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PSYCHIATRY ALGORITHMS FOR PRIMARY CARE BY WILEY BLACKWELL
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PSYCHIATRY ALGORITHMS FOR PRIMARY CARE BY WILEY BLACKWELL
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,, Psychiatry
Algorithms
for Primary Care
,
, Psychiatry
Algorithms for
Primary Care
GAU TAM GULATI
MBBS MD FRCPsych FRCPI PGDipLATHE (Oxon) FHEA
University of Limerick,
Ireland
WA LTER CULLEN
MB BCh BAO DCH DObs MD MICGP MRCGP
GradDipUTL
University College Dublin,
Ireland
B RE NDAN KELLY
MB BCh BAO MA MSc MA MD PhD DGov PhD MA (jure
officii) MCPsychI FRCPsych FRCPI FTCD
Trinity College Dublin,
Ireland
,This edition first published 2021
© 2021 John Wiley & Sons Ltd
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The right of Gautam Gulati, Walter Cullen, and Brendan Kelly to be identified as the authors of this work
has been asserted in accordance with law.
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Library of Congress Cataloging‐in‐Publication Data
Names: Gulati, Gautam, 1979– author. | Cullen, Walter, author. | Kelly,
Brendan (Brendan D.), author.
Title: Psychiatry algorithms for primary care / Gautam Gulati, Walter
Cullen, Brendan Kelly.
Description: First edition. | Hoboken, NJ : Wiley-Blackwell, 2021. |
Includes bibliographical references and index.
Identifiers: LCCN 2020026511 (print) | LCCN 2020026512 (ebook) | ISBN
9781119653561 (paperback) | ISBN 9781119653660 (adobe pdf) | ISBN
9781119653677 (epub)
Subjects: MESH: Mental Disorders–diagnosis | Mental Disorders–therapy |
Primary Health Care–methods | Clinical Decision-Making–methods
Classification: LCC RC454 (print) | LCC RC454 (ebook) | NLM WM 141 | DDC
616.89–dc23
LC record available at https://lccn.loc.gov/2020026511
LC ebook record available at https://lccn.loc.gov/2020026512
Cover Design: Wiley
Set in 10/12pt STIX Two Text by SPi Global, Pondicherry, India
10 9 8 7 6 5 4 3 2 1
,To our families. . .
,
,Contents
FORE WORD ix
AC KN OWL E D GEMEN TS xi
AU TH OR PR O F IL ES xii
Part 1 Introduction 1
1 How to Use This book 3
2 History Taking in General Practice 5
3 The Rapid Mental State Examination 8
Part 2 Common Psychiatric Disorders 13
4 Generalised Anxiety Disorder (GAD) 15
5 Panic Disorder 19
6 Obsessive Compulsive Disorder (OCD) 22
7 Social Phobia 25
8 Post-Traumatic Stress Disorder (PTSD) 28
9 Depression 31
10 Bipolar Affective Disorder (BPAD) 35
11 Psychosis 39
12 Eating Disorders 43
13 Personality Disorders 46
14 Alcohol Use Disorder 50
15 Substance Use Disorder 54
16 Opiate Use Disorder 57
17 Adult Attention Deficit Hyperactivity Disorder (ADHD) 60
18 Autism Spectrum Disorder (ASD) 63
19 Delirium 65
20 Dementia 68
Part 3 Common Presentations in
Primary Care 71
21 Fatigue 73
22 Insomnia 76
23 Medically Unexplained Symptoms 79
vii
, viii Contents
Part 4 Complex Scenarios 83
24 Suicide and Self Harm 85
25 Aggression 89
26 Referrals for Involuntary Care 91
Part 5 Special Considerations in
Prescribing 95
27 Special Considerations: Older Adults 97
28 Special Considerations in Prescribing: Children
and Adolescents 100
29 Special Considerations in Prescribing: People with
Intellectual Disabilities 103
30 Special Considerations in Prescribing: Pregnancy
and Breastfeeding 105
Part 6 Appendices 107
31 Commonly Prescribed Drugs 109
32 Physical Health in Patients with Severe Mental Illness 119
Part 7 Self-Assessment 123
33 Self-Assessment Cases 125
34 Self-Assessment Answers 138
IND E X 140
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