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17 - Psychiatric Evaluation in the Medical Setting

Published online by Cambridge University Press:  22 July 2021

Audrey Walker
Affiliation:
Albert Einstein College of Medicine, New York
Steven Schlozman
Affiliation:
Harvard Medical School
Jonathan Alpert
Affiliation:
Albert Einstein College of Medicine, New York
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Summary

One out of every twenty emergency department (ED) visits in the United States is due to a psychiatric issue. Providing a gateway between the community and the mental health system, psychiatry emergency clinicians are responsible for assessing and managing a wide array of clinical presentations and conditions. Among emergency mental health-related visits, substance-related disorders, mood disorders, anxiety disorders, psychosis, and suicide attempts are among the most prevalent presentations. Although urgent conditions are common, increasing numbers of patients who present to the emergency department seek treatment for routine or non-acute psychiatric symptoms. Some patients self-refer to the emergency department, while others may be referred by family, friends, outpatient treatment providers, public agencies, or representatives of the law enforcement system.

Type
Chapter
Information
Introduction to Psychiatry
Preclinical Foundations and Clinical Essentials
, pp. 415 - 447
Publisher: Cambridge University Press
Print publication year: 2021

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References

Abrahm, J. (2005). A Physician’s Guide to Pain and Symptom Management in Cancer Patients, 2nd ed. Baltimore: Johns Hopkins University Press.Google Scholar
American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders, 5th ed. Washington, DC: American Psychiatric Publishing.Google Scholar
Applebaum, P. S., and Grisso, T. (1997). Capacities of Hospitalized, Medically Ill Patients to Consent to Treatment. Psychosomatics, 38, 119125.CrossRefGoogle Scholar
Braun, I. M., Greenberg, D. B., Smith, F. A., and Cassem, N. H. (2010). Functional Somatic Symptoms, Deception Syndromes, and Somatoform Disorders. In Stern, T. A., Fricchione, G. L., Cassem, N. H., Jellinek, M. S., and Rosenbau, J. F. (eds.), Massachusetts General Hospital Handbook of General Hospital Psychiatry, 6th ed. New York: Saunders/Elsevier, pp. 173187.CrossRefGoogle Scholar
Cassell, E. J. (1991). The Nature of Suffering and the Goals of Medicine. New York: Oxford University Press.Google Scholar
Institute of Medicine (2001). Crossing the Quality Chasm: A New Health Care System for the 21st Century. Washington, DC: Institute of Medicine.Google Scholar
Karas, S. (2002). Behavioral Emergencies: Differentiating Medical from Psychiatric Disease. Emergency Medicine Practice, 4, 120.Google Scholar
Katon, W. (2012). Collaborative Depression Care Models: From Development to Dissemination. American Journal of Preventive Medicine, 42, 550552.CrossRefGoogle ScholarPubMed
Meyer, F., and Block, S. D. (2011). Personality Disorders in the Oncology Setting. Journal of Support Oncology, 9, 4451.CrossRefGoogle ScholarPubMed
Oh, E. S., Fong, T. G., Hshieh, T. T., and Inouye, S. K. (2017). Delirium in Older Persons: Advances in Diagnosis and Treatment. Journal of the American Medical Association, 318 (12), 11611174.CrossRefGoogle ScholarPubMed
Regier, D. A., Goldberg, I. D., and Taube, C. A. (1978). The De Facto US Mental Health Services System: A Public Health Perspective. Arch Gen Psychiatry, 35, 685693.CrossRefGoogle Scholar
Smith, F. A. (2008). Factitious Disorders and Malingering. In Stern, T. A., Rosenbaum, J. F., Fava, M., Biederman, J., and Rauch, S. L. (eds.), Massachusetts General Hospital Comprehensive Clinical Psychiatry. Philadelphia: Mosby/Elsevier, pp. 331336.CrossRefGoogle Scholar
Smith, F. A., Querques, J., Levenson, J. L., and Stern, T. A. (2005). Psychiatric Assessment and Consultation. In Levenson, J. L. (ed.), The American Psychiatric Publishing Textbook of Psychosomatic Medicine, 1st ed. Arlington, VA: American Psychiatric Publishing, pp. 315.Google Scholar
Viederman, M., and Perry, S. W. (1980). Use of a Psychodynamic Life Narrative in the Treatment of Depression in the Physically Ill. Gen Hospital Psychiatry, 2, 177185.CrossRefGoogle ScholarPubMed

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