ABC of Psychological Medicine by Richard Mayou, Michael Sharpe, Alan Carson

By Richard Mayou, Michael Sharpe, Alan Carson

This publication offers either the proof and the assistance to allow medical professionals to enhance their overview and administration of the mental and behavioural facets of the most typical difficulties featuring usually therapy.

It summarises the hot learn facts and gives logic advice on how mental and psychiatric elements of disease may be addressed in the scientific session.

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Html) x National Cancer Institute. htm) Specialist treatments x x x x x x x Antidepressant drugs Effective drug treatment of pain, nausea, and other symptoms Problem solving discussion Cognitive-behavioural treatment of psychological complications Joint and family interviews to encourage discussion and planning Group support and treatment Cognitive-behavioural methods to help cope with chemotherapy and other unpleasant treatments Referral decisions x What specialist expertise in psycho-oncology is available at my local cancer centre or unit?

This summary can guide future management and is especially useful when a patient is admitted subsequently as an emergency or when the receiving doctor has no prior knowledge of the patient. Several important interviewing skills should be used during the assessment. These skills can be learnt using structured role playing and video feedback. They form the basis of a technique called reattribution, which has been developed to help the management of patients with functional somatic symptoms. Specialist management If a patient can understand and agree an initial shared formulation of the problems, an important first stage is reached.

Dealing with the acute event At a major incident it is important that members of the emergency services, especially ambulance staff and police, should seem calm and in control. This helps to relieve distress and prevent victims from suffering further injury. Explanation and encouragement can reduce fear at the prospect of being taken to hospital by ambulance. The needs of uninjured relatives and others involved should also be considered. Clearly recorded details of the incident, injury, and the extent of any loss of consciousness may be useful in later assessment as well as in the preparation of subsequent medicolegal reports.

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