By John Vanin, James Helsley, D.M. Morgan
This pocket consultant is designed to assist the first care practitioner realize, diagnose, and deal with nervousness problems in a hectic medical perform. It provides an easy-to-follow, step by step procedure, and gives functional issues according to either genuine patient-care event and evaluate of present scientific literature. The advisor contains precious chapters on psychopharmacology, psychopharmacotherapy, and psychologic therapy for the anxiousness disorders.
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Additional resources for Anxiety Disorders: A Pocket Guide For Primary Care (Current Clinical Practice)
Vol. 1. Philadelphia: Lippincott Williams & Wilkins, 2005:1720–1727. 22. Davidson J. Managing anxiety disorders: psychopharmacologic treatment options. Psychiatric Times April 2006;23:80,82–83. 23. Janicak PG, Davis JM, Preskorn SH, Ayd FJ. Principles of pharmacotherapy. In: Retford DC, ed. Principles and Practice of Psychopharmacotherapy. Baltimore: Williams & Wilkins, 1993:1–28. 2 Brief Psychiatric History and Mental Status Examination John R. Vanin A comprehensive medical evaluation includes a thorough history, physical examination, and appropriate laboratory, imaging and other studies.
The treatment of a general medical disorder can complicate the course and treatment of anxiety disorders and vice BRIEF PSYCHIATRIC HISTORY AND MENTAL STATUS EXAMINATION 27 versa. In addition, the primary care practitioner must monitor for drug interactions, including those involving the cytochrome P-450 enzyme system. BRIEF PSYCHIATRIC EVALUATION The psychiatric evaluation performed in a busy primary care practice need not be long or complex. A comprehensive but concise history and mental status examination will often provide the necessary information for a good differential diagnosis and treatment plan.
Volume, tone, rate, coherence) Mood Affect Thought content and perceptions - Worries - Obsessions - Impulses - Phobias - Delusions - Hallucinations - Suicide/homicide - Other forms of disordered thinking • Cognitive status - Attention and concentration - Level of consciousness - Orientation - Memory (immediate, recent, remote) - Fund of knowledge - Abstraction - Judgment - Insight - Language - Executive function - Calculation - Drawing Adapted from refs. , , and . To be most effective, a practitioner must develop a comfortable style to gather the pertinent information, exhibiting sensitivity, compassion, and empathy.