Download ABC of Psychological Medicine (ABC Series) by Richard Mayou, Michael Sharpe, Alan Carson PDF

By Richard Mayou, Michael Sharpe, Alan Carson

This booklet presents either the proof and the information to permit medical professionals to enhance their evaluate and administration of the mental and behavioural features of the commonest difficulties offering as a rule remedy. It summarises the new examine facts and offers good judgment counsel on how mental and psychiatric features of affliction could be addressed in the clinical session.

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Inquiries about depressive symptoms should therefore be routine. Post-traumatic stress disorder is also common and disabling. It is characterised by intrusive memories of the trauma, avoidance of reminders of it, and chronic arousal and distress. It may be complicated by alcohol misuse. It usually has an early onset in the first few weeks (acute stress disorder). Many people improve rapidly but, if symptoms are still present two or three months after the injury, they are likely to persist for much longer.

They may, however, not want to “burden others” and consequently may need encouragement to use this support by talking about their illness. Additional support can be provided by specific cancer related services such as the primary care team and specialist nurses. Addressing worries—Staff often find it most difficult to help patients who talk about worries that reflect the reality of cancer (such as, “I am going to die”). It is important to do so because this may help planning and may reveal misconceptions, such as the inevitability of uncontrolled pain, that can then be addressed by giving accurate information about methods of pain control.

In the long term, however, it can be rewarding for both patient and doctor. Common problems in management Management may be complicated by various factors. Firstly, preoccupation and anxious concern about symptoms may lead patients to make unhelpful demands of their doctor, which prove difficult to resist. Nothing abnormal detected What is the cause of functional somatic symptoms? ” Such comments may suggest that the patient’s relationship with the doctor may reflect poor quality parental care or emotional deprivation in childhood.

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