Psychiatry Algorithms for Primary Care (eBook)

GAUTAM GULATI is Adjunct Associate Clinical Professor, School of Medicine, University of Limerick, Ireland. He is a Fellow of the Royal College of Psychiatrists and the Royal College of Physicians of Ireland, and current Chair of the Faculty of Forensic Psychiatry at the College of Psychiatrists of Ireland. WALTER CULLEN is Professor of Urban General Practice, School of Medicine, University College Dublin, Ireland. He is a member of the Royal College of General Practitioners and Irish College of General Practitioners. BRENDAN KELLY is Professor of Psychiatry, Trinity College Dublin, Consultant Psychiatrist, Tallaght University Hospital, Dublin, and Visiting Full Professor at University College Dublin. He is a Fellow of the Royal College of Psychiatrists, the Royal College of Physicians of Ireland, and Trinity College Dublin.

Foreword ix

Acknowledgements xi

Author Profiles xii

Part 1 Introduction 1

1 How to Use This book 3

2 History Taking in General Practice 5

3 The Rapid Mental State Examination 8

Part 2 Common Psychiatric Disorders 13

4 Generalised Anxiety Disorder (GAD) 15

5 Panic Disorder 19

6 Obsessive Compulsive Disorder (OCD) 22

7 Social Phobia 25

8 Post-Traumatic Stress Disorder (PTSD) 28

9 Depression 31

10 Bipolar Affective Disorder (BPAD) 35

11 Psychosis 39

12 Eating Disorders 43

13 Personality Disorders 46

14 Alcohol Use Disorder 50

15 Substance Use Disorder 54

16 Opiate Use Disorder 57

17 Adult Attention Deficit Hyperactivity Disorder (ADHD) 60

18 Autism Spectrum Disorder (ASD) 63

19 Delirium 65

20 Dementia 68

Part 3 Common Presentations in Primary Care 71

21 Fatigue 73

22 Insomnia 76

23 Medically Unexplained Symptoms 79

Part 4 Complex Scenarios 83

24 Suicide and Self Harm 85

25 Aggression 89

26 Referrals for Involuntary Care 91

Part 5 Special Considerations in Prescribing 95

27 Special Considerations: Older Adults 97

28 Special Considerations in Prescribing: Children and Adolescents 100

29 Special Considerations in Prescribing: People with Intellectual Disabilities 103

30 Special Considerations in Prescribing: Pregnancy and Breastfeeding 105

Part 6 Appendices 107

31 Commonly Prescribed Drugs 109

32 Physical Health in Patients with Severe Mental Illness 119

Part 7 Self-Assessment 123

33 Self-Assessment Cases 125

34 Self-Assessment Answers 138

Index 140