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    Liaison Psychiatry

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    api-3703352
    This document discusses the identification and treatment of psychiatric morbidity in medically ill patients. It covers how medical illnesses and drugs can cause psychiatric symptoms like depression, anxiety, and psychosis. It also describes how psychiatric disorders can present with physical symptoms that are not due to organic pathology. The management principles involve considering how the illness may threaten life or cause disability, recognizing potential psychiatric disorders, addressing treatment side effects and prognosis uncertainty, and facilitating expression of illness meaning to develop a therapeutic alliance.

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    Liaison Psychiatry

    Uploaded by

    api-3703352
    128 views5 pages
    This document discusses the identification and treatment of psychiatric morbidity in medically ill patients. It covers how medical illnesses and drugs can cause psychiatric symptoms like depression, anxiety, and psychosis. It also describes how psychiatric disorders can present with physical symptoms that are not due to organic pathology. The management principles involve considering how the illness may threaten life or cause disability, recognizing potential psychiatric disorders, addressing treatment side effects and prognosis uncertainty, and facilitating expression of illness meaning to develop a therapeutic alliance.

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    Liaison psychiatry

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    This document discusses the identification and treatment of psychiatric morbidity in medically ill patients. It covers how medical illnesses and drugs can cause psychiatric symptoms like depression, anxiety, and psychosis. It also describes how psychiatric disorders can present with physical symptoms that are not due to organic pathology. The management principles involve considering how the illness may threaten life or cause disability, recognizing potential psychiatric disorders, addressing treatment side effects and prognosis uncertainty, and facilitating expression of illness meaning to develop a therapeutic alliance.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    128 views5 pages

    Liaison Psychiatry

    Uploaded by

    api-3703352
    This document discusses the identification and treatment of psychiatric morbidity in medically ill patients. It covers how medical illnesses and drugs can cause psychiatric symptoms like depression, anxiety, and psychosis. It also describes how psychiatric disorders can present with physical symptoms that are not due to organic pathology. The management principles involve considering how the illness may threaten life or cause disability, recognizing potential psychiatric disorders, addressing treatment side effects and prognosis uncertainty, and facilitating expression of illness meaning to develop a therapeutic alliance.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 5

    Liaison psychiatry

    Identification & treatment


    of psychiatric morbidity
    in medically ill patients
    Medical illnesses causing
    psychiatric symptoms
    Endocrine Metabolic
    Hyperthyroidism: anxiety, paranoid Hypoglycaemia: anxiety,
    psychosis confusional state
    Hypothyroidism: depression, Vitamin deficiency: depression,
    dementia, psychosis dementia
    Cushing’s syndrome: depression, Neoplastic
    psychosis Pancreas & lung: depression
    Phaeochromocytoma: anxiety Brain: personality change,
    Infections psychosis
    HIV: anxiety, depression, delirium, Nervous system
    dementia Parkinson's disease: depression,
    Viral infections: depression dementia
    Multiple sclerosis: anxiety,
    euphoria, depression
    Drug induced psychological
    problems
    Depression Anxiety
    • Antihypertensives • Amphetamines
    • Anticancer • Sympathomimetics
    • Anti diabetics • Caffeine
    • Hormones • Organophosphates
    • Analgesics • Sulphonamides
    • H1 receptor antagonists • Penicillin
    • Mercury & arsenic
    Psychosis
    Delirium • Hallucinogens,
    • Anticholinergics • Appetite suppressants
    • Digoxin • Corticosteroids
    • Cimetidine • Anticholinergics
    Psychiatric disorders presenting
    with physical symptoms
    Somatisation disorder: Somatoform pain disorder:
    • Multiple somatic complaints • Continuous, dull, diffuse,
    • Seek immediate relief • Aggravated by stress,
    Hypochondriasis: • Relieved with tranquilisers
    • Preoccupation with bodily ill- Anxiety disorder:
    health • Fear of heart attack
    • Seek investigations & • Autonomic dysfunction
    reassurances Masked depression
    Dysmorphophobia: • Multiple somatic symptoms
    • Preoccupation with body • Biological symptoms of depression
    disfigurement
    • Medical shopping
    Dissociative disorder:
    • Physical symptoms without
    organic pathology
    • Stress related
    Management
    (Principles)
    Consider Recognise psychiatric disorder
    Illness • Feeling state
    • Threat to life • Worried about health
    • Duration • Sleep
    • Disability • On medication for nerves
    • History of psychiatric disorder
    Treatment
    • • Problems at home/work
    Side effects
    • • Observe behaviour
    Uncertainty of outcome
    Patient reaction Management
    • • Meaning of the illness
    Anxiety
    • • Facilitate expression
    Denial
    • • Address patient concern
    Depression
    • • Reassure
    Non compliance
    • • Develop therapeutic alliance
    Social circumstances
    • Ensure follow up

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