By Laura Weiss Roberts MD MA, Jinger G. Hoop MD MFA, Thomas W. Heinrich MD
Clinically appropriate and visually available, Clinical Psychiatry Essentials is customized in particular to fulfill the desires of ultra-modern scholars. effortless to learn and use, it offers an creation to the sphere of psychiatry and lines a wealth of studying instruments to maximise comprehension. each one bankruptcy integrates medical case eventualities, medical pearls, and learn questions, making this a very good source for direction learn and examination training. The ebook addresses middle competency concerns, together with communique abilities, system-based features of care, and professionalism and makes a speciality of leading edge parts of psychiatry together with patient-centered care practices and new therapies.
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Indeed, a translated excerpt of the Hippocratic oath promises, ‘‘All that may come to my knowledge in the exercise of my profession or in daily commerce with men, which ought not to be spread abroad, I will keep secret and will never reveal’’ (Hippocratic Writings, The Oath). Court rulings and regulations such as the Health Insurance Portability and Accountability Act (HIPAA) of 1996 and its interpretations by states and heath care providers are present-day reminders of the value our society places on doctor–patient conﬁdentiality (Mosher and Swire, 2002).
And what if they ‘‘know’’ they are mentally ill, for example, because they are experiencing hallucinations or feel severely depressed and ‘‘different’’ from how they once were? Even after making the decision to see a psychiatrist, individuals may be reluctant to follow up as needed for 23 24 SECTION I | UNDERSTANDING AND EVALUATING PATIENTS WITH MENTAL ILLNESS treatment. This puts a large burden on the clinician to establish rapport and put the individual at ease at the very ﬁrst meeting. PUTTING THE PATIENT AT EASE The interview may occur in a variety of settings: the emergency department, an inpatient medical ward, a psychiatric ward, an outpatient clinic, a prison, or a residential nursing or group home.
Nonetheless, it is the crux of patient-centered care for the psychiatrist to adjust personal expectations when necessary to appropriately defer to the patient’s values. CARING FOR THE PATIENT WHO POSES A DANGER TO SELF OR OTHERS Mr. P, an unemployed 19-year-old, is brought into a hospital emergency department by his mother, who was concerned because her son’s behavior has become increasingly isolated and strange. Recently, Mr. P has begun to mutter to himself about a ‘‘plot’’ that he uncovered by watching television.