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Mental Health in Primary Care

Mental Health in Primary Care

A new approach

9780198508946
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Description
Mental Health has finally come home to primary care, where 90% of all patients with psychological difficulties are diagnosed and treated, and where Governments increasingly see the bulk of mental health commissioning and practice as belonging. This book, whose contributors uniquely include leading figures from the world of both primary care and psychiatry, brings together the best of contemporary psychiatry with a deep understanding of the realities, challenges and opportunities ofgeneral practice. The book is divided into four parts. The reader is taken from the first-hand experience of the encounter with the psychiatric patient in the GP consulting room, through the stresses and strains of such work, to the wider primary care mental health team of counselling, family therapy and group dynamics, and finally to specific disorders such as psychosis, eating disorders, depression, suicide, and trauma as they present in the primary care setting. The book ends with practical guidance in theuse of psychotropic drugs and psychological treatments in primary care. The tone throughout is influenced by the editors background , one a GP, the other a psychiatrist, in psychotherapy and Balint groups, which places the doctors own feelings and aspirations centre stage, no less than those of the patient. The book offers new ideas in two ways. First, in that it looks at how cutting edge psychiatry can be applied and practised in the primary care setting, away from psychiatric institutions, and adapted to the realities of primary care, where distress doesnot easily fit into predetermined categories derived from secondary care. Second, because the editors, possibly unfashionably, believe that, faced with an ever-expanding, protocol-driven, standardised medical culture, the concepts and ideas of group dynamics and counter-transference need to berediscovered if primary care is to be effective. In sum, this book is an essential vade-mecum for all primary care mental health workers, whether GPs, psychologists, nurses, psychiatrists, psychotherapists or counsellors. It contains practical guidance and holds onto the vision that GP, patient, family and practice team must work together.
Product Details
OUP Oxford
84819
9780198508946
9780198508946

Data sheet

Publication date
2002
Issue number
1
Cover
paperback
Pages count
332
Dimensions (mm)
156 x 234
Weight (g)
520
  • Introduction: The need for a new approach; Part 1 - In the Consulting Room; In the consulting room; Body and mind; Biological and narrative time in clinical practice; Mental illness, general practice, and society; Part 2 - Reflective Practice; The difficult patient; Stress, strain, and burnout: Support and supervision; Training for GPs; Part 3 - Mental Health Thinking in the Surgery; The practice as an organisation; Systemic family practice in primary care; Counsellors and therapists in primary care; Part 4 - Perspectives from Secondary Care; Post-natal depression; Eating disorders; Management of serious mental illness; Suicide, deliberate self-harm and severe depressive illness; Substance misuse; Psychopharmacology; Trauma and post-traumatic stress disorder; Psychological therapies;
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