Titlebook: Brief Mental Health Interventions for the Family Physician; Michael V. Bloom,David A. Smith Book 2001 Springer-Verlag New York, Inc. 2001

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Factual

Brief Approach to Mental Health Screening,oal. Despite the fact there are well studied, effective screening tools such as Prime-MD, screening is seldom undertaken. There are rational reasons why family physicians do not use such instruments. Prime-MD is a good example. It comprises 16 questions, which is time-consuming; and it is difficult

Infinitesimal

Depression, mechanisms. The grief reaction has probably evolved as a powerful negative force for abandoning one’s group affiliates, thereby strongly encouraging maintenance of an extended family and tribe necessary for survival. Sadness and disappointment are nature’s way of saying you need to change to have y

陰險

Anxiety,e avoided. The problematic form of fear, ., develops when something has occurred that changes the fear into an ever-increasing interference in one’s life. The individual afflicted with anxiety may develop a pattern of being afraid of being afraid (e.g., panic disorder; see Chapter 5), and as a resul

Duodenitis

Posttraumatic Stress Disorder,ally includes shock and denial, which soon give way to nightmares, flashbacks, emotional lability, poor sleep, impaired appetite, and guilt/selfrecrimination. Most victims of psychological trauma, however, improve rapidly for 2–3 months, then more gradually over the course of 2 years. Studies show t

是限制

LEERY

Overutilizers,ractice, often are the most time-consuming and frustrating. Physicians may be tempted to refer them to others, although the best opportunity for optimal care lies with the family physician, who can be open and caring yet set firm limits.

檔案

DNR215

Nonadherence,reatment plan. A week later the patient is no better. Upon further investigation the doctor finds that the patient had not adhered to the plan. The doctor naturally feels thwarted and cynical about attempting to help the patient further. The patient’s behavior appears to be irrational and self-destr

考博

Substance Abuse,e them into treatment. Rarely do patients seek out a physician because of substance abuse problems. It is usually identified when evaluating patients for other problems (e.g., ulcer, insomnia, accidents, abuse). Identifying substance abuse is challenging. Family physicians may also make valuable con