Psychiatric Emergencies

Overview

Psychiatric disorders are common in general medical practice. This handbook is a practical guide intended for all health care professionals frequently required to treat patients with acute psychiatric disorders. An accessible and authoritative guide to the immediate management of the full range of psychiatric problems presented in emergency departments, it is arranged by symptoms rather than diagnoses. The authors offer the reader a systematic guide through assessment and diagnosis, immediate investigations and ...

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Overview

Psychiatric disorders are common in general medical practice. This handbook is a practical guide intended for all health care professionals frequently required to treat patients with acute psychiatric disorders. An accessible and authoritative guide to the immediate management of the full range of psychiatric problems presented in emergency departments, it is arranged by symptoms rather than diagnoses. The authors offer the reader a systematic guide through assessment and diagnosis, immediate investigations and management, and treatment as far as transferal to specialist departments. They cover assessment and management of the emergency, and guide the reader, in a step-by-step synthesis, to the point at which the patient is stabilized and consideration can be given to the planning of definitive treatment. The authors include an introductory section on eliciting and recording the psychiatric history of a patient and then consider—in alphabetical order—the management of common psychiatric presentations. A final section looks at legal matters, including the use of common law and the Mental Health Act and liaison with other statutory agencies, in particular the police and social services.

The book contains no figures.

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Product Details

Table of Contents

Pt. 1 General principles of psychiatric emergencies 1
1 History taking and the mental state examination 3
2 General principles of psychiatric management 12
Pt. 2 Clinical problems 21
3 Aggression 23
4 Alcohol withdrawal and intoxication 27
5 Amnestic syndrome 32
6 Confusion 35
7 Deliberate self-harm 38
8 Delusions 43
9 Depression 50
10 The 'disorganization syndrome' 57
11 Drug withdrawal and intoxication 60
12 Fear and panic 66
13 Fugue 69
14 Hallucinations and other perceptual disturbances 72
15 Mania and hypomania 76
16 Manipulative behaviour 80
17 Munchausen syndrome 83
18 Physically ill patients refusing treatment 86
19 Puerperal psychosis 90
20 Social crisis 93
21 Somatization 98
22 Stupor and mutism 102
Pt. 3 Procedures 105
23 Emergency use of psychotropic drugs 107
24 Emergency use of the Mental Health Act 112
25 Liaison with psychiatric services 117
Appendix 121
Further reading 123
Index 125
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