general hospital psychiatry and somatisation Flashcards
importance of recognising psychiatric disorders in general hospital patients
- provide approp mental heath treatment
- shorten length of treatment in hoso
- avoid unnecessary investigations and inapprop rx
- enhance recovery and rehabilitation process
- improve quality of life
liaison psychiatry
subspeciality of psychiatry that works with patients in general hospitals
works with medical and surgical colleagues in management of mental health probs in their patients
what to liaison psychiatrists provide
- specialist care to pts with a range of problems
- education for general hosp cliniciancs
common mental health problems in general hospital
self harm affective and adjustment disorders organic brain disorders personality disorders substance misuse eating disorders functional disorders
reasons for increased prevalence of mental health disorders in general hospital
challenges of physical illness - psychological, effect of physical illness on brain function, treatment of physical illness e.g. medication
increased physical morbidity in patients with mental health problems
functional disorders
self harm assessment
- environment where patient feels listened to, can experience relief and may begin to identify solutions
- identify risk factors for further self-harm, completed suicid e
- identify mental disorder and need for further psychiatric treatment
- identify psychosocial stressors and pt way of coping
- identify approp help
how may substance misuse/dependence present in general hosp
physical complications intoxications withdrawal ARBD trauma/accident drug-induced psychosis feigned illness in order to get drugs
functional disorders
medically unexplained syndromes
dissociative disorders
somatoform disorders
what predisposes to functional neurological disorder
adverse childhood experience/trauma
approx 2/3 with FND have past history mental health problems
treatment FND
explanation
medication for co-morbid health probs
psychological therapies
