Difficult Psychiatric Consultations

Delgado, Sergio

doi:10.1007/978-3-642-39552-9

Cited by 14 publications

(2 citation statements)

References 46 publications

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“…Over the course of the evaluation the physician may become focused on elucidating risk factors, identifying predictors of treatment response, and determining which "symptoms" meet threshold criteria for a disorder. Thus, the diagnosis is based on a collection of signs, symptoms, and biological markers that have been well defined [17]. The goal of any diagnostic interview is to tailor the treatment approaches that best suit the patient and ideally incorporates a biological, psychological and social integrated approach [18].…”

Section: Medical Style Interviewmentioning

confidence: 99%

Non-Adherence to Treatment: Different Rules for Different Patients

Sergio¹

2016

Arch Fam Med Gen Pract

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Although adherence to healthy lifestyle behaviors and treatment recommendations is complex and multidimensional, a common frustration expressed by physicians is the ability to provide optimal care when their patients are non-adherent with the treatment recommendations. Non-adherence is a common problem among patients, with some estimates suggesting that as many as 50% of patients are non-adherent to treatment. Although there are many known reasons for non-adherence (e.g. intolerable side effects, numerous psychological, disease-specific, social and financial factors), the foundation of most non-adherence is likely due to weaknesses in both cognition and cognitive flexibilities, aspects that are unique to each patient. This paper proposes that by adding and enhancing the traditional medical style interview with a conversational style interview, the physician will be better able to attend to the unique cognitive attributes of each patient and be in a better position to tailor the approach that best fits the patient, thereby promoting adherence and improving outcomes. In essence, it confirms the clinical approach of different rules for different patients. The foundation of the conversational approach is the physician-patient rapport, which allows exploring in more depth the patient's cognitive abilities. As with the adoption of any new useful and practical technique, the initial challenge will be to learn the value of incorporating this new brief practical approach in everyday clinical practice.

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Section: Medical Style Interviewmentioning

confidence: 99%

Non-Adherence to Treatment: Different Rules for Different Patients

Sergio¹

2016

Arch Fam Med Gen Pract

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“…This helps psychiatric consultants to teach team members how to provide help and improve patient approaches. Care team members often have counter transference reactions and are extremely risky to patients and families with limited abilities for mental health (6) .…”

Section: Discussionmentioning

confidence: 99%

Psychiatric Assistance at Cataract Juvenile

Ardani

Setiawati

Wahyuhadi

2019

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Background: Psychiatric assistance is required in the integrated handling of physical health disorders in the field of other disciplines known as CLP. A collaborative approach to the field of psychiatry with other scientific disciplines in accordance with WHO health criteria that includes physical and mental health for improving health and quality of life. Case presentation: A boy, 8 years, was consulted from the Ophthalmology Department with Right eye cataract juvenile, and left eye ptisis bulbi to give pre-operative psychological assistance for eye assessment and diagnostics. Patient also complained the blurred vision since last year and cannot see anything since 10 months ago. The current condition represents the patient cannot speak, often screams, likes to injure his head and scratch his face. Patients treated in the pediatric’s ward with global developmental delay. Patients were also consulted to the child psychiatry section with childhood autism, audiology, nutrition and metabolic diseases of children, pediatric neurology, and finally collaboration with the Surabaya City Health Office for a follow-up management plan. Conclusions: Child psychiatrist as a liaison, interacting with multidisciplinary medical or rehabilitation teams, families, schools, community and local city government are beneficial in the management of child disorders and improving family wellbeing. Keywords: cataract juvenile; autism; psychiatric assistance; consultation liaison psychiatry (CLP)

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The Four Pillars through a Contemporary Diagnostic Interview

Delgado

Pedapati

2022

Promoting the Emotional and Behavioral Success of Youths

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Difficult Psychiatric Consultations

Cited by 14 publications

References 46 publications

Non-Adherence to Treatment: Different Rules for Different Patients

Non-Adherence to Treatment: Different Rules for Different Patients

Psychiatric Assistance at Cataract Juvenile

The Four Pillars through a Contemporary Diagnostic Interview

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