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Update on advances in psychiatric treatment in primary care

  • Christopher Dowrick

Summary

This article updates previous evidence on the role of primary care in the management of depression and related disorders, unexplained physical symptoms, and severe and enduring mental illness. Regarding depression and related disorders, there is now evidence for the benefits of non-medical interventions and collaborative care, providing alternatives to the simplistic over prescription of antidepressant medication. For severe and enduring illness, the emphasis in primary care is now on the effective management of comorbid physical health problems. The article also summarises best practice for the primary care assessment and management of dementia, including the need for holistic review of care quality and the potential benefits of collaborative care. Finally, it notes the growing emphasis on primary mental healthcare in low- and middle-income countries (LMIC).

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Copyright

Corresponding author

Professor Christopher Dowrick, B121 Waterhouse Buildings, University of Liverpool, Liverpool L69 3GL, UK. Email: cfd@liv.ac.uk

Footnotes

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LEARNING OBJECTIVES

• Understand best primary care practice in the management of depression and related disorders, unexplained physical symptoms, severe and enduring mental illness, and dementia

• Understand the implications for secondary care of best primary care practice in these areas

• Appreciate the expanding role of primary mental healthcare in LMIC, and how this interacts with psychiatric services

DECLARATION OF INTEREST

None

Footnotes

References

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Update on advances in psychiatric treatment in primary care

  • Christopher Dowrick

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