By Tom Clark, Ed Day, Emma C. Fergusson
Center medical instances courses you to think about the sufferer as an entire, instead of as a series of unconnected indicators. With its functional technique strongly associated with underlying concept, the sequence integrates your wisdom with the realities of coping with medical difficulties, and offers a foundation for constructing problem-solving talents. The middle parts of undergraduate examine are coated in a logical series of studying actions: each one case is by means of a close resolution, besides a couple of OSCE-style inquiries to assist you coaching for the examination. similar OSCE counselling variety questions and solutions additionally characteristic on the finish of every part. Key recommendations and critical details are highlighted, and the reader-friendly structure displays precisely the form of query you are going to stumble upon, making the suitable revision reduction for all sorts of case-based exam. center medical circumstances in Psychiatry offers a hugely based case historical past textual content which offers key psychiatric issues and prerequisites in a transparent and finished demeanour. quite a few medical circumstances are by way of exact questions and solutions on topics starting from schizophrenia, affective problems, drug and alcohol psychiatry, baby, adolescent and old-age psychiatry and character problems.
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Extra info for Core Clinical Cases in Psychiatry: A Problem-Solving Approach
Z For the most intractable and severe cases, psychosurgery (limbic leucotomy) may be considered. z Psychological z The ﬁrst step in treatment is to explain to the patient the way in which continued compulsive behaviour perpetuates the disorder. Preventing this is the mainstay of psychological treatment, a technique called response prevention. This aims to support the patient in not performing their compulsive rituals for increasingly long periods of time. Relaxation training and cognitive therapy may be useful to help the patient cope with the resultant anxiety.
Factors suggesting that inpatient treatment is necessary include: z a risk of neglect of the baby; z risk of self-harm; z risk of harming the baby; and z inability to cope with baby. z Physical z Post-natal depression responds well to treatment with antidepressants. z Most antidepressants are excreted in breast milk, but may be used with caution. z ECT is also particularly effective in post-natal illnesses, and may provide quicker resolution in severe cases. z Psychological z Explanation and reassurance to the mother and her family are essential.
Z Does she play and talk to it? z Is she able to care for it? Q2. What would you tell the husband about his wife’s condition? Explain to the husband that: z His wife is suffering from an acute serious mental illness. z That this is not uncommon following childbirth, and that a full recovery can be conﬁdently expected, but that she may become worse before she improves. z Discuss the risks to the woman and the baby, and consider the location of treatment. z The woman will almost certainly need to be admitted to a mother and baby unit as she should not be left alone at all at present.