for medical students and trainees, physicians and healthcare professionals in general practice, nurse practitioners, and practitioners in other fields such as urgent care and emergency medicine.
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Seitenzahl: 96
Veröffentlichungsjahr: 2020
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Table of Contents
Cover
Title Page
Copyright Page
Dedication Page
Foreword
Acknowledgements
Author Profiles
PART 1: Introduction
CHAPTER 1: How to Use This Book
Disclaimer
CHAPTER 2: History Taking in General Practice
General Points
Presenting Complaint
History of Presenting Complaint
Past Psychiatric History
Past Medical and Surgical History
Medication
Family History
Personal History
Social History
Forensic History
Premorbid Personality
CHAPTER 3: The Rapid Mental State Examination
General Points
Appearance and General Behaviour
Speech
Mood
Affect
Thought
Perception
Cognition
Insight
Resources
PART 2: Common Psychiatric Disorders
CHAPTER 4: Generalised Anxiety Disorder (GAD)
Resources
CHAPTER 5: Panic Disorder
Resources
CHAPTER 6: Obsessive Compulsive Disorder (OCD)
Resources
CHAPTER 7: Social Phobia
Resources
CHAPTER 8: Post‐Traumatic Stress Disorder (PTSD)
Resources
CHAPTER 9: Depression
Resources
CHAPTER 10: Bipolar Affective Disorder (BPAD)
Resources
CHAPTER 11: Psychosis
Resources
CHAPTER 12: Eating Disorders
Resources
CHAPTER 13: Personality Disorders
Resources
CHAPTER 14: Alcohol Use Disorder
Resources
CHAPTER 15: Substance Use Disorder
Resources
CHAPTER 16: Opiate Use Disorder
Resources
CHAPTER 17: Adult Attention Deficit Hyperactivity Disorder (ADHD)
Resources
CHAPTER 18: Autism Spectrum Disorder (ASD)
Resources
CHAPTER 19: Delirium
Resources
CHAPTER 20: Dementia
Resources
PART 3: Common Presentations in Primary Care
CHAPTER 21: Fatigue
Resources
CHAPTER 22: Insomnia
Resources
CHAPTER 23: Medically Unexplained Symptoms
Resources
PART 4: Complex Scenarios
CHAPTER 24: Suicide and Self Harm
Resources
CHAPTER 25: Aggression
CHAPTER 26: Referrals for Involuntary Care
Resources
PART 5: Special Considerations In Prescribing
CHAPTER 27: Special Considerations: Older Adults
CHAPTER 28: Special Considerations in Prescribing: Children and Adolescents
CHAPTER 29: Special Considerations in Prescribing: People with Intellectual Disabilities
CHAPTER 30: Special Considerations in Prescribing: Pregnancy and Breastfeeding
PART 6: Appendices
CHAPTER 31: Commonly Prescribed Drugs
Resources
CHAPTER 32: Physical Health in Patients with Severe Mental Illness
Resources
PART 7: Self-Assessment
Self‐Assessment Cases
The Case of Mrs A
The Case of Ms B
The Case of Mr C
The Case of Ms D
The Case of Mr E
The Case of Mr F
The Case of Ms G
The Case of Miss H
The Case of Boy J
The Case of Boy K
The Case of Mr L
The Case of Ms M
Miscellaneous
Self‐Assessment Answers
The Case of Mrs A
The Case of Ms B
The Case of Mr C
The Case of Ms D
The Case of Mr E
The Case of Mr F
The Case of Ms G
The Case of Miss H
The Case of Boy J
The Case of Boy K
The Case of Mr L
The Case of Ms M
Miscellaneous
Index
End User License Agreement
Guide
Cover
Table of Contents
Begin Reading
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Psychiatry Algorithms for Primary Care
GAUTAM GULATI
MBBS MD FRCPsych FRCPI PGDipLATHE (Oxon) FHEAUniversity of Limerick,Ireland
WALTER CULLEN
MB BCh BAO DCH DObs MD MICGP MRCGPGradDipUTLUniversity College Dublin,Ireland
BRENDAN KELLY
MB BCh BAO MA MSc MA MD PhD DGov PhD MA (jure officii) MCPsychI FRCPsych FRCPI FTCDTrinity College Dublin,Ireland
This edition first published 2021© 2021 John Wiley & Sons Ltd
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The right of Gautam Gulati, Walter Cullen, and Brendan Kelly to be identified as the authors of this work has been asserted in accordance with law.
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Library of Congress Cataloging‐in‐Publication Data
Names: Gulati, Gautam, 1979– author. | Cullen, Walter, author. | Kelly, Brendan (Brendan D.), author.Title: Psychiatry algorithms for primary care / Gautam Gulati, Walter Cullen, Brendan Kelly.Description: First edition. | Hoboken, NJ : Wiley‐Blackwell, 2021. | Includes bibliographical references and index.Identifiers: LCCN 2020026511 (print) | LCCN 2020026512 (ebook) | ISBN 9781119653561 (paperback) | ISBN 9781119653660 (adobe pdf) | ISBN 9781119653677 (epub)Subjects: MESH: Mental Disorders–diagnosis | Mental Disorders–therapy | Primary Health Care–methods | Clinical Decision‐Making–methodsClassification: LCC RC454 (print) | LCC RC454 (ebook) | NLM WM 141 | DDC 616.89–dc23LC record available at https://lccn.loc.gov/2020026511LC ebook record available at https://lccn.loc.gov/2020026512
Cover Design: Wiley
To our families. . .
Foreword
Patients commonly present mental health problems in primary care, but general practitioners and other primary health care professionals are often uncertain how best to diagnose and manage them. We are aware that presentations of mental illness are seldom straightforward, and we can often find it confusing to unravel the psychological dimensions of physical symptoms. Many of us are worried about the dangers of getting a diagnosis wrong: whether, on the one hand, we will unnecessarily or harmfully label people as mentally unwell when they are experiencing normal responses to the difficulties of daily life; or, on the other hand, whether we will fail to identify potentially serious problems such as schizophrenia or psychotic depression. And the crucial business of assessing clinical risk, especially with regard to suicidality, is frequently noted as a major concern amongst family doctors worldwide.
Fortunately, help is at hand.
Written by three senior and well‐respected Irish clinical academics, with expertise in psychiatry and primary care, Psychiatry Algorithms for Primary Care addresses the wide variety of mental health problems commonly encountered in primary care. Starting with the essentials of history taking and mental state examination, the authors take us through the major psychiatric diagnoses before focusing helpfully not only on common presentations, such as insomnia, unexplained physical symptoms, and fatigue, but also on complex presentations such as self‐harm, suicide, and aggression.
The book is specifically intended to assist the busy general practitioner who needs information and clinical advice delivered in a concise and accessible format. For each of the topics under discussion we are provided with pertinent, succinct, pragmatic algorithms setting out key facts and key actions, which cover what to say as well as what to do. There is clear guidance on what we general practitioners can reasonably be expected to do ourselves, and on the points at which we should consider involving our specialist colleagues.
This book is an invaluable aide‐memoire for experienced general practitioners, as well as a highly relevant guide for general practitioners in training. The authors have deliberately – and successfully – designed it for use in real‐time clinical encounters, when immediate support is needed.
I will be keeping a copy in my consulting room!
Christopher Dowrick BA MSc MD CQSW FRCGPProfessor of Primary Medical Care, University of Liverpool, UKChair, World Organization of Family Doctors Working Party on Mental Health
