Collaborating consulting and referring

The success of mental health care often depends on communication between the referring primary care physician and the psychiatric consultant. (5 ,53) Care may be shared between the primary physician and the mental health professional according to one of several models.

A one-time psychiatric consultation with expected follow-up with the family physician might be useful to confirm a diagnosis or suggest pharmacotherapy when first-line treatments have failed. In more complex cases, the psychiatrist might assume temporary responsibility for the patient's mental health care until the patient has improved sufficiently. Long-term collaboration is necessary for patients with concurrent chronic psychiatric and medical illnesses. Shared visits with the family physician, the patient, and, sometimes, family members, can help to avoid miscommunications, and favour accurate diagnosis, appropriate treatment, and adherence. Transfer of total responsibility to a psychiatrist might be appropriate for patients with complex psychiatric illness who have no other chronic illnesses. Suggestions for effective psychiatrist-primary physician collaboration are shown in Table-

Break Free From Passive Aggression

Break Free From Passive Aggression

This guide is meant to be of use for anyone who is keen on developing a better understanding of PAB, to help/support concerned people to discover various methods for helping others, also, to serve passive aggressive people as a tool for self-help.

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