Therapeutic Approaches to the Patients who were Referred for Psychiatric Consultation from Medical Departments - Internist's View about Management of Medical Patients with Psychiatric Problems -

정신과에 의뢰된 내과계 환자들에 대한 치료적 접근 - 내과의사로서의 입장 -

  • Lee, Sang-In (Department of Internal Medicine, Yonsei University College of Medicine)
  • 이상인 (연세대학교 의과대학 내과학교실)
  • Published : 1993.09.25

Abstract

The consulting internist will encounter patients with psychiatric symptoms and those who take psychotropic medications in many settings. The internist must loam to feel comfortable interacting with patients who display psychiatric symptoms. while maintaining an open and unprejudiced attitude toward their evaluation. The proper delineation of psychiatric disorders from normal emotional reactions resets on a careful history, a mental status evaluation. and a knowledge of psychiatric syndromes. Many physicians tend erroneously to view behavioral changes only in a psychological framework Abrupt changes in behavior, personality, mood. or ability to function should be evaluated for possible organic causes. Then, the internists should take their consultation to psychiatrists and freely discuss psychologic problems of the patients.

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