Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-cd9895bd7-q99xh Total loading time: 0 Render date: 2024-12-29T04:05:59.512Z Has data issue: false hasContentIssue false

21 - Psychiatry in primary care

from Section 4 - Psychiatry in Specific Settings

Published online by Cambridge University Press:  22 August 2009

By
Paul Walters ,
André Tylee  and
Sir David Goldberg
Edited by
Robin M. Murray ,
Kenneth S. Kendler ,
Peter McGuffin ,
Simon Wessely  and
David J. Castle
Robin M. Murray
Affiliation:
King's College London
Kenneth S. Kendler
Affiliation:
Virginia Commonwealth University
Peter McGuffin
Affiliation:
University of Wales College of Medicine
Simon Wessely
Affiliation:
Institute of Psychiatry, London
David J. Castle
Affiliation:
University of Melbourne
Get access

Summary

Primary care occupies a position of utmost importance in the management of mental health problems. A significant proportion of patients with mental health problems in primary care have a poor prognosis. Somatisation has been described as the expression of psychological distress through physical symptoms, and it appears to be a universal phenomenon that is ubiquitous across cultures. The use of case-finding tools has been advocated to improve recognition rates of mental health problems in primary care. A number of strategies have been used in an attempt to improve outcomes of patients with mental health problems in primary care. The interface between primary care and psychiatric services is of key importance in the delivery of mental health services. An increasing number of treatments have proved beneficial in the primary care setting. These include medication, cognitive-behavioural techniques, and problem-solving techniques, reattribution skills for somatisation, counselling, self-help and bibliotherapy.

Keywords

abstinencealcohol disordersnicotinepharmacological treatmentssocial learning theorypsychiatric disorderssocial control theory
Type
Chapter
Information
Essential Psychiatry , pp. 479 - 497
Publisher: Cambridge University Press
Print publication year: 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×