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C-L Psychiatry or clinical liaison psychiatry

Date post: 03-Jun-2018
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CONSULTATION-LIAISON PSYCHIATRY
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    CONSULTATION-LIAISON

    PSYCHIATRY

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    Consultation-Liaison Psychiatry

    It is the study, practice andteaching of the relation

    between medical and

    psychiatric disorders.

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    C-L Psychiatrists

    serve as consultants to medicalcolleagues (either another psychiatrist or,more commonly, a nonpsychiatric

    physician) or to other mental health professionals

    (psychologist, social worker, or psychiatricnurse)

    consult regarding patients in medical orsurgical settings and provide follow-uppsychiatric treatment as needed

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    Roles of a C-L Psychiatrist

    skillful and brief interviewer

    good psychiatrist and psychotherapist

    teacher

    knowledgeable physician who

    understands the medical aspects of the

    case

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    C-L Psychiatry

    Associated with all the diagnostic,

    therapeutic, research and teaching

    services that psychiatrists perform in thegeneral hospital and serves as a bridge

    between psychiatry and other specialties.

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    SCOPE

    1. Understand the impact of medical illness andthe system in which it is treated and how thisaffects the presentation, experience, and impactof psychiatric and psychosocial morbidity.

    2. Conduct a biopsychosocioculturalassessment, create a formulation and implementappropriate treatment in the context of thegeneral hospital including effectivecommunication with the rest of the treatmentteam.

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    3. Assess reactions to illness, anddifferentiate the presentation of depression

    and anxiety in the medical setting.

    4. Understand the trajectories of illness

    and the developmental issues of the

    person with mental health problems and

    mental illness.

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    7.Understand the particular needs ofspecial populations with psychiatric andpsychosocial morbidity in the medicalsettings, including the young, the old, theindigenous, and those with intellectualdisabilities.

    8. Assess and manage acute and

    emergency presentations of psychiatricmorbidity in the general medical setting.

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    C-L Psychiatrists

    Treat psychiatric problems in medical

    patients.

    Commonly treated problems: anxiety,

    sleep disorders, disorientation, often as a

    result of delirium.

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    Recommend specific medications

    Identify and organize the patient's social cupportsystems

    Address the immediate problem through short-term, dynamic psychotherapy

    Develop a plan to deal with the petient's socialor occupational problems

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    COMMON CONSULTATION-

    LIAISON PROBLEMS

    1. SUICIDE ATTEMPT OR THREAT

    2. DEPRESSION

    3. AGITATION

    4. HALLUCINATIONS

    5. SLEEP DISORDER

    6. CONFUSION

    7. NONCOMPLIANCE OR REFUSAL TOCONSENT TO PROCEDURE

    8. NO ORGANIC BASIS FOR SYMPTOMS

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    PROBLEMS IN HOSPITALIZED

    MEDICAL PATIENTS Resistance to treatment for medical

    complications of substance abuse

    Chronic psychiatric illness in a patient admittedfor other reasons

    Medical complications of psycotropic agents

    Medical complications of a suicide attempt

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    PATIENTS AT RISK

    Patients with AIDS

    Patients undergoing renal dialysis

    Patients undergoing surgery

    Patients treated in the ICU

    Transplantation issues

    Psychooncology

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    THANK YOU :-)


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